RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202233189349310453
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T13:21:58-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 S 6TH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311667875 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIDGEVIEW MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RIDG | BusinessNameControlTxt |
| Phone | 9524422191 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1Txt |
| City | WACONIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 553871791 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AARON BLOOMQUIST | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9524422191 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | AARON | PersonFirstNm |
| Person Last | BLOOMQUIST | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRYN MCGARVEY | PreparerPersonNm |
| PTIN | P00958683 | PTIN |
| Phone | 6123764500 | PhoneNum |
| Preparation | 2022-11-11 | 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 | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL PHELPS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1Txt |
| City | WACONIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 553871791 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $326,062,762 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RIDGEVIEWMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO MAKE A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE AND HEALTH FOR THE PEOPLE OF OUR AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 2289 | TotalEmployeeCnt |
| Total Volunteers | 84 | TotalVolunteersCnt |
| Total Gross UBI | $1,297,752 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $271,702 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,767,914 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,853,990 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $220,617,381 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $251,485,222 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,573,017 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,143,409 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,847,687 | PYOtherRevenueAmt |
| CY Other Revenue | $31,725,973 | CYOtherRevenueAmt |
| PY Total Revenue | $267,805,999 | PYTotalRevenueAmt |
| CY Total Revenue | $297,208,594 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,319 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,002,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $149,423,135 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $166,037,909 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $140,359 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $125,746,941 | PYOtherExpensesAmt |
| CY Other Expenses | $130,106,831 | CYOtherExpensesAmt |
| PY Total Expenses | $275,177,395 | PYTotalExpensesAmt |
| CY Total Expenses | $298,147,240 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,371,396 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$938,646 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $309,577,235 | TotalAssetsBOYAmt |
| Total Assets EOY | $339,368,547 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $147,760,526 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,516,607 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $161,816,709 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $171,851,940 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | RIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE LIFELONG HEALTH OF PEOPLE IT SERVES WITH A CULTURE THAT NURTURES THE WHOLE PERSON: MIND, BODY, AND SPIRIT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $228,552,553 | ExpenseAmt |
| Grant | $2,002,500 | GrantAmt |
| Revenue | $251,485,222 | RevenueAmt |
| Desc | RIDGEVIEW MEDICAL CENTER ENHANCED AND PROVIDED QUALITY HEALTHCARE SERVICES FOR THE COMMUNITY OF WACONIA AND SURROUNDING AREAS. THE HOSPITAL PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE IN THE AMOUNT OF $847,774 DURING 2021. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $9,315,321 AND $31,855,340 IN 2021. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY, AND MORE TOTALED $219,057. IN 2021 THE HOSPITAL SPENT $9,657,794 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 7,344 INPATIENTS, 33,077 EMERGENCY CARE VISITS, 47,566 HOME HEALTH VISITS, 5,156 SURGERIES, 1,424 BIRTHS, 18,864 AMBULANCE RUNS, AND 359,110 OUTPATIENT VISITS IN 2021. RIDGEVIEW MEDICAL CENTER SERVES MORE THAN 350,000 PEOPLE, OPERATES ONE HOSPITAL, ONE FREE-STANDING EMERGENCY AND URGENT CARE FACILITY CENTER AND SEVEN MULTI-SPECIALTY CLINIC LOCATIONS. | Desc |
| Total Program Service Expenses | $228,552,553 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | 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 | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2289 | 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 | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 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 | AARON BLOOMQUIST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9524422191 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1Txt |
| City | WACONIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55387 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL PHELPS | ||||||||
| PRESIDENT/CEO | 41.00 | 9.00 | Yes (X) | $1,197,762 | $0 | $68,637 | ||
| GORDON GABLENZ | ||||||||
| CIO | 30.50 | 19.50 | Yes (X) | $801,951 | $0 | $87,436 | ||
| KEN GILLES | ||||||||
| CIO | 50.00 | 0.00 | Yes (X) | $302,829 | $0 | $76,678 | ||
| AARON BLOOMQUIST | ||||||||
| CFO | 30.50 | 19.50 | Yes (X) | $276,340 | $0 | $59,127 | ||
| BENJAMIN NIELSEN | ||||||||
| COO | 44.00 | 6.00 | Yes (X) | $298,901 | $0 | $14,170 | ||
| GREGORY MARCHETTI | ||||||||
| CRNA | 50.00 | 0.00 | $236,523 | $0 | $67,675 | Yes (X) | ||
| GREGORY ERICKSON | ||||||||
| CRNA | 50.00 | 0.00 | $232,069 | $0 | $68,659 | Yes (X) | ||
| ELAINE ARION | ||||||||
| VICE PRESIDENT & CNO | 50.00 | 0.00 | Yes (X) | $255,869 | $0 | $42,317 | ||
| TYLER JOHNSON | ||||||||
| ADVANCED PRACTICE PROVIDER | 50.00 | 0.00 | $239,837 | $0 | $53,941 | Yes (X) | ||
| PAMELA WILLIAMS | ||||||||
| VICE PRESIDENT (THRU JULY 2021) | 1.00 | 50.00 | Yes (X) | $262,574 | $0 | $27,326 | ||
| SARAH URTEL | ||||||||
| VP OF SYSTEM SUPPORT | 50.00 | 0.00 | Yes (X) | $227,894 | $0 | $55,637 | ||
| PAUL HAM | ||||||||
| VP OF SUPPORT SERVICES | 50.00 | 0.00 | Yes (X) | $232,469 | $0 | $46,316 | ||
| JENNIFER CHARBONNET | ||||||||
| CRNA | 50.00 | 0.00 | $225,662 | $0 | $49,196 | Yes (X) | ||
| CHRIS STEFFEN | ||||||||
| EXECUTIVE DIRECTOR | 50.00 | 0.00 | $217,847 | $0 | $37,044 | Yes (X) | ||
| DR MATT HEROLD | ||||||||
| VP OF MEDICAL AFFAIRS | 50.00 | 0.00 | Yes (X) | $165,006 | $0 | $0 | ||
| STACEY LEE | ||||||||
| VICE PRESIDENT | 50.00 | 0.00 | Yes (X) | $24,666 | $0 | $0 | ||
| WAYNE HUBIN | ||||||||
| BOARD MEMBER | 2.00 | 2.40 | $5,000 | $2,400 | $0 | Yes (X) | ||
| THERESA DALEN | ||||||||
| BOARD CHAIR | 2.00 | 0.00 | Yes (X) | $6,000 | $0 | $0 | Yes (X) | |
| BRIAN MARK | ||||||||
| BOARD VICE CHAIR | 2.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | Yes (X) | |
| JULIE OSTERBERG | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | Yes (X) | |
| VAN COLSON | ||||||||
| TREASUER | 2.00 | 0.00 | Yes (X) | $5,000 | $0 | $0 | Yes (X) | |
| DAVE KIRSCH | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $5,000 | $0 | $0 | Yes (X) | ||
| HEATHER REIGHARD | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $5,000 | $0 | $0 | Yes (X) | ||
| KATE ROEHL | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $5,000 | $0 | $0 | Yes (X) | ||
| MIKE SCHULER | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $5,000 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,244,199 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,400 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $754,159 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 197 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMPAC | |||||
| 500 S MAPLE STREET | WACONIA | MN | 55387 | ED PHYSICIAN SERVICES | $9,587,262 |
| MAYO COLLABORATIVE SERVICE INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | MEDICAL SERVICES | $1,714,587 |
| CHILDRENS HOSPITAL & CLINICS | |||||
| 2525 CHICAGO AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | MEDICAL SERVICES | $1,533,851 |
| 3KEYLOGIC LLC | |||||
| PO BOX 1557 | BURNSVILLE | MN | 55337 | IT SERVICES | $1,052,192 |
| CHANGE HEALTHCARE | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | IT SERVICES | $1,049,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 62 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,793,215 | RelatedOrganizationsAmt |
| Government Grants | $9,060,775 | GovernmentGrantsAmt |
| Total Contributions | $10,853,990 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $251,485,222 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $251,485,222 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $251,485,222 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,340,361 | TotalRevenueColumnAmt |
| Exclusion | $1,340,361 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,097,855 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,720,873 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,376,982 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,376,982 | TotalRevenueColumnAmt |
| Exclusion | $2,376,982 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,894,221 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,091,173 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,803,048 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,803,048 | TotalRevenueColumnAmt |
| Exclusion | $1,803,048 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $5,613,588 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,042,122 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,571,466 | TotalRevenueColumnAmt |
| Exclusion | $4,571,466 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MISCELLANEOUS | 621610 | $23,149,207 | $1,297,752 | $21,851,455 |
| DEBT REFINANCING GAIN | 900099 | $820,171 | $820,171 | |
| CAFETERIA REVENUE | 722210 | $723,253 | $723,253 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,894 | TotalRevenueColumnAmt |
| Exclusion | $84,894 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $24,777,525 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $297,208,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $251,485,222 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,297,752 | UnrelatedBusinessRevenueAmt |
| Exclusion | $33,571,630 | 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 | $2,002,500 | TotalAmt |
| Program Services | $2,002,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,027,778 | TotalAmt |
| Management And General | $5,027,778 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,847,117 | TotalAmt |
| Program Services | $113,033,373 | ProgramServicesAmt |
| Management And General | $26,813,744 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,863,509 | TotalAmt |
| Program Services | $3,012,595 | ProgramServicesAmt |
| Management And General | $850,914 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,214,804 | TotalAmt |
| Program Services | $4,058,916 | ProgramServicesAmt |
| Management And General | $4,155,888 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,084,701 | TotalAmt |
| Program Services | $6,716,461 | ProgramServicesAmt |
| Management And General | $2,368,240 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,256 | TotalAmt |
| Management And General | $507,256 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,321 | TotalAmt |
| Management And General | $283,321 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,631 | TotalAmt |
| Program Services | $584,631 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,595,398 | TotalAmt |
| Program Services | $34,758,111 | ProgramServicesAmt |
| Management And General | $10,837,287 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,454 | TotalAmt |
| Program Services | $192,895 | ProgramServicesAmt |
| Management And General | $13,559 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,186,900 | TotalAmt |
| Program Services | $3,020,269 | ProgramServicesAmt |
| Management And General | $4,026,272 | ManagementAndGeneralAmt |
| Fundraising | $140,359 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,809,590 | TotalAmt |
| Program Services | $767,436 | ProgramServicesAmt |
| Management And General | $3,042,154 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,271,298 | TotalAmt |
| Program Services | $9,790,105 | ProgramServicesAmt |
| Management And General | $3,481,193 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,489 | TotalAmt |
| Program Services | $335,860 | ProgramServicesAmt |
| Management And General | $100,629 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,478 | TotalAmt |
| Program Services | $66,894 | ProgramServicesAmt |
| Management And General | $51,584 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,607,355 | TotalAmt |
| Program Services | $3,607,355 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,000 | TotalAmt |
| Program Services | $280,000 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,488,273 | TotalAmt |
| Program Services | $8,308,686 | ProgramServicesAmt |
| Management And General | $5,179,587 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,565 | TotalAmt |
| Program Services | $163,667 | ProgramServicesAmt |
| Management And General | $926,898 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UBI TAXES | $70,266 | $70,266 | |
| MEDICAL SUPPLIES | $33,871,229 | $33,871,229 | |
| MINNESOTA CARE TAX | $3,531,837 | $3,531,837 | |
| COLLECTIONS EXPENSE | $815,371 | $815,371 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,352,120 | TotalAmt |
| Program Services | $449,733 | ProgramServicesAmt |
| Management And General | $902,387 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,147,240 | TotalAmt |
| Program Services | $228,552,553 | ProgramServicesAmt |
| Management And General | $69,454,328 | ManagementAndGeneralAmt |
| Fundraising | $140,359 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,260,333 | BOYAmt |
| EOY | $13,643,812 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,816,835 | BOYAmt |
| EOY | $67,650,214 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,543,763 | BOYAmt |
| EOY | $61,051,819 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,080,553 | BOYAmt |
| EOY | $5,283,357 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,447,002 | BOYAmt |
| EOY | $5,438,965 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $314,842,090 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $200,326,412 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,422,455 | BOYAmt |
| EOY | $114,515,678 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,891,047 | BOYAmt |
| EOY | $25,487,443 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,615,605 | BOYAmt |
| EOY | $10,898,073 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,499,642 | BOYAmt |
| EOY | $35,399,186 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,577,235 | BOYAmt |
| EOY | $339,368,547 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,039,888 | BOYAmt |
| EOY | $43,873,654 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,095 | BOYAmt |
| EOY | $2,008,204 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,909,615 | BOYAmt |
| EOY | $94,557,842 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,050,928 | BOYAmt |
| EOY | $27,076,907 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,760,526 | BOYAmt |
| EOY | $167,516,607 | 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 | $153,981,835 | BOYAmt |
| EOY | $163,515,458 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,834,874 | BOYAmt |
| EOY | $8,336,482 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,816,709 | BOYAmt |
| EOY | $171,851,940 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $309,577,235 | BOYAmt |
| EOY | $339,368,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$938,646 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,406,387 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,567,490 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $3,113 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,113 | 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 | RIDGEVIEW MEDICAL CENTER PAYS DUES TO THE MINNESOTA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH ARE USED FOR LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,362,607 | OtherCostOrOtherBasisAmt |
| Book Value | $8,362,607 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,362,382 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,059,073 | DepreciationAmt |
| Book Value | $59,303,309 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,832,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,887,069 | DepreciationAmt |
| Book Value | $5,945,657 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $155,345,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,380,270 | DepreciationAmt |
| Book Value | $24,965,441 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,938,664 | OtherCostOrOtherBasisAmt |
| Book Value | $15,938,664 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $114,515,678 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN RIDGEVIEW INSURANCE | $719,973 | F |
| INVESTMENT IN FOUNDATION | $24,767,470 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $25,487,443 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SELF INSURANCE RESERVES | $1,864,954 |
| DEFERRED COMPENSATION PLAN | $20,066,954 |
| STEP LEASE ASSET | $403,505 |
| DUE FROM AFFILIATES | $13,063,773 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $35,399,186 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $8,477,683 |
| THIRD PARTY PAYABLE | $2,590,771 |
| WORKERS COMPENSATION | $1,501,369 |
| ASSET RETIREMENT OBLIGATION | $12,224 |
| BRIDGE LOAN FROM RIDGEVIEW FOUNDATION | $127,811 |
| DUE TO CARDIOLOGY JOINT VENTURE | $11,738,776 |
| STEP LEASE LIABILITY | $2,628,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,076,907 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $328,800,655 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $35,407,105 | OtherRevenueAmt |
| Revenue Not Reported | $35,407,105 | RevenueNotReportedAmt |
| Revenue Subtotal | $293,393,550 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $584,631 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $3,230,413 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,815,044 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $297,208,594 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $320,251,023 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $24,968,414 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $24,968,414 | ExpensesNotReportedAmt |
| Expenses Subtotal | $295,282,609 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $584,631 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $2,280,000 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,864,631 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $298,147,240 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION HAS RECEIVED NOTIFICATION THAT IT QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. THE HOSPITAL IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISTICTION. THE ORGANIZATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT IN UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 3,720,873. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,030,108. GIFT SHOP EXPENSES 12,014. REVENUES OF ENTITIES NOT INCLUDED IN THIS FORM 990 30,528,297. BAD DEBT EXPENSE 115,813. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT INCOME 607,194. REALIZED GAINS ON INVESTMENTS 1,803,048. GAIN ON DEBT REFINANCING 820,171. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 3,720,873. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,030,108. EXPENSES OF ENTITIES NOT INCLUDED IN THIS FORM 990 20,089,606. GIFT SHOP EXPENSE 12,014. BAD DEBT EXPENSE 115,813. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CAPITAL CONTRIBUTIONS 2,000,000. DISTRIBUTION EXPENSE 280,000. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 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 | $847,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $847,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,782,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,467,371 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,315,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,630,465 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,467,371 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,163,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03430 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 5713 | PersonsServedCnt |
| Total Community Benefit Expns | $507,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $433,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $219,057 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $219,057 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 26 | PersonsServedCnt |
| Total Community Benefit Expns | $23,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,646 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $844 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 16 | PersonsServedCnt |
| Total Community Benefit Expns | $137,268 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $137,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $49,679 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,679 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 5769 | PersonsServedCnt |
| Total Community Benefit Expns | $936,831 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,326 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $840,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 5769 | PersonsServedCnt |
| Total Community Benefit Expns | $25,567,296 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,563,697 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,003,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03720 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,683,393 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $211,944 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $78,515,397 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $120,313,145 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$41,797,748 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 WACONIA BUILDING INVESTMENTS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PHYSICIAN PROFESSIONAL BUILDING | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.35000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.65000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | RIDGEVIEW MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1Txt |
| City | WACONIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55387 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.RIDGEVIEWMEDICAL.ORG | WebsiteAddressTxt |
| State License | 00055 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIDGEVIEW MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| RIDGEVIEW MEDICAL CENTER | PART V, SECTION B, LINE 5: RIDGEVIEW PARTNERED WITH CARVER COUNTY PUBLIC HEALTH TO COMPLETE THE PRIMARY DATA COLLECTION FOR THE 2019 CHNA. THIS INCLUDED PRIMARY RESEARCH, DATA ANALYSIS, VALIDATION AND PRIORITIZATION, AND ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH COMMUNITY INPUT. THE COMMUNITY INPUT INCLUDED SURVEYS FROM RESIDENTS OF CARVER COUNTY PLUS ACROSS THE SIX OTHER COUNTIES IN RIDGEVIEW'S SERVICE AREA. THIS PRIMARY DATA WAS SUPPLEMENTED WITH SECONDARY DATA* COLLECTED FROM THE FOLLOWING SOURCES (BUT NOT LIMITED TO): RIDGEVIEW'S ELECTRONIC MEDICAL RECORD AND FINANCIAL SYSTEMS, US CENSUS BUREAU, COUNTY HEALTH RANKINGS, MINNESOTA HOSPITAL ASSOCIATION. |
| RIDGEVIEW MEDICAL CENTER | PART V, SECTION B, LINE 6A: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH RIDGEVIEW SIBLEY MEDICAL CENTER AND RIDGEVIEW LE SUEUR MEDICAL CENTER. |
| RIDGEVIEW MEDICAL CENTER | PART V, SECTION B, LINE 6B: CARVER COUNTY PUBLIC HEALTH |
| RIDGEVIEW MEDICAL CENTER | PART V, SECTION B, LINE 11: RIDGEVIEW MEDICAL CENTER CONTINUES TO DEVELOP BROAD COMMUNITY STRATEGIES THAT FOCUS ON FOUR HEALTH ISSUES THAT WERE IDENTIFIED AND PRIORITIZED IN THE CHNA AND IMPLEMENTATION PLAN: 1) PREVENTION, CLINICAL CARE, AND DISEASE MANAGEMENT (PREVENTATIVE SCREENINGS, ACCESS TO CARE - RURAL SERVICE AREA), 2) AGING AND AGING-RELATED CONCERNS (SENIOR SERVICES, TRANSPORTATION), 3) MENTAL AND BEHAVIORAL HEALTH (EMERGENCY SERVICES, ADULT BEHAVIORAL HEALTH). RIDGEVIEW WILL CONTINUE TO OFFER CARE AND SERVICES TO ADDRESS THESE PRIORITY HEALTH ISSUES. THE INFORMATION FROM THE CHNA WILL FURTHER INFORM ORGANIZATIONAL LEADERSHIP IN DECISION-MAKING PROCESSES TO EXPAND, REFINE, AND DIRECT SERVICES, COMMUNICATION, COLLABORATION, EDUCATION AND OUTREACH ACTIVITIES. ADDRESSING THE PRIORITY HEALTH ISSUES INVOLVES MANY FACTORS OUTSIDE THE CLINICAL SETTING, RIDGEVIEW WILL CONTINUE TO WORK TO ENHANCE THE IMPACT OF BROADER COMMUNITY HEALTH EFFORTS TO ADDRESS THESE ISSUES. BY FACILITATING SYSTEM-WIDE AND CROSS-COMMUNITY COMMUNICATION AND COLLABORATION, EXISTING EFFORTS WILL RESULT IN IMPROVED SUCCESS AND IMPACT. WHILE EMPHASIS IS PLACED ON THE THREE HEALTH ISSUES DETAILED IN THE CHNA REPORT DOCUMENT, RIDGEVIEW AS A COMMUNITY HEALTH PROVIDER, WILL CONTINUE TO FOCUS RESOURCES ON OTHER LONG-STANDING INITIATIVES AND SERVICES THAT HELP IMPROVE OVERALL HEALTH. |
| RIDGEVIEW MEDICAL CENTER | PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE AT WWW.RIDGEVIEWMEDICAL.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CLINICS | ||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | GENERAL MEDICAL CLINIC |
| 2 - SAME DAY SURGERY | ||||
| 3000 HUNDERTMARK ROAD | CHASKA | MN | 55318 | GENERAL MEDICAL & SURGICAL CLINIC |
| 3 - SPECIALTY CLINICS | ||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | SEE PART VI FOR DETAILS |
| 4 - HOME HEALTH HOSPICE | ||||
| 500 SOUTH MAPLE STREET STE 1 | WACONIA | MN | 55387 | HOME HEALTH & HOSPICE |
| 5 - REHAB SPECIALTIES | ||||
| 560 SOUTH MAPLE STREET | WACONIA | MN | 55387 | REHABILITATION SERVICES |
| 6 - HOME MEDICAL EQUIPMENT | ||||
| 500 SOUTH MAPLE STREET STE 2 | WACONIA | MN | 55387 | MEDICAL EQUIPMENT SUPPLIER |
| 7 - RIDGEVIEW SLEEP CENTER | ||||
| 560 SOUTH MAPLE STREET STE 103 | WACONIA | MN | 55387 | SLEEP DISORDER SERVICES |
| 8 - PEDIATRIC REHAB | ||||
| 490 SOUTH MAPLE STREET STE 125 | WACONIA | MN | 55387 | PEDIATRIC SERVICES |
| 9 - RIDGEVIEW RESEARCH | ||||
| 3000 HUNDERTMARK ROAD STE 8 | CHASKA | MN | 55318 | RESEARCH FACILITY |
| 10 - WESTERN OBGYN | ||||
| 560 SOUTH MAPLE STREET | WACONIA | MN | 55387 | OBESTRIC AND GYNECOLOGY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | TO QUALIFY FOR FINANCIAL ASSISTANCE, THE FOLLOWING CONDITIONS MUST BE MET:(A) THE MEDICAL CARE PROVIDED BY RIDGEVIEW MEDICAL CENTER IS MEDICALLY NECESSARY;(B) THE INDIVIDUAL SUBMITS A COMPLETED APPLICATION;(C) THE INDIVIDUAL COOPERATES WITH THE HOSPITAL TO EXPLORE ALTERNATIVE MEANS OF ASSISTANCE, IF NECESSARY (INCLUDING SSI, DISABILITY, MEDICARE AND MEDICAID); AND(D) THE INDIVIDUAL'S FAMILY INCOME IS LESS THAN 250% OF FEDERAL POVERTY GUIDELINES ("FPG"). FREE CARE IS OFFERED FOR FEDERAL ADJUSTED GROSS INCOME UP TO 200% OF FPG. 75% OF A PATIENT'S CHARGES ARE FORGIVEN FOR FEDERAL ADJUSTED GROSS INCOME BETWEEN 200% AND 225% FPG. 56% OF A PATIENT'S CHARGES ARE FORGIVEN FOR FEDERAL ADJUSTED GROSS INCOME BETWEEN 225% AND 250% OF FPG.IN ADDITION, PATIENTS SEEKING FINANCIAL ASSISTANCE MAY BE ASKED FIRST TO APLY FOR OTHER EXTERNAL PROGRAMS (SUCH AS MEDICAID OR INSURANCE THROUGH THE PUBLIC MARKETPLACE).RIDGEVIEW MAY RELY ON EXTERNAL SOURCES TO DETERMINE ELIGIBILITY WHEN:(A) THE PATIENT IS HOMELESS;(B) THE PATIENT IS ELIGIBLE FOR OTHER UNFUNDED STATE OR LOCAL ASSISTANCE PROGRAMS;(C) THE PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH;(D) THE PATIENT IS ELIGIBLE FOR STATE-FUNDED PRESCRIPTION MEDICATION;(E) THE PATIENTS VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING; OR (F) THE PATIENT RECEIVEDS FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL FOR FURTHER TREATMENT.RIDGEVIEW MEDICAL CENTER ALSO USES CHANGE HEALTHCARE, AN ELIGIBILITY VENDOR, TO HELP IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 7: | THE COSTING METHODOLOGY USED BY RIDGEVIEW TO DETERMINE THE COMMUNITY BENEFIT EXPENSES INCLUDED IN PART I, LINES 7A-D WERE DERIVED BY TAKING THE RESPECTIVE AMOUNTS PER THE AUDITED FINANCIAL STATEMENTS AND APPLYING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS. THE COMMUNITY BENEFIT EXPENSES INCLUDED IN LINES 7E-J WERE REPORTED BASED ON RMC'S ACTUAL COSTS FOR EACH CLASSIFICATION OF EXPENSES. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,683,393. |
| PART III, LINE 2: | THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN PART III, LINE 2 IS CALCULATED BY RIDGEVIEW AS FOLLOWS: PAYMENT FOR SERVICES IS REQUIRED WITHIN 30 DAYS OF RECEIPT OF THE INVOICE OR CLAIM SUBMITTED. PATIENT ACCOUNTS THAT ARE MORE THAN 90 DAYS PAST DUE ARE INDIVIDUALLY ANALYZED FOR COLLECTIBILITY. IN ADDITION, AN ALLOWANCE IS ESTIMATED FOR OTHER ACCOUNTS BASED ON HISTORICAL EXPERIENCE OF THE ORGANIZATION. WHEN ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE ACCOUNT IS WRITTEN OFF AGAINST THE RELATED ALLOWANCE. |
| PART III, LINE 3: | RIDGEVIEW ESTIMATES THAT APPROXIMATELY 25% OF ITS TOTAL COST OF CHARITY CARE IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE BUT DID NOT COMPLETE AN APPLICATION AND WERE ULTIMATELY INCLUDED IN BAD DEBT EXPENSE REPORTED IN PART III, LINE 2. |
| PART III, LINE 4: | THE NOTE OF RIDGEVIEW'S 2021 FINANCIAL STATEMENTS THAT INCLUDES THE EXPLANATION OF BAD DEBT EXPENSE IS THE "PATIENT RECEIVABLES, NET NOTE INCLUDED ON PAGE 11. |
| PART III, LINE 8: | RIDGEVIEW USES THE 2021 FILED MEDICARE COST REPORT TO CALCULATE THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6. APPLIED AGAINST ACTUAL RECEIPTS RIDGEVIEW EXPERIENCED COSTS NOT COVERED BY MEDICARE IN THE AMOUNT OF $35,943,818 IN 2021. THIS IS A DIRECT BENEFIT TO THE MEDICARE POPULATION IN OUR COMMUNITY. |
| PART III, LINE 9B: | RIDGEVIEW'S CHARITY PROGRAM ALLOWS FOR ACCOUNTS IN BAD DEBT STATUS TO COMPLETE A CHARITY CARE APPLICATION. IF APPROVED, THE ACCOUNT WILL BE RETURNED FROM BAD DEBT AND APPLIED TO OUR CHARITY CARE PROGRAM. ALL PATIENTS ARE ADVISED OF OUR CHARITY CARE PROGRAM THROUGH OUR MONTHLY BILLING PROCESS. RIDGEVIEW MEDICAL CENTER DOES NOT CHARGE INTEREST ON OUTSTANDING PATIENT ACCOUNT BALANCES. |
| PART VI, LINE 2: | RIDGEVIEW MEDICAL CENTER ASSESSES THE CURRENT HEALTH STATUS, HEALTH OUTCOMES, AND UNMET NEEDS IN THE 46+ COMMUNITIES IT SERVES THROUGH A FORMALIZED, RIGOROUS, AND STRUCTURED PROCESS. COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND PUBLIC REPORTING ENSURES THAT RIDGEVIEW HEALTH IMPROVEMENT EFFORTS AND RESOURCES ARE ALIGNED WITH COMMUNITY HEALTH PRIORITIES. RIDGEVIEW WILL CONTINUE TO USE A CHNA AND OTHER INTERNAL AND EXTERNAL INFORMATION (INCLUDING DISCHARGE, QUALITY MEASURES, PREDICTIVE, AND POPULATION DATA) TO AID STRATEGIC PLANNING PROCESSES AND ALIGN ORGANIZATIONAL SERVICES/RESOURCES ACCORDINGLY. |
| PART VI, LINE 3: | AT THE TIME OF SCHEDULING, PRE-REGISTRATION, REGISTRATION, OR DISCHARGE (WHICHEVER IS APPLICABLE), THE PATIENT WILL BE ASKED FO INSURANCE COVERAGE, AND THE PATIENT WILL BE INFORMED OF ANY CO-PAYMENTS THAT WILL BE EXPECTED AT THE TIME OF PAYMENT. IF THE PATIENT WISHES TO APPLY FOR COMMUNITY CARE, HE OR SHE WILL BE GIVEN OR MAILED AN APPLICATION; THE APPLICATION IS ALSO AVAILABLE FOR DOWNLOAD FROM THE RMC WEBSITE. A PATIENT MAY NOT QUALIFY FOR COMMUNITY CARE UNTIL HE OR SHE HAS COMPLETED THE APPLICATION. AFTER COMPLETING THE COMMUNITY CARE APPLICATION (INCLUDING SUPPORTING DOCUMENTATION), THE ACCOUNT REPRESENTATIVE WILL ASSESS THE APPLICATION AND DETERMINE WHETHER THE PATIENT QUALIFIES FOR COMMUNITY CARE OR ANY OTHER GOVERNMENTAL HEALTH CARE COVERAGE. IF THE PATIENT IS LIKELY TO QUALIFY FOR OTHER GOVERNMENTAL HEALTH CARE COVERAGE, THE ACCOOUNT REPRESENTATIVE WILL DETERMINE APPROPRIATE COVERAGE AND REFER THE PATIENT AS APPROPRIATE. IF AN UNINSURED PATIENT IS UNLIKELY TO QUALIFY FOR GOVERNMENTAL HEALTH CARE COVERAGE, OR DENIED HOSPITAL PRESUMPTIVE ELIGIBILITY, AND THE PATIENT DOES NOT QUALIFY FOR COMMUNITY CARE, APPROPRIATE PAYMENT ARRANGEMENTS MUST BE MADE WITH THE ACCOUNT REPRESENTATIVE BASED UPON RMC'S UNINSURED PAYMENT POLICY. SHOULD THE PATIENT SUBSEQUENTLY QUALIFY FOR GOVERNMENTAL HEALTH CARE COVERAGE OR ANY OTHER HEALTH INSURANCE, ANY PAYMENTS RECEIVED WILL BE REFUNDED LESS ANY CO-PAYMENTS DUE. |
| PART VI, LINE 4: | RIDGEVIEW SERVES A POPULATION OF APPROXIMATELY 350,000 PEOPLE, PRIMARILY FROM ITS FIVE-COUNTY SERVICE AREA OF CARVER, SIBLEY, SOUTHERN WRIGHT, WESTERN HENNEPIN, AND EASTERN MCLEOD, LE SUEUR, AND SCOTT COUNITESAS OF THE 2020 CENSUS CARVER COUNTY DATA (PRIMARY SERVICE AREA), THE POPULATION DISTRIBUTION BY AGE COHORT WAS 12% AGED 65+, 61% AGED 18-64, AND 27% AGED 0-17. ACCORDING TO CARVER COUNTY DATA (PRIMARY SERVICE AREA), 88% OF THE TOTAL POPULATION ARE OF CAUCASIAN DESCENT, 4% ARE OF HISPANIC DESCENT, AND 3% ARE OF ASIAN DESCENT. CARVER COUNTY MEDIAN HOUSEHOLD INCOME IS $104,011 AND 3.4% OF THE POPULATION IS BELOW THE POVERTY LEVEL. |
| PART VI, LINE 5: | RIDGEVIEW MEDICAL CENTER'S PHYSICIANS, AND MEDICAL AND SUPPORT STAFF, PROVIDE SERVICES AND IN-KIND CONTRIBUTIONS TO THE COMMUNITIES IT SERVES IN A FIVE-COUNTY AREA. EXAMPLES OF RIDGEVIEW'S COMMUNITY BENEFIT CONTRIBUTIONS INCLUDE UNDERFUNDING OF MEDICARE, MEDICAID AND CHARITY CARE, FREE LACTATION CONSULTATIONS TO NEW MOTHERS, JOB SHADOWS FOR HIGH SCHOOL AND COLLEGE STUDENTS, INTERNSHIP OPPORTUNITIES FOR STUDENTS INTERESTED IN HEALTH CARE CAREERS (BOTH CLINICAL AND NON-CLINICAL), AND DISCOUNTS TO THE UNINSURED. RIDGEVIEW ALSO PROVIDES IN-KIND AND FINANCIAL DONATIONS TO OTHER NON-PROFITS' COMMUNITY HEALTH INITIATIVES (INCLUDING WESTONKA WECAB TRANSPORTATION SERVICE, PAY IT FORWARD FUND, AND COMMUNITY HEALTH AND WELLNESS EVENTS). |
| PART VI, LINE 6: | RIDGEVIEW MEDICAL CENTER IS A 109-BED ACUTE CARE HOSPITAL IN WACONIA, MINNESOTA THAT PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF THE WEST SUBURBAN METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL AND ADJACENT RURAL AREAS OF MN. RIDGEVIEW MEDICAL CENTER'S SUBSIDIARIES INCLUDE: RIDGEVIEW CLINICS PROVIDES OUTPATIENT HEALTHCARE SERVICES FROM VARIOUS CLINIC LOCATIONS THROUGHOUT THE WEST SUBURBAN METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL AND ADJACENT RURAL AREAS OF MINNESOTA. TWO CRITICAL ACCESS HOSPITALS, SIBLEY MEDICAL CENTER AND RIDGEVIEW LE SUEUR MEDICAL CENTER. CHASKA PLAZA SURGERY CENTER IS A PARTNERSHIP IN WHICH RIDGEVIEW MEDICAL CENTER OWNS A 51% INTEREST. IT OPERATES AN AMBULATORY SURGICAL CENTER. MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER PROVIDES CARDIOLOGY SERVICES. THE HEART INSTITUTE IS A PARTNERSHIP IN WHICH RIDGEVIEW MEDICAL CENTER HOLDS A 50% INTEREST. WACONIA BUILDING INVESTMENTS OWNS A MEDICAL OFFICE BUILDING ON RIDGEVIEW MEDICAL CENTER'S CAMPUS. RIDGEVIEW REAL ESTATE LLC HOLDS THE LAND LEASE FOR WACONIA BUILDING INVESTMENTS. RIDGEVIEW COMMUNITY NETWORK OPERATES A AN ACCOUNTABLE CARE ORGANIZATION. RIDGEVIEW INSURANCE COMPANY OPERATES A CAPTIVE INSURANCE COMPANY FOR THE BENEFIT OF RIDGEVIEW MEDICAL CENTER. RIDGEVIEW FOUNDATION OPERATES FOR THE EXCLUSIVE BENEFIT OF RIDGEVIEW MEDICAL CENTER. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MN |
| PART V, SECTION D, LINE 3 | RIDGEVIEW'S SPECIALTY CLINICS INCLUDE ENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, AND BARIATRIC. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIDGEVIEW CLINCS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1Txt |
| City | WACONIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55387 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 411651783 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $2,000,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | CAPITAL CONTRIBUTIONS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TRANSFERS ARE TO RELATED ENTITIES UNDER COMMON MANAGEMENT AND TRACKED THROUGH THE INTERNAL REPORTING PROCESS. | 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PHELPS | ||||||||||||||
| PRESIDENT/CEO | $530,661 | $0 | $0 | $0 | $667,101 | $0 | $28,337 | $0 | $40,300 | $0 | $1,266,399 | $0 | $0 | $0 |
| GORDON GABLENZ | ||||||||||||||
| CIO | $313,342 | $0 | $0 | $0 | $488,609 | $0 | $25,560 | $0 | $61,876 | $0 | $889,387 | $0 | $0 | $0 |
| KEN GILLES | ||||||||||||||
| CIO | $275,154 | $0 | $0 | $0 | $27,675 | $0 | $24,392 | $0 | $52,286 | $0 | $379,507 | $0 | $0 | $0 |
| AARON BLOOMQUIST | ||||||||||||||
| CFO | $275,606 | $0 | $0 | $0 | $734 | $0 | $13,627 | $0 | $45,500 | $0 | $335,467 | $0 | $0 | $0 |
| BENJAMIN NIELSEN | ||||||||||||||
| COO | $274,784 | $0 | $0 | $0 | $24,117 | $0 | $13,416 | $0 | $754 | $0 | $313,071 | $0 | $0 | $0 |
| GREGORY MARCHETTI | ||||||||||||||
| CRNA | $234,050 | $0 | $550 | $0 | $1,923 | $0 | $24,951 | $0 | $42,724 | $0 | $304,198 | $0 | $0 | $0 |
| GREGORY ERICKSON | ||||||||||||||
| CRNA | $229,496 | $0 | $550 | $0 | $2,023 | $0 | $18,149 | $0 | $50,510 | $0 | $300,728 | $0 | $0 | $0 |
| ELAINE ARION | ||||||||||||||
| VICE PRESIDENT & CNO | $230,870 | $0 | $0 | $0 | $24,999 | $0 | $23,954 | $0 | $18,363 | $0 | $298,186 | $0 | $0 | $0 |
| TYLER JOHNSON | ||||||||||||||
| ADVANCED PRACTICE PROVIDER | $238,394 | $0 | $500 | $0 | $943 | $0 | $9,941 | $0 | $44,000 | $0 | $293,778 | $0 | $0 | $0 |
| PAMELA WILLIAMS | ||||||||||||||
| VICE PRESIDENT (THRU JULY 2021) | $247,423 | $0 | $0 | $0 | $15,151 | $0 | $9,772 | $0 | $17,554 | $0 | $289,900 | $0 | $0 | $0 |
| SARAH URTEL | ||||||||||||||
| VP OF SYSTEM SUPPORT | $208,060 | $0 | $0 | $0 | $19,834 | $0 | $25,729 | $0 | $29,908 | $0 | $283,531 | $0 | $0 | $0 |
| PAUL HAM | ||||||||||||||
| VP OF SUPPORT SERVICES | $224,118 | $0 | $0 | $0 | $8,351 | $0 | $26,335 | $0 | $19,981 | $0 | $278,785 | $0 | $0 | $0 |
| JENNIFER CHARBONNET | ||||||||||||||
| CRNA | $224,720 | $0 | $680 | $0 | $262 | $0 | $23,931 | $0 | $25,265 | $0 | $274,858 | $0 | $0 | $0 |
| CHRIS STEFFEN | ||||||||||||||
| EXECUTIVE DIRECTOR | $208,247 | $0 | $0 | $0 | $9,600 | $0 | $10,969 | $0 | $26,075 | $0 | $254,891 | $0 | $0 | $0 |
| DR MATT HEROLD | ||||||||||||||
| VP OF MEDICAL AFFAIRS | $165,006 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $165,006 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | MICHAEL PHELPS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2021, $621,440 WAS CONTRIBUTED TO THE PLAN, $42,739 WAS ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. GORDON GABLENZ PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2021, $434,954 WAS CONTRIBUTED TO THE PLAN, $50,027 ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. THESE DEFERRED COMPENSATION AMOUNTS ARE REPORTED ON A PRO-RATA BASIS WITHOUT REGARD TO THE INDIVIDUAL'S VESTING SCHEDULE. CURRENTLY, THE MAJORITY OF DEFERRED COMPENSATION IS NOT VESTED. |
| PART I, LINE 6 | THE OFFICERS OF RIDGEVIEW MEDICAL CENTER AND AFFILIATES RECEIVE BONUSES CONTINGENT ON THE NET EARNINGS OF THE CONSOLIDATED ENTITY AND GOALS ACHIEVED. BONUSES WERE EARNED IN 2021 AND PAID IN 2022. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, THE VICE CHAIR, THE SECRETARY, AND THE TREASURER. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE FULL AUTHORITY OF THE BOARD EXCEPT AS OTHERWISE LIMITED BY LAW, BY THE BOARD, OR BY THE BYLAWS. THE EXECUTIVE COMMITTEE TRANSACTS THE BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND REPORTS THE FINDINGS AND RECOMMENDED COMPENSATION AND BENEFITS TO THE BOARD OF DIRECTORS. AFTER RECEIVING THE EXECUTIVE COMMITTEE'S REPORT, THE ENTIRE BOARD THEN SETS THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AS THE BOARD DEEMS APPROPRIATE. THE EXECUTIVE COMMITTEE ESTABLISHES A PROCESS FOR STRATEGIC PLANNING THAT ALSO ENCOMPASSES BOARD RETREATS. |
| FORM 990, PART VI, SECTION A, LINE 6 | CHILDREN'S HEALTH CARE (DBA: CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA) IS A MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MAYOR OF WACONIA SERVES AS AN EX-OFFICIO NON-VOTING MEMBER OF THE BOARD. CERTAIN RIGHTS, LIKE AUTHORITY OVER CAPITAL EXPENDITURES, ARE RESERVED BY THE CITY OF WACONIA. AS A CORPORATE MEMBER OF RIDGEVIEW MEDICAL CENTER, CHILDREN'S HOSPITAL AND CLINICS HAS THE RIGHT TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS TO THE EXTENT SUCH AMENDMENT WOULD MATERIALLY ADVERSELY AFFECT THE RIGHTS OR OBLIGATIONS OF CHILDREN'S AS A MEMBER OF RIDGEVIEW MEDICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO REVIEWED THE FORM 990 AND PROVIDED A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD MEMBERS ANNUALLY REVIEW AND SIGN THE STATEMENTS FOR POTENTIAL CONFLICTS OF INTEREST. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY ARISE DURING THE YEAR. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE SITUATION WILL BE EXAMINED AND HANDLED APPROPRIATELY BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION. THE BOARD USES COMPARABILITY DATA FROM A COMPENSATION SURVEY AND VOTES ON HIS COMPENSATION. HOWEVER, ONE BOARD MEMBER, A PHYSICIAN WHO IS EMPLOYED BY RIDGEVIEW CLINICS, DOES NOT VOTE ON THE CEO'S COMPENSATION. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2021. THE CEO DETERMINES THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. HIS DUE DILIGENCE PROCEDURES INCLUDE REVIEWING COMPENSATION SURVEYS AND PRESENTING HIS CONCLUSIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | RIDGEVIEW MEDICAL CENTER HOLDS A PUBLIC MEETING ANNUALLY, AT WHICH THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PRESENTED. OTHERWISE THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES AND OTHER MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 34,758,111. MANAGEMENT AND GENERAL EXPENSES 10,837,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,595,398. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INVESTMENT IN FOUNDATION 2,567,490. |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| RIDGEVIEW REAL ESTATE LLC | ||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | LAND LESSOR | MN | $49,992 | $4,166 | RIDGEVIEW MEDICAL CENTER |
| RIDGEVIEW REAL ESTATE II LLC | ||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | LAND LESSOR | MN | $0 | $0 | RIDGEVIEW MEDICAL CENTER |
| RIDGEVIEW COMMUNITY NETWORK LLC | ||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | ACCOUNTABLE CARE ORGANIZATION | MN | $533,543 | $411,888 | RIDGEVIEW MEDICAL CENTER |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| RIDGEVIEW FOUNDATION | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411328097 | RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTER | MN | 501(C)(3) | LINE 7 | RIDGEVIEW MEDICAL CENTER | Yes (1) |
| RIDGEVIEW CLINICS | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411651783 | HEALTH CARE SERVICES | MN | 501(C)(3) | LINE 12A, I | RIDGEVIEW MEDICAL CENTER | Yes (1) |
| RIDGEVIEW INSURANCE CO | ||||||||||
| 60 E SOUTH TEMPLE STE 1800 | SALT LAKE CITY | UT | 84111 | 454109041 | CAPTIVE INSURANCE COMPANY | UT | 501(C)(3) | LINE 12A, I | RIDGEVIEW MEDICAL CENTER | Yes (1) |
| SIBLEY MEDICAL CENTER | ||||||||||
| 601 W CHANDLER ST | ARLINGTON | MN | 55307 | 411801967 | CRITICAL ACCESS HOSPITAL | MN | 501(C)(3) | LINE 3 | RIDGEVIEW MEDICAL CENTER | Yes (1) |
| MINNESOTA VALLEY HEALTH CENTER | ||||||||||
| 621 S 4TH STREET | LE SUEUR | MN | 56058 | 410837659 | HEALTH CARE SERVICES | MN | 501(C)(3) | LINE 3 | RIDGEVIEW MEDICAL CENTER | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC | |||||||||||||
| 500 S MAPLE ST | WACONIA | MN | 55387 | 205785920 | CARDIOLOGY SERVICES | MN | RIDGEVIEW MEDICAL CENTER | RELATED | $1,426,130 | $9,064,167 | 0 | Yes (1) | 0.50000 |
| CHASKA PLAZA SURGERY CENTER | |||||||||||||
| 3000 HUNDERTMARK ROAD | CHASKA | MN | 55318 | 450975783 | SURGERY SERVICES | MN | RIDGEVIEW MEDICAL CENTER | RELATED | $2,859,581 | $3,451,470 | 0 | Yes (1) | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EXECUTIVE HEALTH MANAGEMENT SERVICES | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411760239 | MANAGEMENT SERVICES | MN | RIDGEVIEW MEDICAL CENTER | C | 1.00000 | Yes (1) |
| CHARITABLE REMAINDER UNITRUST (1) | ||||||||||
| CHARITABLE TRUST | MN | 0 | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SIBLEY MEDICAL CENTER | ||
| C | $68,634 | FAIR MARKET VALUE |
| SIBLEY MEDICAL CENTER | ||
| O | $7,037,946 | FAIR MARKET VALUE |
| SIBLEY MEDICAL CENTER | ||
| Q | $951,221 | FAIR MARKET VALUE |
| RIDGEVIEW LE SUEUR MEDICAL CENTER | ||
| O | $6,849,539 | FAIR MARKET VALUE |
| RIDGEVIEW LE SUEUR MEDICAL CENTER | ||
| Q | $482,673 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| O | $457,386 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| M | $1,209,509 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| C | $1,688,581 | FAIR MARKET VALUE |
| RIDGEVIEW CLINICS | ||
| B | $2,000,000 | FAIR MARKET VALUE |
| RIDGEVIEW CLINICS | ||
| P | $20,441,232 | FAIR MARKET VALUE |
| MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER LLC | ||
| J | $725,506 | FAIR MARKET VALUE |
| MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER LLC | ||
| O | $956,300 | FAIR MARKET VALUE |
| MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER LLC | ||
| Q | $1,196,611 | FAIR MARKET VALUE |
| CHASKA PLAZA SURGERY CENTER | ||
| D | $2,239,108 | FAIR MARKET VALUE |
| CHASKA PLAZA SURGERY CENTER | ||
| Q | $996,291 | FAIR MARKET VALUE |
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