RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201733199349313793
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T15:42:36-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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)
PersonGORDON GABLENZPersonNm
Person TitleCFO & CIOPersonTitleTxt
Phone9524422191PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT E SCHILEPreparerPersonNm
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm15:54:20IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFA31AA04F1E9B994011BE7FD015D0A50D50384CFAtSubmissionCreationDeviceId
At Submission Filing Device Id5C00B405BF4A66E7F27E07300AA9AC0D580A9EB8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT STEVENSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1Txt
CityWACONIACityNm
State AbbreviationMNStateAbbreviationCd
ZIP553871791ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$282,035,258GrossReceiptsAmt
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 Employee1999TotalEmployeeCnt
Total Volunteers446TotalVolunteersCnt
Total Gross UBI$2,947,700TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$254,797NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,410,606PYContributionsGrantsAmt
CY Contributions Grants$1,072,454CYContributionsGrantsAmt
PY Program Service Revenue$198,816,791PYProgramServiceRevenueAmt
CY Program Service Revenue$216,719,022CYProgramServiceRevenueAmt
PY Investment Income$4,926,705PYInvestmentIncomeAmt
CY Investment Income$3,412,082CYInvestmentIncomeAmt
PY Other Revenue$17,140,500PYOtherRevenueAmt
CY Other Revenue$18,982,866CYOtherRevenueAmt
PY Total Revenue$224,294,602PYTotalRevenueAmt
CY Total Revenue$240,186,424CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$125,947,579PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$134,734,541CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$97,077CYTotalFundraisingExpenseAmt
PY Other Expenses$94,891,347PYOtherExpensesAmt
CY Other Expenses$101,610,426CYOtherExpensesAmt
PY Total Expenses$220,838,926PYTotalExpensesAmt
CY Total Expenses$236,344,967CYTotalExpensesAmt
PY Revenues Less Expenses$3,455,676PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,841,457CYRevenuesLessExpensesAmt
Total Assets BOY$241,472,629TotalAssetsBOYAmt
Total Assets EOY$253,177,659TotalAssetsEOYAmt
Total Liabilities BOY$91,337,101TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,775,149TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$150,135,528NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$156,402,510NetAssetsOrFundBalancesEOYAmt
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 Change0SignificantChangeInd
Expense$179,747,346ExpenseAmt
Grant$0GrantAmt
Revenue$216,719,022RevenueAmt
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 $563,866 DURING 2016. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $937,128 AND $16,804,943 IN 2016. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY, AND MORE TOTALED $596,443. IN 2016, THE HOSPITAL SPENT $9,151,513 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 6,454 INPATIENTS, 29,187 EMERGENCY CARE VISITS, 37,913 HOME HEALTH VISITS, 5,524 SURGERIES, 1,388 BIRTHS, 9,634 AMBULANCE CALLS, AND 178,586 OUTPATIENT VISITS IN 2016. 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$179,747,346TotalProgramServiceExpensesAmt
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 Organizations0GrantsToOrganizationsInd
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 Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1999EmployeeCnt
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 (22 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 CHAIR2.001.00Yes (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 MEMBER2.000.00Yes (X)$5,000$1,200$0
BRIAN MARK
BOARD MEMBER2.000.00Yes (X)$5,000$0$0
ROBERT STEVENS
PRESIDENT / CEO41.508.50Yes (X)$433,264$0$23,091
GORDON GABLENZ
CFO & CIO47.003.00Yes (X)$620,943$0$25,289
MICHAEL PHELPS
COO40.0010.00Yes (X)$309,321$0$28,985
JOHN PRONDZINSKI
VICE PRESIDENT50.000.00Yes (X)$230,311$0$25,095
BENJAMIN NIELSEN
VICE PRESIDENT50.000.00Yes (X)$196,616$0$9,767
TODD SANDBERG
VICE PRESIDENT49.001.00Yes (X)$199,446$0$20,194
ELAINE ARION
VICE PRESIDENT50.000.00Yes (X)$222,852$0$26,142
BERNARD BUCKLAND
DIRECTOR OF SURGERY50.000.00Yes (X)$182,816$0$20,623
CATHERINE PHILLIPS
CRNA40.000.00$183,399$0$17,498Yes (X)
DOUGLAS STASEK
EXECUTIVE DIRECTOR2.5047.50$215,645$0$32,406Yes (X)
GREGORY ERICKSON
CRNA40.000.00$248,586$0$13,119Yes (X)
GREGORY MARCHETTI
CRNA40.000.00$222,474$0$17,746Yes (X)
SARAH HASTINGS
EXECUTIVE DIRECTOR50.000.00$182,706$0$20,099Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,494,379TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,200TotReportableCompRltdOrgAmt
Total Other Compensation$280,054TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K78IndivRcvdGreaterThan100KCnt
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$8,430,096
MCKESSON INFORMATION SOLUTIONS
380 RUSSELL STREETHADLEYMA01035IT SERVICES$3,573,645
MINNEAPOLIS HEART INSTITUTE
PO BOX 46100PLYMOUTHMN55446CARDIOLOGY SERVICES$2,850,000
CHILDRENS HOSPITALS & CLINICS OF MN
2525 CHICAGO AVE SMINNEAPOLISMN55404CHILDREN'S NCU MEDICAL SERVICES$1,754,925
PDS
PO BOX 88079MILWAUKEEWI53288IT RECRUITING SERVICES$1,051,604
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K49CntrctRcvdGreaterThan100KCnt
Related Organizations$927,552RelatedOrganizationsAmt
All Other Contributions$144,902AllOtherContributionsAmt
Total Contributions$1,072,454TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621610BusinessCd
Total Revenue Column$216,719,022TotalRevenueColumnAmt
Related Or Exempt Func Income$216,719,022RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$216,719,022TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,085,199TotalRevenueColumnAmt
Exclusion$1,085,199ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,568,474RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,222,155RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,346,319RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,346,319TotalRevenueColumnAmt
Exclusion$1,346,319ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$35,215,988SecuritiesAmt
Other$3,112,179OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$34,564,729SecuritiesAmt
Other$1,436,555OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$651,259SecuritiesAmt
Other$1,675,624OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,326,883TotalRevenueColumnAmt
Exclusion$2,326,883ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$4,255,517GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,625,395CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,630,122TotalRevenueColumnAmt
Unrelated Business Revenue$2,604,230UnrelatedBusinessRevenueAmt
Exclusion$25,892ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MISCELLANEOUS621610$14,117,743$343,470$13,774,273
CAFETERIA REVENUE722210$649,059$649,059
PHARMACY SERVICES621610$177,052$177,052

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,571TotalRevenueColumnAmt
Exclusion$62,571ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$15,006,425OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$240,186,424TotalRevenueColumnAmt
Related Or Exempt Func Income$216,719,022RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,947,700UnrelatedBusinessRevenueAmt
Exclusion$19,447,248ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,428,270TotalAmt
Management And General$3,428,270ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$109,895,371TotalAmt
Program Services$85,844,355ProgramServicesAmt
Management And General$24,051,016ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,185,902TotalAmt
Program Services$2,422,448ProgramServicesAmt
Management And General$763,454ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,274,387TotalAmt
Program Services$7,507,101ProgramServicesAmt
Management And General$3,767,286ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,950,611TotalAmt
Program Services$5,182,533ProgramServicesAmt
Management And General$1,768,078ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$486,819TotalAmt
Management And General$486,819ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$120,425TotalAmt
Management And General$120,425ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,581,055TotalAmt
Program Services$21,733,015ProgramServicesAmt
Management And General$2,848,040ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$199,154TotalAmt
Management And General$199,154ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,122,695TotalAmt
Program Services$2,979,589ProgramServicesAmt
Management And General$3,046,029ManagementAndGeneralAmt
Fundraising$97,077FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,140,741TotalAmt
Program Services$151,458ProgramServicesAmt
Management And General$2,989,283ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,281,653TotalAmt
Program Services$8,748,517ProgramServicesAmt
Management And General$5,533,136ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$569,745TotalAmt
Program Services$358,956ProgramServicesAmt
Management And General$210,789ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$254,729TotalAmt
Program Services$146,657ProgramServicesAmt
Management And General$108,072ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,655,124TotalAmt
Program Services$2,655,124ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,953,758TotalAmt
Program Services$7,288,100ProgramServicesAmt
Management And General$4,665,658ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$860,131TotalAmt
Program Services$170,188ProgramServicesAmt
Management And General$689,943ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UNRELATED INCOME TAX$214,925$214,925
MEDICAL SUPPLIES$27,599,382$27,599,382
BAD DEBT EXPENSE$3,113,862$3,113,862
MINNESOTA CARE TAX$3,070,692$3,070,692

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,175,536TotalAmt
Program Services$775,369ProgramServicesAmt
Management And General$1,400,167ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$236,344,967TotalAmt
Program Services$179,747,346ProgramServicesAmt
Management And General$56,500,544ManagementAndGeneralAmt
Fundraising$97,077FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,965,968BOYAmt
EOY$4,958,921EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$55,397,801BOYAmt
EOY$55,738,925EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,175,553BOYAmt
EOY$29,140,003EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,452,003BOYAmt
EOY$3,375,005EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,275,580BOYAmt
EOY$4,265,805EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$237,652,259LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$132,068,135LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$103,817,350BOYAmt
EOY$105,584,124EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,520,705BOYAmt
EOY$15,146,695EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,592,054BOYAmt
EOY$2,366,028EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,275,615BOYAmt
EOY$32,602,153EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$241,472,629BOYAmt
EOY$253,177,659EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,060,830BOYAmt
EOY$21,711,265EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$150,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,727,920BOYAmt
EOY$46,968,870EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,789,127BOYAmt
EOY$10,821,470EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,759,224BOYAmt
EOY$17,123,544EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,337,101BOYAmt
EOY$96,775,149EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$144,779,625BOYAmt
EOY$150,566,956EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,577,217BOYAmt
EOY$2,828,901EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,778,686BOYAmt
EOY$3,006,653EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$150,135,528BOYAmt
EOY$156,402,510EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$241,472,629BOYAmt
EOY$253,177,659EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,841,457ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,000,219NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$425,306OtherChangesInNetAssetsAmt
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$108,054OtherActivitiesAmt
Total Lobbying Expenditures$108,054TotalLobbyingExpendituresAmt
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$8,336,442OtherCostOrOtherBasisAmt
Book Value$8,336,442BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,718,377OtherCostOrOtherBasisAmt
Depreciation$41,780,366DepreciationAmt
Book Value$36,938,011BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,881,472OtherCostOrOtherBasisAmt
Depreciation$6,227,985DepreciationAmt
Book Value$8,653,487BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,869,075OtherCostOrOtherBasisAmt
Depreciation$84,059,784DepreciationAmt
Book Value$34,809,291BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,846,893OtherCostOrOtherBasisAmt
Book Value$16,846,893BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$105,584,124TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN RIDGEVIEW INSURANCE$1,136,108F
INVESTMENT IN FOUNDATION$14,010,587F
FieldValueIRS element (for citing)
Total Book Value Securities$15,146,695TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
SELF INSURANCE RESERVES$1,678,485
DEFERRED COMPENSATION PLAN$11,908,287
STEP LEASE ASSET$396,373
DUE FROM AFFILIATES$18,619,008
FieldValueIRS element (for citing)
Total Book Value Other Assets$32,602,153TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$4,260,247
THIRD PARTY PAYABLE$2,150,001
WORKERS COMPENSATION$1,265,396
ASSET RETIREMENT OBLIGATION$12,224
BRIDGE LOAN FROM RIDGEVIEW FOUNDATION$2,325,701
DUE TO CARDIOLOGY JOINT VENTURE$4,208,058
STEP LEASE LIABILITY$2,901,917
FieldValueIRS element (for citing)
Total Liability$17,123,544TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$240,953,301TotalRevEtcAuditedFinclStmtAmt
Other Revenue$5,847,550OtherRevenueAmt
Revenue Not Reported$5,847,550RevenueNotReportedAmt
Revenue Subtotal$235,105,751RevenueSubtotalAmt
Other Revenues Not Included$5,080,673OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,080,673RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$240,186,424TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$238,212,107TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,847,550OtherExpensesIncludedAmt
Expenses Not Reported$5,847,550ExpensesNotReportedAmt
Expenses Subtotal$232,364,557ExpensesSubtotalAmt
Other Expenses Not Included$3,980,410OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,980,410ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$236,344,967TotalExpensesPerForm990Amt

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 4,222,155. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,541,730. GIFT SHOP EXPENSES 83,665.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 1,085,199. REALIZED GAINS ON INVESTMENTS 651,259. BAD DEBT EXPENSES 3,113,862. RIDGEVIEW REAL ESTATE LLC REVENUE 49,992. RIDGEVIEW COMMUNITY NETWORK LLC REVENUE 180,361.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 4,222,155. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,541,730. GIFT SHOP EXPENSES 83,665.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSES 3,113,862. DISTRIBUTION EXPENSE 210,000. RIDGEVIEW REAL ESTATE LLC EXPENSES 49,992. RIDGEVIEW COMMUNITY NETWORK LLC EXPENSES 257,609. INVESTMENT MANAGEMENT FEES 348,947.

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$563,866TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$563,866NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,510,286TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,573,158DirectOffsettingRevenueAmt
Net Community Benefit Expns$937,128NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,074,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,573,158DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,500,994NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served17388PersonsServedCnt
Total Community Benefit Expns$465,021TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$350DirectOffsettingRevenueAmt
Net Community Benefit Expns$464,671NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served749PersonsServedCnt
Total Community Benefit Expns$596,443TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$596,443NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served6085PersonsServedCnt
Total Community Benefit Expns$475,221TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$443,150NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served91PersonsServedCnt
Total Community Benefit Expns$154,236TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$154,236NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$51,050TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$51,050NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served24313PersonsServedCnt
Total Community Benefit Expns$1,741,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,421DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,709,550NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served24313PersonsServedCnt
Total Community Benefit Expns$6,816,123TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,605,579DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,210,544NetCommunityBenefitExpnsAmt
Total Expense0.01380TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served5345PersonsServedCnt
Total Community Benefit Expns$22,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,024NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served5345PersonsServedCnt
Total Community Benefit Expns$22,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,024NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,113,862BadDebtExpenseAmt
Bad Debt Expense Attributable$262,576BadDebtExpenseAttributableAmt
Reimbursed By Medicare$34,688,624ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$45,410,492CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,721,868MedicareSurplusOrShortfallAmt

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 URLHTTP://WWW.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 URLHTTP://WWW.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 COMMUNITY'S CURRENT HEALTH STATUS, HEALTH OUTCOMES, AND UNMET NEEDS IN A FORMALIZED, RIGOROUS AND STRUCTURE 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 ASSESSMENT 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 LOST-COST CALCIUM SCORE SCREENINGS, COMMUNITY CARDIOLOGY AND ONCOLOGY CLINICS, AND MAMMOGRAMS AT A REDUCED PRICE. THROUGH THESE ACTIVITIES, WE SERVED 649 INDIVIDUALS IN 2016.
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 $ 3,113,862.
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 2016 FINANCIAL STATEMENTS THAT INCLUDES THE EXPLANATION OF BAD DEBT EXPENSE IS THE "PATIENT RECEIVABLES, NET NOTE INCLUDED ON PAGE 11.
PART III, LINE 8:RIDGEVIEW USED THE 2016 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 $10,721,868 IN 2016. 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, 10% OF OUR SERVICE AREA IS AGE 65+, 28% IS AGE 45-64, 35% IS AGE 18-44, AND 27% IS AGE 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. EXAMPLE OF RIDGEVIEW'S COMMUNITY BENEFIT CONTRIBUTIONS INCLUDE UNDERFUNDING OF MEDICARE AND 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.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 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$430,374$0$0$0$2,890$0$9,873$0$13,218$0$456,355$0$0$0
GORDON GABLENZ
CFO & CIO$300,816$0$0$0$320,127$0$10,600$0$14,689$0$646,232$0$0$0
MICHAEL PHELPS
COO$308,166$0$0$0$1,155$0$10,285$0$18,700$0$338,306$0$0$0
JOHN PRONDZINSKI
VICE PRESIDENT$218,863$0$0$0$11,448$0$8,348$0$16,747$0$255,406$0$0$0
BENJAMIN NIELSEN
VICE PRESIDENT$183,830$0$0$0$12,786$0$6,246$0$3,521$0$206,383$0$0$0
TODD SANDBERG
VICE PRESIDENT$178,452$0$0$0$20,994$0$7,171$0$13,023$0$219,640$0$0$0
ELAINE ARION
VICE PRESIDENT$209,082$0$0$0$13,770$0$8,746$0$17,396$0$248,994$0$0$0
BERNARD BUCKLAND
DIRECTOR OF SURGERY$182,816$0$0$0$0$0$7,614$0$13,009$0$203,439$0$0$0
CATHERINE PHILLIPS
CRNA$101,903$0$81,496$0$0$0$6,353$0$11,145$0$200,897$0$0$0
DOUGLAS STASEK
EXECUTIVE DIRECTOR$196,324$0$0$0$19,321$0$7,111$0$25,295$0$248,051$0$0$0
GREGORY ERICKSON
CRNA$223,798$0$24,788$0$0$0$9,769$0$3,350$0$261,705$0$0$0
GREGORY MARCHETTI
CRNA$196,548$0$25,926$0$0$0$6,619$0$11,127$0$240,220$0$0$0
SARAH HASTINGS
EXECUTIVE DIRECTOR$182,530$0$0$0$176$0$7,085$0$13,014$0$202,805$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 THAT ACCRUED $254,368 DURING 2015. MICHAEL PHELPS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN THAT ACCRUED $142,127 DURING 2015. GORDON GABLENZ PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN THAT ACCRUED $506,054 DURING 2015. 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. NO BONUSES WERE EARNED IN 2015, SO NO BONUSES WERE PAID IN 2016.

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$542,681$5,000,000$100,000$4,900,000200700Yes (1)Yes (1)
B$470,767$4,337,423$85,000$4,252,423200700Yes (1)Yes (1)
C$977,042$9,000,000$50,00020000Yes (1)Yes (1)Yes (1)$8,950,000
D$762,700$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$759,753$7,000,000$6,102,423$50,000$847,57720000Yes (1)Yes (1)Yes (1)
B$2,517,075$8,912,500$3,607,744$178,250$5,126,5062013Yes (1)0Yes (1)Yes (1)
C$2,517,075$8,912,500$3,607,744$178,250$5,126,5062013Yes (1)0Yes (1)Yes (1)
D$733,699$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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 POLICY. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICT 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. HOWEVER, ONE BOARD MEMBER, A PHYSICIAN WHO IS EMPLOYED BY RIDGEVIEW CLINICS, DOES NOT VOTE ON THE CEO'S COMPENSATION. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2016. 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 2016.
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 21,733,015. MANAGEMENT AND GENERAL EXPENSES 2,848,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,581,055.
FORM 990, PART XI, LINE 9:INVESTMENT IN FOUNDATION 425,306.

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$180,361$319,701RIDGEVIEW MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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)

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$831,739$2,033,9010Yes (1)0.50000
CHASKA PLAZA SURGERY CENTER
3000 HUNDERTMARK ROADCHASKAMN55318450975783SURGERY SERVICESMNRELATED$1,354,963$2,922,0940Yes (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 Org0GiftGrntOrCapContriToOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RIDGEVIEW FOUNDATION
C$927,552CASH VALUE
RIDGEVIEW FOUNDATION
O$418,002FAIR MARKET VALUE
SIBLEY MEDICAL CENTER
O$7,655,646FAIR MARKET VALUE
RIDGEVIEW CLINICS
P$14,116,987FAIR MARKET VALUE

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