RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201313189349301871
- 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 H
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T09:25:45-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311667875 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIDGEVIEW MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RIDG | NameControl |
| Phone | 9524422191 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1 |
| City | WACONIA | City |
| State | MN | State |
| ZIP Code | 553871791 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GORDON GABLENZ | Name |
| Title | VICE PRESIDENT & CFO | Title |
| Phone | 9524422191 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KURT BENNION | Name |
| PTIN | P01469618 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT STEVENS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1 |
| City | WACONIA | City |
| State | MN | State |
| ZIP Code | 553871791 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 198639393 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RIDGEVIEWMEDICAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO MAKE A POSITIVE DIFFERENCE IN THE QUALITY OF LIFE AND HEALTH FOR THE PEOPLE OF OUR AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1681 | TotalNbrEmployees |
| Total Nbr Volunteers | 500 | TotalNbrVolunteers |
| Total Gross UBI | 2067739 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 323958 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1193038 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2087639 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 156374640 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 162082431 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2139168 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2895409 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3849942 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5724336 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 163556788 | TotalRevenuePriorYear |
| Total Revenue Current Year | 172789815 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 636208 | 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 | 86559788 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 96162707 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 31097 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 77965442 | OtherExpensePriorYear |
| Other Expenses Current Year | 75786006 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 165161438 | TotalExpensesPriorYear |
| Total Expenses Current Year | 171948713 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1604650 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 841102 | RevenuesLessExpensesCY |
| Total Assets BOY | 183569933 | TotalAssetsBOY |
| Total Assets EOY | 186542662 | TotalAssetsEOY |
| Total Liabilities BOY | 75263718 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 76740588 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 108306215 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 109802074 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | RIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE HEALTH OF PEOPLE IT SERVES BY CREATING A CULTURE THAT NURTURES THE WHOLE PERSON: MIND, BODY, AND SPIRIT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 123811648 | Expense |
| Grants | 0 | Grants |
| Revenue | 162082431 | Revenue |
| Description | RIDGEVIEW MEDICAL CENTER ENHANCED AND PROVIDED QUALITY HEALTHCARE SERVICES FOR THE COMMUNITY OF WACONIA AND THE SURROUNDING AREAS. THE HOSPITAL PROVIDED CHARITY CARE AND OTHER UNCOMPENSATED CARE IN THE AMOUNT OF $1,320,487 DURING 2012. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $3,122,151 AND $8,567,691 IN 2012. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY STUDENTS, AND MORE TOTALED $312,362. IN 2012 THE HOSPITAL SPENT $6,155,406 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 6,067 INPATIENTS, 26,143 EMERGENCY CARE VISITS, 23,641 HOME HEALTH VISITS, 6,258 SURGERIES, 1,259 BIRTHS, 9,382 AMBULANCE CALLS, AND 153,833 OUTPATIENT VISITS IN 2012. RIDGEVIEW MEDICAL CENTER SERVES MORE THAN 100,000 PEOPLE, OPERATES ONE HOSPITAL, ONE FREE-STANDING EMERGENCY AND URGERNT CARE FACILITY, AND SEVEN MULTI-SPECIALTY CLINIC LOCATIONS. | Description |
| Total Program Service Expense | 123811648 | 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | 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 | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1681 | 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | 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 | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GORDON GABLENZ | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9524422191 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SOUTH MAPLE STREET | AddressLine1 |
| City | WACONIA | City |
| State | MN | State |
| ZIP Code | 55387 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MITCHELL KILIAN | ||||||||
| CHAIR | 0.80 | X | X | 2000 | 0 | 0 | ||
| WAYNE HUBIN | ||||||||
| VICE CHAIR | 0.80 | X | X | 1600 | 0 | 0 | ||
| JULIE HERMAN | ||||||||
| SECRETARY | 0.80 | X | X | 1600 | 0 | 0 | ||
| MARIA GLYNN | ||||||||
| TREASURER | 0.80 | X | X | 1600 | 0 | 0 | ||
| MIKE WERNER | ||||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | |||
| JEFF NELSON | ||||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | |||
| DEL PLOEN | ||||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | |||
| SHARON COOK | ||||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | |||
| STAN BANDUR | ||||||||
| BOARD MEMBER | 0.80 | X | 1338 | 0 | 0 | |||
| ROBERT HEETER MD | ||||||||
| BOARD MEMBER | 0.80 | X | 5000 | 191924 | 0 | |||
| ROBERT STEVENS | ||||||||
| PRESIDENT / CEO | 44.50 | X | 339986 | 0 | 164486 | 5.50 | ||
| PATRICIA MICHAELSON | ||||||||
| VICE PRESIDENT | 50.00 | X | 221592 | 0 | 22226 | |||
| JOHN PRONDZINSKI | ||||||||
| VICE PRESIDENT | 50.00 | X | 194534 | 0 | 21359 | |||
| GORDON GABLENZ | ||||||||
| VICE PRESIDENT / CFO | 49.00 | X | 200608 | 0 | 26020 | 1.00 | ||
| MICHAEL PHELPS | ||||||||
| CAO | 40.00 | X | 217879 | 0 | 24090 | 10.00 | ||
| DOUGLAS STASEK | ||||||||
| VICE PRESIDENT | 2.50 | X | 181836 | 0 | 23192 | 47.50 | ||
| SARAH HASTINGS | ||||||||
| VICE PRESIDENT | 50.00 | X | 159664 | 0 | 23558 | |||
| BERNARD BUCKLAND | ||||||||
| DIRECTOR OF SURGERY | 40.00 | 174867 | 0 | 13205 | X | |||
| LINDA HONSTAD | ||||||||
| CRNA | 40.00 | 167568 | 0 | 11399 | X | |||
| KRISTI WIDSETH | ||||||||
| CRNA | 40.00 | 166231 | 0 | 5836 | X | |||
| CYNTHIA BRICK | ||||||||
| CRNA | 40.00 | 166055 | 0 | 17347 | X | |||
| ARLIEN CORTLAND | ||||||||
| CRNA | 40.00 | 164472 | 0 | 5798 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2374830 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 191924 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 358516 | TotalOtherCompensation |
| Number Individuals GT100 K | 62 | 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 |
|---|---|---|---|---|---|
| EMPAC | |||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | ED PHYSICIAN SERVICES | 7235225 |
| MINNEAPOLIS HEART INSTITUTE | |||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | CARDIOLOGY SERVICES | 3776627 |
| EMERGENT NETWORKS | |||||
| 768 SOUTHCROSS DRIVE WEST STE 201 | BURNSVILLE | MN | 55306 | MIS SERVICES | 1932415 |
| CHILDRENS HEALTHCARE | |||||
| 2525 CHICAGO AVE SOUTH | MINNEAPOLIS | MN | 55404 | CHILDREN'S NCU CONTRACT & MEDICAL DIRECT | 1089855 |
| CHUTE AND DREW PA | |||||
| 111 HUNDERTMARK ROAD | CHASKA | MN | 55318 | BARIATRIC SERVICES | 907868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 1611616 | RelatedOrganizations |
| All Other Contributions | 476023 | AllOtherContributions |
| Total Contributions | 2087639 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621610 | BusinessCode |
| Total Revenue Column | 162082431 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162082431 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 162082431 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 938324 | TotalRevenueColumn |
| Exclusion | $938,324 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4272403 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2658745 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1613658 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1613658 | TotalRevenueColumn |
| Exclusion | $1,613,658 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24184965 | Securities |
| Other | 10545 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 22238425 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1946540 | Securities |
| Other | 10545 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1957085 | TotalRevenueColumn |
| Exclusion | $1,957,085 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 2821986 | GrossSalesOfInventory |
| Cost Of Goods Sold | 952408 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1869578 | TotalRevenueColumn |
| Unrelated Business Revenue | 1831619 | UnrelatedBusinessRevenue |
| Exclusion | $37,959 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| MISCELLANEOUS | 621610 | 1215024 | 236120 | $978,904 |
| CAFETERIA REVENUE | 722210 | 553687 | $553,687 | |
| PHARMACY SERVICES | 621610 | 270166 | $270,166 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 202223 | TotalRevenueColumn |
| Exclusion | $202,223 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2241100 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 172789815 | TotalRevenueColumn |
| Related Or Exempt Function Income | 162082431 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2067739 | UnrelatedBusinessRevenue |
| Exclusion | $6,552,006 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1840567 | Total |
| Management And General | 1840567 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79988732 | Total |
| Program Services | 60158802 | ProgramServices |
| Management And General | 19829930 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2106508 | Total |
| Program Services | 1646899 | ProgramServices |
| Management And General | 459609 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7090950 | Total |
| Program Services | 4967967 | ProgramServices |
| Management And General | 2122983 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5135950 | Total |
| Program Services | 3713418 | ProgramServices |
| Management And General | 1422532 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 436161 | Total |
| Management And General | 436161 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92736 | Total |
| Management And General | 92736 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16151931 | Total |
| Program Services | 5450262 | ProgramServices |
| Management And General | 10701669 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 705648 | Total |
| Program Services | 665105 | ProgramServices |
| Management And General | 40543 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5779481 | Total |
| Program Services | 3493009 | ProgramServices |
| Management And General | 2286472 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 946254 | Total |
| Program Services | 181527 | ProgramServices |
| Management And General | 764727 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10817776 | Total |
| Program Services | 7527130 | ProgramServices |
| Management And General | 3290646 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553728 | Total |
| Program Services | 263885 | ProgramServices |
| Management And General | 289843 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466242 | Total |
| Program Services | 146103 | ProgramServices |
| Management And General | 320139 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2035284 | Total |
| Program Services | 2035284 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9875652 | Total |
| Program Services | 8023956 | ProgramServices |
| Management And General | 1851696 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 769113 | Total |
| Program Services | 138543 | ProgramServices |
| Management And General | 630570 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 19071358 | 19071358 | |
| BAD DEBT EXPENSE | 4214459 | 4214459 | |
| MINNESOTA CARE TAX | 2327811 | 2327811 | |
| COLLECTIONS EXPENSE | 392091 | 392091 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1150281 | Total |
| Program Services | -213870 | ProgramServices |
| Management And General | 1333054 | ManagementAndGeneral |
| Fundraising | 31097 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171948713 | Total |
| Program Services | 123811648 | ProgramServices |
| Management And General | 48105968 | ManagementAndGeneral |
| Fundraising | 31097 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4188252 | BOY |
| EOY | 5618420 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32026296 | BOY |
| EOY | 25992834 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 316666 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20750864 | BOY |
| EOY | 21286825 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3144222 | BOY |
| EOY | 3065570 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2427719 | BOY |
| EOY | 3282707 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 187333387 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 103067815 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79718559 | BOY |
| EOY | 84265572 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9736180 | BOY |
| EOY | 10304064 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31577841 | BOY |
| EOY | 32410004 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183569933 | BOY |
| EOY | 186542662 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16283718 | BOY |
| EOY | 19668507 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 112715 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44578948 | BOY |
| EOY | 42694761 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7501495 | BOY |
| EOY | 8559871 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6899557 | BOY |
| EOY | 5704734 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75263718 | BOY |
| EOY | 76740588 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101679865 | BOY |
| EOY | 103090394 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5554161 | BOY |
| EOY | 5639401 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1072189 | BOY |
| EOY | 1072279 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108306215 | BOY |
| EOY | 109802074 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183569933 | BOY |
| EOY | 186542662 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 841102 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 732470 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -77712 | ReconcilationOtherChanges |
| 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 Consolidated | X | FinancialStatementConsolidated |
| 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 | $7,029 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 7029 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | RIDGEVIEW MEDICAL CENTER PAYS DUES TO MHA AND AHA, OF WHICH A PORTION ARE LOBBYING EXPENSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8643503 | OtherCostOrOtherBasis |
| Book Value | 8643503 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75263550 | OtherCostOrOtherBasis |
| Depreciation | 35867345 | Depreciation |
| Book Value | 39396205 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7201445 | OtherCostOrOtherBasis |
| Depreciation | 4446857 | Depreciation |
| Book Value | 2754588 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 85881038 | OtherCostOrOtherBasis |
| Depreciation | 62753613 | Depreciation |
| Book Value | 23127425 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10343851 | OtherCostOrOtherBasis |
| Book Value | 10343851 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 84265572 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN CHASKA PLAZA SURGERY CENTER | 589155 | F |
| INVESTMENT IN JOINT VENTURES | 679729 | F |
| INVESTMENT IN RIDGEVIEW INSURANCE | 748695 | F |
| INVESTMENT IN FOUNDATION | 8218958 | F |
| INVESTMENT IN MN OTOLARYNGOLOGY | 67527 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 10304064 | TotalOfBookValueSecurities |
Other Assets OtherAssets (14 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED FINANCING COSTS | 414768 |
| AMOUNTS HELD UNDER SECURITY AGREEMENT | 5407616 |
| DUE FROM MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW MEDICAL CENTER | 269833 |
| SELF INSURANCE RESERVES | 3366089 |
| DEFERRED COMPENSATION PLAN | 4830364 |
| DUE FROM RIDGEVIEW CLINICS | 17858668 |
| DUE FROM FOUNDATION | 100000 |
| DUE FROM CHASKA PLAZA SURGERY CENTER | 49545 |
| DUE FROM KIDNEY SPECIALISTS AT RMP | 592 |
| DUE FROM 212 | 2601 |
| DUE FROM NORTHLAND COUNSELING | 50 |
| STEP LEASE ASSET | 95712 |
| DUE FROM RIDGEVIEW REAL ESTATE, LLC | 4166 |
| INVESTMENT IN AFFILIATE | 10000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 32410004 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $1,497,759 |
| THIRD PARTY PAYABLE | $1,350,313 |
| WORKERS COMPENSATION | $1,367,493 |
| ASSET RETIREMENT OBLIGATION | $12,224 |
| BRIDGE LOAN FROM RIDGEVIEW FOUNDATION | $816,524 |
| DUE TO CARDIOLOGY JOINT VENTURE | $660,421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5704734 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 168837272 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -7099323 | OtherRevenues |
| Revenue Not Rptd F990 | -7099323 | RevenueNotRptdF990 |
| Revenue Subtotal | 175936595 | RevenueSubtotal |
| Other Revenues Not Included | -3146780 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -3146780 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 172789815 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 171345408 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3611153 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3611153 | ExpensesNotRptdF990 |
| Expenses Subtotal | 167734255 | ExpensesSubtotal |
| Other Expenses Not Included | 4214459 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 4214459 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 171948714 | 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: | 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 2007. 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: | INVESTMENT INCOME -938,324. BAD DEBT EXPENSE -4,214,459. REALIZED GAIN (LOSSES) ON INVESTMENTS -1,946,540. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSE -2,658,745. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD -824,690. CONTRIBUTIONS 464,373. GIFT SHOP EXPENSE -127,718. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 2,658,745. HOME MEDICAL EQUIPMENT COST OF GOODS SOLD 824,690. GIFT SHOP EXPENSES 127,718. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 4,214,459. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To Most Hospitals | X | PolicyAppliedToMostHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 250.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 532464 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 532464 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5920255 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2889694 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3030561 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1411335 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1411335 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00840 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7864054 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2889694 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4974360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23333 | PersonsServed |
| Total Community Benefit Expense | 403813 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6508 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 397305 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 319 | PersonsServed |
| Total Community Benefit Expense | 312362 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 312362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 389 | PersonsServed |
| Total Community Benefit Expense | 96129 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13499 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 82630 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 116 | PersonsServed |
| Total Community Benefit Expense | 34832 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 34832 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15 | PersonsServed |
| Total Community Benefit Expense | 116606 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 116606 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24172 | PersonsServed |
| Total Community Benefit Expense | 963742 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20007 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 943735 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 24172 | PersonsServed |
| Total Community Benefit Expense | 8827796 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2909701 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5918095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03540 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12516 | PersonsServed |
| Total Community Building Expense | 71310 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 71310 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12516 | PersonsServed |
| Total Community Building Expense | 71310 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 71310 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,214,459 | BadDebtExpenseAmount |
| Amount Attributable To | 368000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 29287628 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 39989441 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10701813 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | OtherOther |
|---|---|---|---|---|---|---|---|
| RIDGEVIEW MEDICAL CENTER | |||||||
| 1 | 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | X | ||
| MINNEAPOLIS HEART INSTITUTE AT RHC LCC | |||||||
| 2 | 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | X | PROVIDES CARDIOLOGY SERVICES | |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Notify Upon AdmissionNotifyUponAdmission | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | No Emergency PolicyNoEmergencyPolicy |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIDGEVIEW MEDICAL CENTER | |||||||||||||||||||||||
| 1 | 1 | 1 | 250.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 0 | 1 | 0 | X | 1 | X | 0 | 0 | |
| MINNEAPOLIS HEART INSTITITUE AT RHC | |||||||||||||||||||||||
| 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | X | 0 | 0 | X | ||||||||||
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CLINICS | ||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | GENERAL MEDICAL CLINIC |
| SAME DAY SURGERY | ||||
| 3000 HUNDERTMARK ROAD | CHASKA | MN | 55318 | GENERAL MEDCIAL & SURGICAL CLINIC |
| SPECIALTY CLINICS | ||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | SEE PART VI FOR DESCRIPTION |
| HOME HEALTH HOSPICE | ||||
| 500 SOUTH MAPLE STREET STE 1 | WACONIA | MN | 55387 | HOME HEALTH & HOSPICE |
| REHAB SPECIALTIES | ||||
| 560 SOUTH MAPLE STREET | WACONIA | MN | 55387 | REHABILITATION SERVICES |
| HOME MEDICAL EQUIPMENT | ||||
| 500 SOUTH MAPLE STREET STE 2 | WACONIA | MN | 55387 | MEDICAL EQUIPMENT SUPPLIER |
| RIDGEVIEW SLEEP CENTER | ||||
| 560 SOUTH MAPLE STREET STE 103 | WACONIA | MN | 55387 | SLEEP DISORDER SERVICES |
| PEDIATRIC REHAB | ||||
| 490 SOUTH MAPLE STREET STE 125 | WACONIA | MN | 55387 | PEDIATRIC SERVICES |
| RIDGEVIEW RESEARCH | ||||
| 3000 HUNDERTMARK ROAD STE 8 | CHASKA | MN | 55318 | RESERACH FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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, L7 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 II: 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 2012, THIS AMOUNT IS ESTIMATED TO BE $368,000.THE FOOTNOTE OF RIDGEVIEW'S 2012 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 2012 FILED MEDICARE COST REPORT TO CALCULATE THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6. APPLIED AGAINST ACTUAL RECEIPTS RIDGEVIEW EXPERIENCED COSTS NOT COVERED BY MEDICARE IN THE AMOUNT OF $10,701,813 IN 2012. 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 V, SECTION B, LINE 10: THE MINNEAPOLIS HEART INSTITUTE DOES NOT HAVE A FORMAL GUIDELINE TO FOLLOW IN DETERMINING A PATIENT'S ELIGIBILITY FOR FREE CARE. IT IMPLEMENTS THE GUIDELINES USED BY RIDGEVIEW MEDICAL CENTER TO CERTAIN MEDICAL PROCEDURES. | MINNEAPOLIS HEART INSTITITUE AT RHC | |
| PART V, SECTION B, LINE 11: THE MINNEAPOLIS HEART INSTITUTE DOES NOT HAVE A FORMAL GUIDELINE TO FOLLOW IN DETERMINING A PATIENT'S ELIGIBILITY FOR DISCOUNTED CARE. IT IMPLEMENTS THE GUIDELINES USED BY RIDGEVIEW MEDICAL CENTER TO CERTAIN MEDICAL PROCEDURES. | MINNEAPOLIS HEART INSTITITUE AT RHC | |
| PART V, SECTION B, LINE 19C: THE MINNEAPOLIS HEART INSTITUTE DOES NOT HAVE A FORMAL WRITTEN POLICY TO FOLLOW RELATING TO EMERGENCY MEDICAL CARE. IT APPLIES RIDGEVIEW MEDICAL CENTER'S GUIDELINES TO CERTAIN MEDICAL PROCEDURES. | MINNEAPOLIS HEART INSTITITUE AT RHC | |
| PART 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. | RIDGEVIEW MEDICAL CENTER | |
| PART V, SECTION B, LINE 20D: THE MINNEAPOLIS HEART INSTITUTE DOES NOT HAVE A FORMAL WRITTEN POLICY TO DETERMINE THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. IT APPLIES RIDGEVIEW MEDICAL CENTER'S GUIDELINES TO CERTAIN MEDICAL PROCEDURES. | MINNEAPOLIS HEART INSTITITUE AT RHC | |
| ENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, AND BARIATRIC | PART V, SECTION C | |
| 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 AND 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 4: RIDGEVIEW SERVES A POPULATION OF APPROXIMATELY 300,000 PEOPLE, PRIMARILY FROM ITS FIVE-COUNTY SERVICE AREA OF CARVER, NORTHER 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). | ||
| MN | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT HEETER MD | ||||||||||||||
| BOARD MEMBER | 5000 | 191924 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5000 | 191924 | 0 | 0 |
| ROBERT STEVENS | ||||||||||||||
| PRESIDENT / CEO | 339986 | 0 | 0 | 0 | 0 | 0 | 154233 | 0 | 10253 | 0 | 504472 | 0 | 0 | 0 |
| PATRICIA MICHAELSON | ||||||||||||||
| VICE PRESIDENT | 221592 | 0 | 0 | 0 | 0 | 0 | 15339 | 0 | 6887 | 0 | 243818 | 0 | 0 | 0 |
| JOHN PRONDZINSKI | ||||||||||||||
| VICE PRESIDENT | 194534 | 0 | 0 | 0 | 0 | 0 | 14472 | 0 | 6887 | 0 | 215893 | 0 | 0 | 0 |
| GORDON GABLENZ | ||||||||||||||
| VICE PRESIDENT / CFO | 200608 | 0 | 0 | 0 | 0 | 0 | 14814 | 0 | 11206 | 0 | 226628 | 0 | 0 | 0 |
| MICHAEL PHELPS | ||||||||||||||
| CAO | 217879 | 0 | 0 | 0 | 0 | 0 | 13861 | 0 | 10229 | 0 | 241969 | 0 | 0 | 0 |
| DOUGLAS STASEK | ||||||||||||||
| VICE PRESIDENT | 181836 | 0 | 0 | 0 | 0 | 0 | 13337 | 0 | 9855 | 0 | 205028 | 0 | 0 | 0 |
| SARAH HASTINGS | ||||||||||||||
| VICE PRESIDENT | 159664 | 0 | 0 | 0 | 0 | 0 | 13305 | 0 | 10253 | 0 | 183222 | 0 | 0 | 0 |
| BERNARD BUCKLAND | ||||||||||||||
| DIRECTOR OF SURGERY | 174867 | 0 | 0 | 0 | 0 | 0 | 6339 | 0 | 6866 | 0 | 188072 | 0 | 0 | 0 |
| LINDA HONSTAD | ||||||||||||||
| CRNA | 167568 | 0 | 0 | 0 | 0 | 0 | 5674 | 0 | 5725 | 0 | 178967 | 0 | 0 | 0 |
| KRISTI WIDSETH | ||||||||||||||
| CRNA | 166231 | 0 | 0 | 0 | 0 | 0 | 5806 | 0 | 30 | 0 | 172067 | 0 | 0 | 0 |
| CYNTHIA BRICK | ||||||||||||||
| CRNA | 166055 | 0 | 0 | 0 | 0 | 0 | 6141 | 0 | 11206 | 0 | 183402 | 0 | 0 | 0 |
| ARLIEN CORTLAND | ||||||||||||||
| CRNA | 164472 | 0 | 0 | 0 | 0 | 0 | 5768 | 0 | 30 | 0 | 170270 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | ROBERT STEVENS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN ACCRUED $154,233 DURING 2012. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF WINSTED MINNESOTA | |||||||
| A | 416005652 | 2007-04-27 | 5000000 | BUILDING ADDITION TO HOSPITAL | 0 | 0 | 0 |
| CITY OF DELANO MINNESOTA | |||||||
| B | 416005093 | 2007-05-14 | 4337423 | BUILDING ADDITION TO HOSPITAL | 0 | 0 | 0 |
| CITY OF WACONIA MINNESOTA | |||||||
| C | 411754003 | 2003-11-25 | 9670000 | REFUND SERIES 1993 BONDS & BUILDING CLINIC | 0 | 0 | 0 |
| CITY OF EXCELSIORMINNESOTA | |||||||
| D | 416005143 | 2005-07-12 | 4212750 | BUILD NEW CLINIC AND FINANCE MRI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Refunding EscrowRefundingEscrow |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 72888 | 5000000 | 100000 | 4900000 | 2007 | 0 | 0 | 1 | 1 | |
| B | 63229 | 4337423 | 85000 | 4252423 | 2007 | 0 | 0 | 1 | 1 | |
| C | 7469903 | 9670000 | 117661 | 3050000 | 2003 | 1 | 0 | 1 | 1 | 6502339 |
| D | 1656237 | 4212750 | 82500 | 4130250 | 2005 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs | Engage Bond Counsel ContractsEngageBondCounselContracts | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
| C | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 0.02400 | 0.02400 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 1 | 0 | 0 | 0 | 0 | 1 |
| C | 1 | 0 | 0 | 0 | 0 | 1 |
| D | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF COLOGNE MINNESOTA | |||||||
| A | 416005068 | 2007-03-13 | 9000000 | DEFEASE 1999 BONDS | 0 | 0 | 0 |
| CITY OF CARVER MINNESOTA | |||||||
| B | 416005037 | 2007-03-28 | 7000000 | DEFEASE 1999 BONDS | 0 | 0 | 0 |
| CITY OF HAMBURG MINNESOTA | |||||||
| C | 410941733 | 2007-04-12 | 7000000 | DEFEASE 1999 BONDS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 131415 | 9000000 | 8950000 | 50000 | 2007 | 0 | 1 | 1 | 1 | |
| B | 104991 | 7000000 | 6950000 | 50000 | 2007 | 0 | 1 | 1 | 1 | |
| C | 102043 | 7000000 | 6102423 | 50000 | 2007 | 0 | 1 | 1 | 1 | 847577 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 1 | 0 | 0 | 0 | 0 | 1 |
| C | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE 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 4 | RIDGEVIEW MEDICAL CENTER AMENDED THE BYLAWS DURING 2012. THE CHANGES WERE AS FOLLOWS: - THE EXECUTIVE COMMITTEE SHALL ESTABLISH A PROCESS FOR STRATEGIC PLANNING WHICH SHALL ALSO ENCOMPASS BOARD RETREATS. - THE EDUCATION COMMITTEE SHALL CONSIST OF NOT FEWER THAN THREE (3) MEMBERS OF THE BOARD, EACH OF WHOM SHALL BE APPOINTED BY THE CHAIRPERSON. THIS COMMITTEE SHALL MEET NOT LESS THAN QUARTERLY. - THE EDUCATION COMMITTEE SHALL ESTABLISH AND ADMINISTER A BOARD EDUCATION PROGRAM, INCLUDING GUIDELINES AND RECOMMENDATIONS WITH REGARD TO CONFERENCES AND SEMINARS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | CHILDREN'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 7B | THE 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 11 | THE CFO REVIEWES THE FORM 990. THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM AFTER THER CFO'S REVIEW PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 15 | THE 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 2012. 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 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | RIDGEVIEW 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 -77,712. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| RIDGEVIEW REAL ESTATE LLC | ||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | LAND LESSOR | MN | 49992 | 4166 | RIDGEVIEW MEDICAL CENTER |
| RIDGEVIEW REAL ESTATE II LLC | ||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | LAND LESSOR | MN | 0 | 0 | RIDGEVIEW MEDICAL CENTER |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| RIDGEVIEW FOUNDATION | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411328097 | RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTER | MN | 501(C)(3) | LINE 7 | RIDGEVIEW MEDICAL CENTER | 1 |
| RIDGEVIEW CLINICS | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411651783 | HEALTH CARE SERVICES | MN | 501(C)(3) | LINE 3 | RIDGEVIEW MEDICAL CENTER | 1 |
| RIDGEVIEW INSURANCE CO | ||||||||||
| 60 E SOUTH TEMPLE STE 1800 | SALT LAKE CITY | UT | 84111 | 454109041 | CAPTIVE INSURANCE COMPANY | UT | 501(C)(3) | LINE 11A, I | RIDGEVIEW MEDICAL CENTER | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC | ||||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 205785920 | CARDIOLOGY SERVICES | MN | RELATED | 42340 | 569096 | 0 | 1 | 0.50000 |
| CHASKA PLAZA SURGERY CENTER | ||||||||||||
| 3000 HUNDERTMARK ROAD | CHASKA | MN | 55318 | 450975783 | SURGERY SERVICES | MN | RELATED | 283155 | 589155 | 0 | 1 | 0.51000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EXECUTIVE HEALTH MANAGEMENT SERVICES INC | |||||||||||
| 470 WEST 78TH STREET | CHANHASSEN | MN | 55317 | 411760239 | MANAGEMENT SERVICES | MN | RIDGEVIEW MEDICAL CENTER | C | 1.00000 | 1 | |
| CHARITABLE REMAINDER UNITRUST (1) | |||||||||||
| CHARITABLE TRUST | MN | T | 0 | N/A | |||||||
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 | 1 | 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 | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RIDGEVIEW FOUNDATION | ||
| O | 446085 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| E | 816524 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| C | 1611616 | CASH VALUE |
| RIDGEVIEW CLINCS | ||
| P | 8362333 | FAIR MARKET VALUE |
Comments