ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC (EIN 39-0868982)
Tax period: 2012-09-01 to 2013-08-31
Filed: 2014-03-17
IRS object ID: 201430769349300008
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-17T11:00:33-05:00	Timestamp
Tax Period End Date	2013-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	390758449	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8010	AddressLine1
City	WAUSAU	City
State	WI	State
ZIP Code	544028010	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	390868982	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RIVE	NameControl
Phone	7154217463	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY STREET	AddressLine1
City	WISCONSIN RAPIDS	City
State	WI	State
ZIP Code	54494	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL BOVEE	Name
Title	VICE PRESIDENT - FINANCE	Title
Phone	7154217463	Phone
Date Signed	2014-03-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KATHLEEN J LABRAKE CPA	Name
PTIN	P00164006	PTIN
Phone	7158453111	Phone
Date Prepared	2014-03-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MICHAEL BOVEE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY STREET	AddressLine1
City	WISCONSIN RAPIDS	City
State	WI	State
ZIP Code	54494	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	126651452	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RHAHEALTHCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1912	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE COMPASSIONATE, AFFORDABLE, STATE-OF-THE-ART HEALTHCARE TO OUR COMMUNITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	772	TotalNbrEmployees
Total Nbr Volunteers	466	TotalNbrVolunteers
Total Gross UBI	1191080	TotalGrossUBI
Net Unrelated Business Txbl Income	-934786	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	322648	ContributionsGrantsPriorYear
Contributions Grants Current Year	378441	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	90608869	ProgramServiceRevenuePriorYear
Program Service Revenue CY	93609871	ProgramServiceRevenueCY
Investment Income Prior Year	2533784	InvestmentIncomePriorYear
Investment Income Current Year	6131576	InvestmentIncomeCurrentYear
Other Revenue Prior Year	122685	OtherRevenuePriorYear
Other Revenue Current Year	283752	OtherRevenueCurrentYear
Total Revenue Prior Year	93587986	TotalRevenuePriorYear
Total Revenue Current Year	100403640	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	41923325	SalariesEtcPriorYear
Salaries Etc Current Year	45171193	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	43900421	OtherExpensePriorYear
Other Expenses Current Year	42744819	OtherExpensesCurrentYear
Total Expenses Prior Year	85823746	TotalExpensesPriorYear
Total Expenses Current Year	87916012	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7764240	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	12487628	RevenuesLessExpensesCY
Total Assets BOY	197234446	TotalAssetsBOY
Total Assets EOY	213194012	TotalAssetsEOY
Total Liabilities BOY	56172562	TotalLiabilitiesBOY
Total Liabilities EOY	53740123	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	141061884	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	159453889	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE COMPASSIONATE, AFFORDABLE, STATE-OF-THE-ART HEALTHCARE TO OUR COMMUNITIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	65242640	Expense
Revenue	92104502	Revenue
Description	RIVERVIEW HOSPITAL ASSOCIATION OWNS AND OPERATES THE FOLLOWING ENTITIES: (1) RIVERVIEW HOSPITAL, ESTABLISHED IN 1912; (2) THE OUTPATIENT RIVERVIEW REHABILITATION CENTER; (3) RIVERVIEW FAMILY CLINIC - THIS SERVICE INCLUDES CLINICS IN WISCONSIN RAPIDS, NEKOOSA, AND THE ROME-LAKES AREA; (4) THE UW CANCER CENTER RIVERVIEW. UWCC-R OPENED IN 2003 IN COOPERATION WITH UW COMPREHENSIVE CANCER CENTER, MADISON; AND (5) RIVERVIEW COMMUNITY DENTAL CLINIC. RHA ESTABLISHED THIS CLINIC IN 2009 TO SERVE RESIDENTS OF SOUTH WOOD COUNTY.RIVERVIEW HOSPITAL ASSOCIATION PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS REGARDLESS OF SOURCE OR AVAILABILITY OF PAYMENT, AND IT PROVIDES MEASURABLE IMPROVEMENT IN HEALTH ACCESS, HEALTH STATUS, AND THE USE OF HEALTH CARE RESOURCES. IN ADDITION, THE PROGRAMS AND SERVICES CONSIDERED COMMUNITY BENEFITS SHOULD MEET ONE OR MORE OF THE FOLLOWING CRITERIA: SUPPORTS THE ORGANIZATION'S COMMUNITY-BASED MISSION TARGETS THE PROBLEMS OF THE POOR OR MEDICALLY UNDERSERVED IMPACTS THE HEALTH STATUS OF THE IDENTIFIED COMMUNITY REDUCES COMMUNITY HEALTH COSTS IS ACCESSIBLE TO THE ENTIRE TARGET COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY STIMULATES EXTERNAL COMMUNITY PARTNERSHIPS *IMPROVES THE ACCESS TO NEEDED HEALTH CARE SERVICESFONEMED IS A FREE, CONFIDENTIAL TELEPHONE SERVICE THE COMMUNITY CAN CALL AFTER THE CLINICS ARE CLOSED TO GET ROUTINE HEALTH ADVICE OR GENERAL HEALTH INFORMATION FROM A REGISTERED NURSE. APPROXIMATELY 2,332 PERSONS BENEFITED FROM THIS PROGRAM.COALITION BUILDING: THE HEATLHY PEOPLE WOOD COUNTY OBESITY PREVENTION TEAM IS FOCUSING EFFORTS ON BUILDING ENVIRONMENTS AND POLICIES WHICH CAN SUPPORT HEALTHY BEHAVIOR CHANGE IN TERMS OF DIET AND EXERCISE. A REPRESENTATIVE FROM RIVERVIEW'S EMERGENCY DEPARTMENT ALSO REPRESENTS RIVERVIEW ON THE SAFE KIDS COALITION, WORKING TO PREVENT INJURY AND DEATH IN CHILDREN AGED 0-14. THE COMMUNITY RELATIONS ASSISTANT REPRESENTS RIVERVIEW ON THE 3-0 DAY COMMITTEE (OUR BODIES, OUR RESPONSIBILITIES). THE COMMITTEE ORGANIZES A TEEN CONFERENCE ANNUALLY FOCUSING ON REDUCING AT-RISK BEHAVIOR IN JUNIOR AND SENIOR HIGH STUDENTS. APPROXIMATELY 300 TEENS BENEFITED FROM THESE COALITIONS.RIVERVIEW DENTAL CLINIC IN WISCONSIN RAPIDS IS OPEN TO PATIENTS WHO HAVE MEDICAID OR BADGER CARE INSURANCE COVERAGE. THIS INSURANCE IS NOT TYPICALLY ACCEPTED BY INDEPENDENT DENTAL CLINICS. APPROXIMATELY 4,156 PERSONS BENEFITED FROM THIS PROGRAM IN 2013. RIVERVIEW FAMILY CLINIC PHYSICIANS ARE HELPING EDUCATE AREA JUNIOR HIGH STUDENTS ABOUT SEXUAL RESPONSIBILITY. TWO PHYSICIANS TOOK PART IN SEVERAL WISCONSIN RAPIDS EAST JUNIOR HIGH SCHOOL HEALTH CLASSES, SHARING INFORMATION ON THE TOPICS OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY, AND PREGNANCY PREVENTION. PRIOR TO THEIR VISITS EACH SEMESTER, THE PHYSICIANS SHARE THEIR PRESENTATION WITH THE STUDENTS' PARENTS DURING A PARENT MEETING AND RESPOND TO ANY QUESTIONS OR CONCERNS THAT MAY ARISE. THE PHYSICIANS' VISITS HAVE BEEN VERY WELL RECEIVED AND GREATLY APPRECIATED BY THE STUDENTS, PARENTS, HEALTH CLASS INSTRUCTOR AND SCHOOL ADMINISTRATION. APPROXIMATELY 100 STUDENTS ATTENDED THIS PROGRAM.THE LIFELINE PROGRAM IS A 24 HOUR A DAY PERSONAL RESPONSE SYSTEM. A LIFELINE UNIT IS INSTALLED IN THE "SUBSCRIBER'S" HOME AND OPERATES THROUGH THEIR PHONE LINE. HE/SHE WEARS A "PERSONAL HELP BUTTON", WHICH THEY USE TO ALERT LIFELINE SIMPLY BY PRESSING THE BUTTON. THERE IS ALSO AN AUTO ALERT PERSONAL HELP BUTTON, WHICH ALERTS LIFELINE AUTOMATICALLY IF THE SUBSCRIBER FALLS. A LIFELINE "MONITOR" ANSWERS THE CALL THROUGH THE LIFELINE UNIT AND THEY CALL THE SUBSCRIBER'S. AFTER THEY DETERMINE WHAT KIND OF HELP IS NEEDED, THEY CALL THE SUBSCRIBER'S "RESPONDERS", WHICH ARE FRIENDS, NEIGHBORS, OR RELATIVES THAT CAN CHECK ON THE SUBSCRIBER, OR IF THE SUBSCRIBER NEEDS MORE PROFESSIONAL HELP THE MONITOR WILL CALL FOR IT IMMEDIATELY. THE LIFELINE PROGRAM HELPS PEOPLE THAT WOULD OTHERWISE BY UNABLE TO REMAIN IN THEIR HOMES. IT PROVIDES THEM WITH FREEDOM AND SECURITY TO DO SO, WHILE ALSO PUTTING THEIR FAMILY AT EASE. OUR PROGRAM HELPS MANY PEOPLE IN WISCONSIN RAPIDS AND THE SURROUNDING AREA. THIS PAST YEAR APPROXIMATELY 300 PEOPLE BENEFITED FROM THE LIFELINE PROGRAM THAT RIVERVIEW MEDICAL CENTER OFFERS.VULNERABLE PEOPLE OF ALL AGES INCLUDING THE ELDERLY CAN REMAIN IN THEIR HOME AND BE SELF-SUFFICIENT BY RECEIVING A HOME DELIVERED MEAL THAT MEETS THEIR SPECIFIC NUTRITION REQUIREMENTS. HEALTH CONDITIONS OR PHYSICAL DISABILITIES RESTRICT THE ABILITY OF INDIVIDUALS TO REMAIN INDEPENDENT. THE HOME DELIVERED MEALS PROGRAM PROVIDES NUTRITION THAT IS MEDICALLY THERAPEUTIC TO ADDRESS THE SPECIAL NEEDS OF CLIENTS DIAGNOSED WITH DIABETES, CARDIAC AND PULMONARY ISSUES, RETINAL DISEASE, GLUTEN INTOLERANCE, WEIGHT LOSS DUE TO CANCER AND CHEWING AND SWALLOWING PROBLEMS. THE PROGRAM ALSO MEETS THE NEEDS OF CARETAKERS OF THE MENTALLY AND PHYSICALLY HANDICAPPED OR ALZHEIMERS OR OTHER DEMENTIA DISORDERS BY PROVIDING MEALS TO ALLOW THEM TO CARE FOR THEIR LOVED ONES. NUTRITION EDUCATION IS ALSO OFFERED. COMMUNITY VOLUNTEERS DELIVER HOT LUNCHES MONDAY - FRIDAY AS WELL AS BROWN BAG MEALS FOR WEEKENDS. FOOD IS PREPARED WITH CONSIDERATION FOR EACH CLIENT'S PERSONAL PREFERENCES AS WELL AS DIETARY RESTRICTIONS. IN 2013, 11,668 MEALS WERE DELIVERED. IN AN EFFORT TO MEET THE COMMUNITY NEEDS OF STUDENTS IN THE WISCONSIN RAPIDS AREA, RIVERVIEW HOSPITAL ASSOCIATION OFFERS THE OPPORTUNITY FOR INTERESTED STUDENTS TO EXPERIENCE A GLIMPSE OF THE ROLE OF ITS PROFESSIONAL STAFF. THIS SERVICE IS MADE AVAILABLE TO STUDENTS WHO ARE INTERESTED IN LEARNING MORE ABOUT HEALTH CAREERS. IN 2013, RIVERVIEW HAD 38 JOB SHADOW PARTICIPANTS.RIVERVIEW OFFERED A FREE SEMINAR ENTITLED UNDERSTAND YOUR JOINT PAIN. THIS SEMINAR DISCUSSED WHAT YOU CAN DO ABOUT KNEE, HIP, AND OTHER JOINT PAIN. ATTENDANTS ALSO LEARNED ABOUT ARTHRITIS, THE CAUSES AND SYMPTOMS, AND TREATMENT OPTIONS INCLUDING MEDICATIONS, NUTRITION, EXERCISE, ALTERNATIVE TREATMENTS, AND NEW CONCEPTS IN JOINT REPLACEMENT. IN 2013, RIVERVIEW PRESENTED THIS SEMINAR TO 60 INDIVIDUALS.POOH VISITS RIVERVIEW IS A PROGRAM SPONSORED BY RIVERVIEW HOSPITAL AUXILIARY THAT GIVES HOSPITAL TOURS TO KINDERGARTEN CHILDREN OF THE WISCONSIN RAPIDS AREA (INCLUDING SPECIAL NEEDS CHILDREN AND HOME-SCHOOLED CHILDREN). THE TOURS ARE 1.5 HOURS LONG AND INCLUDE A VIDEO SHOWING SOMEONE CALLING 9-1-1, AN AMBULANCE, THE PEDIATRIC AREA OF THE EMERGENCY ROOM, THE OPERATING ROOM, A PATIENT ROOM IN THE HOSPITAL, THE NURSERY, A HAND-WASHING STATION, SHOW X-RAYS OF VARIOUS BODY PARTS AND PROVIDE A GIFT BAG AT THE END OF THE TOUR. THE PROGRAM IS OFFERED IN THE SPRING AND SERVES ALL KINDERGARTEN AGED CHILDREN ENROLLED IN THE AREA SCHOOLS.	Description
Total Program Service Expense	65242640	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	85	NumberFormsTransmittedWith1096
Number W2 G Included	1	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	772	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL BOVEE	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7154217462	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY ST	AddressLine1
City	WI RAPIDS	City
State	WI	State
ZIP Code	54494	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
COLLEEN DICKMAN
BOARD MEMBER	1.00	X	0	0	0
DOUGLAS WENZLAFF
BOARD CHAIR	1.00	X	0	0	0	X
MARJORIE MILLER MD
BOARD MEMBER	1.00	X	0	0	0
GREGORY NETTESHEIM
BOARD VICE CHAIR	2.00	X	0	0	0	X
KALIN LAMP
TREASURER	2.00	X	0	0	0	X
PETER KOLAR
BOARD MEMBER	1.00	X	0	0	0
SUSAN KUNFERMAN
BOARD MEMBER	1.00	X	0	0	0
ROBERT BENKOWSKI
BOARD MEMBER	1.00	X	0	0	0
ROY BRANDELL MD
BOARD MEMBER	1.00	X	0	0	0
JAY GRODE
BOARD MEMBER	1.00	X	0	0	0
TIMOTHY MANCL
SECRETARY	2.00	X	0	0	0	X
TODD COUR
BOARD MEMBER	1.00	X	0	0	0
JOHN CLARK PHD
BOARD CHAIR	2.00	X	0	0	0	X
JASON DEITZ
BOARD MEMBER	1.00	X	0	0	0
THOMAS FERK DO
PHYSICIAN/BOARD - DEC 2015	40.00	X	326058	0	53250
CELSE BERARD
PRESIDENT	40.00		355696	0	53316	X
MICHAEL BOVEE
V.P. - FINANCE	40.00		240561	0	42828		X
PEGGY OSE
V.P. - PATIENT SVCS	40.00		183960	0	40152		X
RICHARD BAILEY MD FACP
PRESIDENT OF MEDICAL AFFAIRS	40.00		340295	0	55142		X
CRAIG FLINDERS DO
PHYSICIAN	40.00		320374	0	52459			X
JENNIFER MCELROY DO
PHYSICIAN	40.00		335227	0	51660			X
RONNIE KIRSCHLING MD
PHYSICIAN	40.00		1096952	0	54274			X
MORGAN BARNUM MD
PHYSICIAN	40.00		335452	0	47208			X
MERCEDES DE LAS ALAS MD
PHYSICIAN	40.00		264527	0	49760			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3799102	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	500049	TotalOtherCompensation
Number Individuals GT100 K	32	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ELLIS STONE CONSTRUCTION CO
PO BOX 366	STEVENS POINT	WI	54481	BUILDING CONSTRUCTION SERVICE	1550547
HMP OF WISCONSIN RAPIDS LTD
PO BOX 645037	CINCINNATI	OH	452645037	HOSPITALISTS - MTHLY SUBSIDY & MGMT FEE	850088
INFINITY HEALTHCARE PHYSICIANS SC
111 E WISCONSIN AVE SUITE 2100	MILWAUKEE	WI	53202	EMERGENCY ROOM PHYSICIANS & MEDICAL	652468
PARK & ASSOCIATES
3610 DEER ROAD	WISCONSIN RAPIDS	WI	54494	LABORATORY SERVICES	589148
NATIONAL WOUND CARE & HYBERBARIC
3087 MOMENTUM PLACE	CHICAGO	IL	606895330	WOUND CARE & HYPERBARIC FEE	484980

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	19	NumberOfContractorsGT100K
Fundraising Events	59246	FundraisingEvents
Related Organizations	75797	RelatedOrganizations
All Other Contributions	243398	AllOtherContributions
Total Contributions	378441	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PATIENT SERVICES	900099	89633962	89633962
HEALTH RELATED PROGRAMS WHICH BEN	900099	2253361	2253361
LAB SERVICE FOR NON PATIENTS	621500	902437		902437
FOOD	900099	212898			$212,898
INCOME RECEIVED FROM REBATES AND	900099	188767	188767

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	418446	TotalRevenueColumn
Related Or Exempt Function Income	28412	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	288643	UnrelatedBusinessRevenue
Exclusion	$101,391	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	93609871	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3549874	TotalRevenueColumn
Exclusion	$3,549,874	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	674340	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	392861	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	281479	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	281479	TotalRevenueColumn
Exclusion	$281,479	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	27246045	Securities
Other	1176326	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	25393128	Securities
Other	447541	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1852917	Securities
Other	728785	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2581702	TotalRevenueColumn
Exclusion	$2,581,702	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	12009	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	59246	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	12009	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Gaming	4546	GrossIncomeGaming
Gaming Direct Expenses	2273	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	2273	TotalRevenueColumn
Exclusion	$2,273	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	100403640	TotalRevenueColumn
Related Or Exempt Function Income	92104502	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1191080	UnrelatedBusinessRevenue
Exclusion	$6,729,617	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1678046	Total
Management And General	1678046	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	33215877	Total
Program Services	29738324	ProgramServices
Management And General	3477553	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10277270	Total
Program Services	8769481	ProgramServices
Management And General	1507789	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	98475	Total
Program Services	74091	ProgramServices
Management And General	24384	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	93723	Total
Management And General	93723	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	291109	Total
Management And General	291109	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5288046	Total
Program Services	4355763	ProgramServices
Management And General	932283	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	437793	Total
Program Services	17154	ProgramServices
Management And General	420639	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1414557	Total
Program Services	1410494	ProgramServices
Management And General	4063	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	244153	Total
Program Services	163581	ProgramServices
Management And General	80572	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2470515	Total
Management And General	2470515	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6557028	Total
Program Services	347303	ProgramServices
Management And General	6209725	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	372699	Total
Program Services	144354	ProgramServices
Management And General	228345	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	9357230	9146057	211173
DRUGS	5279003	5266802	12201
OTHER	4415552	1219620	3195932
PROFESSIONAL FEES	4051609	2273020	1778589

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2373327	Total
Program Services	2316596	ProgramServices
Management And General	56731	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	87916012	Total
Program Services	65242640	ProgramServices
Management And General	22673372	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10273	BOY
EOY	76036	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	29347913	BOY
EOY	30279553	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12224636	BOY
EOY	12073988	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1761627	BOY
EOY	1788697	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	646744	BOY
EOY	1176973	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	131106646	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	70560593	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	60992607	BOY
EOY	60546053	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	90780478	BOY
EOY	105861127	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1470168	BOY
EOY	1391585	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	197234446	BOY
EOY	213194012	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9758693	BOY
EOY	8302738	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	45663869	BOY
EOY	44707385	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	750000	BOY
EOY	730000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	56172562	BOY
EOY	53740123	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	140308395	BOY
EOY	158431410	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	753489	BOY
EOY	1022479	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	141061884	BOY
EOY	159453889	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	197234446	BOY
EOY	213194012	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	12487628	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	5904377	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$8,111	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8111	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION OF LOBBYING ACTIVITIES:	PART II-B, LINE 1:	PERCENTAGE OF AHA DUES USED FOR LOBBYING IN 2013 - $5,220 PERCENTAGE OF WHA DUES USED FOR LOBBYING IN 2013 - $2,891
PART IV, SUPPLEMENTAL INFORMATION:		RIVERVIEW HOSPITAL ASSOCIATION IS A MEMBER OF THE WISCONSIN HOSPITAL ASSOCIATION (WHA) AND AMERICAN HOSPITAL ASSOCATION (AHA). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS WERE UTILIZED FOR LOBBYING ACTIVITIES. THAT AMOUNT IS REPORTED IN PART II-B.

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2362953	OtherCostOrOtherBasis
Book Value	2362953	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	67763111	OtherCostOrOtherBasis
Depreciation	23195377	Depreciation
Book Value	44567734	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2320923	OtherCostOrOtherBasis
Depreciation	1655490	Depreciation
Book Value	665433	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	57008897	OtherCostOrOtherBasis
Depreciation	45709726	Depreciation
Book Value	11299171	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1650762	OtherCostOrOtherBasis
Book Value	1650762	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	60546053	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	MALPRACTICE INSURANCE LIABILITY	Description
Amount	$730,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	730000	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	97935596	TotRevenueEtcAuditedFinclStmt
Other Revenues	-1448150	OtherRevenues
Revenue Not Rptd F990	-1448150	RevenueNotRptdF990
Revenue Subtotal	99383746	RevenueSubtotal
Investment Expenses Not Included	291109	InvestmentExpensesNotIncluded
Other Revenues Not Included	728785	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1019894	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	100403640	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	85447968	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	392861	OtherExpensesIncluded
Expenses Not Rptd F990	392861	ExpensesNotRptdF990
Expenses Subtotal	85055107	ExpensesSubtotal
Investment Expenses Not Included2	291109	InvestmentExpensesNotIncluded2
Other Expenses Not Included	2569796	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2860905	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	87916012	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	IN ORDER TO ACCOUNT FOR ANY UNCERTAIN INCOME TAX POSITIONS, THE ASSOCIATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ASSOCIATION HAS NOT RECORDED ANY ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF AUGUST 31, 2013 AND 2012. THE ASSOCIATIONS FEDERAL RETURNS FOR YEARS ENDED AUGUST 31, 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS. THE ASSOCIATIONS STATE INCOME TAX RETURNS FOR YEARS AUGUST 31, 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE STATE OF WISCONSIN.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		MEDICAL BUILDING RENT NET WITH REV 299,551. RENT EXPENSES NET WITH REV 93,310. BAD DEBT -1,841,011.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		GAIN ON DISPOSAL OF ASSETS 728,785.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		MEDICAL BUILDING RENT NET WITH REV 299,551. RENT EXPENSES NET WITH REV 93,310.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		GAIN ON DISPOSAL OF ASSETS 728,785. BAD DEBT 1,841,011.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	LOVE LIGHTS	NameOfEvent1
Gross Receipts Event1	41313	GrossReceiptsEvent1
Charitable Contributions Event1	40160	CharitableContributionsEvent1
Gross Revenue Event1	1153	GrossRevenueEvent1
Other Direct Expenses Event1	1153	OtherDirectExpensesEvent1
Name Of Event2	CHRISTMAS AT THE RIDGES	NameOfEvent2
Gross Receipts Event2	14998	GrossReceiptsEvent2
Charitable Contributions Event2	10700	CharitableContributionsEvent2
Gross Revenue Event2	4298	GrossRevenueEvent2
Other Direct Expenses Event2	4298	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	14944	GrossReceiptsOtherEvents
Charitable Contrib Other Events	8386	CharitableContribOtherEvents
Gross Revenue Other Events	6558	GrossRevenueOtherEvents
Other Direct Expenses Other Events	6558	OtherDirectExpensesOtherEvents
Gross Receipts Total	71255	GrossReceiptsTotal
Charitable Contributions Total	59246	CharitableContributionsTotal
Gross Revenue Total Events	12009	GrossRevenueTotalEvents
Other Direct Expenses Total Events	12009	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	12009	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	4546	GrossRevenueOtherGaming
Other Direct Expenses Other Gaming	2273	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	1.00000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	4546	GrossRevenueTotalGaming
Other Direct Expenses Total Gaming	2273	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	2273	DirectExpenseSummaryGaming
Net Gaming Income Summary	2273	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	WI	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	1	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	1.00000	PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper Person	DIANNE POKRANDT	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	5849 SARAH CIRCLE	AddressLine1
City	WISCONSIN RAPIDS	City
State	WI	State
ZIP Code	54494	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	ELAINE SEMROW	GamingManagerNamePerson
Gaming Manager Services Provided	TREASURER OF AUXILIARY FUNDRAISING EVENTS	GamingManagerServicesProvided
Gaming Manager Is Director Officer	X	GamingManagerIsDirectorOfficer
Charitable Distrib Required	0	CharitableDistribRequired

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1140174	TotalCommunityBenefitExpense
Direct Offsetting Revenue	652587	DirectOffsettingRevenue
Net Community Benefit Expense	487587	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14085320	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10813890	DirectOffsettingRevenue
Net Community Benefit Expense	3271430	NetCommunityBenefitExpense
Percent Of Total Expense	0.03800	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15225494	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11466477	DirectOffsettingRevenue
Net Community Benefit Expense	3759017	NetCommunityBenefitExpense
Percent Of Total Expense	0.04370	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	5460	PersonsServed
Total Community Benefit Expense	294835	TotalCommunityBenefitExpense
Direct Offsetting Revenue	128316	DirectOffsettingRevenue
Net Community Benefit Expense	166519	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	32	PersonsServed
Total Community Benefit Expense	130846	TotalCommunityBenefitExpense
Net Community Benefit Expense	130846	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	14938	PersonsServed
Total Community Benefit Expense	3559668	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2549763	DirectOffsettingRevenue
Net Community Benefit Expense	1009905	NetCommunityBenefitExpense
Percent Of Total Expense	0.01170	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	70695	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12350	DirectOffsettingRevenue
Net Community Benefit Expense	58345	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	309703	TotalCommunityBenefitExpense
Direct Offsetting Revenue	81841	DirectOffsettingRevenue
Net Community Benefit Expense	227862	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	20430	PersonsServed
Total Community Benefit Expense	4365747	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2772270	DirectOffsettingRevenue
Net Community Benefit Expense	1593477	NetCommunityBenefitExpense
Percent Of Total Expense	0.01840	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	20430	PersonsServed
Total Community Benefit Expense	19591241	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14238747	DirectOffsettingRevenue
Net Community Benefit Expense	5352494	NetCommunityBenefitExpense
Percent Of Total Expense	0.06210	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	740	TotalCommunityBuildingExpense
Net Community Building Expense	740	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	43	NumberOfActivitiesOrPrograms
Total Community Building Expense	1634	TotalCommunityBuildingExpense
Net Community Building Expense	1634	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	2793	TotalCommunityBuildingExpense
Net Community Building Expense	2793	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	106	NumberOfActivitiesOrPrograms
Total Community Building Expense	1454	TotalCommunityBuildingExpense
Net Community Building Expense	1454	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	12900	TotalCommunityBuildingExpense
Net Community Building Expense	12900	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	149	NumberOfActivitiesOrPrograms
Total Community Building Expense	19521	TotalCommunityBuildingExpense
Net Community Building Expense	19521	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,841,011	BadDebtExpenseAmount
Amount Reimbursed By Medicare	17070913	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	19736169	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2665256	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HOSPITAL ASSOCIATION	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	410 DEWEY STREET	AddressLine1
City	WISCONSIN RAPIDS	City
State	WI	State
ZIP Code	54495	ZIPCode

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.RIVERVIEWHOSPITAL.NET	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
UW CANCER CENTER RIVERVIEW
410 DEWEY STREET	WISCONSIN RAPIDS	WI	54495	CANCER CENTER
RIVERVIEW FAMILY CLINIC WISCONSIN RAPIDS
420 DEWEY STREET PO BOX 8080	WISCONSIN RAPIDS	WI	54495	CLINIC
RIVERVIEW FAMILY CLINIC NEKOOSA
1015 ANGELUS DRIVE	NEKOSSA	WI	54457	CLINIC
RIVERVIEW FAMILY CLINIC LAKES AREA
1160 ROME CENTER DRIVE TOWN OF ROME	NEKOSSA	WI	54457	CLINIC
RIVERVIEW COMMUNITY DENTAL CLINIC
820 TWO MILE AVENUE	WISCONSIN RAPIDS	WI	54494	DENTAL CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATIONS TOTAL OPERATING EXPENSES, EXCLUDING THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST VARIOUS REVENUE AND EXPENSE CATEGORIES TO COMPUTE THE ESTIMATED COMMUNITY BENEFIT EXPENSE UNDER IRS SUGGESTED COSTING METHODS FOR THE FORM 990.
PART I, LINE 7G: THE ABOVE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE OUTPATIENT MENTAL HEALTH SERVICES, BREASTFEEDING SUPPORT & RESPITE CARE, LAKES FAMILY CLINIC, AND NEKOOSA FAMILY CLINIC. RIVERVIEW HOSPITAL UTILIZED AN INTERNAL DEPARTMENTAL FINANCIAL STATEMENT TO REPORT THE COST AND DIRECT OFFSETTING REVENUE THAT CALCULATES THE COMMUNITY BENEFIT EXPENSE. THE OUTPATIENT MENTAL HEALTH SERVICES REPORTED COSTS OF $348,440 WITH OFFSETTING REVENUE OF $181,177. THE BREASTFEEDING SUPPORT & RESPITE CARE REPORTED COSTS OF $66,312 WITH OFFSETTING REVENUE OF $1,548. THE LAKES FAMILY CLINIC REPORTED COSTS OF $1,369,858 WITH OFFSETTING REVENUE OF $1,026,488. THE NEKOOSA FAMILY CLINIC REPORTED COSTS OF $1,775,058 WITH OFFSETTING REVENUE OF $1,340,550. NONE OF THE COSTS INDICATED ABOVE ARE ATTRIBUTABLE TO A PHYSICIAN 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 $ 1841011.
PART II: WHILE THERE IS A GROWING ARGUMENT IN THE UNITED STATES ABOUT WHAT CONSTITUTES A NON-PROFIT HOSPITALS "COMMUNITY BENEFIT," THESE EFFORTS CONTINUE TO BE A WORK IN PROGRESS. RIVERVIEW HOSPITAL ASSOCIATION PROVIDES SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS AND IN ADDITION, THE ORGANIZATION BELIEVES THAT IT PROVIDES A CRITICALLY IMPORTANT COMMUNITY BENEFIT WHICH IS NOT QUANTIFIED. RIVERVIEW HOSPITAL ASSOCIATION, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY WHICH WITHOUT THE HOSPITAL, WOULD NOT BE AVAILABLE LOCALLY. BEYOND INPATIENT HOSPITALIZATIONS, THE ORGANIZATION PROVIDES LOCAL ACCESS TO MANY HEALTH SERVICES INCLUDING: CANCER CENTER, CLINIC SERVICES, DENTAL SERVICES, DIAGNOSTIC IMAGING, BIRTHING CENTER, LABORATORY SERVICES, RESPIRATORY CARE, SLEEP LAB, WOMENS SERVICES, SURGICAL SERVICES, AND REHABILITATION SERVICES.
PART III, LINE 4: MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENT AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER THE ORGANIZATION HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. MANY TIMES PATIENTS ARE UNABLE TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION AND ARE TRANSFERRED TO COLLECTION SERVICES EVEN THOUGH THE ORGANIZATION PROVIDES THIS INFORMATION TO ALL PATIENTS AND ASSISTANCE WITH THE APPLICATION. DUE TO NO RESPONSES FROM SOME PATIENTS A SIGNIFICANT AMOUNT OF BAD DEBTS COULD BE CONSIDERED CHARITY CARE.THE COSTING METHODOLOGY USED ON FORM 990 IS BASED ON A COST TO CHARGE RATIO WHICH IS DEVELOPED BASED ON THE ORGANIZATIONS TOTAL OPERATING EXPENSE, EXCLUDE THE PROVISION FOR BAD DEBTS DIVIDED BY GROSS PATIENT SERVICE REVENUES. THIS COST TO CHARGE RATIO IS APPLIED AGAINST THE TOTAL CHARGES THAT ARE WRITTEN OFF DURING THE FISCAL YEAR TO ESTIMATE THE COST OF THE CARE OF PATIENTS THAT HAVE ACCOUNTS THAT ARE DEEMED TO BE BAD DEBTS TO THE ORGANIZATION. THE ORGANIZATION ALSO PROVIDES DISCOUNTS TO ELIGIBLE UNINSURED OR UNDERINSURED PATIENTS UNDER ITS CHARITABLE CARE POLICY. THESE AMOUNTS ARE INCLUDED IN THE CONTRACTUAL ADJUSTMENTS ON THE FINANCIAL STATEMENTS ARE NOT INCLUDED IN THE RATIO AS DESCRIBED ABOVE AND APPROVED BY THE IRS FOR USE ON FORM 990. IF CONSIDERED, THESE ADDITIONAL WRITE-OFF AMOUNTS TO UNINSURED OR UNDERINSURED ACCOUNTS WOULD ALSO INCREASE THE ESTIMATED BAD DEBT EXPENSE AMOUNT ASSOCIATED WITH THESE UNCOLLECTIBLE ACCOUNTS TO THE ORGANIZATION.
PART III, LINE 8: AMOUNT OF MEDICARE ALLOWABLE COSTS WAS TAKEN DIRECTLY FROM THE MEDICARE COST REPORT.WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES TO MEDICARE BENEFICIARIES, THESE PATIENTS, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. THE TOTAL MEDICARE REVENUE SHOWN ON SCHEDULE H IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY THE CHARGES FROM MEDICARE PROGRAM BENEFICIARIES THAT ARE REPORTED ON THE HOSPITAL'S MEDICARE COST REPORT. THE AMOUNT LISTED FOR MEDICARE REVENUE DOES NOT INCLUDE PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT AT RIVERVIEW HOSPITAL, PHYSICIAN SERVICES PROVIDED AT THE OUTLYING CLINIC LOCATIONS, AND A SIGNIFICANT PORTION OF LAB SERVICES WHICH ARE REIMBURSED BY THE MEDICARE PROGRAM UNDER ANOTHER METHODOLOGY. PHYSICIAN COVERAGE AND OUTPATIENT LAB SERVICES ARE REIMBURSED PRIMARILY ON A FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COSTS OF CARING FOR PATIENTS. EMERGENCY PHYSICIAN SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD ALSO BE CONSIDERED AS AN ADDITIONAL BENEFIT THAT RIVERVIEW HOSPITAL PROVIDES TO THE COMMUNITY AND THE SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE OVERALL AVERAGE COST TO CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE DIVIDED BY THE HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE). THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES, WHICH ARE REIMBURSED BASED ON MEDICARE REGULATIONS. INCLUDING THE FEE SCHEDULE ITEMS, SUCH AS PHYSICIAN SERVICES, WOULD PRODUCE A LARGER LOSS OR SHORTFALL ON THESE SERVICES TO BE REPORTED ON THE FORM 990 IN ANY GIVEN YEAR.
PART III, LINE 9B: FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE, PATIENTS WILL ONLY BE BILLED IF THEY HAVE NOT PROVIDED CURRENT PROOF OF ELIGIBILITY, A SPENDDOWN HAS NOT BEEN MET, OR THERE IS A PRIVATE THIRD PARTY PAYOR ALSO ON THE PATIENT'S RECORD.FOR PATIENTS QUALIFYING FOR CHARITY CARE, ARRANGEMENTS FOR REDUCED OR FREE CARE ARE MADE WITH A FINANCIAL COUNSELOR. SHOULD THE PATIENT DEFAULT ON THIS ARRANGEMENT, STANDARD COLLECTION PRACTICES WOULD APPLY.
PART V, SECTION B, LINE 3: FOCUS GROUP DISCUSSIONS WERE CONDUCTED WITH EACH OF THE TWO MAJOR STAKEHOLDER GROUPS WITHIN WOOD AND ADAMS COUNTY. THESE STAKEHOLDER GROUPS INCLUDED HEALTH, SOCIAL SERVICE, AND LOCAL BUSINESS AGENCIES AND RIVERVIEW HOSPITAL ASSOCIATION DEPARTMENT DIRECTORS AND ADMINISTRATIVE COUNCIL. THE PURPOSE OF THE FOCUS GROUP DISCUSSIONS WAS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND PERSONS WHO REPRESENT THE MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. STAKEHOLDERS WERE CONTACTED AND ASKED TO PARTICIPATE IN THE FOCUS GROUPS. A LIST OF THE STAKEHOLDER FOCUS GROUP PARTICIPANTS CAN BE FOUND IN APPENDIX 1 OF THE CHNA. COLLECTIVELY, THE STAKEHOLDERS ADVOCATE ON BEHALF OF THE MEDICALLY UNDERSERVED, LOW INCOME, MEDICALLY VULNERABLE AND MINORITY POPULATIONS WITHIN THE COMMUNITY THROUGH THEIR ORGANIZATIONS.QUALITATIVE DATA INCLUDING STATISTICS AND DEMOGRAPHIC INFORMATION WERE OBTAINED FROM A VARIETY OF LOCAL, COUNTY, AND STATE SOURCES AS WELL AS PATIENT STATISTICS AND TRENDS FROM RIVERVIEW HOSPITAL ASSOCIATION'S OWN INTERNAL RECORDS. OTHER PUBLISHED SOURCES OF INFORMATION WERE ALSO REFERENCED FOR STATISTICAL AND INFORMATION PURPOSES WHEN NEEDED THROUGHOUT THE PROCESS.	RIVERVIEW HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 5C: THE CHNA CAN BE FOUND AT HTTP://WWW.RIVERVIEWHOSPITAL.NET	RIVERVIEW HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 7: THE RIVERVIEW HOSPITAL ASSOCIATION COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED FIVE PRIORITIES: 1. DENTAL SERVICES FOR LOW INCOME POPULATIONS2. MENTAL HEALTH SERVICES, INCLUDING SUBSTANCE ABUSE AND ADDICTION SERVICES3. HEALTH LITERACY AND NUTRITION EDUCATION4. OUTREACH TO MINORITY POPULATIONS/CULTURAL BARRIERS5. SERVING THE NEEDS OF THE UNINSURED AND LOW INCOME POPULATIONSRIVERVIEW HOSPITAL ASSOCIATION CHOSE TO ADDRESS PRIORITIES #1, #2 AND #3. THIS DECISION WAS MADE BECAUSE OF THE ALIGNMENT OF THESE PRIORITIES WITH THE PRIORITIES IDENTIFIED IN THE WOOD COUNTY HEALTH NEEDS ASSESSMENT. IN ADDITION, RIVERVIEW HOSPITAL ASSOCIATION FELT THAT THE OTHER PRIORITIES IDENTIFIED WERE BEING ADDRESSED BY CURRENT OFFERINGS AND PROGRAMMING.	RIVERVIEW HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 20D: PER POLICY #0260110 THE DISCOUNT WILL BE DETERMINED ANNUALLY AT THE START OF THE FISCAL YEAR AND WILL BE THE AVERAGE DISCOUNT OFFERED ON OUR COMMERCIAL INSURANCE CONTRACTS.	RIVERVIEW HOSPITAL ASSOCIATION
PART VI, LINE 2: RHA ACTIVELY PARTICIPATES IN HEALTHY PEOPLE WOOD COUNTY (HPWC). THE PURPOSE OF HPWC IS TO ESTABLISH PRIORITIES AND RECOMMEND STRATEGIES TO ENHANCE THE QUALITY OF LIFE, HEALTH STATUS, AND THE ENVIRONMENT IN WOOD COUNTY. IN ORDER TO ACCOMPLISH THIS, MULTIPLE PARTNERS WORK TOGETHER TO ANALYZE HEALTH DATA, QUALITY OF LIFE INDICATORS AND THE COMMUNITY'S PERCEPTION OF HEALTH. RIVERVIEW HOSPITAL ASSOCIATION, AT THE END OF FISCAL YEAR 2013, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND WILL USE THE DATA AND FINDINGS OF THIS REPORT TO GUIDE THE ORGANIZATION IN THE FUTURE TO BE ABLE TO RESPOND TO THOSE NEEDS IDENTIFIED.
PART VI, LINE 3: COMMUNITY CARE INFORMATION IS PROVIDED ON BOTH THE WEBSITE (RIVERVIEWHOSPITAL.NET) AND THE BACK OF THE PATIENT STATEMENT. FINANCIAL COUNSELORS OFFER COMMUNITY CARE APPLICATIONS TO PATIENTS WHEN THEY DISCOVER DURING CONVERSATIONS REGARDING ESTABLISHING PAYMENT PLAN ARRANGEMENTS, THAT THEY WOULD POTENTIALLY MEET THE PROGRAM QUALIFICATIONS.
PART VI, LINE 4: RIVERVIEW HOSPITAL ASSOCIATION OWNS AND OPERATES THE FOLLOWING ENTITIES: (1) RIVERVIEW HOSPITAL, ESTABLISHED IN 1912; (2) THE OUTPATIENT RIVERVIEW REHABILITATION CENTER; (3) RIVERVIEW FAMILY CLINIC, THIS SERVICE INCLUDES CLINICS IN WISCONSIN RAPIDS, NEKOOSA, AND THE ROME-LAKES AREA (4) THE UW CANCER CENTER RIVERVIEW. UWCC-R OPENED IN 2003 IN COOPERATION WITH UW COMPREHENSIVE CANCER CENTER, MADISON; AND (5) RIVERVIEW COMMUNITY DENTAL CLINIC. RHA ESTABLISHED THIS CLINIC IN 2009 TO SERVE RESIDENTS OF SOUTH WOOD COUNTY. RIVERVIEW DENTAL CLINIC IN WISCONSIN RAPIDS IS OPEN TO PATIENTS WHO HAVE MEDICAID OR BADGER CARE INSURANCE COVERAGE. THIS INSURANCE IS NOT TYPICALLY ACCEPTED BY INDEPENDENT DENTAL CLINICS. APPROXIMATELY 4,156 PERSONS BENEFITED FROM THIS PROGRAM IN 2013 (6) RIVERVIEW OUTPATIENT PSYCHIATRIC SERVICES WERE ESTABLISHED IN JANUARY OF 2013 TO MEET THE GROWING NEED FOR MENTAL HEALTH SERVICES IN THE AREA.WHILE MANY RIVERVIEW PATIENTS COME FROM WOOD COUNTY, AN INCREASING NUMBER ARE COMING TO US FROM SURROUNDING COUNTIES - SPECIFICALLY THOSE ALONG THE INTERSTATE 39 CORRIDOR: MARATHON, PORTAGE, WAUPACA, ADAMS, JUNEAU, WAUSHARA, MARQUETTE, COLUMBIA, SAUK, AND DANE. FOR THE HOSPITAL, OVER 12.3% OF ALL ADMISSIONS BETWEEN JULY 2012 AND JUNE 2013 CAME FROM THESE COUNTIES. FOR THE UW CANCER CENTER-RIVERVIEW OVER THE SAME PERIOD, OVER 18% OF ALL PATIENTS CAME FROM THESE SAME COUNTIES-NOT INCLUDING OUR "HOME" COUNTY OF WOOD.IN THE RIVERVIEW "SERVICE AREA" THERE ARE SEVERAL FEDERALLY DESIGNATED "MEDICALLY UNDERSERVED AREAS." THEY ARE WOOD COUNTY (THE CENTRAL PART BETWEEN MARSHFIELD AND WISC. RAPIDS), PORTAGE COUNTY (PART), ADAMS COUNTY (ALL), WAUSHARA COUNTY (ALL), MARQUETTE COUNTY (ALL), JUNEAU COUNTY (THE NORTHERN HALF), MARATHON COUNTY (PART), AND CLARK COUNTY (ALL). THERE ARE SCATTERED INDIAN TRIBAL LANDS IN WOOD COUNTY, JUNEAU COUNTY, AND ADAMS COUNTY (ALL HO CHUNK). THESE WOULD BE CONSIDERED "MEDICALLY UNDERSERVED POPULATIONS" PER FEDERAL DESIGNATION.OTHER HOSPITALS IN OUR SERVICE AREA INCLUDE: ST. JOSEPH'S HOSPITAL IN MARSHFIELD, ST. MICHAEL'S HOSPITAL IN STEVENS POINT, MOUNDVIEW MEMORIAL HOSPITAL IN FRIENDSHIP, AND HESS MEMORIAL HOSPITAL IN MAUSTON.
PART VI, LINE 5: AS A COMMUNITY-BASED ORGANIZATION, RIVERVIEW HOSPITAL ASSOCIATION PROVIDES SERVICES AND EDUCATIONAL OPPORTUNITIES EITHER FREE OF CHARGE OR AT A NOMINAL FEE IN AN ATTEMPT TO PROVIDE THESE OPPORTUNITIES TO THOSE MEMBERS OF THE COMMUNITIES WHO OTHERWISE MAY NOT BE ABLE TO AFFORD OR HAVE ACCESS TO THESE PROGRAMS. THESE EFFORTS ARE PROVIDED THROUGH A VARIETY OF EDUCATIONAL SPEAKER FORUMS, SUPPORT GROUPS, HEALTH SCREENINGS, HEALTH EDUCATION FORUMS, AND OTHER EDUCATIONAL OPPORTUNITIES FOR STUDENTS.
WI	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS FERK DO
PHYSICIAN/BOARD - DEC 2015	242037	0	83601	0	420	0	29375	0	23875	0	379308	0	0	0
CELSE BERARD
PRESIDENT	302452	0	51438	0	1806	0	31974	0	21342	0	409012	0	0	0
MICHAEL BOVEE
V.P. - FINANCE	212187	0	27744	0	630	0	20632	0	22196	0	283389	0	0	0
PEGGY OSE
V.P. - PATIENT SVCS	161686	0	19502	0	2772	0	14969	0	25183	0	224112	0	0	0
RICHARD BAILEY MD FACP
PRESIDENT OF MEDICAL AFFAIRS	288227	0	51438	0	630	0	32500	0	22642	0	395437	0	0	0
CRAIG FLINDERS DO
PHYSICIAN	236193	0	83761	0	420	0	31637	0	20822	0	372833	0	0	0
JENNIFER MCELROY DO
PHYSICIAN	329749	0	5100	0	378	0	31284	0	20376	0	386887	0	0	0
RONNIE KIRSCHLING MD
PHYSICIAN	1088408	0	6738	0	1806	0	30090	0	24184	0	1151226	0	0	0
MORGAN BARNUM MD
PHYSICIAN	330016	0	5100	0	336	0	26508	0	20700	0	382660	0	0	0
MERCEDES DE LAS ALAS MD
PHYSICIAN	258797	0	5100	0	630	0	26884	0	22876	0	314287	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	TAX GROSS-UP PAYMENTS OF $212 WERE PAID ON BEHALF OF THOMAS FERK. THE TAX GROSS-UP PAYMENT WAS INCLUDED IN TAXABLE INCOME. HEALTH AND SOCIAL CLUB DUES WERE PAID ON BEHALF OF CELSE BERARD AND MICHAEL BOVEE. THE AMOUNTS PAID WERE AS FOLLOWS: CELSE BERARD - $3,682 MICHAEL BOVEE - $3,682
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS DURING THE YEAR FOR A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DE LAS ALAS - $11,236 BERARD - $15,635 FLINDERS - $9,006 FERK - $11,770 KIRSCHLING - $8,758

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A	391337855	97710V8S0	2008-04-16	27266182	HOSPITAL ADDITION	0	0	0
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B	391337855	97710BZW5	2010-12-16	20296089	REFINANCE 2001 BOND	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	1455000	27266182	2648998	539000	24078184	2009	0	0	1	1
B	1345000	20296089	1663538	347551	18285000	2010	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0	0	0
B	0	1	0	0	0.01430	0.01430	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	1	0	0	0	0	0
B	0	1	0	1	0	0	0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
2010 CUSIP IDENTIFICATION	THE SERIES 2001 BONDS WERE REFINANCED IN 2010 AND EACH SEPARATE PRINCIPAL AMOUNT WAS ASSIGNED AN INDIVIDUAL CUSIP. THE CUSIPS RANGE FROM 97710BZW5 TO 97710BA93.
NO REBATE DUE	THE 2008 BOND'S DATE OF REBATE COMPUTATION WAS APRIL 1, 2013. THE 2010 BOND'S DATE OF REBATE COMPUTATION WAS OCTOBER 1, 2013.	PART IV LINE 2C

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
WOOD TRUST BANK
JASON DIETZ IS A BOARD MEMBER AND SENIOR VICE PRESIDENT AT WOOD TRUST BANK	338675	RIVERVIEW HOSPITAL PAID INVESTMENT MANAGEMENT FEES TO WOOD TRUST BANK.	0
SURGICAL ASSOCIATES OF WISCONSIN RAPIDS SC
DR.MARJORIE MILLER IS A BOARD MEMBER AND IS AN OWNER OF SURGICAL ASSOCIATES	329875	RIVERVIEW HOSPITAL PAID SURGICAL ASSOCIATES CALL PAY FOR PHYSICIAN SERVICES.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS ARE THOSE COMMUNITY MEMBERS WHO HAVE PURCHASED A MEMBERSHIP TO RIVERVIEW HOSPITAL ASSOCIATION. THESE ARE LIFE TIME MEMBERSHIPS ONCE PURCHASED, AND EACH YEAR THERE IS VERY MINIMAL ACTIVITY RELATED TO THE PURCHASE OF A MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS OF RIVERVIEW HOSPITAL ASSOCIATION ARE ABLE TO NOMINATE AND VOTE CANDIDATES TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	AT THE ANNUAL MEETING WITH THE COMMUNITY MEMBERS, THE MEMBERS VOTE WHETHER OR NOT THEY APPROVE THE ACTIONS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE 990 IS PRESENTED TO THE BOARD AT A MONTHLY BOARD MEETING AND IS REVIEWED IN DETAIL WITH THEM. ANY QUESTIONS ARE THEN ANSWERED AT THAT TIME. ONCE REVIEWED, IT IS THEN MAILED/SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD OF DIRECTORS, THE MEDICAL STAFF, AND THE DEPARTMENT DIRECTORS OF THE HOSPITAL ANNUALLY SIGN THEIR PLEDGE TO ADHERE TO THE CONFLICT OF INTEREST POLICY HERE AT RIVERVIEW HOSPITAL ASSOCIATION (RHA). THE SIGNED ATTESTATIONS ARE FILED AND MAINTAINED BY THE COMPLIANCE OFFICER. LISA ROWE-PEPLINSKI, VICE PRESIDENT OF QUALITY IMPROVEMENT, SERVES AS RHA'S COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15	THE FOLLOWING PROCESS DESCRIBES RIVERVIEW HOSPITAL ASSOCIATIONS (RHA'S) COMPENSATION PRACTICES: EACH NON-UNION AND NON-PHYSICIAN POSITION IS EVALUATED AND ASSIGNED TO A SALARY GRADE BASED ON THAT EVALUATION. EVALUATION CRITERIA INCLUDE A POSITION'S DECISION-MAKING IMPACT, THINKING CHALLENGES, THINKING PROBLEM SOLVING CHALLENGES, WORK ENVIRONMENT AND ENTRY QUALIFICATIONS. EACH SALARY GRADE IS ASSIGNED A PAY RANGE BASED ON THE MARKET DATA FOR THE POSITIONS IN THAT SALARY GRADE. THE ENTIRE SALARY RANGE STRUCTURE WILL BE REVIEWED AT LEAST ANNUALLY, AND BASED ON MARKET DATA AND THE ASSOCIATION'S BUDGETARY GOAL'S MAY BE ADJUSTED. SUCH ADJUSTMENTS WILL OCCUR ON OR ABOUT THE START OF THE ASSOCIATION'S FISCAL YEAR. THIS POLICY COVERS ALL NON-PHYSICIANS AND NON-UNION POSITIONS WITHIN RIVERVIEW HOSPITAL ASSOCIATION. IN ADDITION, SALARIES OF THE CEO, KEY EMPLOYEES, AND PHYSICIANS ARE DETERMINED IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT AND INDUSTRY STUDIES TO DETERMINE THE PROPER LEVELS OF COMPENSATION. THESE RESULTS ARE APPROVED BY THE COMPENSATION COMMITTEE BEFORE FINALIZED. PHYSICIAN COMPENSATION IS USUALLY BASED ON MARKET DATA AND PRODUCTIVITY VIA AN RVU-BASED APPROACH. PAY FOR EMPLOYEES IN RIVERVIEW'S THREE UNIONS IS DETERMINED VIA COLLECTIVE BARGAINING. ALL APPROVALS ARE COMPLETED BY INDIVIDUALS THAT DO NOT HAVE A CONFLICT OF INTEREST WITH THE TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 2C	THE PROCESS IS CONSISTENT WITH PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HEALTH CARE FOUNDATION INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8080	AddressLine1
City	WISCONSIN RAPIDS	City
State	WI	State
ZIP Code	544958080	ZIPCode

Field	Value	IRS element (for citing)
EIN	391509239	EIN
Primary Activities	THE FOUNDATION IS OPERATED PRIMARILY FOR THE BENEFIT OF RIVERVIEW HOSPITAL	PrimaryActivities
Legal Domicile State	WI	LegalDomicileState
Exempt Code Section	501 (C) 3	ExemptCodeSection
Public Charity Status	LINE 11C, III-FI	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg