2026-07-31T15:11:18-05:00 2025-09-30 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-10-01 411804205 LifeCare Medical Center LIFE 2184632500 715 Delmore Dr Roseau MN 56751 Keith Okeson CEO/President 2184632500 2026-07-31 1 1 Lisa Chaffee CPA P00193453 7012551091 2026-07-31 2024 2025-03-06 01:10:19Z Keith Okeson 715 Delmore Dr Roseau MN 56751 81482512 0 X www.lifecaremedicalcenter.org X 1995 MN Promotion of Health 11 7 680 350 0 0 8764879 1355949 64280028 78421222 1803853 1560167 116509 119844 74965269 81457182 47500 147700 0 0 38009475 44760401 0 0 0 27361152 31497768 65418127 76405869 9547142 5051313 120995256 128021463 13229046 14534190 107766210 113487273 X To provide care for a healthy life. 0 0 63678782 147700 78421222 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. 63678782 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 113 0 1 680 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X Michael Tangen 2184634760 715 Delmore Drive Roseau MN 56751 Corwin Vatnsdal Chair 1.00 X X 1700 0 0 Therese McBride Treasurer 1.00 X X 1300 0 0 Brenda Sather Vice Chair until Apr 2025 1.00 X X 500 0 0 Mark Wilson Secretary 1.00 X X 1600 0 0 Chuck Lindner Trustee 1.00 X X 1300 0 0 Beth Johnson Trustee 1.00 X 900 0 0 Matthew Ulwelling Trustee until Aug 2025 1.00 X 600 0 0 Ronald Brummer Trustee 1.00 X 1000 0 0 Jessica Foss Trustee 1.00 X 1000 0 0 Mark Karl Trustee 1.00 X 1100 0 0 Dan Urness Trustee 1.00 X 1200 0 0 Megan Comstock Trustee 1.00 X 1200 0 0 Gabriel Mooney Trustee as of Aug 2025 1.00 X 0 0 0 Keith Okeson CEO/President 40.00 X 532099 0 45950 Cathy Huss CFO 40.00 X 361968 0 39057 Shannon D Carlson COO 40.00 X 260205 0 32076 Kelly Hulst CNO 40.00 X 210761 0 45635 James Cain General Surgeon 40.00 X 552429 0 42591 Alan Grillo Emergency Medicine Physician 40.00 X 416759 0 54205 Shivali Devgon Internal Medicine Physician 40.00 X 395490 0 22661 Renae Johnson CRNA 40.00 X 316372 0 51791 Andrew Humes CRNA 40.00 X 305219 0 29145 3364702 0 363111 82 0 1 0 Comstock Construction Inc 1003 Progress Dr Fergus Falls MN 56538 Construction Contractors 9394479 Wapiti Medical Group Limited 107 Flynn Dr Milbank SD 57252 Emergency Room Physicians 2412469 Central Minnesota Diagnostic PO Box 158 Milaca MN 56353 Imaging Technician Services 789440 Mayo Collaborative Services PO Box 9146 Minneapolis MN 55480 Laboratory Testing 407380 Shared Medical Technology Inc 202 West Newton St Rice Lake WI 54868 Imaging Technician Services 385795 16 1145200 210749 1355949 Net Patient Service Revenue 621110 77214632 77214632 Other Revenue 621500 847979 847979 Earnings from CMDI 900001 358611 358611 78421222 1585497 1585497 119844 0 119844 119844 119844 25330 -25330 -25330 -25330 81457182 78421222 0 1680011 X 144700 144700 3000 3000 1593475 1593475 34085933 29639371 4446562 1285451 1152286 133165 5300407 4503490 796917 2495135 2083653 411482 104633 104633 172553 172553 59564 59564 9026947 8204771 822176 279476 279476 1788490 697599 1090891 1601502 1568042 33460 473412 400477 72935 106213 24972 81241 104788 104788 4674150 3993593 680557 388278 388278 Medical Supplies 8649444 8649444 Repairs & Maintenance 1839218 583757 1255461 Surcharge Fees 607496 607496 MN Care Tax 606873 606873 1014731 650906 363825 76405869 63678782 12727087 0 13522429 14982110 11964441 14250762 2411972 2842465 406176 218905 83835812 44869370 36685343 38966442 45443357 51744715 641828 802855 381452 242743 9538258 3970466 120995256 128021463 8156708 8779109 907956 849986 306896 334959 3857486 4570136 13229046 14534190 X 107766210 113487273 107766210 113487273 120995256 128021463 5051313 669750 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 443702 443702 62914211 31073623 31840588 17530838 12705211 4825627 2947061 1090536 1856525 38966442 Estimated Third-Party Payor Settlem 1246096 Finance Lease Liability 1097712 Deferred Compensation Obligation 2226328 4570136 X 82067368 669750 669750 81397618 59564 59564 81457182 76346305 0 76346305 59564 59564 76405869 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. 1 1 X 1 X 1 X 1 1 0 0 169000 169000 0.00220 6060844 5704230 356614 0.00470 6229844 5704230 525614 0.00690 417655 138 417517 0.00550 282480 21041 261439 0.00340 31108420 24165977 6942443 0.09090 114644 114644 0.00150 31923199 24187156 7736043 0.10130 38153043 29891386 8261657 0.10820 17048 17048 0.00020 43535 43535 0.00060 8851 8851 0.00010 84024 84024 0.00110 1047459 1047459 0.01370 12552 5200 7352 0.00010 1213469 5200 1208269 0.01580 0 3064894 337138 10572120 10634464 -62344 X 1 1 1 1 LifeCare Medical Center 715 Delmore Drive Roseau MN 56751 www.lifecaremedicalcenter.org 00579 X X X X X LifeCare Medical Center 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X https://lifecaremedicalcenter.org/about/community-health/ X 1 24 1 https://lifecaremedicalcenter.org/about/community-health/ 0 1 X 200.000000000000 250.000000000000 X X 1 1 X X X X 1 X https://lifecaremedicalcenter.org/financial-assistance/ X https://lifecaremedicalcenter.org/financial-assistance/ X https://lifecaremedicalcenter.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 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. 7 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 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. 1 Roseau Youth Hockey 102 2nd St SE B Roseau MN 56751 300504598 501(c)(3) 10000 0 Annual Sponsorship Altru Health Foundation 2501 Demers Avenue Grand Forks ND 58206 450368330 501(c)(3) 30000 0 Contribution to New Facility Construction Warroad Community Childcare Center 203 Liberty Ave NW Warroad MN 56763 882658990 501(c)(3) 25000 0 Local Childcare Facility Construction Roseau Economic Development Agency 121 Center St E Suite 202 Roseau MN 56751 416005499 Government 25000 0 Local Childcare Facility Construction Lil Chompers Daycare 19183 200th St Greenbush MN 56726 871172902 501(c)(3) 25000 0 Local Childcare Facility Construction Marvin Lumber and Cedar Co 401 State Ave Warroad MN 56763 410396845 Other than tax exemp 0 24700 Fair Market Mamava Nursing Pod Nursing Privacy 5 1 Part I, Line 2: The Medical Center does not specifically monitor the use of funds once the funds are provided to the individual or entity. X X 0 0 0 0 0 0 0 1 0 James Cain General Surgeon 467785 0 61055 0 23589 0 13800 0 29350 0 595579 0 0 0 Keith Okeson CEO/President 459701 0 49941 0 22457 0 13800 0 32708 0 578607 0 0 0 Alan Grillo Emergency Medicine Physician 366431 0 28630 0 21698 0 13800 0 40963 0 471522 0 0 0 Shivali Devgon Internal Medicine Physician 384087 0 11315 0 88 0 13800 0 9269 0 418559 0 0 0 Cathy Huss CFO 301826 0 43972 0 16170 0 12438 0 27177 0 401583 0 0 0 Renae Johnson CRNA 272851 0 13445 0 30076 0 11491 0 40858 0 368721 0 0 0 Andrew Humes CRNA 268396 0 13467 0 23356 0 10983 0 18721 0 334923 0 0 0 Shannon D Carlson COO 233125 0 13921 0 13159 0 9526 0 23108 0 292839 0 0 0 Kelly Hulst CNO 187165 0 14042 0 9554 0 7961 0 38232 0 256954 0 0 0 Part I, Line 7 Officers and key employees are paid discretionary bonues. These would be included in their compensation information that is provided on Part VII. 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.