2021-11-15T13:36:47-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2020-01-01 410837659 MINNESOTA VALLEY HEALTH CENTER INC MINN 5076653375 621 SOUTH 4TH STREET LE SUEUR MN 56058 AARON BLOOMQUIST CFO 5076653375 2021-11-12 1 AARON BLOOMQUIST 999009999 DARRYN MCGARVEY P00958683 6123764500 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RIDGEVIEW LE SUEUR MEDICAL CENTER PAM WILLIAMS 621 SOUTH 4TH STREET LE SUEUR MN 56058 14508818 0 X WWW.RIDGEVIEWLESUEUR.ORG X 1959 MN OUR MISSION IS TO PROVIDE COMMUNITY-BASED HEALTHCARE IN AN ENVIRONMENT THAT FOSTERS DIGNITY, RESPECT AND EXCELLENCE. 8 8 162 0 0 0 50029 1464228 13019186 12555037 15649 14816 482440 474737 13567304 14508818 0 0 0 0 6535101 6301032 0 0 0 6664011 6842663 13199112 13143695 368192 1365123 16334633 20560454 10193374 12891415 6141259 7669039 OUR MISSION IS TO PROVIDE COMMUNITY-BASED HEALTHCARE IN AN ENVIRONMENT THAT FOSTERS DIGNITY, RESPECT, AND EXCELLENCE. 0 0 8399863 0 12555037 RIDGEVIEW LE SUEUR MEDICAL CENTER IS CREATED & ORGANIZED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES. RIDGEVIEW LE SUEUR MEDICAL CENTER IS CREATED AND ORGANIZED TO OWN, MAINTAIN, OPERATE AND CONDUCT, DIRECTLY OR INDIRECTLY, AND TO ASSIST AND COORDINATE ACTIVITIES OF FACILITIES FOR HEALTH CARE, EDUCATION, CARE FOR THE AGED AND SOCIAL SERVICES. RIDGEVIEW LE SUEUR MEDICAL CENTER INCLUDES A HOSPITAL, OUTPATIENT SPECIALTY CLINICS, COMPLETE LAB AND RADIOLOGY DEPARTMENTS, A COMPREHENSIVE PHYSICAL OCCUPATIONAL AND SPEECH THERAPY DEPARTMENT, EXTENDED CARE NURSING FACILITIES, AND INDEPENDENT LIVING SENIOR HOUSING. 8399863 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 10 0 162 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X PATRICIA SCHLEGEL 5076658683 621 SOUTH 4TH STREET LE SUEUR MN 56058 IRENE MANKE BOARD PRESIDENT 10.00 X X 1800 0 0 STEVE SMITH BOARD VICE PRESIDENT 2.00 X X 1200 0 0 ROBERT BROEDER BOARD SECRETARY/TREASURER 5.00 X X 1200 0 0 MARK AMUNDSON BOARD DIRECTOR 2.00 X 1200 0 0 DAVID BRAUN BOARD DIRECTOR 2.00 X 1200 0 0 WAYNE HUBIN BOARD DIRECTOR 2.00 X 1200 0 0 KAY KING BOARD DIRECTOR 2.00 X 1200 0 0 SHAWN KIRBY BOARD DIRECTOR 3.00 X 1200 0 0 MICHAEL PHELPS CEO 0.50 49.50 X 0 561195 64748 AARON BLOOMQUIST CFO 1.00 X 0 67505 27892 GORDON GABLENZ CFO 0.50 40.00 X 0 764988 83372 BENJAMIN NIELSEN COO 0.50 50.00 X 0 320292 15401 PAMELA WILLIAMS VICE PRESIDENT 0.50 50.00 X 0 150868 46261 10200 1864848 237674 0 0 1 0 PREMIER STAFFING 243 WINKLER WAY COLOGNE MN 55322 ER PHYSICIAN SERVICES 1146254 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 THERAPY SERVICES 520204 ONESTAFF MEDICAL LLC PO BOX 3544 OMAHA NE 68103 STAFFING SERVICES 360834 ESSENTIA HEALTH 632 EAST FIRST STREET DULUTH MN 55805 SUPPORT FEE FOR EPIC 151421 MEDLINE INDUSTRIES INC DEPT CH 14400 PALENTINE IL 60055 MEDICAL SUPPLIES 111041 9 1464228 1464228 PATIENT/RESIDENT REVENUE 621110 12245967 12245967 APARTMENT PROJECT REVENUES 623000 309070 309070 12555037 14816 14816 361710 0 361710 361710 361710 MISCELLANEOUS INCOME 900099 113027 113027 113027 14508818 12555037 0 489553 X 9000 9000 5175832 3546944 1628888 151693 103773 47920 598044 409122 188922 366463 250697 115766 29940 29940 61807 61807 1571059 973873 597186 16353 16353 19707 12386 7321 389199 244612 144587 4310 2709 1601 10565 6640 3925 400998 400998 971810 320989 650821 18977 11927 7050 REPAIRS AND MAINTENANCE 1421503 893415 528088 SUPPLIES 969198 944677 24521 BAD DEBT 412480 412480 DUES AND SUBSCRIPTIONS 208906 131297 77609 335851 134322 201529 13143695 8399863 4743832 0 164960 266630 5632978 9117994 2452998 3031354 88444 147046 32564 63051 18161891 11183285 7169573 6978606 793116 955773 16334633 20560454 1842636 2180122 2958066 13537 3395 6922337 6513010 1414864 1236822 10193374 12891415 X 5348143 6713266 793116 955773 6141259 7669039 16334633 20560454 X 1365123 162657 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 316 316 0 PART II-B, LINE 1: RIDGEVIEW LE SUEUR MEDICAL CENTER PAY DUES TO A CERTAIN ORGANIZATION RELATED TO THE INDUSTRY WHICH HAS LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING. 0 1 X 793116 162657 955773 722130 111628 30050 10592 793116 794693 -32850 29405 10308 722130 711289 5050 115650 27879 9417 794693 704595 6694 711289 1.00000 1 0 46482 46482 6025414 4457712 1567702 253994 271388 -17394 11790783 6454185 5336598 45218 45218 6978606 DUE TO RIDGEVIEW 1236822 1236822 X 14096338 0 14096338 412480 412480 14508818 12731215 0 12731215 412480 412480 13143695 PART IV, LINE 2B: RIDGEVIEW LE SUEUR MEDICAL CENTER, INC ACTS AS CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. RESIDENT TRUST FUNDS TOTALED $3,395 AT DECEMBER 31, 2020. DURING THAT SAME TIME RIDGEVIEW LE SUEUR MEDICAL CENTER, INC HOLDS $3,395 IN A SEPARATE ACCOUNT FOR TENANT SECURITY DEPOSITS. PART X, LINE 2: THE HEALTH CENTER IS OPERATED AS A TAX-EXEMPT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAX RELATED TO BUSINESS INCOME. THE HEALTH CENTER FOLLOWS THE ACCOUNTING STANDARD FOR RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE HEALTH CENTER'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 412,480. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 412,480. SCHEDULE D, PART V, LINE 4 RIDGEVIEW LE SUEUR MEDICAL CENTER'S INTENDED USE OF ITS ENDOWMENT FUNDS IS FOR CAPITAL AND OTHER IMPROVEMENTS THAT FURTHER RIDGEVIEW LE SUEUR MEDICAL CENTER'S MISSION. 1 1 X 1 X 1 X 1 1 0 1 1 315 404875 404875 0.03180 588 3048138 2362749 685389 0.05380 1807 1471668 594442 877226 0.06890 2710 4924681 2957191 1967490 0.15450 18158 13619 4539 0.00040 18158 13619 4539 0.00040 2710 4942839 2970810 1972029 0.15490 1 412480 206240 3269448 3910998 -641550 X 1 1 1 1 RIDGEVIEW LE SUEUR MEDICAL CENTER 621 SOUTH 4TH STREET LE SUEUR MN 56058 WWW.RIDGEVIEWLESUEUR.ORG HFID-00336 X X X RIDGEVIEW LE SUEUR MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 19 1 1 1 1 X WWW.RIDGEVIEWLESUEUR.ORG X X 1 19 1 WWW.RIDGEVIEWLESUEUR.ORG 1 1 50000 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://RIDGEVIEWLESUEUR.ORG/ X HTTPS://RIDGEVIEWLESUEUR.ORG/ X HTTPS://RIDGEVIEWLESUEUR.ORG/ X X X X X X 1 X 0 X X X X 1 X 0 0 RIDGEVIEW LE SUEUR MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2019 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 PRIORIZATION , AND ANALYSIS OF DOCUMENTED HEALTH AND SOCIOECONOMIC FACTORS WITH COMMUNITY INPUT. THE COMMUNITY INPUT INCLUDED SURVEYS FROM RESIDENTS OF CARVERCOUNTY PLUS ACROSS THE SIX OTHER COUNTIES IN RIDGEVIEW'S SERVICE AREA. DATA WAS ALSO COLLECTED FROM RIDGEVIEW'S ELECTRONIC MEDICAL RECORD AND FINANCIAL SYSTEM, US CENSUS BUREAU, COUNTY HEALTH RANKINGS AND MN HOSPITAL ASSN. RIDGEVIEW LE SUEUR MEDICAL CENTER PART V, SECTION B, LINE 6B: CARVER COUNTY PUBLIC HEALTH, US CENSUS BUREAU, COUNTY HEALTH RANKINGS AND MN HOSPITAL ASSN RIDGEVIEW LE SUEUR MEDICAL CENTER PART V, SECTION B, LINE 7D: ON WEBSITE RIDGEVIEW LE SUEUR MEDICAL CENTER PART V, SECTION B, LINE 11: RIDGEVIEW WILL CONTINUE TO IMPLEMENT SYSTEM-WIDE INITIATIVES THAT SUPPORT AND IMPACT THE HEALTH OF ITS GROWING SERVICE AREA AS WELL AS TARGETED RESOURCES TO ADDRESS SPECIFIC NEEDS OF ITS DIVERSE POPULATIONS. COMMUNITY HEALTH NEEDS THAT THE HOSPITAL DOES NOT PLAN TO ADDRESS ARE:-PREVENTION, CLINICAL CARE AND DISEASE MANAGEMENT: PREVENTIVE SCREENINGS, ACCESS TO CARE, SPECIFICALLY IN RURAL AREAS. RIDGEVIEW LE SUEUR MEDICAL CENTER PART V, SECTION B, LINE 16J: MINNESOTA VALLEY HEALTH CENTER, INC DBA RIDGEVIEW LE SUEUR MEDICAL CENTER, MAKES INFORMATION ON ITS FINANCIAL ASSISTANCE POLICY (FAP) READILY AVAILABLE TO THE PATIENT. INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS IS AVAILABLE ON THE WEB SITE WWW.RIDGEVIEWLESUEUR.ORG WHERE THE INFORMATION AND APPLICATION WERE EASILY ACCESSIBLE TO BE VIEWED, DOWNLOADED AND PRINTED AT NO CHARGE TO THE PATIENT. NOTICES ON THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE CONSPICUOUSLY POSTED IN EMERGENCY ROOM DEPARTMENTS AND IN WAITING ROOMS. FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE DURING THE PRE-ADMISSION FINANCIAL SCREENING, AT THE TIME OF REGISTRATION AND PRIOR TO A HOSPITAL DISCHARGE. INFORMATION ABOUT THE FAP IS IN ALL COLLECTION LETTERS AND PATIENT STATEMENTS. MINNEOSTA VALLEY HEALTH CENTER, INC DBA RIDGEVIEW LE SUEUR MEDICAL CENTER, EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS PROVIDING DIRECT PATIENT TREATMENT AND WHO WORK IN ADMISSIONS, BILLING AND COLLECTIONS, ABOUT THE EXISTENCE OF THE FAP AND HOW A PATIENT MAY OBTAIN MORE INFORMATION. ANNUAL EDUCATION/AWARENESS OF THE FAP IS PROVIDED TO ENSURE ALL EMPLOYEES WITH PATIENT CONTACT ARE AWARE OF THE PROGRAM AND HOW PATIENTS CAN OBTAIN ADDITIONAL INFORMATION. CLINICAL AND HOSPITAL STAFF WHO PROVIDE DIRECT PATIENT CARE HAVE KNOWLEDGE OF THE FAP AND KNOW TO DIRECT PATIENTS TO A REGISTRATION INTERVIEWER OR PATIENT FINANCIAL SERVICES. REGISTRATION STAFF HAVE AN UNDERSTANDING OF THE POLICY, KNOWLEDGE OF WHERE THE RELATED DOCUMENTS ARE LOCATED AND WHERE TO DIRECT THE PATIENT FOR MORE INFORMATION ON THE FAP. DESIGNATED EMPLOYEES HAVE A THOROUGH UNDERSTANDING OF THE FAP AND OFFER THE INFORMATION ON THE FAP TO THOSE PATIENTS WHO MAKE AN INQUIRY ABOUT THE PROGRAM OR ARE DETERMINED THROUGH A FINANCIAL SCREENING THAT THE PATIENT MAY BE ELIGIBLE FOR THIS PROGRAM. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT, A PATIENT'S GUARANTOR, A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. MINNESOTA VALLEY HEALTH CENTER, INC. RESPONDS TO ANY ORAL OR WRITTEN REQUESTS FOR MORE GENERAL INFORMATION ON THE FAP MADE BY A PATIENT OR ANY INTERESTED PARTY. 2 1 - RIDGEVIEW LE SUEUR LONG-TERM CARE 621 SOUTH 4TH STREET LE SUEUR MN 56058 SKILLED NURSING FACILITY 2 - SUNRIZE PLAZA 600 SOUTH 5TH STREET LE SUEUR MN 56058 SENIOR APARTMENTS PART I, LINE 3C: RIDGEVIEW LE SUEUR MEDICAL CENTER PROVIDES A 100% DISCOUNT UP TO 200% OF FEDERAL POVERTY GUIDELINES (FPG) AND DISCOUNTED CARE UP TO 250% OF FPG. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, PATIENTS MUST COOPERATE WITH THE HOSPITAL TO EXPLORE ALTERNATIVE MEANS OF ASSISTANCE IF NECESSARY. PATIENTS WILL BE REQUIRED TO PROVIDE NECESSARY INFORMATION AND DOCUMENTATION WHEN APPLYING FOR HOSPITAL FINANCIAL ASSISTANCE OR OTHER PRIVATE OR PUBLIC PAYMENT PROGRAMS. RIDGEVIEW MEDICAL CENTER WILL TAKE MEDICAL BILLS WITH CURRENT PATIENT RESPONSIBILITY INTO CONSIDERATION WHEN DETERMINING ELIGIBILITY FOR COMMUNITY CARE. RIDGEVIEW MEDICAL CENTER TAKES INTO ACCOUNT LIQUID ASSETS. ANY LIQUID ASSETS IN EXCESS OF $20,000 WILL BE CONSIDERED THE SAME AS FAMILY INCOME FOR THIS CALCULATION. EXTERNAL, PUBLIC SOURCES LIKE CREDIT SCORES MAY ALSO BE USED TO VERIFY ELIGIBILITY. WHEN DETERMINING PATIENTS' ELIGIBILITY FOR FINANCIAL ASSISTANCE, RIDGEVIEW MEDICAL CENTER DOES NOT TAKE INTO ACCOUNT RACE, GENDER, AGE, SEXUAL ORIENTATION, RELIGIOUS AFFILIATION, AND SOCIAL OR IMMIGRANT STATUS. PART I, LINE 7: THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS, RATIO OF PATIENT CARE COST-TO-CHARGES WAS USED TO CALCULATE THE COSTS FOR THE FOLLOWING COMMUNITY BENEFITS: CHARITY CARE, UNREIMBURSED MEDICAID AND COSTS FROM OTHER MEANS-TESTED GOVERNMENT PROGRAMS. ACTUAL COSTS WERE USED FOR THE REMAINDER OF THE COMMUNITY BENEFITS REPORTED. 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 $ 412,480. PART III, LINE 2: DISCOUNTS, CHARITY CARE, AND BAD DEBT EXPENSE ARE ACCOUNTED FOR AS REDUCTIONS TO REVENUE. BAD DEBT EXPENSE ON PATIENT ACCOUNTS WOULD BE IDENTIFIED AS ANY BALANCE ON THE ACCOUNT, LESS ANY PREVIOUS PAYMENTS AND DISCOUNTS, THAT HAS AGED AND IS ABSENT OF ANY PAYMENTS. IF, DURING THE COLLECTION PROCESS, IT BECOMES KNOWN THAT THE PATIENT QUALIFIES FOR CHARITY CARE, THE AMOUNTS INCLUDED WITHIN THE BAD DEBT EXPENSE WOULD BE RECLASSIFIED TO CHARITY CARE. PART III, LINE 3: AS A TAX EXEMPT HOSPITAL, MEDICAL NECESSARY SERVICES ARE PROVIDED REGARDLESS OF THE PATIENTS ABILITY TO PAY FOR THAT CARE. RIDGEVIEW LE SUEUR MEDICAL CENTER APPLIED A HIGH-LEVEL CONSERVATIVE ANALYTIC REVIEW BY MULTIPLYING THE RATIO OF CHARITABLE ALLOWANCES TO GROSS PATIENT REVENUE AGAINST BAD DEBT EXPENSE TO ARRIVE AT AN APPROXIMATION OF CHAIRTY CARE THAT RESIDES IN BAD DEBT. PART III, LINE 4: THE HEALTH CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS USING MANAGEMENT'S JUDGMENT. PATIENTS AND RESIDENTS ARE NOT REQUIRED TO PROVIDE COLLATERAL FOR SERVICES RENDERED. PAYMENT FOR SERVICES IS REQUIRED WITHIN 30 DAYS OF RECEIPT OF INVOICE. PAST DUE ACCOUNTS ARE INDIVIDUALLY ANALYZED FOR COLLECTABILITY, AND THEN TURNED OVER TO COLLECTION AGENTS. ACCOUNTS FOR WHICH NO PAYMENTS HAVE BEEN RECEIVED ARE ANALYZED AND AFTER APPROVAL ARE WRITTEN OFF. IN ADDITION, AN ALLOWANCE IS ESTIMATED FOR OTHER ACCOUNTS BASED ON HISTORICAL EXPERIENCE OF THE HEALTH CENTER. PART III, LINE 8: MINNESOTA VALLEY HEALTH CENTER, INC. INCORPORATED THE FULL VALUE OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE RATIONALE FOR THE ORGANIZATION'S OPINION IS PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE AND IT IS LIKELY TO GET WORSE. MANY MEDICARE BENEFICIARIES ARE POOR AND ARE ELIGIBLE FOR MEDICAID IN ADDITION TO MEDICARE. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL AND NURSING HOME IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY. PART III, LINE 9B: THE POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE POLICY (FAP) AND FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR FINANCIAL ASSISTANCE FROM RIDGEVIEW LE SUEUR MEDICAL CENTER AND THE PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS/HER PAYMENT AGREEMENTS. RIDGEVIEW LE SUEUR MEDICAL CENTER OFFERS EXTENDED PAYMENT PLANS TO ELIGIBLE PATIENTS AND WILL NOT IMPOSE LIENS ON PRIMARY RESIDENCES NOR WILL WE REPROT PATIENTS TO A CREDIT RATING AGENCY FOR OUTSTANDING PATIENT BILLS. RIDGEVIEW LE SUEUR MEDICAL CENTER WILL NOT CHARGE A PATIENT GROSS AMOUNT OF CHARGES FOR ANY UNINSURED TREATMENT. UNINSURED DISCOUNTS WILL BE APPLIED TO THE GROSS CHARGES PRIOR TO ANY FAP OR OTHER DISCOUNTS. AT ANY TIME RIDGEVIEW LE SUEUR MEDICAL CENTER RECOGNIZES THAT A PATIENT MAY BE ELIGIBLE FOR STATE OR FEDERAL PROGRAMS, A REPRESENTATIVE WILL ASSIST THE PATIENT IN OBTAINING INFORMATION ABOUT THOSE PROGRAMS OR PROVIDE CONTACT INFORMATION FOR THOSE PROGRAMS. RIDGEVIEW LE SUEUR MEDICAL CENTER CONTRACTS WITH AN OUTSIDE PATIENT ADVOCACY AGENCY, WHICH MAY PROVIDE ASSISTANCE TO THE UNINSURED PATIENT IN APPLYING TO CERTAIN STATE AND FEDERAL PROGRAMS. AT ANY STATE OF THE PATIENT EXPERIENCE AND UP THROUGH THE COLLECTION PROCESS, THE PATIENT MAY EXPRESS A CONCERN THAT THEY ARE UNABLE TO PAY THEIR BILL IN FULL OR MEET THE PAYMENT PLAN REQUIREMENTS. AT THAT TIME, THE PATIENT WILL BE GIVEN EVERY OPPORTUNITY TO COMPLETE AND SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. RIDGEVIEW LE SUEUR MEDICAL CENTER TRAINS ITS OUTSIDE DEBT COLLECTION AGENCIES AND ATTORNEYS ABOUT THE FINANCIAL ASSISTANCE POLICY AND HOW A PATIENT MAY OBTAIN MORE INFORMATION ABOUT THE FAP OR SUBMIT AN APPLICATION FOR FINANCIAL ASSISTANCE. RIDGEVIEW LE SUEUR MEDICAL CENTER REQUIRES ITS OUTSIDE COLLECTION AGENCIES AND ATTORNEYS TO REFER PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE TO RIDGEVIEW LE SUEUR MEDICAL CENTER IF A PATIENT HAS SUBMITTED AN APPLICATION FOR FINANCIAL ASSISTANCE AFTER AN ACCOUNT HAS BEEN REFERRED FOR COLLECTION ACTIVITY, RIDGEVIEW LE SUEUR MEDICAL CENTER AND ITS OUTSIDE DEBT COLLECTION AGENCIES SUSPEND ALL COLLECTION ACTIVITY UNTIL THE PATIENT'S FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND RIDGEVIEW LE SUEUR MEDICAL CENTER HAS NOTIFIED THE PATIENT OF ITS DECISION. PART VI, LINE 2: RIDGEVIEW LE SUEUR MEDICAL CENTER IS A LICENSED 15 BED CRITICAL ACCESS HOSPITAL IN LE SUEUR, MN AND IS THE ONLY HOSPITAL IN LE SUEUR COUNTY. RIDGEVIEW LE SUEUR MEDICAL CENTER ALSO HAS TWO CLINICS. RIDGEVIEW LE SUEUR MEDICAL CENTER WORKS WITH THE ONLY LOCAL PRIMARY CARE PHYSICIAN CLINIC IN LE SUEUR, SIBLEY COUNTY PUBLIC HEALTH, NICOLLET COUNTY PUBLIC HEALTH AND LE SUEUR COUNTY PUBLIC HEALTH AGENCIES FOR ASSESSING THE NEEDS OF THE RURAL COMMUNITIES IN OUR AREA. THESE NEEDS ARE DETERMINED BY SEVERAL DIFFERENT MENTHODS, BUT MOSTLY BASED ON WHAT THESE AGENCIES ARE ACTUALLY SEEING WHEN THEY ARE WORKING WITH THEIR CLIENTS. THIS COMMUNICATION IS ONGOING THROUGHOUT THE YEAR. RIDGEVIEW LE SUEUR MEDICAL CENTER IS A MEMBER OF A LOCAL NON-PROFIT GROUP CALLED COMMUNITY WELLNESS COLLABORATION. THE MISSION OF THIS GROUP IS TO ADDRESS DEPRESSION, BULLYING AND SUICIDE PREVENTION IN OUR COMMUNITY. OTHER MEMBERS OF THIS COLLABORATION ARE LE SUEUR COUNTY PUBLIC HEALTH AND SOCIAL SERVICES, A LOCAL FAMILY PRACTICE CLINIC, LAW ENFORCEMENT AGENCIES AND A LOCAL SCHOOL. THE COLLABORATION WAS FORMED IN THE LAST THREE YEARS AND IS BASED ON WHAT THESE AGENCIES WERE SEEING EITHER IN THE EMERGENCY ROOM, CLINIC VISITS, AMBULANCE CALLS, INCIDENTS AT SCHOOL AND CALLS TO LAW ENFORCEMENT. THE COLLABORATION WAS DEEMED NECESSARY AS THE NUMBER OF THESE EVENTS HAVE BEEN INCREASING. PART VI, LINE 3: RIDGEVIEW LE SUEUR MEDICAL CENTER MAKES INFORMATION ON ITS FINANCIAL ASSISTANCE POLICY (FAP) READILY AVAILABLE TO THE PATIENT. INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE ON THE WEB SITE WWW.RIDGEVIEWLESUEUR.ORG WHERE THE INFORMATION AND APPLICATION WERE EASILY ACCESSIBLE TO BE VIEWED, DOWNLOADED AND PRINTED AT NO CHARGE TO THE PATIENT. NOTICES ON THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE CONSPICUOUSLY POSTED IN EMERGENCY ROOM DEPARTMENTS AND IN WAITING ROOMS. FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE DURING THE PRE-ADMISSION FINANCIAL SCREENING, AT THE TIME OF REGISTRATION AND PRIOR TO A HOSPITAL DISCHARGE. INFORMATION ABOUT THE FAP IS IN ALL COLLECTION LETTERS AND PATIENT STATEMENTS. RIDGEVIEW LE SUEUR MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS PROVIDING DIRECT PATIENT TREATMENT AND WHO WORK IN ADMISSIONS, BILLING AND COLLECTIONS, ABOUT THE EXISTENCE OF THE FAP AND HOW A PATIENT MAY OBTAIN MORE INFORMATION. ANNUAL EDUCATION/AWARENESS OF THE FAP IS PROVIDED TO ENSURE ALL EMPLOYEES WITH PATIENT CONTACT ARE AWARE OF THE PROGRAM AND HOW PATIENTS CAN OBTAIN ADDITIONAL INFORMATION. CLINICAL AND HOSPITAL STAFF WHO PROVIDE DIRECT PATIENT CARE HAVE KNOWLEDGE OF THE FAP AND KNOW TO DIRECT PATIENTS TO A REGISTRATION INTERVIEWER OR BUSINESS OFFICE REPRESENTATIVE. REGISTRATION STAFF HAVE AN UNDERSTANDING OF THE POLICY, KNOWLEDGE OF WHERE THE RELATED DOCUMENTS ARE LOCATED AND WHERE TO DIRECT THE PATIENT FOR MORE INFORMATION ON THE FAP. DESIGNATED EMPLOYEES HAVE A THOROUGH UNDERSTANDING OF THE FAP AND OFFER THE INFORMATION ON THE FAP TO THOSE PATIENTS WHO MAKE AN INQUIRY ABOUT THE PROGRAM OR ARE DETERMINED THROUGH A FINANCIAL SCREENING THAT THE PATIENT MAY BE ELIGIBLE FOR THIS PROGRAM. A REQUEST FOR FINANCIAL ASSISTANCE MAY BE MADE BY THE PATIENT, A PATIENT'S GUARANTOR, A FAMILY MEMBER, CLOSE FRIEND, OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. RIDGEVIEW LE SUEUR MEDICAL CENTER RESPONDS TO ANY ORAL OR WRITTEN REQUESTS FOR MORE GENERAL INFORMATION ON THE FAP MADE BY A PATIENT OR ANY INTERESTED PARTY. PART VI, LINE 4: RIDGEVIEW LE SUEUR MEDICAL CENTER IS LOCATED IN LE SUEUR, MN. RIDGEVIEW LE SUEUR MEDICAL CENTER OPERATES A CRITICAL ACCESS HOSPITAL, A LONG-TERM CARE FACILITY, AND A 37 UNIT HUD-SUBSIDIZED LOW INCOME HOUSING FOR SENIORS THAT SERVE THE COMMUNITIES OF LE SUEUR, NICOLLET AND SIBLEY COUNTIES. THE OVERALL COMMUNITY IS CLASSIFIED AS RURAL. RIDGEVIEW LE SUEUR MEDICAL CENTER AND ITS RELATED FACILITIES COVER A SERVICE REGION OF APPROXIMATELY 28,000 PEOPLE. THE SERVICE REGION AGE DISTRIBUTION IS 25% UNDER THE AGE OF 18, 54% BETWEEN THE AGES OF 18 AND 65, AND 16% OVER THE AGE OF 65. THE RACIAL MAKEUP OF THE SERVICE REGION IS 96% WHITE, NON-HISPANIC, 7% HISPANIC OR LATINO, 1% BLACK OR AFRICAN AMERICAN, .5% AMERICAN INDIAN AND .7% ASIAN. THE GENDER SLPIT RATIO IS 49.5% WOMEN AND 50.5% MEN. THE AVERAGE INCOME FOR THE SERVICE AREA IS APPROXIMATELY $67,451. APPROXIMATELY 7.8% OF THE POPULATION FALLS BELOW THE FEDERAL POVERTY GUIDELINES. RIDGEVIEW LE SUEUR MEDICAL CENTER IS COMMITTED TO SERVE PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 19% NET REVENUE DOLLARS WERE FROM SELF PAY PATIENTS. IN ADDITION, APPROXIMATELY 24% OF THEIR NET REVENUE DOLLARS WERE MEDICAID RECIPIENTS FOR THE HOSPITAL. APPROXIMATELY 70% NET REVENUE DOLLARS WERE FROM MEDICAL ASSISTANCE RESIDENTS IN THE NURSING HOME. RIDGEVIEW LE SUEUR MEDICAL CENTER HAS AN OUTREACH PROGRAM THAT BRINGS SPECIALISTS LIKE ONCOLOGISTS, CARDIOLOGISTS, NEUROLOGISTS, AND OTHERS INTO ITS SMALLER COMMUNITY. THIS ELIMINATES BARRIERS TO CARE FOR MANY PATIENTS, PARTICULARLY THOSE WHO ARE EDERLY, LIVING ON LOW INCOMES, OR ARE FACED WITH OTHER CHALLENGES THAT MAKE IT DIFFICULT TO TRAVEL LONG DISTANCES FOR CARE. PART VI, LINE 5: IN JANUARY 2017 MINNESOTA VALLEY HEALTH CENTER INC, BECAME PART OF THE RIDGEVIEW MEDICAL CENTER SYSTEM OUT OF WACONIA MN. RIDGEVIEW BOARD OF DIRECTORS HAVE RESERVCE POWERS OF THE MINNESOTA VALLEY HEALTH CENTER BOARD OF DIRECTORS. IN JANUARY 2018 MINNESOTA VALLEY HEALTH CENTER EMPLOYEES BECAME RIDGEVIEW MEDICAL CENTER EMPLOYEES MINNESOTA VALLEY HEALTH CENTER, INC'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD CONSISTING OF LOCAL COMMUNITY MEMBERS WITH A CROSS SECTION OF OCCUPATIONS. ONE OF THE REPRESENTATIVES IS APPOINTED BY THE LE SUEUR CITY COUNCIL. NONE OF THE BOARD MEMBERS ARE EMPLOYEES, RELATED TO EMPLOYEES OR ARE INDEPENDENT CONTRACTORS OF THE ORGANIZATION. GIVEN THAT WE ARE A SMALL COMMUNITY IF A VOTE COMES UP FOR SOMETHING THAT COULD APPEAR TO BE A CONFLICT OF INTEREST THE BOARD MEMBER WILL ABSTAIN FROM VOTING. OUR MEDICAL STAFF CONSISTS OF OUR EMERGENCY ROOM DIRECTOR AND THE PROVIDERS FROM THE RIDGEVIEW LE SUEUR MEDICAL CLINIC. MINNESOTA VALLEY HEALTH CENTER, INC. IS AN OPEN MEDICAL STAFF, THEREFORE ANY QUALIFIED PHYSICAN OF THE COMMUNITY IS ALLOWED TO APPLY. ALL APPLICANTS THAT APPLY MUST MEET THE CREDENTIALING STANDARDS AND BE APPROVED BY OUR GOVERNING BOARD IN ORDER TO PROVIDE SERVICES IN OUR SYSTEM. ANY AND ALL EMERGENCY REPAIRS OR EQUIPMENT NEEDS THAT ARISE ARE TAKEN CARE OF IMMEDIATLEY. THE ADULT DAY HEALTH SERVICES PROGRAM IS ASSISTED BY THE HOSPITAL SERVICES. MOST OF THE CLIENTS IN THE ADULT DAY HEALTH SERVICES PROGRAM ARE ON THE ELDERLY WAIVER PROGRAM AND PAYMENT FROM THIS PROGRAM DOESN'T COVER ALL OF THE STAFF TIME OR THE COST TO TRANSPORT THE CLIENT FROM HOME TO OUR SITE AND BACK HOME AGAIN, YET IS IS A MUCH NEEDED SERVICE IN OUR COMMUNITY. WE OFFER A MEALS ON WHEELS PROGRAM FOR HOME BOUND RESIDENTS AND MOST OF THOSE MEALS ARE PAID FOR THROUGH AN ELDERLY WAIVER PROGRRAM THROUGH THE COUNTY, WHICH JUST COVERS THE COST OF THE FOOD. VOLUNTEERS DELIVER MEALS TO HOME BOUND CLIENTS MONDAYS - FRIDAYS, THIS PAST YEAR 3,726 MEALS WERE PREPARED AND DELIVERED. WE HAVE EVENING EVENTS FOR THE COMMUNITY SUCH AS "LINED IN PINK" FOR BREAST CANCER AWARENESS AND FLU SHOT CLINICS. WE PARTICIPATE IN LOCAL COMMUNITY EVENTS SUCH AS SUPER SATURDAY KIDS EVENTS, SCHOOL SUPPLIES AND WINTER CLOTHING DRIVES FOR THE SCHOOL, FOOD SHELF DRIVE AND 5K WALK/RUN EVENT TWO TIMES A YEAR. WE ALSO PARTICIPATE WITH THE COMMUNITY'S SENIOR EXPO EACH YEAR THAT HIGHLIGHTS SERVICES TO SENIORS. WE HAVE THE EMERGENCY HELICOPTER HERE FOR EVENTS FOR THE COMMUNITY TO COME AND MEET THEM AND BE AWARE OF THESE SERVICES. RIDGEVIEW LE SUEUR MEDICAL CENTER HAD A BOOTH AT THE ANNUAL RETAIL AND BUSINESS EXPO THAT WAS HELD AT THE LOCAL MALL TO EDUCATE THE COMMUNITY ON SERVICES AVAILABLE AT THE HEALTH CENTER. THE OUTPATIENT CLINIC WING PROVIDES SPACE FOR VISITING SPECIALISTS (CARDIOLOGY, PODIATRY, ORTHOPEDICS, UROLOGY, GENERAL SURGERY) FROM OTHER HEALTH CARE SYSTEMS TO SEE PATIENTS LOCALLY AND TO PERFORM OUTPATIENT PROCEDURES LOCALLY. MOST OF OUR POPULATION IS ELDERLY AND ARE UNABLE TO DRIVE GREAT DISTANCES SO THEY ARE ABLE TO RECEIVE CARE FROM SPECIALISTS LOCALLY. WE STRIVE TO PROVIDE HIGH-QUALITY, PATIENT-CENTERED CARE CLOSE TO HOME FOR THE COMMUNITIES WE SERVE. WE CONTINUE TO UPGRADE FACILITIES AND TECHNOLOGY TO ENSURE PATIENTS IN RURAL COMMUNITIES HAVE NEARBY ACCESS TO THESE SERVICES. . PART VI, LINE 7, REPORTS FILED WITH STATES MN 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 ON 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.SIBLEY MEDICAL CENTER (DBA: RIDGEVIEW SIBLEY MEDICAL CENTER) IS A CRITICAL ACCESS HOSPITAL PROVIDING URGENT CARE, GENERAL SURGERY, AND 24/7 HOSPITAL AND EMERGENCY SERVICES TO RESIDENTS OF SIBLEY COUNTY AND THE SURROUNDING AREA. RIDGEVIEW SIBLEY MEDICAL CENTER ALSO HAS CLINICAL LOCATIONS IN ARLINGTON, GAYLORD, HENDERSON AND WINTHROP.RIDGEVIEW LE SUEUR MEDICAL CENTER OPERATES A 15-BED ACUTE CARE HOSPITAL. A 50-BED NURSING HOME, AND A 37-UNIT HUD APARTMENT BUILDING FOR THE ELDERLY.CHASKA PLAZA SURGERY CENTER IS A PARTNERSHIP IN WHICH RIDGEVIEW MEDICAL CENTER OWNS A 51% INTEREST.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 LOCATION.RIDGEVIEW REAL ESTATE LLC HOLDS THE LAND LEASE FOR WACONIA BUILDING INVESTMENTS.RIDGEVIEW COMMUNITY NETWORK OPERATES 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. 0 1 0 0 0 0 0 0 0 GORDON GABLENZ CFO 0 290231 0 56602 0 418155 0 22910 0 60462 0 848360 0 0 MICHAEL PHELPS CEO 0 466890 0 91332 0 2973 0 25176 0 39572 0 625943 0 0 BENJAMIN NIELSEN COO 0 259023 0 37452 0 23817 0 14647 0 754 0 335693 0 0 PAMELA WILLIAMS VICE PRESIDENT 0 117164 0 17538 0 16166 0 15155 0 31106 0 197129 0 0 AARON BLOOMQUIST CFO 0 66771 0 0 0 734 0 4663 0 23229 0 95397 0 0 PART I, LINE 3 THE CEO, COO, CFO, & VICE PRESIDENT IS COMPENSATED BY RIDGEVIEW MEDICAL CENTER, THE SOLE MEMBER. THE FOLLOWING WERE USED BY RIDGEVIEW MEDICIAL CENTER TO DETERMINE THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE (EXECUTIVE COMMITTEE) 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYEMENT CONTRACT 5) COMPENSATION SURVEY OR STUDY 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE (EXECUTIVE COMMITTEE) PART I, LINE 4B ROBERT STEVENS PARTICIPATED IN A SUPPLEMENT NON-QUALIFIED RETIREMENT PLAN. DURING 2020, $0 WAS CONTRIBUTED TO THE PLAN, $73,774 ACCRUED WITHIN THE PLAN, AND $170,042 WAS PAID OUT OF THE PLAN MICHAEL PHELPS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2020, $0 WAS CONTRIBUTED TO THE PLAN, $24,881 WAS ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. GORDON GABLENZ PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. DURING 2020, $414,540 WAS CONTRIBUTED TO THE PLAN. $37,525 ACCRUED WITHIN THE PLAN AND $0 WAS PAID OUT OF THE PLAN. THESE DEFERRED COMPENSATION AMOUNTS ARE REPORTED ON A PRO-RATE BASIS WITHOUT REGARD TO THE INDIVIDUALS VESTING SCHEDULE. CURRENTLY, THE MAJORITY OF DEFERRED COMPENSATION IS NOT VESTED. FORM 990, PART VI, SECTION A, LINE 6 RIDGEVIEW MEDICAL CENTER IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE FILING ORGANIZATION'S BOARD SHALL CONSIST TWO PERSONS APPOINTED BY THE SOLE MEMBER. OTHER MEMBERS OF THE FILING ORGANIZATION'S BOARD ARE SELECTED BY A NOMINATING COMMITTEE AND MUST BE APPROVED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE ARTICLES AND BYLAWS PROVIDE THE SOLE MEMBER CERTAIN RESERVED POWERS IN AREAS SUCH AS CAPITAL, BUDGET, DEBT, AMENDMENT OF THE ARTICLES & BYLAWS AND GENERAL OPERATION DECISIONS. FORM 990, PART VI, SECTION A, LINE 8B FILING ORGANIZATION HAS NO EXECUTIVE COMMITTEE OR SIMILAR COMMITTEE WITH BOARD DELEGATED AUTHORITY. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWED THE FORM 990 AND PROVIDED COPIES 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 CONFLICTES OF INTEREST POLICY. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY ARISE DURING THE YEAR. IF IT IS DETERMINED THAT CONFLICT OF INTEREST EXISTS, THE SITUATION WILL BE EXAMINED AND HANDLED APPROPRIATELY BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE CEO & CFO ARE PAID BY RIDGEVIEW MEDICAL CENTER, THE SOLE CORPORATE MEMBER, WHICH PERFORMS THE REVIEW AND APPROVAL OF THE COMPENSATION FOR THE CEO AND CFO. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFILICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING & OTHER PROFESSIONAL FEE: PROGRAM SERVICE EXPENSES 973,873. MANAGEMENT AND GENERAL EXPENSES 575,646. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,549,519. ER MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,540. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 162,657. FORM 990, PART XII, LINE 2C THE PROCESS REGARDING OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. MINNESOTA VALLEY MEMORIAL HOSPITAL FOUNDATION 621 SOUTH FOURTH STREET LE SUEUR MN 56058 411754182 RAISING FUNDS FOR RIDGEVIEW LE SUEUR MEDICAL CENTER. MN 501(C)(3) LINE 12A, I N/A 0 RIDGEVIEW MEDICAL CENTER 500 S MAPLE ST WACONIA MN 55387 311667875 HEALTH CARE SERVICES MN 501(C)(3) LINE 3 N/A 0 RIDGEVIEW FOUNDATION 500 S MAPLE ST WACONIA MN 55387 411328097 RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTER MN 501(C)(3) LINE 7 RIDGEVIEW MEDICAL CENTER 0 RIDGEVIEW CLINICS 500 S MAPLE ST WACONIA MN 55387 411651783 HEALTH CARE SERVICES MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 0 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 0 SIBLEY MEDICAL CENTER 601 W CHANDLER ST ARLINGTON MN 55307 411801967 CRITICAL ACCESS HOSPITAL MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 0 MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC 500 S MAPLE ST WACONIA MN 55387 205785920 CARDIOLOGY MN N/A 0 0 CHASKA PLAZA SURGERY CENTER 3000 HUNDERTMARK ROAD CHASKA MN 55318 450975783 SURGERY SERVICES MN N/A 0 0 EXECUTIVE HEALTH MANAGEMENT SERVICES 500 SOUTH MAPLE ST WACONIA MN 55387 411760239 MANAGEMENT SERVICES MN N/A C 0 CHARITABLE REMAINDER UNITRUST (1) CHARITABLE TRUST MN N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 NO TRANSACTIONS GREATER THAN 50000