LIFECARE MEDICAL CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- LIFECARE MEDICAL CENTER (EIN 41-1804205)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-07-31
- IRS object ID
- 202612129349301901
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-07-31T15:11:18-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4585 Coleman St Ste 200 | AddressLine1Txt |
| City | Bismarck | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411804205 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeCare Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIFE | BusinessNameControlTxt |
| Phone | 2184632500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 Delmore Dr | AddressLine1Txt |
| City | Roseau | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56751 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Keith Okeson | PersonNm |
| Person Title | CEO/President | PersonTitleTxt |
| Phone | 2184632500 | PhoneNum |
| Signature | 2026-07-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lisa Chaffee CPA | PreparerPersonNm |
| PTIN | P00193453 | PTIN |
| Phone | 7012551091 | PhoneNum |
| Preparation | 2026-07-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Keith Okeson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 Delmore Dr | AddressLine1Txt |
| City | Roseau | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56751 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $81,482,512 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lifecaremedicalcenter.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | Promotion of Health | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 680 | TotalEmployeeCnt |
| Total Volunteers | 350 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,764,879 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,355,949 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,280,028 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $78,421,222 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,803,853 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,560,167 | CYInvestmentIncomeAmt |
| PY Other Revenue | $116,509 | PYOtherRevenueAmt |
| CY Other Revenue | $119,844 | CYOtherRevenueAmt |
| PY Total Revenue | $74,965,269 | PYTotalRevenueAmt |
| CY Total Revenue | $81,457,182 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $47,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $147,700 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,009,475 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,760,401 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,361,152 | PYOtherExpensesAmt |
| CY Other Expenses | $31,497,768 | CYOtherExpensesAmt |
| PY Total Expenses | $65,418,127 | PYTotalExpensesAmt |
| CY Total Expenses | $76,405,869 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,547,142 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,051,313 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $120,995,256 | TotalAssetsBOYAmt |
| Total Assets EOY | $128,021,463 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,229,046 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,534,190 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $107,766,210 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $113,487,273 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide care for a healthy life. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $63,678,782 | ExpenseAmt |
| Grant | $147,700 | GrantAmt |
| Revenue | $78,421,222 | RevenueAmt |
| Desc | LifeCare Medical Center operates a 25-bed critical access hospital, a 40-bed nursing facility, a 42-unit assisted living facility, a primary care clinic, home health, hospice, and public health in Roseau, Minnesota. The organization also operates a 40-bed nursing facility, 12 apartments of assisted living, and a primary care clinic in Greenbush, Minnesota. The organization also operates a community wellness/rehabilitation center and a primary care clinic in Warroad, Minnesota. The purpose of the Medical Center is to own, maintain, and operate a hospital, clinics, and long term care facilities, and to furnish medical and surgical care to the sick, infirm, or injured.Continued on Schedule O... Acute Care Hospital (Inpatient and Outpatient)Inpatient days: 2,931 (1,588 IP and 1,343 SWB)Long Term CareLifeCare Roseau Manor Resident Days: 13,509LifeCare Greenbush Manor Resident Days: 11,252LifeCare Greenbush Assisted Living Resident Days: 1,542LifeCare Senior Living Resident Days: 12,590Clinic Visits: 43,841Home Health Visits: 1,177Hospice Clients Served: 25To fulfill its mission of community service, LifeCare Medical Center provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The amount of charges foregone, based on established rates, was $280,929 for the year ended September 30, 2025. | Desc |
| Total Program Service Expenses | $63,678,782 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 113 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 680 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Tangen | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2184634760 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 Delmore Drive | AddressLine1Txt |
| City | Roseau | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56751 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Corwin Vatnsdal | ||||||||
| Chair | 1.00 | Yes (X) | Yes (X) | $1,700 | $0 | $0 | ||
| Therese McBride | ||||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $1,300 | $0 | $0 | ||
| Brenda Sather | ||||||||
| Vice Chair until Apr 2025 | 1.00 | Yes (X) | Yes (X) | $500 | $0 | $0 | ||
| Mark Wilson | ||||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $1,600 | $0 | $0 | ||
| Chuck Lindner | ||||||||
| Trustee | 1.00 | Yes (X) | Yes (X) | $1,300 | $0 | $0 | ||
| Beth Johnson | ||||||||
| Trustee | 1.00 | Yes (X) | $900 | $0 | $0 | |||
| Matthew Ulwelling | ||||||||
| Trustee until Aug 2025 | 1.00 | Yes (X) | $600 | $0 | $0 | |||
| Ronald Brummer | ||||||||
| Trustee | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| Jessica Foss | ||||||||
| Trustee | 1.00 | Yes (X) | $1,000 | $0 | $0 | |||
| Mark Karl | ||||||||
| Trustee | 1.00 | Yes (X) | $1,100 | $0 | $0 | |||
| Dan Urness | ||||||||
| Trustee | 1.00 | Yes (X) | $1,200 | $0 | $0 | |||
| Megan Comstock | ||||||||
| Trustee | 1.00 | Yes (X) | $1,200 | $0 | $0 | |||
| Gabriel Mooney | ||||||||
| Trustee as of Aug 2025 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Keith Okeson | ||||||||
| CEO/President | 40.00 | Yes (X) | $532,099 | $0 | $45,950 | |||
| Cathy Huss | ||||||||
| CFO | 40.00 | Yes (X) | $361,968 | $0 | $39,057 | |||
| Shannon D Carlson | ||||||||
| COO | 40.00 | $260,205 | $0 | $32,076 | Yes (X) | |||
| Kelly Hulst | ||||||||
| CNO | 40.00 | $210,761 | $0 | $45,635 | Yes (X) | |||
| James Cain | ||||||||
| General Surgeon | 40.00 | $552,429 | $0 | $42,591 | Yes (X) | |||
| Alan Grillo | ||||||||
| Emergency Medicine Physician | 40.00 | $416,759 | $0 | $54,205 | Yes (X) | |||
| Shivali Devgon | ||||||||
| Internal Medicine Physician | 40.00 | $395,490 | $0 | $22,661 | Yes (X) | |||
| Renae Johnson | ||||||||
| CRNA | 40.00 | $316,372 | $0 | $51,791 | Yes (X) | |||
| Andrew Humes | ||||||||
| CRNA | 40.00 | $305,219 | $0 | $29,145 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,364,702 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $363,111 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 82 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comstock Construction Inc | |||||
| 1003 Progress Dr | Fergus Falls | MN | 56538 | Construction Contractors | $9,394,479 |
| Wapiti Medical Group Limited | |||||
| 107 Flynn Dr | Milbank | SD | 57252 | Emergency Room Physicians | $2,412,469 |
| Central Minnesota Diagnostic | |||||
| PO Box 158 | Milaca | MN | 56353 | Imaging Technician Services | $789,440 |
| Mayo Collaborative Services | |||||
| PO Box 9146 | Minneapolis | MN | 55480 | Laboratory Testing | $407,380 |
| Shared Medical Technology Inc | |||||
| 202 West Newton St | Rice Lake | WI | 54868 | Imaging Technician Services | $385,795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,145,200 | GovernmentGrantsAmt |
| All Other Contributions | $210,749 | AllOtherContributionsAmt |
| Total Contributions | $1,355,949 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $77,214,632 | $77,214,632 |
| Other Revenue | 621500 | $847,979 | $847,979 |
| Earnings from CMDI | 900001 | $358,611 | $358,611 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $78,421,222 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,585,497 | TotalRevenueColumnAmt |
| Exclusion | $1,585,497 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,844 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $119,844 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,844 | TotalRevenueColumnAmt |
| Exclusion | $119,844 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25,330 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$25,330 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$25,330 | TotalRevenueColumnAmt |
| Exclusion | -$25,330 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,457,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,421,222 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,680,011 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,700 | TotalAmt |
| Program Services | $144,700 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,593,475 | TotalAmt |
| Management And General | $1,593,475 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,085,933 | TotalAmt |
| Program Services | $29,639,371 | ProgramServicesAmt |
| Management And General | $4,446,562 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,285,451 | TotalAmt |
| Program Services | $1,152,286 | ProgramServicesAmt |
| Management And General | $133,165 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,300,407 | TotalAmt |
| Program Services | $4,503,490 | ProgramServicesAmt |
| Management And General | $796,917 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,495,135 | TotalAmt |
| Program Services | $2,083,653 | ProgramServicesAmt |
| Management And General | $411,482 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,633 | TotalAmt |
| Management And General | $104,633 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,553 | TotalAmt |
| Management And General | $172,553 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,564 | TotalAmt |
| Program Services | $59,564 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,026,947 | TotalAmt |
| Program Services | $8,204,771 | ProgramServicesAmt |
| Management And General | $822,176 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,476 | TotalAmt |
| Management And General | $279,476 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,788,490 | TotalAmt |
| Program Services | $697,599 | ProgramServicesAmt |
| Management And General | $1,090,891 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,601,502 | TotalAmt |
| Program Services | $1,568,042 | ProgramServicesAmt |
| Management And General | $33,460 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,412 | TotalAmt |
| Program Services | $400,477 | ProgramServicesAmt |
| Management And General | $72,935 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,213 | TotalAmt |
| Program Services | $24,972 | ProgramServicesAmt |
| Management And General | $81,241 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,788 | TotalAmt |
| Program Services | $104,788 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,674,150 | TotalAmt |
| Program Services | $3,993,593 | ProgramServicesAmt |
| Management And General | $680,557 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,278 | TotalAmt |
| Management And General | $388,278 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $8,649,444 | $8,649,444 | |
| Repairs & Maintenance | $1,839,218 | $583,757 | $1,255,461 |
| Surcharge Fees | $607,496 | $607,496 | |
| MN Care Tax | $606,873 | $606,873 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,014,731 | TotalAmt |
| Program Services | $650,906 | ProgramServicesAmt |
| Management And General | $363,825 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,405,869 | TotalAmt |
| Program Services | $63,678,782 | ProgramServicesAmt |
| Management And General | $12,727,087 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,522,429 | BOYAmt |
| EOY | $14,982,110 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,964,441 | BOYAmt |
| EOY | $14,250,762 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,411,972 | BOYAmt |
| EOY | $2,842,465 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,176 | BOYAmt |
| EOY | $218,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $83,835,812 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,869,370 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,685,343 | BOYAmt |
| EOY | $38,966,442 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,443,357 | BOYAmt |
| EOY | $51,744,715 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,828 | BOYAmt |
| EOY | $802,855 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,452 | BOYAmt |
| EOY | $242,743 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,538,258 | BOYAmt |
| EOY | $3,970,466 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,995,256 | BOYAmt |
| EOY | $128,021,463 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,156,708 | BOYAmt |
| EOY | $8,779,109 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $907,956 | BOYAmt |
| EOY | $849,986 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,896 | BOYAmt |
| EOY | $334,959 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,857,486 | BOYAmt |
| EOY | $4,570,136 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,229,046 | BOYAmt |
| EOY | $14,534,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,766,210 | BOYAmt |
| EOY | $113,487,273 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,766,210 | BOYAmt |
| EOY | $113,487,273 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,995,256 | BOYAmt |
| EOY | $128,021,463 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,051,313 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $669,750 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $443,702 | OtherCostOrOtherBasisAmt |
| Book Value | $443,702 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,914,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,073,623 | DepreciationAmt |
| Book Value | $31,840,588 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,530,838 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,705,211 | DepreciationAmt |
| Book Value | $4,825,627 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,947,061 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,090,536 | DepreciationAmt |
| Book Value | $1,856,525 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,966,442 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlem | $1,246,096 |
| Finance Lease Liability | $1,097,712 |
| Deferred Compensation Obligation | $2,226,328 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,570,136 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $82,067,368 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $669,750 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $669,750 | RevenueNotReportedAmt |
| Revenue Subtotal | $81,397,618 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $59,564 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $59,564 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $81,457,182 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $76,346,305 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $76,346,305 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $59,564 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $59,564 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $76,405,869 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The Medical Center acts as custodian for the funds of the residents, holds resident security deposits, and holds employee voluntary withholdings. Funds for residents and others totaled $334,959 and $306,896 at September 30, 2025 and 2024. |
| Part X, Line 2: | The Medical Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Medical Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $169,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,060,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,704,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $356,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,229,844 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,704,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $525,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $417,655 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $138 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $417,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $282,480 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,041 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $261,439 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,108,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,165,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,942,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,644 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,644 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,923,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,187,156 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,736,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10130 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,153,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,891,386 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,261,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10820 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,048 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,048 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,535 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,851 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,024 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $84,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,047,459 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,047,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,213,469 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,208,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01580 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,064,894 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $337,138 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,572,120 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $10,634,464 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$62,344 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeCare Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 Delmore Drive | AddressLine1Txt |
| City | Roseau | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56751 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.lifecaremedicalcenter.org | WebsiteAddressTxt |
| State License | 00579 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LifeCare Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://lifecaremedicalcenter.org/about/community-health/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://lifecaremedicalcenter.org/about/community-health/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://lifecaremedicalcenter.org/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://lifecaremedicalcenter.org/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://lifecaremedicalcenter.org/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LifeCare Medical Center | Part V, Section B, Line 5: LifeCare Medical Center conducted its 2025 Community Health Needs Assessment (CHNA) in compliance with IRS requirements by taking into account input from persons representing the broad interests of the community, including individuals with public health expertise and organizations serving medically underserved, low-income, and rural populations.Input was collected between February 18 and June 15, 2025 through 14 key informant interviews (65 participants) and a community survey (161 respondents).Key informants included representatives from: -Public health and human services: LifeCare Home Care, Public Health & Hospice; Roseau County Social Services -Government and public safety: Roseau County Sheriff's Office and County Board, Roseau Police Department -Education and youth services: Badger School, Warroad School, Greenbush School, Head Start/Early Head Start -Community and faith-based organizations: Roseau Ministerial Association, Chamber of Commerce -Business and workforce sectors: Polaris Industries, Marvin Windows and Doors, Central BoilerThese organizations represent all regions of Roseau County (Badger, Greenbush, Roseau, Warroad, and surrounding rural areas).The assessment incorporated input from and on behalf of key populations, including: -Medically underserved and rural residents -Low-income families and children (including Head Start participants) -Older adults and individuals receiving home care or hospice services -Working-age adults and local workforce populationsWritten comments on the prior CHNA and implementation strategy were reviewed and considered, and findings were further validated using secondary data to ensure a comprehensive and unbiased assessment. |
| LifeCare Medical Center | Part V, Section B, Line 11: LifeCare Medical Center's most recent Community Health Needs Assessment (CHNA) identified several significant health needs within Roseau County.The most prominent need identified was mental health, including limited local access to services, long wait times, provider shortages, lack of inpatient capacity, and ongoing stigma associated with seeking care. Contributing factors included social isolation, excessive screen time, and co-occurring substance use.Substance use, particularly alcohol and vaping, emerged as a major concern affecting both youth and adults. Community input highlighted cultural norms around alcohol use, increasing vaping among youth, and the need for prevention, education, and early intervention.Transportation barriers were consistently identified as a significant issue impacting access to healthcare, employment, and essential services. Limited public transit options, lack of reliable vehicles, and shortages of volunteer drivers were noted as key challenges.Affordable housing and economic stability were also identified as critical needs. Rising costs related to housing, food, healthcare, and childcare, along with workforce shortages, contribute to financial strain and reduced access to resources.Additional health needs identified include: - Chronic disease prevention and management (e.g., heart disease, diabetes, obesity) - Suicide and injury prevention - Access to childcare and family supports - Food security and nutrition - Opportunities for physical activity and access to safe wellness spacesWhile LifeCare Medical Center recognizes the importance of all identified community health needs, not all will be directly addressed through the hospital's implementation strategy due to resource limitations and alignment with organizational expertise.The facility does not plan to directly address certain needs, including: - Affordable housing development - Broad transportation infrastructure improvements - Childcare capacity and workforce shortagesThese needs require significant community-wide infrastructure, policy changes, and cross-sector investment beyond the scope of the hospital's primary mission and available resources. However, LifeCare Medical Center will continue to collaborate with community partners, local government agencies, and regional organizations that are better positioned to address these needs.Additionally, while chronic disease prevention, food security, and economic stability are recognized as important, these areas may be addressed indirectly through partnerships, referrals, and community education rather than as primary focus areas.LifeCare Medical Center selected priority areas based on community input, organizational capacity, and the opportunity to make a measurable impact. The hospital will focus its direct efforts on: - Mental health - Substance use (alcohol and vaping)The 2025 CHNA was completed during the fiscal year; therefore, implementation efforts remained focused on prior CHNA priorities while planning for future strategies.During the current tax year (October 2024 through September 2025), LifeCare Medical Center continued to address the priority needs identified in its prior CHNA, including mental health, substance use prevention, and chronic disease prevention. 1. Mental HealthLifeCare Medical Center expanded both access to care and community-based mental health initiatives. Two additional therapists and one skills worker were added, increasing service capacity. The organization also received Child Therapeutic Support Services (CTSS) certification and expanded school-based services to both Roseau and Warroad schools, providing three days of therapy and two days of skills services weekly at each location.LifeCare continued strong collaboration with community partners, including ongoing leadership participation on the MAX Foundation Board, which expanded the Project 11 mental health curriculum to 37 schools. Staff also participated in regional coalitions and community efforts focused on suicide prevention.A comprehensive community awareness campaign, "Thrive in 2025," was implemented, supported by consistent weekly social media messaging and outreach activities, including a mental health booth at the county fair. LifeCare was also awarded a Youth Suicide Prevention grant, which supported development of improved care pathways. In addition, behavioral health providers received training in the Collaborative Assessment and Management of Suicidality (CAMS) model to strengthen suicide prevention and intervention efforts.2. Substance Use PreventionLifeCare strengthened its substance use prevention efforts by hiring a dedicated Health Educator focused on alcohol, tobacco, and drug misuse prevention. This role supported expanded programming in partnership with Team EPIC and local schools, including education on vaping and substance use prevention.Additional activities included: - Medication Take-Back events in Roseau and Greenbush - Naloxone distribution to local agencies, including fire departments and social services - Community education at events such as a community baby shower - Youth-focused programming, including school-based presentations, summer programming, and participation in school and sports events - Community and employee outreach through health fairs, tabling events, and distribution of educational materials (e.g., substance use infographics)LifeCare also maintained ongoing prevention messaging through social media and community engagement efforts.3. Chronic Disease PreventionLifeCare continued to promote chronic disease prevention and healthy living through clinical services and community programming. Transitional care coaching remained in place to support patients following hospital discharge, and flu vaccination clinics were offered to the public.Community-based efforts included: - Ongoing operation of 24/7 fitness centers and wellness programming, including exercise classes in the Warroad area. - Offering evidence-based programs such as Matter of Balance classes. - Hosting the annual May Walk/Run, which incorporated both physical activity and mental health awareness. - Participation in employer-based health fairs and school-based education, including 5th grade health tours. - Continued use of The Pulse and social media platforms to share health education and promote healthy behaviors. |
| LifeCare Medical Center | Part V, Section B, Line 16j: In addition to providing the full policy upon request, the Hospital also summarizes the policy on its website, billing invoices, as well as brochures summarizing the policy in the emergency rooms and admissions office. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LifeCare Roseau Manor | ||||
| 715 Delmore Drive | Roseau | MN | 56751 | Skilled Nursing Facility |
| 2 - LifeCare Greenbush Manor | ||||
| 19120 200th Street | Greenbush | MN | 56726 | Skilled Nursing Facility |
| 3 - LifeCare Clinic Roseau | ||||
| 715 Delmore Drive | Roseau | MN | 56751 | Rural Health Clinic |
| 4 - LifeCare Clinic Warroad | ||||
| 412 Main Ave NE | Warroad | MN | 56763 | Rural Health Clinic |
| 5 - LifeCare Warroad Wellness | ||||
| 210 N Main Ave | Warroad | MN | 56763 | Rehabilitation and Wellness Center |
| 6 - LifeCare Senior Living | ||||
| 201 10th St SE | Roseau | MN | 56751 | Assisted Living Facility |
| 7 - LifeCare Clinic Greenbush | ||||
| 19120 200th St | Greenbush | MN | 56726 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | We do an asset test of $15,000 in addition to the income test. The asset test excludes primary residence and one vehicle per adult. Medical indigency is also considered. |
| Part I, Line 7: | Charity care was converted to cost by multiplying the ratio of cost to gross charges by the gross uncompensated charges associated with providing charity care to its patients. Community health improvements and cash and in-kind contributions are calculated at actual costs recorded in the general ledger. Health professionals education costs are based on estimated time and wages to manage students and interns at the facilities. Subsidized health services and Medicaid are converted to cost according to costs allocated to the relevant cost centers on the Medicare Cost Report. |
| Part II, Community Building Activities: | Community support includes donations to local community organizations and employee staff time donated to local community committees, as well as employee staff time spent on disaster preparedness beyond legal requirements.Coalition building includes EMT and CPR training for area First Responders and Fire Departments, as well as time donated to the Roseau Area Diabetes Center.Community health improvement advocacy includes staff time on healthcare related boards that advocate for healthcare, as well as time spent on discussions on proper prescription drug disposals, med alerts, chronic disease management, time spent in local correctional facilities on prescription drug abuse and on the Roseau County Committee on Aging. By being involved in the community through the above activities, we are able to increase health awareness.Workforce development includes the costs of recruitment to Roseau County, as Roseau County is considered a Health Professional Shortage Area. This promotes better care for our patients. The costs include physician recruitment, career fairs and workforce development committees. |
| Part III, Line 2: | The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. |
| Part III, Line 3: | The estimated amount of implicit price concessions is attributable to patients eligible under the organization's charity care policy is calculated by using the estimated percentage of community population that is under the Federal Poverty Guidelines. The organization has estimated 11% of the implicit price concessions would be charity care. |
| Part III, Line 4: | The financial statement footnote regarding implicit price concessions may be found on page 12 and 13 of the audited financial statements. |
| Part III, Line 8: | Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, if there is a shortfall, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | 1. Before engaging in ECAs to obtain payment for care, LifeCare Medical Center must make certain reasonable efforts to determine whether an individual is eligible for financial assistance under our financial assistance policy: a) ECAs may begin only when 120 days have passed since the first postdischarge statement was provided (an exception is the account with no delivery information and those can go directly to collections). b) However, at least 30 days before initiating ECAs to obtain payment, LifeCare Medical Center shall do the following:i. Provide the individual with a written notice that indicates the availability of financial assistance, lists potential ECAs that may be taken to obtain payment for care, and gives a deadline after which ECAs may be initiated (no sooner than 120 days after the first post-discharge billing statement and 30 days after the written notice) ii. Provide a plain-language summary of the FAP along with the notice described above iii. Attempt to notify the individual orally about the FAP and how he or she may get assistance with the application process 2. After making reasonable efforts to determine financial assistance eligibility as outlined above, LifeCare Medical Center (or its authorized business partners) may take any of the following ECAs to obtain payment for care: a) Take action to foreclose property b) Place a lien on property 3. We will not deny medically necessary health treatment or services to you or any member of your family or household because of current or previous outstanding medical debt owed by you or any member of your family or household to us, regardless of whether the health treatment or service may be available from another health care provider. As a condition of providing medically necessary health treatment or services when you or any member of your family or household has current or previous outstanding medical debt to us, we may require you to enroll in a payment plan for the outstanding medical debt owed to us. We may seek other legally permitted remedies in the event of your failure to abide by the payment plan terms. |
| Part VI, Line 2: | LifeCare Medical Center provides the Public Health functions for Roseau County. |
| Part VI, Line 3: | We have financial counselors who have phone conversations with patients during our collections process. We guide patients to other financial programs as well as our own charity care program. Brochures are available in all admitting areas. Information is also sent to our patients via patient bills. Our website has the charity care application and brochure, as well as the contact information for our financial counselors, available to patients. |
| Part VI, Line 4: | Roseau County is a rural area with a population of approximately 15,301 people. We are the sole hospital located in Roseau County and the nearest tertiary hospital is two hours away. We are a federally-designated medically underserved area. In 2025, approximately 18.5% of the population was age 65 or older. The median household income is $76,342 as of 2024 and approximately 11% of the population is below the federal poverty level. |
| Part VI, Line 5: | The organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay.As a not-for-profit organization LifeCare Medical Center has made a promise to give back to its community. As a regional healthcare leader, LifeCare strives to respond to healthcare needs by partnering with local leaders, educators, government officials and others.The community benefit report summarizes how this leadership role has made a difference to the people of the area. Included are highlights describing how LifeCare has played an integral role in enhancing the health and overall well-being of the community.Trusted PartnershipsLifeCare's commitment to quality care extends beyond its walls and into the community where strong partnerships have been built to maintain and improve the health and overall well-being of its neighbors. LifeCare EMS personnel are proud of their trusted relationships with regional emergency response groups. Area fire fighters, police, and others participate in disaster training sessions where a disaster is staged and responded to as if it were a real life situation. This type of training helps prepare all groups involved.Education for a Healthy FuturePart of LifeCare's mission is to help educate the next generation of health care professionals. LifeCare Directors work closely with many regional high school and post-secondary educational facilities to bring students into our organization through job shadowing, internships, rural scholar and other programs. Through these programs, students get a firsthand look at specific health care careers as they learn from our staff for a day, week, month or several months based on their program. Students often times focus on rural healthcare employment opportunities that may be available to them once they have completed their education.Charity CareLifeCare recognizes that circumstances arise where a patient is simply unable to pay a hospital bill. In these situations, LifeCare offers a program called Charity Care, in which LifeCare forgives the bills of families and individuals who meet set income guidelines. Great appreciation has been voiced by many who received a helping hand from this program. In fiscal year 2025, LifeCare granted $280,929 in Charity Care based on charges foregone.A Healthy Awareness and Community OutreachLifeCare employees know the importance of educating the public about a healthy lifestyle. And sometimes the best way to provide awareness is to venture outside the facility. That's why LifeCare is involved with many initiatives throughout our communities. By reaching out to the public through nutrition and exercise programs, civic projects, health and safety awareness, health fairs, and other methods, they are able to educate and strengthen the community.Fifth grade tours have become a favorite for students throughout Roseau County. A hospital tour is coupled with a mini health fair where students learn their blood type. The goal of this program is to influence young students into making healthy lifestyle decisions, in addition to introducing them to careers in healthcare.Funding Essential ServicesLifeCare's commitment to community needs is exemplified by its contribution to subsidized services. In fiscal year 2025, LifeCare absorbed over $9,869,408 in costs in order to sustain services that rely on funding from other sources, in particular the Medicaid program. These departments include behavioral health, ambulance, two nursing homes, home health care, clinic space, three clinics, and senior living.LifeCare Medical Center distributed approximately $9.9 million based on cost in Community Benefits in fiscal year 2025 as reported on Schedule H Part I, II and III. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| Roseau Youth Hockey | ||||||||||
| 102 2nd St SE B | Roseau | MN | 56751 | 300504598 | 501(c)(3) | $10,000 | $0 | Annual Sponsorship | ||
| Altru Health Foundation | ||||||||||
| 2501 Demers Avenue | Grand Forks | ND | 58206 | 450368330 | 501(c)(3) | $30,000 | $0 | Contribution to New Facility Construction | ||
| Warroad Community Childcare Center | ||||||||||
| 203 Liberty Ave NW | Warroad | MN | 56763 | 882658990 | 501(c)(3) | $25,000 | $0 | Local Childcare Facility Construction | ||
| Roseau Economic Development Agency | ||||||||||
| 121 Center St E Suite 202 | Roseau | MN | 56751 | 416005499 | Government | $25,000 | $0 | Local Childcare Facility Construction | ||
| Lil Chompers Daycare | ||||||||||
| 19183 200th St | Greenbush | MN | 56726 | 871172902 | 501(c)(3) | $25,000 | $0 | Local Childcare Facility Construction | ||
| Marvin Lumber and Cedar Co | ||||||||||
| 401 State Ave | Warroad | MN | 56763 | 410396845 | Other than tax exemp | $0 | $24,700 | Nursing Privacy | Fair Market | Mamava Nursing Pod |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Medical Center does not specifically monitor the use of funds once the funds are provided to the individual or entity. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James Cain | ||||||||||||||
| General Surgeon | $467,785 | $0 | $61,055 | $0 | $23,589 | $0 | $13,800 | $0 | $29,350 | $0 | $595,579 | $0 | $0 | $0 |
| Keith Okeson | ||||||||||||||
| CEO/President | $459,701 | $0 | $49,941 | $0 | $22,457 | $0 | $13,800 | $0 | $32,708 | $0 | $578,607 | $0 | $0 | $0 |
| Alan Grillo | ||||||||||||||
| Emergency Medicine Physician | $366,431 | $0 | $28,630 | $0 | $21,698 | $0 | $13,800 | $0 | $40,963 | $0 | $471,522 | $0 | $0 | $0 |
| Shivali Devgon | ||||||||||||||
| Internal Medicine Physician | $384,087 | $0 | $11,315 | $0 | $88 | $0 | $13,800 | $0 | $9,269 | $0 | $418,559 | $0 | $0 | $0 |
| Cathy Huss | ||||||||||||||
| CFO | $301,826 | $0 | $43,972 | $0 | $16,170 | $0 | $12,438 | $0 | $27,177 | $0 | $401,583 | $0 | $0 | $0 |
| Renae Johnson | ||||||||||||||
| CRNA | $272,851 | $0 | $13,445 | $0 | $30,076 | $0 | $11,491 | $0 | $40,858 | $0 | $368,721 | $0 | $0 | $0 |
| Andrew Humes | ||||||||||||||
| CRNA | $268,396 | $0 | $13,467 | $0 | $23,356 | $0 | $10,983 | $0 | $18,721 | $0 | $334,923 | $0 | $0 | $0 |
| Shannon D Carlson | ||||||||||||||
| COO | $233,125 | $0 | $13,921 | $0 | $13,159 | $0 | $9,526 | $0 | $23,108 | $0 | $292,839 | $0 | $0 | $0 |
| Kelly Hulst | ||||||||||||||
| CNO | $187,165 | $0 | $14,042 | $0 | $9,554 | $0 | $7,961 | $0 | $38,232 | $0 | $256,954 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | Officers and key employees are paid discretionary bonues. These would be included in their compensation information that is provided on Part VII. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1a | The Executive Committee consists of the Chair, Vice-Chair, Treasurer, Secretary, and at least one other director (who shall be selected annually.) The President/CEO will be a non-voting member of the committee. The President/CEO will be excused for matters relating to compensation and evaluation. The Executive Committee shall meet as often as necessary at the call of the Chair, Vice-Chair, or at the request of any two of its members. A majority of the Executive Committee shall constitute a quorum. The Executive Committee's specific responsibilities are to: * Exercise the authority of the board in the management of the business of the corporation between regularly scheduled meetings. * Report to the board any official actions it has taken at the next board meeting. * Review the compensation program for the senior leaders of the organization that is designed to allow the organization to recruit and retain superior talent. * Responsible for conducting on an annual basis the process of establishing goals, evaluating the performance and establishing the compensation of the President/CEO. |
| Form 990, Part VI, Section B, line 11b | The return is reviewed initially by the CFO. The return is made available to the Board of Trustees before it is filed. |
| Form 990, Part VI, Section B, line 12c | All officers, trustees, and key employees are required to complete a conflict of interest form annually. The form is reviewed by the Board of Trustees to determine if any conflicts exist. If there are any conflicts, the Board of Trustees will discuss the restrictions that should be placed on the person with the conflict. Restrictions are typically related to voting and discussion of matters related to the conflict. |
| Form 990, Part VI, Section B, line 15 | The compensation for the CEO and CFO is approved by the Executive Committee based on comparability data. The CEO and CFO both have employment contracts. The deliberation and discussion of compensation is documented in the board meeting minutes. This process takes place on an annual basis. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements are available upon request. |
| Form 990, Part IX, line 11g | Physician Fees: Program service expenses 3,518,229. Management and general expenses 134,072. Fundraising expenses 0. Total expenses 3,652,301. Service Related Fees: Program service expenses 2,563,997. Management and general expenses 56,310. Fundraising expenses 0. Total expenses 2,620,307. Miscellaneous Fees: Program service expenses 813,591. Management and general expenses 631,794. Fundraising expenses 0. Total expenses 1,445,385. Fees -Rad Pro: Program service expenses 1,307,392. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,307,392. Fees -GB Clinic: Program service expenses 1,562. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,562. |
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