RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201823199349316052
Schema version
2017v2.3
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)
Return2018-11-15T16:16:39-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311667875EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRIDGBusinessNameControlTxt
Phone9524422191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1Txt
CityWACONIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP553871791ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENT WORDELMANPersonNm
Person TitleDIRECTOR OF FINANCEPersonTitleTxt
Phone9524422191PhoneNum
Signature2018-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARRYN MCGARVEYPreparerPersonNm
PTINP00958683PTIN
Phone6123764500PhoneNum
Preparation2018-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-14IPDt
IP Tm20:19:48IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFD302F4D5CE3C660ABAF9933EAAEEC9F457F14F9AtSubmissionCreationDeviceId
At Submission Filing Device Id9C3E08EBF53FA5FA3C7B2B5BD0B3E335DF999A73AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL PHELPSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1Txt
CityWACONIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP553871791ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$286,745,740GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIDGEVIEWMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO MAKE A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE AND HEALTH FOR THE PEOPLE OF OUR AREA.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2079TotalEmployeeCnt
Total Volunteers386TotalVolunteersCnt
Total Gross UBI$2,286,311TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$145,457NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,072,454PYContributionsGrantsAmt
CY Contributions Grants$700,747CYContributionsGrantsAmt
PY Program Service Revenue$216,719,022PYProgramServiceRevenueAmt
CY Program Service Revenue$225,213,821CYProgramServiceRevenueAmt
PY Investment Income$3,412,082PYInvestmentIncomeAmt
CY Investment Income$5,356,137CYInvestmentIncomeAmt
PY Other Revenue$18,982,866PYOtherRevenueAmt
CY Other Revenue$19,987,585CYOtherRevenueAmt
PY Total Revenue$240,186,424PYTotalRevenueAmt
CY Total Revenue$251,258,290CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,939,913CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$134,734,541PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$135,120,850CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$101,310CYTotalFundraisingExpenseAmt
PY Other Expenses$101,610,426PYOtherExpensesAmt
CY Other Expenses$110,147,243CYOtherExpensesAmt
PY Total Expenses$236,344,967PYTotalExpensesAmt
CY Total Expenses$248,208,006CYTotalExpensesAmt
PY Revenues Less Expenses$3,841,457PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,050,284CYRevenuesLessExpensesAmt
Total Assets BOY$253,177,659TotalAssetsBOYAmt
Total Assets EOY$264,740,280TotalAssetsEOYAmt
Total Liabilities BOY$96,775,149TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,587,003TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$156,402,510NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$170,153,277NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE LIFELONG HEALTH OF PEOPLE IT SERVES WITH A CULTURE THAT NURTURES THE WHOLE PERSON: MIND, BODY, AND SPIRIT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$192,374,545ExpenseAmt
Grant$2,939,913GrantAmt
Revenue$225,213,821RevenueAmt
DescRIDGEVIEW MEDICAL CENTER ENHANCED AND PROVIDED QUALITY HEALTHCARE SERVICES FOR THE COMMUNITY OF WACONIA AND SURROUNDING AREAS. THE HOSPITAL PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE IN THE AMOUNT OF $694,116 DURING 2017. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $502,736 AND $11,340,314 IN 2017. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY, AND MORE TOTALED $663,442. IN 2017 THE HOSPITAL SPENT $9,153,818 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 6,392 INPATIENTS, 30,398 EMERGENCY CARE VISITS, 39,684 HOME HEALTH VISITS, 5,675 SURGERIES, 1,152 BIRTHS, 11,670 AMBULANCE CALLS, AND 186,312 OUTPATIENT VISITS IN 2017. RIDGEVIEW MEDICAL CENTER SERVES MORE THAN 300,000 PEOPLE, OPERATES ONE HOSPITAL, ONE FREE-STANDING EMERGENCY AND URGENT CARE FACILITY CENTER AND SEVEN MULTI-SPECIALTY CLINIC LOCATIONS.Desc
Total Program Service Expenses$192,374,545TotalProgramServiceExpensesAmt
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 Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document72IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2079EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
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 Line1GORDON GABLENZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9524422191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1Txt
CityWACONIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55387ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MITCHELL KILIAN
CHAIR2.000.00Yes (X)Yes (X)$6,000$0$0
JEFF NELSON
VICE CHAIR2.000.00Yes (X)Yes (X)$5,000$0$0
KATE ROEHL
SECRETARY2.000.00Yes (X)Yes (X)$5,000$0$0
STAN BANDUR
TREASURER2.000.00Yes (X)Yes (X)$5,000$0$0
THERESA DALEN
BOARD MEMBER2.000.00Yes (X)$5,000$0$0
MARIA GLYNN
BOARD MEMBER2.000.00Yes (X)$5,000$0$0
JULIE HERMAN
BOARD MEMBER2.000.00Yes (X)$5,000$0$0
WAYNE HUBIN
BOARD MEMBER2.000.50Yes (X)$5,000$0$0
BRIAN MARK
BOARD MEMBER2.000.00Yes (X)$5,000$0$0
ROBERT STEVENS
PRESIDENT / CEO (THRU JUNE 2017)41.508.50Yes (X)$1,656,460$0$32,826
MICHAEL PHELPS
PRESIDENT / CEO41.508.50Yes (X)$1,450,467$0$37,854
GORDON GABLENZ
CFO & CIO40.0010.00Yes (X)$663,997$0$45,865
JOHN PRONDZINSKI
VICE PRESIDENT50.000.00Yes (X)$262,113$0$31,317
BENJAMIN NIELSEN
VICE PRESIDENT50.000.00Yes (X)$232,037$0$6,375
TODD SANDBERG
VICE PRESIDENT1.0049.00Yes (X)$211,704$0$40,137
ELAINE ARION
VICE PRESIDENT & CNO50.000.00Yes (X)$248,944$0$32,317
PAMELA WILLIAMS
VICE PRESIDENT0.0050.00Yes (X)$0$143,394$32,221
KEN GILLES
CHIEF INFORMATION OFFICER50.000.00Yes (X)$92,257$0$5,473
GREGORY ERICKSON
CRNA50.000.00$240,729$0$13,305Yes (X)
DOUGLAS STASEK
EXECUTIVE DIRECTOR OF PHILANTHROPY2.5047.50$227,460$0$40,498Yes (X)
SARAH HASTINGS
EXECUTIVE DIRECTOR OF HUMAN RESOURCES50.000.00$211,227$0$25,805Yes (X)
GREGORY MARCHETTI
CRNA50.000.00$211,045$0$36,314Yes (X)
BERNARD BUCKLAND
DIRECTOR OF SURGERY50.000.00$202,702$0$26,345Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,957,142TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$143,394TotReportableCompRltdOrgAmt
Total Other Compensation$406,652TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K113IndivRcvdGreaterThan100KCnt
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
EMPAC
500 SOUTH MAPLE STREETWACONIAMN55387ED PHYSICIAN SERVICES$8,574,781
MINNEAPOLIS HEART INSTITUTE
PO BOX 46100PLYMOUTHMN55446CARDIOLOGY SERVICES$5,000,000
CHILDRENS HOSPITALS & CLINICS OF MN
2525 CHICAGO AVE SMINNEAPOLISMN55404CHILDREN'S NCU MEDICAL SERVICES$1,637,769
MCKESSON INFORMATION SOLUTIONS
24630 NETWORK PLACECHICAGOIL60673IT SERVICES$1,431,800
PDS
PO BOX 775677CHICAGOIL60677IT RECRUITING SERVICES$942,549
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K58CntrctRcvdGreaterThan100KCnt
Related Organizations$548,860RelatedOrganizationsAmt
All Other Contributions$151,887AllOtherContributionsAmt
Total Contributions$700,747TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621610BusinessCd
Total Revenue Column$225,213,821TotalRevenueColumnAmt
Related Or Exempt Func Income$225,213,821RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$225,213,821TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,156,995TotalRevenueColumnAmt
Exclusion$1,156,995ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,873,167RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,684,138RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,189,029RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,189,029TotalRevenueColumnAmt
Exclusion$1,189,029ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,306,683SecuritiesAmt
Other$2,594,017OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$28,257,785SecuritiesAmt
Other$1,443,773OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,048,898SecuritiesAmt
Other$1,150,244OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,199,142TotalRevenueColumnAmt
Exclusion$4,199,142ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,283,878GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,101,754CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,182,124TotalRevenueColumnAmt
Unrelated Business Revenue$1,942,788UnrelatedBusinessRevenueAmt
Exclusion$239,336ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MISCELLANEOUS621610$15,732,263$343,523$15,388,740
CAFETERIA REVENUE722210$734,572$734,572
PHARMACY SERVICES621610$148,679$148,679

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$918TotalRevenueColumnAmt
Exclusion$918ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,616,432OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$251,258,290TotalRevenueColumnAmt
Related Or Exempt Func Income$225,213,821RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,286,311UnrelatedBusinessRevenueAmt
Exclusion$23,057,411ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,939,913TotalAmt
Program Services$2,939,913ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,090,669TotalAmt
Management And General$5,090,669ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$107,662,548TotalAmt
Program Services$86,962,660ProgramServicesAmt
Management And General$20,699,888ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,218,195TotalAmt
Program Services$2,349,108ProgramServicesAmt
Management And General$869,087ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,952,345TotalAmt
Program Services$8,228,504ProgramServicesAmt
Management And General$3,723,841ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,197,093TotalAmt
Program Services$5,159,756ProgramServicesAmt
Management And General$2,037,337ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$343,207TotalAmt
Management And General$343,207ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$112,465TotalAmt
Management And General$112,465ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$326,595TotalAmt
Program Services$326,595ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,125,056TotalAmt
Program Services$29,022,826ProgramServicesAmt
Management And General$3,102,230ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$238,292TotalAmt
Management And General$238,292ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,412,844TotalAmt
Program Services$2,640,726ProgramServicesAmt
Management And General$2,670,808ManagementAndGeneralAmt
Fundraising$101,310FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,782,138TotalAmt
Program Services$98,712ProgramServicesAmt
Management And General$2,683,426ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,684,436TotalAmt
Program Services$9,467,788ProgramServicesAmt
Management And General$6,216,648ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$429,118TotalAmt
Program Services$337,933ProgramServicesAmt
Management And General$91,185ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$295,628TotalAmt
Program Services$132,036ProgramServicesAmt
Management And General$163,592ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,166,430TotalAmt
Program Services$2,166,430ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$210,000TotalAmt
Management And General$210,000ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,779,016TotalAmt
Program Services$7,744,862ProgramServicesAmt
Management And General$5,034,154ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$843,305TotalAmt
Program Services$192,448ProgramServicesAmt
Management And General$650,857ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$27,653,569$27,653,569
MINNESOTA CARE TAX$3,140,879$3,140,879
BAD DEBT EXPENSE$3,083,696$3,083,696
EMPLOYEE RECRUITMENT$658,388$305,804$352,584

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,862,181TotalAmt
Program Services$420,300ProgramServicesAmt
Management And General$1,441,881ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$248,208,006TotalAmt
Program Services$192,374,545ProgramServicesAmt
Management And General$55,732,151ManagementAndGeneralAmt
Fundraising$101,310FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,958,921BOYAmt
EOY$5,500,793EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$55,738,925BOYAmt
EOY$56,494,346EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,140,003BOYAmt
EOY$31,628,765EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,375,005BOYAmt
EOY$3,344,267EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,265,805BOYAmt
EOY$4,474,446EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$249,884,637LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$144,111,517LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,584,124BOYAmt
EOY$105,773,120EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,146,695BOYAmt
EOY$19,488,469EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,366,028BOYAmt
EOY$4,141,006EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,602,153BOYAmt
EOY$33,895,068EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$253,177,659BOYAmt
EOY$264,740,280EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,711,265BOYAmt
EOY$23,686,686EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,968,870BOYAmt
EOY$44,092,011EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,821,470BOYAmt
EOY$10,097,416EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,123,544BOYAmt
EOY$16,710,890EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,775,149BOYAmt
EOY$94,587,003EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$150,566,956BOYAmt
EOY$160,982,012EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,828,901BOYAmt
EOY$6,140,227EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,006,653BOYAmt
EOY$3,031,038EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,402,510BOYAmt
EOY$170,153,277EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$253,177,659BOYAmt
EOY$264,740,280EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,050,284ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,737,255NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,963,228OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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

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$8,207OtherActivitiesAmt
Total Lobbying Expenditures$8,207TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRIDGEVIEW MEDICAL CENTER PAYS DUES TO THE MINNESOTA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH ARE USED FOR LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,586,452OtherCostOrOtherBasisAmt
Book Value$8,586,452BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$81,647,806OtherCostOrOtherBasisAmt
Depreciation$43,483,493DepreciationAmt
Book Value$38,164,313BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,287,013OtherCostOrOtherBasisAmt
Depreciation$6,985,371DepreciationAmt
Book Value$8,301,642BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,471,017OtherCostOrOtherBasisAmt
Depreciation$93,642,653DepreciationAmt
Book Value$30,828,364BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,892,349OtherCostOrOtherBasisAmt
Book Value$19,892,349BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$105,773,120TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN RIDGEVIEW INSURANCE$514,654F
INVESTMENT IN FOUNDATION$18,973,815F
FieldValueIRS element (for citing)
Total Book Value Securities$19,488,469TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SELF INSURANCE RESERVES$1,682,482
DEFERRED COMPENSATION PLAN$13,165,086
STEP LEASE ASSET$424,610
DUE FROM AFFILIATES$18,622,890
FieldValueIRS element (for citing)
Total Book Value Other Assets$33,895,068TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$4,745,013
THIRD PARTY PAYABLE$1,961,237
WORKERS COMPENSATION$1,265,396
ASSET RETIREMENT OBLIGATION$12,224
BRIDGE LOAN FROM RIDGEVIEW FOUNDATION$34,203
DUE TO CARDIOLOGY JOINT VENTURE$5,753,679
STEP LEASE LIABILITY$2,939,138
FieldValueIRS element (for citing)
Total Liability$16,710,890TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$249,200,618TotalRevEtcAuditedFinclStmtAmt
Other Revenue$5,951,386OtherRevenueAmt
Revenue Not Reported$5,951,386RevenueNotReportedAmt
Revenue Subtotal$243,249,232RevenueSubtotalAmt
Other Revenues Not Included$8,009,058OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$8,009,058RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$251,258,290TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$247,008,412TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,785,892OtherExpensesIncludedAmt
Expenses Not Reported$5,785,892ExpensesNotReportedAmt
Expenses Subtotal$241,222,520ExpensesSubtotalAmt
Other Expenses Not Included$6,985,486OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$6,985,486ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$248,208,006TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS RECEIVED NOTIFICATION THAT IT QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. THE ORGANIZATION IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. THE ORGANIZATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT IN UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 4,684,138. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,017,531. GIFT SHOP EXPENSES 84,223. NET ASSETS RELEASED FROM RESTRICTION 165,494.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 1,156,995. REALIZED GAINS ON INVESTMENTS 3,048,898. CAPITAL CONTRIBUTION 307,541. BAD DEBT EXPENSES 3,083,696. RIDGEVIEW REAL ESTATE LLC REVENUE 49,992. RIDGEVIEW COMMUNITY NETWORK LLC REVENUE 361,936.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 4,684,138. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,017,531. GIFT SHOP EXPENSES 84,223.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSES 3,083,696. DISTRIBUTION EXPENSE 210,000. TRANSFER OF NET ASSETS TO RELATED ORGANIZATIONS 2,939,913. RIDGEVIEW REAL ESTATE LLC EXPENSES 49,992. RIDGEVIEW COMMUNITY NETWORK LLC EXPENSES 375,290. INVESTMENT MANAGEMENT FEES 326,595.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
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$694,116TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$694,116NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,110,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,607,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$502,737NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,804,792TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,607,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,196,853NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs26ActivitiesOrProgramsCnt
Persons Served26553PersonsServedCnt
Total Community Benefit Expns$547,569TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,004DirectOffsettingRevenueAmt
Net Community Benefit Expns$481,565NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served776PersonsServedCnt
Total Community Benefit Expns$663,442TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$663,442NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served55PersonsServedCnt
Total Community Benefit Expns$98,990TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,875DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,115NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$130,254TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$130,254NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$76,690TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,690NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs35ActivitiesOrProgramsCnt
Persons Served27484PersonsServedCnt
Total Community Benefit Expns$1,516,945TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$105,879DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,411,066NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs35ActivitiesOrProgramsCnt
Persons Served27484PersonsServedCnt
Total Community Benefit Expns$6,321,737TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,713,818DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,607,919NetCommunityBenefitExpnsAmt
Total Expense0.01060TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served1162PersonsServedCnt
Total Community Benefit Expns$13,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,533NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served1162PersonsServedCnt
Total Community Benefit Expns$13,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,533NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,083,696BadDebtExpenseAmt
Bad Debt Expense Attributable$362,540BadDebtExpenseAttributableAmt
Reimbursed By Medicare$40,967,448ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$53,029,609CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,062,161MedicareSurplusOrShortfallAmt

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 WACONIA BUILDING INVESTMENTSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesPHYSICIAN PROFESSIONAL BUILDINGPrimaryActivitiesTxt
Org Profit Or Ownership0.35000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.65000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1Txt
CityWACONIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP55387ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.RIDGEVIEWMEDICAL.ORGWebsiteAddressTxt
State License00055StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1Txt
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 Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/StrategyWebsiteURLTxt
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 Care250.000000000000FPGFamilyIncmLmtDscntCarePct
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
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
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
FAP TranslatedYes (X)FAPTranslatedInd
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
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 5: PRIMARY DATA WAS COLLECTED THROUGH FOCUS GROUPS, COMMUNITY PERSPECTIVE SURVEY, AND A KEY INFORMANT SURVEY.FOCUS GROUPS WERE CONDUCTED TO ALLOW PARTICIPANTS TO PROVIDE INFORMATION ABOUT THEIR EXPERIENCES IN THE COMMUNITY AND AREAS IN WHICH THEY THOUGHT THE SERVICES AND RESOURCES PROVIDED COULD BE IMPROVED. THREE FOCUS GROUPS WERE HELD AND, IN TOTAL, 21 INDIVIDUALS PARTICIPATED TO DISCUSS AND IDENTIFY COMMUNITY HEALTH NEEDS RELATED TO SPECIFIC GEOGRAPHIC REGIONS. SEE APPENDIX B IN THE 2016 CHNA REPORT, AVAILABLE ONLINE, FOR A LIST OF BUSINESSES, ORGANIZATIONS AND AGENCIES THAT PARTICIPATED IN THE FOCUS GROUPS.RIDGEVIEW CONDUCTED AN ONLINE SURVEY OF COMMUNITY RESIDENTS IN JUNE 2016. THE SURVEY INSTRUMENT WAS DEVELOPED TO GATHER INFORMATION FROM RESPONDENTS ABOUT THEIR PERCEPTIONS OF HEALTH CONCERNS IN THE COMMUNITY. THE ONLINE SURVEY WAS ISSUED TO RIDGEVIEW'S EMAIL DATABASE; RESPONSES WERE RECEIVED FROM 615 PARTICIPANTS, REPRESENTATIVE OF RIDGEVIEW'S SERVICE AREA.IN ADDITION TO SURVEYING THE INDIVIDUAL PERSPECTIVE OF COMMUNITY MEMBERS, RIDGEVIEW SURVEYED LEADERS IN THE COMMUNITY ON THEIR PERSPECTIVE OF THE BROADER COMMUNITY HEALTH NEEDS. THE INVITED COMMUNITY LEADERS PARTICIPATED THROUGH EITHER FOCUS GROUPS OR AN ONLINE SURVEY FOR KEY INFORMANTS.
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 6A: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH RIDGEVIEW SIBLEY MEDICAL CENTER.
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 11: IN 2016, RIDGEVIEW CONDUCTED A CHNA TO EVALUATE ITS CURRENT HEALTH STATUS, HEALTH OUTCOMES, AND UNMET NEEDS IN A FORMALIZED RIGOROUS AND STRUCTURED MANNER. RIDGEVIEW CONTINUES TO DEVELOP BROAD COMMUNITY STRATEGIES THAT FOCUS ON THREE HEALTH ISSUES THAT WERE IDENTIFIED AND PRIORITIZED IN THE CHNA AND IMPLEMENTATION PLAN: 1) PREVENTION, CLINICAL CARE AND DISEASE MANAGEMENT, 2) AGING AND AGING-RELATED CONCERNS, AND 3) MENTAL AND BEHAVIORAL HEALTH. RIDGEVIEW WILL CONTINUE TO OFFER CARE AND SERVICES TO ADDRESS THESE PRIORITY HEALTH ISSUES. THE INFORMATION FROM THE CHNA WILL FURTHER INFORM ORGANIZATIONAL LEADERSHIP IN DECISION-MAKING PROCESSES TO EXPAND, REFINE, AND DIRECT SERVICES, COMMUNICATION, COLLABORATION, EDUCATION AND OUTREACH ACTIVITIES. ADDRESSING THE PRIORITY HEALTH ISSUES INVOLVES MANY FACTORS OUTSIDE THE CLINICAL SETTING, RIDGEVIEW WILL CONTINUE TO WORK TO ENHANCE THE IMPACT OF BROADER COMMUNITY HEALTH EFFORTS TO ADDRESS THESE ISSUES. BY FACILITATING SYSTEM-WIDE AND CROSS-COMMUNITY COMMUNICATION AND COLLABORATION, EXISTING EFFORTS WILL RESULT IN IMPROVED SUCCESS AND IMPACT. WHILE EMPHASIS IS PLACED ON THE THREE HEALTH ISSUES DETAILED IN THE CHNA REPORT DOCUMENT, RIDGEVIEW AS A COMMUNITY HEALTH PROVIDER, WILL CONTINUE TO FOCUS RESOURCES ON OTHER LONG-STANDING INITIATIVES AND SERVICES THAT HELP IMPROVE OVERALL HEALTH. DURING THIS FISCAL YEAR, RIDGEVIEW CONTINUED TO OFFER LOW-COST CALCIUM SCORE SCREENINGS, CERVICAL CANCER SCREENINGS, SKIN CANCER SCREENINGS, COMMUNITY CARDIOLOGY AND ONCOLOGY CLINICS, AND MAMMOGRAMS AT A REDUCED PRICE. THROUGH THESE ACTIVITIES, WE SERVED 713 INDIVIDUALS IN 2017.
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE AT WWW.RIDGEVIEWMEDICAL.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/ PAY-YOUR-BILL-ONLINE.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387GENERAL MEDICAL CLINIC
2 - SAME DAY SURGERY
3000 HUNDERTMARK ROADCHASKAMN55318GENERAL MEDICAL & SURGICAL CLINIC
3 - SPECIALTY CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387SEE PART VI FOR DETAILS
4 - HOME HEALTH HOSPICE
500 SOUTH MAPLE STREET STE 1WACONIAMN55387HOME HEALTH & HOSPICE
5 - REHAB SPECIALTIES
560 SOUTH MAPLE STREETWACONIAMN55387REHABILITATION SERVICES
6 - HOME MEDICAL EQUIPMENT
500 SOUTH MAPLE STREET STE 2WACONIAMN55387MEDICAL EQUIPMENT SUPPLIER
7 - RIDGEVIEW SLEEP CENTER
560 SOUTH MAPLE STREET STE 103WACONIAMN55387SLEEP DISORDER SERVICES
8 - PEDIATRIC REHAB
490 SOUTH MAPLE STREET STE 125WACONIAMN55387PEDIATRIC SERVICES
9 - RIDGEVIEW RESEARCH
3000 HUNDERTMARK ROAD STE 8CHASKAMN55318RESERACH FACILITY
10 - WESTERN OBGYN
560 SOUTH MAPLE STREETWACONIAMN55387OBESTRIC AND GYNECOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:TO QUALIFY FOR FINANCIAL ASSISTANCE, THE FOLLOWING CONDITIONS MUST BE MET:(A) THE MEDICAL CARE PROVIDED BY RIDGEVIEW MEDICAL CENTER IS MEDICALLY NECESSARY; (B) THE INDIVIDUAL SUBMITS A COMPLETED APPLICATION;(C) THE INDIVIDUAL COOPERATES WITH THE HOSPITAL TO EXPLORE ALTERNATIVE MEANS OF ASSISTANCE, IF NECESSARY (INCLUDING SSI, DISABILITY, MEDICARE AND MEDICAID); AND(D) THE INDIVIDUAL'S FAMILY INCOME IS LESS THAN 250% OF FEDERAL POVERTY GUIDELINES ("FPG"). FREE CARE IS OFFERED FOR FEDERAL ADJUSTED GROSS INCOME UP TO 200% OF FPG. 75% OF A PATIENT'S CHARGES ARE FORGIVEN FOR FEDERAL ADJUSTED GROSS INCOME BETWEEN 200% AND 225% OF FPG. 56% OF A PATIENT'S CHARGES ARE FORGIVEN FOR FEDERAL ADJUSTED GROSS INCOME BETWEEN 225% AND 250% OF FPG.IN ADDITION, PATIENTS SEEKING FINANCIAL ASSISTANCE MAY BE ASKED TO FIRST APPLY FOR OTHER EXTERNAL PROGRAMS (SUCH AS MEDICAID OR INSURANCE THROUGH THE PUBLIC MARKETPLACE).RIDGEVIEW MAY RELY ON EXTERNAL SOURCES TO DETERMINE ELIGIBILITY WHEN:(A) THE PATIENT IS HOMELESS;(B) THE PATIENT IS ELIGIBLE FOR OTHER UNFUNDED STATE OR LOCAL ASSISTANCE PROGRAMS;(C) THE PATIENT IS ELIGIBLE FOR FOOD STAMPS OR SUBSIDIZED SCHOOL LUNCH;(D) THE PATIENT IS ELIGIBLE FOR STATE-FUNDED PRESCRIPTION MEDICATION;(E) THE PATIENT'S VALID ADDRESS IS CONSIDERED LOW-INCOME OR SUBSIDIZED HOUSING; OR(F) THE PATIENT RECEIVES FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL FOR FURTHER TREATMENT.RIDGEVIEW MEDICAL CENTER ALSO USES RELAYHEALTH CLEARANCE, AN ELIGIBILITY VENDOR, TO HELP IDENTIFY PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.
PART I, LINE 7:THE COSTING METHODOLOGY USED BY RIDGEVIEW TO DETERMINE THE COMMUNITY BENEFIT EXPENSES INCLUDED IN PART I, LINES 7A-D WERE DERIVED BY TAKING THE RESPECTIVE AMOUNTS PER THE AUDITED FINANCIAL STATEMENTS AND APPLYING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS. THE COMMUNITY BENEFIT EXPENSES INCLUDED IN LINES 7E-J WERE REPORTED BASED ON RMC'S ACTUAL COSTS FOR EACH CLASSIFICATION OF EXPENSES.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,083,696.
PART II, COMMUNITY BUILDING ACTIVITIES:RIDGEVIEW OFFERS REDUCED-COST MAMMOGRAMS TO ELIGIBLE WOMEN, FREE HEALTH SCREENINGS, SUPPORT GROUP SESSIONS, HEALTH EDUCATION SEMINARS, AND COMMUNITY HEALTH INFORMATION RESOURCES.IN ADDITION, RIDGEVIEW PROVIDES FREE BIOMETRIC SCREENINGS TO AREA EMPLOYERS, BLOOD PRESSURE CHECKS AT COMMUNITY EVENTS, HAND-ONLY CPR TRAINING IN SCHOOLS, AND STAFFS COMMUNITY EVENTS WITH ITS AMBULANCE/PARAMEDIC SUPPORT AND ATHLETIC TRAINER/SPORTS MEDICINE SERVICES.
PART III, LINE 2:THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN PART III, LINE 2 IS CALCULATED BY RIDGEVIEW AS FOLLOWS: PAYMENT FOR SERVICES IS REQUIRED WITHIN 30 DAYS OF RECEIPT OF THE INVOICE OR CLAIM SUBMITTED. PATIENT ACCOUNTS THAT ARE MORE THAN 90 DAYS PAST DUE ARE INDIVIDUALLY ANALYZED FOR COLLECTIBILITY. IN ADDITION, AN ALLOWANCE IS ESTIMATED FOR OTHER ACCOUNTS BASED ON HISTORICAL EXPERIENCE OF THE ORGANIZATION. WHEN ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE ACCOUNT IS WRITTEN OFF AGAINST THE RELATED ALLOWANCE.
PART III, LINE 3:RIDGEVIEW ESTIMATES THAT APPROXIMATELY 25% OF ITS TOTAL COST OF CHARITY CARE IS ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE BUT DID NOT COMPLETE AN APPLICATION AND WERE ULTIMATELY INCLUDED IN BAD DEBT EXPENSE REPORTED IN PART III, LINE 2.
PART III, LINE 4:THE NOTE OF RIDGEVIEW'S 2017 FINANCIAL STATEMENTS THAT INCLUDES THE EXPLANATION OF BAD DEBT EXPENSE IS THE "PATIENT RECEIVABLES, NET NOTE INCLUDED ON PAGE 10.
PART III, LINE 8:RIDGEVIEW USED THE 2017 FILED MEDICARE COST REPORT TO CALCULATE THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6. APPLIED AGAINST ACTUAL RECEIPTS, RIDGEVIEW EXPERIENCED COSTS NOT COVERED BY MEDICARE IN THE AMOUNT OF $12,062,161 IN 2017. THIS IS A DIRECT BENEFIT TO THE MEDICARE POPULATION IN OUR COMMUNITY.
PART III, LINE 9B:RIDGEVIEW'S CHARITY PROGRAM ALLOWS FOR ACCOUNTS IN BAD DEBT STATUS TO COMPLETE A CHARITY CARE APPLICATION. IF APPROVED, THE ACCOUNT WILL BE RETURNED FROM BAD DEBT AND APPLIED TO OUR CHARITY CARE PROGRAM. ALL PATIENTS ARE ADVISED OF OUR CHARITY CARE PROGRAM THROUGH OUR MONTHLY BILLING PROCESS. RIDGEVIEW MEDICAL CENTER DOES NOT CHARGE INTEREST ON OUTSTANDING PATIENT ACCOUNT BALANCES.
PART VI, LINE 2:RIDGEVIEW MEDICAL CENTER ASSESSES THE CURRENT HEALTH STATUS, HEALTH OUTCOMES, AND UNMET NEEDS IN THE 46+ COMMUNITIES IT SERVES THROUGH A FORMALIZED, RIGOROUS, AND STRUCTURED PROCESS. COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND PUBLIC REPORTING ENSURES THAT RIDGEVIEW HEALTH IMPROVEMENT EFFORTS AND RESOURCES ARE ALIGNED WITH COMMUNITY HEALTH PRIORITIES.RIDGEVIEW HAS AND WILL CONTINUE TO USE A CHNA AND OTHER INTERNAL AND EXTERNAL INFORMATION (INCLUDING DISCHARGE, QUALITY MEASURES, PREDICTIVE, AND POPULATION DATA) TO AID STRATEGIC PLANNING PROCESSES AND ALIGN ORGANIZATIONAL SERVICES/RESOURCES ACCORDINGLY.
PART VI, LINE 3:AT THE TIME OF SCHEDULING, PRE-REGISTRATION, REGISTRATION, OR DISCHARGE (WHICHEVER ARE APPLICABLE), THE PATIENT WILL BE ASKED FOR INSURANCE COVERAGE, AND THE PATIENT WILL BE INFORMED OF ANY CO-PAYMENTS THAT WILL BE EXPECTED AT THE TIME OF PAYMENT. IF THE PATIENT WISHES TO APPLY FOR COMMUNITY CARE, HE OR SHE WILL BE GIVEN OR MAILED AN APPLICATION; THE APPLICATION IS ALSO AVAILABLE FOR DOWNLOAD FROM THE RMC WEBSITE. A PATIENT MAY NOT QUALIFY FOR COMMUNITY CARE UNTIL HE OR SHE HAS COMPLETED THE COMMUNITY CARE APPLICATION. AFTER COMPLETING THE COMMUNITY CARE APPLICATION (INCLUDING SUPPORTING DOCUMENTATION), THE ACCOUNT REPRESENTATIVE WILL ASSESS THE APPLICATION AND DETERMINE WHETHER THE PATIENT QUALIFIES FOR COMMUNITY CARE OR ANY OTHER GOVERNMENTAL HEALTH CARE COVERAGE. IF THE PATIENT IS LIKELY TO QUALIFY FOR THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM OTHER GOVERNMENTAL HEALTH CARE COVERAGE, THE ACCOUNT REPRESENTATIVE WILL DETERMINE APPROPRIATE COVERAGE AND REFER THE PATIENT AS APPROPRIATE. IF AN UNINSURED PATIENT IS UNLIKELY TO QUALIFY FOR GOVERNMENTAL HEALTH CARE COVERAGE, OR DENIED HOSPITAL PRESUMPTIVE ELIGIBILITY, AND THE PATIENT DOES NOT QUALIFY FOR COMMUNITY CARE, APPROPRIATE PAYMENT ARRANGEMENTS MUST BE MADE WITH THE ACCOUNT REPRESENTATIVE BASED UPON RMC'S UNINSURED PAYMENT POLICY. SHOULD THE PATIENT SUBSEQUENTLY QUALIFY FOR GOVERNMENTAL HEALTH CARE COVERAGE OR ANY OTHER HEALTH INSURANCE, ANY PAYMENTS RECEIVED WILL BE REFUNDED LESS ANY CO-PAYMENTS DUE.
PART VI, LINE 4:RIDGEVIEW SERVES A POPULATION OF APPROXIMATELY 300,000 PEOPLE, PRIMARILY FROM ITS FIVE-COUNTY SERVICE AREA OF CARVER, NORTHERN SIBLEY, SOUTHERN WRIGHT, WESTERN HENNEPIN, AND EASTERN MCLEOD.AS OF THE 2010 CENSUS, THE SERVICE AREA POPULATION DISTRIBUTION BY AGE COHORT WAS 10% ARE 65+, 28% ARE 45-64, 35% ARE 18-44, AND 27% ARE 0-17. ACCORDING TO CARVER COUNTY DATA (PRIMARY SERVICE AREA), FAMILY HOUSEHOLDS MAKE UP 42% OF THE SERVICE AREA, 90% OF THE TOTAL POPULATION ARE OF CAUCASIAN DESCENT, 4% ARE OF HISPANIC DESCENT, AND 3% ARE OF ASIAN DESCENT. CARVER COUNTY MEDIAN HOUSEHOLD INCOME IS $82,710 AND 5% OF THE POPULATION IS BELOW THE POVERTY LEVEL.
PART VI, LINE 5:RIDGEVIEW MEDICAL CENTER'S PHYSICIANS, AND MEDICAL AND SUPPORT STAFF, PROVIDE SERVICES AND IN-KIND CONTRIBUTIONS TO THE COMMUNITIES IT SERVES IN A FIVE-COUNTY AREA. EXAMPLES OF RIDGEVIEW'S COMMUNITY BENEFIT CONTRIBUTIONS INCLUDE UNDERFUNDING OF MEDICARE, MEDICAID AND CHARITY CARE, FREE LACTATION CONSULTATIONS TO NEW MOTHERS, JOB SHADOWS FOR HIGH SCHOOL AND COLLEGE STUDENTS, INTERNSHIP OPPORTUNITIES FOR STUDENTS INTERESTED IN HEALTH CARE CAREERS (BOTH CLINICAL AND NON-CLINICAL), AND DISCOUNTS TO THE UNINSURED. RIDGEVIEW ALSO PROVIDES IN-KIND AND FINANCIAL DONATIONS TO OTHER NON-PROFITS' COMMUNITY HEALTH INITIATIVES (INCLUDING WESTONKA WECAB TRANSPORTATION SERVICE, PAY IT FORWARD FUND, AND COMMUNITY HEALTH AND WELLNESS EVENTS).
PART VI, LINE 6:RIDGEVIEW MEDICAL CENTER IS A 109-BED ACUTE CARE HOSPITAL IN WACONIA, MINNESOTA THAT PROVIDES HEALTHCARE SERVICES TO THE RESIDENTS OF THE WEST SUBURBAN METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL AND ADJACENT RURAL AREAS OF MINNESOTA. RIDGEVIEW MEDICAL CENTER'S SUBSIDIARIES INCLUDE:RIDGEVIEW CLINICS PROVIDES OUTPATIENT HEALTHCARE SERVICES FROM VARIOUS CLINIC LOCATIONS THROUGHOUT THE WEST SUBURBAN METROPOLITAN AREA OF MINNEAPOLIS AND ST. PAUL AND ADJACENT RURAL AREAS OF MINNESOTA.SIBLEY MEDICAL CENTER IS A CRITICAL ACCESS HOSPITAL IN ARLINGTON, MINNESOTA.MINNESOTAS VALLEY HEALTH CENTER (DBA: RIDGEVIEW LA SEUER MEDICAL CENTER) IN LA SEUER, MINNESOTA, INCLUDES A HOSPITAL; EMERGENCY DEPARTMENT WITH HELIPAD; DEDICATED OUTPATIENT SPECIALTY CLINIC; DAILY URGENT CARE SERVICES; COMPLETE LAB AND RADIOLOGY DEPARTMENTS; A COMPREHENSIVE PHYSICIAL, OCCUPATIONAL AND SPEECH THERAPY DEPARTMENT; SHORT-TERM AND LONG-TERM CARE NURSING FACILITIES; A SENIOR DAY PROGRAM AND INDEPENDENT LIVING SENIOR HOUSING AT SUNRISE PLAZA. CHASKA PLAZA SURGERY CENTER OPERATES AN AMBULATORY SURGICAL CENTER. CHASKA PLAZA SURGERY CENTER IS A PARTNERSHIP IN WHICH RIDGEVIEW MEDICAL CENTER OWNS A 51% INTEREST.MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER PROVIDES CARDIOLOGY SERVICES. THE HEART INSTITUTE IS A PARTNERSHIP IN WHICH RIDGEVIEW MEDICAL CENTER HOLDS A 50% INTEREST.WACONIA BUILDING INVESTMENTS OWNS A MEDICAL OFFICE BUILDING ON RIDGEVIEW MEDICAL CENTER'S CAMPUS.RIDGEVIEW REAL ESTATE LLC HOLDS THE LAND LEASE FOR WACONIA BUILDING INVESTMENTS.RIDGEVIEW COMMUNITY NETWORK LLC OPERATES AN ACCOUNTABLE CARE ORGANIZATION.RIDGEVIEW INSURANCE COMPANY OPERATES A CAPTIVE INSURANCE COMPANY FOR THE BENEFIT OF RIDGEVIEW MEDICAL CENTER.RIDGEVIEW FOUNDATION OPERATES FOR THE EXCLUSIVE BENEFIT OF RIDGEVIEW MEDICAL CENTER.
PART VI, LINE 7, REPORTS FILED WITH STATESMN
PART V, SECTION D, LINE 3RIDGEVIEW'S SPECIALTY CLINICS INCLUDE ENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, AND BARIATRIC.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SIBLEY MEDICAL CENTER
601 W CHANDLER STREETARLINGTONMN55307411801967501(C)(3)$2,533,832GENERAL OPERATING SUPPORT
RIDGEVIEW FOUNDATION
500 S MAPLE STREETWACONIAMN55387411328097501(C)(3)$406,081GENERAL OPERATING SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationCOMMON MANAGEMENT AND BOARD OVERSIGHT BETWEEN RELATED ORGANIZATIONS ENSURE THAT TRANSFERRED FUNDS ARE USED FOR APPROPRIATE PURPOSES.ExplanationTxt

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 PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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
ROBERT STEVENS
PRESIDENT / CEO (THRU JUNE 2017)$443,042$0$71,627$0$1,141,791$0$10,800$0$22,026$0$1,689,286$0$0$0
MICHAEL PHELPS
PRESIDENT / CEO$368,738$0$52,130$0$1,029,599$0$10,800$0$27,054$0$1,488,321$0$0$0
GORDON GABLENZ
CFO & CIO$303,834$0$53,085$0$307,078$0$10,800$0$35,065$0$709,862$0$0$0
JOHN PRONDZINSKI
VICE PRESIDENT$221,955$0$30,040$0$10,118$0$8,395$0$22,922$0$293,430$0$0$0
BENJAMIN NIELSEN
VICE PRESIDENT$194,430$0$24,210$0$13,397$0$0$0$6,375$0$238,412$0$0$0
TODD SANDBERG
VICE PRESIDENT$182,519$0$23,833$0$5,352$0$8,280$0$31,857$0$251,841$0$0$0
ELAINE ARION
VICE PRESIDENT & CNO$211,102$0$27,787$0$10,055$0$9,582$0$22,735$0$281,261$0$0$0
PAMELA WILLIAMS
VICE PRESIDENT$0$143,394$0$0$0$0$0$0$0$32,221$0$175,615$0$0
GREGORY ERICKSON
CRNA$208,595$0$8,264$0$23,870$0$9,600$0$3,705$0$254,034$0$0$0
DOUGLAS STASEK
EXECUTIVE DIRECTOR OF PHILANTHROPY$197,254$0$26,669$0$3,537$0$7,156$0$33,342$0$267,958$0$0$0
SARAH HASTINGS
EXECUTIVE DIRECTOR OF HUMAN RESOURCE$178,188$0$26,473$0$6,566$0$8,000$0$17,805$0$237,032$0$0$0
GREGORY MARCHETTI
CRNA$181,426$0$4,761$0$24,858$0$8,470$0$27,844$0$247,359$0$0$0
BERNARD BUCKLAND
DIRECTOR OF SURGERY$145,101$0$22,512$0$35,089$0$8,434$0$17,911$0$229,047$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BROBERT STEVENS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN. DURING 2017, $1,143,151 WAS CONTRIBUTED TO THE PLAN, $19,816 ACCRUED WITHIN THE PLAN, AND $592,724 WAS PAID OUT OF THE PLAN. MICHEL PHELPS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN. DURING 2017, $1,038,790 WAS CONTRIBUTED TO THE PLAN AND $500,177 WAS PAID OUT OF THE PLAN. GORDON GABLENZ PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN. DURING 2017, $315,740 WAS CONTRIBUTED TO THE PLAN, $7,874 ACCRUED WITHIN THE PLAN, AND $161,027 WAS PAID OUT OF THE PLAN. THESE DEFERRED COMPENSATION AMOUNTS ARE REPORTED ON A PRO-RATA BASIS WITHOUT REGARD TO THE INDIVIDUAL'S VESTING SCHEDULE. CURRENTLY, THE MAJORITY OF DEFERRED COMPENSATION IS NOT VESTED.
PART I, LINE 6THE OFFICERS OF RIDGEVIEW MEDICAL CENTER AND AFFILIATES RECEIVE BONUSES CONTINGENT ON THE NET EARNINGS OF THE CONSOLIDATED ENTITY AND GOALS ACHIEVED. BONUSES WERE EARNED IN 2016 AND PAID IN 2017.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF WINSTED MINNESOTA
A4160056522007-04-27$5,000,000BUILDING ADDITION TO HOSPITAL000
CITY OF DELANO MINNESOTA
B4160050932007-05-14$4,337,423BUILDING ADDITION TO HOSPITAL000
CITY OF COLOGNE MINNESOTA
C4160050682007-03-13$9,000,000DEFEASE 1999 BONDS000
CITY OF CARVER MINNESOTA
D4160050372007-03-28$7,000,000DEFEASE 1999 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$766,500$5,000,000$100,000$4,900,000200700Yes (1)Yes (1)
B$664,927$4,337,423$85,000$4,252,423200700Yes (1)Yes (1)
C$1,379,916$9,000,000$50,00020000Yes (1)Yes (1)Yes (1)$8,950,000
D$1,076,047$7,000,000$50,00020000Yes (1)Yes (1)Yes (1)$6,950,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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)00000Yes (1)
B00Yes (1)00000Yes (1)
C00Yes (1)00000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF HAMBURG MINNESOTA
A4109417332007-04-12$7,000,000DEFEASE 1999 BONDS000
CITY OF HAMBURG MINNESOTA
B4109417332013-09-17$8,912,500DEFEASE 2005, 2002A, 2003 BONDS, EQUIP PURCHASE, RMC BUILDING REMODEL000
CITY OF WINSTED MINNESOTA
C4160056522013-09-17$8,912,500DEFEASE 2005, 2002A, 2003 BONDS, EQUIPMENT PURCHASE, RMC BUILDING REMODEL000
CITY OF HOWARD LAKE MINNESOTA
D4160052492013-12-30$7,000,000212 NORTH PROJECT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$1,073,100$7,000,000$6,102,423$50,000$847,57720000Yes (1)Yes (1)Yes (1)
B$3,125,841$8,912,500$3,607,744$178,250$5,126,5062013Yes (1)0Yes (1)Yes (1)
C$3,125,841$8,912,500$3,607,744$178,250$5,126,5062013Yes (1)0Yes (1)Yes (1)
D$1,017,189$7,000,000$181,568$3,713,3002002000Yes (1)$3,105,132

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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)00000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)
D0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3DURING 2017, THE HOSPICE HOUSE WAS CLOSED.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, THE VICE CHAIR, THE SECRETARY, AND THE TREASURER. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE FULL AUTHORITY OF THE BOARD EXCEPT AS OTHERWISE LIMITED BY LAW, BY THE BOARD, OR BY THE BYLAWS. THE EXECUTIVE COMMITTEE TRANSACTS THE BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND REPORTS THE FINDINGS AND RECOMMENDED COMPENSATION AND BENEFITS TO THE BOARD OF DIRECTORS. AFTER RECEIVING THE EXECUTIVE COMMITTEE'S REPORT, THE ENTIRE BOARD THEN SETS THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AS THE BOARD DEEMS APPROPRIATE. THE EXECUTIVE COMMITTEE ESTABLISHES A PROCESS FOR STRATEGIC PLANNING THAT ALSO ENCOMPASSES BOARD RETREATS.
FORM 990, PART VI, SECTION A, LINE 6CHILDREN'S HEALTH CARE (DBA: CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA) IS A MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MAYOR OF WACONIA SERVES AS AN EX-OFFICIO NON-VOTING MEMBER OF THE BOARD. CERTAIN RIGHTS, LIKE AUTHORITY OVER CAPITAL EXPENDITURES, ARE RESERVED BY THE CITY OF WACONIA. AS A CORPORATE MEMBER OF RIDGEVIEW MEDICAL CENTER, CHILDREN'S HOSPITAL AND CLINICS HAS THE RIGHT TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS TO THE EXTENT SUCH AMENDMENT WOULD MATERIALLY ADVERSELY AFFECT THE RIGHTS OR OBLIGATIONS OF CHILDREN'S AS A MEMBER OF RIDGEVIEW MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO REVIEWED THE FORM 990 AND PROVIDED A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD MEMBERS ANNUALLY REVIEW AND SIGN THE STATEMENTS FOR POTENTIAL CONFLICTS OF INTEREST. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY ARISE DURING THE YEAR. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE SITUATION WILL BE EXAMINED AND HANDLED APPROPRIATELY BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION. THE BOARD USES COMPARABILITY DATA FROM A COMPENSATION SURVEY AND VOTES ON HIS COMPENSATION. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2017. THE CEO DETERMINES THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. HIS DUE DILIGENCE PROCEDURES INCLUDE REVIEWING COMPENSATION SURVEYS AND PRESENTING HIS CONCLUSIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2017.
FORM 990, PART VI, SECTION C, LINE 19RIDGEVIEW MEDICAL CENTER HOLDS A PUBLIC MEETING ANNUALLY, AT WHICH THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PRESENTED. OTHERWISE THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL SERVICES AND OTHER MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 29,022,826. MANAGEMENT AND GENERAL EXPENSES 3,102,230. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,125,056.
FORM 990, PART XI, LINE 9:INVESTMENT IN FOUNDATION 4,963,228.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
RIDGEVIEW REAL ESTATE LLC
500 SOUTH MAPLE STREETWACONIAMN55387LAND LESSORMN$49,992$4,166RIDGEVIEW MEDICAL CENTER
RIDGEVIEW REAL ESTATE II LLC
500 SOUTH MAPLE STREETWACONIAMN55387LAND LESSORMN$0$0RIDGEVIEW MEDICAL CENTER
RIDGEVIEW COMMUNITY NETWORK LLC
500 SOUTH MAPLE STREETWACONIAMN55387ACCOUNTABLE CARE ORGANIZATIONMN$361,936$681,637RIDGEVIEW MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
RIDGEVIEW FOUNDATION
500 SOUTH MAPLE STREETWACONIAMN55387411328097RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTERMN501(C)(3)LINE 7RIDGEVIEW MEDICAL CENTERYes (1)
RIDGEVIEW CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387411651783HEALTH CARE SERVICESMN501(C)(3)LINE 3RIDGEVIEW MEDICAL CENTERYes (1)
RIDGEVIEW INSURANCE CO
60 E SOUTH TEMPLE STE 1800SALT LAKE CITYUT84111454109041CAPTIVE INSURANCE COMPANYUT501(C)(3)LINE 12A, IRIDGEVIEW MEDICAL CENTERYes (1)
SIBLEY MEDICAL CENTER
601 W CHANDLER STARLINGTONMN55307411801967CRITICAL ACCESS HOSPITALMN501(C)(3)LINE 3RIDGEVIEW MEDICAL CENTERYes (1)
MINNESOTA VALLEY HEALTH CENTER
621 S 4TH STREETLE SUEURMN56058410837659HEALTH CARE SERVICESMN501(C)(3)LINE 3RIDGEVIEW MEDICAL CENTERYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC
500 S MAPLE STWACONIAMN55387205785920CARDIOLOGY SERVICESMNRELATED$1,396,968$3,196,5410Yes (1)0.50000
CHASKA PLAZA SURGERY CENTER
3000 HUNDERTMARK ROADCHASKAMN55318450975783SURGERY SERVICESMNRELATED$1,750,970$3,095,1000Yes (1)0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
EXECUTIVE HEALTH MANAGEMENT SERVICES
500 SOUTH MAPLE STREETWACONIAMN55387411760239MANAGEMENT SERVICESMNRIDGEVIEW MEDICAL CENTERC1.00000Yes (1)
CHARITABLE REMAINDER UNITRUST (1)
CHARITABLE TRUSTMN0N/A
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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
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 OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RIDGEVIEW FOUNDATION
B$406,081CASH VALUE
SIBLEY MEDICAL CENTER
B$2,533,832CASH VALUE
RIDGEVIEW FOUNDATION
C$548,860CASH VALUE
MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC
J$1,200,911FAIR MARKET VALUE
RIDGEVIEW FOUNDATION
O$398,983FAIR MARKET VALUE
SIBLEY MEDICAL CENTER
O$8,062,590FAIR MARKET VALUE
MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC
O$425,637FAIR MARKET VALUE
RIDGEVIEW CLINICS
P$18,119,201FAIR MARKET VALUE

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