Totals
- Total revenue
- $58,253,621
- Total expenses
- $55,626,625
- Contributions and grants received
- $2,502,095
- Grants paid
- $226,000
- Program service revenue
- $54,518,399
- Investment income
- $1,076,397
- Other revenue
- $156,730
- Total assets, end of year
- $104,672,030
- Total liabilities, end of year
- $7,537,432
- Net assets or fund balances, end of year
- $97,134,598
- Program services expenses (Part IX)
- $46,584,634
- Management and general expenses
- $9,041,991
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $46,584,634
Program services were 83.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$255,888
-
1f · All other contributions, gifts and grants
$2,246,207
-
1g · Noncash contributions included above
$2,000,724
-
2a · Program service revenue: Net Patient Service Revenue
total $53,683,665 · related or exempt $53,683,665
-
2b · Program service revenue: Other Revenue
total $834,734 · related or exempt $834,734
-
3 · Investment income
total $1,069,337 · excluded $1,069,337
-
6a · Gross rents
real property $469,342
-
6b · Less rental expenses
real property $312,612
-
6c · Rental income or loss
real property $156,730
-
6d · Net rental income or loss
total $156,730 · excluded $156,730
-
7a · Gross sales of assets other than inventory
other assets $8,000
-
7b · Less cost or other basis and sales expenses
other assets $940
-
7c · Gain or loss
other assets $7,060
-
7d · Net gain or loss
total $7,060 · excluded $7,060
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $220,000 · program services $220,000
-
2 · Grants to domestic individuals
total $6,000 · program services $6,000
-
5 · Compensation of officers, directors and key employees
total $1,317,026 · management and general $1,317,026
-
7 · Other salaries and wages
total $24,570,826 · program services $21,261,270 · management and general $3,309,556
-
8 · Pension plan contributions
total $894,935 · program services $818,008 · management and general $76,927
-
9 · Other employee benefits
total $3,684,324 · program services $3,096,715 · management and general $587,609
-
10 · Payroll taxes
total $1,823,650 · program services $1,506,943 · management and general $316,707
-
11b · Fees: legal
total $41,335 · management and general $41,335
-
11c · Fees: accounting
total $107,184 · management and general $107,184
-
11f · Fees: investment management
total $46,557 · program services $46,557
-
11g · Fees: other
total $7,244,363 · program services $6,725,541 · management and general $518,822
-
12 · Advertising and promotion
total $154,228 · management and general $154,228
-
13 · Office expenses
total $1,321,072 · program services $617,349 · management and general $703,723
-
16 · Occupancy
total $1,070,233 · program services $1,018,371 · management and general $51,862
-
17 · Travel
total $383,360 · program services $354,970 · management and general $28,390
-
19 · Conferences, conventions and meetings
total $69,608 · program services $24,162 · management and general $45,446
-
20 · Interest
total $45,354 · program services $45,354
-
22 · Depreciation, depletion and amortization
total $3,125,788 · program services $2,828,622 · management and general $297,166
-
23 · Insurance
total $304,234 · management and general $304,234
-
24a · Other expenses: Medical Supplies
total $5,979,648 · program services $5,979,648
-
24b · Other expenses: Repairs & Maintenance
total $1,287,701 · program services $466,218 · management and general $821,483
-
24c · Other expenses: Surcharge Fees
total $626,614 · program services $626,614
-
24d · Other expenses: Food and Dietary Cateri
total $459,985 · program services $427,692 · management and general $32,293
-
24e · All other expenses
total $842,600 · program services $514,600 · management and general $328,000
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $15,905,856 · end of year $12,480,638
-
4 · Accounts receivable
beginning of year $8,527,593 · end of year $8,502,736
-
8 · Inventories for sale or use
beginning of year $1,768,210 · end of year $1,890,498
-
9 · Prepaid expenses and deferred charges
beginning of year $230,002 · end of year $283,882
-
10a · Land, buildings and equipment: cost or other basis
$70,803,597
-
10b · Land, buildings and equipment: accumulated depreciation
$42,459,380
-
10c · Land, buildings and equipment, net
beginning of year $23,871,408 · end of year $28,344,217
-
11 · Investments: publicly traded securities
beginning of year $50,360,371 · end of year $52,040,851
-
13 · Investments: program-related
beginning of year $440,504 · end of year $541,795
-
15 · Other assets
beginning of year $0 · end of year $587,413
-
17 · Accounts payable and accrued expenses
beginning of year $6,342,940 · end of year $6,083,535
-
19 · Deferred revenue
beginning of year $11,804 · end of year $405,743
-
21 · Escrow or custodial account liability
beginning of year $285,297 · end of year $284,426
-
25 · Other liabilities
beginning of year $491,254 · end of year $763,728
-
27 · Net assets without donor restrictions
beginning of year $93,972,649 · end of year $97,134,598
Mission and programs · 2022
Mission
To provide care for a healthy life.
Activities or mission (Part I)
Promotion of Health
-
LifeCare Medical Center operates a 25-bed critical access hospital, a 40-bed nursing facility, a 42-unit assisted living facility, home health, hospice, and public health in Roseau, Minnesota. The organization also operates a 40-bed nursing facility and 12 apartments of assisted living in Greenbush, Minnesota. The organization also operates a community wellness and rehabilitation center in Warroad, Minnesota. The purpose of the Medical Center is to own, maintain, and operate a hospital and nursing homes, 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: 2,307 (1,257 IP and 1,113 SWB)Long Term CareLifeCare Roseau Manor Resident Days: 12,543LifeCare Greenbush Manor Resident Days: 13,002LifeCare Greenbush Assisted Living Resident Days: 2,894LifeCare Senior Living Resident Days: 8,264Home Health/Public Health Visits: 4,405Hospice Clients Served: 19To 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 $149,304 for the year ended September 30, 2023.LifeCare Medical Center was selected by The National Rural Health Association's Rural Health Policy Institute, iVantage Health Analytics and The Chartis Center for Rural Health as one of the top 100 Critical Access Hospitals in the country based on quality, customer surveys, and financial indicators. We are very proud of our staff in being selected in 2018, 2020, and 2021 for this honor.
Expenses $46,584,634 · Grants $226,000 · Revenue $54,518,399
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Corwin Vatnsdal
Chair
- Total calculated
- $2,200
- From this org
- $2,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Therese McBride
Treasurer
- Total calculated
- $1,200
- From this org
- $1,200
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Brenda Sather
Vice Chair
- Total calculated
- $700
- From this org
- $700
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Mark Wilson
Secretary
- Total calculated
- $1,500
- From this org
- $1,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Beth Johnson
Trustee
- Total calculated
- $900
- From this org
- $900
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Matthew Ulwelling
Trustee
- Total calculated
- $400
- From this org
- $400
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Ronald Brummer
Trustee
- Total calculated
- $1,000
- From this org
- $1,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Shayne Isane
Trustee (Until Jun 23)
- Total calculated
- $700
- From this org
- $700
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Chuck Lindner
Trustee
- Total calculated
- $900
- From this org
- $900
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Jessica Foss
Trustee
- Total calculated
- $800
- From this org
- $800
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Mark Karl
Trustee
- Total calculated
- $1,000
- From this org
- $1,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Dan Urness
Trustee
- Total calculated
- $1,100
- From this org
- $1,100
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Megan Comstock
Trustee
- Total calculated
- $900
- From this org
- $900
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Keith Okeson
CEO/President
- Total calculated
- $525,316
- From this org
- $483,899
- From related orgs
- $0
- Other
- $41,417
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $401,320
- Bonus
- $54,482
- Other
- $28,097
- Deferred
- $12,200
- Nontaxable benefits
- $29,592
- Filer's total
- $525,691
-
Cathy Huss
CFO
- Total calculated
- $356,597
- From this org
- $343,141
- From related orgs
- $0
- Other
- $13,456
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $283,261
- Bonus
- $33,016
- Other
- $26,864
- Deferred
- $11,412
- Nontaxable benefits
- $2,419
- Filer's total
- $356,972
-
Shannon D Carlson
COO
- Total calculated
- $273,503
- From this org
- $242,925
- From related orgs
- $0
- Other
- $30,578
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $213,236
- Bonus
- $2,972
- Other
- $26,717
- Deferred
- $8,740
- Nontaxable benefits
- $22,213
- Filer's total
- $273,878
-
Rebecca Holmstrom
CNO (Until Oct 22)
- Total calculated
- $224,346
- From this org
- $199,850
- From related orgs
- $0
- Other
- $24,496
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $155,740
- Bonus
- $17,500
- Other
- $26,610
- Deferred
- $5,727
- Nontaxable benefits
- $19,100
- Filer's total
- $224,677
-
Alan Grillo
Emergency Medicine Physician
- Total calculated
- $456,248
- From this org
- $425,882
- From related orgs
- $0
- Other
- $30,366
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $374,669
- Bonus
- $28,072
- Other
- $23,141
- Deferred
- $10,029
- Nontaxable benefits
- $20,713
- Filer's total
- $456,624
-
Andrew Humes
CRNA
- Total calculated
- $300,389
- From this org
- $275,976
- From related orgs
- $0
- Other
- $24,413
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $253,960
- Bonus
- $2,719
- Other
- $19,297
- Deferred
- $9,662
- Nontaxable benefits
- $15,126
- Filer's total
- $300,764
-
Renae Johnson
CRNA
- Total calculated
- $312,731
- From this org
- $264,202
- From related orgs
- $0
- Other
- $48,529
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $242,324
- Bonus
- $2,664
- Other
- $19,214
- Deferred
- $10,234
- Nontaxable benefits
- $38,671
- Filer's total
- $313,107
-
Amber Wibbels
Podiatrist
- Total calculated
- $257,672
- From this org
- $223,172
- From related orgs
- $0
- Other
- $34,500
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $200,440
- Bonus
- $12,983
- Other
- $9,749
- Deferred
- $8,385
- Nontaxable benefits
- $26,491
- Filer's total
- $258,048
-
Gordon Streiff
Pharmacy Director
- Total calculated
- $249,840
- From this org
- $207,005
- From related orgs
- $0
- Other
- $42,835
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $192,366
- Bonus
- $3,468
- Other
- $11,171
- Deferred
- $6,837
- Nontaxable benefits
- $36,373
- Filer's total
- $250,215
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4a · Severance or change-of-control payment
Answered no
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Line 4a
- Rebecca Holmstrom received $21,533 of severance pay.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
Warroad Memorial Arena Association
$150,000
Hockey Day Minnesota Sponsorship
-
$30,000
Contribution to new facility construction
-
$20,000
Multi Purpose Wilderness Trail
-
$10,000
Walking Path
-
$10,000
Annual Sponsorship
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 23 July 2024
- IRS schema version
- 2022v5.0
- Source object
- 202422069349300502
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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