2021-08-16T13:04:39-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2019-10-01 410724029 RIVERVIEW HEALTHCARE ASSOCIATION RIVE 2182819200 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 CARRIE MICHALSKI PRESIDENT & CEO 2182819200 2021-08-13 1 TYLER JOHNSON P01604007 6123764500 2021-08-13 2019 2022-09-23 18:48:47Z CARRIE MICHALSKI 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 62673682 0 X WWW.RIVERVIEWHEALTH.ORG X 1898 MN RIVERVIEW HEALTH PROVIDES WORLD-CLASS HEALTHCARE THROUGH A CULTURE OF EXCELLENCE THAT PROVIDES ACCESS TO OUR COMMUNITY FOR ALL HEALTHCARE NEEDS SERVING AS AN ADVOCATE FOR OUR COMMUNITY, PATIENTS, MEDICAL STAFF AND EMPLOYEES. 9 7 459 131 0 0 1371513 3393080 57837301 57788662 70785 92326 1598712 1397366 60878311 62671434 0 0 0 0 35993180 34882752 0 0 0 26212165 25649541 62205345 60532293 -1327034 2139141 94800228 110145265 69575691 82772587 25224537 27372678 X WE DELIVER A HEALTHCARE EXPERIENCE THAT CONSISTENTLY EXCEEDS PATIENTS' EXPECTATIONS THROUGH EXCEPTIONAL PEOPLE - OUR PEOPLE ARE OUR FOUNDATION. WE EMPLOY TRUSTED, DEDICATED PROFESSIONALS WHO SERVE WITH COMPASSION, EMPATHY AND RESPECT. EXCEPTIONAL CARE - OUR PATIENTS ARE OUR FOCUS. WE BUILD RELATIONSHIPS TO DELIVER PERSONALIZED CARE. EXCEPTIONAL OUTCOMES - OUR PASSION IS TO ENHANCE LIVES. WE ENGAGE IN THE BEST PRACTICES TO HEAL PEOPLE AND PROMOTE HEALTHY COMMUNITIES. 0 0 44303395 0 52356876 RIVERVIEW HEALTHCARE DIRECTLY PROVIDES OR SUPPORTS THE PROVISION OF A CONTINUUM OF QUALITY, ACCESSIBLE AND COST-EFFECTIVE SERVICES FOCUSED ON THE NEEDS OF INDIVIDUALS. RIVERVIEW STRIVES TO MEET AREA MEDICAL NEEDS AND IMPROVE THE PHYSICAL AND MENTAL WELLBEING FOR PEOPLE OF THE AREA. THE HOSPITAL IS A MODERN 25-BED ACUTE CARE CRITICAL ACCESS HOSPITAL. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2020, THE HOSPITAL HAD 849 ADMISSIONS, 2,366 PATIENT DAYS, 44,151 OUTPATIENT VISITS. 1,647 SURGERIES, AND 4,805 ER PATIENT VISITS. THE CLINICS PROVIDE A WIDE RANGE OF SERVICES INCLUDING FAMILY PRACTICE DOCTORS AND SPECIALTY DOCTORS. FOR THE YEAR ENDED SEPTEMBER 30, 2020, CLINIC PAITIENT VISITS WERE 29,677. 3049063 0 3603322 RIVERVIEW CARE CENTER PROVIDES STIMULATING DAILY ACTIVITIES FOR ITS RESIDENT IN AN ENJOYABLE ENVIRONMENT AND A CARING ATMOSPHERE WHERE ALL RESIDENTS ARE TREATED WITH THE UTMOST DIGNITY. THE MEMORY CARE UNIT PROMOTES A CALM AND THERAPEUTIC ATMOSPHERE. RIVERVIEW CARE CENTER IS A 24-BED FACILITY, FOR THE YEAR ENDING SEPTEMBER 30, 2020, THERE WERE 8 NURSING HOME ADMISSIONS AND 6,622 RESIDENT DAYS. RIVERVIEW HOME CARE IS A FULL SERVICE HOME CARE AGENCY PROVIDING 24-HOUR ACCESS TO ON CALL NURSES, ROUTINE SERVICE ON WEEKENDS AND HOLIDAYS, AND A FULL RANGE OF THERAPY SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2020, THERE WERE 1,234 HOME CARE PAITENTS AND 11,593 PATIENT VISITS. (CONTINUED IN SCHEDULE O)RIVERVIEW ASSISTED LIVING PROVIDES SERVICE TO RESIDENTS IN CROOKSTON. ASSISTANCE FOR THOSE UNABLE TO LIVE ALONE WITHOUT AID INCLUDES HOUSEKEEPING, HELP DRESSING, BATHING, PREPARING MEALS, MEDICATION SET-UP AND MANY OTHER SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2020, THERE WERE 155 ASSISTED LIVING PATIENTS AND 4,586 PATIENT VISITS. 1547211 0 1828464 RIVERVIEW RECOVERY CENTER PROVIDES A DAY TREATMENT AND OUTPATIENT TREATMENT PROGRAM EFFECTIVE FOR THE ADULT WHO IS ABUSING OR DEPENDENT ON ONE OR MORE MOOD-ALTERING CHECMICALS. THE RECOVERY CENTER OPERATES CLINICS IN CROOKSTON, EAST GRAND FORKS, THIEF RIVER FALLS, AND ROSEAU, MINNESOTA. FOR THE YEAR ENDING SEPTEMBER 30, 2020, RECOVERY CENTER HAD 1,601 OUTPATIENT VISITS. 48899669 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 114 0 459 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X BETTY ARVIDSON 2182819756 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 DR OLATUBOSUN FASHORO PHYSICIAN / CHIEF OF STAFF 40.00 0.00 X 768260 0 41568 DR SUNNY KIM PHYSICIAN 40.00 0.00 X 701010 0 0 DR RAM PANERU PHYSICIAN 40.00 0.00 X 653843 0 41562 DR KYOUNG LEE PHYSICIAN 40.00 0.00 X 630783 0 33389 DR ERIK KANTEN TRUSTEE/PHYSICIAN 41.00 0.00 X 535343 0 40982 DR BRETT VIBETO TRUSTEE/PHYSICIAN 41.00 0.00 X 455217 0 27960 CARRIE MICHALSKI PRESIDENT & CEO 40.00 1.00 X 367188 0 40922 BETTY ARVIDSON CFO / VP OF FINANCE 40.00 1.00 X 173731 0 28949 APRIL GRUNHOVD CNO / VP OF PATIENT SERVIC 40.00 0.00 X 181097 0 11922 DR COLIN FENNELL PHYSICIAN 40.00 0.00 X 749183 0 41581 CHRIS BRUGGEMAN COO / VP OF OPERATIONS 40.00 0.00 X 151754 0 37341 LANCE NORMAN VP OF ANCILLARY SERVICES 40.00 0.00 X 166836 0 20368 JEAN TATE VP OF HUMAN RESOURCES 40.00 0.00 X 140570 0 19091 DR STEVEN SCHULTZ TRUSTEE (THRU JAN 2020) 2.00 0.00 X 20000 0 0 ANDY OMAN CHAIR 4.00 0.00 X X 0 0 0 MICHELLE COTE VICE-CHAIR 3.00 0.00 X X 0 0 0 GRANT GUNDERSON SECRETARY 2.00 0.00 X X 0 0 0 TIM BRINKMAN TREASURER 2.00 0.00 X X 0 0 0 STEPHANIE HARBOTT TRUSTEE 1.00 0.00 X 0 0 0 LORI KELLER TRUSTEE 1.00 0.00 X 0 0 0 KARI KOENIG TRUSTEE 1.00 0.00 X 0 0 0 MICHELLE SNYDER TRUSTEE (THRU JAN 2020) 1.00 0.50 X 0 0 0 SHANNON STASSEN TRUSTEE (THRU OCT 2019) 1.00 0.00 X 0 0 0 5694815 0 385635 47 1 1 0 SANFORD FARGO CLINIC NORTH PO BOX 2168 FARGO ND 58107 PHYSICIAN & CLINICAL SERVICES 488870 BARTON & ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 PHYSICIAN SERVICES 323875 JD GLOBAL MEDICAL INC 107 LIBERTY VIEW INC JERSEY CITY NJ 07302 PHYSICIAN SERVICES 312263 COMPREHENSIVE PHARMACY SERVICES 6409 N QUAIL HOLLOW ROAD MEMPHIS TN 38120 PHARMACY MANAGEMENT SERVICES 305535 DR SARAH MAY 5442 57TH AVE SOUTH SEATTLE WA 98118 PHYSICIAN SERVICES 273863 15 126271 3266809 3393080 RIVERVIEW HOSPITAL 621990 33279162 33279162 PHYSICIAN CLINICS 621110 19077714 19077714 RIVERVIEW CARE CENTER 621400 2335947 2335947 RIVERVIEW RECOVERY 621990 1828464 1828464 HOME HEALTH/ASSISTED LIVING 621610 1267375 1267375 57788662 90127 90127 377 0 377 377 377 4447 2248 2199 2199 2199 RETAIL SALES 452000 1204458 1204458 CAFETERIA 621990 148871 148871 INSURANCE PROCEEDS 621990 22344 22344 21316 21316 1396989 62671434 57788662 0 1489692 2358148 1069361 1288787 27187938 24175237 3012701 1163484 1034558 128926 2472209 2198263 273946 1700973 1512488 188485 171962 20357 151605 88957 88957 3393 3393 1816 1816 5796398 4272774 1523624 404138 404138 349394 159082 190312 894973 107602 787371 942020 324424 617596 112466 107014 5452 541373 541373 2184553 2184553 336145 336145 MEDICAL SUPPLIES 7000368 6974990 25378 DRUGS 1320770 1320770 MAINTENANCE & REPAIRS 1294606 916537 378069 PROVIDER TAXES 1123146 67560 1055586 3083063 1912726 1170337 60532293 48899669 11632624 0 2290 1878 58320056 43612690 8498892 7746328 516397 420032 1103515 1144940 255251 262912 93570154 37474011 25034365 56096143 1063350 718241 6112 142101 94800228 110145265 9124580 8523041 14569410 56807192 56834662 2245 4227 2580729 1999305 462683 357700 598262 484242 69575691 82772587 X 25224537 27372678 25224537 27372678 94800228 110145265 2139141 9000 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3393 3393 0 PART II-B, LINE 1: RIVERVIEW HEALTHCARE ASSOCIATION PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY THAT HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MINNESOTA HOSPITAL ASSOCIATION THAT WERE USED FOR LOBBYING. 0 1 X 734564 431375 45555 23821 1187673 1264171 378394 32094 940095 734564 1011633 229213 25658 2333 1264171 969341 52057 9765 1011633 924128 58335 13122 969341 1.00000 0.00000 0.00000 0 1 1 1103890 1103890 31529450 23428511 8100939 293877 181367 112510 17709252 13864133 3845119 42933685 42933685 56096143 ESTIMATED WORKERS' COMPENSATION CLAIMS 476397 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 7845 484242 X PART IV, LINE 2B: THE HOSPITAL IS A CUSTODIAN OF FUNDS FOR RESIDENTS. THE HOSPITAL HOLDS THESE FUNDS FOR PURCHASES MADE BY THE RESIDENTS. PART V, LINE 4: RIVERVIEW HEALTHCARE'S ENDOWMENT INCLUDES FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE MAINTAINED IN THE RIVERVIEW HEALTHCARE FOUNDATION. THE FUNDS ARE USED TO PROVIDE TO THE RESIDENTS OF IT SERVICE AREA, QUALITY HEALTHCARE AND RELATED HEALTH SERVICES, EDUCATION, RESEARCH, PROMOTION OF HEALTH AND OTHER ACTIVITIES IN THE COMMUNITY. THE CONTRIBUTIONS RAISED BY THE FOUNDATION ARE GRANTED TO RIVERVIEW HEALTHCARE ASSOCIATION TO PURCHASE MEDICAL EQUIPMENT AND SUPPLIES FOR PROMOTION OF HEALTHCARE IN THE COMMUNITY. PART X, LINE 2: THE ASSOCIATION FOLLOWS THE PROVISION OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE ASSOCIATION'S FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 150.000000000000 1 1 0 1 1 396432 396432 0.00670 9221608 7715407 1506201 0.02530 9618040 7715407 1902633 0.03200 54813 54813 0.00090 225215 14137 211078 0.00350 13143656 11710018 1433638 0.02410 1373 1373 0.00000 13425057 11724155 1700902 0.02850 23043097 19439562 3603535 0.06050 1 947572 104629 12951505 9442067 3509438 X 1 1 1 1 RIVERVIEW HOSPITAL 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 WWW.RIVERVIEWHEALTH.ORG 375398 X X X X RIVERVIEW HOSPITAL 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE PART V, SECTION B, LINE 7D X X 1 18 1 SEE PART V, SECTION B, LINE 7D 0 1 X 150.000000000000 150.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X X X X X X X 1 X 0 X X X X 1 X 0 0 RIVERVIEW HOSPITAL PART V, SECTION B, LINE 5: RIVERVIEW CONTRACTED WITH CLIFTONLARSONALLEN, LLP TO CONDUCT COMMUNITY INTERVIEWS AND TO ASSIST IN PREPARING THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY.THE INFORMATION WAS GATHERED THROUGH ONE-ON-ONE AND SMALL GROUP INTERVIEWS WITH KEY COMMMUNITY STAKEHOLDERS. THE INFORMATION WAS GATHERED FROM PEOPLE IN PUBLIC HEALTH, GOVERNMENT HEALTH AND OTHER GOVERNMENT AGENCIES, LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.THE FOLLOWING AGENCIES, ORGANIZATIONS, AND BUSINESSES PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASESSMENT PROCESS BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS, AND OBERVATIONS. WE THANK THEM FOR THEIR PAST AND CONTINUED ASSISTANCE. - POLK COUNTY PUBLIC HEALTH DEPARTMENT- POLK COUNTY SHERIFF'S DEPARTMENT- RIVERVIEW HEALTH- TRI-VALLEY OPPORTUNITY COUNCIL- NORTHWEST MENTAL HEALTH - CROOKSTON PUBLIC SCHOOL DISTRICT- INTER-COUNTY NURSING SERVICE RIVERVIEW HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON OUR WEBSITE AT: WWW.RIVERVIEWHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.ADDITIONALLY, THE IMPLEMENTATION STRATEGY IS ATTACHED TO THE CHNA REPORT AND CAN ALSO BE FOUND ON THE RIVERVIEW WEBSITE WWW.RIVERVIEWHEALTH.ORG/ABOUT-US/COMMUNITY. RIVERVIEW HOSPITAL PART V, SECTION B, LINE 11: RIVERVIEW HEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013 AND PUBLISHED THE RELATED REPORT IN SEPTEMBER 2013. IN THAT ASSESSMENT, THE FOLLOWING NEEDS WERE IDENTIFIED:- OBESITY- JOINT OR BACK PAIN- HIGH BLOOD PRESSUREBASED ON THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH HAS TAKEN THE FOLLOWING STEPS TO IMPROVE THE HEALTH OF OUR COMMUNITY:- AS A LARGE EMPLOYER AND LEADER IN THE COMMUNITY, RIVERVIEW HEALTH HAS MODELED AN EMPLOYEE WELLNESS PROGRAM THAT ENCOURAGES HEALTHY EATING CHOICES AND PHYSICAL ACTIVITY AS A MEANS OF MANAGING WEIGHT AND OVERALL HEALTH. THE EMPLOYEE WELLNESS PROGRAM INCLUDES IMPLEMENTING A HEALTHY CHOICE FOOD POLICY, OFFERING WEIGHT MANAGEMENT EDUCATION OPPORTUNITIES WITHIN OUR FACILITIES, INCREASING OPPORTUNITIES FOR PHYSICAL ACTIVITIES FOR EMPLOYEES, AND SPONSORING HEALTHY ACTIVITIES IN THE COMMUNITY.- RIVERVIEW HEALTH HIRED A REGISTERED DIETICIAN THAT SPECIALIZES IN EDUCATION AND PLANNING FOR HEALTH DIET AND WEIGHT MANAGEMENT, BOTH IN INPATIENT AND OUTPATIENT SETTINGS.- RIVERVIEW HEALTH IMPLEMENTED A BMI (BODY MASS INDEX) TRACKING SYSTEM AND TARGETED PATIENTS WITH HIGH RISK FACTORS FOR SUPPORT AND EDUCATION.RIVERVIEW HEALTH CONDUCTED OUR SECOND COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016 AND PUBLISHED THE RELATED REPORT IN SEPTEMBER 2016. IN THAT ASSESSMENT, THE FOLLOWING NEEDS WERE IDENTIFIED:- OBESITY AND DIABETES- SUBSTANCE ABUSE AND MENTAL HEALTHBASED ON THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH HAS TAKEN THE FOLLOWING STEPS TO IMPROVE THE HEALTH OF OUR COMMUNITY:- RIVERVIEW HEALTH OFFERED INITIATIVES TO ENHANCE THE EDUCATION AND TREATMENT OF OBESITY AND DIABETES IN THE COMMUNITY, TO INCLUDE A TYPE 2 DIABETES SUPPORT GROUP AND A TYPE 2 DIABETES PREVENTION CLASS.- RIVERVIEW HEALTH HIRED A REGISTERED DIETICIAN THAT SPECIALIZES IN EDUCATION AND PLANNING FOR HEALTH DIET AND WEIGHT MANAGEMENT. WE ALSO HIRED A HEALTH COACH TO OFFER A TEAM BASED APPROACH TO CHRONIC DISEASE MANAGEMENT AND OBESITY WHO WORKS COLLABORATIVELY WITH CLINICIANS, PATIENTS, AND OTHER SERVICE PROVIDED TO BETTER MANAGE CHRONIC CONDITIONS IN THE COMMUNITY INCLUDING DIABETES AND OBESITY.-RIVERVIEW HEALTH CONTINUED OFFERING OUTPATIENT ADDICTION SERVICES COVERING A BROAD RANGE OF OPTIONS:1. RULE 25 CHEMICAL DEPENDENCY ASSESSMENTS: A COMPREHENSIVE CHEMICAL HEALTH ASSESSMENT2. INDIVIDUAL COUNSELING SESSIONS: PROVIDED FOR INDIVIDUALS THAT HAVE COMPLETED TREATMENT AND ARE STRUGGLING WITH THOUGHTS OF USING.3. INTENSIVE OUTPATIENT TREATMENT: INTENSIVE OUTPATIENT THERAPY INCLUDES THREE GROUP COUNSELING MEETINGS PER WEEK, ONE WEEKLY INDIVIDUAL COUNSELING SESSION AND REGULAR URINE DRUG AND ALCOHOL SCREENING FOR INDIVIDUALS STRUGGLING WITH ADDICTION THAT DO NOT MEET CRITERIA FOR RESIDENTIAL TREATMENT4. RELAPSE PREVENTION: RELAPSE PREVENTION INCLUDES ONE INDIVIDUAL COUNSELING SESSION PER WEEK AS WELL AS REGULAR URINE DRUG AND ALCOHOL SCREENING TESTS FOR INDIVIDUALS THAT HAVE COMPLETED TREATMENT, INPATIENT OR INTENSIVE OUTPATIENT, IN THE LAST THREE YEARS AND ARE STRUGGLING WITH ADDICTION. RELAPSE PREVENTION IS INTENDED FOR INDIVIDUALS THAT ARE NOT USING DAILY, BUT WANT TO STOP THE CYCLE.5. DRIVING WITH CARE 1: FOR THE FIRST TIME DWI OFFENDER WITH A BLOOD ALCOHOL LEVEL OF LESS THAN .15 AT THE TIME OF ARREST. DRIVING WITH CARE 1 IS A GROUP EDUCATION AND TRAINING PROGRAM THAT HAS PROVEN TO REDUCE RECURRENCE OF DWI. NEW CLASSES BEGIN QUARTERLY. 6. DRIVING WITH CARE 2: FOR FIRST TIME DWI OFFENDER WITH A BLOOD ALCOHOL LEVEL OF MORE THAN .15 AT THE TIME OF ARREST, OR MULTIPLE DWI OFFENCES. DRIVING WITH CARE 2 IS A GROUP EDUCATION AND TRAINING PROGRAM THAT HAS PROVEN TO REDUCE RECURRENCE OF DWI. NEW CLASSES BEGIN QUARTERLY.RATHER THAN EXPAND THE SCOPE OF MENTAL HEALTH SERVICES, WE CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS NORTHWEST MENTAL HEALTH CENTER TO ENSURE THE COMMUNITY HAS ADEQUATE ACCESS TO MENTAL HEALTH SERVICES. INFORMATION ABOUT NORTHWEST MENTAL HEALTH CENTER CAN BE OBTAINED FROM THEIR WEBSITE AT: HTTP://WWW.NWMHC.ORG/.BASED ON THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH HAS TAKEN THE FOLLOWING STEPS TO IMPROVE THE HEALTH OF OUR COMMUNITY:TO FURTHER DRIVE PERFORMANCE IN DIABETIC MANAGEMENT, RIVERVIEW CREATED A GOAL TO IMPROVE THE OVERALL CONTROL OF BLOOD SUGAR LEVELS MEASURED BY HGBA1C IN ADULT DIABETIC PATIENTS. THE GOAL IS FOR 80% OF PATIENTS TO HAVE A HGBA1C MEASUREMENT OF LESS THAN 9%. THAT GOAL IS CURRENTLY ON TRACK.FOR SUBSTANCE ABUSE AND MENTAL HEALTH, RIVERVIEW HEALTH EXPANDED SERVICES TO INCLUDE TELEHEALTH OPTIONS FOR INDIVIDUAL COUNSELING SESSIONS AND IS ALSO WORKING TOWARD CREATED DUAL DIAGNOSIS SERVICE OPTIONS SO THE ORGANIZATION CAN BETTER SERVE CLIENTS THAT NEED SUBSTANCE ABUSE AS WELL AS MENTAL HEALTH SERVICES. RIVERVIEW IS SEEING AN INCREASE IN THE NEED FOR CHEMICAL DEPENDENCY SERVICES AND HAS ADJUSTED STAFFING MODELS TO MEET THE DEMAND. RIVERVIEW HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ARE AVAILABLE ON OUR WEBSITE AT: WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/ FINANCIAL-ASSISTANCE/. 11 1 - RIVERVIEW CLINIC CROOKSTON 323 S MINNESOTA STREET CROOKSTON MN 56716 OUTPATIENT CLINIC 2 - RIVERVIEW CLINIC EAST GRAND FORKS 1428 CENTRAL AVENUE NE EAST GRAND FORKS MN 56721 OUTPATIENT CLINIC/REHAB 3 - RIVERVIEW CLINIC FERTILE 306 N MILL STREET FERTILE MN 56540 OUTPATIENT CLINIC 4 - RIVERVIEW CLINIC RED LAKE FALLS 105 INTERNATIONAL DRIVE RED LAKE FALLS MN 56750 OUTPATIENT CLINIC/REHAB 5 - RIVERVIEW CLINIC THIEF RIVER FALLS 1140 VANROOY DRIVE THIEF RIVER FALLS MN 56701 OUTPATIENT CLINIC 6 - RIVERVIEW CARE CENTER 323 S MINNESOTA STREET CROOKSTON MN 56716 NURSING HOME 7 - RIVERVIEW HOME CARE 721 S MINNESOTA STREET CROOKSTON MN 56716 HOME HEALTH 8 - RIVERVIEW RECOVERY CROOKSTON 721 S MINNESOTA STREET CROOKSTON MN 56716 OUTPATIENT CHEMICAL DEPENDENCY 9 - RIVERVIEW RECOVERY EAST GRAND FORKS 210 GATEWAY DRIVE NE SUITE 3 EAST GRAND FORKS MN 56721 OUTPATIENT CHEMICAL DEPENDENCY 10 - RIVERVIEW RECOVERY ROSEAU 216 CENTER STREET W 101 ROSEAU MN 56751 OUTPATIENT CHEMICAL DEPENDENCY 11 - RIVERVIEW RECOVERY THIEF RIVER FALLS 213 NORTH LEBREE AVE SUITE 100 THIEF RIVER FALLS MN 56701 OUTPATIENT CHEMICAL DEPENDENCY PART I, LINE 3C: ELIGIBILITY FOR CHARITY CARE IS BASED ON HOUSEHOLD INCOME COMPARED TO FEDERAL POVERTY GUIDELINES FOR THE INDIVIDUAL'S FAMILY SIZE. TO QUALIFY FOR CHARITY CARE, A PERSON MUST RECEIVE MEDICALLY NECESSARY CARE AT RIVERVIEW HOSPITAL AND CLINICS, BE A RESIDENT OF EITHER MINNESOTA OR NORTH DAKOTA, SUBMIT A COMPLETE CHARITY CARE APPLICATION INCLUDING REQUIRED DOCUMENTATION, AND SUBMIT EVIDENCE OF APPLICATION FOR GOVERNMENT MEDICAL ASSISTANCE. PART I, LINE 7: COSTS INCLUDED ON LINES 7A AND 7B ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS SCHEDULE H INSTRUCTIONS. THE COSTS REPORTED ON LINES 7E-7I ARE DIRECT COSTS TO THE FACILITIES FOR THE PROGRAMS DESCRIBED BELOW. PART 1, LINE 7E COSTS: COMMUNITY HEALTH SERVICES IS THE TOTAL COST OF ACTIVITIES TO IMPROVE COMMUNITY HEALTH IN THE FOLLOWING AREAS: (1)PROVIDING COMMUNITY HEALTH EDUCATION WITH HEALTH LECTURES AND WORKSHOPS TO COMMUNITIY GROUPS, HEALTH AND CAREER DAY FAIRS, FAMILY AND FRIENDS CPR CLASSES AND BY PROVIDING SPECIFIC DIAGNOSES (AUTISM) SUPPORT GROUPS; (2) PROVIDING CLINICAL SERVICES SUCH AS FREE BLOOD PRESSURE AND CHOLESTEROL SCREENING AT HEALTH FAIRS; AND (3) PROVIDING SUPPORT SERVICES LIKE ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS, MENTAL HEALTH SERVICE HOT-LINES AND BUS TRANSPORTATION VOUCHERS TO ENHANCE PATIENT ACCESS TO CARE.PART I, LINE 7F COSTS: HEALTH PROFESSIONS EDUCATION IS THE COST OF OPERATING PROFESSIONAL EDUCATION AND TRAINING PROGRAMS FOR MEDICAL STUDENTS, NURSING STUDENTS, AND TECHNICIANS. SCHOLARSHIPS ARE ALSO OFFERED TO NON-EMPLOYEES FOR NURSING AND OTHER PROFESSIONAL EDUCATION. PART I, LINE 7G: PART I, LINE 7G SUBSIDIZED HEALTH SERVICES INCLUDE COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION. CLINICAL PATIENT CARE SERVICES ARE PROVIDED DESPITE A NEGATIVE MARGIN BECAUSE THEY ARE NEEDED BY THE COMMUNITY THE HOSPITAL'S SUBSIDIZED HEALTH SERVICES INCLUDE THE HOSPITAL OPERATED CLINIC. 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 $ 947,572. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANT POLICY WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE AND MULTIPLYING IT BY THE RATIO OF THE ORGANIZATION'S MEDICAID CONTRACTUAL ADJUSTMENTS TO THE TOTAL PATIENT SERVICE REVENUE AMOUNTS FROM THE HAR REPORT. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT RECEIVABLES, NET NOTE ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED FROM THE 2019 FILED MEDICARE COST REPORT. PART III, LINE 9B: THROUGHOUT THE PAYMENT AND COLLECTION PROCESS, STAFF ATTEMPTS TO IDENTIFY TO THE EXTENT POSSIBLE, PATIENTS WHICH ARE WORTHY AND APPROPRIATE FOR CHARITY CONSIDERATION. THOSE ACCOUNTS TO BE CONSIDERED FOR CHARITY REDUCTIONS ARE ASKED TO COMPLETE A FINANCIAL DISCLOSURE FORM, WHICH WILL PROVIDE PERTINENT PATIENT FINANCIAL INFORMATION NECESSARY TO DETERMINE FINANCIAL NEED. REVIEW OF POTENTIAL CHARITY REQUESTS ARE PERFORMED DAILY BY THE FINANCIAL COORDINATOR AND CERTAIN RECOMMENDATIONS ARE FORWARDED TO THE CFO FOR SIGNATURE AND APPROVAL. ALL MINNESOTA RESIDENTS, UPON REQUEST, WHO ARE UNINSURED WILL RECEIVE A PRIVATE PAY DISCOUNT DETERMINED BY THE INSURANCE COMPANY WITH WHICH RIVERVIEW HEALTH DOES THE GREATEST VOLUME. THE SOCIAL SERVICES DEPARTMENT OF RIVERVIEW HEALTHCARE WORKS CLOSELY WITH THE STATE MEDICAID ELIGIBILITY PROGRAM TO ENSURE PATIENTS HAVE ACCESS TO AVAILABLE PROGRAMS. NON-INSURED PATIENTS ARE REFERRED TO THE STATE MEDICAID ELIGIBILITY PROGRAM FOR A PROBABILITY OF ELIGIBILITY ASSESSMENT. PART VI, LINE 2: THE HOSPITAL PERFORMED PATIENT SURVEYS AND HIRED CONSULTANTS THAT PERFORM SURVEYS AND STUDIES TO DETERMINE HEALTH CARE NEEDS OF THE COMMUNITY. PART VI, LINE 3: CHARITY CARE FORMS ARE HANDED OUT IN ADMITTING AND ALSO PLACED IN COLLECTION LETTERS. MEDICAID SERVICES INFORMATION IS AVAILABLE TO PATIENTS AT REGISTRATION. THE MULTI-DISCIPLINARY DISCHARGE PLANNING COMMITTEE MEETS DAILY AND PLANS THE DISCHARGE OF PATIENTS, INCLUDING FINNANCIAL PLANNING. REFER TO APPROPRIATE AGENCIES AND PROGRAMS FOR FINANCIAL AID WHEN THE PATIENT HAS NO HOSPITAL INSURANCE OR WHEN PATIENT/FAMILY RESOURCES ARE LIMITED OR DEPLETED. PART VI, LINE 4: RIVERVIEW HEALTH'S PRIMARY SERVICE AREA CONSISTS OF POLK AND RED LAKE COUNTIES, WITH A POPULATION OF APPROXIMATELY 35,700. THE UNEMPLOYMENT RATE IS BELOW THE STATE LEVEL. THE MAJORITY OF WORKERS ARE EMPLOYED IN HEALTHCARE, MANUFACTURING OR FARMING. POLK AND RED LAKE COUNTIES HAVE A LARGER-THAN-AVERAGE PROPORTION OF ELDERLY INDIVIDUALS. POLK AND RED LAKE COUNTIES HAVE A MEDIAN INCOME BELOW THE STATE AVERAGE. PART VI, LINE 5: COMMUNITY BUILDING ACTIVITIES ARE PROGRAMS AND ACTIVITIES THAT ARE DESIGNED TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS IN THE COMMUNITY. DISASTER READINESS, REDUCING THE AIR ENVIRONMENTAL HAZARDS, SHARPS DISPOSAL AND COMMUNITY LEADERSHIP DEVELOPMENT ARE SOME PROGRAMS. RECRUITMENT OF PHYSICIANS TO THIS RURAL COMMUNITY AND PROVIDING PROGRAMS TO DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE ARE TWO OTHER ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES MN X X X X X 0 0 0 0 0 0 0 0 0 DR OLATUBOSUN FASHORO PHYSICIAN / CHIEF OF STAFF 768260 0 0 0 0 0 15400 0 26168 0 809828 0 0 0 DR SUNNY KIM PHYSICIAN 701010 0 0 0 0 0 0 0 0 0 701010 0 0 0 DR RAM PANERU PHYSICIAN 653843 0 0 0 0 0 15400 0 26162 0 695405 0 0 0 DR KYOUNG LEE PHYSICIAN 630783 0 0 0 0 0 15400 0 17989 0 664172 0 0 0 DR ERIK KANTEN TRUSTEE/PHYSICIAN 535343 0 0 0 0 0 15400 0 25582 0 576325 0 0 0 DR BRETT VIBETO TRUSTEE/PHYSICIAN 455217 0 0 0 0 0 15950 0 12010 0 483177 0 0 0 CARRIE MICHALSKI PRESIDENT & CEO 367188 0 0 0 0 0 15125 0 25797 0 408110 0 0 0 BETTY ARVIDSON CFO / VP OF FINANCE 173731 0 0 0 0 0 9830 0 19119 0 202680 0 0 0 APRIL GRUNHOVD CNO / VP OF PATIENT SERVIC 181097 0 0 0 0 0 10014 0 1908 0 193019 0 0 0 DR COLIN FENNELL PHYSICIAN 749183 0 0 0 0 0 15400 0 26181 0 790764 0 0 0 CHRIS BRUGGEMAN COO / VP OF OPERATIONS 151754 0 0 0 0 0 9027 0 28314 0 189095 0 0 0 LANCE NORMAN VP OF ANCILLARY SERVICES 166836 0 0 0 0 0 9390 0 10978 0 187204 0 0 0 JEAN TATE VP OF HUMAN RESOURCES 140570 0 0 0 0 0 7934 0 11157 0 159661 0 0 0 A CITY OF CROOKSTON MN 416005076 227235AV0 2017-09-21 10000000 REFUND SERIES 2007 BONDS 0 0 0 B CITY OF CROOKSTON MN 416005076 227235BL1 2019-04-24 48166705 FACILITY CONSTRUCTION 0 0 0 A 10000000 1403642 267958 8832997 1 0 1 1 B 48166705 4015135 1118209 37363911 5669450 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1 ALL OF THE OFFICERS OF THE HOSPITAL AND SUCH OTHER PERSONS, IF ANY, ELECTED BY THE BOARD OF DIRECTORS BY RESOLUTION SHALL CONSTITUTE THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE HOSPITAL. THE EXECUTIVE COMMITTEE SHALL ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. DURING SUCH INTERVALS AND SUBJECT TO SUCH CONTROL AND DIRECTION, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE HOSPITAL, SUBJECT TO SUCH LIMITATIONS AS THE BOARD OF DIRECTORS MAY IMPOSE. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 RIVERVIEW HEALTHCARE SHALL HAVE VOTING MEMBERS WHO MUST BE 18 YEARS OF AGE OR OLDER, PAY THE MEMBERSHIP FEE DETERMINED BY THE BOARD, MUST LIVE WITHIN 30 MILES OF THE COMMUNITIES SERVED BY RIVERVIEW AND AGREE TO ABIDE BY THE ARTICLES OF INCORPORATION, BYLAWS AND OTHER RULES OF THE HOSPITAL. ANY MEMBER WHO FAILS TO PAY ANY DUES OR ASSESSMENT MAY, AFTER REASONABLE NOTICE, HAVE HIS OR HER MEMBERSHIP CANCELLED. FORM 990, PART VI, SECTION A, LINE 7A RIVERVIEW HEALTHCARE'S BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THEIR ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENTS MADE TO RIVERVIEW HEALTHCARE'S ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 WAS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE ACCOUNTING MANAGER FOR ACCURACY AND COMPLETENESS. AT THIS TIME THE FORM 990 WAS PRESENTED TO THE AUDIT AND FINANCE COMMITTEE. UPON APPROVAL, THE FORM 990 WAS SHARED ELECTRONICALLY WITH THE BOARD MEMBERS PRIOR TO A REGULARLY SCHEDULED BOARD MEETING AT WHICH THE BOARD MEMBERS APPROVED THE RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTERESTS POLICY SERVES TO PROTECT THE INTEGRITY OF ASSOCIATION INFORMATION, PRODUCTS, SERVICES AND EMPLOYEE EFFORTS. EMPLOYEES ARE EXPECTED TO DEVOTE THEIR BEST EFFORTS AND BE LOYAL TO THE INTERESTS OF RIVERVIEW HEALTH. RIVERVIEW RECOGNIZES THE RIGHT OF EMPLOYEES TO ENGAGE IN ACTIVITIES OUTSIDE OF THEIR EMPLOYMENT HERE, WHICH ARE OF A PRIVATE NATURE AND UNRELATED TO OUR BUSINESS. HOWEVER, A POLICY OF FULL DISCLOSURE WILL BE FOLLOWED TO ASSESS AND PREVENT POTENTIAL CONFLICTS OF INTERESTS FROM ARISING. 1. EMPLOYEES ARE NOT PERMITTED TO ENGAGE IN ACTIVITIES THAT ARE IN COMPETITION WITH THE BUSINESS ACTIVITIES OF RIVERVIEW HEALTH (EXAMPLES MAY INCLUDE, BUT ARE NOT LIMITED TO, REHAB SERVICES, CD COUNSELING, HOME CARE, OUTSIDE CONSULTATION SERVICES SUCH AS PHARMACY OR DIETETICS, OR OTHER REVENUE PRODUCING AREAS). 2. EMPLOYEES MUST DISCLOSE IN FULL, AT TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER, ANY ACTIVITY THAT THEY ENGAGE IN THAT IS SIMILAR IN NATURE OR IN DIRECT COMPETITION WITH A SERVICE OF RIVERVIEW HEALTH. 3. NO EMPLOYEE MAY ENGAGE IN OUTSIDE WORK THAT WILL INTERFERE WITH HIS OR HER PRIMARY JOB WITH RIVERVIEW HEALTH. THERE IS AN EXPECTATION OF A DUTY OF LOYALTY BY ALL EMPLOYEES. 4. NO EMPLOYEE MAY ACCEPT PAYMENT, RETAINER, COMMISSION, CONSULTING FEE OR ENTER INTO ANY OTHER FEE ARRANGEMENT OR REMUNERATIONS FOR SERVICES PROVIDED IN CONJUNCTION WITH RIVERVIEW HEALTH OTHER THAN THEIR NORMAL WAGES WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 5. NO OUTSIDE WORK MAY BE DONE DURING ANY EMPLOYEES WORK HOURS. ASSOCIATION FACILITIES, EQUIPMENT, LABOR OR SUPPLIES MAY NOT BE USED TO CONDUCT NON-RIVERVIEW HEALTH BUSINESS WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 6. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF HEALTH CARE SERVICES. 7. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF GOODS AND SERVICES TO RIVERVIEW HEALTH. 8. FAILURE TO DISCLOSE INFORMATION RELATED TO ANY OF THE ABOVE POINTS TO ADMINISTRATION MAY LEAD TO CORRECTIVE ACTION UP TO AND INCLUDING DISCHARGE. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ANNUALLY SIGN A CONFLICT OF INTEREST FORM. IF A CONFLICT OF INTEREST EXISTS, THE CONFLICTED PERSON ABSTAINS FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A THE RIVERVIEW HEALTHCARE ASSOCIATION BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. ANNUALLY, THE BOARD OF DIRECTORS RECEIVES COMPENSATION SURVEYS FROM HRAM AND THE MINNESOTA HOSPITAL ASSOCIATION AND USES THESE TO SET THE COMPENSATION FOR THE CEO. SIMILAR METHODS ARE USED TO SET THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. HOWEVER, THE COMPENSATION IS REVIEWED AND APPROVED BY THE ADMINISTRATION OFFICERS AND HUMAN RESOURCES. THESE PROCESSES ARE COMPLETED ANNUALLY IN JANUARY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XII, LINE 2C: THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. RIVERVIEW HEALTHCARE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 411699589 FUNDRAISING MN 501(C)(3) LINE 7 RIVERVIEW HEALTHCARE ASSOCIATION 1 GLENMORE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 411112748 CHEMICAL DEPENDENCY FINANCIAL ASSISTANCE MN 501(C)(3) LINE 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 RIVERVIEW HEALTHCARE FOUNDATION C 62570 CASH GLENMORE FOUNDATION C 63521 CASH