AITKIN COMMUNITY HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
AITKIN COMMUNITY HOSPITAL INC (EIN 41-0745522)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-11
IRS object ID
201602249349301400
Schema version
2014v6.0
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)
Return2016-08-11T10:20:16-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 W FIRST ST STE 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP558021926ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410745522EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCASEY JOHNSONPersonNm
Person TitleCFOPersonTitleTxt
Phone2189272121PhoneNum
Signature2016-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY BETH SANTORIPreparerPersonNm
PTINP00023783PTIN
Phone2187275025PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHAD COOPERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$74,556,190GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIVERWOODHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionINPATIENT AND OUTPATIENT MEDICAL CARE AND THREE PRIMARY CARE CLINICS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee427TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI$1,673,317TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$728,571PYContributionsGrantsAmt
CY Contributions Grants$723,951CYContributionsGrantsAmt
PY Program Service Revenue$54,971,487PYProgramServiceRevenueAmt
CY Program Service Revenue$58,026,714CYProgramServiceRevenueAmt
PY Investment Income$1,117,684PYInvestmentIncomeAmt
CY Investment Income$2,103,456CYInvestmentIncomeAmt
PY Other Revenue$487,405PYOtherRevenueAmt
CY Other Revenue$325,324CYOtherRevenueAmt
PY Total Revenue$57,305,147PYTotalRevenueAmt
CY Total Revenue$61,179,445CYTotalRevenueAmt
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$25,613,279PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,390,232CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$24,817PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$22,204CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$120,529CYTotalFundraisingExpenseAmt
PY Other Expenses$28,334,271PYOtherExpensesAmt
CY Other Expenses$29,366,673CYOtherExpensesAmt
PY Total Expenses$53,972,367PYTotalExpensesAmt
CY Total Expenses$55,779,109CYTotalExpensesAmt
PY Revenues Less Expenses$3,332,780PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,400,336CYRevenuesLessExpensesAmt
Total Assets BOY$81,626,274TotalAssetsBOYAmt
Total Assets EOY$84,910,661TotalAssetsEOYAmt
Total Liabilities BOY$47,474,845TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,771,545TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,151,429NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,139,116NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE HIGH QUALITY INPATIENT AND OUTPATIENT CARE AND THREE PRIMARY CLINICS CARE TO THE RESIDENTS OF AITKIN AND THE SURROUNDING AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$46,243,686ExpenseAmt
Revenue$56,678,973RevenueAmt
DescRIVERWOOD HAS A STRONG FOCUS ON HEALTH AND WELLNESS AND STRIVES TO EDUCATE AND INFORM THE COMMUNITY ON HEALTH ISSUES. THE HEALTHCARE CENTER ALSO LISTENS TO AND INCORPORATES THE NEEDS OF THE COMMUNITY AND PATIENTS. RIVERWOOD OFFERS COMMUNITY HEALTH EDUCATION SEMINARS, SUPPORT GROUPS AND CLASSES AS WELL AS HEALTH AND WELLNESS TIPS IN THE "HEALTHY LIVING NEWSLETTER". IN 2015 RIVERWOOD CONTINUED IT'S MISSION TO PROVIDE HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE TO ITS PATIENTS. AS PART OF RIVERWOOD'S STRATEGIC PLAN FOR 2015-18, THE ORGANIZATION COMMITTED TO TRANSITIONING TO A NEW ELECTRONIC HEALTH RECORD (EHR), WHICH WILL HAVE LONG-TERM BENEFITS FOR PATIENTS IN TERMS OF PROVIDING THE SAFEST AND HIGHEST QUALITY CARE. IN JULY 2015, RIVERWOOD BEGAN TRANSITIONING TO ALLINA HEALTH'S VERSION OF EPIC, WHICH IS CALLED EXCELLIAN, WITH A GO-LIVE DATE OF MARCH 31, 2016. AMONG OTHER THINGS, THE EXCELLIAN PLATFORM ALLOWED RIVERWOOD TO INTEGRATE BOTH ITS HOSPITAL AND CLINIC ELECTRONIC RECORDS INTO A SINGLE, INTEGRATED SYSTEM. ADDITIONALLY, THE ABILITY TO SEAMLESSLY SHARE INFORMATION WITH OTHER HEALTH CARE PROVIDERS WITH WHOM THE HEALTH SYSTEM PARTNERS HAS BEEN GREATLY ENHANCED. RIVERWOOD INSTALLED AN 80-SLICE CT SCANNER IN THE RADIOLOGY DEPARTMENT. THIS CT TECHNOLOGY ALLOWS FOR IMPROVED IMAGE QUALITY AND SPEED, REDUCING TOTAL TIME-TO-DIAGNOSIS FOR ENHANCED PATIENT CARE. WITH A GRANT FROM THE MINNESOTA DEPARTMENT OF HEALTH, RIVERWOOD IS MOVING FORWARD WITH ENHANCING PRIMARY CARE WITH THE DEVELOPMENT OF A NEW MODEL OF CARE CALLED PATIENT CENTERED MEDICAL HOME. THIS MODEL USES TEAM-BASED CARE THAT FOCUSES ON WELLNESS AND DISEASE PREVENTION WHILE PLACING CONTROL OF HEALTHCARE CHOICES IN THE HANDS OF THE PATIENT. TWO NEW PHYSICIANS WERE ADDED DURING THE YEAR AND A PHYSICIAN ASSISTANT FOR SPECIALTY CARE AS WELL AS A NEW NURSE PRACTITIONER FOR FAMILY MEDICINE.RIVERWOOD MOVED ITS URGENT CARE SERVICE FROM THE EMERGENCY DEPARTMENT TO ITS CLINIC IN AITKIN. RIVERWOOD NURSE PRACTITIONERS NOW STAFF URGENT CARE, SEEING PATIENTS FROM 10 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY. THE TRANSITION OF URGENT CARE FROM THE ER TO THE CLINIC BENEFITS PATIENTS IN SEVERAL WAYS: THE COST OF CARE IS LESS EXPENSIVE IN THE CLINIC SETTING THAN THE ER SO PATIENTS CAN SAVE MONEY ON THEIR INSURANCE DEDUCTIBLES AND COPAYMENTS. IN ADDITION, PATIENT WAIT TIMES ARE NOT IMPACTED BY HOW BUSY THE EMERGENCY ROOM IS.Desc
Total Program Service Expenses$46,243,686TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To 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 Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document65IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee427EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS RIKALA
DIRECTOR1.00Yes (X)$0$0$0
JEFF EHNSTROM MD
DIRECTOR/PHYSICIAN41.00Yes (X)$306,531$0$27,788
STEVE WILSON
DIRECTOR1.00Yes (X)$0$0$0
ALISON MATALAMAKI
TREASURER1.00Yes (X)$0$0$0Yes (X)
MIKE PAULBECK
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
JARED LUNDGREN
DIRECTOR1.00Yes (X)$0$0$0
TOM LUNDBERG
DIRECTOR1.00Yes (X)$0$0$0
TIMOTHY DIRKS MD
DIRECTOR1.00Yes (X)$0$0$0
DAVID MEYER
SECRETARY1.00Yes (X)$0$0$0Yes (X)
KATHLEEN RYAN
DIRECTOR1.00Yes (X)$0$0$0
CHAD GROSS
VICE CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
CHRISTINE BRIGHT
DIRECTOR1.00Yes (X)$0$0$0
CHAD COOPER
CEO39.90$338,873$0$26,761Yes (X)0.10
CASEY JOHNSON
CFO39.90$77,536$0$9,385Yes (X)0.10
MARK HEGGEM MD
CMO40.00$278,286$0$27,788Yes (X)
JEFFREY RAPP MD
PHYSICIAN40.00$322,378$0$27,788Yes (X)
JIM HARRIS MD
ER MEDICAL DIRECTOR40.00$339,832$0$27,788Yes (X)
DAVID TAYLOR MD
PHYSICIAN40.00$286,904$0$18,125Yes (X)
THOMAS OSBORNE MD
PHYSICIAN40.00$329,031$0$27,788Yes (X)
DONALD HUGHES MD
PHYSICIAN40.00$248,083$0$27,661Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,527,454TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$220,872TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35IndivRcvdGreaterThan100KCnt
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
CUYUNA REGIONAL MEDICAL CENTER
320 E MAINCROSBYMN56441PROF MEDICAL SERVICES$2,366,998
CENTRAL MINNESOTA DIAGNOSTICS INC
150 10TH STREET NWMILACAMN56353PROF IMAGING SERVICES$1,356,973
LIFE GUARD ANESTHESIA SERVICES INC
29561 395TH PLACEAITKINMN56431PROF ANESTHESIA SERVICES$1,201,652
TECHNICAL LIFE CARE
2720 HWY 10 NEMOUNDS VIEWMN55112EQUIPMENT MAINT SERVICES$752,051
PREMIER SURGICAL ASSOCIATES PA
318 E MAINCROSBYMN56441PROF SURGICAL SVCS$537,726
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$238,719RelatedOrganizationsAmt
Government Grants$348,913GovernmentGrantsAmt
All Other Contributions$136,319AllOtherContributionsAmt
Total Contributions$723,951TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621500$55,857,475$55,857,475
GARRISON PHARMACY446110$1,690,780$1,690,780
EQUITY IN EARNINGS OF AFFILIATES900099$367,748$385,211-$17,463
ELECTRONIC HEALTH RECORD INCENTIV621500$110,711$110,711
FieldValueIRS element (for citing)
Total Program Service Revenue$58,026,714TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$846,863TotalRevenueColumnAmt
Exclusion$846,863ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,597,862SecuritiesAmt
Other$35,476OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,363,751SecuritiesAmt
Other$12,994OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,234,111SecuritiesAmt
Other$22,482OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,256,593TotalRevenueColumnAmt
Exclusion$1,256,593ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$325,324TotalRevenueColumnAmt
Related Or Exempt Func Income$325,324RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$325,324OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,179,445TotalRevenueColumnAmt
Related Or Exempt Func Income$56,678,721RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,673,317UnrelatedBusinessRevenueAmt
Exclusion$2,103,456ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,173,760TotalAmt
Program Services$321,120ProgramServicesAmt
Management And General$852,640ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,209,655TotalAmt
Program Services$17,217,327ProgramServicesAmt
Management And General$2,900,893ManagementAndGeneralAmt
Fundraising$91,435FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$730,042TotalAmt
Program Services$648,573ProgramServicesAmt
Management And General$81,469ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,903,540TotalAmt
Program Services$2,536,995ProgramServicesAmt
Management And General$366,545ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,373,235TotalAmt
Program Services$1,179,583ProgramServicesAmt
Management And General$193,652ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,063TotalAmt
Management And General$60,063ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$88,203TotalAmt
Management And General$88,203ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$22,204TotalAmt
Fundraising$22,204FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,200,173TotalAmt
Management And General$2,193,283ManagementAndGeneralAmt
Fundraising$6,890FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,926,227TotalAmt
Program Services$1,592,261ProgramServicesAmt
Management And General$333,966ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,343,245TotalAmt
Program Services$2,763,599ProgramServicesAmt
Management And General$579,646ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$231,934TotalAmt
Management And General$231,934ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
HOSPITAL SUPPLIES & OTH$10,534,594$10,534,594
NURSING SUPPLIES & OTHE$7,222,225$7,222,225
OTHER GENERAL SERVICE S$1,338,885$1,338,885
PROVISION FOR DOUBTFUL$888,524$888,524

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,532,600TotalAmt
Management And General$1,532,600ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$55,779,109TotalAmt
Program Services$46,243,686ProgramServicesAmt
Management And General$9,414,894ManagementAndGeneralAmt
Fundraising$120,529FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$908,036BOYAmt
EOY$1,757,467EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,382,348BOYAmt
EOY$4,892,346EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,221,832BOYAmt
EOY$7,868,756EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,264,754BOYAmt
EOY$1,439,531EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$532,051BOYAmt
EOY$543,421EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$60,739,021LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,573,026LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,702,633BOYAmt
EOY$29,165,995EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$25,325,579BOYAmt
EOY$29,391,966EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,289,041BOYAmt
EOY$9,851,179EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$81,626,274BOYAmt
EOY$84,910,661EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,967,580BOYAmt
EOY$9,441,384EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,630,000BOYAmt
EOY$20,895,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,877,265BOYAmt
EOY$17,435,161EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,474,845BOYAmt
EOY$47,771,545EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,182,185BOYAmt
EOY$36,261,600EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$969,244BOYAmt
EOY$877,516EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,151,429BOYAmt
EOY$37,139,116EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,626,274BOYAmt
EOY$84,910,661EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,400,336ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,320,921NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$91,728OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,158OtherActivitiesAmt
Total Lobbying Expenditures$2,158TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$558,330BeginningYearBalanceAmt
Investment Earnings Or Losses-$22,684InvestmentEarningsOrLossesAmt
End Year Balance$535,646EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$380,978BeginningYearBalanceAmt
Contributions$15,063ContributionsAmt
Investment Earnings Or Losses$26,281InvestmentEarningsOrLossesAmt
Administrative Expenses$15,758AdministrativeExpensesAmt
End Year Balance$406,564EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$330,207BeginningYearBalanceAmt
Contributions$1,250ContributionsAmt
Investment Earnings Or Losses$52,521InvestmentEarningsOrLossesAmt
Administrative Expenses$3,000AdministrativeExpensesAmt
End Year Balance$380,978EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$331,439BeginningYearBalanceAmt
Contributions$1,590ContributionsAmt
Investment Earnings Or Losses-$1,822InvestmentEarningsOrLossesAmt
Administrative Expenses$1,000AdministrativeExpensesAmt
End Year Balance$330,207EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.36940BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.22680PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.40380TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,213,670OtherCostOrOtherBasisAmt
Book Value$1,213,670BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,811,263OtherCostOrOtherBasisAmt
Depreciation$12,481,166DepreciationAmt
Book Value$19,330,097BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,607,223OtherCostOrOtherBasisAmt
Depreciation$17,003,671DepreciationAmt
Book Value$5,603,552BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,106,865OtherCostOrOtherBasisAmt
Depreciation$2,088,189DepreciationAmt
Book Value$3,018,676BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,165,995TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (12 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED FOR RESERVE ACCOUNTS$2,626,080
ASSETS LIMITED FOR PRINCIPAL & INTEREST PAYMENTS$731,191
BENEFICIAL INTEREST IN NET ASSETS-HOSPITAL FOUNDATION$877,516
BOND ISSUE COSTS, NET OF ACCUMULATED AMORTIZATION$584,672
INVESTMENT IN CENTRAL MINNESOTA DIAGNOSTICS, INC.$1,126,485
INVESTMENT IN SISU MEDICAL SYSTEMS$1,685
INVESTMENT IN SISU MEDICAL SOLUTIONS, LLC-$401
ASSETS LIMITED BY AGREEMENT FOR DEFERRED COMPENSATION$907,295
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$40,000
ASSETS LIMITED FOR CONSTRUCTION$22,397
ASSETS LIMITED BY AGREEMENT FOR WORKER'S COMPENSATION$238,000
ASSETS LIMITED BY BOARD FOR FUNDED DEPRECIATION$2,696,259
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,851,179TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
BOND PREMIUM$41,413
REVENUE NOTE PAYABLE$17,393,748
FieldValueIRS element (for citing)
Total Liability$17,435,161TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$57,855,790TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,320,921NetUnrealizedGainsInvstAmt
Other Revenue-$980,252OtherRevenueAmt
Revenue Not Reported-$3,301,173RevenueNotReportedAmt
Revenue Subtotal$61,156,963RevenueSubtotalAmt
Other Revenues Not Included$22,482OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$22,482RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$61,179,445TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$54,868,103TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$22,482OtherExpensesIncludedAmt
Expenses Not Reported-$22,482ExpensesNotReportedAmt
Expenses Subtotal$54,890,585ExpensesSubtotalAmt
Other Expenses Not Included$888,524OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$888,524ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$55,779,109TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO BE USED AND DISTRIBUTED AS A SCHOLARSHIP OR EDUCATIONAL FUND TO AID IN THE EDUCATION AND RECRUITMENT OF HEALTH CARE PROFESSIONALS FOR RIVERWOOD HEALTHCARE CENTER.
PART X, LINE 2:NOT-FOR-PROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED, AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE CENTER HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2012.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL RECEIVABLES -888,524. DECREASE IN INTEREST IN NET ASSETS - AITKIN COMMUNITY HOPSITAL FOUNDATION -91,728.
PART XI, LINE 4B - OTHER ADJUSTMENTS:GAIN ON SALE OF EQUIPMENT 22,482.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GAIN ON SALE OF EQUIPMENT -22,482.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR DOUBTFUL RECEIVABLES 888,524.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
HBH ASSOCIATES LLC
340 10TH STREET NWMILACAMN56353GRANT WRITING0$126,868$6,204$120,664
VELA STRATEGY
611 SUMMIT AVE SOUTHSAUK RAPIDSMN56379GRANT WRITING0$8,224$16,000-$7,776
FieldValueIRS element (for citing)
Total Gross Receipts$135,092TotalGrossReceiptsAmt
Total Retained By Contractors$22,204TotalRetainedByContractorsAmt
Total Net To Organization$112,888TotalNetToOrganizationAmt
Licensed StatesMNLicensedStatesCd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$944,097TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$944,097NetCommunityBenefitExpnsAmt
Total Expense0.01720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,496,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,659,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,837,695NetCommunityBenefitExpnsAmt
Total Expense0.03350TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,441,027TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,659,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,781,792NetCommunityBenefitExpnsAmt
Total Expense0.05070TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$540,705TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$540,705NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,440TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,440NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,163,734TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,723,535DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,440,199NetCommunityBenefitExpnsAmt
Total Expense0.04450TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,732,879TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,723,535DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,009,344NetCommunityBenefitExpnsAmt
Total Expense0.05490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,173,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,382,770DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,791,136NetCommunityBenefitExpnsAmt
Total Expense0.10560TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$888,524BadDebtExpenseAmt
Bad Debt Expense Attributable$177,522BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,318,605ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,353,345CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$34,740MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD HEALTHCARE CENTERBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1AITKIN COMMUNITY HOSPITAL DBA RIVERWOODBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.RIVERWOODHEALTHCARE.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://RIVERWOODHEALTHCARE.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
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 URLHTTP://RIVERWOODHEALTHCARE.ORG/PATIENTS/POLICIES/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://RIVERWOODHEALTHCARE.ORG/PATIENTS/POLICIES/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://RIVERWOODHEALTHCARE.ORG/PATIENTS/POLICIES/FAPSummaryOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 5: RIVERWOOD HEALTHCARE CENTER UTILIZED AND ENGAGED MANY INDIVIDUALS AND ORGANIZATIONS TO COMPLETE ITS CHNA. A PROJECT CORE TEAM PROVIDED INPUT AND GUIDANCE IN THIS PROJECT. THE TEAM CONSISTED OF INDIVIDUALS FROM AITKIN COUNTY PUBLIC HEALTH, AITKIN AND MCGREGOR SCHOOL DISTRICTS, AICOTA HEALTHCARE CENTER AND RIVERWOOD HEALTHCARE CENTER ALONG WITH CONSULTING FROM HBH ASSOCIATES, SHELLI URNESS CONSULTING AND HEALTH PLANNING AND MANAGEMENT RESOURCES. FEEDBACK WAS GATHERED FROM COMMUNITY MEMBER'S FROM RIVERWOOD'S PRIMARY SERVICE COMMUNITIES OF AITKIN, GARRISON AND MCGREGOR. COMMUNITY FEEDBACK SESSIONS, TELEPHONE INTERVIEWS AND EMAIL QUESTIONNAIRES WERE USED TO OBTAIN INPUT.
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 11: THE MISSION OF RIVERWOOD HEALTHCARE CENTER IS TO PROVIDE QUALITY INPATIENT AND OUTPATIENT CARE. THE IMPLEMENTATION STRATEGY IS DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF THE PEOPLE OF AITKIN COUNTY, AND THEIR UNIQUE CHARACTERISTICS AND HEALTHCARE NEEDS. THE IMPLEMENTATION STRATEGIES ARE BASED ON RIVERWOOD'S CURRENT PROGRAMMING, SURVEY DATA, AND COMMUNITY INPUT. RIVERWOOD'S STRATEGIC PLAN IS DEVELOPED BY ITS LEADERSHIP TEAM AND REVIEWED ANNUALLY. THE IMPLEMENTATION STRATEGY ALSO IDENTIFIES HOW EXISTING AND PLANNED RIVERWOOD SERVICES, PARTNERSHIPS AND PROGRAMS WILL BE UTILIZED TO HELP ADDRESS COMMUNITY HEALTH NEEDS. THE IMPLEMENTATION STRATEGY FOR THE HEALTH OF AITKIN COUNTY CHNA IS THE HOSPITAL/COMMUNITY PLAN FOR ADDRESSING THE COMMUNITY HEALTH NEEDS. IRS NOTICE 2011-52 DICTATES THE CONTENTS OF AN IMPLEMENTATION STRATEGY, AND STATES THAT THE HOSPITAL MUST ADDRESS HOW IT BOTH INTENDS AND DOES NOT INTEND TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. RIVERWOOD HEALTHCARE CENTER'S IMPLEMENTATION STRATEGY IS DESCRIBED IN THIS SECTION OF THE REPORT. WE WILL CONTINUE TO STAY THE COURSE AND FOLLOW OUR STRATEGIC PLAN. WE WILL CREATE THE FUTURE WE SEEK BY FOCUSING ON SIX CRITICAL STRATEGIC GOALS:(1) QUALITY: OUR CUSTOMERS ARE DEMANDING MORE EFFICIENCY, BETTER QUALITY, AND SUPERIOR SAFETY. WE WILL LEAD IN DELIVERING ON THESE REQUIREMENTS THROUGH IMPROVED DATA, REPORTING AND PROCESS IMPROVEMENTS.(2) PEOPLE: OUR PEOPLE ARE KEY. WE WILL INSPIRE THEIR TRUST, IMPROVE THEIR SKILLS, AND DEVELOP LEADERSHIP AND ENGAGEMENT THAT LEADS US INTO A STRONGER FUTURE.(3) CARE DELIVERY MODEL: REDESIGNING FOR THE CARE MODEL OF THE FUTURE WILL ENSURE READINESS IN A POST REFORM WORLD.(4) GROWTH: WE WILL GROW OUR PRIMARY CARE SERVICES AND SHARE OF OUR MARKET. WE INTEND TO BUILD THE CONFIDENCE OF OUR COMMUNITY IN THEIR ABILITY AND DESIRE TO STAY LOCAL FOR CARE AND KNOW THAT WHEN THEY NEED SPECIALIZED OR TERTIARY CARE WE WILL MAKE THE TRANSITION EASY.(5) TECHNOLOGY: WE WILL INSTALL PLATFORMS AND SYSTEMS THAT ENSURE WE MAXIMIZE EFFICIENCY, PRODUCTIVITY AND SUPPORT THE IMPROVEMENT OF QUALITY.(6) FINANCE: WE WILL ACHIEVE OPERATING MARGINS THAT ENSURE LONG TERM FINANCIAL STRENGTH AND THE CAPACITY TO CONTINUE TO INVEST FOR THE BENEFIT OF PATIENTS AND FAMILIES.RIVERWOOD'S ADDRESSING OF NEEDSRIVERWOOD'S IMPLEMENTATION STRATEGY WILL ADDRESS ALL THE IDENTIFIED PRIORITIES. EXCEPT ON A LIMITED SCALE, THE STRATEGY WILL NOT ADDRESS THE PROVISION OF DIALYSIS SERVICES DUE TO COST-EFFECTIVENESS, TOO FEW LOCAL PATIENTS TO COST JUSTIFY THE PROGRAM, AND INABILITY TO EXPAND THAT SERVICE LINE VIA EQUIPMENT AND STAFFING. CONCLUSION IN ADDITION TO SPECIFIC STRATEGIES AND MISSION DRIVEN PROGRAMS, RIVERWOOD HEALTHCARE CENTER WILL CONTINUE TO BUILD ITS PATIENT-CENTERED MEDICAL HOME (PCMH) AS IT ADDRESSES COMMUNITY NEEDS. IT IS WHAT ALIGNS WITH THE HOSPITAL STRATEGIC PLAN AND WITH THE CHNA. WE KNOW THAT THE PCMH IS NOT ONLY THE WAVE OF THE FUTURE, BUT WILL POSITIVELY IMPACT THE HEALTH OF THE PEOPLE OF AITKIN COUNTY. RHCC BUILDS EVALUATIVE MEASURES AND GOALS INTO ALL OF ITS PROGRAMS AND SERVICES. IN ADDITION, THE CHNA PLAN WILL BE REVIEWED AND REWRITTEN EVERY 3 YEARS. RHCC'S MANAGEMENT TEAM WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN THE IMPLEMENTATION STRATEGIES AND MONITOR ITS PROGRESS, AND MAKE ADJUSTMENTS TO STRATEGIES AS NEEDED.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD PART V, SECTION B, LINE 16A WEBSITE:HTTP://RIVERWOODHEALTHCARE.ORG/PATIENTS/POLICIES/
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD PART V, SECTION B, LINE 16B WEBSITE:HTTP://RIVERWOODHEALTHCARE.ORG/PATIENTS/POLICIES/
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD PART V, SECTION B, LINE 16C WEBSITE:HTTP://RIVERWOODHEALTHCARE.ORG/PATIENTS/POLICIES/
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO INCOME BASED TESTING, OUR CHARITY CARE POLICY REQUIRES THAT AN APPLICANT MUST HAVE RECEIVED A DENIAL FROM EITHER MEDICAID (MINNESOTA ASSISTANCE) OR OTHER STATE SUBSIDIZED HEALTHCARE PROGRAMS (MINNESOTA CARE OR GMAC).
PART I, LINE 7:COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED 2015 MEDICARE COST REPORT.
PART I, LINE 7G:THE HOSPITAL'S SUBSIDIZED HEALTH SERVICES INCLUDE SPEECH PATHOLOGY, CHEMOTHERAPY, CARDIAC REHABILITATION, DIABETES EDUCATION, NUTRITION SERVICE, WOUND CARE, EMERGENCY, OBSERVATION BEDS, AND RURAL HEALTH CLINIC/RETAIL PHARMACY.
PART I, LN 7 COL(F):BAD DEBT EXPENSE FROM FINANCIAL STATEMENTS IS $888,524.
PART I LINE 6ATHE ORGANIZATION FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MINNESOTA. THIS INFORMATION IS AVAILABLE ON THE MINNESOTA HOSPITAL ASSOCIATION WEBSITE.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 2:MANAGEMENT DETERMINES ALLOWANCES FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND THEN USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS.
PART III, LINE 3:LOOKED AT THE NUMBER OF CHARITY CARE APPLICATIONS SENT TO POTENTIAL APPLICANTS ALONG WITH THE TOTAL DOLLAR AMOUNT OF THEIR ACCOUNTS. DIVIDED TOTAL OF THEIR ACCOUNTS OF $310,716 BY THE 62 TOTAL POTENTIAL APPLICANTS FOR AN AVERAGE BALANCE PER APPLICANT OF $4,932. THEN TOOK UNRETURNED APPLICATIONS OF 36, TIMES THE AVERAGE OF $4,932 WHICH EQUALS $177,552, WHICH REPRESENTS THE DOLLAR AMOUNT OF BAD DEBT THAT LIKELY COULD HAVE BEEN COMMUNITY BENEFIT.
PART III, LINE 4:FROM FOOTNOTE 1 OF THE AUDITED FINANCIAL STATEMENTS - "ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ONGOING ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY INSURANCE COVERAGE (INCLUDING COPAYMENT AND DEDUCTIBLE AMOUNTS FROM PATIENTS), THE CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH PRIVATE-PAY PATIENTS, THE CENTER RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.THE CENTER FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THESE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS AND ARE REVISED AS NEEDED IN FUTURE PERIODS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AS A PERCENTAGE OF PRIVATE-PAY RECEIVABLE HAS DECREASED FROM 52.7 PERCENT FOR THE YEAR ENDED SEPTEMBER 30, 2014, TO 48.4 PERCENT FOR THE YEAR ENDED SEPTEMBER 30, 2015.THE CENTER HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2015 OR 2014. THE CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD PARTY PAYORS."
PART III, LINE 8:THE HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND THUS IS REIMBURSED AT 101% OF COST. THE MEDICARE FEES FOR REIMBURSED SERVICES RESULTED IN NET REVENUE OF $790,123 AND ALLOWABLE COSTS OF $1,115,559 RESULTING IN A SHORTFALL OF $325,436. THE SHORTFALL IS THE RESULT OF UNREIMBURSED PROFESSIONAL CARE. THE MEDICARE ADVANTAGE FEES FOR REIMBURSED SERVICES RESULTED IN NET REVENUE OF $4,122,055 AND ALLOWABLE COSTS OF $4,164,534 RESULTING IN A SHORTFALL OF $42,479.THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.
PART III, LINE 9B:AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND REDIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECEIPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION OR SLIDING FEE SCALE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND SLIDING FEE SCALE AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFORMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE.
PART III, LINE 2MANAGEMENT DETERMINES THE ALLOWANCES FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND THEN USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS.
PART III, LINE 3THE HOSPITAL LOOKS AT THE NUMBER OF CHARITY CARE APPLICATIONS SENT TO POTENTIAL APPLICANTS AND COMES UP WITH AN APPROVAL RATIO BASED ON RETURNED APPLICATIONS. THE PERCENTAGE OF UNRETURNED APPLICATIONS IS THEN MULTIPLIED BY THE TOTAL DOLLAR AMOUNT OF BAD DEBT EXPENSE.
PART VI, LINE 2:AITKIN COMMUNITY HOSPITAL PERFORMS A COMMUNITY NEEDS ASSESSMENT TO EVALUATE THE HEALTH CARE NEEDS OF THE COMMUNITY EVERY 3 YEARS WITH AN OUTSIDE CONSULTING FIRM. ADDITIONALLY, WE PERFORM A COMMUNITY PERCEPTION ASSESSMENT AND HEALTH ASSESSMENT OF OUR SERVICE AREA EVERY 3 YEARS.
PART VI, LINE 3:AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND REDIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECEIPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION OR SLIDING FEE SCALE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. RIVERWOOD'S EMPLOYED FINANCIAL COUNSELOR IS A MNSURE NAVIGATOR, TRAINED AND CERTIFED BY THE STATE OF MINNESOTA.THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND SLIDING FEE SCALE AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFORMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4:AITKIN COMMUNITY HOSPITAL, INC. D.B.A. RIVERWOOD HEALTHCARE CENTER (RIVERWOOD), A 501(C)3 NON-PROFIT CORPORATION, IS SITUATED IN THE CENTER OF AITKIN COUNTY. IT WAS FOUNDED IN 1948 AND IS LOCATED AT 200 BUNKER HILL DRIVE IN AITKIN, MN (POP. 1984). RIVERWOOD IS A 25 BED ACUTE-CARE CRITICAL ACCESS HOSPITAL AND HAS THREE RURAL HEALTH CLINICS IN AITKIN, MCGREGOR AND GARRISON. ALL THREE CLINICS ARE LOCATED IN A MEDICALLY UNDERSERVED AREA (MUA). RIVERWOOD OFFERS PATIENTS A CONTINUUM OF CARE INCLUDING INPATIENT, OUTPATIENT, SPECIALTY, SURGICAL AND EMERGENCY SERVICES. THE DISTANCE TO THE NEXT HOSPITAL IS 17 MILES. DULUTH AND ST. CLOUD ARE THE TWO CLOSEST CITIES WITH TERTIARY CARE CENTERS BOTH APPROXIMATELY 90 MILES FROM AITKIN.RIVERWOOD SERVES THE RESIDENTS OF AITKIN COUNTY (POP. 16,149) THE EAST SIDE OF CROW WING COUNTY (POP. 61,009) AND MILLE LACS COUNTY (POP. 26,169). THE GEOGRAPHIC AREA OF THESE COUNTIES IS RURAL.SPECIAL POPULATIONS SERVED INCLUDE THOSE WITH A HIGH RATE OF POVERTY AND UNEMPLOYMENT WITH AITKIN, CROW WING AND MILLE LACS COUNTIES. IN 2007, THE ESTIMATED PERCENTAGES OF THESE THREE COUNTIES WITH POPULATIONS BELOW POVERTY LEVEL WERE RESPECTIVELY: AITKIN - 13.4%, CROW WING - 9.3%, MILLE LACS - 9.5%. ADDITIONALLY, ACCORDING TO THE MINNESOTA DEPARTMENT OF EMPLOYMENT AND ECONOMIC DEVELOPMENT, THE UNEMPLOYMENT RATE IN AITKIN COUNTY SKYROCKETED TO 10.5% IN JANUARY 2009, WHICH IS NEARLY 4 PERCENTAGE POINTS OVER THE STATE AVERAGE OF 6.9%. THE DEPARTMENT OF LABOR AND INDUSTRY CONSIDERS AITKIN COUNTY TO BE A "LABOR SURPLUS AREA". OTHER SPECIAL POPULATIONS SERVED ALSO INCLUDE THE ELDERLY. THE LARGEST PERCENTAGE OF RIVERWOOD'S CURRENT PATIENT BASE CONSISTS OF PATIENTS OVER THE AGE OF 65. POPULATION PROJECTIONS INDICATE THAT BETWEEN THE YEARS OF 2005-2030, A 50% OVERALL INCREASE IS EXPECTED IN AITKIN COUNTY WITH THE 65+ AGE GROUP BY 120%. AITKIN COUNTY IS SECOND ONLY TO TRAVERSE COUNTY FOR HAVING THE OLDEST MEDIAN POPULATION IN MINNESOTA.
PART VI, LINE 5:IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE CENTER PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY BASED SERVICE PROGRAMS AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESMN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFF EHNSTROM MD
DIRECTOR/PHYSICIAN$306,531$0$0$0$0$0$10,400$0$17,388$0$334,319$0$0$0
CHAD COOPER
CEO$309,373$0$29,500$0$0$0$9,373$0$17,388$0$365,634$0$0$0
MARK HEGGEM MD
CMO$260,786$0$17,500$0$0$0$10,400$0$17,388$0$306,074$0$0$0
JEFFREY RAPP MD
PHYSICIAN$310,279$0$12,099$0$0$0$10,400$0$17,388$0$350,166$0$0$0
JIM HARRIS MD
ER MEDICAL DIRECTOR$339,832$0$0$0$0$0$10,400$0$17,388$0$367,620$0$0$0
DAVID TAYLOR MD
PHYSICIAN$286,904$0$0$0$0$0$10,400$0$7,725$0$305,029$0$0$0
THOMAS OSBORNE MD
PHYSICIAN$329,031$0$0$0$0$0$10,400$0$17,388$0$356,819$0$0$0
DONALD HUGHES MD
PHYSICIAN$248,083$0$0$0$0$0$10,273$0$17,388$0$275,744$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF AITKINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416004918BondIssuerEIN
CUSIP00958PAP1CUSIPNum
Bond Issued2006-08-10BondIssuedDt
Issue Price$24,350,057IssuePriceAmt
PurposeREFINANCE 2011 BONDS THAT WERE USED TO BUILD NEW HOSPITALPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$24,350,057TotalProceedsAmt
Issuance Costs From Proceeds$487,001IssuanceCostsFromProceedsAmt
Capital Expenditures$24,350,057CapitalExpendituresAmt
Substantial Completion2006SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: CITY OF AITKIN DATE THE REBATE COMPUTATION WAS PERFORMED: 08/10/2011ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6RIVERWOOD HEALTHCARE CENTER HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ARIVERWOOD HEALTHCARE CENTER HAS MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE REVIEWS AND APPROVES THE 990 AFTER PREPARATION AND RECOMMENDS APPROVAL TO THE BOARD. AFTER APPROVAL BY THE BOARD, THE 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. CONFLICTS ARE DISCUSSED, REVIEWED, A FORMS IS SIGNED ANNUALLY BY EACH BOARD MEMBER. THIS IS DONE AT THE HOSPITAL'S ANNUAL REORGANIZATIONAL MEETING. SECTION 1. PURPOSE THE PURPOSE OF THIS POLICY IS TO PROVIDE A MEANS BY WHICH TO ADDRESS ANY CONFLICT OF INTEREST INVOLVING THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, AND EMPLOYEES THAT AFFECT OR HAVE THE POTENTIAL TO AFFECT THE SAFETY OR QUALITY OF CARE, TREATMENT, AND SERVICES. SECTION 2. PERSONS CONCERNED THIS STATEMENT IS DIRECTED NOT ONLY TO BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, BUT TO ALL EMPLOYEES OR NON-EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF RHCC FOR EXAMPLE, THIS WOULD INCLUDE ALL WHO MAKE PURCHASING DECISIONS, ALL PERSONS WHO MIGHT BE DESCRIBED AS "MANAGEMENT PERSONNEL, AND ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING RHCC. SECTION 3. AREAS IN WHICH CONFLICT MAY ARISE CONFLICTS OF INTEREST MAY ARISE IN THE RELATIONS OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WITH ANY OF THE FOLLOWING THIRD PARTIES: 1. PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO RHCC. 2. PERSONS AND FIRMS FROM WHOM RHCC LEASES PROPERTY AND EQUIPMENT. 3. PERSONS AND FIRMS WITH WHOM RHCC IS DEALING OR PLANNING TO DEAL IN CONNECTION WITH THE GIFT, PURCHASE OR SALE OF REAL ESTATE, SECURITIES, OR OTHER PROPERTY. 4. COMPETING OR AFFINITY ORGANIZATIONS. 5. DONORS AND OTHERS SUPPORTING RHCC. 6. AGENCIES, ORGANIZATIONS AND ASSOCIATIONS WHICH AFFECT THE OPERATIONS OF RHCC. 7. FAMILY MEMBERS, FRIENDS, AND OTHER EMPLOYEES. SECTION 4. NATURE OF CONFLICTING INTEREST A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS MENTIONED IN SECTION 3. SUCH AN INTEREST MIGHT ARISE THROUGH: SECTION 5. INTERPRETATION OF THIS STATEMENT OF POLICY THE AREAS OF CONFLICTING INTEREST LISTED IN SECTION 3, AND THE RELATIONS IN THOSE AREAS WHICH MAY GIVE RISE TO CONFLICT, AS LISTED IN SECTION 4, ARE NOT EXHAUSTIVE. CONFLICTS MIGHT ARISE IN OTHER AREAS OR THROUGH OTHER RELATIONS. IT IS ASSUMED THAT THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WILL RECOGNIZE SUCH AREAS AND RELATION BY ANALOGY. THE FACT THAT ONE OF THE INTERESTS DESCRIBED IN SECTION 4 EXISTS DOES NOT NECESSARILY MEAN THAT A CONFLICT EXISTS, OR THAT THE CONFLICT, IF IT EXISTS, IS MATERIAL ENOUGH TO BE OF PRACTICAL IMPORTANCE, OR IF MATERIAL, THAT UPON FULL DISCLOSURE OF ALL RELEVANT FACTS AND CIRCUMSTANCES IT IS NECESSARILY ADVERSE TO THE INTERESTS OF RHCC. HOWEVER, IT IS THE POLICY OF THE GOVERNING BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS DESCRIBED IN SECTION 4 SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. SECTION 6. DISCLOSURE POLICY AND PROCEDURE PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST AND ALL MATERIAL FACTS ARE FULLY DISCLOSED TO THE GOVERNING BOARD OF DIRECTORS OR TO A COMMITTEE WITH BOARD-DELEGATED POWERS; 2. THE PERSON WITH THE CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL BE EXCLUDED FROM THE DISCUSSION AND VOTE ON APPROVAL OF SUCH TRANSACTION; 3. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 4. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER RHCC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN RHCC'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO RHCC, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. DISCLOSURE DISCLOSURE IN RHCC SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE GOVERNING BOARD OF DIRECTORS. DISCLOSURE INVOLVING DIRECTORS SHOULD BE MADE TO THE GOVERNING BOARD CHAIR (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE GOVERNING BOARD VICE-CHAIR) WHO SHALL BRING THESE MATTERS TO THE GOVERNING BOARD. DECISION THE GOVERNING BOARD OF DIRECTORS OR A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO RHCC. IN THE CASE OF A CONFLICT INVOLVING A MEMBER OF THE GOVERNING BOARD OF DIRECTORS, THE GOVERNING BOARD OR COMMITTEE REVIEWING THE MATTER SHALL CONSIDER THE DISABLING GUIDELINES ATTACHED HERETO. THE DECISION OF THE GOVERNING BOARD OR COMMITTEE ON THESE MATTERS WILL REST IN ITS SOLE DISCRETION, AND ITS CONCERN MUST BE THE WELFARE OF RHCC AND THE ADVANCEMENT OF RHCC'S PURPOSE. SECTION 7. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY 1. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. 2. IF, AFTER HEARING THE RESPONSE OF THE PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE NO ACTION, REPRIMAND, REQUEST FOR RESIGNATION OR REMOVAL FROM THE BOARD OF DIRECTORS AS THE FACTS AND CIRCUMSTANCES MAY WARRANT. SECTION 9. COMPENSATION 1. A VOTING MEMBER OF THE BOARD OF DIRECTORS WHO RECEIVES COMPENSATION FOR PROVISION OF SERVICES AS AN EMPLOYEE OR CONTRACTOR, DIRECTLY OR INDIRECTLY, FROM RHCC IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 2. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 3. NO MEMBER OF THE BOARD OR ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING COMPENSATION. 4. PHYSICIANS WHO RECEIVE COMPENSATION FROM RHCC, WHETHER DIRECTLY OR INDIRECTLY OR AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS. NO PHYSICIAN, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING PHYSICIAN COMPENSATION. SECTION 10. ANNUAL STATEMENTS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING OR FOUNDATION BOARD DELEGATED POWERS, AND ALL LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON-- 1. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2. HAS READ AND UNDERSTANDS THE POLICY; 3. HAS AGREED TO COMPLY WITH THE POLICY; AND 4. UNDERSTANDS THAT RHCC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15INDEPENDENT EXECUTIVE COMPENSATION STUDY WAS CONDUCTED AND YIELDED BASE PAY RANGES BASED ON VARIOUS REGIONAL MARKET AND NATIONAL SALARY SURVEYS. THE BOARD'S EVALUATION AND COMPENSATION COMMITTEE REVIEWED THE FULL SURVEY ALONG WITH PROPOSED SALARY RANGES AND CURRENT PAY. BOARD DISCUSSION TOOK PLACE AND MOTIONS AND APPROVALS OCCURRED REGARDING COMPENSATION CHANGES. DOCUMENTATION OF THIS IS WITHIN MEETING MINUTES. CEO AND BOARD CHAIR SIGN A SUMMARY SHEET FOR EACH EXECUTIVE. UPON COMPLETION OF ALL THIS, COMPENSATION CHANGES ARE THEN IMPLEMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE ANNUAL REPORT, WHICH PROVIDES AN OVERVIEW OF THE ORGANIZATION'S FINANCIAL STATUS, IS MADE AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IT IS MAILED TO MEMBERS OF THE ORGANIZATION, ORGANIZATIONS THAT WE HAVE FINANCING WITH, AND IS AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VII, SECTION AJEFF EHNSTROM, MD: RIVERWOOD HEALTHCARE CENTER TIME ALLOCATION: EMPLOYMENT AS A DOCTOR: 40 HOURS PER WEEK BOARD OF DIRECTORS: 1 HOURS PER WEEK RIVERWOOD HEALTHCARE ASSOCIATION COMPENSATION: DOCTOR REPORTABLE COMPENSATION: $ 306,531 DOCTOR OTHER COMPENSATION: $ 27,788 BOARD REPORTABLE COMPENSATION: $ 0 BOARD OTHER COMPENSATION: $ 0 CHAD COOPER HOURS PER WEEK DEVOTED TO THE HOSPITAL = 39.9 HOURS PER WEEK DEVOTED TO THE FOUNDATION (RELATED ORGANIZATION) = 0.1 ALL COMPENSATION RECEIVED IS FOR CHAD'S POSITION AS THE HOSPITAL CEO. CASEY JOHNSON HOURS PER WEEK DEVOTED TO THE HOSPITAL = 39.9 HOURS PER WEEK DEVOTED TO THE FOUNDATION(RELATED ORGANIZATION) = 0.1 ALL COMPENSATION RECEIVED IS FOR CASEY'S POSITION AS THE HOSPITAL CFO.
FORM 990, PART XI, LINE 9:DECREASE IN INTEREST IN NET ASSETS OF AITKIN COMMUNITY HOSPITAL FOUNDATION -91,728.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
EIN411738787EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11A, IPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
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 Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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