2012-11-06T14:26:13-06:00 2011-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST STE 2300 MINNEAPOLIS MN 55402 990 2011-01-01 311667875 RIDGEVIEW MEDICAL CENTER RIDG 9524422191 500 SOUTH MAPLE STREET WACONIA MN 55387 GORDON GABLENZ 9524422191 2012-11-01 1 LAWRENCE H MOHR CPA P00447603 6128764500 2011 2016-02-24 21:20:13Z ROBERT STEVENS 500 SOUTH MAPLE STREET WACONIA MN 55387 180891892 0 X WWW.RIDGEVIEWMEDICAL.ORG X 1999 MN TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES. 9 7 1627 300 1688490 136131 1125073 1193038 143359626 156374640 265485 2139168 3927996 3849942 148678180 163556788 730944 636208 0 0 74768173 86559788 0 0 27358 68654941 77965442 144154058 165161438 4524122 -1604650 184644948 183569933 74017883 75263718 110627065 108306215 X RIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES. 0 0 141475262 636208 157556271 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. 141475262 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 90 0 1 1627 1 1 1 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MN X GORDON GABLENZ 9524422191 500 SOUTH MAPLE STREET WACONIA MN 55387 X SHARON COOK 0.80 X 1600 0 0 MARIA GLYNN 0.80 X X 1600 0 0 MIKE WERNER 0.80 X 2000 0 0 ROBERT HEETER MD 0.80 X 5400 582751 31487 DEL PLOEN 0.80 X 1600 0 0 MITCHELL KILIAN 0.80 X X 1600 0 0 WAYNE HUBIN 0.80 X X 1600 0 0 JEFF NELSON 0.80 X 1600 0 0 JULIE HERMAN 0.80 X X 1600 0 0 ROBERT STEVENS 44.50 X 324892 0 354126 PATRICIA MICHAELSON 50.00 X 212128 0 23869 JOHN PRONDZINSKI 50.00 X 194366 0 20953 GORDON GABLENZ 49.00 X 192974 0 24337 MICHAEL PHELPS 40.00 X 213247 0 23392 DOUGLAS STASEK 2.50 X 177060 0 22891 SARAH HASTINGS 50.00 X 154003 0 23218 BERNARD BUCKLAND 40.00 X 173525 0 12710 JEFFREY MARTIN 40.00 X 159329 0 15809 GREGORY ERICKSON 40.00 X 154012 0 4721 KRISTI WIDSETH 40.00 X 162187 0 5255 JENNIFER CHARBONNET 40.00 X 153817 0 15619 2290140 582751 578387 50 0 1 0 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 5 1100000 93038 1193038 NET PATIENT REVENUE 621610 155790688 155790688 CAFETERIA 722210 583952 583952 156374640 933353 933353 3540290 2560469 979821 979821 979821 15178704 25565 13990715 7739 1187989 17826 1205815 1205815 2321561 776181 1545380 1545380 MISCELLANEOUS 621610 790101 646991 143110 PHARMACY SERVICES 621610 267162 267162 GIFT SHOP REVENUE 900099 129769 129769 137709 137709 1324741 163556788 157556271 1688490 3118989 636208 636208 1650654 1650654 71488386 58820319 12668067 1866153 1484421 381732 6780387 4829681 1950706 4774208 3817575 956633 544007 27608 516399 94726 94726 21415055 21387697 27358 594661 590113 4548 3854169 2341319 1512850 463364 463364 6735428 6735428 300391 263617 36774 443167 262608 180559 2520895 2367652 153243 10042858 8637206 1405652 785469 30101 755368 UNRELATED BUSINESS INCO 164636 164636 MEDICAL SUPPLIES & DRUG 16752735 16752735 BAD DEBT 3911573 3911573 REPAIRS AND MAINTENANCE 2908639 2430265 478374 6433669 5685772 747897 165161438 141475262 23658818 27358 4946290 4188252 35676742 32026296 20479497 20750864 2661628 3144222 1830224 2422541 172808422 93089863 79798278 79718559 8676243 9736180 30576046 31583019 184644948 183569933 18285802 17632001 46402466 44578948 3396043 7501495 5933572 5551274 74017883 75263718 X 104546695 101679865 5113315 5554161 967055 1072189 110627065 108306215 184644948 183569933 X -1604650 -716200 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5074102 5074102 78327752 33032157 45295595 6510713 4098390 2412323 81260664 55959316 25301348 1635191 1635191 79718559 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 9736180 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 31583019 DEFERRED COMPENSATION 1292698 THIRD PARTY PAYABLE 1425000 WORKERS COMPENSATION 1780338 ASSET RETIREMENT OBLIGATION 12224 BRIDGE LOAN FROM RIDGEVIEW FOUNDATION 1041014 5551274 163556788 165161438 -1604650 -1231134 514934 -716200 -2320850 164562304 -1231134 3336650 2105516 162456788 1100000 1100000 163556788 168498088 3336650 3336650 165161438 0 165161438 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. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 535221 535221 0.00320 5344539 2889694 2454845 0.01490 5879760 2889694 2990066 0.01810 21276 407862 9392 398470 0.00240 711 683422 683422 0.00410 116 33395 33395 0.00020 116667 116667 0.00070 22103 1241346 9392 1231954 0.00740 22103 7121106 2899086 4222020 0.02550 43214 43214 0.00030 43214 43214 0.00030 1 2160482 371000 35171246 42368958 -7197712 X 1 1 1 WACONIA BUILDING INVESTMENTS PHYSICIAN PROFESSIONAL BUILDING 0.35000 0.65000 2 1 RIDGEVIEW MEDICAL CENTER

500 SOUTH MAPLE STREET WACONIA MN 55387

X 2 MINNEAPOLIS HEART INSTITUTE AT RHCLLC

500 SOUTH MAPLE STREET WACONIA MN 55387

X PROVIDES CARDIOLOGY SERVICES 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 X 0 0 9 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 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. MINNEAPOLIS HEART INSTITUTE AT RHC, LLC 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. RIDGEVIEW MEDICAL CENTER 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. MINNEAPOLIS HEART INSTITUTE AT RHC, LLC 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. REPORTS FILED WITH STATES PART VI, LINE 7 MN SPECIALTY CLINICS - TYPE OF FACILITY DESCRIPTION: PART V, SECTION C ENDOCRINOLOGY, PEDIATRIC INTEGRATIVE MEDICINE, DERMATOLOGY, PODIATRY, PULMONOLOGY, RHEUMATOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, BARIATRIC 1 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) 608208 FAIR MARKET VALUE SERVICES, SUPPLIES, ETC.. IN-KIND CONTRIBUTION TO RIDGEVIEW FOUNDATION INCLUDING SERVICES. THE ASSISTANCE IS TO SUPPORT THE OPERATIONS OF THE FOUNDATION. 2 X X 0 1 0 0 0 0 0 0 0 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 PART I, LINE 4B ROBERT STEVENS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT SPLIT-DOLLAR WHOLE LIFE PLAN. ACCRUED 329,401.67 DURING 2011. 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 5000000 100000 4900000 2007 0 0 1 1 4337423 85000 4252423 2007 0 0 1 1 9670000 6502339 117661 3050000 2003 1 0 1 1 4212750 82500 4130250 2005 0 0 1 1 0 0 0 0 1 0 0 0 0 1 0 1 1 1 0 0.02400 0.02400 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 X 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 9000000 8950000 50000 2007 0 1 1 1 7000000 6950000 50000 2007 0 1 1 1 7000000 6102423 50000 847577 2007 0 1 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 JODY WERNER DAUGHTER-IN-LAW OF BOARD MEMBER 15791 SALARY AND OTHER NONTAXABLE BENEFITS 0 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. OFFICER HOURS FOR RELATED ORGANIZATIONS: 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. OVERSIGHT OF AUDIT FORM 990, PART XII, LINE 2C THE PROCESS FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEAR. 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 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 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 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 N/A T 0 1 1 0 1 0 0 0 1 0 0 1 1 1 1 0 0 0 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