RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-06
- IRS object ID
- 201223119349301287
- Schema version
- 2011v1.2
- 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 D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-06T14:26:13-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390859910 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 S 6TH ST STE 2300 | 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 | 2011-01-01 | 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 | 55387 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GORDON GABLENZ | Name |
| Title | VICE PRESIDENT | Title |
| Phone | 9524422191 | Phone |
| Date Signed | 2012-11-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAWRENCE H MOHR CPA | Name |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | 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 | 55387 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 180891892 | 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 ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1627 | TotalNbrEmployees |
| Total Nbr Volunteers | 300 | TotalNbrVolunteers |
| Total Gross UBI | 1688490 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 136131 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1125073 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1193038 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 143359626 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 156374640 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 265485 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2139168 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3927996 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3849942 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 148678180 | TotalRevenuePriorYear |
| Total Revenue Current Year | 163556788 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 730944 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 636208 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 74768173 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 86559788 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 27358 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 68654941 | OtherExpensePriorYear |
| Other Expenses Current Year | 77965442 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 144154058 | TotalExpensesPriorYear |
| Total Expenses Current Year | 165161438 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4524122 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1604650 | RevenuesLessExpensesCY |
| Total Assets BOY | 184644948 | TotalAssetsBOY |
| Total Assets EOY | 183569933 | TotalAssetsEOY |
| Total Liabilities BOY | 74017883 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 75263718 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 110627065 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 108306215 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | RIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 141475262 | Expense |
| Grants | 636208 | Grants |
| Revenue | 157556271 | 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 $1,420,454 DURING 2011. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $2,454,845 AND $7,197,712 IN 2011. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY, AND MORE TOTALED $683,422. IN 2011 THE HOSPITAL SPENT $5,622,475 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 5,423 INPATIENTS, 25,162 EMERGENCY CARE VISITS, 23,134 HOME HEALTH VISITS, 7,019 SURGERIES, 1,100 BIRTHS, 8,283 AMBULANCE CALLS, AND 141,208 OUTPATIENT VISITS IN 2011. RIDGEVIEW MEDICAL CENTER SERVES MORE THAN 100,000 PEOPLE, OPERATES ONE HOSPITAL AND SEVEN MULTI-SPECIALTY CLINIC LOCATIONS. | Description |
| Total Program Service Expense | 141475262 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 0 | 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 | 1 | 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 | 1 | 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 90 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1627 | 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 | 7 | 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 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SHARON COOK | |||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | ||
| MARIA GLYNN | |||||||
| BOARD MEMBER, TREASURER | 0.80 | X | 1600 | 0 | 0 | X | |
| MIKE WERNER | |||||||
| BOARD MEMBER | 0.80 | X | 2000 | 0 | 0 | ||
| ROBERT HEETER MD | |||||||
| BOARD MEMBER | 0.80 | X | 5400 | 582751 | 31487 | ||
| DEL PLOEN | |||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | ||
| MITCHELL KILIAN | |||||||
| BOARD MEMBER, CHAIR | 0.80 | X | 1600 | 0 | 0 | X | |
| WAYNE HUBIN | |||||||
| BOARD MEMBER. VICE CHAIR | 0.80 | X | 1600 | 0 | 0 | X | |
| JEFF NELSON | |||||||
| BOARD MEMBER | 0.80 | X | 1600 | 0 | 0 | ||
| JULIE HERMAN | |||||||
| BOARD MEMBER, SECRETARY | 0.80 | X | 1600 | 0 | 0 | X | |
| ROBERT STEVENS | |||||||
| CEO | 44.50 | 324892 | 0 | 354126 | X | ||
| PATRICIA MICHAELSON | |||||||
| VICE PRESIDENT | 50.00 | 212128 | 0 | 23869 | X | ||
| JOHN PRONDZINSKI | |||||||
| VICE PRESIDENT | 50.00 | 194366 | 0 | 20953 | X | ||
| GORDON GABLENZ | |||||||
| VICE PRESIDENT | 49.00 | 192974 | 0 | 24337 | X | ||
| MICHAEL PHELPS | |||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | 213247 | 0 | 23392 | X | ||
| DOUGLAS STASEK | |||||||
| VICE PRESIDENT | 2.50 | 177060 | 0 | 22891 | X | ||
| SARAH HASTINGS | |||||||
| VICE PRESIDENT | 50.00 | 154003 | 0 | 23218 | X | ||
| BERNARD BUCKLAND | |||||||
| DIRECTOR OF SURGERY | 40.00 | 173525 | 0 | 12710 | X | ||
| JEFFREY MARTIN | |||||||
| CRNA | 40.00 | 159329 | 0 | 15809 | X | ||
| GREGORY ERICKSON | |||||||
| CRNA | 40.00 | 154012 | 0 | 4721 | X | ||
| KRISTI WIDSETH | |||||||
| CRNA | 40.00 | 162187 | 0 | 5255 | X | ||
| JENNIFER CHARBONNET | |||||||
| CRNA | 40.00 | 153817 | 0 | 15619 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2290140 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 582751 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 578387 | TotalOtherCompensation |
| Number Individuals GT100 K | 50 | 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 | 7098950 |
| MINNEAPOLIS HEART INSTITUTE | |||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | CARDIOLOGY SERVICES | 2702281 |
| CHILDRENS HEALTHCARE | |||||
| 2525 CHICAGO AVENUE SOUTH | MINNEAPOLIS | MN | 55404 | CHILDREN'S NCU CONTRACT & MEDICAL DIRECT | 1336012 |
| CHUTE AND DREW PA | |||||
| 111 HUNDERTMARK RD | CHASKA | MN | 55318 | BARIATRIC SERVICES AT RMC | 757726 |
| CONSULTING RADIOLOGISTS | |||||
| 1221 NICOLLET MALL SUITE 600 | MINNEAPOLIS | MN | 55403 | RADIOLOGY SERVICES | 458384 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 1100000 | RelatedOrganizations |
| All Other Contributions | 93038 | AllOtherContributions |
| Total Contributions | 1193038 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621610 | 155790688 | 155790688 |
| CAFETERIA | 722210 | 583952 | 583952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 156374640 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 933353 | TotalRevenueColumn |
| Exclusion | $933,353 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3540290 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2560469 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 979821 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 979821 | TotalRevenueColumn |
| Exclusion | $979,821 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15178704 | Securities |
| Other | 25565 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13990715 | Securities |
| Other | 7739 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1187989 | Securities |
| Other | 17826 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1205815 | TotalRevenueColumn |
| Exclusion | $1,205,815 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 2321561 | GrossSalesOfInventory |
| Cost Of Goods Sold | 776181 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1545380 | TotalRevenueColumn |
| Unrelated Business Revenue | 1545380 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MISCELLANEOUS | 621610 | 790101 | 646991 | 143110 |
| PHARMACY SERVICES | 621610 | 267162 | 267162 | |
| GIFT SHOP REVENUE | 900099 | 129769 | 129769 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 137709 | TotalRevenueColumn |
| Related Or Exempt Function Income | 137709 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1324741 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 163556788 | TotalRevenueColumn |
| Related Or Exempt Function Income | 157556271 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1688490 | UnrelatedBusinessRevenue |
| Exclusion | $3,118,989 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 636208 | Total |
| Program Services | 636208 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1650654 | Total |
| Management And General | 1650654 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71488386 | Total |
| Program Services | 58820319 | ProgramServices |
| Management And General | 12668067 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1866153 | Total |
| Program Services | 1484421 | ProgramServices |
| Management And General | 381732 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6780387 | Total |
| Program Services | 4829681 | ProgramServices |
| Management And General | 1950706 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4774208 | Total |
| Program Services | 3817575 | ProgramServices |
| Management And General | 956633 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544007 | Total |
| Program Services | 27608 | ProgramServices |
| Management And General | 516399 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94726 | Total |
| Management And General | 94726 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21415055 | Total |
| Program Services | 21387697 | ProgramServices |
| Fundraising | 27358 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 594661 | Total |
| Program Services | 590113 | ProgramServices |
| Management And General | 4548 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3854169 | Total |
| Program Services | 2341319 | ProgramServices |
| Management And General | 1512850 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 463364 | Total |
| Program Services | 463364 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6735428 | Total |
| Program Services | 6735428 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 300391 | Total |
| Program Services | 263617 | ProgramServices |
| Management And General | 36774 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 443167 | Total |
| Program Services | 262608 | ProgramServices |
| Management And General | 180559 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2520895 | Total |
| Program Services | 2367652 | ProgramServices |
| Management And General | 153243 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10042858 | Total |
| Program Services | 8637206 | ProgramServices |
| Management And General | 1405652 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 785469 | Total |
| Program Services | 30101 | ProgramServices |
| Management And General | 755368 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| UNRELATED BUSINESS INCO | 164636 | 164636 | |
| MEDICAL SUPPLIES & DRUG | 16752735 | 16752735 | |
| BAD DEBT | 3911573 | 3911573 | |
| REPAIRS AND MAINTENANCE | 2908639 | 478374 | 2430265 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6433669 | Total |
| Program Services | 5685772 | ProgramServices |
| Management And General | 747897 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165161438 | Total |
| Program Services | 141475262 | ProgramServices |
| Management And General | 23658818 | ManagementAndGeneral |
| Fundraising | 27358 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4946290 | BOY |
| EOY | 4188252 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35676742 | BOY |
| EOY | 32026296 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20479497 | BOY |
| EOY | 20750864 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2661628 | BOY |
| EOY | 3144222 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1830224 | BOY |
| EOY | 2422541 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 172808422 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 93089863 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79798278 | BOY |
| EOY | 79718559 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8676243 | BOY |
| EOY | 9736180 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30576046 | BOY |
| EOY | 31583019 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184644948 | BOY |
| EOY | 183569933 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18285802 | BOY |
| EOY | 17632001 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46402466 | BOY |
| EOY | 44578948 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3396043 | BOY |
| EOY | 7501495 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5933572 | BOY |
| EOY | 5551274 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74017883 | BOY |
| EOY | 75263718 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104546695 | BOY |
| EOY | 101679865 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5113315 | BOY |
| EOY | 5554161 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 967055 | BOY |
| EOY | 1072189 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110627065 | BOY |
| EOY | 108306215 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184644948 | BOY |
| EOY | 183569933 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1604650 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -716200 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5074102 | OtherCostOrOtherBasis |
| Book Value | 5074102 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 78327752 | OtherCostOrOtherBasis |
| Depreciation | 33032157 | Depreciation |
| Book Value | 45295595 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6510713 | OtherCostOrOtherBasis |
| Depreciation | 4098390 | Depreciation |
| Book Value | 2412323 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 81260664 | OtherCostOrOtherBasis |
| Depreciation | 55959316 | Depreciation |
| Book Value | 25301348 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1635191 | OtherCostOrOtherBasis |
| Book Value | 1635191 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 79718559 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN CHASKA PLAZA SURGERY | 306000 | F |
| INVESTMENT IN JOINT VENTURES | 627983 | F |
| INVESTMENT IN RIDGEVIEW INSURANCE | 438000 | F |
| INVESTMENT IN FOUNDATION | 8296670 | F |
| INVESTMENT IN MN OTOLARYNGOLOGY | 67527 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 9736180 | TotalOfBookValueSecurities |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| UNAMORTIZED FINANCING COSTS | 460870 |
| AMOUNTS HELD UNDER SECURITY AGREEMENT | 5039973 |
| DUE FROM MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW MEDICAL CENTER | 499677 |
| SELF INSURANCE RESERVES | 2878706 |
| DEFERRED COMPENSATION PLAN | 4194029 |
| DUE FROM RIDGEVIEW CLINICS | 18509764 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 31583019 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION | $1,292,698 |
| THIRD PARTY PAYABLE | $1,425,000 |
| WORKERS COMPENSATION | $1,780,338 |
| ASSET RETIREMENT OBLIGATION | $12,224 |
| BRIDGE LOAN FROM RIDGEVIEW FOUNDATION | $1,041,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5551274 | TotalOfAmounts |
| Total Revenue | 163556788 | TotalRevenue |
| Total Expenses | 165161438 | TotalExpenses |
| Excess Or Deficit For Year | -1604650 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1231134 | NetUnrealizedGLOnInvestments |
| Other | $514,934 | OtherAmount |
| Total Adjustments | -716200 | TotalAdjustments |
| Excess Or Deficit Per FS | -2320850 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 164562304 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1231134 | NetUnrealizedGainsInvestments |
| Other Revenues | 3336650 | OtherRevenues |
| Revenue Not Rptd F990 | 2105516 | RevenueNotRptdF990 |
| Revenue Subtotal | 162456788 | RevenueSubtotal |
| Other Revenues Not Included | 1100000 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1100000 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 163556788 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 168498088 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3336650 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3336650 | ExpensesNotRptdF990 |
| Expenses Subtotal | 165161438 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 165161438 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | CHANGE IN RIDGEVIEW FOUNDATION'S NET ASSETS 514,934. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 776,181. RENTAL EXPENSES 2,560,469. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RELATED PARTY CONTRIBUTIONS 1,100,000. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 2,560,469. COST OF GOODS SOLD 776,181. |
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 | 535221 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 535221 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00320 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5344539 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2889694 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2454845 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01490 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5879760 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2889694 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2990066 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21276 | PersonsServed |
| Total Community Benefit Expense | 407862 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9392 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 398470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 711 | PersonsServed |
| Total Community Benefit Expense | 683422 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 683422 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 116 | PersonsServed |
| Total Community Benefit Expense | 33395 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 33395 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 116667 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 116667 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22103 | PersonsServed |
| Total Community Benefit Expense | 1241346 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9392 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1231954 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22103 | PersonsServed |
| Total Community Benefit Expense | 7121106 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2899086 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4222020 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 43214 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43214 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 43214 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43214 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,160,482 | BadDebtExpenseAmount |
| Amount Attributable To | 371000 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 35171246 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 42368958 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7197712 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 WACONIA BUILDING INVESTMENTS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | PHYSICIAN PROFESSIONAL BUILDING | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.35000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.65000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 RHCLLC | |||||||
| 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 | CHNA ConductedCHNAConducted | 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 | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | No Emergency PolicyNoEmergencyPolicy |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIDGEVIEW MEDICAL CENTER | |||||||||||||||||||||||
| 1 | 0 | 1 | 1 | 250.000000000000 | 1 | 250.000000000000 | 1 | X | X | X | X | X | X | X | 1 | 0 | 0 | 0 | 1 | X | 0 | 0 | |
| MINNEAPOLIS HEART INSTITUTE AT RHC LLC | |||||||||||||||||||||||
| 2 | 0 | 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 MEDICAL & SURGICAL CLINIC |
| SPECIALTY CLINICS | ||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | SEE PART VI FOR DESCRIPTION |
| HOME HEALTHHOSPICE | ||||
| 500 SOUTH MAPLE STREET STE 1 | WACONIA | MN | 55387 | HOME HEALTH AND 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 | RESEARCH FACILITY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART III, LINE 4: 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 III, LINE 8: RIDGEVIEW USES THE MEDICARE OPERATING COST-TO-CHARGE RATIO TO CALCULATE THE COSTS RELATING TO MEDICARE REVENUE. APPLIED AGAINST ACTUAL RECEIPTS RIDGEVIEW EXPERIENCED COSTS NOT COVERED BY MEDICARE IN THE AMOUNT OF $7,197,712 IN 2011. THIS IS A DIRECT BENEFIT TO THE MEDICARE POPULATION IN OUR COMMUNITY. | ||
| PART III, LINE 9B: RIDGEVIEW'S CHARITY CARE 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 DOES NOT CHARGE INTEREST ON OUTSTANDING PATIENT ACCOUNT BALANCES. | ||
| PART V, SECTION B, LINE 9: 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 INSTITUTE AT RHC, LLC | |
| 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 DISCOUNTED CARE. IT IMPLEMENTS THE GUIDELINES USED BY RIDGEVIEW MEDICAL CENTER TO CERTAIN MEDICAL PROCEDURES. | MINNEAPOLIS HEART INSTITUTE AT RHC, LLC | |
| PART V, SECTION B, LINE 19D: RIDGEVIEW USES ITS LARGEST NON-GOVERNMENTAL PAYOR'S DISCOUNT PERCENTAGE WHEN DETERMINING THE MAXIUMUM AMOUNT THAT CAN BE CHARGED. | RIDGEVIEW MEDICAL CENTER | |
| PART V, SECTION B, LINE 19D: THE MINNEAPOLIS HEART INSTITUTE DOES NOT HAVE A FORMAL WRITTEN POLICY TO FOLLOW 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 INSTITUTE AT RHC, LLC | |
| MN | REPORTS FILED WITH STATES | PART VI, LINE 7 |
| ENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, BARIATRIC | SPECIALTY CLINICS - TYPE OF FACILITY DESCRIPTION: | PART V, SECTION C |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| CARVER COUNTY HEALTH PARTNERS | ||||||||||
| PO BOX 291 | CHASKA | MN | 55318 | 320182075 | 501(C)(3) | 28000 | DONATION WAS TO HELP IMPROVE THE HEALTH OF CARVER COUNTY COMMUNITIES | |||
| RIDGEVIEW FOUNDATION | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411328097 | 501(C)(3) | IN-KIND CONTRIBUTION TO RIDGEVIEW FOUNDATION INCLUDING SERVICES. THE ASSISTANCE IS TO SUPPORT THE OPERATIONS OF THE FOUNDATION. | 608208 | FAIR MARKET VALUE | SERVICES, SUPPLIES, ETC.. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
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)
| 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 | |||||||||||||
| 5400 | 582751 | 0 | 0 | 0 | 0 | 0 | 24500 | 0 | 6987 | 5400 | 614238 | 0 | 0 |
| ROBERT STEVENS | |||||||||||||
| 324892 | 0 | 0 | 0 | 0 | 0 | 343717 | 0 | 10409 | 0 | 679018 | 0 | 0 | 0 |
| PATRICIA MICHAELSON | |||||||||||||
| 212128 | 0 | 0 | 0 | 0 | 0 | 14509 | 0 | 9360 | 0 | 235997 | 0 | 0 | 0 |
| JOHN PRONDZINSKI | |||||||||||||
| 194366 | 0 | 0 | 0 | 0 | 0 | 13936 | 0 | 7017 | 0 | 215319 | 0 | 0 | 0 |
| GORDON GABLENZ | |||||||||||||
| 192974 | 0 | 0 | 0 | 0 | 0 | 14027 | 0 | 10310 | 0 | 217311 | 0 | 0 | 0 |
| MICHAEL PHELPS | |||||||||||||
| 213247 | 0 | 0 | 0 | 0 | 0 | 13007 | 0 | 10385 | 0 | 236639 | 0 | 0 | 0 |
| DOUGLAS STASEK | |||||||||||||
| 177060 | 0 | 0 | 0 | 0 | 0 | 12828 | 0 | 10063 | 0 | 199951 | 0 | 0 | 0 |
| SARAH HASTINGS | |||||||||||||
| 154003 | 0 | 0 | 0 | 0 | 0 | 12809 | 0 | 10409 | 0 | 177221 | 0 | 0 | 0 |
| BERNARD BUCKLAND | |||||||||||||
| 173525 | 0 | 0 | 0 | 0 | 0 | 5801 | 0 | 6909 | 0 | 186235 | 0 | 0 | 0 |
| JEFFREY MARTIN | |||||||||||||
| 159329 | 0 | 0 | 0 | 0 | 0 | 5314 | 0 | 10495 | 0 | 175138 | 0 | 0 | 0 |
| GREGORY ERICKSON | |||||||||||||
| 154012 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4721 | 0 | 158733 | 0 | 0 | 0 |
| KRISTI WIDSETH | |||||||||||||
| 162187 | 0 | 0 | 0 | 0 | 0 | 5225 | 0 | 30 | 0 | 167442 | 0 | 0 | 0 |
| JENNIFER CHARBONNET | |||||||||||||
| 153817 | 0 | 0 | 0 | 0 | 0 | 5234 | 0 | 10385 | 0 | 169436 | 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 329,401.67 DURING 2011. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF WINSTED MN | |||||||
| 416005652 | NONEAVAIL | 2007-04-27 | 5000000 | BUILDING ADDITION TO HOSPITAL | 0 | 0 | 0 |
| CITY OF DELANO MN | |||||||
| 416005093 | NONEAVAIL | 2007-05-14 | 4337423 | BUILDING ADDITION TO HOSPITAL | 0 | 0 | 0 |
| CITY OF WACONIA MN | |||||||
| 411754003 | NONEAVAIL | 2003-11-25 | 9670000 | REFUND PRIOR ISSUANCE AND BUILDING ADDITION | 0 | 0 | 0 |
| CITY OF EXCELSIOR MN | |||||||
| 416005143 | NONEAVAIL | 2005-07-12 | 4212750 | BUILD NEW CLINIC & FINANCE MRI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|
| 5000000 | 100000 | 4900000 | 2007 | 0 | 0 | 1 | 1 | |
| 4337423 | 85000 | 4252423 | 2007 | 0 | 0 | 1 | 1 | |
| 9670000 | 117661 | 3050000 | 2003 | 1 | 0 | 1 | 1 | 6502339 |
| 4212750 | 82500 | 4130250 | 2005 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs | Engage Bond Counsel ContractsEngageBondCounselContracts | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | |||
| 0 | 0 | 0 | 0 | 1 | |||
| 0 | 1 | 1 | 0 | 1 | 1 | 0.02400 | 0.02400 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| CITY OF COLOGNE MN | |||||||
| 416005068 | NONEAVAIL | 2007-03-13 | 9000000 | DEFEASE 1999 BONDS | 0 | 0 | 0 |
| CITY OF CARVER MN | |||||||
| 416005037 | NONEAVAIL | 2007-03-28 | 7000000 | DEFEASE 1999 BONDS | 0 | 0 | 0 |
| CITY OF HAMBURG MN | |||||||
| 410941733 | NONEAVAIL | 2007-04-12 | 7000000 | DEFEASE 1999 BONDS | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|
| 9000000 | 8950000 | 50000 | 2007 | 0 | 1 | 1 | 1 | |
| 7000000 | 6950000 | 50000 | 2007 | 0 | 1 | 1 | 1 | |
| 7000000 | 6102423 | 50000 | 2007 | 0 | 1 | 1 | 1 | 847577 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JODY WERNER | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DAUGHTER-IN-LAW OF BOARD MEMBER | Relationship |
| Amount Of Transaction | 15791 | AmountOfTransaction |
| Description Of Transaction | SALARY AND OTHER NONTAXABLE BENEFITS | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CHILDREN'S HEALTH CARE, DBA 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 EXPENDITURES, ARE RESERVED BY THE CITY OF WACONIA. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CFO REVIEWS THE FORM 990. THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM AFTER THE CFO'S REVIEW PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 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 DETEREMINED 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. 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. | |
| 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 VII, SECTION A, COL B | ROBERT STEVENS IS THE CEO OF RIDGEVIEW MEDICAL CENTER AND ITS RELATED ORGANIZATIONS, RIDGEVIEW CLINICS AND RIDGEVIEW FOUNDATION. ROBERT STEVEN'S ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO ALL ORGANIZATIONS IS 50 HRS/WEEK. HE SPENDS AN ESTIMATED 1% (0.5 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW FOUNDATION, 10% (5.0 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW CLINICS, AND 89% (44.5 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW MEDICAL CENTER. GORDON GABLENZ IS THE CFO OF RIDGEVIEW MEDICAL CENTER AND ITS RELATED ORGANIZATIONS, RIDGEVIEW CLINICS AND RIDGEVIEW FOUNDATION. GORDON GABLENZ'S ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO ALL ORGANIZATIONS IS 50 HRS/WEEK. HE SPENDS AN ESTIMATED 1% (0.5 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW FOUNDATION, 1% (0.5 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW CLINICS, AND 98% (49.0 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW MEDICAL CENTER. MICHAEL PHELPS IS THE CAO OF RIDGEVIEW MEDICAL CENTER AND ITS RELATED ORGANIZATION, RIDGEVIEW CLINICS. MICHAEL PHELPS' ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO ALL ORGANIZATIONS IS 50HRS/WEEK. HE SPENDS AN ESTIMATED 20% (10.0 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW CLINICS, AND 80% (40.0 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW MEDICAL CENTER. DOUGLAS STASEK IS THE VICE-PRESIDENT OF RIDGEVIEW FOUNDATION, A RELATED ORGANIZATION OF RIDGEVIEW MEDICAL CENTER. DOUGLAS STASEK'S ESTIMATED AVERAGE HOURS PER WEEK DEVOTED TO ALL ORGANIZATIONS IS 50HRS/WEEK. HE SPENDS AN ESTIMATED 95% (47.5 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW FOUNDATION, AND 5% (2.5 HRS/WEEK) OF HIS TIME DEVOTED TO RIDGEVIEW MEDICAL CENTER. | OFFICER HOURS FOR RELATED ORGANIZATIONS: |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -1,231,134. CHANGE IN RIDGEVIEW FOUNDATION'S NET ASSETS 514,934. TOTAL TO FORM 990, PART XI, LINE 5: -716,200. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEAR. | OVERSIGHT OF AUDIT |
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 | 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 | 0 |
| RIDGEVIEW CLINICS | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411651783 | HEALTH CARE SERVICES | MN | 501(C)(3) | LINE 3 | RIDGEVIEW MEDICAL CENTER | 0 |
| RIDGEVIEW INSURANCE CO | ||||||||||
| 60 E SOUTH TEMPLE STE 1800 | SALT LAKE CITY | UT | 84111 | 454109041 | CAPTIVE INSURANCE COPMANY | UT | 501(C)(3) | LINE 3 | RIDGEVIEW MEDICAL CENTER | 0 |
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 INSTITUTE AT RIDGEVIEW HEART CENTER LLC | ||||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 205785920 | CARDIOLOGY SERVICES | MN | RELATED | -34367 | 2126125 | 0 | 1 | 0.50000 |
| CHASKA PLAZA SURGERY CENTER | ||||||||||||
| 3000 HUNDERTMARK RD | CHASKA | MN | 55318 | 450975783 | SURGERY SERVICES | MN | RELATED | 306000 | 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| EXECUTIVE HEALTH MANAGEMENT SERVICES INC | ||||||||||
| 500 SOUTH MAPLE STREET | WACONIA | MN | 55387 | 411760239 | MANAGEMENT SERVICES | MN | RIDGEVIEW MEDICAL CENTER | C | 1.00000 | |
| CHARITABLE REMAINDER UNITRUST (1) | ||||||||||
| CHARITABLE TRUST | MN | T | N/A | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 |
| 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 (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RIDGEVIEW FOUNDATION | ||
| N | 463073 | EMPLOYEE SALARIES & BENEFITS |
| RIDGEVIEW FOUNDATION | ||
| B | 145135 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| E | 1041014 | FAIR MARKET VALUE |
| RIDGEVIEW FOUNDATION | ||
| C | 1100000 | ACTUAL CASH GRANT |
| RIDGEVIEW CLINICS | ||
| O | 8772316 | FAIR MARKET VALUE |
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