AITKIN COMMUNITY HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
AITKIN COMMUNITY HOSPITAL INC (EIN 41-0745522)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-13
IRS object ID
201822259349300327
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-13T12:34:19-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 W FIRST ST STE 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP558021926ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410745522EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AITKIN COMMUNITY HOSPITAL DBABusinessNameLine1Txt
Business Name Line2RIVERWOOD HEALTHCARE CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAITKBusinessNameControlTxt
Phone2189272121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCASEY JOHNSONPersonNm
Person TitleCFOPersonTitleTxt
Phone2189272121PhoneNum
Signature2018-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY BETH SANTORIPreparerPersonNm
PTINP00023783PTIN
Phone2187275025PhoneNum
Preparation2018-08-09PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTODD SANDBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$73,318,484GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIVERWOODHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionINPATIENT AND OUTPATIENT MEDICAL CARE AND THREE PRIMARY CARE CLINICS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee458TotalEmployeeCnt
Total Volunteers90TotalVolunteersCnt
Total Gross UBI-$2,761TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$2,761NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$814,613PYContributionsGrantsAmt
CY Contributions Grants$859,050CYContributionsGrantsAmt
PY Program Service Revenue$59,022,793PYProgramServiceRevenueAmt
CY Program Service Revenue$59,887,338CYProgramServiceRevenueAmt
PY Investment Income$650,842PYInvestmentIncomeAmt
CY Investment Income$1,335,833CYInvestmentIncomeAmt
PY Other Revenue$190,207PYOtherRevenueAmt
CY Other Revenue$341,053CYOtherRevenueAmt
PY Total Revenue$60,678,455PYTotalRevenueAmt
CY Total Revenue$62,423,274CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$261,697CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,487,544PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,078,742CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$14,240PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$21,480CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$170,118CYTotalFundraisingExpenseAmt
PY Other Expenses$30,025,807PYOtherExpensesAmt
CY Other Expenses$30,216,063CYOtherExpensesAmt
PY Total Expenses$57,527,591PYTotalExpensesAmt
CY Total Expenses$59,577,982CYTotalExpensesAmt
PY Revenues Less Expenses$3,150,864PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,845,292CYRevenuesLessExpensesAmt
Total Assets BOY$81,835,029TotalAssetsBOYAmt
Total Assets EOY$85,323,954TotalAssetsEOYAmt
Total Liabilities BOY$41,122,759TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,428,848TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$40,712,270NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$44,895,106NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$49,894,506ExpenseAmt
Grant$261,697GrantAmt
Revenue$60,628,657RevenueAmt
DescRIVERWOOD HEALTHCARE CENTER STRIVES TO DELIVER THE HIGHEST QUALITY PATIENT-CENTERED CARE. WE CONTINUALLY EXAMINE EMERGING HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE THROUGHOUT AITKIN COUNTY AND THE GARRISON AND MILLE LACS AREA. WITH A STRONG FOCUS ON HEALTH, WELLNESS AND PREVENTION, THE CENTER STRIVES TO EDUCATE AND INFORM ITS PATIENTS AND THE COMMUNITY ON HEALTH ISSUES. THE COMMUNITY'S AND PATIENT'S NEEDS ARE LISTENED TO AND INCORPORATED IN OUR MISSION STATEMENT, STRATEGIC PLAN AND VISION.IN 2017, RIVERWOOD LAUNCHED AN EXPANSION AND RENOVATION PROJECT FOR A NEW KIDNEY DIALYSIS FACILITY, IN PARTNERSHIP WITH CENTRACARE HEALTH. THE DIALYSIS UNIT WILL NOT ONLY PROVIDE CLOSE TO HOME NECESSARY CARE FOR RENAL PATIENTS, BUT ALSO WILL BE OF HELP TO FAMILY MEMBERS AND FRIENDS IN THEIR SUPPORT OF THE PATIENT, SINCE THE NEED TO TRAVEL FAR FROM HOME FOR CARE WILL BE REDUCED. THE RENOVATION PART OF THE BUILDING PROJECT REDESIGNS SPECIALTY CARE AREAS, ALLOWING FOR EXPANSION OF SERVICE LINES AND PROVIDING EASIER ACCESS TO PATIENTS WHILE ADDING ADDITIONAL IMAGING CAPABILITIES. THE RENOVATION OF THE PRIMARY CARE CLINICS SUPPORTS THE PATIENT CENTERED CARE MODEL AND TEAM BASED APPROACH ALLOWING FOR CONTINUATION OF ADVANCED COORDINATED CARE. THE BUILDING PROJECT FURTHERS RIVERWOOD'S GOAL OF GIVING ENHANCED ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES.RIVERWOOD WAS RANKED IN THE TOP 20 CRITICAL ACCESS HOSPITAL'S IN THE NATION. THIS RECOGNITION IS BASED ON A RATING SYSTEM THAT EVALUATES RURAL AND CRITICAL ACCESS HOSPITALS AND LOOKS AT VARIOUS MARKET, VALUE-BASED AND FINANCIAL MEASURES. RIVERWOOD STRIVES TO ENSURE THAT CONSISTENT, HIGH QUALITY CARE IS CONTINUALLY DELIVERED AND THIS ACHIEVEMENT IS AN INDICATION THAT THE COMMUNITY CAN COUNT ON RIVERWOOD TO DELIVER THE SERVICES NEEDED NOW AND INTO THE FUTURE. WITH A FOCUSED CONCERN FOR THE COMMUNITY'S NEEDS, THIS RECOGNITION IS ANOTHER TESTAMENT THAT WE HAVE A BLUE PRINT FOR SUCCESS AS WE TRANSITION INTO VALUE-BASED CARE.RIVERWOOD HAS ATTAINED BABY FRIENDLY HOSPITAL DESIGNATION WHICH MOVES US CLOSER TO MEETING IMPORTANT PUBLIC HEALTH GOALS OF INCREASING THE PROPORTION OF LIVE BIRTHS THAT OCCUR IN FACILITIES THAT PROVIDE RECOMMENDED CARE FOR MOTHERS AND BABIES. IN ADDITION TO THIS, MOMMY AND ME CLASSES ARE OFFERED FREE OF CHARGE COVERING EDUCATIONAL TOPICS SUCH AS CHALLENGES FOR NEW MOMS, INFANT FEEDING AND LACTATION, FIRST YEAR OF DEVELOPMENT, SAFE SLEEP FOR BABIES, WEIGHT MANAGEMENT AND NUTRITION, SPEECH, LANGUAGE AND SOCIAL DEVELOPMENT.RIVERWOOD PURSUED AND ACHIEVED HEALTH CARE HOME (HCH) CERTIFICATION, THRU THE MINNESOTA DEPARTMENT OF HEALTH, FOR ITS THREE PRIMARY CARE CLINICS. THE FOCUS OF THE CERTIFICATION IS THE REDESIGN OF CARE DELIVERY AND MEANINGFUL ENGAGEMENT OF PATIENTS IN THEIR CARE. THIS PROVIDES A SHIFT FROM A MEDICAL MODEL OF HEALTH CARE TO A FOCUS ON LINKING PRIMARY CARE OF THE PATIENT WITH WELLNESS, PREVENTION, SELF-MANAGEMENT AND COMMUNITY SERVICES. THIS ACHIEVEMENT SUPPORTS OUR GOAL OF MAINTAINING AND EXPANDING MENTAL AND BEHAVIORAL HEALTH SERVICES. RIVERWOOD HAS DESIGNATIONS AS A LEVEL III TRAUMA CENTER, A COMPREHENSIVE ADVANCED LIFE SUPPORT HOSPITAL AND A LEVEL I HEART ATTACK PROGRAM. RIVERWOOD ATTAINED COMMISSION ON CANCER (COC) ACCREDITATION WHICH IMPROVES THE QUALITY OF PATIENT CARE THROUGH VARIOUS CANCER RELATED PROGRAMS. FOCUSING ON THE FULL SPECTRUM OF CANCER CARE, THE PROGRAM INCLUDES EMPHASIS ON PREVENTION, EARLY DIAGNOSIS, CANCER STAGING, OPTIMAL TREATMENT, LIFELONG FOLLOW UP FOR RECURRENT DISEASE AND END OF LIFE CARE.RIVERWOOD DEVELOPED A "FARM TO RIVERWOOD" PROGRAM THAT CONTRACTS WITH LOCAL FARMERS. THIS ENABLES THE HOSPITAL TO OFFER NUTRIENT DENSE, MINIMALLY PROCESSED FARM FRESH FOODS FOR FEATURE IN SPECIAL MEALS TO PATIENTS, GUESTS AND STAFF. THIS ENDEAVOR SUPPORTS RIVERWOODS GOAL TO HELP IMPROVE THE HEALTH OF THE POPULATION AND FOSTER POSITIVE BEHAVIORAL HEALTH THROUGH ENCOURAGING HEALTHY EATING ALL WHILE SUPPORTING AND PARTNERING WITH LOCAL VENDORS.RIVERWOOD SUPPORTS THE HEALTH OF THE COMMUNITY IN VARIOUS WAYS. HEALTH AND WELLNESS COACHING IS OFFERED FREE OF CHARGE. FREE BLOOD GLUCOSE MONITORS, SCALES, BLOOD PRESSURE CUFFS, ETC. ARE PROVIDED TO PATIENTS AT NO COST. DIABETES SUPPORT IS OFFERED THRU A SERIES OF NATIONAL DIABETES PREVENTION PROGRAM CLASSES AS WELL AS INDIVIDUAL APPOINTMENTS AND GROUP CLASSES. WELLNESS AND PHYSICAL ACTIVITIES INCLUDE SUPPORT OF AREA SCHOOL SPORTS, COMMUNITY WALKS/RUNS, AND FITNESS AND WELLNESS PROGRAMS. EDUCATING THE COMMUNITY ABOUT DRUG ABUSE, PREVENTION AND TREATMENT IS PART OF RIVERWOOD'S ONGOING COORDINATED EFFORTS ALONG WITH AITKIN COUNTY HEALTH AND HUMAN SERVICES, LOCAL LAW ENFORCEMENT AGENCIES, ETC. DEVELOPMENT IS UNDERWAY FOR A PROGRAM FOR THOSE ADDICTED TO OPIOIDS. COMMUNITY EDUCATION ON PRESCRIPTION DRUG DEPENDENCE AND HOW TO PREVENT IT IS BEING PROVIDED. FINANCIAL SUPPORT AND ASSISTANCE FOR PATIENTS IS OFFERED THRU RIVERWOOD'S CONFIDENTIAL FINANCIAL COUNSELING SERVICES (TELEPHONE 218-927-8284). RIVERWOOD PLACES CONTINUING EMPHASIS ON WORKING TOWARDS THE GOALS AS DEFINED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT LAST COMPLETED IN 2016. WITH IDENTIFIED PRIORITY HEALTH ISSUES OF MENTAL HEALTH, NUTRITION, PHYSICAL ACTIVITY AND WEIGHT, HEART DISEASE AND STROKE, DIABETES, ACCESS TO HEALTHCARE SERVICES, INJURY AND VIOLENCE AND SUBSTANCE ABUSE, WE KEEP THE NEEDS OF OUR PATIENTS AT THE FOREFRONT OF OUR ENDEAVORS. OUR PROGRESS AND SUCCESSES EACH YEAR ARE DUE TO OUR CONTINUAL FOCUS ON ADDRESSING OUR COMMUNITY'S HEALTH CARE NEEDS.Desc
Total Program Service Expenses$49,894,506TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document67IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee458EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUDY TURNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2189272121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JEFF EHNSTROM MD
DIRECTOR/PHYSICIAN40.00Yes (X)$396,129$0$40,595
STEVE WILSON
DIRECTOR1.00Yes (X)$0$0$0
ALISON MATALAMAKI
TREASURER1.00Yes (X)$0$0$0Yes (X)
MIKE PAULBECK
FORMER CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
JARED LUNDGREN
DIRECTOR1.00Yes (X)$0$0$0
TOM LUNDBERG
DIRECTOR1.00Yes (X)$0$0$0
TIMOTHY DIRKS MD
DIRECTOR1.00Yes (X)$0$0$0
DAVID MEYER
FORMER SECRETARY1.00Yes (X)$0$0$0Yes (X)
KATHLEEN RYAN
VICE CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
CHAD GROSS
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
CHRISTINE BRIGHT
SECRETARY1.00Yes (X)$0$0$0Yes (X)
CHAD COOPER
CEO39.90$387,437$0$40,345Yes (X)0.10
CASEY JOHNSON
CFO39.90$149,234$0$38,790Yes (X)0.10
CYNTHIA BAKER
COO40.00$125,795$0$19,685Yes (X)
MARK HEGGEM MD
CMO40.00$275,908$0$39,612Yes (X)
JEFFREY RAPP MD
PHYSICIAN40.00$294,141$0$34,274Yes (X)
JIM HARRIS MD
ER MEDICAL DIRECTOR40.00$333,149$0$37,062Yes (X)
DAVID TAYLOR MD
PHYSICIAN40.00$317,568$0$20,065Yes (X)
DONALD HUGHES MD
PHYSICIAN40.00$288,995$0$38,004Yes (X)
JOSELITO BURGOS JR MD
PHYSICIAN40.00$250,153$0$45,650Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,818,509TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$354,082TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LIFE GUARD ANESTHESIA SERVICES INC
29561 395TH PLACEAITKINMN56431ANESTHESIA PROF SVCS$1,240,465
CUYUNA RANGE HOSITAL DISTRICT
320 E MAINCROSBYMN56441MEDICAL/SURGICAL PROF SVCS$1,225,667
CENTRAL MINNESOTA DIAGNOSTICS INC
150 10TH STREET NWMILACAMN56353RADIOLOGY PROF SVCS$1,160,059
CUYUNA REGIONAL MEDICAL CENTER
320 E MAINCROSBYMN56441MEDICAL/SURGICAL PROF SVCS$1,095,704
ALLINA HEALTH SYSTEM
NW 7710 PO BOX 9383MINNEAPOLISMN55440MEDICAL & INFO TECH PROF SVCS$961,917
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$279,803RelatedOrganizationsAmt
Government Grants$393,980GovernmentGrantsAmt
All Other Contributions$185,267AllOtherContributionsAmt
Total Contributions$859,050TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621500$59,411,554$59,411,554
EQUITY IN EARNINGS OF AFFILIATES900099$263,222$265,983-$2,761
ELECTRONIC HEALTH RECORD INCENTIV621500$212,562$212,562
FieldValueIRS element (for citing)
Total Program Service Revenue$59,887,338TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$817,486TotalRevenueColumnAmt
Exclusion$817,486ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,411,557SecuritiesAmt
Other$2,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,895,210SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$516,347SecuritiesAmt
Other$2,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$518,347TotalRevenueColumnAmt
Related Or Exempt Func Income$518,347RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OTHER REVENUE900099$220,211$220,211
CAFETERIA900099$120,842$120,842
FieldValueIRS element (for citing)
Other Revenue Total$341,053OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,423,274TotalRevenueColumnAmt
Related Or Exempt Func Income$60,628,657RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,761UnrelatedBusinessRevenueAmt
Exclusion$938,328ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$256,697TotalAmt
Program Services$256,697ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,615,280TotalAmt
Program Services$455,038ProgramServicesAmt
Management And General$1,160,242ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,793,210TotalAmt
Program Services$18,845,367ProgramServicesAmt
Management And General$2,846,767ManagementAndGeneralAmt
Fundraising$101,076FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$812,574TotalAmt
Program Services$730,898ProgramServicesAmt
Management And General$81,676ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,351,082TotalAmt
Program Services$2,989,821ProgramServicesAmt
Management And General$361,261ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,506,596TotalAmt
Program Services$1,304,775ProgramServicesAmt
Management And General$201,821ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,411TotalAmt
Management And General$25,411ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$79,714TotalAmt
Management And General$79,714ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,035TotalAmt
Management And General$2,035ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$21,480TotalAmt
Fundraising$21,480FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,033,281TotalAmt
Program Services$8,128,107ProgramServicesAmt
Management And General$903,719ManagementAndGeneralAmt
Fundraising$1,455FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$116,632TotalAmt
Management And General$116,632ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,679,601TotalAmt
Program Services$975,487ProgramServicesAmt
Management And General$693,825ManagementAndGeneralAmt
Fundraising$10,289FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$217,780TotalAmt
Management And General$217,780ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$667,055TotalAmt
Program Services$544,844ProgramServicesAmt
Management And General$122,211ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$74,304TotalAmt
Program Services$58,230ProgramServicesAmt
Management And General$15,552ManagementAndGeneralAmt
Fundraising$522FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$62,630TotalAmt
Program Services$43,264ProgramServicesAmt
Management And General$18,738ManagementAndGeneralAmt
Fundraising$628FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$930,438TotalAmt
Program Services$772,264ProgramServicesAmt
Management And General$158,174ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,746,360TotalAmt
Program Services$3,109,479ProgramServicesAmt
Management And General$636,881ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$262,718TotalAmt
Management And General$262,718ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DRUGS$5,258,412$5,258,412
MEDICAL SUPPLIES$3,323,132$3,290,070$33,062
PROVISION FOR DOUBTFUL$1,697,472$1,697,472
REPAIRS & MAINTENANCE$1,111,310$1,022,934$86,618$1,758

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,927,778TotalAmt
Program Services$406,347ProgramServicesAmt
Management And General$1,488,521ManagementAndGeneralAmt
Fundraising$32,910FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,577,982TotalAmt
Program Services$49,894,506ProgramServicesAmt
Management And General$9,513,358ManagementAndGeneralAmt
Fundraising$170,118FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,708BOYAmt
EOY$5,194,208EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$335,845BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,248,725BOYAmt
EOY$12,193,420EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,526,643BOYAmt
EOY$1,692,421EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$435,898BOYAmt
EOY$604,456EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$66,341,075LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,892,019LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,628,633BOYAmt
EOY$27,449,056EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$28,497,776BOYAmt
EOY$30,489,791EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,145,801BOYAmt
EOY$7,700,602EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$81,835,029BOYAmt
EOY$85,323,954EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,521,073BOYAmt
EOY$7,274,666EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,429,624BOYAmt
EOY$20,353,904EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,172,062BOYAmt
EOY$12,800,278EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,122,759BOYAmt
EOY$40,428,848EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,868,052BOYAmt
EOY$43,476,529EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$844,218BOYAmt
EOY$1,418,577EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,712,270BOYAmt
EOY$44,895,106EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,835,029BOYAmt
EOY$85,323,954EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,845,292ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$763,185NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$574,359OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,035OtherActivitiesAmt
Total Lobbying Expenditures$2,035TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$564,552BeginningYearBalanceAmt
Contributions$650ContributionsAmt
Investment Earnings Or Losses$50,390InvestmentEarningsOrLossesAmt
End Year Balance$615,592EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$530,721BeginningYearBalanceAmt
Contributions$10,600ContributionsAmt
Investment Earnings Or Losses$38,231InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,000GrantsOrScholarshipsAmt
End Year Balance$564,552EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$558,330BeginningYearBalanceAmt
Contributions$75ContributionsAmt
Investment Earnings Or Losses-$22,684InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,000GrantsOrScholarshipsAmt
End Year Balance$530,721EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$406,564BeginningYearBalanceAmt
Contributions$134,710ContributionsAmt
Investment Earnings Or Losses$27,056InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,000GrantsOrScholarshipsAmt
Other Expenditures$8,000OtherExpendituresAmt
End Year Balance$558,330EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$380,978BeginningYearBalanceAmt
Contributions$15,063ContributionsAmt
Investment Earnings Or Losses$26,281InvestmentEarningsOrLossesAmt
Administrative Expenses$15,758AdministrativeExpensesAmt
End Year Balance$406,564EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.37560BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.43710PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.18730TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,327,070OtherCostOrOtherBasisAmt
Book Value$1,327,070BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,302,042OtherCostOrOtherBasisAmt
Depreciation$15,776,006DepreciationAmt
Book Value$17,526,036BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,573,924OtherCostOrOtherBasisAmt
Depreciation$20,605,570DepreciationAmt
Book Value$5,968,354BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,138,039OtherCostOrOtherBasisAmt
Depreciation$2,510,443DepreciationAmt
Book Value$2,627,596BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,449,056TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED FOR RESERVE ACCOUNTS$688,320
BENEFICIAL INTEREST IN NET ASSETS-HOSPITAL FOUNDATION$1,418,577
INVESTMENT IN CENTRAL MINNESOTA DIAGNOSTICS, INC.$991,537
ASSETS LIMITED BY AGREEMENT FOR DEFERRED COMPENSATION$1,513,075
ASSETS LIMITED BY AGREEMENT FOR WORKER'S COMPENSATION$238,000
ASSETS LIMITED BY BOARD FOR FUNDED DEPRECIATION$2,851,093
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,700,602TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$61,816,034TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$763,185NetUnrealizedGainsInvstAmt
Other Revenue-$1,368,425OtherRevenueAmt
Revenue Not Reported-$605,240RevenueNotReportedAmt
Revenue Subtotal$62,421,274RevenueSubtotalAmt
Other Revenues Not Included$2,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$62,423,274TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$57,633,198TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$2,000OtherExpensesIncludedAmt
Expenses Not Reported-$2,000ExpensesNotReportedAmt
Expenses Subtotal$57,635,198ExpensesSubtotalAmt
Other Expenses Not Included$1,942,784OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,942,784ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$59,577,982TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO BE USED AND DISTRIBUTED AS A SCHOLARSHIP OR EDUCATIONAL FUND TO AID IN THE EDUCATION AND RECRUITMENT OF HEALTH CARE PROFESSIONALS FOR RIVERWOOD HEALTHCARE CENTER.
PART X, LINE 2:NOT-FOR-PROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED, AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE CENTER HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2014.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL RECEIVABLES -1,697,472. DECREASE IN INTEREST IN NET ASSETS - AITKIN COMMUNITY HOSPITAL FOUNDATION 574,359. CONTRIBUTIONS TO RIVERWOOD FOUNDATION -245,312.
PART XI, LINE 4B - OTHER ADJUSTMENTS:GAIN ON SALE OF EQUIPMENT 2,000.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GAIN ON SALE OF EQUIPMENT -2,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL RECEIVABLES 1,697,472. CONTRIBUTIONS TO RIVERWOOD FOUNDATION 245,312.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
VELA STRATEGY
PO BOX 54SAUK RAPIDSMN56379GRANT WRITING0$275,000$9,780$265,220
JAYNES JONES
W5758 BAYSIDE DRIVESPOONERWI54801GRANT WRITING0$0$11,700-$11,700
FieldValueIRS element (for citing)
Total Gross Receipts$275,000TotalGrossReceiptsAmt
Total Retained By Contractors$21,480TotalRetainedByContractorsAmt
Total Net To Organization$253,520TotalNetToOrganizationAmt
Licensed StatesMNLicensedStatesCd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1RIVERWOOD HEALTHCARE CENTER PAYS FOR THE PROFESSIONAL FUNDRAISERS, BUT THE FUNDRAISING ACTIVITIES ARE DONE THROUGH THE RIVERWOOD HEALTHCARE CENTER FOUNDATION. THE FOUNDATION RAISED FUNDS THROUGH THE FOLLOWING ACTIVITIES: MAIL SOLICITATIONS, EMAIL SOLICITATIONS, IN-PERSON SOLICITATIONS, PHONE SOLICITATIONS, AND SPECIAL FUNDRAISING EVENTS.
PART I, LINE 2RIVERWOOD HEALTHCARE CENTER PAYS FOR THE PROFESSIONAL FUNDRAISERS (COLUMN V), BUT WHETHER THE GROSS RECEIPTS ARE RECEIVED BY THE RIVERWOOD HEALTHCARE CENTER FOUNDATION OR THE RIVERWOOD HEALTHCARE CENTER IS DEPENDENT ON THE GRANTOR (COLUMN IV).

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$819,090TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$819,090NetCommunityBenefitExpnsAmt
Total Expense0.01420TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,934,680TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,824,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,110,142NetCommunityBenefitExpnsAmt
Total Expense0.01920TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,753,770TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,824,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,929,232NetCommunityBenefitExpnsAmt
Total Expense0.03340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$759,327TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$759,327NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,940TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,940NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$778,267TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$778,267NetCommunityBenefitExpnsAmt
Total Expense0.01340TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,532,037TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,824,538DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,707,499NetCommunityBenefitExpnsAmt
Total Expense0.04680TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,697,472BadDebtExpenseAmt
Bad Debt Expense Attributable$351,400BadDebtExpenseAttributableAmt
Reimbursed By Medicare$21,378,813ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,513,812CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$134,999MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD HEALTHCARE CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
State License375729StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1AITKIN COMMUNITY HOSPITAL DBA RIVERWOODBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, PAGE 8OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 5: RIVERWOOD HEALTHCARE CENTER SELECTED A GROUP OF 150 LOCAL RESIDENTS AND RECOMMENDED THE NAMES TO THE INDEPENDENT VENDOR RESEARCH CONSULTANTS, INC. (PRC), FOR INCLUSION IN AN ONLINE QUESTIONNAIRE. THE RESPONSES TO THE QUESTIONNAIRE WERE USED TO A FORM A COMMUNITY HEALTH PANEL. OF THE TOTAL ABOVE, 102 RESPONSES WERE RECEIVED BACK. FEEDBACK AND RESPONSES WERE RECEIVED FROM AREA SCHOOL DISTRICTS, LOCAL LAW ENFORCEMENT, AITKIN COUNTY HEALTH AND HUMAN SERVICES, AREA BUSINESSES AND COMMUNITY LEADERS, AND AREA HEALTHCARE PROFESSIONALS.
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 11: THE MISSION OF RIVERWOOD HEALTHCARE CENTER IS TO PROVIDE HIGH QUALITY, COMPASSIONATE, AND PERSONALIZED CARE. THE IMPLEMENTATION STRATEGY IS DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF THE PEOPLE OF AITKIN COUNTY, AND THEIR UNIQUE CHARACTERISTICS AND HEALTHCARE NEEDS. THE IMPLEMENTATION STRATEGIES ARE BASED ON RIVERWOOD'S CURRENT PROGRAMMING, SURVEY DATA, AND COMMUNITY INPUT. RIVERWOOD'S STRATEGIC PLAN IS DEVELOPED BY ITS LEADERSHIP TEAM AND REVIEWED ANNUALLY. THE IMPLEMENTATION STRATEGY ALSO IDENTIFIES HOW EXISTING AND PLANNED RIVERWOOD SERVICES, PARTNERSHIPS AND PROGRAMS WILL BE UTILIZED TO HELP ADDRESS COMMUNITY HEALTH NEEDS. THE IMPLEMENTATION STRATEGY FOR THE HEALTH OF AITKIN COUNTY CHNA IS THE HOSPITAL/COMMUNITY PLAN FOR ADDRESSING THE COMMUNITY HEALTH NEEDS. IRS NOTICE 2011-52 DICTATES THE CONTENTS OF AN IMPLEMENTATION STRATEGY, AND STATES THAT THE HOSPITAL MUST ADDRESS HOW IT BOTH INTENDS AND DOES NOT INTEND TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. RIVERWOOD HEALTHCARE CENTER'S IMPLEMENTATION STRATEGY IS DESCRIBED IN THIS SECTION OF THE REPORT. WE WILL CONTINUE TO STAY THE COURSE AND FOLLOW OUR STRATEGIC PLAN. WE WILL CREATE THE FUTURE WE SEEK BY FOCUSING ON SIX CRITICAL STRATEGIC GOALS:(1) QUALITY: OUR CUSTOMERS ARE DEMANDING MORE EFFICIENCY, BETTER QUALITY, AND SUPERIOR SAFETY. WE WILL LEAD IN DELIVERING ON THESE REQUIREMENTS THROUGH IMPROVED DATA, REPORTING AND PROCESS IMPROVEMENTS.(2) PEOPLE: OUR PEOPLE ARE KEY. WE WILL INSPIRE THEIR TRUST, IMPROVE THEIR SKILLS, AND DEVELOP LEADERSHIP AND ENGAGEMENT THAT LEADS US INTO A STRONGER FUTURE.(3) STEWARDSHIP: WE WILL ACHIEVE OPERATING MARGINS THAT ENSURE LONG-TERM FINANCIAL STRENGTH AND THE CAPACITY TO CONTINUE TO INVEST FOR THE BENEFIT OF PATIENTS AND FAMILIES.(4) GROWTH: WE WILL GROW OUR PRIMARY CARE SERVICES AND SHARE OF OUR MARKET. WE INTEND TO BUILD THE CONFIDENCE OF OUR COMMUNITY IN THEIR ABILITY AND DESIRE TO STAY LOCAL FOR CARE AND KNOW THAT WHEN THEY NEED SPECIALIZED OR TERTIARY CARE WE WILL MAKE THE TRANSITION EASY.RIVERWOOD'S ADDRESSING OF NEEDSRIVERWOOD'S IMPLEMENTATION STRATEGY WILL ADDRESS ALL THE IDENTIFIED PRIORITIES. PRIORITY HEALTH ISSUES TO BE ADDRESSED WILL FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE: 1) MENTAL HEALTH 2) NUTRITION, PHYSICAL ACTIVITY AND WEIGHT 3) HEART DISEASE AND STROKE4) DIABETES5) ACCESS TO HEALTHCARE SERVICES6) INJURY AND VIOLENCE 7) SUBSTANCE ABUSETHE ONLY ISSUES THAT WILL NOT BE ADDRESSED IS FAMILY PLANNING, SINCE THE HOSPITAL HAS LIMITED RESOURCES TO ADDRESS UNINTENDED PREGNANCIES FOR TEENS. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS TO BETTER MEET THE NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA FOR ACTION.CONCLUSION IN ADDITION TO SPECIFIC STRATEGIES AND MISSION DRIVEN PROGRAMS, RIVERWOOD HEALTHCARE CENTER WILL CONTINUE TO BUILD ITS PATIENT-CENTERED HEALTHCARE HOME (PCHH) AS IT ADDRESSES COMMUNITY NEEDS. IT IS WHAT ALIGNS WITH THE HOSPITAL STRATEGIC PLAN AND WITH THE CHNA. WE KNOW THAT THE PCHH IS NOT ONLY THE WAVE OF THE FUTURE, BUT WILL POSITIVELY IMPACT THE HEALTH OF THE PEOPLE OF AITKIN COUNTY. RHCC BUILDS EVALUATIVE MEASURES AND GOALS INTO ALL OF ITS PROGRAMS AND SERVICES. IN ADDITION, THE CHNA PLAN IS REVIEWED AND REWRITTEN EVERY 3 YEARS. RHCC'S MANAGEMENT TEAM WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN THE IMPLEMENTATION STRATEGIES AND MONITOR ITS PROGRESS, AND MAKE ADJUSTMENTS TO STRATEGIES AS NEEDED.
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 16J: THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO IS AVAILABLE TO TALK WITH ANY PATIENT WHO FEELS THEY MAY HAVE DIFFICULTY PAYING THEIR BILL. SHE IS A TRAINED MNSURE NAVIGATOR AND CAN ASSIST ANYONE WITH CHECKING TO SEE IF THEY QUALIFY FOR MEDICAL ASSISTANCE, MNCARE OR IF THEY COULD PURCHASE AN INSURANCE. SHE OFFERS INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) AND CAN ANSWER ANY QUESTIONS ON APPLYING FOR AND GETTING COMMUNITY CARE THROUGH THE HOSPITAL. ALL THE HOSPITAL'S PATIENT ACCOUNTS REPRESENTATIVES ARE EDUCATED ABOUT COMMUNITY CARE AND IF PATIENTS INDICATE THEY DON'T FEEL THEY CAN PAY, STAFF WILL GET THEM THE FAP AND APPLICATION. NURSING, PHYSICIANS AND ALL PATIENT CARE STAFF ARE EDUCATED ABOUT FAP AND SHARE PATIENTS WHO INDICATED A NEED. RIVERWOOD ALSO HAS DAILY PATIENT CENTERED BEDSIDE ROUNDING WHERE ALL INPATIENTS AND THEIR FAMILIES GET TO MEET WITH THE HOSPITAL'S HEALTHCARE TEAM, WHICH INCLUDES THE FINANCIAL COUNSELOR. EVERY TEAM MEMBER INTRODUCES THEMSELVES AND EXPLAINS WHAT THEY DO, WITH THE FINANCIAL COUNSELOR INFORMING THE PATIENT ABOUT HER AVAILABILITY TO ASSIST THEM WITH ANY OF THEIR INSURANCE OR FINANCIAL NEEDS. EACH INPATIENT ALSO GETS A FOLDER OF BROCHURES OF HEALTHCARE INFORMATION AS PART OF THEIR STAY. THIS FOLDER CONTAINS INFORMATION REGARDING THE FAP AND LISTS THE FINANCIAL COUNSELORS CONTACT INFORMATION, SHOULD A PATIENT WANT TO MAKE CONTACT AFTER DISCHARGE FROM THE FACILITY.
PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITEHTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2016/10/2016-RHCC-CHNA-REPORT-AITKIN-COUNTY-MN.PDF
PART V, LINE 16A, FAP WEBSITEHTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2018/06/COMMUNITY-CARE-AND-UNINSURED-POLICY.PDF
PART V, LINE 16B, FAP APPLICATION WEBSITEHTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2018/06/COMMUNITY-CARE-AND-UNINSURED-POLICY.PDF
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARYHTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2018/06/COMMUNITY-CARE-AND-UNINSURED-POLICY.PDF
PART V, LINE 7B, CHNA - OTHER WEBSITEHTTP://AITKINCOUNTY.HEALTHFORECAST.NET/2016%20PRC%20CHNA%20REPORT%20-%20AITKIN%20COUNTY,%20MN.PDF
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - RIVERWOOD AITKIN CLINIC
200 BUNKER HILL DRIVEAITKINMN56431CLINIC
2 - RIVERWOOD MCGREGOR CLINIC
2 E CENTRAL AVENUEAITKINMN56431CLINIC
3 - RIVERWOOD GARRISON CLINIC
27278 STATE HWY 18GARRISONMN56450CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO INCOME BASED TESTING, OUR CHARITY CARE POLICY REQUIRES THAT AN APPLICANT MUST HAVE RECEIVED A DENIAL FROM EITHER MEDICAID (MINNESOTA ASSISTANCE) OR OTHER STATE SUBSIDIZED HEALTHCARE PROGRAMS (MINNESOTA CARE OR GMAC).
PART I, LINE 7:COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED 2017 MEDICARE COST REPORT.
PART I, LN 7 COL(F):BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS IS $1,697,472.
PART I LINE 6ATHE ORGANIZATION FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MINNESOTA. THIS INFORMATION IS AVAILABLE ON THE MINNESOTA HOSPITAL ASSOCIATION WEBSITE.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 2:MANAGEMENT DETERMINES THE ALLOWANCES FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND THEN USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS.
PART III, LINE 3:THE HOSPITAL LOOKS AT THE NUMBER OF CHARITY CARE APPLICATIONS SENT TO POTENTIAL APPLICANTS AND COMES UP WITH AN APPROVAL RATIO BASED ON RETURNED APPLICATIONS. THE PERCENTAGE OF UNRETURNED APPLICATIONS IS THEN MULTIPLIED BY THE TOTAL DOLLAR AMOUNT OF BAD DEBT EXPENSE.
PART III, LINE 4:FROM FOOTNOTE 1 OF THE AUDITED FINANCIAL STATEMENTS - "ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ONGOING ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH PRIVATE-PAY PATIENTS, THE CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.THE CENTER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE REVISED AS NEEDED IN FUTURE PERIODS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS A PERCENTAGE OF PRIVATE-PAY RECEIVABLES HAS DECREASED FROM 61.3 PERCENT FOR THE YEAR ENDED SEPTEMBER 30, 2016, TO 54.7 PERCENT FOR THE YEAR ENDED SEPTEMBER 30, 2017.THE CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2017 OR 2016. THE CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.RECEIVABLES OR PAYABLES RELATED TO ESTIMATED SETTLEMENTS WITH GOVERNMENT PAYORS ARE REPORTED AS THIRD-PARTY PAYOR SETTLEMENTS RECEIVABLE OR PAYABLE."
PART III, LINE 8:RECONCILIATION OF TOTAL MEDICARE PROGRAM AND WHAT IS ALLOWED ON THE COST REPORT:AITKIN COMMUNITY HOSPITAL IS A CRITICAL ACCESS HOSPITAL THAT IS REIMBURSED AT 101% OF CERTAIN COSTS (LESS 2% MEDICARE SEQUESTRATION). THE HOPSITAL FACILITY'S TOTAL MEDICARE SHORTFALL IS $708,322, OF WHICH A SHORTFALL OF $134,999 (CONSISTING OF $21,378,813 NET REVENUE AND $21,513,812 COST) IS INCLUDED ON PART III, SECTION B, LINES 5-7, AND A SHORTFALL OF $573,324 (CONSISTING OF $5,971,263 NET REVENUE AND $6,544,587 COST) REPRESENT ALL OTHER MEDICARE SERVICES NOT INCLUDED IN THE ANNUAL COST REPORT.THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.
PART III, LINE 9B:AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND REDIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECEIPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFORMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:NEEDS ASSESSMENT:AITKIN COMMUNITY HOSPITAL PERFORMS A COMMUNITY NEEDS ASSESSMENT TO EVALUATE THE HEALTH CARE NEEDS OF THE COMMUNITY EVERY 3 YEARS WITH AN OUTSIDE CONSULTING FIRM.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND REDIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECEIPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION OR SLIDING FEE SCALE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. RIVERWOOD'S EMPLOYED FINANCIAL COUNSELOR IS A MNSURE NAVIGATOR, TRAINED AND CERTIFIED BY THE STATE OF MINNESOTA, AND IS AVAILABLE TO ASSIST PATIENTS WITH CHECKING FOR THEIR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE, MNSURE, OR TO PURCHASE INSURANCE.THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND SLIDING FEE SCALE AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFORMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE. NURSING PROVIDERS AND ALL HEALTHCARE STAFF ARE ALSO AWARE OF THE ASSISTANCE PROGRAM AND CAN HELP DIRECT PATIENTS TO THE FINANCIAL COUNSELOR.
PART VI, LINE 4:COMMUNITY INFORMATION:AITKIN COMMUNITY HOSPITAL, INC. D.B.A. RIVERWOOD HEALTHCARE CENTER (RIVERWOOD), A 501(C)3 NON-PROFIT CORPORATION, IS SITUATED IN THE CENTER OF AITKIN COUNTY. IT WAS FOUNDED IN 1948 AND IS LOCATED AT 200 BUNKER HILL DRIVE IN AITKIN, MN (POP. 1984). RIVERWOOD IS A 25 BED ACUTE-CARE CRITICAL ACCESS HOSPITAL AND HAS THREE RURAL HEALTH CLINICS IN AITKIN, MCGREGOR AND GARRISON. ALL THREE CLINICS ARE LOCATED IN A MEDICALLY UNDERSERVED AREA (MUA). RIVERWOOD OFFERS PATIENTS A CONTINUUM OF CARE INCLUDING INPATIENT, OUTPATIENT, SPECIALTY, SURGICAL AND EMERGENCY SERVICES. THE DISTANCE TO THE NEXT HOSPITAL IS 17 MILES. DULUTH AND ST. CLOUD ARE THE TWO CLOSEST CITIES WITH TERTIARY CARE CENTERS BOTH APPROXIMATELY 90 MILES FROM AITKIN.RIVERWOOD SERVES THE RESIDENTS OF AITKIN COUNTY (POP. 16,149) THE EAST SIDE OF CROW WING COUNTY (POP. 61,009) AND MILLE LACS COUNTY (POP. 26,169). THE GEOGRAPHIC AREA OF THESE COUNTIES IS RURAL.SPECIAL POPULATIONS SERVED INCLUDE THOSE WITH A HIGH RATE OF POVERTY AND UNEMPLOYMENT WITH AITKIN, CROW WING AND MILLE LACS COUNTIES. IN 2007, THE ESTIMATED PERCENTAGES OF THESE THREE COUNTIES WITH POPULATIONS BELOW POVERTY LEVEL WERE RESPECTIVELY: AITKIN - 13.4%, CROW WING - 9.3%, MILLE LACS - 9.5%. ADDITIONALLY, ACCORDING TO THE MINNESOTA DEPARTMENT OF EMPLOYMENT AND ECONOMIC DEVELOPMENT, THE UNEMPLOYMENT RATE IN AITKIN COUNTY SKYROCKETED TO 10.5% IN JANUARY 2009, WHICH IS NEARLY 4 PERCENTAGE POINTS OVER THE STATE AVERAGE OF 6.9%. THE DEPARTMENT OF LABOR AND INDUSTRY CONSIDERS AITKIN COUNTY TO BE A "LABOR SURPLUS AREA". OTHER SPECIAL POPULATIONS SERVED ALSO INCLUDE THE ELDERLY. THE LARGEST PERCENTAGE OF RIVERWOOD'S CURRENT PATIENT BASE CONSISTS OF PATIENTS OVER THE AGE OF 65. POPULATION PROJECTIONS INDICATE THAT BETWEEN THE YEARS OF 2005-2030, A 50% OVERALL INCREASE IS EXPECTED IN AITKIN COUNTY WITH THE 65+ AGE GROUP BY 120%. AITKIN COUNTY HAS THE OLDEST MEDIAN POPULATION IN MINNESOTA.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH:IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE CENTER PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY BASED SERVICE PROGRAMS AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESMN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD HEALTHCARE CENTER & COMMUNITY HOSPITAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILLAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411738787RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$245,312CashGrantAmt
Purpose Of GrantGENERAL OPERATIONSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF EHNSTROM MD
DIRECTOR/PHYSICIAN$386,612$0$9,517$0$0$0$10,600$0$29,995$0$436,724$0$0$0
CHAD COOPER
CEO$332,592$0$47,645$0$7,200$0$10,600$0$29,745$0$427,782$0$0$0
CASEY JOHNSON
CFO$141,904$0$7,330$0$0$0$6,482$0$32,308$0$188,024$0$0$0
MARK HEGGEM MD
CMO$268,578$0$7,330$0$0$0$10,600$0$29,012$0$315,520$0$0$0
JEFFREY RAPP MD
PHYSICIAN$288,641$0$5,500$0$0$0$10,600$0$23,674$0$328,415$0$0$0
JIM HARRIS MD
ER MEDICAL DIRECTOR$323,149$0$10,000$0$0$0$10,600$0$26,462$0$370,211$0$0$0
DAVID TAYLOR MD
PHYSICIAN$307,568$0$10,000$0$0$0$10,600$0$9,465$0$337,633$0$0$0
DONALD HUGHES MD
PHYSICIAN$279,478$0$9,517$0$0$0$10,600$0$27,404$0$326,999$0$0$0
JOSELITO BURGOS JR MD
PHYSICIAN$240,636$0$9,517$0$0$0$10,600$0$35,050$0$295,803$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationRIVERWOOD HAS A COMPENSATION COMMITTEE OF THE BOARD WHICH MEETS ANNUALLY TO REVIEW, DISCUSS AND RECOMMEND APPROVAL TO THE FULL BOARD OF THE ANNUAL INCENTIVE COMPENSATION GOALS FOR THE CEO AND CERTAIN MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. ANNUALLY, THE COMMITTEE ALSO REVIEWS COMPENSATION OF THE CEO AS WELL AS MEMBERS OF THE EXECUTIVE LEADERSHIP TO ENSURE STATED COMPENSATION FALLS WITHIN A FAIR MARKET VALUE RANGE. IN DOING SO, THE COMMITTEE RELIES HEAVILY ON A COMPENSATION SURVEY(S) WHICH IS CONDUCTED BY AN EXTERNAL COMPENSATION CONSULTANT GENERALLY EVERY 2 YEARS, ALONG WITH ANY OTHER DATA OR FACTORS WHICH THE COMMITTEE MAY DEEM RELEVANT FROM TIME TO TIME. UPON RECOMMENDATION FROM THE COMPENSATION COMMITTEE, THE FULL BOARD IS RESPONSIBLE FOR APPROVING COMPENSATION OF THE CEO AS WELL AS THE ANNUAL INCENTIVE COMPENSATION GOALS AND ASSOCIATED METRICS.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF AITKIN
A4160049182016-05-17$5,985,025REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001000
CITY OF MCGREGOR
B4109067362016-05-17$8,000,000REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001000
CITY OF TAMARACK
C4113158422016-05-17$8,000,000REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$385,364$5,985,025$89,142$5,895,8832013Yes (1)0Yes (1)Yes (1)
B$515,104$8,000,000$119,153$7,880,8472013Yes (1)0Yes (1)Yes (1)
C$515,104$8,000,000$119,153$7,880,8472013Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJENNIFER EHNSTROMPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF BOARD MEMBER JEFFREY EHNSTROM, MDRelationshipDescriptionTxt
Transaction$17,136TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6RIVERWOOD HEALTHCARE CENTER HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ARIVERWOOD HEALTHCARE CENTER HAS MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD HAS AUTHORIZED THE FINANCE COMMITTEE TO REVIEW AND APPROVE THE 990 AFTER PREPARATION. AFTER APPROVAL BY THE FINANCE COMMITTEE, THE 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. CONFLICTS ARE DISCUSSED, REVIEWED, AND FORMS ARE SIGNED ANNUALLY BY EACH BOARD MEMBER. THIS IS DONE AT THE HOSPITAL'S ANNUAL REORGANIZATIONAL MEETING. SECTION 1. PURPOSE THE PURPOSE OF THIS POLICY IS TO PROVIDE A MEANS BY WHICH TO ADDRESS ANY CONFLICT OF INTEREST INVOLVING THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, AND EMPLOYEES THAT AFFECT OR HAVE THE POTENTIAL TO AFFECT THE SAFETY OR QUALITY OF CARE, TREATMENT, AND SERVICES. SECTION 2. PERSONS CONCERNED THIS STATEMENT IS DIRECTED NOT ONLY TO BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, BUT TO ALL EMPLOYEES OR NON-EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF RHCC FOR EXAMPLE, THIS WOULD INCLUDE ALL WHO MAKE PURCHASING DECISIONS, ALL PERSONS WHO MIGHT BE DESCRIBED AS "MANAGEMENT PERSONNEL, AND ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING RHCC. SECTION 3. AREAS IN WHICH CONFLICT MAY ARISE CONFLICTS OF INTEREST MAY ARISE IN THE RELATIONS OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WITH ANY OF THE FOLLOWING THIRD PARTIES: 1. PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO RHCC. 2. PERSONS AND FIRMS FROM WHOM RHCC LEASES PROPERTY AND EQUIPMENT. 3. PERSONS AND FIRMS WITH WHOM RHCC IS DEALING OR PLANNING TO DEAL IN CONNECTION WITH THE GIFT, PURCHASE OR SALE OF REAL ESTATE, SECURITIES, OR OTHER PROPERTY. 4. COMPETING OR AFFINITY ORGANIZATIONS. 5. DONORS AND OTHERS SUPPORTING RHCC. 6. AGENCIES, ORGANIZATIONS AND ASSOCIATIONS WHICH AFFECT THE OPERATIONS OF RHCC. 7. FAMILY MEMBERS, FRIENDS, AND OTHER EMPLOYEES. SECTION 4. NATURE OF CONFLICTING INTEREST A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS MENTIONED IN SECTION 3. SUCH AN INTEREST MIGHT ARISE THROUGH: SECTION 5. INTERPRETATION OF THIS STATEMENT OF POLICY THE AREAS OF CONFLICTING INTEREST LISTED IN SECTION 3, AND THE RELATIONS IN THOSE AREAS WHICH MAY GIVE RISE TO CONFLICT, AS LISTED IN SECTION 4, ARE NOT EXHAUSTIVE. CONFLICTS MIGHT ARISE IN OTHER AREAS OR THROUGH OTHER RELATIONS. IT IS ASSUMED THAT THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WILL RECOGNIZE SUCH AREAS AND RELATION BY ANALOGY. THE FACT THAT ONE OF THE INTERESTS DESCRIBED IN SECTION 4 EXISTS DOES NOT NECESSARILY MEAN THAT A CONFLICT EXISTS, OR THAT THE CONFLICT, IF IT EXISTS, IS MATERIAL ENOUGH TO BE OF PRACTICAL IMPORTANCE, OR IF MATERIAL, THAT UPON FULL DISCLOSURE OF ALL RELEVANT FACTS AND CIRCUMSTANCES IT IS NECESSARILY ADVERSE TO THE INTERESTS OF RHCC. HOWEVER, IT IS THE POLICY OF THE GOVERNING BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS DESCRIBED IN SECTION 4 SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. SECTION 6. DISCLOSURE POLICY AND PROCEDURE PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST AND ALL MATERIAL FACTS ARE FULLY DISCLOSED TO THE GOVERNING BOARD OF DIRECTORS OR TO A COMMITTEE WITH BOARD-DELEGATED POWERS; 2. THE PERSON WITH THE CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL BE EXCLUDED FROM THE DISCUSSION AND VOTE ON APPROVAL OF SUCH TRANSACTION; 3. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 4. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER RHCC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN RHCC'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO RHCC, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. DISCLOSURE DISCLOSURE IN RHCC SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE GOVERNING BOARD OF DIRECTORS. DISCLOSURE INVOLVING DIRECTORS SHOULD BE MADE TO THE GOVERNING BOARD CHAIR (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE GOVERNING BOARD VICE-CHAIR) WHO SHALL BRING THESE MATTERS TO THE GOVERNING BOARD. DECISION THE GOVERNING BOARD OF DIRECTORS OR A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO RHCC. IN THE CASE OF A CONFLICT INVOLVING A MEMBER OF THE GOVERNING BOARD OF DIRECTORS, THE GOVERNING BOARD OR COMMITTEE REVIEWING THE MATTER SHALL CONSIDER THE DISABLING GUIDELINES ATTACHED HERETO. THE DECISION OF THE GOVERNING BOARD OR COMMITTEE ON THESE MATTERS WILL REST IN ITS SOLE DISCRETION, AND ITS CONCERN MUST BE THE WELFARE OF RHCC AND THE ADVANCEMENT OF RHCC'S PURPOSE. SECTION 7. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY 1. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. 2. IF, AFTER HEARING THE RESPONSE OF THE PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE NO ACTION, REPRIMAND, REQUEST FOR RESIGNATION OR REMOVAL FROM THE BOARD OF DIRECTORS AS THE FACTS AND CIRCUMSTANCES MAY WARRANT. SECTION 9. COMPENSATION 1. A VOTING MEMBER OF THE BOARD OF DIRECTORS WHO RECEIVES COMPENSATION FOR PROVISION OF SERVICES AS AN EMPLOYEE OR CONTRACTOR, DIRECTLY OR INDIRECTLY, FROM RHCC IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 2. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 3. NO MEMBER OF THE BOARD OR ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING COMPENSATION. 4. PHYSICIANS WHO RECEIVE COMPENSATION FROM RHCC, WHETHER DIRECTLY OR INDIRECTLY OR AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS. NO PHYSICIAN, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING PHYSICIAN COMPENSATION. SECTION 10. ANNUAL STATEMENTS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING OR FOUNDATION BOARD DELEGATED POWERS, AND ALL LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON-- 1. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2. HAS READ AND UNDERSTANDS THE POLICY; 3. HAS AGREED TO COMPLY WITH THE POLICY; AND 4. UNDERSTANDS THAT RHCC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15ARIVERWOOD HAS A COMPENSATION COMMITTEE OF THE BOARD WHICH MEETS ANNUALLY TO REVIEW, DISCUSS AND RECOMMEND APPROVAL TO THE FULL BOARD OF THE ANNUAL INCENTIVE COMPENSATION GOALS FOR THE CEO AND CERTAIN MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. ANNUALLY, THE COMMITTEE ALSO REVIEWS COMPENSATION OF THE CEO AS WELL AS MEMBERS OF THE EXECUTIVE LEADERSHIP TO ENSURE STATED COMPENSATION FALLS WITHIN A FAIR MARKET VALUE RANGE. IN DOING SO, THE COMMITTEE RELIES HEAVILY ON A COMPENSATION SURVEY(S) WHICH IS CONDUCTED BY AN EXTERNAL COMPENSATION CONSULTANT GENERALLY EVERY 2 YEARS, ALONG WITH ANY OTHER DATA OR FACTORS WHICH THE COMMITTEE MAY DEEM RELEVANT FROM TIME TO TIME. UPON RECOMMENDATION FROM THE COMPENSATION COMMITTEE, THE FULL BOARD IS RESPONSIBLE FOR APPROVING COMPENSATION OF THE CEO AS WELL AS THE ANNUAL INCENTIVE COMPENSATION GOALS AND ASSOCIATED METRICS. DOCUMENTATION AND RECORD KEEPING IS MAINTAINED FOR BOTH COMPENSATION COMMITTEE AND BOARD MEETINGS WHERE COMPENSATION DISCUSSIONS AND/OR DECISIONS OCCUR. THE FULL PROCESS AS SUMMARIZED ABOVE LAST OCCURRED FOR THE CEO IN THE LATER PART OF CALENDAR YEAR 2016.
FORM 990, PART VI, SECTION C, LINE 19THE ANNUAL REPORT, WHICH PROVIDES AN OVERVIEW OF THE ORGANIZATION'S FINANCIAL STATUS, IS MADE AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IT IS MAILED TO MEMBERS OF THE ORGANIZATION, ORGANIZATIONS THAT WE HAVE FINANCING WITH, AND IS AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,287,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,287,038. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,841,069. MANAGEMENT AND GENERAL EXPENSES 903,719. FUNDRAISING EXPENSES 1,455. TOTAL EXPENSES 5,746,243.
FORM 990, PART XI, LINE 9:INCREASE IN INTEREST IN NET ASSETS OF AITKIN COMMUNITY HOSPITAL FOUNDATION 574,359.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD HEALTH CARE CENTER FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
EIN411738787EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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