LifeCare Medical Center
Nonprofit profile at a glance
- EIN
- 411804205
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Roseau, MN, USA
- Phone
- 2184632500
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $81,457,182
- Expenses
- $76,405,869
- Assets
- $128,021,463
- Liabilities
- $14,534,190
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
22 people listed
Executive titles in this filing
- Keith Okeson (CEO/President)
Highest reported compensation
- James Cain (General Surgeon): $595,020 total reported compensation
- Keith Okeson (CEO/President): $578,049 total reported compensation
- Alan Grillo (Emergency Medicine Physician): $470,964 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide care for a healthy life.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Earned-program. 96% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Total assets are small relative to annual expenses; liquid coverage is unknown and reported officer compensation is a large share of total spending, which may reflect staffing concentration.
Rating breakdown
- Financial Efficiency: 70
- Transparency & Controls: 75
- Accountability: 79
- Sustainability: 57
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 76.6%; rating input score 77
- Program expense ratio: 83.3%; rating input score 83
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 94.6%; rating input score 95; 27th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 63.6%; rating input score 64; 18th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 6.2%; rating input score 61; 61st percentile among comparable filings
- Total-asset coverage ratio: 1.68; rating input score 57; 57th percentile among comparable filings
- Liabilities to assets ratio: 0.11; rating input score 81; 81st percentile among comparable filings
- Officer compensation ratio: 4.9%; rating input score 18; 18th percentile among comparable filings
Growth
- Program expense growth: 5.3% per year; rating input score 100; 43rd percentile among comparable filings
- Revenue growth: 5.1% per year; rating input score 100; 44th percentile among comparable filings
- Asset growth: 6.2% per year; rating input score 100; 45th percentile among comparable filings
Details
- Where the money goes: 76.6% of revenue deployed · 83.3% of spending went to programs
- Governance: 7 of 11 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $63.7M in reported program spending
- Leadership: top reported pay $595K · 22 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $13.4M reported
- Consistency: 35 of 36 current checks pass · 1 finding to review
- Schedules: 7 filed schedules · includes major donors, grants, and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 27 filed money-flow records
- Related organizations: 6 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.
- Review — Sustainability: Total-asset coverage ratio scored 57/100.
- High — Sustainability: Officer compensation ratio scored 18/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
- High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.