AITKIN COMMUNITY HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: AITKIN COMMUNITY HOSPITAL INC (EIN 41-0745522)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-11
IRS object ID: 202342239349301439
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-11T15:37:01-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 WEST FIRST STREET SUITE 700	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55802	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410745522	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AITKIN COMMUNITY HOSPITAL DBA	BusinessNameLine1Txt
Business Name Line2	RIVERWOOD HEALTHCARE CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	AITK	BusinessNameControlTxt
Phone	2189272121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 BUNKER HILL DRIVE	AddressLine1Txt
City	AITKIN	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56431	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CASEY JOHNSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2189272121	PhoneNum
Signature	2023-08-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CASEY	PersonFirstNm
Person Last	JOHNSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIE BOYER	PreparerPersonNm
PTIN	P01278549	PTIN
Phone	2187275025	PhoneNum
Preparation	2023-08-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEN WESTMAN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 BUNKER HILL DRIVE	AddressLine1Txt
City	AITKIN	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56431	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$107,472,829	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RIVERWOODHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	RIVERWOOD HEALTHCARE CENTER'S MISSION IS TO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. COUPLING THIS WITH OUR VISION OF BEING THE REGION'S PREFERRED HEALTH SYSTEM PROVIDING EXCEPTIONAL CARE AND OUR VALUES OF INTEGRITY, CUSTOMER SERVICE, UNITY, RESPECT, COMPASSION, EXCELLENCE AND PASSION WE FOCUSED ON SIX STRATEGIC GOALS. THESE SIX PILLARS ARE PEOPLE, CUSTOMER SERVICE, GROWTH, COMMUNITY, STEWARDSHIP AND QUALITY. WE STRIVE FOR THESE IN ALL THAT WE DO FOR OUR PATIENTS.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	546	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$395,557	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,013,996	PYContributionsGrantsAmt
CY Contributions Grants	$463,848	CYContributionsGrantsAmt
PY Program Service Revenue	$80,515,889	PYProgramServiceRevenueAmt
CY Program Service Revenue	$87,225,506	CYProgramServiceRevenueAmt
PY Investment Income	$1,539,385	PYInvestmentIncomeAmt
CY Investment Income	$3,240,912	CYInvestmentIncomeAmt
PY Other Revenue	$495,720	PYOtherRevenueAmt
CY Other Revenue	$811,859	CYOtherRevenueAmt
PY Total Revenue	$95,564,990	PYTotalRevenueAmt
CY Total Revenue	$91,742,125	CYTotalRevenueAmt
PY Grants And Similar Paid	$123,433	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$123,405	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$39,510,306	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$41,245,271	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$40,527,488	PYOtherExpensesAmt
CY Other Expenses	$47,709,144	CYOtherExpensesAmt
PY Total Expenses	$80,161,227	PYTotalExpensesAmt
CY Total Expenses	$89,077,820	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,403,763	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,664,305	CYRevenuesLessExpensesAmt
Total Assets BOY	$140,704,305	TotalAssetsBOYAmt
Total Assets EOY	$122,550,858	TotalAssetsEOYAmt
Total Liabilities BOY	$60,170,037	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$51,542,238	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$80,534,268	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$71,008,620	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$76,611,709	ExpenseAmt
Grant	$123,405	GrantAmt
Revenue	$87,785,071	RevenueAmt
Desc	RIVERWOOD HEALTHCARE CENTER'S MISSION IS TO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. COUPLING THIS WITH OUR VISION OF BEING THE REGION'S PREFERRED HEALTH SYSTEM PROVIDING EXCEPTIONAL CARE AND OUR VALUES OF INTEGRITY, CUSTOMER SERVICE, UNITY, RESPECT, COMPASSION, EXCELLENCE AND PASSION, WE FOCUSED ON SIX STRATEGIC GOALS. THESE SIX PILLARS ARE PEOPLE, CUSTOMER SERVICE, GROWTH, COMMUNITY, STEWARDSHIP AND QUALITY. WE STRIVE FOR THESE IN ALL THAT WE DO FOR OUR PATIENTS.IN FISCAL YEAR 2022, RIVERWOOD ADDED MEDICAL PROVIDERS TO ITS SPECIALTY CARE STAFF TO INCREASE ACCESS FOR RESIDENTS TO UROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, AND EAR, NOSE, AND THROAT SERVICES. RIVERWOOD CONTINUES TO USE DIGITAL TECHNOLOGY TO ENHANCE PATIENT CARE, INCLUDING CONTINUING TELEMEDICINE VIRTUAL VISITS FOR PRIMARY CARE AND SPECIALTY CARE, AND TAPS VIRTUAL RESOURCES FOR INPATIENT CARE AS WELL. DURING THE CORONAVIRUS PANDEMIC LIMITATIONS, RIVERWOOD USED ZOOM WEBINARS TO EDUCATE THE COMMUNITY ABOUT COVID-19 AND OTHER HEALTH TOPICS. RIVERWOOD HEALTHCARE CENTER CONTINUES TO OFFER PATIENTS THE OPPORTUNITY TO MEET WITH THEIR HEALTH CARE PROVIDERS REMOTELY FROM HOME. ONGOING, IT OFFERS GREATER CONVENIENCE FOR THOSE WHO FOUND IT DIFFICULT TO GET AWAY FROM THEIR JOB, FIND THE TIME TO TRAVEL TO THEIR CLINIC FOR AN IN-PERSON EXAM OR WHEN WEATHER CONDITIONS MAKE IT UNSAFE TO TRAVEL. DR. TIM ARNOLD SAID, "FROM A PROVIDER PERSPECTIVE, THE VIRTUAL VISIT GIVES US A NEW WAY TO CARE FOR OUR PATIENTS THAT IS MUCH BETTER THAN A PHONE VISIT. WE STILL LIKE TO BE ABLE TO SEE PATIENTS IN THE CLINIC, BUT THIS IS A GREAT OPTION FOR BOTH PROVIDERS AND PATIENTS." COVID CLINICS, HELD AT VARIOUS COUNTY LOCATIONS, CONTINUED TO BE SPONSORED WEEKLY BY RIVERWOOD IN COLLABORATION WITH AITKIN COUNTY PUBLIC HEALTH.RIVERWOOD RECEIVED SEVERAL HOSPITAL DESIGNATIONS IN FISCAL YEAR 2022. FIRST WAS THE COMPREHENSIVE ADVANCED LIFE SUPPORT (CALS) HOSPITAL. RIVERWOOD WAS THE FIRST HOSPITAL IN THE STATE OF MINNESOTA TO RECEIVE CALS DESIGNATION IN 2008 AND IT CONTINUES TO THIS DAY WITH RECENT RECERTIFICATION IN NOVEMBER 2021. CALS CRITERIA REQUIRES ALL PROVIDERS WHO TREAT PATIENTS IN THE HOSPITAL TO BE CERTIFIED IN TRAUMA, ADVANCED CARDIAC LIFE SUPPORT (ACLS) AS WELL AS PEDIATRICS AND NEONATAL CARE CERTIFIED. CALS IS NOW ONE OF THE PREMIER EDUCATION PROGRAMS FOR RURAL HEALTH CARE PROVIDERS. WITH 100% OF NURSES AND PROVIDERS TRAINED IN CALS AND SECURING RECOMMENDED EQUIPMENT, RIVERWOOD PROVES ITS COMMITMENT TO THE PEOPLE IT SERVES. WITH PATIENT EXPERIENCE BEING A RIVERWOOD PILLAR, RIVERWOOD WAS RATED BY THE CENTERS FOR MEDICARE AND MEDICAID (CMS) AS HAVING A FIVE STAR HOSPITAL PATIENT EXPERIENCE. BASED ON A PATIENT SATISFACTION SURVEY, THE RATING IS BASED ON NINE MEASURES RELATED TO DOCTOR AND NURSE COMMUNICATION, MEDICATION AND POST DISCHARGE INSTRUCTIONS, NOISE LEVELS AND FACILITY CLEANLINESS. TO ENSURE THAT WE CAN KEEP MEETING THE NEEDS OF THE PUBLIC UNDER OUR "PEOPLE" PILLAR, RIVERWOOD IS CURRENTLY CONSTRUCTING A NEW SURGICAL WING. WITH THE NEED FOR MORE OPERATING ROOMS AND LARGER ROOMS, THIS WILL ALLOW ACCOMMODATING THE TECHNOLOGY OF A DA VINCI ROBOT, VELYS ORTHOPEDIC EQUIPMENT AND UROSKOP INTERVENTIONAL UROLOGY OPERATING ROOM TABLE. THIS EXPANSION ALLOWS US TO MEET OUR LARGER SURGERY VOLUMES, OFFERING PRIVACY NEEDS FOR PATIENTS WHO DESERVE FOR HEALING AND RECOVERY. THE NEW SPACE CONSISTS OF SIX NEW OPERATING ROOMS, TWO PROCEDURE ROOMS, THREE ENDOSCOPY ROOMS, TWENTY-FIVE PREP AND RECOVERY ROOMS AS WELL AS CLINICAL SPACE FOR SURGEONS. RIVERWOOD ALSO RECEIVED THE GOVERNOR'S SAFETY AWARD FOR WORKPLACE SAFETY. THIS AWARD HONORS EXCEPTIONAL SAFETY PERFORMANCE HIGHLIGHTING THE FACILITY'S RECORD OF INCIDENT RATES THAT ARE 51%-90% BETTER THAN THE INDUSTRY AVERAGE, AND A SCORE BETWEEN 75-90 ON THE SAFETY PROGRAM EVALUATION SCALE. KEEPING STAFF SAFE IS ANOTHER WAY THE BEST PATIENT CARE CAN BE DELIVERED. AN ADDED MEASURE SHOWING RIVERWOOD'S STRONG COMMITMENT TO HEALTHCARE EXCELLENCE WAS RECOGNIZED BY BEING NAMED TO A LIST OF TOP 100 CRITICAL ACCESS HOSPITALS IN THE U.S., FOR THE SIXTH TIME IN THE PAST DECADE. THE CHARTIS CENTER FOR RURAL HEALTH COMPILES THESE RANKINGS THAT RATE THE 1,300 RURAL 25-BED HOSPITALS ON EIGHT INDICES OF STRENGTH: QUALITY, OUTCOMES, PATIENT PERSPECTIVES, COST, CHARGE AND FINANCIAL STABILITY, INPATIENT MARKET SHARE, AND OUTPATIENT MARKET SHARE.RIVERWOOD HEALTHCARE CENTER STRIVES TO DELIVER THE HIGHEST QUALITY PATIENT-CENTERED CARE. WE CONTINUALLY EXAMINE EMERGING HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE THROUGHOUT AITKIN COUNTY AND THE GARRISON AND MILLE LACS AREA. WITH A STRONG FOCUS ON HEALTH, WELLNESS AND PREVENTION, THE CENTER STRIVES TO EDUCATE AND INFORM ITS PATIENTS AND THE COMMUNITY ON HEALTH ISSUES. THE COMMUNITY'S AND PATIENT'S NEEDS ARE LISTENED TO AND INCORPORATED IN OUR MISSION STATEMENT, STRATEGIC PLAN, AND VISION.	Desc
Total Program Service Expenses	$76,611,709	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	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	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	38	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	546	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	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	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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	JUDY TURNER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2189272121	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 BUNKER HILL DRIVE	AddressLine1Txt
City	AITKIN	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56431	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	OfficerOfficerInd
DR DAVID TAYLOR
CMO	40.00	Yes (X)	$550,365	$0	$42,555
DR JESSICA HODSON
ER PHYSICAN	40.00		$399,704	$0	$50,969	Yes (X)
DR JEFFREY EHNSTROM
DIRECTOR/PHYSICIAN	40.00		$399,632	$0	$46,219		Yes (X)
DR JIM HARRIS
ER PHYSICAN	40.00		$398,626	$0	$42,420	Yes (X)
TODD A SANDBERG
CEO UNTIL 7/31/21 (FORMER OFFICER)	38.00		$360,574	$0	$30,071			2.00	Yes (X)
CYNTHIA BAKER
COO	38.00	Yes (X)	$291,164	$0	$44,548			2.00
DR TONY BLANKERS
PROVIDER	40.00		$281,856	$0	$41,545	Yes (X)
DR ERIK BOSTROM
PROVIDER	40.00		$276,447	$0	$43,376	Yes (X)
DR MELISSA HERBRANSON
PROVIDER	40.00		$253,049	$0	$53,763	Yes (X)
CASEY JOHNSON
CFO	38.00		$218,428	$0	$40,597			2.00		Yes (X)
DR TIMOTHY DIRKS
DIRECTOR	1.00		$0	$0	$0		Yes (X)
LOWELL LARSON
DIRECTOR	1.00		$0	$0	$0		Yes (X)
TOM LUNDBERG
DIRECTOR	1.00		$0	$0	$0		Yes (X)
JARED LUNDGREN
DIRECTOR	1.00		$0	$0	$0		Yes (X)
STEVE WILSON
DIRECTOR	1.00		$0	$0	$0		Yes (X)
KATHLEEN RYAN
CHAIR	1.00		$0	$0	$0		Yes (X)			Yes (X)
MIKE PAULBECK
VICE CHAIR	1.00		$0	$0	$0		Yes (X)			Yes (X)
ALISON MATALAMAKI
TREASURER UNTIL 7/1/22	1.00		$0	$0	$0		Yes (X)			Yes (X)
CHAD GROSS
TREASURER	1.00		$0	$0	$0		Yes (X)			Yes (X)
CHRISTINE BRIGHT
SECRETARY	1.00		$0	$0	$0		Yes (X)			Yes (X)
KEN WESTMAN
CEO	38.00		$0	$0	$0			2.00		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,429,845	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$436,063	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	65	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
CUYUNA REGIONAL MEDICAL CENTER
320 E MAIN ST	CROSBY	MN	56441	MEDICAL/SURGICAL PROF SVCS	$3,133,335
LIFE GUARD ANESTHESIA SERVICES INC
29561 395TH PLACE	AITKIN	MN	56431	ANESTHESIA PROF SVCS	$1,717,194
CENTRAL MINNESOTA DIAGNOSTICS INC
150 10TH ST	MILACA	MN	56353	RADIOLOGY PROF SVCS	$1,407,149
PREMIER SURGICAL ASSOCIATES PA
318 E MAIN ST	CROSBY	MN	56441	MEDICAL PROF SVCS	$762,702
ALLINA HEALTH LABORATORY
PO BOX 342 MAIL RTE 20	MINNEAPOLIS	MN	55440	LABORATORY SERVICES	$536,689

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Related Organizations	$178,522	RelatedOrganizationsAmt
Government Grants	$39,464	GovernmentGrantsAmt
All Other Contributions	$245,862	AllOtherContributionsAmt
Total Contributions	$463,848	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621500	$86,843,143	$86,843,143
RETAIL PHARMACY	446110	$348,363		$348,363
ELECTRONIC HEALTH RECORD INCENTIV	621500	$34,000	$34,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$87,225,506	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,924,439	TotalRevenueColumnAmt
Exclusion	$1,924,439	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,041,177	SecuritiesAmt
Other	$6,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,730,704	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,310,473	SecuritiesAmt
Other	$6,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,316,473	TotalRevenueColumnAmt
Exclusion	$1,316,473	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER REVENUE	900099	$588,142	$588,142
EQUITY IN EARNINGS OF AFFILIATES	900099	$355,389	$355,389
CAFETERIA	900099	$205,100		$205,100

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$336,772	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$383,966	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$47,194	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$811,859	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,742,125	TotalRevenueColumnAmt
Related Or Exempt Func Income	$87,436,708	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$395,557	UnrelatedBusinessRevenueAmt
Exclusion	$3,446,012	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	$117,405	TotalAmt
Program Services	$117,405	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Program Services	$6,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,124,030	TotalAmt
Program Services	$467,864	ProgramServicesAmt
Management And General	$1,656,166	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,738,229	TotalAmt
Program Services	$26,659,150	ProgramServicesAmt
Management And General	$3,079,079	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,114,071	TotalAmt
Program Services	$1,014,855	ProgramServicesAmt
Management And General	$99,216	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,081,627	TotalAmt
Program Services	$5,431,780	ProgramServicesAmt
Management And General	$649,847	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,187,314	TotalAmt
Program Services	$1,927,314	ProgramServicesAmt
Management And General	$260,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$65,634	TotalAmt
Management And General	$65,634	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$155,842	TotalAmt
Management And General	$155,842	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,913	TotalAmt
Management And General	$2,913	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,800,905	TotalAmt
Program Services	$14,231,378	ProgramServicesAmt
Management And General	$1,569,527	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$44,347	TotalAmt
Management And General	$44,347	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,545,997	TotalAmt
Program Services	$1,825,351	ProgramServicesAmt
Management And General	$720,646	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$36,358	TotalAmt
Management And General	$36,358	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$997,670	TotalAmt
Program Services	$871,670	ProgramServicesAmt
Management And General	$126,000	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$76,107	TotalAmt
Program Services	$60,939	ProgramServicesAmt
Management And General	$15,168	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$50,788	TotalAmt
Program Services	$31,462	ProgramServicesAmt
Management And General	$19,326	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$940,624	TotalAmt
Program Services	$657,717	ProgramServicesAmt
Management And General	$282,907	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,449,998	TotalAmt
Program Services	$2,743,002	ProgramServicesAmt
Management And General	$706,996	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$359,642	TotalAmt
Management And General	$359,642	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DRUGS	$10,392,451	$10,392,451
MEDICAL SUPPLIES	$6,562,335	$6,433,725	$128,610
REPAIRS & MAINTENANCE	$1,750,109	$1,649,644	$100,465
IMPLICIT PRICE CONCESSI	$1,723,149	$1,723,149

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,754,275	TotalAmt
Program Services	$366,853	ProgramServicesAmt
Management And General	$2,387,422	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$89,077,820	TotalAmt
Program Services	$76,611,709	ProgramServicesAmt
Management And General	$12,466,111	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,805,509	BOYAmt
EOY	$1,152,994	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,962,962	BOYAmt
EOY	$13,507,358	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,297,248	BOYAmt
EOY	$3,455,407	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$556,317	BOYAmt
EOY	$588,569	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$87,895,086	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$55,743,852	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,963,753	BOYAmt
EOY	$32,151,234	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$68,819,846	BOYAmt
EOY	$56,857,602	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,298,670	BOYAmt
EOY	$14,837,694	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$140,704,305	BOYAmt
EOY	$122,550,858	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,726,074	BOYAmt
EOY	$13,415,597	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,387,034	BOYAmt
EOY	$22,690,112	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$11,090,989	BOYAmt
EOY	$10,624,363	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,965,940	BOYAmt
EOY	$4,812,166	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,170,037	BOYAmt
EOY	$51,542,238	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	$74,620,558	BOYAmt
EOY	$64,106,987	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,913,710	BOYAmt
EOY	$6,901,633	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$80,534,268	BOYAmt
EOY	$71,008,620	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$140,704,305	BOYAmt
EOY	$122,550,858	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,664,305	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$12,992,232	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$138,450	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$940,729	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$2,913	OtherActivitiesAmt
Total Lobbying Expenditures	$2,913	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	RIVERWOOD HEALTHCARE CENTER PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$656,179	BeginningYearBalanceAmt
Contributions	$8,000	ContributionsAmt
Investment Earnings Or Losses	-$111,322	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,000	GrantsOrScholarshipsAmt
End Year Balance	$536,857	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$593,667	BeginningYearBalanceAmt
Investment Earnings Or Losses	$77,512	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
End Year Balance	$656,179	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$542,002	BeginningYearBalanceAmt
Contributions	$250	ContributionsAmt
Investment Earnings Or Losses	$51,415	InvestmentEarningsOrLossesAmt
End Year Balance	$593,667	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$558,828	BeginningYearBalanceAmt
Contributions	$18,132	ContributionsAmt
Investment Earnings Or Losses	$31,974	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$26,932	GrantsOrScholarshipsAmt
Other Expenditures	$40,000	OtherExpendituresAmt
End Year Balance	$542,002	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$615,592	BeginningYearBalanceAmt
Contributions	$25,570	ContributionsAmt
Investment Earnings Or Losses	$26,166	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$18,500	GrantsOrScholarshipsAmt
Other Expenditures	$90,000	OtherExpendituresAmt
End Year Balance	$558,828	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.27347	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.50243	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.22410	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,684,922	OtherCostOrOtherBasisAmt
Book Value	$1,684,922	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,907,031	OtherCostOrOtherBasisAmt
Depreciation	$23,902,410	DepreciationAmt
Book Value	$18,004,621	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,143,461	OtherCostOrOtherBasisAmt
Depreciation	$140,425	DepreciationAmt
Book Value	$1,003,036	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,788,490	OtherCostOrOtherBasisAmt
Depreciation	$28,117,546	DepreciationAmt
Book Value	$4,670,944	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,371,182	OtherCostOrOtherBasisAmt
Depreciation	$3,583,471	DepreciationAmt
Book Value	$6,787,711	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,151,234	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN RIVERWOOD MEDICAL PROPERTIES, LLC	-$1,246,576
ASSETS LIMITED BY AGREEMENT FOR WORKER'S COMPENSATION	$256,210
ASSETS LIMITED FOR RESERVE ACCOUNTS	$688,320
INVESTMENT IN CENTRAL MINNESOTA DIAGNOSTICS, INC.	$1,225,386
ASSETS LIMITED BY AGREEMENT FOR DEFERRED COMPENSATION	$2,062,761
ASSETS LIMITED BY BOARD FOR FUNDED DEPRECIATION	$3,074,367
BENEFICIAL INTEREST IN NET ASSETS-HOSPITAL FOUNDATION	$6,901,627
THIRD-PARTY PAYOR SETTLEMENTS	$1,875,599

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$14,837,694	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	MEDICARE ACCELERATED PAYMENTS	Desc
Amt	$4,812,166	Amt

Field	Value	IRS element (for citing)
Total Liability	$4,812,166	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$78,328,052	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$12,992,232	NetUnrealizedGainsInvstAmt
Other Revenue	-$351,260	OtherRevenueAmt
Revenue Not Reported	-$13,343,492	RevenueNotReportedAmt
Revenue Subtotal	$91,671,544	RevenueSubtotalAmt
Other Revenues Not Included	$70,581	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$70,581	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$91,742,125	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$87,905,102	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$138,450	DonatedServicesUseFcltsAmt
Other Expenses Included	$435,368	OtherExpensesIncludedAmt
Expenses Not Reported	$573,818	ExpensesNotReportedAmt
Expenses Subtotal	$87,331,284	ExpensesSubtotalAmt
Other Expenses Not Included	$1,746,536	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,746,536	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$89,077,820	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	TO BE USED AND DISTRIBUTED AS A SCHOLARSHIP OR EDUCATIONAL FUND TO AID IN THE EDUCATION AND RECRUITMENT OF HEALTH CARE PROFESSIONALS FOR RIVERWOOD HEALTHCARE CENTER.
PART X, LINE 2:	NONPROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE ORGANIZATION HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	IMPLICIT PRICE CONCESSIONS -1,723,149. INCREASE IN INTEREST IN NET ASSETS - RIVERWOOD FOUNDATION 987,923. RIVERWOOD MEDICAL PROPERTIES, LLC REVENUE 126,000. ELIMINATIONS RELATED TO RIVERWOOD MEDICAL PROPERTIES, LLC 257,966.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	SISU MEDICAL SOLUTIONS, LLC SCHEDULE K-1 ACTIVITY 47,194. GRANT EXPENSE NETTED WITH REVENUE 23,387.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RIVERWOOD MEDICAL PROPERTIES, LLC EXPENSES 561,368. ELIMINATION RELATED TO RIVERWOOD MEDICAL PROPERTIES, LLC -126,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	IMPLICIT PRICE CONCESSIONS 1,723,149. GRANT EXPENSE NETTED WITH REVENUE 23,387.

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
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,621,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,621,548	NetCommunityBenefitExpnsAmt
Total Expense	0.01860	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,983,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,440,188	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,543,259	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,604,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,440,188	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,164,807	NetCommunityBenefitExpnsAmt
Total Expense	0.03630	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,007,401	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,007,401	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,240	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,023,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,023,641	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,628,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,440,188	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,188,448	NetCommunityBenefitExpnsAmt
Total Expense	0.04800	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,723,149	BadDebtExpenseAmt
Reimbursed By Medicare	$26,724,868	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$27,582,198	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$857,330	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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	RIVERWOOD HEALTHCARE CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 BUNKER HILL DRIVE	AddressLine1Txt
City	AITKIN	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56431	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://RIVERWOODHEALTHCARE.ORG/	WebsiteAddressTxt
State License	399921	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
Other	N/A	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD	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	21	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	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	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	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	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 Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCARE	PART V, SECTION B, LINE 5: RIVERWOOD HEALTHCARE CENTER SOUGHT INPUT FROM KEY INFORMANTS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. IN ORDER TO DO THIS, RIVERWOOD PROVIDED A LIST OF RECOMMENDED PARTICIPANTS TO THE INDEPENDENT VENDOR, PROFESSIONAL RESEARCH CONSULTANTS, INC(PRC). THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS THEY WORK WITH AS WELL AS THE OVERALL COMMUNITY. OF THE INITIAL RECOMMENDED LIST, 51 PEOPLE PARTICIPATED AS COMMUNITY STAKEHOLDERS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT.
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCARE	PART V, SECTION B, LINE 11: THE MISSION OF RIVERWOOD HEALTHCARE CENTER IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. THE IMPLEMENTATION STRATEGY IS DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF THE PEOPLE IN AITKIN COUNTY AND THEIR UNIQUE CHARACTERISTICS. THE IMPLEMENTATION STRATEGIES ARE BASED ON RIVERWOOD'S CURRENT PROGRAMMING, SURVEY DATA AND COMMUNITY INPUT. RIVERWOOD'S STRATEGIC PLAN IS DEVELOPED BY ITS LEADERSHIP TEAM AND REVIEWED ANNUALLY. THE IMPLEMENTATION STRATEGY ALSO IDENTIFIES HOW EXISTING AND PLANNED RIVERWOOD SERVICES, PARTNERSHIPS AND PROGRAMS WILL BE UTILIZED TO HELP ADDRESS COMMUNITY HEALTH NEEDS.THE IMPLEMENTATION STRATEGY FOR THE HEALTH OF AITKIN COUNTY IS THE HOSPITAL/COMMUNITY PLAN FOR ADDRESSING THE COMMUNITY HEALTH NEEDS. THE IRS DICTATES THE CONTENTS OF AN IMPLEMENTATION STRATEGY AND STATES THAT THE HOSPITAL MUST ADDRESS HOW IT BOTH INTENDS AND DOES NOT INTEND TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. RIVERWOOD'S IMPLEMENTATION STRATEGY IS DESCRIBED IN THIS SECTION OF THE REPORT. ADDRESSING OUR COMMUNITY'S NEEDS WILL BE ACCOMPLISHED BY SUSTAINING EFFORTS OPERATING WITHIN A TARGETED HEALTH PRIORITY AREA, DEVELOPING LATEST PROGRAMS AND INITIATIVES TO ADDRESS IDENTIFIED HEALTH NEEDS AND PROMOTE AND UNDERSTAND THESE NEEDS. WE WILL CONTINUE TO STAY THE COURSE AND FOLLOW OUR STRATEGIC PLAN. WE WILL CREATE THE FUTURE WE SEEK BY FOCUSING ON SIX STRATEGIC GOALS.1) COMMUNITY: EXPAND OUR COMMUNITY IMPACT TO INCREASE EMPHASIS ON HEALTH BEHAVIORS, SOCIAL/ECONOMIC FACTORS, AND ENHANCED COMMUNITY PARTNERSHIPS.2) PEOPLE: FOSTER A HIGH PERFORMING WORKPLACE3) STEWARDSHIP: ACHIEVE SUSTAINABLE OPERATING MARGIN AND MAINTAIN ADVANTAGEOUS FINANCIAL AND CASH POSITION 4) QUALITY: EVOLVE OUR CLINICAL CARE DELIVERY MODEL AND CULTURE TO ACHIEVE TOP QUALITY KEY AMBULATORY AND INPATIENT MEASURE RESULTS AND HAVE ZERO PREVENTABLE SERIOUS SAFETY EVENTS5) GROWTH: EXPAND AND ENHANCE BOTH OUR PARTNERSHIP AND PATIENT RELATIONSHIPS6) CUSTOMER SERVICE: ACHIEVE PATIENT EXPERIENCE GOALS AND CREATE A CULTURE OF CUSTOMER SERVICE ACROSS ALL SERVICE LINESPRIORITY HEALTH ISSUES RIVERWOOD WILL ADDRESS:IN CONSIDERATION OF THE TOP HEALTH PRIORITIES IDENTIFIED THRU THE CHNA PROCESS, AND CONSIDERING HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION STATEMENT, GOALS, AND STRATEGIC PRIORITIES, IT WAS DETERMINED THAT RIVERWOOD WILL FOCUS ON DEVELOPING AND/OR SUPPORTING THESE STRATEGIES AND INITIATIVES TO IMPROVE:1) MENTAL HEALTH3) NUTRITION, PHYSICAL ACTIVITY AND WEIGHT3) HEART DISEASE & STROKEISSUES THAT RIVERWOOD WILL NOT ADDRESS INCLUDE ACCESS TO HEALTHCARE SERVICES FOR MENTAL HEALTH, DISABILITY & CHRONIC PAIN, INJURY & VIOLENCE, CANCER, ORAL HEALTH, SUBSTANCE ABUSE, AND COVID-19/RESPIRATORY DISEASE. LIMITED RESOURCES EXCLUDED CANCER, ORAL HEALTH, SUBSTANCE ABUSE, DISABILITY AND CHRONIC PAIN AND RESPIRATORY DISEASE AS AREAS CHOSEN FOR ACTION AT THIS TIME. RIVERWOOD FEELS THAT EFFORTS OUTLINED HEREIN TO IMPROVE HEALTH CARE SERVICES WILL ALSO HAVE A POSITIVE IMPACT IN THESE AREAS. AS FOR INJURY AND VIOLENCE, RIVERWOOD BELIEVES THAT THIS PRIORITY AREA FALLS WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.CONCLUSION:IN ADDITION TO SPECIFIC STRATEGIES AND MISSION DRIVEN PROGRAMS, RIVERWOOD WILL MAINTAIN ITS HEALTH CARE HOME CERTIFICATION USING A TEAM-BASED APPROACH TO ADDRESS SOCIAL DETERMINATES OF HEALTH AND PATIENT NEEDS. EXPANDING THE ROLE OF MENTAL HEALTH RN THROUGH BEHAVIORAL HEALTH INTEGRATION WILL SUPPORT THE PROVIDER AND PROVIDE CARE COORDINATION FOR PATIENTS TO ASSIST THEM IN CONNECTING WITH APPROPRIATE COMMUNITY RESOURCES. WE HAVE COLLABORATED WITH A COMMUNITY WIDE TASKFORCE TO INCREASE MENTAL HEALTH AWARENESS. THE GOAL IS REDUCING AVOIDABLE ED ADMISSIONS DUE TO MENTAL HEALTH CONCERNS. IN 2022, RIVERWOOD PARTNERED WITH AITKIN COUNTY COMMITTEE FOR THE AWARENESS AND PREVENTION OF SUICIDE (CAPS) TO BRING SUICIDE PREVENTION SPEAKERS TO ALL SCHOOL STUDENTS IN THE COUNTY AS WELL AS TO THE PUBLIC. EVENTS INCLUDED SCREENINGS, PANEL DISCUSSIONS AND CONVERSATIONS TO HELP SPREAD HOPE AND FIGHT SUICIDE THROUGHOUT AITKIN COUNTY. IN HONOR OF MENTAL HEALTH AWARENESS MONTH IN MAY, RIVERWOOD HAD A T-SHIRT CAMPAIGN FOR STAFF TO WEAR "IT'S OKAY NOT TO BE OKAY-LET'S TALK ABOUT IT" SHIRTS ON FRIDAYS. THE AITKIN COUNTY FAIR BOOTH PROMOTED MENTAL HEALTH AWARENESS. A MENTAL HEALTH VIRTUAL FORUM WAS HELD FEATURING DR. MARCOS MORENO, RESIDENT PHYSICIAN FROM YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY. IN CONJUNCTION WITH PUBLIC HEALTH, RIVERWOOD IS WORKING TO DEVELOP PROGRAMS TO INCREASE AWARENESS OF DEPRESSION AND SUICIDE SINCE WE ARE SEEING INCREASED RATES IN GENERAL BUT ESPECIALLY AMONG TEENS. ONE SUCH SCHOOL PROGRAM IS ZERO SUICIDE. IN DIRECT CORRELATION WITH MENTAL HEALTH IS THE OPIOID ADDICTION CRISIS. RIVERWOOD HAS WORKED WITH THE MINNESOTA DEPARTMENT OF HEALTH IN SECURING OPIOID PREVENTION AND TREATMENT GRANTS. THESE GRANTS HELP FUND A MULTIDISCIPLINARY CONTROLLED SUBSTANCE CARE TEAM THAT CONTINUES TO PROVIDE MONTHLY OVERSIGHT TO ALL CLINIC LOCATIONS TO HELP INFORM AND EDUCATE COMMUNITY MEMBERS ABOUT SUBSTANCE ABUSE. THIS GROUP COLLABORATES WITH A LARGER PARTNERSHIP OF LOCAL AND REGIONAL HEALTH SYSTEMS, CITY AND COUNTY LAW ENFORCEMENT, AITKIN COUNTY HEALTH AND HUMAN SERVICES, AREA SCHOOL DISTRICTS AND THE MINNESOTA DEPARTMENT OF HEALTH TO TEACH BEST PRACTICES AND EDUCATE COMMUNITY MEMBERS ABOUT SUBSTANCE ABUSE, PREVENTION, AND TREATMENT. THE GOAL HERE IS TO REDUCE BOTH INAPPROPRIATE USE OF OPIOIDS BY PATIENTS AND RATES OF OPIOID ADDICTION BY INCREASING COMMUNITY WIDE AWARENESS. FOR THE AREAS OF NUTRITION, ACTIVITY, WEIGHT, AND DIABETES, RIVERWOOD PARTNERS WITH COMMUNITY EDUCATION THROUGH AITKIN AND MCGREGOR SCHOOLS AND AITKIN COUNTY PUBLIC HEALTH TO ENCOURAGE THE HEALTH AND WELLNESS OF OUR COMMUNITIES. EDUCATION ON PREVENTION AND OFFERING SUPPORT, MANAGEMENT PROGRAMS AND COMMUNITY RESOURCES SUPPORTS THE HEALTH AND WELL-BEING OF OUR POPULATION. THE PROGRAM OF LIVING WELL WITH CHRONIC CONDITIONS IS OFFERED TO RESIDENTS OF AITKIN COUNTY. A COMMUNITY WELLNESS RESOURCE GUIDE IS MAINTAINED BY RIVERWOOD AND IS AVAILABLE TO ALL PATIENTS AND COMMUNITY MEMBERS. RIVERWOOD CONTINUES TO SUPPORT A HEALTHY COMMUNITY BY PARTICIPATING IN HEALTH FAIRS, COMMUNITY WALKS/RUNS AND PROMOTING VOLUNTEERISM. REGULARLY PROVIDED REGISTERED DIETITIAN HEALTHY EATING TIPS AND RECIPES ARE AVAILABLE TO THE COMMUNITY ON OUR WEBSITE. IN CONJUNCTION WITH USDA FEDERAL FUNDED MINNESOTA DEPARTMENT OF HEALTH GUSNIP GRANT, RIVERWOOD IS IMPLEMENTING THE FOOD RX PROGRAM WHICH WILL HELP CLOSE THE GAP WITH FOOD INSECURITY. GUSNIP FRESH PRODUCE PRESCRIPTIONS BRING TOGETHER PARTNERS FROM THE FOOD AND HEALTHCARE SYSTEM TO ASSIST LOW-INCOME FAMILIES BY INCREASING PURCHASING POWER AND ACCESS TO FRESH FRUITS AND VEGETABLES. THIS PROGRAM CAN ONLY BE UTILIZED ON FRESH PRODUCE, WHICH IS OFTEN EXPENSIVE IN MINNESOTA WINTERS. A COMMUNITY HEALTH BOARD-SHIP GRANT ESTABLISHED A FARM 2 RIVERWOOD PROGRAM PROVIDING FRESH PRODUCE IN THE CAFETERIA AND OPPORTUNITIES FOR THE COMMUNITY TO PURCHASE THROUGH THE AITKIN COUNTY FARMERS MARKET HUB ONLINE PLATFORM. WEDNESDAY FARMER'S MARKETS WILL BE HELD ON CAMPUS AT RIVERWOOD TO MAKE IT EASY FOR PATIENTS AND THE COMMUNITY TO ACCESS FRESH LOCAL HEALTHY FOODS. THIS IMPLEMENTATION SUPPORTS AND COLLABORATES WITH LOCAL FARMERS AND ENGAGES LOCAL GROCERS. FOR THE AREA OF HEART DISEASE AND STROKE, RIVERWOOD UTILIZES MINNESOTA COMMUNITY MEASURES AND ACCOUNTABLE CARE ORGANIZATIONS METRICS TO MEASURE PATIENT PROGRESS TOWARDS PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS. UTILIZING THESE MEASURES WITH OUR CARE MANAGEMENT TEAM, RIVERWOOD CAN HELP KEEP PATIENTS HEALTHY AND OUT OF THE HOSPITAL CREATING SHARED SAVINGS FOR BOTH THE PATIENT AND THE FACILITY. THROUGH UTILIZATION OF SOCIAL MEDIA OUTLETS, ENEWSLETTER, OUR WEBSITE, FREE SEMINARS, AND EDUCATIONAL AWARENESS CAMPAIGNS WE PROMOTE AND INCREASE AWARENESS OF THE IMPORTANCE OF ANNUAL VISITS. NURSE CARE MANAGERS CONTACT PATIENTS TO EDUCATE THEM ON MEDICATION ADHERENCE, OFFER SMOKING SESSION PROGRAMS AND OFFER BLOOD PRESSURE CUFFS FOR PATIENTS WITH HYPERTENSIONS ISSUES FOR AT HOME MONITORING.SEE PART V, PAGE 8 FOR CONTINUATION
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCARE	PART V, SECTION B, LINE 16J: THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO IS AVAILABLE TO TALK WITH ANY PATIENT WHO FEELS THEY MAY HAVE DIFFICULTY PAYING THEIR BILL. SHE IS A TRAINED MNSURE NAVIGATOR AND CAN ASSIST ANYONE WITH CHECKING TO SEE IF THEY QUALIFY FOR MEDICAL ASSISTANCE, MNCARE OR IF THEY COULD PURCHASE AN INSURANCE. SHE OFFERS INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) AND CAN ANSWER ANY QUESTIONS ON APPLYING FOR AND GETTING COMMUNITY CARE THROUGH THE HOSPITAL. ALL THE HOSPITAL'S PATIENT ACCOUNTS REPRESENTATIVES ARE EDUCATED ABOUT COMMUNITY CARE AND IF PATIENTS INDICATE THEY DON'T FEEL THEY CAN PAY, STAFF WILL GET THEM THE FAP AND APPLICATION. NURSING, PHYSICIANS AND ALL PATIENT CARE STAFF ARE EDUCATED ABOUT FAP AND SHARE WITH PATIENTS WHO INDICATED A NEED. RIVERWOOD ALSO HAS DAILY PATIENT CENTERED BEDSIDE ROUNDING WHERE ALL INPATIENTS AND THEIR FAMILIES GET TO MEET WITH THE HOSPITAL'S HEALTHCARE TEAM, WHICH INCLUDES THE FINANCIAL COUNSELOR. EVERY TEAM MEMBER INTRODUCES THEMSELVES AND EXPLAINS WHAT THEY DO, WITH THE FINANCIAL COUNSELOR INFORMING THE PATIENT ABOUT HER AVAILABILITY TO ASSIST THEM WITH ANY OF THEIR INSURANCE OR FINANCIAL NEEDS. EACH INPATIENT ALSO ETS A FOLDER OF BROCHURES OF HEALTHCARE INFORMATION AS PART OF THEIR STAY. THIS FOLDER CONTAINS INFORMATION REGARDING THE FAP AND LISTS THE FINANCIAL COUNSELORS CONTACT INFORMATION, SHOULD A PATIENT WANT TO MAKE CONTACT AFTER DISCHARGE FROM THE FACILITY.
PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITE	HTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2023/03/2022-PRC-CHNA-REPORT-AITKIN-COUNTY-MN.PDF
PART V, LINE 10, IMPLEMENTATION PLAN WEBSITE	HTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2023/03/2022-IMPLEMENTATION-STRATEGY-FINAL.PDF
PART V, LINE 16A, FAP WEBSITE	HTTPS://RIVERWOODHEALTHCARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/
PART V, LINE 16B, FAP APPLICATION WEBSITE	HTTPS://VIEW.OFFICEAPPS.LIVE.COM/OP/VIEW.ASPX?SRC=HTTPS%3A%2F%2FRIVERWOODHEALTHCARE.ORG%2FWP-CONTENT%2FUPLOADS%2F2023%2F05%2F4-POLICY-4-COMMUNITY-CARE-AND-UNINSURED-PROGRAM-3.DOCX&WDORIGIN=BROWSELINK
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY	HTTPS://RIVERWOODHEALTHCARE.ORG/PLAIN-LANGUAGE-FINANCIAL-ASSISTANCE-PLAN
PART V, SECTION B, LINE 11 (CONTINUED):	RIVERWOOD BUILDS EVALUATIVE MEASURES AND GOALS INTO ALL ITS PROGRAMS AND SERVICES. IN ADDITION, THE CHNA PLAN IS REVIEWED AND REWRITTEN EVERY THREE YEARS. RIVERWOOD'S MANAGEMENT TEAM CONTINUES TO PLAY A LEADERSHIP ROLE IN THE IMPLEMENTATION OF STRATEGIES AND MONITORING ITS PROGRESS AND ADJUSTS STRATEGIES AS NEEDED. DURING FISCAL YEAR 2022, RIVERWOOD OFFERED FREE COVID 19 VACCINATIONS TO THE PUBLIC, OUTSIDE OF THE HEALTHCARE FACILITY, TO ALLOW EASY ACCESS TO HEALTHCARE SERVICES. RIVERWOOD OFFERED VIRTUAL FORUMS TO ADDRESS COVID 19 AND STRESS. THE CHIEF MEDICAL OFFICER HELD VIRTUAL FORUMS, TOOK PART IN RADIO SHOWS, AND DID ASK A DOC SEMINARS FOR SHARED QUESTIONS ABOUT HEALTH AND WELLNESS. THE PUBLIC WAS ABLE TO ASK QUESTIONS DURING THESE SHOWS AND WERE ABLE TO OBTAIN IMMEDIATE ANSWERS. RIVERWOOD CONTINUES TO OFFER SAME DAY CLINIC TO EXPAND ACCESS TO MEDICAL CARE FOR THE COMMUNITY. BOTH FACE-TO-FACE AND VIRTUAL VISITS ARE AVAILABLE TO IMPROVE ACCESS AND HELP REDUCE WAIT TIMES. IN SUPPORT OF SUBSTANCE ABUSE, RIVERWOOD HAS A MULTI-DISCIPLINARY CONTROLLED SUBSTANCE CARE TEAM TO ASSIST PATIENTS WITH OPIOID ADDICTIONS AND TO REDUCE PRESCRIBING OF SUCH MEDICINES. THE TEAM CONSISTS OF PHYSICIANS, NURSES, PHARMACISTS, AND SOCIAL WORKERS WHO MEET MONTHLY. RIVERWOOD HAS RECEIVED A GRANT FOR THE STATE OF MN TO AID IN CONTINUAL SUPPORT OF THE DRUG CRISES. THE FREE TOOL, FINDHELP.ORG, IS UTILIZED AT RIVERWOOD TO ASSIST PATIENTS WITH FINDING COMMUNITY HELP THEY MIGHT NEED INCLUDING HUNGER, DIETARY NEEDS, CHRONIC CARE MANAGEMENT, ETC. THIS IS ACCOMPLISHED AS A PART OF AN ANNUAL VISIT AS A QUESTIONNAIRE AND ALLOWS THE PATIENT'S CARE GIVER TO HELP THEM MEET UNMET NEEDS AS RELATED TO THEIR SOCIAL DETERMINANTS OF HEALTH AND "FIND HELP."

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - RIVERWOOD AITKIN CLINIC
200 BUNKER HILL DRIVE	AITKIN	MN	56431	CLINIC
2 - RIVERWOOD MCGREGOR CLINIC
2 E CENTRAL AVENUE	MCGREGOR	MN	55760	CLINIC
3 - RIVERWOOD GARRISON CLINIC
27278 STATE HWY 18	GARRISON	MN	56450	CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO INCOME BASED TESTING, OUR CHARITY CARE POLICY REQUIRES THAT AN APPLICANT MUST HAVE RECEIVED A DENIAL FROM EITHER MEDICAID (MINNESOTA ASSISTANCE) OR OTHER STATE SUBSIDIZED HEALTHCARE PROGRAMS (MINNESOTA CARE OR GMAC).
PART I, LINE 7:	COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED 2022 MEDICARE COST REPORT.
PART I, LN 7 COL(F):	IMPLICIT PRICE CONCESSIONS FROM FINANCIAL STATEMENTS IS $1,723,149.
PART I, LINE 6A:	THE ORGANIZATION FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MINNESOTA. THIS INFORMATION IS AVAILABLE ON THE MINNESOTA HOSPITAL ASSOCIATION WEBSITE.
PART II, COMMUNITY BUILDING ACTIVITIES:	N/A
PART III, LINE 2:	TO DETERMINE IMPLICIT PRICE CONCESSIONS, RIVERWOOD FILTERS THE ACCOUNTS RECEIVABLE DETAIL MONTHLY BY SELF-PAY. THOSE SELF-PAY BALANCES THEN GET PLACED INTO BUCKETS BASED ON THEIR SERVICE DATE. RIVERWOOD THEN APPLIES AN INCREASINGLY LARGER PERCENTAGE BASED ON THE AGING OF THE SELF-PAY BALANCE; THE OLDER THE BALANCE IS, THE MORE GETS ALLOWED FOR AND BECOMES IMPLICIT PRICE CONCESSIONS. SEE THE GRADUATED BUCKET %'S BELOW: 0-60: 10%, 61-90: 15%, 91-120: 30%, 121-150: 40%, 151-360: 60%, 361+: 90%
PART III, LINE 3:	AT RIVERWOOD HEALTHCARE CENTER, IMPLICIT PRICE CONCESSIONS ARE CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE THE INABILITY TO PAY.
PART III, LINE 4:	SEE FOOTNOTE 1 ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.
PART III, LINE 9B:	AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND REDIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECEIPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFORMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:	NEEDS ASSESSMENT:DURING FISCAL YEAR 2022, RIVERWOOD PROVIDED SUPPORT TO THE COMMUNITY BY MAKING COVID 19 VACCINATIONS AVAILABLE. FOR THE PUBLIC TO EASILY ACCESS THIS HEALTHCARE NEED, WE DEVELOPED AND IMPLEMENTED A PLAN TO ADMINISTER FREE COVID 19 VACCINATIONS TO ANY ELIGIBLE PERSON. PARTNERING WITH PUBLIC HEALTH, LOCAL CHURCHES AND COMMUNITY CENTERS TO ORGANIZE THESE EVENTS, WE ADMINISTERED HUNDREDS OF VACCINES PER DAY. THERE WERE VARIOUS VACCINATION CLINICS THAT WE ORGANIZED AND STAFFED. THE COMMUNITY APPRECIATED THE FACT THAT RIVERWOOD CAME TO THEM TO HELP SUPPORT THEIR HEALTH.TO CONTINUE SUPPORTING THE PUBLIC'S MENTAL HEALTH, RIVERWOOD OFFERS FREE AND CONFIDENTIAL GROUP COUNSELING SESSIONS TO INDIVIDUALS NEEDING GRIEF SUPPORT. AN EXPERIENCED BEREAVEMENT COUNSELING LEADER HEADS UP THE GROUP.IN SUPPORT OF OUR YOUNGEST PATIENTS, RIVERWOOD OFFERS FREE BOOKS THROUGH THE RIVERWOOD READS PROGRAM AS WELL AS HAVING PROVIDERS READ THESE BOOKS IN THE SCHOOL CLASSROOMS. WE SPECIFICALLY CHOSE A BOOK TO GO WITH THE CORRELATING WELL CHILD CHECKUP OR SPECIFIC CLASSROOM AGE GROUP. RIVERWOOD PROVIDERS REVIEW THE BOOK WITH THE CHILD AND GUARDIAN DURING THE CHILD'S APPOINTMENT. TO SUPPORT OUR COMMUNITY, RIVERWOOD MANAGERS VOLUNTEERED OVER SEVEN HUNDRED HOURS TO BENEFIT AREA ORGANIZATIONS SUCH AS SALVATION ARMY, AMERICAN RED CROSS, OPERATION CHRISTMAS, AND AITKIN COUNTY FAIR. ALONG WITH THIS, STAFF DONATE VIA PAYROLL DEDUCTIONS TO AREA FOOD SHELVES, RIVERWOOD READS, COATS FOR KIDS, ADVOCATES FOR DOMESTIC ABUSE, LOCAL VETERAN'S GROUPS, AND CANCER COMFORT CARE BAGS.TO OFFER FREE SUPPORT, RIVERWOOD OFFERS AN ONLINE SYMPTOM CHECKER WHICH IS A SELF-EVALUATION PLATFORM THAT ENHANCES PATIENT CARE ACCESS AND PATIENT ENGAGEMENT. THIS OFFERS A LIVE CHAT WITH RIVERWOOD STAFF AND GIVES SELECTION LINKS TO PERTINENT CONTENT TO ASSIST PATIENTS IN NAVIGATING TO CARE SERVICES AND GETTING AN APPOINTMENT EFFICIENTLY, ALLOWING CONVENIENT SCHEDULING OF MEDICAL APPOINTMENTS WITHOUT A PHONE CALL. RIVERWOOD HEALTHCARE PROVIDERS OFFER FREE AND INFORMATIVE VIRTUAL SEMINARS TO THE PUBLIC THROUGHOUT THE YEAR. TOPICS SUCH AS CONCUSSIONS FOR STUDENT ATHLETES, PARENTS AND COACHES; ANNUAL PHYSICAL EXAM IMPORTANCE; MENTAL HEALTH, WELL-BEING AND SELF-CARE TOPICS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PAITENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND DIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECIEPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. RIVERWOOD'S EMPLOYED FINANICAL COUNSELOR IS A MNSURE NAVIGATOR, TRAINED AND CERTIFIED BY THE STATE OF MN, AND IS AVAILABLE TO ASSIST PATIENT WITH CHECKING FOR THEIR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE, MNSURE, OR TO PURCHASE INSURANCE.THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFROMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE. NURSING PROVIDERS AND ALL HEALTHCARE STAFF ARE ALSO AWARE OF THE ASSISTANCE PROGRAM AND CAN HELP DIRECT PATIENTS TO THE FINANCIAL COUNSELOR.
PART VI, LINE 4:	COMMUNITY INFORMATION:AITKIN COMMUNITY HOSPITAL, INC. DBA RIVERWOOD HEATLHCARE CENTER (RIVERWOOD), A 501(C)3 NON-PROFIT CORPORATION, IS SITUATED IN THE CENTER OF AITKIN COUNTY. IT WAS FOUNDED IN 1948 AND IS LOCATED AT 200 BUNKER HILL DRIVE IN AITKIN, MN (POP. 1984). RIVERWOOD IS A 25 BED ACUTE-CARE CRITICAL ACCESS HOSPITAL AND HAS THREE RURAL HEALTH CLINICS IN AITKIN, MCGREGOR, AND GARRISON. ALL THREE CLINICS ARE LOCATED IN A MEDICALLY UNDERSERVED AREA (MUA). RIVERWOOD OFFERS PATIENTS A CONTINUUM OF CARE INCLUDING INPATIENT, OUTPATIENT, SPECIALTY, SURGICAL AND EMERGENCY SERVICES. THE DISTANCE TO THE NEXT HOSPITAL IS 17 MILES. DULUTH AND ST. CLOUD ARE THE TWO CLOSEST CITIES WITH TERTIARY CARE CENTERS BOTH APPROXIMATELY 90 MILES FROM AITKIN. RIVERWOOD SERVES THE RESIDENTS OF AITKIN COUNTY (POP. 15,834), THE EAST SIDE OF CROW WING COUNTY (POP. 63,855) AND MILLE LACS COUNTY (POP. 25,728). THE GEOGRAPHIC AREA OF THESE COUNTIES IS RURAL. SPECIAL POPULATIONS SERVED INCLUDE THOSE WITH A HIGH RATE OF POVERTY AND UNEMPLOYMENT WITHIN AITKIN COUNTY. IN 2021, THE ESTIMATED PERCENTAGES OF THE COUNTY WITH POPULATIONS BELOW POVERTY LEVEL WAS 12.2% WITH CHILDREN BEING AT 18.0%. POPULATION WITH FAIR OR POOR HEALTH WAS AT 15.8%. OTHER SPECIAL POPULATIONS INCLUDE THE ELDERLY. THE LARGEST PERCENTAGE OF RIVERWOOD'S CURRENT PATIENT BASE CONSIDS OF PATIENTS OVER THE AGE OF 65. AITKIN COUNTY HAS THE OLDEST MEDIAN POPULATION IN THE STATE OF MINNESOTA. THE MEDIAN AGE IS 55.5 YEARS OF AGE COMPARED TO THE MINNESOTA AVERAGE OF 38 YEARS OLD.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE CENTER PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY BASED SERVICE PROGRAMS AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. RIVERWOOD REGULARLY PARTNERS WITH AITKIN COUNTY HEALTH AND HUMAN SERVICES, CITY AND COUNTY LAW ENFORCMENT, AREA SCHOOL DISTRICTS AND OTHER HEALTH CARE PROVIDERS TO EDUCATE, PLAN AND COLLABORATE ON HEALTHCARE NEEDS OF THE COMMUNITY.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERWOOD HEALTHCARE CENTER & COMMUNITY HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	200 BUNKER HILL	AddressLine1Txt
City	AITKIN	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56431	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	411738787	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$0	CashGrantAmt
Non Cash Assistance	$95,178	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	ADMINISTRATIVE EXPENSES	NonCashAssistanceDesc
Purpose Of Grant	TO PROVIDE ADMINISTRATIVE SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
DOLLARS FOR SCHOLARS HEALTHCARE EDUCATION SCHOLARSHIP	2	$3,000
RIVERWOOD EMPLOYEE HIGH SCHOOL SENIOR STUDENT SCHOLARSHIP	12	$3,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAYS FOR CERTAIN ADMINISTRATIVE EXPENSES FOR THE FOUNDATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
DR DAVID TAYLOR
CMO	$520,320	$0	$30,000	$0	$45	$0	$11,400	$0	$31,155	$0	$592,920	$0	$0	$0
DR JESSICA HODSON
ER PHYSICAN	$399,659	$0	$0	$0	$45	$0	$11,400	$0	$39,569	$0	$450,673	$0	$0	$0
DR JEFFREY EHNSTROM
DIRECTOR/PHYSICIAN	$399,587	$0	$0	$0	$45	$0	$11,400	$0	$34,819	$0	$445,851	$0	$0	$0
DR JIM HARRIS
ER PHYSICAN	$398,581	$0	$0	$0	$45	$0	$11,400	$0	$31,020	$0	$441,046	$0	$0	$0
TODD A SANDBERG
CEO UNTIL 7/31/21 (FORMER OFFICER)	$199,969	$0	$37,502	$0	$123,103	$0	$9,599	$0	$20,472	$0	$390,645	$0	$0	$0
CYNTHIA BAKER
COO	$264,869	$0	$26,250	$0	$45	$0	$11,400	$0	$33,148	$0	$335,712	$0	$0	$0
DR TONY BLANKERS
PROVIDER	$276,811	$0	$5,000	$0	$45	$0	$9,958	$0	$31,587	$0	$323,401	$0	$0	$0
DR ERIK BOSTROM
PROVIDER	$266,402	$0	$10,000	$0	$45	$0	$11,400	$0	$31,976	$0	$319,823	$0	$0	$0
DR MELISSA HERBRANSON
PROVIDER	$243,004	$0	$10,000	$0	$45	$0	$11,400	$0	$42,363	$0	$306,812	$0	$0	$0
CASEY JOHNSON
CFO	$195,961	$0	$22,422	$0	$45	$0	$9,105	$0	$31,492	$0	$259,025	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAID TODD A. SANDBERG, FORMER CEO, $123,077 IN SEVERENCE PAYMENTS AND $14,300 IN BENEFITS DURING CALENDAR YEAR 2021. THE TERMINATION TERMS ARE FROM AUGUST 1, 2021 TO JULY 31, 2022. MR. SANDBERG WILL RECEIVE PAY TOTALING $320,000 AND BENEFITS TOTALING $45,143 RELATED TO HIS TERMINATION.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF AITKIN
A	416004918	2016-05-17	$5,985,025	REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001	0	0	0
CITY OF MCGREGOR
B	410906736	2016-05-17	$8,000,000	REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001	0	0	0
CITY OF TAMARACK
C	411315842	2016-05-17	$8,000,000	REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001	0	0	0
CITY OF AITKIN
D	416004918	2017-12-28	$9,732,000	RENOVATE, EXPAND, EQUIP CLINIC SPACE; BUILD 9 CHAIR KIDNEY DIALYSIS CENTER	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,926,463	$5,985,025	$89,142	$5,895,883	2013	Yes (1)	Yes (1)	Yes (1)
B	$2,575,045	$8,000,000	$119,153	$7,880,847	2013	Yes (1)	Yes (1)	Yes (1)
C	$2,575,045	$8,000,000	$119,153	$7,880,847	2013	Yes (1)	Yes (1)	Yes (1)
D	$1,706,154	$9,732,000	$194,640	$9,537,360	2019	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JENNIFER EHNSTROM	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF BOARD MEMBER JEFFREY EHNSTROM	RelationshipDescriptionTxt
Transaction	$22,485	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	IN FY 2022, RIVERWOOD HEALTHCARE CENTER UPDATED THEIR BYLAWS TO FURTHER DEFINE THE INDEPENDENCE REQUIREMENT FOR THE BOARD OF DIRECTORS. THE FOLLOWING LANGUAGE WAS ADDED TO ARTICLE III, SECTION 5 OF THE ORGANIZATION'S BYLAWS: A MAJORITY OF THE DIRECTORS MUST BE INDEPENDENT MEMBERS. "INDEPENDENT" MEANS THAT AN INDIVIDUAL (A) IS NOT COMPENSATED BY THE CORPORATION AS AN EMPLOYEE OR INDEPENDENT CONTRACTOR; (B) DOES NOT HAVE THEIR COMPENSATION DETERMINED BY INDIVIDUALS WHO ARE COMPENSATED BY THE CORPORATION; (C) DOES NOT RECEIVE, DIRECTLY OR INDIRECTLY, MATERIAL FINANCIAL BENEFITS FROM THE CORPORATION EXCEPT AS A MEMBER OF THE CHARITABLE CLASS SERVED BY THE CORPORATION; AND (D) IS NOT RELATED TO ANYONE DESCRIBED ABOVE AS A SPOUSE, SIBLING, PARENT OR CHILD, NOR RESIDES WITH A PERSON DESCRIBED ABOVE.
FORM 990, PART VI, SECTION A, LINE 6	RIVERWOOD HEALTHCARE CENTER HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	RIVERWOOD HEALTHCARE CENTER HAS MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	THE BOARD HAS AUTHORIZED THE FINANCE COMMITTEE TO REVIEW AND APPROVE THE 990 AFTER PREPARATION. AFTER APPROVAL BY THE FINANCE COMMITTEE, THE 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. CONFLICTS ARE DISCUSSED, REVIEWED, AND FORMS ARE SIGNED ANNUALLY BY EACH BOARD MEMBER. THIS IS DONE AT THE HOSPITAL'S ANNUAL REORGANIZATIONAL MEETING. SECTION 1. PURPOSE THE PURPOSE OF THIS POLICY IS TO PROVIDE A MEANS BY WHICH TO ADDRESS ANY CONFLICT OF INTEREST INVOLVING THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, AND EMPLOYEES THAT AFFECT OR HAVE THE POTENTIAL TO AFFECT THE SAFETY OR QUALITY OF CARE, TREATMENT, AND SERVICES. SECTION 2. PERSONS CONCERNED THIS STATEMENT IS DIRECTED NOT ONLY TO BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, BUT TO ALL EMPLOYEES OR NON-EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF RHCC. FOR EXAMPLE, THIS WOULD INCLUDE ALL WHO MAKE PURCHASING DECISIONS, ALL PERSONS WHO MIGHT BE DESCRIBED AS "MANAGEMENT PERSONNEL, AND ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING RHCC. SECTION 3. AREAS IN WHICH CONFLICT MAY ARISE CONFLICTS OF INTEREST MAY ARISE IN THE RELATIONS OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WITH ANY OF THE FOLLOWING THIRD PARTIES: 1. PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO RHCC. 2. PERSONS AND FIRMS FROM WHOM RHCC LEASES PROPERTY AND EQUIPMENT. 3. PERSONS AND FIRMS WITH WHOM RHCC IS DEALING OR PLANNING TO DEAL IN CONNECTION WITH THE GIFT, PURCHASE OR SALE OF REAL ESTATE, SECURITIES, OR OTHER PROPERTY. 4. COMPETING OR AFFINITY ORGANIZATIONS. 5. DONORS AND OTHERS SUPPORTING RHCC. 6. AGENCIES, ORGANIZATIONS AND ASSOCIATIONS WHICH AFFECT THE OPERATIONS OF RHCC. 7. FAMILY MEMBERS, FRIENDS, AND OTHER EMPLOYEES. SECTION 4. NATURE OF CONFLICTING INTEREST A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS MENTIONED IN SECTION 3. SUCH AN INTEREST MIGHT ARISE THROUGH: SECTION 5. INTERPRETATION OF THIS STATEMENT OF POLICY THE AREAS OF CONFLICTING INTEREST LISTED IN SECTION 3, AND THE RELATIONS IN THOSE AREAS WHICH MAY GIVE RISE TO CONFLICT, AS LISTED IN SECTION 4, ARE NOT EXHAUSTIVE. CONFLICTS MIGHT ARISE IN OTHER AREAS OR THROUGH OTHER RELATIONS. IT IS ASSUMED THAT THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WILL RECOGNIZE SUCH AREAS AND RELATION BY ANALOGY. THE FACT THAT ONE OF THE INTERESTS DESCRIBED IN SECTION 4 EXISTS DOES NOT NECESSARILY MEAN THAT A CONFLICT EXISTS, OR THAT THE CONFLICT, IF IT EXISTS, IS MATERIAL ENOUGH TO BE OF PRACTICAL IMPORTANCE, OR IF MATERIAL, THAT UPON FULL DISCLOSURE OF ALL RELEVANT FACTS AND CIRCUMSTANCES IT IS NECESSARILY ADVERSE TO THE INTERESTS OF RHCC. HOWEVER, IT IS THE POLICY OF THE GOVERNING BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS DESCRIBED IN SECTION 4 SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. SECTION 6. DISCLOSURE POLICY AND PROCEDURE PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST AND ALL MATERIAL FACTS ARE FULLY DISCLOSED TO THE GOVERNING BOARD OF DIRECTORS OR TO A COMMITTEE WITH BOARD-DELEGATED POWERS; 2. THE PERSON WITH THE CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL BE EXCLUDED FROM THE DISCUSSION AND VOTE ON APPROVAL OF SUCH TRANSACTION; 3. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 4. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER RHCC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN RHCC'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO RHCC, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. DISCLOSURE DISCLOSURE IN RHCC SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE GOVERNING BOARD OF DIRECTORS. DISCLOSURE INVOLVING DIRECTORS SHOULD BE MADE TO THE GOVERNING BOARD CHAIR (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE GOVERNING BOARD VICE-CHAIR) WHO SHALL BRING THESE MATTERS TO THE GOVERNING BOARD. DECISION THE GOVERNING BOARD OF DIRECTORS OR A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO RHCC. IN THE CASE OF A CONFLICT INVOLVING A MEMBER OF THE GOVERNING BOARD OF DIRECTORS, THE GOVERNING BOARD OR COMMITTEE REVIEWING THE MATTER SHALL CONSIDER THE DISABLING GUIDELINES ATTACHED HERETO. THE DECISION OF THE GOVERNING BOARD OR COMMITTEE ON THESE MATTERS WILL REST IN ITS SOLE DISCRETION, AND ITS CONCERN MUST BE THE WELFARE OF RHCC AND THE ADVANCEMENT OF RHCC'S PURPOSE. SECTION 7. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY 1. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. 2. IF, AFTER HEARING THE RESPONSE OF THE PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE NO ACTION, REPRIMAND, REQUEST FOR RESIGNATION OR REMOVAL FROM THE BOARD OF DIRECTORS AS THE FACTS AND CIRCUMSTANCES MAY WARRANT. SECTION 9. COMPENSATION 1. A VOTING MEMBER OF THE BOARD OF DIRECTORS WHO RECEIVES COMPENSATION FOR PROVISION OF SERVICES AS AN EMPLOYEE OR CONTRACTOR, DIRECTLY OR INDIRECTLY, FROM RHCC IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 2. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 3. NO MEMBER OF THE BOARD OR ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING COMPENSATION. 4. PHYSICIANS WHO RECEIVE COMPENSATION FROM RHCC, WHETHER DIRECTLY OR INDIRECTLY OR AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS. NO PHYSICIAN, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING PHYSICIAN COMPENSATION. SECTION 10. ANNUAL STATEMENTS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING OR FOUNDATION BOARD DELEGATED POWERS, AND ALL LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON-- 1. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2. HAS READ AND UNDERSTANDS THE POLICY; 3. HAS AGREED TO COMPLY WITH THE POLICY; AND 4. UNDERSTANDS THAT RHCC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15A	RIVERWOOD HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT MEETS AT LEAST QUARTERLY TO REVIEW, DISCUSS, AND RECOMMEND ANY COMPENSATION CHANGES FOR THE CEO. THIS IS DONE WITH EXTERNAL MARKET DATA CONDUCTED BY AN INDEPENDENT FIRM (MOST RECENTLY ARTHUR J. GALLAGHER COMPANIES). THE COMPENSATION COMMITTEE RELIES HEAVILY ON THAT EXTERNAL INDEPENDENT DATA AND IN ACCORDANCE WITH RIVERWOOD'S COMPENSATION PHILOSOPHY, IS UTILIZED TO MAKE RECOMMENDATION TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THE DATA UTILIZED FOR CEO COMPENSATION WAS LAST UPDATED/COMPLETED JULY 29TH, 2021. DOCUMENTATION AND RECORD KEEPING IS MAINTAINED FOR BOTH COMPENSATION COMMITTEE AND BOARD OF DIRECTORS MEETINGS IN WHICH CEO COMPENSATION DISCUSSIONS AND/OR DECISIONS OCCUR.
FORM 990, PART VI, SECTION C, LINE 19	RIVERWOOD ANNUALLY PRODUCES A FISCAL YEAR-END FINANCIALS REPORT SHOWING THE ORGANIZATION'S FINANCIAL STATUS VIA A STATEMENT OF OPERATIONS, STATISTICAL HIGHLIGHTS AND COMMUNITY BENEFITS STATEMENT. THIS REPORT IS MADE AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IT IS DISTRIBUTED TO MEMBERS OF THE ORGANIZATION AT AN ANNUAL MEETING AND IS POSTED TO OUR WEBSITE IN THE ABOUT US SECTION. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,383,976. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,383,976. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,847,402. MANAGEMENT AND GENERAL EXPENSES 1,569,527. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,416,929.
FORM 990, PART XI, LINE 9:	INCREASE IN INTEREST IN NET ASSETS OF RIVERWOOD FOUNDATION 987,923. SISU MEDICAL SOLUTIONS, LLC SCHEDULE K-1 ACTIVITY -47,194.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
RIVERWOOD HEALTH CARE CENTER FOUNDATION
200 BUNKER HILL DRIVE	AITKIN	MN	56431	411738787	SUPPORT	MN	501(C)(3)	LINE 12A, I	RIVERWOOD HEALTHCARE CENTER	Yes (1)
RIVERWOOD MEDICAL PROPERTIES LLC
200 BUNKER HILL DRIVE	AITKIN	MN	56431	823113322	SUPPORT	MN	501(C)(3)	LINE 12A, I	RIVERWOOD HEALTHCARE CENTER	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RIVERWOOD FOUNDATION
C	$177,604	FMV
RIVERWOOD FOUNDATION
B	$95,178	FMV
RIVERWOOD MEDICAL PROPERTIES
K	$126,000	FMV
RIVERWOOD MEDICAL PROPERTIES
A	$99	FMV