2018-11-15T16:16:39-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-01-01 311667875 RIDGEVIEW MEDICAL CENTER RIDG 9524422191 500 SOUTH MAPLE STREET WACONIA MN 553871791 BRENT WORDELMAN DIRECTOR OF FINANCE 9524422191 2018-11-14 1 DARRYN MCGARVEY P00958683 6123764500 2018-11-14 67.137.57.251 2018-11-14 20:19:48 PS P FD302F4D5CE3C660ABAF9933EAAEEC9F457F14F9 9C3E08EBF53FA5FA3C7B2B5BD0B3E335DF999A73 2017 2018-06-14 16:35:46Z MICHAEL PHELPS 500 SOUTH MAPLE STREET WACONIA MN 553871791 286745740 0 X WWW.RIDGEVIEWMEDICAL.ORG X 1999 MN TO MAKE A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE AND HEALTH FOR THE PEOPLE OF OUR AREA. 9 9 2079 386 2286311 -145457 1072454 700747 216719022 225213821 3412082 5356137 18982866 19987585 240186424 251258290 0 2939913 0 0 134734541 135120850 0 0 101310 101610426 110147243 236344967 248208006 3841457 3050284 253177659 264740280 96775149 94587003 156402510 170153277 X RIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE LIFELONG HEALTH OF PEOPLE IT SERVES WITH A CULTURE THAT NURTURES THE WHOLE PERSON: MIND, BODY, AND SPIRIT. 0 1 192374545 2939913 225213821 RIDGEVIEW MEDICAL CENTER ENHANCED AND PROVIDED QUALITY HEALTHCARE SERVICES FOR THE COMMUNITY OF WACONIA AND SURROUNDING AREAS. THE HOSPITAL PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE IN THE AMOUNT OF $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. 192374545 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 72 0 2079 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 MN X GORDON GABLENZ 9524422191 500 SOUTH MAPLE STREET WACONIA MN 55387 MITCHELL KILIAN CHAIR 2.00 0.00 X X 6000 0 0 JEFF NELSON VICE CHAIR 2.00 0.00 X X 5000 0 0 KATE ROEHL SECRETARY 2.00 0.00 X X 5000 0 0 STAN BANDUR TREASURER 2.00 0.00 X X 5000 0 0 THERESA DALEN BOARD MEMBER 2.00 0.00 X 5000 0 0 MARIA GLYNN BOARD MEMBER 2.00 0.00 X 5000 0 0 JULIE HERMAN BOARD MEMBER 2.00 0.00 X 5000 0 0 WAYNE HUBIN BOARD MEMBER 2.00 0.50 X 5000 0 0 BRIAN MARK BOARD MEMBER 2.00 0.00 X 5000 0 0 ROBERT STEVENS PRESIDENT / CEO (THRU JUNE 2017) 41.50 8.50 X 1656460 0 32826 MICHAEL PHELPS PRESIDENT / CEO 41.50 8.50 X 1450467 0 37854 GORDON GABLENZ CFO & CIO 40.00 10.00 X 663997 0 45865 JOHN PRONDZINSKI VICE PRESIDENT 50.00 0.00 X 262113 0 31317 BENJAMIN NIELSEN VICE PRESIDENT 50.00 0.00 X 232037 0 6375 TODD SANDBERG VICE PRESIDENT 1.00 49.00 X 211704 0 40137 ELAINE ARION VICE PRESIDENT & CNO 50.00 0.00 X 248944 0 32317 PAMELA WILLIAMS VICE PRESIDENT 0.00 50.00 X 0 143394 32221 KEN GILLES CHIEF INFORMATION OFFICER 50.00 0.00 X 92257 0 5473 GREGORY ERICKSON CRNA 50.00 0.00 X 240729 0 13305 DOUGLAS STASEK EXECUTIVE DIRECTOR OF PHILANTHROPY 2.50 47.50 X 227460 0 40498 SARAH HASTINGS EXECUTIVE DIRECTOR OF HUMAN RESOURCES 50.00 0.00 X 211227 0 25805 GREGORY MARCHETTI CRNA 50.00 0.00 X 211045 0 36314 BERNARD BUCKLAND DIRECTOR OF SURGERY 50.00 0.00 X 202702 0 26345 5957142 143394 406652 113 0 1 0 EMPAC 500 SOUTH MAPLE STREET WACONIA MN 55387 ED PHYSICIAN SERVICES 8574781 MINNEAPOLIS HEART INSTITUTE PO BOX 46100 PLYMOUTH MN 55446 CARDIOLOGY SERVICES 5000000 CHILDRENS HOSPITALS & CLINICS OF MN 2525 CHICAGO AVE S MINNEAPOLIS MN 55404 CHILDREN'S NCU MEDICAL SERVICES 1637769 MCKESSON INFORMATION SOLUTIONS 24630 NETWORK PLACE CHICAGO IL 60673 IT SERVICES 1431800 PDS PO BOX 775677 CHICAGO IL 60677 IT RECRUITING SERVICES 942549 58 548860 151887 700747 NET PATIENT REVENUE 621610 225213821 225213821 225213821 1156995 1156995 5873167 4684138 1189029 1189029 1189029 31306683 2594017 28257785 1443773 3048898 1150244 4199142 4199142 3283878 1101754 2182124 1942788 239336 MISCELLANEOUS 621610 15732263 343523 15388740 CAFETERIA REVENUE 722210 734572 734572 PHARMACY SERVICES 621610 148679 148679 918 918 16616432 251258290 225213821 2286311 23057411 X 2939913 2939913 5090669 5090669 107662548 86962660 20699888 3218195 2349108 869087 11952345 8228504 3723841 7197093 5159756 2037337 343207 343207 112465 112465 326595 326595 32125056 29022826 3102230 238292 238292 5412844 2640726 2670808 101310 2782138 98712 2683426 15684436 9467788 6216648 429118 337933 91185 295628 132036 163592 2166430 2166430 210000 210000 12779016 7744862 5034154 843305 192448 650857 MEDICAL SUPPLIES 27653569 27653569 MINNESOTA CARE TAX 3140879 3140879 BAD DEBT EXPENSE 3083696 3083696 EMPLOYEE RECRUITMENT 658388 305804 352584 1862181 420300 1441881 248208006 192374545 55732151 101310 4958921 5500793 55738925 56494346 29140003 31628765 3375005 3344267 4265805 4474446 249884637 144111517 105584124 105773120 15146695 19488469 2366028 4141006 32602153 33895068 253177659 264740280 21711265 23686686 150000 46968870 44092011 10821470 10097416 17123544 16710890 96775149 94587003 X 150566956 160982012 2828901 6140227 3006653 3031038 156402510 170153277 253177659 264740280 X 3050284 5737255 4963228 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 8207 8207 0 PART II-B, LINE 1: RIDGEVIEW MEDICAL CENTER PAYS DUES TO THE MINNESOTA HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH ARE USED FOR LOBBYING EXPENSES. 8586452 8586452 81647806 43483493 38164313 15287013 6985371 8301642 124471017 93642653 30828364 19892349 19892349 105773120 INVESTMENT IN RIDGEVIEW INSURANCE 514654 F INVESTMENT IN FOUNDATION 18973815 F 19488469 SELF INSURANCE RESERVES 1682482 DEFERRED COMPENSATION PLAN 13165086 STEP LEASE ASSET 424610 DUE FROM AFFILIATES 18622890 33895068 DEFERRED COMPENSATION 4745013 THIRD PARTY PAYABLE 1961237 WORKERS COMPENSATION 1265396 ASSET RETIREMENT OBLIGATION 12224 BRIDGE LOAN FROM RIDGEVIEW FOUNDATION 34203 DUE TO CARDIOLOGY JOINT VENTURE 5753679 STEP LEASE LIABILITY 2939138 16710890 X 249200618 5951386 5951386 243249232 8009058 8009058 251258290 247008412 5785892 5785892 241222520 6985486 6985486 248208006 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 694116 694116 0.00280 4110676 3607939 502737 0.00210 4804792 3607939 1196853 0.00490 26 26553 547569 66004 481565 0.00200 4 776 663442 663442 0.00270 2 55 98990 39875 59115 0.00020 2 100 130254 130254 0.00050 1 0 76690 76690 0.00030 35 27484 1516945 105879 1411066 0.00570 35 27484 6321737 3713818 2607919 0.01060 1162 13533 13533 0.00010 1162 13533 13533 0.00010 1 3083696 362540 40967448 53029609 -12062161 X 1 1 1 WACONIA BUILDING INVESTMENTS PHYSICIAN PROFESSIONAL BUILDING 0.35000 0.00000 0.65000 1 1 RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET WACONIA MN 55387 WWW.RIDGEVIEWMEDICAL.ORG 00055 X X X RIDGEVIEW MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 1 0 1 X WWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/ X 1 16 1 WWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/ 0 1 X 200.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X X 1 X 0 X X X X 1 X 0 0 RIDGEVIEW MEDICAL CENTER PART 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 CENTER PART V, SECTION B, LINE 6A: THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH RIDGEVIEW SIBLEY MEDICAL CENTER. RIDGEVIEW MEDICAL CENTER PART 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 CENTER PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION ARE AVAILABLE AT WWW.RIDGEVIEWMEDICAL.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/ PAY-YOUR-BILL-ONLINE. 10 1 - CLINICS 500 SOUTH MAPLE STREET WACONIA MN 55387 GENERAL MEDICAL CLINIC 2 - SAME DAY SURGERY 3000 HUNDERTMARK ROAD CHASKA MN 55318 GENERAL MEDICAL & SURGICAL CLINIC 3 - SPECIALTY CLINICS 500 SOUTH MAPLE STREET WACONIA MN 55387 SEE PART VI FOR DETAILS 4 - HOME HEALTH HOSPICE 500 SOUTH MAPLE STREET STE 1 WACONIA MN 55387 HOME HEALTH & HOSPICE 5 - REHAB SPECIALTIES 560 SOUTH MAPLE STREET WACONIA MN 55387 REHABILITATION SERVICES 6 - HOME MEDICAL EQUIPMENT 500 SOUTH MAPLE STREET STE 2 WACONIA MN 55387 MEDICAL EQUIPMENT SUPPLIER 7 - RIDGEVIEW SLEEP CENTER 560 SOUTH MAPLE STREET STE 103 WACONIA MN 55387 SLEEP DISORDER SERVICES 8 - PEDIATRIC REHAB 490 SOUTH MAPLE STREET STE 125 WACONIA MN 55387 PEDIATRIC SERVICES 9 - RIDGEVIEW RESEARCH 3000 HUNDERTMARK ROAD STE 8 CHASKA MN 55318 RESERACH FACILITY 10 - WESTERN OBGYN 560 SOUTH MAPLE STREET WACONIA MN 55387 OBESTRIC AND GYNECOLOGY SERVICES 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 STATES MN PART V, SECTION D, LINE 3 RIDGEVIEW'S SPECIALTY CLINICS INCLUDE ENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, AND BARIATRIC. 1 SIBLEY MEDICAL CENTER 601 W CHANDLER STREET ARLINGTON MN 55307 411801967 501(C)(3) 2533832 GENERAL OPERATING SUPPORT RIDGEVIEW FOUNDATION 500 S MAPLE STREET WACONIA MN 55387 411328097 501(C)(3) 406081 GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: COMMON MANAGEMENT AND BOARD OVERSIGHT BETWEEN RELATED ORGANIZATIONS ENSURE THAT TRANSFERRED FUNDS ARE USED FOR APPROPRIATE PURPOSES. X X X X X X 0 1 0 0 0 1 1 0 0 ROBERT STEVENS PRESIDENT / CEO (THRU JUNE 2017) 443042 0 71627 0 1141791 0 10800 0 22026 0 1689286 0 0 0 MICHAEL PHELPS PRESIDENT / CEO 368738 0 52130 0 1029599 0 10800 0 27054 0 1488321 0 0 0 GORDON GABLENZ CFO & CIO 303834 0 53085 0 307078 0 10800 0 35065 0 709862 0 0 0 JOHN PRONDZINSKI VICE PRESIDENT 221955 0 30040 0 10118 0 8395 0 22922 0 293430 0 0 0 BENJAMIN NIELSEN VICE PRESIDENT 194430 0 24210 0 13397 0 0 0 6375 0 238412 0 0 0 TODD SANDBERG VICE PRESIDENT 182519 0 23833 0 5352 0 8280 0 31857 0 251841 0 0 0 ELAINE ARION VICE PRESIDENT & CNO 211102 0 27787 0 10055 0 9582 0 22735 0 281261 0 0 0 PAMELA WILLIAMS VICE PRESIDENT 0 143394 0 0 0 0 0 0 0 32221 0 175615 0 0 GREGORY ERICKSON CRNA 208595 0 8264 0 23870 0 9600 0 3705 0 254034 0 0 0 DOUGLAS STASEK EXECUTIVE DIRECTOR OF PHILANTHROPY 197254 0 26669 0 3537 0 7156 0 33342 0 267958 0 0 0 SARAH HASTINGS EXECUTIVE DIRECTOR OF HUMAN RESOURCE 178188 0 26473 0 6566 0 8000 0 17805 0 237032 0 0 0 GREGORY MARCHETTI CRNA 181426 0 4761 0 24858 0 8470 0 27844 0 247359 0 0 0 BERNARD BUCKLAND DIRECTOR OF SURGERY 145101 0 22512 0 35089 0 8434 0 17911 0 229047 0 0 0 PART I, LINE 4B ROBERT 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 6 THE OFFICERS OF RIDGEVIEW MEDICAL CENTER AND AFFILIATES RECEIVE BONUSES CONTINGENT ON THE NET EARNINGS OF THE CONSOLIDATED ENTITY AND GOALS ACHIEVED. BONUSES WERE EARNED IN 2016 AND PAID IN 2017. A CITY OF WINSTED MINNESOTA 416005652 2007-04-27 5000000 BUILDING ADDITION TO HOSPITAL 0 0 0 B CITY OF DELANO MINNESOTA 416005093 2007-05-14 4337423 BUILDING ADDITION TO HOSPITAL 0 0 0 C CITY OF COLOGNE MINNESOTA 416005068 2007-03-13 9000000 DEFEASE 1999 BONDS 0 0 0 D CITY OF CARVER MINNESOTA 416005037 2007-03-28 7000000 DEFEASE 1999 BONDS 0 0 0 A 766500 5000000 100000 4900000 2007 0 0 1 1 B 664927 4337423 85000 4252423 2007 0 0 1 1 C 1379916 9000000 8950000 50000 2000 0 1 1 1 D 1076047 7000000 6950000 50000 2000 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A CITY OF HAMBURG MINNESOTA 410941733 2007-04-12 7000000 DEFEASE 1999 BONDS 0 0 0 B CITY OF HAMBURG MINNESOTA 410941733 2013-09-17 8912500 DEFEASE 2005, 2002A, 2003 BONDS, EQUIP PURCHASE, RMC BUILDING REMODEL 0 0 0 C CITY OF WINSTED MINNESOTA 416005652 2013-09-17 8912500 DEFEASE 2005, 2002A, 2003 BONDS, EQUIPMENT PURCHASE, RMC BUILDING REMODEL 0 0 0 D CITY OF HOWARD LAKE MINNESOTA 416005249 2013-12-30 7000000 212 NORTH PROJECT 0 0 0 A 1073100 7000000 6102423 50000 847577 2000 0 1 1 1 B 3125841 8912500 3607744 178250 5126506 2013 1 0 1 1 C 3125841 8912500 3607744 178250 5126506 2013 1 0 1 1 D 1017189 7000000 181568 3713300 3105132 2002 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 0 A 1 B 1 C 1 D 1 FORM 990, PART III, LINE 3 DURING 2017, THE HOSPICE HOUSE WAS CLOSED. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, THE VICE CHAIR, THE SECRETARY, AND THE TREASURER. THE EXECUTIVE COMMITTEE HAS AND EXERCISES THE FULL AUTHORITY OF THE BOARD EXCEPT AS OTHERWISE LIMITED BY LAW, BY THE BOARD, OR BY THE BYLAWS. THE EXECUTIVE COMMITTEE TRANSACTS THE BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND REPORTS THE FINDINGS AND RECOMMENDED COMPENSATION AND BENEFITS TO THE BOARD OF DIRECTORS. AFTER RECEIVING THE EXECUTIVE COMMITTEE'S REPORT, THE ENTIRE BOARD THEN SETS THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AS THE BOARD DEEMS APPROPRIATE. THE EXECUTIVE COMMITTEE ESTABLISHES A PROCESS FOR STRATEGIC PLANNING THAT ALSO ENCOMPASSES BOARD RETREATS. FORM 990, PART VI, SECTION A, LINE 6 CHILDREN'S HEALTH CARE (DBA: CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA) IS A MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MAYOR OF WACONIA SERVES AS AN EX-OFFICIO NON-VOTING MEMBER OF THE BOARD. CERTAIN RIGHTS, LIKE AUTHORITY OVER CAPITAL EXPENDITURES, ARE RESERVED BY THE CITY OF WACONIA. AS A CORPORATE MEMBER OF RIDGEVIEW MEDICAL CENTER, CHILDREN'S HOSPITAL AND CLINICS HAS THE RIGHT TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS TO THE EXTENT SUCH AMENDMENT WOULD MATERIALLY ADVERSELY AFFECT THE RIGHTS OR OBLIGATIONS OF CHILDREN'S AS A MEMBER OF RIDGEVIEW MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE FORM 990 AND PROVIDED A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ANNUALLY REVIEW AND SIGN THE STATEMENTS FOR POTENTIAL CONFLICTS OF INTEREST. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY ARISE DURING THE YEAR. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE SITUATION WILL BE EXAMINED AND HANDLED APPROPRIATELY BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION. THE BOARD USES COMPARABILITY DATA FROM A COMPENSATION SURVEY AND VOTES ON HIS COMPENSATION. 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 19 RIDGEVIEW MEDICAL CENTER HOLDS A PUBLIC MEETING ANNUALLY, AT WHICH THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PRESENTED. OTHERWISE THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES AND OTHER MISCELLANEOUS SERVICES: PROGRAM SERVICE EXPENSES 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. RIDGEVIEW REAL ESTATE LLC 500 SOUTH MAPLE STREET WACONIA MN 55387 LAND LESSOR MN 49992 4166 RIDGEVIEW MEDICAL CENTER RIDGEVIEW REAL ESTATE II LLC 500 SOUTH MAPLE STREET WACONIA MN 55387 LAND LESSOR MN 0 0 RIDGEVIEW MEDICAL CENTER RIDGEVIEW COMMUNITY NETWORK LLC 500 SOUTH MAPLE STREET WACONIA MN 55387 ACCOUNTABLE CARE ORGANIZATION MN 361936 681637 RIDGEVIEW MEDICAL CENTER RIDGEVIEW FOUNDATION 500 SOUTH MAPLE STREET WACONIA MN 55387 411328097 RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTER MN 501(C)(3) LINE 7 RIDGEVIEW MEDICAL CENTER 1 RIDGEVIEW CLINICS 500 SOUTH MAPLE STREET WACONIA MN 55387 411651783 HEALTH CARE SERVICES MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 1 RIDGEVIEW INSURANCE CO 60 E SOUTH TEMPLE STE 1800 SALT LAKE CITY UT 84111 454109041 CAPTIVE INSURANCE COMPANY UT 501(C)(3) LINE 12A, I RIDGEVIEW MEDICAL CENTER 1 SIBLEY MEDICAL CENTER 601 W CHANDLER ST ARLINGTON MN 55307 411801967 CRITICAL ACCESS HOSPITAL MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 1 MINNESOTA VALLEY HEALTH CENTER 621 S 4TH STREET LE SUEUR MN 56058 410837659 HEALTH CARE SERVICES MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 1 MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC 500 S MAPLE ST WACONIA MN 55387 205785920 CARDIOLOGY SERVICES MN RELATED 1396968 3196541 0 1 0.50000 CHASKA PLAZA SURGERY CENTER 3000 HUNDERTMARK ROAD CHASKA MN 55318 450975783 SURGERY SERVICES MN RELATED 1750970 3095100 0 1 0.51000 EXECUTIVE HEALTH MANAGEMENT SERVICES 500 SOUTH MAPLE STREET WACONIA MN 55387 411760239 MANAGEMENT SERVICES MN RIDGEVIEW MEDICAL CENTER C 1.00000 1 CHARITABLE REMAINDER UNITRUST (1) CHARITABLE TRUST MN N/A 0 0 1 1 0 1 0 0 0 0 1 1 0 1 1 1 1 0 0 1 RIDGEVIEW FOUNDATION B 406081 CASH VALUE SIBLEY MEDICAL CENTER B 2533832 CASH VALUE RIDGEVIEW FOUNDATION C 548860 CASH VALUE MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC J 1200911 FAIR MARKET VALUE RIDGEVIEW FOUNDATION O 398983 FAIR MARKET VALUE SIBLEY MEDICAL CENTER O 8062590 FAIR MARKET VALUE MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC O 425637 FAIR MARKET VALUE RIDGEVIEW CLINICS P 18119201 FAIR MARKET VALUE