2016-08-09T08:52:42-05:00 2015-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-10-01 410724029 RIVERVIEW HEALTHCARE ASSOCIATION RIVE 2182819200 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 CARRIE MICHALSKI PRESIDENT/CEO 2182819200 2016-07-29 1 KACIE MCEWEN P01599614 6123764500 2014 2016-12-15 16:53:06Z CARRIE MICHALSKI 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 53334273 0 X WWW.RIVERVIEWHEALTH.ORG X 1898 MN RIVERVIEW HEALTH PROVIDES WORLD-CLASS HEALTHCARE THROUGH A CULTURE OF EXCELLENCE THAT PROVIDES ACCESS TO OUR COMMUNITY FOR ALL HEALTHCARE NEEDS SERVING AS AN ADVOCATE FOR OUR COMMUNITY, PATIENTS, MEDICAL STAFF AND EMPLOYEES. 11 10 494 151 0 0 399734 871460 48331732 51808701 121057 31536 138920 620119 48991443 53331816 0 0 0 0 27621402 26087938 0 0 0 22548870 23342878 50170272 49430816 -1178829 3901000 34215521 38746301 20457961 21079615 13757560 17666686 X WE DELIVER A HEALTHCARE EXPERIENCE THAT CONSISTENTLY EXCEEDS PATIENTS' EXPECTATIONS THROUGH: EXCEPTIONAL PEOPLE - OUR PEOPLE ARE OUR FOUNDATION. WE EMPLOY TRUSTED, DEDICATED PROFESSIONALS WHO SERVE WITH COMPASSION, EMPATHY AND RESPECT. EXCEPTIONAL CARE - OUR PATIENTS ARE OUR FOCUS. WE BUILD RELATIONSHIPS TO DELIVER PERSONALIZED CARE. EXCEPTIONAL OUTCOMES - OUR PASSION IS TO ENHANCE LIVES. WE ENGAGE IN THE BEST PRACTICES TO HEAL PEOPLE AND PROMOTE HEALTHY COMMUNITIES. 1 0 35224797 0 47803588 RIVERVIEW HEALTHCARE DIRECTLY PROVIDES OR SUPPORTS THE PROVISION OF A CONTINUUM OF QUALITY, ACCESSIBLE AND COST-EFFECTIVE SERVICES FOCUSED ON THE NEEDS OF INDIVIDUALS. RIVERVIEW STRIVES TO MEET AREA MEDICAL NEEDS AND IMPROVE THE PHYSICAL AND MENTAL WELLBEING FOR PEOPLE OF THE AREA. THE HOSPITAL IS A MODERN 25-BED ACUTE CARE CRITICAL ACCESS HOSPITAL. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2015, THE HOSPITAL HAD 997 ADMISSIONS, 2,893 PATIENT DAYS, 39,518 OUTPATIENT VISITS, 2,499 SURGERIES, AND 6,312 ER PATIENTS. THE CLINICS PROVIDE A WIDE RANGE OF SERVICES INCLUDING FAMILY PRACTICE DOCTORS AND SPECIALTY DOCTORS. FOR THE YEAR ENDED SEPTEMBER 30, 2015, CLINIC PAITIENT VISITS WERE 35,204. 2267167 0 3076773 RIVERVIEW CARE CENTER PROVIDES STIMULATING DAILY ACTIVITIES FOR ITS RESIDENT IN AN ENJOYABLE ENVIRONMENT AND A CARING ATMOSPHERE WHERE ALL RESIDENTS ARE TREATED WITH THE UTMOST DIGNITY. THE MEMORY CARE UNIT PROMOTES A CALM AND THERAPEUTIC ATMOSPHERE. RIVERVIEW CARE CENTER IS A 24-BED FACILITY, FOR THE YEAR ENDING SEPTEMBER 30, 2015, THERE WERE 10 NURSING HOME ADMISSIONS AND 7,778 RESIDENT DAYS. RIVERVIEW HOME CARE IS A FULL SERVICE HOME CARE AGENCY PROVIDING 24-HOUR ACCESS TO ON CALL NURSES, ROUTINE SERVICE ON WEEKENDS AND HOLIDAYS, AND A FULL RANGE OF THERAPY SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2015, THERE WERE 1,583 HOME CARE PATIENTS AND 8,261 PATIENT VISITS. RIVERVIEW ASSISTED LIVING PROVIDES SERVICE TO RESIDENTS IN CROOKSTON. ASSISTANCE FOR THOSE UNABLE TO LIVE ALONE WITHOUT AID INCLUDES HOUSEKEEPING, HELP DRESSING, BATHING, PREPARING MEALS, MEDICATION SET-UP AND MANY OTHER SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2015, THERE WERE 133 ASSISTED LIVING PATIENTS AND 3,765 PATIENT VISITS. 684061 0 928340 RIVERVIEW RECOVERY CENTER PROVIDES A DAY TREATMENT AND OUTPATIENT TREATMENT PROGRAM EFFECTIVE FOR THE ADULT WHO IS ABUSING OR DEPENDENT ON ONE OR MORE MOOD-ALTERING CHECMICALS. THE RECOVERY CENTER OPERATES CLINICS IN CROOKSTON, EAST GRAND FORKS, THIEF RIVER FALLS, AND ROSEAU, MINNESOTA. FOR THE YEAR ENDING SEPTEMBER 30, 2015, RECOVER CENTER HAD 4,705 OUTPATIENT VISITS. 38176025 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 118 0 494 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X BETTY ARVIDSON 2182819756 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 ROBIN BREKKEN CHAIR 4.00 X X 0 0 0 TRENT FISCHER VICE-CHAIR 3.00 0.50 X X 0 0 0 MICHELLE COTE SECRETARY 2.00 X X 0 0 0 ANDY OMAN TREASURER 2.00 X X 0 0 0 JENNY AMON TRUSTEE 1.00 X 0 0 0 DR COLIN FENNELL TRUSTEE/CHIEF MEDICAL OFFICER 41.00 X 579791 0 33952 MATTHEW FORGIT TRUSTEE 1.00 X 0 0 0 MICHAEL MOORE TRUSTEE THRU JAN 2015 1.00 0.50 X 0 0 0 MICHELLE SNYDER TRUSTEE 1.00 X 0 0 0 SHANNON STASSEN TRUSTEE 1.00 X 0 0 0 ANDREW SVEC TRUSTEE 1.00 X 0 0 0 SUE WESTROM TRUSTEE 1.00 X 0 0 0 CARRIE MICHALSKI PRESIDENT & CEO 40.00 1.00 X 196156 0 21407 BETTY ARVIDSON VP CFO 40.00 1.00 X 128093 0 19217 SANDY BOICE VP CHIEF NURSING OFFICER THRU JULY 2015 40.00 X 119593 0 5935 CHRIS BRUGGEMAN VP COO 40.00 X 116585 0 5740 APRIL GRUNHOVD VP CHIEF NURSING OFFICER 40.00 X 87218 0 2699 LANCE NORMAN VP AUXILIARY SERVICES 40.00 X 120499 0 7272 JEAN TATE VP HUMAN RESOURCES 40.00 X 110853 0 8499 DR OLATUBOSUN FASHORO PHYSICIAN 40.00 X 705093 0 31896 DR ERIK KANTEN PHYSICIAN 40.00 X 561865 0 31277 DR PETER ERIKSSON PHYSICIAN 40.00 X 514773 0 30828 DR IDATONYE AFONYA PHYSICIAN 40.00 X 410796 0 36747 DR STEVEN SCHULTZ PHYSICIAN 40.00 X 354536 0 27246 4005851 0 262715 30 0 1 0 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 719100 SIEMENS FINANCIAL SERVICES PO BOX 2083 CAROL STREAM IL 60132 IMAGING SERVICES 604922 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIAN SERVICES 284653 MEDICAL STAFFING PARTNERS INC 14800 SCANDIA TRAIL NORTH PO BOX 70 SCANDIA MN 55073 NURSING SERVICES 253840 ORTHOPAEDIC FOOT & ANKLE 44348 348TH LANE ATKIN MN 56431 PHYSICIAN SERVICES 253375 10 1000 96210 670922 103328 871460 RIVERVIEW HOSPITAL 621990 35204798 35204798 PHYSICIAN CLINICS 621110 12258920 12258920 RIVERVIEW CARE CENTER 621400 1737636 1737636 HOME HEALTH/ASSITED LIVING 621610 1339137 1339137 GLENMORE RECOVERY 621990 928340 928340 339870 339870 51808701 33743 33743 13015 0 13015 13015 13015 250 2457 -2207 -2207 -2207 INSURANCE PROCEEDS 621990 325980 325980 CAFETERIA 621990 135382 135382 OTHER OPERATING REVENUE 621990 113846 113846 31896 31896 607104 53331816 51808701 0 651655 X 1661136 635475 1025661 20622182 18251461 2370721 598438 544968 53470 1845954 93594 1752360 1360228 1157426 202802 47803 350 47453 105042 105042 5575327 4258260 1317067 229503 229503 401990 173763 228227 715270 54482 660788 1205127 470123 735004 151336 123571 27765 818527 818527 2020392 2020392 276649 276649 MEDICAL SUPPLIES 4866081 4860485 5596 MAINT & REPAIR 1613120 1066811 546309 BAD DEBT 1426433 1426433 DRUGS 1235793 1235793 2654485 984111 1670374 49430816 38176025 11254791 0 1981 2243 3264210 6175733 7653569 8856541 291835 240867 1066962 1047385 112605 128151 46463215 31261214 15832968 15202001 5556869 6568165 434522 525215 34215521 38746301 4200400 5003866 206069 42836 13490000 13020000 6009 6905 2030130 850942 823409 525353 1331657 20457961 21079615 X 13757560 17666686 13757560 17666686 34215521 38746301 3901000 8126 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3873 3873 0 PART II-B, LINE 1: RIVERVIEW HEALTHCARE ASSOCIATION PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION THAT WERE USED FOR LOBBYING. 0 1 X 944345 -11403 8814 924128 913601 80 31375 711 944345 881779 982 31628 788 913601 815153 2205 65454 1033 881779 815243 3994 -4039 45 815153 1.00000 0.00000 0.00000 0 1 1 806932 806932 31788580 20616580 11172000 230565 139648 90917 13575877 10504986 3070891 61261 61261 15202001 ACCRUED WORKERS COMP 287218 ESTIMATED THIRD PARTY PAYOR 1044439 1331657 X PART IV, LINE 2B: THE HOSPITAL IS A CUSTODIAN OF FUNDS FOR RESIDENTS. THE HOSPITAL HOLDS THESE FUNDS FOR PURCHASES MADE BY THE RESIDENTS. PART V, LINE 4: RIVERVIEW HEALTHCARE'S ENDOWMENT INCLUDES FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE MAINTAINED IN THE RIVERVIEW HEALTHCARE FOUNDATION. THE FUNDS ARE USED TO PROVIDE TO THE RESIDENTS OF IT SERVICE AREA, QUALITY HEALTHCARE AND RELATED HEALTH SERVICES, EDUCATION, RESEARCH, PROMOTION OF HEALTH AND OTHER ACTIVITIES IN THE COMMUNITY. THE CONTRIBUTIONS RAISED BY THE FOUNDATION ARE GRANTED TO RIVERVIEW HEALTHCARE ASSOCIATION TO PURCHASE MEDICAL EQUIPMENT AND SUPPLIES FOR PROMOTION OF HEALTHCARE IN THE COMMUNITY. PART X, LINE 2: THE ASSOCIATION FOLLOWS THE PROVISION OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE SYSTEM'S FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 230.000000000000 1 1 0 1 1 115133 115133 0.00240 6013165 4720279 1292886 0.02690 6128298 4720279 1408019 0.02930 62723 62723 0.00130 161328 161328 0.00340 14243558 12279208 1964350 0.04090 14467609 12279208 2188401 0.04560 20595907 16999487 3596420 0.07490 1 1426433 129033 12555518 12648615 -93097 X 1 1 1 1 RIVERVIEW HOSPITAL 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 WWW.RIVERVIEWHEALTH.ORG 375398 X X X X RIVERVIEW HOSPITAL 0 0 1 X X X X X X X X 12 1 0 0 1 X HTTP://WWW.RIVERVIEWHEALTH.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT X 1 12 1 HTTP://WWW.RIVERVIEWHEALTH.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT 0 0 1 X 150.000000000000 230.000000000000 X X 1 1 X X X 1 X X X 1 1 X X X X 1 X 0 0 RIVERVIEW HOSPITAL PART V, SECTION B, LINE 5: OUR LEAD PERSON (CHIEF OPERATING OFFICER) GATHERED INFORMATION ELECTRONICALLY FROM THE FOLLOWING PERSONS IN THE COMMUNITY: POLK COUNTY PUBLIC HEALTH, NORTHWEST MENTAL HEALTH, POLK COUNTY SOCIAL SERVICES, WELLNESS COALITION, RIVERVIEW BOARD OF DIRECTORS, RIVERVIEW ASSOCIATION MEMBERS AND CROOKSTON PUBLIC SCHOOLS. THESE INDIVIDUALS WERE SELECTED BECAUSE OF THEIR KNOWLEDGE REGARDING A PARTICULAR DEMOGRAPHIC OF THE COMMUNITY. RIVERVIEW HOSPITAL PART V, SECTION B, LINE 11: AS A COMMUNITY HEALTH LEADER, RIVERVIEW HEALTH WILL FOCUS STRATEGIES ON OBTAINING RESULTS THAT COMBAT THE ISSUE OF OBESITY WITH SECONDARY BENEFITS OF DECREASES IN JOINT PAIN AND HIGH BLOOD PRESSURE.RIVERVIEW HEALTH'S KEY IDEAS FOR STRATEGIES ARE AS FOLLOWS:1. AS A LARGE EMPLOYER AND LEADER IN THE HEALTH COMMUNITY, RIVERVIEW HEALTH WILL ROLE MODEL AN EMPLOYEE WELLNESS PROGRAM THAT ENCOURAGES HEALTHY EATING CHOICES AND PHYSICAL ACTIVITY AS A MEANS OF MANAGING WEIGHT AND OVERALL HEALTH. - IMPLEMENT A HEALTHY CHOICE FOOD POLICY - OFFER WEIGHT MANAGEMENT EDUCATION OPPORTUNITIES WITHIN OUR FACILITIES - INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITIES FOR EMPLOYEES - SPONSOR HEALTHY ACTIVITIES IN THE COMMUNITY 2. RIVERVIEW HEALTH WILL ADD STAFFING FOR A REGISTERED DIETICIAN OR RN THAT SPECIALIZES IN EDUCATION AND PLANNING FOR HEALTHY DIET AND WEIGHT MANAGEMENT BOTH IN INPATIENT AND OUTPATIENT SETTINGS. 3. RIVERVIEW HEALTH WILL IMPLEMENT A BMI (BODY MASS INDEX) TRACKING SYSTEM AND TARGET PATIENTS WITH HIGH RISK FACTORS FOR SUPPORT AND EDUCATION.BELOW IS A SUMMARY OF THE PROGRAMS RIVERVIEW IMPLEMENTED IN FY 2015 TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE CHNA: 1. RIVERVIEW HEALTH IMPLEMENTED A HEALTHY CHOICE FOOD POLICY IN OUR CAFETERIA, OFFERING A SENSIBLE SOLUTION TO EMPLOYEES AND VISITORS DURING LUNCH AND DINNER HOURS AS WELL AS BOX LUNCHES TO GO THAT ARE UNDER 500 CALORIES. THE CAFETERIA ALSO SHARE NUTRITION FACTS FOR EACH OF THE HOT FOOD ITEMS IN THE CAFETERIA. 2. WITH THE ADDITION OF A REGISTERED DIETITIAN, RIVERVIEW OFFERED EDUCATION ON HEALTHY EATING CHOICES THROUGH HEALTH LUNCHEONS, COMMUNITY AND EMPLOYEE HEALTH FAIRS. HEALTH COOKING DEMONSTRATIONS AND BLOOD PRESSURE CHECKS WERE CONDUCTED ON A MONTHLY BASIS AT AN ASSISTED LIVING FACILITY (OAK COURT APARTMENTS).3. TO PROMOTE HEALTHY ACTIVITY, RIVERVIEW HEALTH HOSTED A 5K RUN/WALK AND PARTNERED WITH OTHER COMMUNITY AGENCIES ON RACES, INCLUDING A TRIATHLON. RIVERVIEW HEALTH IS COMMITTED TO BEING A LEADER IN PROMOTING HEALTHY LIFESTYLES IN THE COMMUNITIES WE SERVE. RIVERVIEW HOSPITAL PART V, SECTION B, LINE 22D: EVERYONE IS CHARGED THE SAME GROSS AMOUNT, BUT THE DISCOUNT FOR UNDERINSURED IS DETERMINED BY USING THE LARGEST COMMERICAL INSURANCE RATE. 11 RIVERVIEW CLINIC CROOKSTON 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 OUTPATIENT CLINIC RIVERVIEW CLINIC EAST GRAND FORKS 1428 CENTRAL AVE NE EAST GRAND FORKS MN 56721 OUTPATIENT CLINIC/REHAB RIVERVIEW CLINIC FERTILE 306 NORTH MILL ST FERTILE MN 56540 OUTPATIENT CLINIC RIVERVIEW CLINIC RED LAKE FALLS PARK PLACE MALL RED LAKE FALLS MN 56750 OUTPATIENT CLINIC/REHAB RIVERVIEW CLINIC THIEF RIVER FALLS 1140 VANROOY DRIVE THIEF RIVER FALLS MN 56701 OUTPATIENT CLINIC RIVERVIEW CARE CENTER 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 NURSING HOME RIVERVIEW HOME CARE 721 SOUTH MINNESOTA ST CROOKSTON MN 56716 HOME HEALTH RIVERVIEW RECOVERY CROOKSTON 23616 US HWY 2 SW CROOKSTON MN 56716 CHEMICAL DEPENDENCY RIVERVIEW RECOVERY EAST GRAND FORKS 201 GATEWAY DRIVE NE SUITE 4 EAST GRAND FORKS MN 56721 CHEMICAL DEPENDENCY RIVERVIEW RECOVERY ROSEAU 216 CENTER ST WEST 101 ROSEAU MN 56751 CHEMICAL DEPENDENCY RIVERVIEW RECOVERY THIEF RIVER FALLS 309 NORTH LEBREE AVE SUITE 10 THIEF RIVER FALLS MN 56701 CHEMICAL DEPENDENCY PART I, LINE 7: COSTS INCLUDED ON LINES 7A AND 7B ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS SCHEDULE H INSTRUCTIONS. THE COSTS REPORTED ON LINES 7E-7J ARE DIRECT COSTS TO THE FACILITIES FOR THE PROGRAMS DESCRIBED BELOW. PART 1, LINE 7E COSTS: COMMUNITY HEALTH SERVICES IS THE TOTAL COST OF ACTIVITIES TO IMPROVE COMMUNITY HEALTH IN THE FOLLOWING AREAS: 1)PROVIDING COMMUNITY HEALTH EDUCATION WITH HEALTH LECTURES AND WORKSHOPS TO COMMUNITIY GROUPS, HEALTH AND CAREER DAY FAIRS, FAMILY AND FRIENDS CPR CLASSES AND BY PROVIDING SPECIFIC DIAGNOSES (AUTISM) SUPPORT GROUPS. 2) PROVIDING CLINICAL SERVICES SUCH AS FREE BLOOD PRESSURE AND CHOLESTEROL SCREENING AT HEALTH FAIRS. 3) PROVIDING SUPPORT SERVICES LIKE ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS, MENTAL HEALTH SERVICE HOT-LINES AND BUS TRANSPORTATION VOUCHERS TO ENHANCE PATIENT ACCESS TO CARE.PART I, LINE 7F COSTS: HEALTH PROFESSIONS EDUCATION IS THE COST OF OPERATING PROFESSIONAL EDUCATION AND TRAINING PROGRAMS FOR MEDICAL STUDENTS, NURSING STUDENTS, AND TECHNICIANS. SCHOLARSHIPS ARE ALSO OFFERED TO NON-EMPLOYEES FOR NURSING AND OTHER PROFESSIONAL EDUCATION. PART I, LINE 7G: PART I, LINE 7G SUBSIDIZED HEALTH SERVICES INCLUDE COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION. CLINICAL PATIENT CARE SERVICES ARE PROVIDED DESPITE A NEGATIVE MARGIN BECAUSE THEY ARE NEEDED BY THE COMMUNITY THE HOSPITAL'S SUBSIDIZED HEALTH SERVICES INCLUDE THE HOSPITAL OPERATED CLINIC. 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 $ 1,426,433. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANT POLICY WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE AND MULTIPLYING IT BY THE RATIO OF THE ORGANIZATION'S MEDICAID CONTRACTUAL ADJUSTMENTS TO THE TOTAL PATIENT SERVICE REVENUE AMOUNTS FROM THE HAR REPORT. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE, NET NOTE ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: RIVERVIEW HEALTHCARE ASSOCIATION IS A CRITICAL ACCESS HOSPITAL AND THUS IS REIMBURSED AT 101% OF COST AND WOULD TYPICALLY SHOW A SURPLUS FROM MEDICARE BILLED SERVICES. THE MEDICARE SHORTFALL ON PART III, LINE 7 IS A RESULT OF THE SEQUESTRATION ADJUSTMENT MANDATED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) WHICH IS A 2% REDUCTION OF PAYMENTS FROM MEDICARE FOR ALL PROVIDERS. IF THE SEQUESTRATION ADJUSTMENT WAS ELIMINATED FROM THE CALCULATION, THE AMOUNT ON PART III, LINE 7 WOULD BE A SURPLUS NOT A SHORTFALL AND THUS WOULDN'T BE CONSIDERED AS A COMMUNITY BENEFIT. THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED FROM THE 2015 FILED MEDICARE COST REPORT. PART III, LINE 9B: THROUGHOUT THE PAYMENT AND COLLECTION PROCESS, STAFF ATTEMPTS TO IDENTIFY TO THE EXTENT POSSIBLE, PATIENTS WHICH ARE WORTHY AND APPROPRIATE FOR CHARITY CONSIDERATION. THOSE ACCOUNTS TO BE CONSIDERED FOR CHARITY REDUCTIONS ARE ASKED TO COMPLETE A FINANCIAL DISCLOSURE FORM, WHICH WILL PROVIDE PERTINENT PATIENT FINANCIAL INFORMATION NECESSARY TO DETERMINE FINANCIAL NEED. REVIEW OF POTENTIAL CHARITY REQUESTS ARE PERFORMED DAILY BY THE FINANCIAL COORDINATOR AND CERTAIN RECOMMENDATIONS ARE FORWARDED TO THE CFO FOR SIGNATURE AND APPROVAL. ALL MINNESOTA RESIDENTS, UPON REQUEST, WHO ARE UNINSURED WILL RECEIVE A PRIVATE PAY DISCOUNT DETERMINED BY THE INSURANCE COMPANY WITH WHICH RIVERVIEW HEALTH DOES THE GREATEST VOLUME. THE SOCIAL SERVICES DEPARTMENT OF RIVERVIEW HEALTHCARE WORKS CLOSELY WITH THE STATE MEDICAID ELIGIBILITY PROGRAM TO ENSURE PATIENTS HAVE ACCESS TO AVAILABLE PROGRAMS. NON-INSURED PATIENTS ARE REFERRED TO THE STATE MEDICAID ELIGIBILITY PROGRAM FOR A PROBABILITY OF ELIGIBILITY ASSESSMENT. PART VI, LINE 2: THE HOSPITAL PERFORMED PATIENT SURVEYS AND HIRED CONSULTANTS THAT PERFORM SURVEYS AND STUDIES TO DETERMINE HEALTH CARE NEEDS OF THE COMMUNITY. PART VI, LINE 3: CHARITY CARE FORMS ARE HANDED OUT IN ADMITTING AND ALSO PLACED IN COLLECTION LETTERS. MEDICAID SERVICES INFORMATION IS AVAILABLE TO PATIENTS AT REGISTRATION. THE MULTI-DISCIPLINARY DISCHARGE PLANNING COMMITTEE MEETS DAILY AND PLANS THE DISCHARGE OF PATIENTS, INCLUDING FINNANCIAL PLANNING. REFER TO APPROPRIATE AGENCIES AND PROGRAMS FOR FINANCIAL AID WHEN THE PATIENT HAS NO HOSPITAL INSURANCE OR WHEN PATIENT/FAMILY RESOURCES ARE LIMITED OR DEPLETED. PART VI, LINE 4: RIVERVIEW HEALTH PRIMARY SERVICE AREA CONSISTS OF POLK & RED LAKE COUNTY WITH A POPULATION OF APPROXIMATELY 35,700. THE UNEMPLOYMENT RATE IS BELOW THE STATE LEVEL. THE MAJORITY OF WORKERS ARE EMPLOYED IN HEALTHCARE, MANUFACTURING OR FARMING. DESPITE A HIGHER RATE OF EMPLOYMENT NEARLY 25 PERCENT OF HOUSEHOLDS EARN LESS THAN $25,000.00 PER YEAR COMPARED TO 20 PERCENT OF HOUSEHOLDS STATEWIDE. PART VI, LINE 5: COMMUNITY BUILDING ACTIVITIES ARE PROGRAMS AND ACTIVITIES THAT ARE DESIGNED TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS IN THE COMMUNITY DISASTER READINESS, REDUCING THE AIR ENVIRONMENTAL HAZARDS, SHARPS DISPOSAL AND COMMUNITY LEADERSHIP DEVELOPMENT ARE SOME PROGRAMS. RECRUITMENT OF PHYSICIANS TO THIS RURAL COMMUNITY AND PROVIDING PROGRAMS TO DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE ARE TWO OTHER ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES MN X X X X X 0 0 0 0 0 0 0 0 0 DR COLIN FENNELL TRUSTEE/CHIEF MEDICAL OFFICER 579791 0 0 0 0 0 14300 0 19652 0 613743 0 0 0 CARRIE MICHALSKI PRESIDENT & CEO 196156 0 0 0 0 0 5678 0 15729 0 217563 0 0 0 DR OLATUBOSUN FASHORO PHYSICIAN 705093 0 0 0 0 0 14300 0 17596 0 736989 0 0 0 DR ERIK KANTEN PHYSICIAN 561865 0 0 0 0 0 14300 0 16977 0 593142 0 0 0 DR PETER ERIKSSON PHYSICIAN 514773 0 0 0 0 0 14228 0 16600 0 545601 0 0 0 DR IDATONYE AFONYA PHYSICIAN 410796 0 0 0 0 0 16671 0 20076 0 447543 0 0 0 DR STEVEN SCHULTZ PHYSICIAN 354536 0 0 0 0 0 14300 0 12946 0 381782 0 0 0 A CITY OF CROOKSTON MN 416005076 227235AL2 2007-05-22 15875000 FACILITY CONSTRUCTION AND REFUND SERIES 2002 BONDS 0 0 0 A 2855000 15875000 1668250 317500 2503006 11873689 2005 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 FORM 990, PART III, LINE 2 OPENED A NEW CLINIC IN THIEF RIVER FALLS. FORM 990, PART VI, SECTION A, LINE 1 ALL OF THE OFFICERS OF THE HOSPITAL AND SUCH OTHER PERSONS, IF ANY, ELECTED BY THE BOARD OF DIRECTORS BY RESOLUTION SHALL CONSTITUTE THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE HOSPITAL. THE EXECUTIVE COMMITTEE SHALL ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. DUIRNG SUCH INTERVALS AND SUBJECT TO SUCH CONTROL AND DIRECTION, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE HOSPITAL, SUBJECT TO SUCH LIMITATIONS AS THE BOARD OF DIRECTORS MAY IMPOSE. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 4 THIS AMENDMENT (THE "AMENDMENT") TO THE AMENDED AND RESTATED BYLAWS OF RIVERVIEW HEALTHCARE ASSOCIATION IS MADE EFFECTIVE AS OF JANUARY 26, 2015. 1. MEMBER VOTING RIGHTS. ARTICLE II,SECTION 8 OF THE AMENDED AND RESTATED BYLAWS OF RIVERVIEW HEALTHCARE ASSOCIATION SHALL BE AMENDED TO ADD THE FOLLOWING PARAGRAPHS: IF A MEMBER (OR AN INDIVIDUAL IN THE MEMBER'S IMMEDIATE FAMILY) HAS AN EMPLOYMENT OR INDEPENDENT CONTRACTOR RELATIONSHIP WITH A HOSPITAL OR HEALTH SYSTEM OTHER THAN THE CORPORATION, THE MEMBER SHALL NOT VOTE ON, BE PRESENT AT OR PARTICIPATE IN ANY MEETINGS, DISCUSSIONS, PROCEEDINGS OR OTHER ACTIONS RELATIVE TO, OR REVIEW ANY DOCUMENTS OR OTHER INFORMATION CONCERNING ANY TRANSACTION BETWEEN THE CORPORATION AND ANY HOSPITAL OR HEALTH SYSTEM. THE BOARD OF DIRECTORS MAY ESTABLISH BY RESOLUTION POLICIES AND PROCEDURES FOR DETERMINING WHETHER A MEMBER (OR AN INDIVIDUAL IN MEMBER'S IMMEDIATE FAMILY) HAS AN EMPLOYMENT OR INDEPENDENT CONTRACTOR RELATIONSHIP WITH A HOSPITAL OR HEALTH SYSTEM OTHER THAN THE CORPORATION AND FOR THE RECUSAL OF ANY MEMBER WITH SUCH A RELATIONSHIP. FOR PURPOSES OF THIS SECTION 8 "INDIVIDUAL IN THE MEMBER'S IMMEDIATE FAMILY" MEANS SPOUSE, PARENT, CHILD, SPOUSE OF A CHILD, BROTHER, SISTER, OR SPOUSE OF A BROTHER OR SISTER. 2. QUALIFICATIONS OF DIRECTORS. ARTICLE III, SECTION 3 OF THE AMENDED AND RESTATED BYLAWS OF RIVERVIEW HEALTHCARE ASSOCIATION SHALL BE AND HEREBY IS DELETED IN ITS ENTIRETY AND REPLACED WITH THE FOLLOWING: QUALIFICATIONS. EACH DIRECTOR MUST BE AN ADULT NATURAL PERSON AND A MEMBER OF THE CORPORATION. EACH DIRECTOR SHALL DEMONSTRATE HIS OR HER WILLINGNESS TO ACCEPT RESPONSIBILITY FOR GOVERNANCE AND HIS OR HER AVAILABILITY TO PARTICIPATE ACTIVELY IN GOVERNANCE ACTIVITIES. DIRECTORS SHALL BE SELECTED TO BRING A VARIETY OF INTERESTS AND EXPERTISE TO THE CORPORATION. IF A MEMBER (OR AN INDIVIDUAL IN THE MEMBER'S IMMEDIATE FAMILY) HAS AN EMPLOYMENT OR INDEPENDENT CONTRACTOR RELATIONSHIP WITH A HOSPITAL OR HEALTH SYSTEM OTHER THAN THE CORPORATION, THE MEMBER SHALL BE INELIGIBLE TO SERVE AS A DIRECTOR AND SHALL NOT BE ELECTED TO THE CORPORATION'S BOARD OF DIRECTORS. FOR PURPOSES OF THIS SECTION 3 "INDIVIDUAL IN THE MEMBER'S IMMEDIATE FAMILY OR "INDIVIDUAL IN THE DIRECTOR'S IMMEDIATE FAMILY" MEANS SPOUSE, PARENT, CHILD, SPOUSE OF CHILD, BROTHER, SISTER, OR SPOUSE OF BROTHER OR SISTER. IN THE EVENT THAT A DIRECTOR (OR AN INDIVIDUAL IN THE DIRECTOR'S IMMEDIATE FAMILY) COMMENCES AN EMPLOYMENT OR INDEPENDENT CONTRACTOR RELATIONSHIP WITH A HOSPITAL OR HEALTH SYSTEM OTHER THAN THE CORPORATION DURING THE DIRECTOR'S TERM OF OFFICE, THE DIRECTOR SHALL IMMEDIATELY DISCLOSE THE RELATIONSHIP TO THE BOARD OF DIRECTORS AND RESIGN IN ACCORDANCE WITH ARTICLE III, SECTION 7. IF THE DIRECTOR DOES NOT RESIGN WITHIN TEN (10) DAYS OF BECOMING AWARE OF THE RELATIONSHIP, THE DIRECTOR SHALL BE AUTOMATICALLY REMOVED FROM THE BOARD OF DIRECTORS AND THE DIRECTOR'S POSITION SHALL BE DEEMED VACANT. IF, AFTER DISCLOSURE OF ALL RELEVANT FACTS BY THE DIRECTOR, THE BOARD OF DIRECTORS BELIEVES THAT THE EMPLOYMENT OR INDEPENDENT CONTRACTOR RELATIONSHIP OF A DIRECTOR (OR INDIVIDUAL IN THE DIRECTOR'S IMMEDIATE FAMILY) DOES NOT POSE A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS MAY WAIVE THE CONFLICT UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF ALL DIRECTORS OF THE CORPORATION THEN IF OFFICE (EXCLUDING THE AFFECTED DIRECTOR) AND ALLOW THE DIRECTOR TO RETAIN HIS POSITION. IN THE EVENT THAT A DISPUTE ARISES BETWEEN A DIRECTOR AND THE CORPORATION REGARDING THE EXISTENCE OF AN EMPLOYMENT OR INDEPENDENT CONTRACTOR RELATIONSHIP, THE BOARD OF DIRECTORS SHALL DETERMINE BY AN AFFIRMATIVE VOTE OF A MAJORITY OF ALL DIRECTORS OF THE CORPORATION THEN IN OFFICE (EXCLUDING THE AFFECTED DIRECTOR) WHETHER SUCH RELATIONSHIP EXISTS. THE BOARD SHALL CONSIST OF NOT LESS THAN ONE OR MORE THAN THREE MEMBERS OF THE ACTIVE MEDICAL STAFF. THE MEDICAL CHIEF OF STAFF, PRESIDENT AND THE AUXILIARY-PRESIDENT SHALL BE NON-VOTING EX OFFICIAL MEMBERS OF THE BOARD. THE MEDICAL CHIEF OF STAFF, THE PRESIDENT, AND ONE OF THE OTHER ACTIVE MEDICAL STAFF MEMBERS ON THE BOARD MAY BE EMPLOYEES OF THE CORPORATION. NO OTHER EMPLOYEES OR MEMBERS OF THEIR HOUSEHOLD SHALL BE ELIGIBLE TO SERVE ON THE BOARD WHILE ACTIVELY EMPLOYED BY THE CORPORATION AND FOR TWO YEARS FOLLOWING SAID EMPLOYMENT. FORM 990, PART VI, SECTION A, LINE 6 RIVERVIEW HEALTHCARE SHALL HAVE VOTING MEMBERS WHO MUST BE 18 YEARS OF AGE OR OLDER, PAY THE MEMBERSHIP FEE DETERMINED BY THE BOARD, MUST LIVE WITHIN 30 MILES OF THE COMMUNITIES SERVED BY RIVERVIEW AND AGREE TO ABIDE BY THE ARTICLES OF INCORPORATION, BYLAWS AND OTHER RULES OF THE HOSPITAL. ANY MEMBER WHO FAILS TO PAY ANY DUES OR ASSESSMENT MAY, AFTER REASONABLE NOTICE, HAVE HIS OR HER MEMBERSHIP CANCELLED. FORM 990, PART VI, SECTION A, LINE 7A RIVERVIEW HEALTHCARE'S BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THEIR ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENTS MADE TO RIVERVIEW HEALTHCARE'S ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE ACCOUNTING MANAGER FOR ACCURACY AND COMPLETENESS, AT THIS TIME THE FORM 990 IS PRESENTED TO THE AUDIT AND FINANCE COMMITTEE. UPON APPROVAL, THE FORM 990 IS SHARED ELECTRONICALLY WITH THE BOARD MEMBERS PRIOR TO A REGULARLY SCHEDULED BOARD MEETING AT WHICH THE BOARD MEMBERS APPROVE THE RETURN PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTERESTS SERVES TO PROTECT THE INTEGRITY OF ASSOCIATION INFORMATION, PRODUCTS, SERVICES AND EMPLOYEE EFFORTS. EMPLOYEES ARE EXPTECTED TO DEVOTE THEIR BEST EFFORTS AND BE LOYAL TO THE INTERESTS OF RIVERVIEW HEALTH. RIVERVIEW RECOGNIZES THE RIGHT OF EMPLOYEES TO ENGAGE IN ACTIVITIES OUTSIDE OF THEIR EMPLOYMENT HERE, WHICH ARE OF A PRIVATE NATURE AND UNRELATED TO OUR BUSINESS HOWEVER, A POLICY OF FULL DISCLOSURE WILL BE FOLLOWED TO ASSESS AND PREVENT POTENTIAL CONFLICTS OF INTERESTS FROM ARISING. 1. EMPLOYEES WILL NOT BE PERMITTED TO ENGAGE IN ACTIVITIES, WHICH ARE IN COMPETITION WITH THE BUSINESS ACTIVITIES OF RIVERVIEW HEALTH (EXAMPLES MAY INCLUDE, BUT NOT LIMITED TO, REHAB SERVICES, CD COUNSELING, HOME CARE, OUTSIDE CONSULTATION SERVICES SUCH AS PHARMACY OR DIETETICS, OR OTHER REVENUE PRODUCING AREAS). 2. EMPLOYEES MUST DISCLOSE IN FULL, AT TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER, ANY ACTIVITY WHICH THEY ENGAGE IN WHICH IS SIMILAR IN NATURE OR IN DIRECT COMPETITION WITH A SERVICE OF RIVERVIEW HEALTH. 3. NO EMPLOYEE MAY ENGAGE IN OUTSIDE WORK THAT WILL INTERFERE WITH HIS OR HER PRIMARY JOB WITH RIVERVIEW HEALTH. THERE IS AN EXPECTATION OF A DUTY OF LOYALTY BY ALL EMPLOYEES. 4. NO EMPLOYEE MAY ACCEPT PAYMENT, RETAINER, COMMISSION, CONSULTING FEE OR ENTER INTO ANY OTHER FEE ARRANGEMENT OR REMUNERATIONS FOR SERVICES PROVIDED IN CONJUNCTION WITH RIVERVIEW HEALTH OTHER THAN THEIR NORMAL WAGES WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 5. NO OUTSIDE WORK MAY BE DONE DURING ANY EMPLOYEES WORK HOURS. ASSOCIATION FACILITIES, EQUIPMENT, LABOR OR SUPPLIES MAY NOT BE USED TO CODUCT NON-RIVERVIEW HEALTH BUSINESS WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 6. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF HEALTH CARE SERVICES. 7. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITIY ENGAGED IN THE DELIVERY OF GOODS AND SERVICES TO RIVERVIEW HEALTH. 8. FAILURE TO DISCLOSE INFORMATION RELATED TO ANY OF THE ABOVE POINTS TO ADMINISTRATION MAY LEAD TO CORRECTIVE ACTION UP TO AND INCLUDING DISCHARGE. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ANNUALLY SIGN A CONFLICT OF INTEREST FORM. IF A CONFLICT OF INTEREST EXISTS, THE CONFLICTED PERSON ABSTAINS FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A THE RIVERVIEW HEALTHCARE ASSOCIATION BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. ANNUALLY, THE BOARD OF DIRECTORS RECEIVES COMPENSATION SURVEYS FROM HRAM AND THE MINNESOTA HOPSITAL ASSOCIATION AND USES THESE TO SET THE COMPENSATION FOR THE CEO. SIMILAR METHODS ARE USED TO SET THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, HOWEVER, THE COMPENSATION IS REVIEWED AND APPROVED BY THE ADMINISTRATION OFFICERS AND HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 RIVERVIEW HEALTHCARE'S FINANCIAL STATEMENTS ARE SUMMARIZED AND MADE AVAILABLE TO THE PUBLIC AT THE ANNUAL MEETING. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 58,138. MANAGEMENT AND GENERAL EXPENSES 209,824. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 267,962. CONTRACT PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,124,499. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,124,499. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,780,144. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,780,144. OUTSIDE TRANSCRIPTION SERVICE : PROGRAM SERVICE EXPENSES 48,388. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,388. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 247,091. MANAGEMENT AND GENERAL EXPENSES 1,107,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,354,334. RIVERVIEW HEALTHCARE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 411699589 FUNDRAISING MN 501(C)(3) LINE 7 RIVERVIEW HEALTHCARE ASSOCIATION 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 RIVERVIEW HEALTHCARE FOUNDATION C 96210 CASH