RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349307255
Schema version
2013v3.0
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)
Return2014-11-17T13:56:03-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311667875EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlRIDGBusinessNameControlTxt
Phone9524422191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1
CityWACONIACity
StateMNState
ZIP Code553871791ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGORDON GABLENZPersonNm
Person TitleVICE PRESIDENT & CFOPersonTitleTxt
Phone9524422191PhoneNum
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDARRYN MCGARVEYPreparerPersonNm
PTINP00958683PTIN
Phone6123764500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT STEVENSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1
CityWACONIACity
StateMNState
ZIP Code553871791ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$231,092,179GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIDGEVIEWMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO MAKE A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE AND HEALTH FOR THE PEOPLE OF OUR AREA.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1804TotalEmployeeCnt
Total Volunteers500TotalVolunteersCnt
Total Gross UBI$2,023,712TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$177,319NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,087,639PYContributionsGrantsAmt
CY Contributions Grants$1,528,584CYContributionsGrantsAmt
PY Program Service Revenue$162,082,431PYProgramServiceRevenueAmt
CY Program Service Revenue$175,106,504CYProgramServiceRevenueAmt
PY Investment Income$2,895,409PYInvestmentIncomeAmt
CY Investment Income$2,734,884CYInvestmentIncomeAmt
PY Other Revenue$5,724,336PYOtherRevenueAmt
CY Other Revenue$28,569,091CYOtherRevenueAmt
PY Total Revenue$172,789,815PYTotalRevenueAmt
CY Total Revenue$207,939,063CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,057,283CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$96,162,707PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$104,902,026CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$57,381CYTotalFundraisingExpenseAmt
PY Other Expenses$75,786,006PYOtherExpensesAmt
CY Other Expenses$81,733,608CYOtherExpensesAmt
PY Total Expenses$171,948,713PYTotalExpensesAmt
CY Total Expenses$189,692,917CYTotalExpensesAmt
PY Revenues Less Expenses$841,102PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,246,146CYRevenuesLessExpensesAmt
Total Assets BOY$186,542,662TotalAssetsBOYAmt
Total Assets EOY$232,830,682TotalAssetsEOYAmt
Total Liabilities BOY$76,740,588TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,041,207TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$109,802,074NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$136,789,475NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE LIFELONG HEALTH OF PEOPLE IT SERVES WITH A CULTURE THAT NURTURES THE WHOLE PERSON: MIND, BODY, AND SPIRIT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$136,973,213ExpenseAmt
Grant$3,057,283GrantAmt
Revenue$175,106,504RevenueAmt
DescRIDGEVIEW MEDICAL CENTER ENHANCED AND PROVIDED QUALITY HEALTHCARE SERVICES FOR THE COMMUNITY OF WACONIA AND SURROUNDING AREAS. THE HOSPITAL PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE IN THE AMOUNT OF $507,149 DURING 2013. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $2,344,008 AND $11,838,696 IN 2013. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY, AND MORE TOTALED $309,635. IN 2013 THE HOSPITAL SPENT $4,375,309 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 5,926 INPATIENTS, 26,118 EMERGENCY CARE VISITS, 26,972 HOME HEALTH VISITS, 5,731 SURGERIES, 1,468 BIRTHS, 8,360 AMBULANCE CALLS, AND 160,902 OUTPATIENT VISITS IN 2013. RIDGEVIEW MEDICAL CENTER SERVES MORE THAN 100,000 PEOPLE, OPERATES ONE HOSPITAL, ONE FREE-STANDING EMERGENCY AND URGENT CARE FACILITY CENTER AND SEVEN MULTI-SPECIALTY CLINIC LOCATIONS.Desc
Total Program Service Expenses$136,973,213TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document72IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1804EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local 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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GORDON GABLENZBusinessNameLine1
FieldValueIRS element (for citing)
Phone9524422191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1
CityWACONIACity
StateMNState
ZIP Code55387ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MITCHELL KILIAN
CHAIR0.80Yes (X)Yes (X)$2,000$0$0
WAYNE HUBIN
VICE CHAIR0.80Yes (X)Yes (X)$1,600$0$0
JULIE HERMAN
SECRETARY0.80Yes (X)Yes (X)$1,600$0$0
MARIA GLYNN
TREASURER0.80Yes (X)Yes (X)$1,600$0$0
MIKE WERNER
BOARD MEMBER0.80Yes (X)$1,600$0$0
JEFF NELSON
BOARD MEMBER0.80Yes (X)$1,600$0$01.00
DEL PLOEN
BOARD MEMBER (THRU FEB 2013)0.80Yes (X)$267$0$0
SHARON COOK
BOARD MEMBER0.80Yes (X)$1,600$0$0
STAN BANDUR
BOARD MEMBER0.80Yes (X)$1,600$0$0
KATE ROEHL
BOARD MEMBER0.80Yes (X)$1,600$0$00.50
ROBERT STEVENS
PRESIDENT / CEO44.00Yes (X)$343,711$0$329,4516.00
PATRICIA MICHAELSON
VICE PRESIDENT50.00Yes (X)$229,874$0$17,714
JOHN PRONDZINSKI
VICE PRESIDENT50.00Yes (X)$203,874$0$22,656
GORDON GABLENZ
VICE PRESIDENT / CFO48.50Yes (X)$211,128$0$27,7731.50
MICHAEL PHELPS
CAO40.00Yes (X)$226,247$0$25,94810.00
DOUGLAS STASEK
VICE PRESIDENT2.50Yes (X)$186,146$0$25,50347.50
SARAH HASTINGS
VICE PRESIDENT49.00Yes (X)$171,478$0$26,1521.00
BERNARD BUCKLAND
DIRECTOR OF SURGERY40.00$184,421$0$14,779Yes (X)
KRISTI WIDSETH
CRNA40.00$168,131$0$6,322Yes (X)
CYNTHIA BRICK
CRNA40.00$179,096$0$18,311Yes (X)
ARLIEN CORTLAND
CRNA40.00$169,222$0$6,359Yes (X)
TINA KIRSCH
CRNA40.00$168,673$0$6,097Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,457,068TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$527,065TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K67IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
EMPAC
500 SOUTH MAPLE STREETWACONIAMN55387ED PHYSICIAN SERVICES$7,515,755
MINNEAPOLIS HEART INSTITUTE
500 SOUTH MAPLE STREETWACONIAMN55387CARDIOLOGY SERVICES$3,739,967
CHILDRENS HEALTHCARE
2525 CHICAGO AVE SOUTHMINNEAPOLISMN55404CHILDREN'S NCU CONTRACT & MEDICAL DIRECT$1,265,546
EMERGENT NETWORKS
768 SOUTHCROSS DRIVE WEST STE 201BURNSVILLEMN55306MIS SERVICES$1,078,492
CHUTE AND DREW PA
111 HUNDERTMARK ROADCHASKAMN55318BARIATRIC SERVICES$871,311
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$1,510,190RelatedOrganizationsAmt
All Other Contributions$18,394AllOtherContributionsAmt
Total Contributions$1,528,584TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621610BusinessCd
Total Revenue Column$175,106,504TotalRevenueColumnAmt
Related Or Exempt Func Income$175,106,504RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$175,106,504TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$906,758TotalRevenueColumnAmt
Exclusion$906,758ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,932,730RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,143,971RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$788,759RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$788,759TotalRevenueColumnAmt
Exclusion$788,759ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,642,918SecuritiesAmt
Other$19,390OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,792,732SecuritiesAmt
Other$41,450OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,850,186SecuritiesAmt
Other-$22,060OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,828,126TotalRevenueColumnAmt
Exclusion$1,828,126ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,874,523GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,174,963CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,699,560TotalRevenueColumnAmt
Unrelated Business Revenue$1,669,440UnrelatedBusinessRevenueAmt
Exclusion$30,120ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MISCELLANEOUS621610$24,723,795$354,272$24,369,523
CAFETERIA REVENUE722210$543,203$543,203
ALL OTHER REVENUE900099$456,939$456,939

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$356,835TotalRevenueColumnAmt
Exclusion$356,835ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$26,080,772OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,939,063TotalRevenueColumnAmt
Related Or Exempt Func Income$175,106,504RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,023,712UnrelatedBusinessRevenueAmt
Exclusion$29,280,263ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,057,283TotalAmt
Program Services$3,057,283ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,062,723TotalAmt
Management And General$2,062,723ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$86,707,479TotalAmt
Program Services$65,339,600ProgramServicesAmt
Management And General$21,367,879ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,093,290TotalAmt
Program Services$1,749,032ProgramServicesAmt
Management And General$344,258ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,513,362TotalAmt
Program Services$6,258,168ProgramServicesAmt
Management And General$2,255,194ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,525,172TotalAmt
Program Services$4,017,518ProgramServicesAmt
Management And General$1,507,654ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$668,047TotalAmt
Management And General$668,047ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,331TotalAmt
Management And General$75,331ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,254,535TotalAmt
Program Services$5,863,754ProgramServicesAmt
Management And General$12,390,781ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$263,716TotalAmt
Program Services$228,582ProgramServicesAmt
Management And General$35,134ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,296,822TotalAmt
Program Services$3,112,457ProgramServicesAmt
Management And General$2,184,365ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,575,885TotalAmt
Program Services$280,153ProgramServicesAmt
Management And General$1,295,732ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,197,940TotalAmt
Program Services$7,910,700ProgramServicesAmt
Management And General$3,287,240ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$571,232TotalAmt
Program Services$295,554ProgramServicesAmt
Management And General$275,678ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$543,814TotalAmt
Program Services$201,531ProgramServicesAmt
Management And General$342,283ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,952,614TotalAmt
Program Services$1,952,614ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,370,843TotalAmt
Program Services$7,728,118ProgramServicesAmt
Management And General$2,642,725ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$758,340TotalAmt
Program Services$171,211ProgramServicesAmt
Management And General$587,129ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$21,790,145$21,790,145
BAD DEBT EXPENSE$3,931,696$3,931,696
MINNESOTA CARE TAX$2,450,472$2,450,472
MISCELLANEOUS$507,796-$12,689$463,104$57,381

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,524,380TotalAmt
Program Services$647,314ProgramServicesAmt
Management And General$877,066ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$189,692,917TotalAmt
Program Services$136,973,213ProgramServicesAmt
Management And General$52,662,323ManagementAndGeneralAmt
Fundraising$57,381FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,618,420BOYAmt
EOY$7,338,294EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,992,834BOYAmt
EOY$48,380,985EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$316,666BOYAmt
EOY$158,333EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,286,825BOYAmt
EOY$23,972,512EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,065,570BOYAmt
EOY$3,165,299EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,282,707BOYAmt
EOY$2,843,339EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$209,610,209LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$113,522,305LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,265,572BOYAmt
EOY$96,087,904EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,304,064BOYAmt
EOY$13,823,442EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,410,004BOYAmt
EOY$37,060,574EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$186,542,662BOYAmt
EOY$232,830,682EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,668,507BOYAmt
EOY$24,885,517EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$112,715BOYAmt
EOY$6,868,358EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,694,761BOYAmt
EOY$52,801,631EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,559,871BOYAmt
EOY$3,248,550EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,704,734BOYAmt
EOY$8,237,151EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$76,740,588BOYAmt
EOY$96,041,207EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$103,090,394BOYAmt
EOY$130,032,089EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,639,401BOYAmt
EOY$5,194,016EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,072,279BOYAmt
EOY$1,563,370EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$109,802,074BOYAmt
EOY$136,789,475EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$186,542,662BOYAmt
EOY$232,830,682EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,246,146ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,148,792NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,592,463OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,760OtherActivitiesAmt
Total Lobbying Expenditures$9,760TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRIDGEVIEW MEDICAL CENTER PAYS DUES TO MHA AND AHA, OF WHICH A PORTION ARE LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,643,504OtherCostOrOtherBasisAmt
Book Value$8,643,504BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,201,247OtherCostOrOtherBasisAmt
Depreciation$38,759,970DepreciationAmt
Book Value$38,441,277BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,201,445OtherCostOrOtherBasisAmt
Depreciation$4,774,838DepreciationAmt
Book Value$2,426,607BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$95,507,732OtherCostOrOtherBasisAmt
Depreciation$69,987,497DepreciationAmt
Book Value$25,520,235BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,056,281OtherCostOrOtherBasisAmt
Book Value$21,056,281BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$96,087,904TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN CHASKA PLAZA SURGERY CENTER$676,731F
INVESTMENT IN JOINT VENTURES$703,996F
INVESTMENT IN RIDGEVIEW INSURANCE$563,767F
INVESTMENT IN FOUNDATION$11,811,421F
INVESTMENT IN MN OTOLARYNGOLOGY$67,527F
FieldValueIRS element (for citing)
Total Book Value Securities$13,823,442TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (14 entries)

DescDescBook ValueBookValueAmt
UNAMORTIZED FINANCING COSTS$1,127,895
AMOUNTS HELD UNDER SECURITY AGREEMENT$5,203,549
DUE FROM MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW MEDICAL CENTER$119,284
SELF INSURANCE RESERVES$2,672,917
DEFERRED COMPENSATION PLAN$6,724,869
DUE FROM RIDGEVIEW CLINICS$18,045,646
DUE FROM FOUNDATION$2,000
DUE FROM CHASKA PLAZA SURGERY CENTER$2,995,575
DUE FROM 212$1,961
DUE FROM NORTHLAND COUNSELING$175
STEP LEASE ASSET$155,766
DUE FROM RIDGEVIEW REAL ESTATE, LLC$4,166
INVESTMENT IN AFFILIATE$10,000
DUE FROM CREATE HEALTH-$3,229
FieldValueIRS element (for citing)
Total Book Value Other Assets$37,060,574TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$2,036,631
THIRD PARTY PAYABLE$1,101,010
WORKERS COMPENSATION$1,500,000
ASSET RETIREMENT OBLIGATION$12,224
BRIDGE LOAN FROM RIDGEVIEW FOUNDATION$3,000,147
DUE TO CARDIOLOGY JOINT VENTURE$587,139
FieldValueIRS element (for citing)
Total Liability$8,237,151TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$205,725,742TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$3,931,696OtherRevenueAmt
Revenue Not Reported-$3,931,696RevenueNotReportedAmt
Revenue Subtotal$209,657,438RevenueSubtotalAmt
Other Revenues Not Included-$1,718,375OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,718,375RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$207,939,063TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$186,587,692TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,318,934OtherExpensesIncludedAmt
Expenses Not Reported$4,318,934ExpensesNotReportedAmt
Expenses Subtotal$182,268,758ExpensesSubtotalAmt
Other Expenses Not Included$7,424,159OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,424,159ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$189,692,917TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS RECEIVED NOTIFICATION THAT IT QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. GENERALLY, THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2008. THE ORGANIZATION IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. THE ORGANIZATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSES -3,931,696.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 906,758. REALIZED GAINS ON INVESTMENTS 1,850,186. RENTAL EXPENSES -3,143,971. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD -1,069,898. GIFT SHOP EXPENSES -105,065. NET ASSETS RELEASED FROM RESTRICTIONS -156,385.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 3,143,971. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 1,069,898. GIFT SHOP EXPENSES 105,065.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 3,931,696. EQUITY TRANSFER 3,000,000. LOSS ON REFINANCING OF DEBT 142,463. DISTRIBUTION EXPENSE 350,000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$505,552TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$505,552NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,642,801TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,298,793DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,344,008NetCommunityBenefitExpnsAmt
Total Expense0.01260TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,604,883TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,604,883NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,753,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,298,793DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,454,443NetCommunityBenefitExpnsAmt
Total Expense0.02390TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served14284PersonsServedCnt
Total Community Benefit Expns$312,631TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$309,635NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served307PersonsServedCnt
Total Community Benefit Expns$339,033TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$339,033NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served182PersonsServedCnt
Total Community Benefit Expns$136,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,603DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,346NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served151PersonsServedCnt
Total Community Benefit Expns$61,506TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$61,506NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served306PersonsServedCnt
Total Community Benefit Expns$97,392TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$97,392NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served15230PersonsServedCnt
Total Community Benefit Expns$947,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,599DirectOffsettingRevenueAmt
Net Community Benefit Expns$924,912NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served15230PersonsServedCnt
Total Community Benefit Expns$8,700,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,321,392DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,379,355NetCommunityBenefitExpnsAmt
Total Expense0.02880TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served12400PersonsServedCnt
Total Community Benefit Expns$63,207TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$63,207NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served12400PersonsServedCnt
Total Community Benefit Expns$63,207TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$63,207NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,931,696BadDebtExpenseAmt
Bad Debt Expense Attributable$437,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$33,339,688ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$48,315,365CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,975,677MedicareSurplusOrShortfallAmt

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 Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1
CityWACONIACity
StateMNState
ZIP Code55387ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.RIDGEVIEWMEDICAL.ORG/ABOUT-US/OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity Measures0IncludesPublicityMeasuresInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 3: A THREE-PHASE PROCESS WAS USED TO GATHER COMMUNITY INPUT. FIRST, KEY INFORMANTS, DESCRIBED BELOW, WERE INTERVIEWED IN OCTOBER 2013 TO PROVIDE BROAD-BASED INPUT ON PRIORITY HEALTH NEEDS WITHIN RIDGEVIEW'S SERVICE AREAS. THE KEY INFORMANTS INCLUDED: PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, REPRESENTATIVES FROM HEALTH DEPARTMENTS OR GOVERNMENTAL AGENCIES SERVING COMMUNITY HEALTH, AND LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS AND/OR POPULATIONS WITH CHRONIC DISEASE. IN ADDITION TO KEY INFORMANT INTERVIEWS, TWO FOCUS GROUPS, DESCRIBED BELOW, WERE CONVENED TO DISCUSS AND IDENTIFY COMMUNITY HEALTH NEEDS RELATED TO CITY LEADERSHIP AND SENIOR CARE FACILITIES.RIDGEVIEW ALSO CONDUCTED AN ONLINE SURVEY OF COMMUNITY RESIDENTS IN OCTOBER 2013. THE SURVEY INSTRUMENT WAS DEVELPED TO GAIN INFORMATION FROM RESPONDENTS ABOUT THEIR PERCEPTIONS OF HEALTH CONCERNS IN THE COMMUNITY. THE ONLINE SUREVEY WAS ISSUED TO MORE THAN 9,000 PERSONS IN RIDGEVIEW'S EMAIL DATABASE; RESPONSES WERE RECEIVED FROM 432 PARTICIPANTS, REPRESENTATIVE OF RIDGEVIEW'S SERVICE AREA. KEY STAKEHOLDER INTERVIEWEES: BELLE PLAINE FIRE DEPARTMENT, THE CAP AGENCY, CARVER COUNTY LAW ENFORCEMENT, CARVER COUNTY OFFICE OF AGING, CARVER COUNTY PUBLIC HEALTH AND ENVIRONMENT DIVISION, DELANO PUBLIC SCHOOLS, MCLEOD COUNTY LAW ENFORCEMENT, MCLEOD COUNTY PUBLIC HEALTH, MCLEOD COUNTY SOCIAL SERVICES, MENTAL HEALTH CONSORTIUM OF CARVER COUNTY, SOUTHERN VALLEY ALLIANCE FOR BATTERED WOMEN, WACONIA FIRE DEPARTMENT, WACONIA PUBLIC SCHOOLS, WRIGHT COUNTY HUMAN SERVICES, WRIGHT COUNTY LAW ENFORCEMENT, AND WRIGHT COUNTY PUBLIC HEALTH. FOCUS GROUPS: 40 CITY OFFICIALS, 20 NURSING HOME PERSONNEL, AND 50 PEOPLE REPRESENTING SCHOOLS FROM THROUGHOUT RIDGEVIEW'S SERVICE AREA WERE INVITED TO PARTICIPATE IN FOCUS GROUPS. 12 PERSONNEL FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED: AURBURN HOMES, BENEDICTINE HEALTH SYSTEM, CITY OF CHASKA, CITY OF MOUND, CITY OF WINSTED, ELIM CARE, GOLDEN LIVING, AND THE LUTHERAN HOME ASSOCIATION.
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 7: DUE TO LIMITED FINANCIAL RESOURCES, RMC WILL FOCUS ON THE TOP FOUR HEALTH NEEDS IDENTIFIED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL NOT TO ADDRESS THE FOLLOWING NEEDS AT THIS TIME: SUBSTANCE ABUSE, MALTREATMENT, AND DENTAL HEALTH.
RIDGEVIEW MEDICAL CENTERPART V, SECTION B, LINE 20D: RIDGEVIEW MEDICAL CENTER USES ITS LARGEST NON-GOVERNMENTAL PAYOR'S DISCOUNT PERCENTAGE WHEN DETERMINING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. THE DISCOUNT GIVEN TO ALL FAP ELIGIBLE PATIENTS IS EQUAL TO THE DISCOUNT GIVEN TO THE ORGANIZATION'S LARGEST NON-GOVERNMENTAL PAYOR IN ACCORDANCE WITH THEIR AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387GENERAL MEDICAL CLINIC
SAME DAY SURGERY
3000 HUNDERTMARK ROADCHASKAMN55318GENERAL MEDCIAL & SURGICAL CLINIC
SPECIALTY CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387SEE PART V, SECTION C FOR DESCRIPTION
HOME HEALTH HOSPICE
500 SOUTH MAPLE STREET STE 1WACONIAMN55387HOME HEALTH & HOSPICE
REHAB SPECIALTIES
560 SOUTH MAPLE STREETWACONIAMN55387REHABILITATION SERVICES
HOME MEDICAL EQUIPMENT
500 SOUTH MAPLE STREET STE 2WACONIAMN55387MEDICAL EQUIPMENT SUPPLIER
RIDGEVIEW SLEEP CENTER
560 SOUTH MAPLE STREET STE 103WACONIAMN55387SLEEP DISORDER SERVICES
PEDIATRIC REHAB
490 SOUTH MAPLE STREET STE 125WACONIAMN55387PEDIATRIC SERVICES
RIDGEVIEW RESEARCH
3000 HUNDERTMARK ROAD STE 8CHASKAMN55318RESERACH FACILITY
WESTERN OBGYN
560 SOUTH MAPLE STREETWACONIAMN55387OBESTRIC AND GYNECOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COSTING METHODOLOGY USED BY RMC TO DETERMINE THE COMMUNITY BENEFIT EXPENSES INCLUDED IN PART I, LINES 7A-D WERE DERIVED BY TAKING THE RESPECTIVE AMOUNTS PER THE AUDITED FINANCIAL STATEMENTS AND APPLYING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE IRS INSTRUCTIONS. THE COMMUNITY BENEFIT EXPENSES INCLUDED IN LINES 7E-J WERE REPORTED BASED ON RMC'S ACTUAL COSTS FOR EACH CLASSIFICATION OF EXPENSES.
PART I, LINE 7G:THE AMOUNT REPORTED AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IS MADE UP OF AMBULANCE/ON-SITE EMERGENCY CARE ($13,214) AND REDUCED COST MAMMOGRAMS ($123,735).
PART I, LN 7 COL(F):THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN PART III, LINE 2 IS CALCULATED BY RIDGEVIEW AS FOLLOWS: PAYMENT FOR SERVICES IS REQUIRED WITHIN 30 DAYS OF RECEIPT OF THE INVOICE OR CLAIM SUBMITTED. PATIENT ACCOUNTS THAT ARE MORE THAN 90 DAYS PAST DUE ARE INDIVIDUALLY ANALYZED FOR COLLECTIBILITY. IN ADDITION, AN ALLOWANCE IS ESTIMATED FOR OTHER ACCOUNTS BASED ON HISTORICAL EXPERIENCE OF THE ORGANIZATION. WHEN ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED, THE ACCOUNT IS WRITTEN OFF AGAINST THE RELATED ALLOWANCE.
PART V, SECTION C, LINE 3 - SPECIALTY CLINICSENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, AND BARIATRIC
PART II, COMMUNITY BUILDING ACTIVITIES:RIDGEVIEW OFFERS REDUCED-COST MAMMOGRAMS TO ELIGIBLE WOMEN, FREE HEALTH SCREENINGS, SUPPORT GROUP SESSIONS, HEALTH EDUCATION SEMINARS, AND COMMUNITY HEALTH INFORMATION RESOURCES.IN ADDITION, RIDGEVIEW PROVIDES FREE BIOMETRIC SCREENINGS TO AREA EMPLOYERS, BLOOD PRESSURE CHECKS AT COMMUNITY EVENTS, HAND-ONLY CPR TRAINING IN SCHOOLS, AND STAFFS COMMUNITY EVENTS WITH ITS AMBULANCE/PARAMEDIC SUPPORT AND ATHLETIC TRAINER/SPORTS MEDICINE SERVICES.
PART III, LINE 4:RIDGEVIEW ESTIMATES THE BAD DEBT AMOUNT INCLUDED IN PART III, LINE 3 RELATED TO PATIENTS UNDER THEIR FINANCIAL ASSISTANCE POLICY WOULD BE ABOUT 25% OF THE TOTAL COST OF CHARITY CARE. FOR 2013, THIS AMOUNT IS ESTIMATED TO BE $437,000.THE FOOTNOTE OF RIDGEVIEW'S 2013 FINANCIAL STATEMENTS THAT INCLUDES THE EXPLANATION OF BAD DEBT EXPENSE IS THE "PATIENT RECEIVABLES, NET" FOOTNOTE INCLUDED ON PAGE 10.
PART III, LINE 8:RIDGEVIEW USED THE 2013 FILED MEDICARE COST REPORT TO CALCULATE THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6. APPLIED AGAINST ACTUAL RECEIPTS RIDGEVIEW EXPERIENCED COSTS NOT COVERED BY MEDICARE IN THE AMOUNT OF $14,975,677 IN 2013. THIS IS A DIRECT BENEFIT TO THE MEDICARE POPULATION IN OUR COMMUNITY.
PART III, LINE 9B:RIDGEVIEW'S CHARITY PROGRAM ALLOWS FOR ACCOUNTS IN BAD DEBT STATUS TO COMPLETE A CHARITY CARE APPLICATION. IF APPROVED, THE ACCOUNT WILL BE RETURNED FROM BAD DEBT AND APPLIED TO OUR CHARITY CARE PROGRAM. ALL PATIENTS ARE ADVISED OF OUR CHARITY CARE PROGRAM THROUGH OUR MONTHLY BILLING PROCESS. RIDGEVIEW MEDICAL CENTER DOES NOT CHARGE INTEREST ON OUTSTANDING PATIENT ACCOUNT BALANCES.
PART VI, LINE 2:RIDGEVIEW MEDICAL CENTER ASSESSES THE CURRENT HEALTH STATUS, HEALTH OUTCOMES, AND UNMET NEEDS IN THE 46+ COMMUNITIES IT SERVES THROUGH A FORMALIZED, RIGOROUS, AND STRUCTURED PROCESS. COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND PUBLIC REPORTING ENSURES THAT RIDGEVIEW HEALTH IMPROVEMENT EFFORTS AND RESOURCES ARE ALIGNED WITH COMMUNITY HEALTH PRIORITIES.RIDGEVIEW HAS AND WILL CONTINUE TO USE A CHNA AND OTHER INTERNAL, EXTERNAL (INCLUDING DISCHARGE, QUALITY MEASURES, PREDICTIVE, AND POPULATION DATA) TO AID STRATEGIC PLANNING PROCESSES AND ALIGN ORGANIZATIONAL SERVICES/RESOURCES ACCORDINGLY.
PART VI, LINE 3:AT THE TIME OF SCHEDULING, PRE-REGISTRATION, REGISTRATION, OR DISCHARGE (WHICHEVER ARE APPLICABLE), THE PATIENT WILL BE ASKED FOR INSURANCE COVERAGE, AND THE PATIENT WILL BE INFORMED OF ANY CO-PAYMENTS THAT WILL BE EXPECTED AT THE TIME OF PAYMENT. IF THE PATIENT WISHES TO APPLY FOR COMMUNITY CARE, HE OR SHE WILL BE GIVEN OR MAILED AN APPLICATION; THE APPLICATION IS ALSO AVAILABLE FOR DOWNLOAD FROM THE RMC WEBSITE. A PATIENT MAY NOT QUALIFY FOR COMMUNITY CARE UNTIL HE OR SHE HAS COMPLETED THE COMMUNITY CARE APPLICATION. AFTER COMPLETING THE COMMUNITY CARE APPLICATION (INCLUDING SUPPORTING DOCUMENTATION), THE ACCOUNT REPRESENTATIVE WILL ASSESS THE APPLICATION AND DETERMINE WHETHER THE PATIENT QUALIFIES FOR COMMUNITY CARE OR ANY OTHER GOVERNMENTAL HEALTH CARE COVERAGE. IF THE PATIENT IS LIKELY TO QUALIFY FOR THE HOSPITAL PRESUMPTIVE ELIGIBILITY PROGRAM OTHER GOVERNMENTAL HEALTH CARE COVERAGE, THE ACCOUNT REPRESENTATIVE WILL DETERMINE APPROPRIATE COVERAGE AND REFER THE PATIENT AS APPROPRIATE. IF AN UNINSURED PATIENT IS UNLIKELY TO QUALIFY FOR GOVERNMENTAL HEALTH CARE COVERAGE, OR DENIED HOSPITAL PRESUMPTIVE ELIGIBILITY, AND THE PATIENT DOES NOT QUALIFY FOR COMMUNITY CARE, APPROPRIATE PAYMENT ARRANGEMENTS MUST BE MADE WITH THE ACCOUNT REPRESENTATIVE BASED UPON RMC'S UNINSURED PAYMENT POLICY. SHOULD THE PATIENT SUBSEQUENTLY QUALIFY FOR GOVERNMENTAL HEALTH CARE COVERAGE OR ANY OTHER HEALTH INSURANCE, ANY PAYMENTS RECEIVED WILL BE REFUNDED LESS ANY CO-PAYMENTS DUE.
PART VI, LINE 4:RIDGEVIEW SERVES A POPULATION OF APPROXIMATELY 300,000 PEOPLE, PRIMARILY FROM ITS FIVE-COUNTY SERVICE AREA OF CARVER, NORTHERN SIBLEY, SOUTHERN WRIGHT, WESTERN HENNEPIN, AND EASTERN MCLEOD.AS OF THE 2010 CENSUS, THE SERVICE AREA POPULATION DISTRIBUTION BY AGE COHORT WAS 10% ARE 65+, 28% ARE 45-64, 35% ARE 18-44, AND 27% ARE 0-17. ACCORDING TO CARVER COUNTY DATA (PRIMARY SERVICE AREA), FAMILY HOUSEHOLDS MAKE UP 42% OF THE SERVICE AREA, 90% OF THE TOTAL POPULATION ARE OF CAUCASIAN DESCENT, 4% ARE OF HISPANIC DESCENT, AND 3% ARE OF ASIAN DESCENT. CARVER COUNTY MEDIAN HOUSEHOLD INCOME IS $82,710 AND 5% OF THE POPULATION IS BELOW THE POVERTY LEVEL.
PART VI, LINE 5:RIDGEVIEW MEDICAL CENTER'S PHYSICIANS, AND MEDICAL AND SUPPORT STAFF, PROVIDE SERVICES AND IN-KIND CONTRIBUTIONS TO THE COMMUNITIES IT SERVES IN A FIVE-COUNTY AREA. EXAMPLE OF RIDGEVIEW'S COMMUNITY BENEFIT CONTRIBUTIONS INCLUDE UNDERFUNDING OF MEDICARE AND MEDICAID AND CHARITY CARE, FREE LACTATION CONSULTATIONS TO NEW MOTHERS, JOB SHADOWS FOR HIGH SCHOOL AND COLLEGE STUDENTS, INTERNSHIP OPPORTUNITIES FOR STUDENTS INTERESTED IN HEALTH CARE CAREERS(BOTH CLINICAL AND NON-CLINICAL), AND DISCOUNTS TO THE UNINSURED. RIDGEVIEW ALSO PROVIDES IN-KIND AND FINANCIAL DONATIONS TO OTHER NON-PROFITS' COMMUNITY HEALTH INITIATIVES (INCLUDING WESTONKA WECAB TRANSPORTATION SERVICE, PAY IT FORWARD FUND, AND COMMUNITY HEALTH AND WELLNESS EVENTS).
PART VI, LINE 7, REPORTS FILED WITH STATESMN

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
RIDGEVIEW FOUNDATION
500 SOUTH MAPLE STREETWACONIAMN55387411328097$3,000,000EQUITY TO RELATED ORGANIZATION
CARVER COUNTY HEALTH PARTNERSHIP
600 EAST 4TH STREETCHASKAMN55318320182075$57,283TO SUPPORT GENERAL OPERATIONS.501(C)(3)
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT STEVENS
PRESIDENT / CEO$343,711$0$0$0$0$0$317,391$0$12,060$0$673,162$0$0$0
PATRICIA MICHAELSON
VICE PRESIDENT$229,874$0$0$0$0$0$16,288$0$1,426$0$247,588$0$0$0
JOHN PRONDZINSKI
VICE PRESIDENT$203,874$0$0$0$0$0$15,049$0$7,607$0$226,530$0$0$0
GORDON GABLENZ
VICE PRESIDENT / CFO$211,128$0$0$0$0$0$15,713$0$12,060$0$238,901$0$0$0
MICHAEL PHELPS
CAO$226,247$0$0$0$0$0$14,477$0$11,471$0$252,195$0$0$0
DOUGLAS STASEK
VICE PRESIDENT$186,146$0$0$0$0$0$14,038$0$11,465$0$211,649$0$0$0
SARAH HASTINGS
VICE PRESIDENT$171,478$0$0$0$0$0$14,092$0$12,060$0$197,630$0$0$0
BERNARD BUCKLAND
DIRECTOR OF SURGERY$184,421$0$0$0$0$0$7,172$0$7,607$0$199,200$0$0$0
KRISTI WIDSETH
CRNA$168,131$0$0$0$0$0$6,292$0$30$0$174,453$0$0$0
CYNTHIA BRICK
CRNA$179,096$0$0$0$0$0$6,957$0$11,354$0$197,407$0$0$0
ARLIEN CORTLAND
CRNA$169,222$0$0$0$0$0$6,329$0$30$0$175,581$0$0$0
TINA KIRSCH
CRNA$168,673$0$0$0$0$0$6,067$0$30$0$174,770$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationROBERT STEVENS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN ACCRUED $317,391 DURING 2013. ROBERT STEVEN'S DEFERRED COMPENSATION IS REPORTED ON A PRO-RATA BASIS WITHOUT REGARD TO HIS VESTING SCHEDULE. CURRENTLY, THE MAJORITY OF MR. STEVEN'S DEFERRED COMPENSATION PACKAGE IS NOT VESTED. IN ADDITION TO SCHEDULE J, PART II, LINE 1, COLUMN C, THIS AMOUNT IS ALSO INCLUDED IN PART VII, SECTION A, LINE 11, COLUMN F.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$98,644$5,000,000$100,000$4,900,000200700Yes (1)Yes (1)
B$85,573$4,337,423$85,000$4,252,423200700Yes (1)Yes (1)
C$177,777$9,000,000$50,00020000Yes (1)Yes (1)Yes (1)$8,950,000
D$141,050$7,000,000$50,00020000Yes (1)Yes (1)Yes (1)$6,950,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B00Yes (1)00000Yes (1)
C00Yes (1)00000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndUnspentUnspentAmt
A$138,102$7,000,000$6,102,423$50,000$847,57720000Yes (1)Yes (1)Yes (1)
B$266,478$8,912,500$3,607,744$178,250$5,126,5062013Yes (1)0Yes (1)Yes (1)
C$266,468$8,912,500$3,607,744$178,250$5,126,5062013Yes (1)0Yes (1)Yes (1)
D$7,000,000$181,568$3,713,3002002000Yes (1)$3,105,132

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)00000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)
D0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE SECRETARY, AND THE TREASURER AS EX OFFICIO VOTING MEMBERS THEREOF. THE EXECUTIVE COMMITTEE SHALL HAVE AND EXERCISE THE FULL AUTHORITY OF THE BOARD EXCEPT AS OTHERWISE LIMITED BY LAW, BY THE BOARD, OR BY THESE BYLAWS. THE EXECUTIVE COMMITTEE SHALL TRANSACT THE BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL CONDUCT AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND REPORT THE FINDINGS AND RECOMMENDED COMPENSATION AND BENEFITS TO THE BOARD OF DIRECTORS. AFTER RECEIVING THE EXECUTIVE COMMITTEE'S REPORT, THE ENTIRE BOARD SHALL THEN SET THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CEO AS THE BOARD DEEMS APPROPRIATE. THE EXECUTIVE COMMITTEE SHALL ESTABLISH A PROCESS FOR STRATEGIC PLANNING WHICH SHALL ALSO ENCOMPASS BOARD RETREATS.
FORM 990, PART VI, SECTION A, LINE 6CHILDREN'S HEALTH CARE, D/B/A CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA, IS A MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MAYOR OF WACONIA SERVES AS AN EX-OFFICIO NON-VOTING MEMBER OF THE BOARD. CERTAIN RIGHTS, LIKE AUTHORITY OVER CAPITAL EXPANDITURES, ARE RESERVED BY THE CITY OF WACONIA. AS A CORPORATE MEMBER OF RIDGEVIEW MEDICAL CENTER, CHILDREN'S HOSPITAL AND CLINICS SHALL HAVE THE RIGHT TO APPROVE ANY AMENDMENT OF THE ARTICLES OF INCORPORATION AND BYLAWS TO THE EXTENT SUCH AMENDMENT WOULD MATERIALLY ADVERSELY AFFECT THE RIGHTS OR OBLIGATIONS OF CHILDREN'S AS A MEMBER OF RIDGEVIEW MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11THE CFO REVIEWS THE FORM 990. THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM AFTER THE CFO'S REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD MEMBERS ANNUALLY REVIEW AND SIGN THE STATEMENTS FOR POTENTIAL CONFLICTS OF INTEREST POLICY. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY ARISE DURING THE YEAR. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE SITUATION WILL BE EXAMINED AND HANDLED APPROPRIATELY BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION. THE BOARD USES COMPARABILITY DATA FROM A COMPENSATION SURVEY AND VOTES ON HIS COMPENSATION. HOWEVER, ONE BOARD MEMBER, A PHYSICIAN WHO IS EMPLOYED BY RIDGEVIEW CLINICS, DOES NOT VOTE ON THE CEO'S COMPENSATION. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2013. THE CEO DETERMINES THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. HIS DUE DILIGENCE PROCEDURES INCLUDE REVIEWING COMPENSATION SURVEYS AND PRESENTING HIS CONCLUSIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. THIS PROCESS LAST INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN 2013.
FORM 990, PART VI, SECTION C, LINE 19RIDGEVIEW MEDICAL CENTER HOLDS A PUBLIC MEETING ANNUALLY, AT WHICH THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PRESENTED. OTHERWISE THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:INVESTMENT IN FOUNDATION 3,592,463.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodePrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
RIDGEVIEW REAL ESTATE LLC
500 SOUTH MAPLE STREETWACONIAMN55387LAND LESSORMN$49,992$4,166RIDGEVIEW MEDICAL CENTER
RIDGEVIEW REAL ESTATE II LLC
500 SOUTH MAPLE STREETWACONIAMN55387LAND LESSORMN$0$0RIDGEVIEW MEDICAL CENTER

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
RIDGEVIEW FOUNDATION
500 SOUTH MAPLE STREETWACONIAMN55387411328097RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTERMN501(C)(3)LINE 7RIDGEVIEW MEDICAL CENTERYes (1)
RIDGEVIEW CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387411651783HEALTH CARE SERVICESMN501(C)(3)LINE 3RIDGEVIEW MEDICAL CENTERYes (1)
RIDGEVIEW INSURANCE CO
60 E SOUTH TEMPLE STE 1800SALT LAKE CITYUT84111454109041CAPTIVE INSURANCE COMPANYUT501(C)(3)LINE 11A, IRIDGEVIEW MEDICAL CENTERYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC
500 SOUTH MAPLE STREETWACONIAMN55387205785920CARDIOLOGY SERVICESMNRELATED-$37,502$531,5940Yes (1)0.50000
CHASKA PLAZA SURGERY CENTER
3000 HUNDERTMARK ROADCHASKAMN55318450975783SURGERY SERVICESMNRELATED$995,376$676,7310Yes (1)0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
EXECUTIVE HEALTH MANAGEMENT SERVICES INC
500 SOUTH MAPLE STREETWACONIAMN55387411760239MANAGEMENT SERVICESMNRIDGEVIEW MEDICAL CENTERC1.00000Yes (1)
CHARITABLE REMAINDER UNITRUST (1)
CHARITABLE TRUSTMNT0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RIDGEVIEW FOUNDATION
B$3,000,000FAIR MARKET VALUE
RIDGEVIEW FOUNDATION
O$455,381FAIR MARKET VALUE
RIDGEVIEW FOUNDATION
C$1,510,190CASH VALUE
RIDGEVIEW CLINCS
P$9,559,451FAIR MARKET VALUE

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