RIDGEVIEW MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RIDGEVIEW MEDICAL CENTER (EIN 31-1667875)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201143139349300939
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-09T13:10:58-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1225 S 6TH ST STE 2300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311667875EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIDGEVIEW MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRIDGNameControl
Phone9524422191Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGORDON GABLENZName
TitlePRESIDENTTitle
Phone9524422191Phone
Date Signed2011-11-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAWRENCE H MOHR CPAName
Phone6128764500Phone
Date Prepared2011-11-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT STEVENSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1
CityWACONIACity
StateMNState
ZIP Code55387ZIPCode
FieldValueIRS element (for citing)
Gross Receipts158298510GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RIDGEVIEWMEDICAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees1494TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI1552232TotalGrossUBI
Net Unrelated Business Txbl Income196576NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4307133ContributionsGrantsPriorYear
Contributions Grants Current Year1125073ContributionsGrantsCurrentYear
Program Service Revenue Prior Year118225894ProgramServiceRevenuePriorYear
Program Service Revenue CY143359626ProgramServiceRevenueCY
Investment Income Prior Year983840InvestmentIncomePriorYear
Investment Income Current Year265485InvestmentIncomeCurrentYear
Other Revenue Prior Year3241300OtherRevenuePriorYear
Other Revenue Current Year3927996OtherRevenueCurrentYear
Total Revenue Prior Year126758167TotalRevenuePriorYear
Total Revenue Current Year148678180TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year36342GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY730944GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year65899290SalariesEtcPriorYear
Salaries Etc Current Year74768173SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year46955TotalFundrsngExpCurrentYear
Other Expense Prior Year49300169OtherExpensePriorYear
Other Expenses Current Year68654941OtherExpensesCurrentYear
Total Expenses Prior Year115235801TotalExpensesPriorYear
Total Expenses Current Year144154058TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11522366RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4524122RevenuesLessExpensesCY
Total Assets BOY171650965TotalAssetsBOY
Total Assets EOY184644948TotalAssetsEOY
Total Liabilities BOY71768911TotalLiabilitiesBOY
Total Liabilities EOY74017883TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY99882054NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY110627065NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionRIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE HEALTH OF PEOPLE IN THE COMMUNITIES IT SERVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense121292482Expense
Grants730944Grants
Revenue142814724Revenue
DescriptionRIDGEVIEW 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 $891,754 DURING 2010. THE UNPAID COST FOR SERVICES PROVIDED TO MEDICAID AND MEDICARE PATIENTS WAS $6,110,706 AND $13,237,661 IN 2010. UNREIMBURSED COSTS ASSOCIATED WITH THE TRAINING OF HEALTHCARE PROFESSIONALS SUCH AS HIGH SCHOOL STUDENTS SHADOWING FOR INTERNSHIPS FOR PHARMACY, IMAGING, DIETARY, AND MORE TOTALED $535,612. IN 2010 THE HOSPITAL SPENT $4,811,183 ON OTHER UNCOMPENSATED COMMUNITY SERVICES INCLUDING TAXES AND FEES. THE HOSPITAL SERVED 5,721 INPATIENTS, 20,568 EMERGENCY CARE VISITS, 27,620 HOME HEALTH VISITS, 6,710 SURGERIES, 1,279 BIRTHS, XXXX AMBULANCE CALLS, AND 129,114 OUTPATIENT VISITS IN 2010. RIDGEVIEW MEDICAL CENTER SERVES MORE THAN 100,000 PEOPLE, OPERATES ONE HOSPITAL AND SEVEN MULTI-SPECIALTY CLINIC LOCATIONS.Description
Total Program Service Expense121292482TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096116NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1494NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GORDON GABLENZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9524422191TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
SHARON COOK
BOARD MEMBER, SECRETARY0.80XX200000
MARIA GLYNN
BOARD MEMBER0.80X200000
MIKE WERNER
BOARD MEMBER, CHAIR0.80XX240000
ROBERT HEETER MD
BOARD MEMBER0.80X400060070336021
DEL PLOEN
BOARD MEMBER, TREASURER0.80XX200000
MITCHELL KILIAN
BOARD MEMBER0.80X200000
WAYNE HUBIN
BOARD MEMBER0.80X160000
JEFF NELSON
BOARD MEMBER0.80X200000
JULIE HERMAN
BOARD MEMBER0.80X200000
ROBERT STEVENS
PRESIDENT40.00X325267026468
PATRICIA MICHAELSON
VICE PRESIDENT40.00X265069021583
JOHN PRONDZINSKI
VICE PRESIDENT40.00X253391019934
GORDON GABLENZ
VICE PRESIDENT40.00X201318040512
MICHAEL PHELPS
VICE PRESIDENT40.00X228148022973
DOUG STASEK
VICE PRESIDENT40.00X191657022458
SARAH HASTINGS
VICE PRESIDENT40.00X143146022331
BERNARD BUCKLAND
DIRECTOR OF SURGERY40.00174054011762X
JEFFREY MARTIN
CRNA40.00158074015164X
DEBRA DREW
CRNA40.0015686703753X
KRISTI WIDSETH
CRNA40.00150874014995X
TINA KIRSCH
CRNA40.0015365302774X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2421518TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs600703TotalReportableCompFrmRltdOrgs
Total Other Compensation260728TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MINNEAPOLIS HEART INSTITUTE
500 SOUTH MAPLE STREETWACONIAMN55387CARDIOLOGY SERVICES3178047
EMPAC
500 SOUTH MAPLE STREETWACONIAMN55387EMERGENCY ROOM SERVICES2984626
CHILDRENS HEALTHCARE
2525 CHICAGO AVENUE SOUTHMINNEAPOLISMN55404PHYSICIAN SERVICES817962
CONSULTING RADIOLOGISTS
1221 NICOLLET MALL SUITE 600MINNEAPOLISMN55403IMAGING SERVICES512195
TEAMMHC
PO BOX 1749BURNSVILLEMN55337MARKETING AND MAILINGS289822
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations1048482RelatedOrganizations
All Other Contributions76591AllOtherContributions
Total Contributions1125073TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT REVENUE621610142814724142814724
CAFETERIA722210544902$544,902
FieldValueIRS element (for citing)
Total Program Service Revenue143359626TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column979651TotalRevenueColumn
Exclusion$979,651ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2359933Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1081009Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1278924Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1278924TotalRevenueColumn
Exclusion$1,278,924ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7148515Securities
Other6500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7869181Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-720666Securities
Other6500Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-714166TotalRevenueColumn
Exclusion-$714,166ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory2222372GrossSalesOfInventory
Cost Of Goods Sold670140CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1552232TotalRevenueColumn
Unrelated Business Revenue1552232UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS621610580270$580,270
PHARMACY SERVICES621610160353$160,353
AMBULANCE SERVICES621910110192$110,192

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column246025TotalRevenueColumn
Exclusion$246,025ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1096840TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column148678180TotalRevenueColumn
Related Or Exempt Function Income142814724RelatedOrExemptFunctionIncome
Unrelated Business Revenue1552232UnrelatedBusinessRevenue
Exclusion$3,186,151ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total730944Total
Program Services730944ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2627246Total
Management And General2627246ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total58842505Total
Program Services48808169ProgramServices
Management And General10034336ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1471564Total
Program Services1175937ProgramServices
Management And General295627ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7507321Total
Program Services5736035ProgramServices
Management And General1771286ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4319537Total
Program Services3408577ProgramServices
Management And General910960ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total719942Total
Program Services71375ProgramServices
Management And General648567ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4707041Total
Program Services4660086ProgramServices
Fundraising46955Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total481623Total
Program Services479703ProgramServices
Management And General1920ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2775310Total
Program Services1767766ProgramServices
Management And General1007544ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total352330Total
Program Services352330ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3993779Total
Program Services2409586ProgramServices
Management And General1584193ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total326128Total
Program Services274324ProgramServices
Management And General51804ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total294674Total
Program Services224361ProgramServices
Management And General70313ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2515666Total
Program Services2362423ProgramServices
Management And General153243ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9368552Total
Program Services7439215ProgramServices
Management And General1929337ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total469709Total
Program Services37753ProgramServices
Management And General431956ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUG1612645216126452
DUES AND SUBSCRIPTIONS1412539714125397
BAD DEBT40636034063603
REPAIRS AND MAINTENANCE25853522270579314773
MINNESOTA CARE TAX19956731995673

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3753710Total
Program Services2772194ProgramServices
Management And General981516ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total144154058Total
Program Services121292482ProgramServices
Management And General22814621ManagementAndGeneral
Fundraising46955Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3743400BOY
EOY4946290EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY28696397BOY
EOY35676742EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17106879BOY
EOY20479497EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2621191BOY
EOY2661628EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1375843BOY
EOY1830224EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis162553314LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec82755036LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY77291165BOY
EOY79798278EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7581252BOY
EOY8676243EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33234838BOY
EOY30576046EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY171650965BOY
EOY184644948EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13951068BOY
EOY18285802EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY48144594BOY
EOY46402466EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3742000BOY
EOY3396043EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5931249BOY
EOY5933572EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY71768911BOY
EOY74017883EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY94518245BOY
EOY104546695EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4471954BOY
EOY5113315EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY891855BOY
EOY967055EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99882054BOY
EOY110627065EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY171650965BOY
EOY184644948EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4524122ReconcilationRevenueExpenses
Reconcilation Other Changes6220889ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5074102OtherCostOrOtherBasis
Book Value5074102BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis76550518OtherCostOrOtherBasis
Depreciation30543043Depreciation
Book Value46007475BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6333899OtherCostOrOtherBasis
Depreciation3719881Depreciation
Book Value2614018BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis68064415OtherCostOrOtherBasis
Depreciation48492112Depreciation
Book Value19572303BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6530380OtherCostOrOtherBasis
Book Value6530380BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings79798278TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED FINANCING COSTS506974
AMOUNTS HELD UNDER SECURITY AGREEMENT5729127
DUE FROM MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW MEDICAL CENTER319913
SELF INSURANCE RESERVES2822234
DEFFERED COMPENSATION PLAN2945264
DUE FROM RIDGEVIEW CLINICS18252534
FieldValueIRS element (for citing)
Total Book Value Other Assets30576046TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,199,502
THIRD PARTY PAYABLE$1,250,000
WORKERS COMPENSATION$1,780,338
ASSET RETIREMENT OBLIGATION$12,224
BRIDGE LOAN FROM RIDGEVIEW FOUNDATION$1,691,508
FieldValueIRS element (for citing)
Total Of Amounts5933572TotalOfAmounts
Total Revenue148678180TotalRevenue
Total Expenses144154058TotalExpenses
Excess Or Deficit For Year4524122ExcessOrDeficitForYear
Net Unrealized GL On Investments3056092NetUnrealizedGLOnInvestments
Other$3,164,797OtherAmount
Total Adjustments6220889TotalAdjustments
Excess Or Deficit Per FS10745011ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt152486939TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3056092NetUnrealizedGainsInvestments
Revenue Not Rptd F9903056092RevenueNotRptdF990
Revenue Subtotal149430847RevenueSubtotal
Other Revenues Not Included-752667OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-752667RevenueNotRptdOnFinStmt
Total Revenue Per Form990148678180TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt145905207TotExpensesEtcAuditedFinclStmt
Other Expenses Included1751149OtherExpensesIncluded
Expenses Not Rptd F9901751149ExpensesNotRptdF990
Expenses Subtotal144154058ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990144154058TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. ON JANUARY 1, 2009, THE ORGANIZATION ADOPTED A NEW STANDARD RELATED TO THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN BE RECOGNIZED IN THE FINANCIAL STATEMENTS, ONLY IF THE POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. THERE WAS NO EFFECT ON PREVIOUSLY REPORTED NET ASSETS AS A RESULT OF ADOPTING THIS NEW STANDARD.
PART XI, LINE 8 - OTHER ADJUSTMENTS:MINORITY INTEREST EARNINGS ALLOCATION -278,022. INVESTMENT IN FOUNDATION 864,541. TRANSFER FROM NONCONTROLLING INTEREST SHAREHOLDER 2,578,278.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES -1,081,009. COST OF GOODS SOLD -670,140. RELATED PARTY CONTRIBUTIONS 998,482.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 1,081,009. COST OF GOODS SOLD 670,140.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served308PersonsServed
Total Community Benefit Expense339464TotalCommunityBenefitExpense
Net Community Benefit Expense339464NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6110706TotalCommunityBenefitExpense
Net Community Benefit Expense6110706NetCommunityBenefitExpense
Percent Of Total Expense0.04180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served308PersonsServed
Total Community Benefit Expense6450170TotalCommunityBenefitExpense
Net Community Benefit Expense6450170NetCommunityBenefitExpense
Percent Of Total Expense0.04410PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served18042PersonsServed
Total Community Benefit Expense442061TotalCommunityBenefitExpense
Direct Offsetting Revenue8957DirectOffsettingRevenue
Net Community Benefit Expense433104NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served274PersonsServed
Total Community Benefit Expense535612TotalCommunityBenefitExpense
Net Community Benefit Expense535612NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served617PersonsServed
Total Community Benefit Expense15668TotalCommunityBenefitExpense
Net Community Benefit Expense15668NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense60317TotalCommunityBenefitExpense
Net Community Benefit Expense60317NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served18933PersonsServed
Total Community Benefit Expense1053658TotalCommunityBenefitExpense
Direct Offsetting Revenue8957DirectOffsettingRevenue
Net Community Benefit Expense1044701NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served19241PersonsServed
Total Community Benefit Expense7503828TotalCommunityBenefitExpense
Direct Offsetting Revenue8957DirectOffsettingRevenue
Net Community Benefit Expense7494871NetCommunityBenefitExpense
Percent Of Total Expense0.05120PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense46217TotalCommunityBuildingExpense
Net Community Building Expense46217NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense46217TotalCommunityBuildingExpense
Net Community Building Expense46217NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,198,184BadDebtExpenseAmount
Amount Attributable To234000AmountAttributableTo
Amount Reimbursed By Medicare21239348AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare34477009CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-13237661MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 WACONIA BUILDING INVESTMENTSBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityPHYSICIAN PROFESSIONAL BUILDINGDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.35000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.65000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalOtherOther
RIDGEVIEW MEDICAL CENTER
1500 SOUTH MAPLE STREETWACONIAMN55387X
MINNEAPOLIS HEART INSTITUTE AT RHCLLC
2500 SOUTH MAPLE STREETWACONIAMN55387XPROVIDES CARDIOLOGY SERVICES

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
RIDGEVIEW MEDICAL CENTER
1000000000000
MINNEAPOLIS HEART INSTITUTE AT RHC LLC
2000000000000

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

ExplanationExplanationIdentifierIdentifierReturn 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 ACCOUNT 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 $13,237,661 IN 2010. 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.
MNREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
CARVER COUNTY HEALTH PARTNERS
PO BOX 291CHASKAMN55318320182075501(C)(3)25000DONATION WAS TO HELP IMPROVE THE HEALTH OF CARVER COUNTY COMMUNITIES
RIDGEVIEW FOUNDATION
500 SOUTH MAPLE STREETWACONIAMN55387411328097501(C)(3)IN-KIND CONTRIBUTION TO RIDGEVIEW FOUNDATION INCLUDING SERVICES. THE ASSISTANCE IS TO SUPPORT THE OPERATIONS OF THE FOUNDATION.705944FAIR MARKET VALUESERVICES, SUPPLIES, ETC..
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT HEETER MD
40006007030000024250011771400063672400
ROBERT STEVENS
32526700000157420107260351735000
PATRICIA MICHAELSON
2650690000014299072840286652000
JOHN PRONDZINSKI
2533910000013056068780273325000
GORDON GABLENZ
20131800000297860107260241830000
MICHAEL PHELPS
22814800000122230107500251121000
DOUG STASEK
19165700000120420104160214115000
SARAH HASTINGS
14314600000116050107260165477000
BERNARD BUCKLAND
174054000004992067700185816000
JEFFREY MARTIN
1580740000044380107260173238000
DEBRA DREW
1568670000037280250160620000
KRISTI WIDSETH
1508740000042690107260165869000
TINA KIRSCH
1536530000027490250156427000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF WINSTED MN
416005652NONEAVAIL2007-04-275000000BUILDING ADDITION TO HOSPITAL000
CITY OF DELANO MN
416005093NONEAVAIL2007-05-144337423BUILDING ADDITION TO HOSPITAL000
CITY OF WACONIA MN
411754003NONEAVAIL2003-11-259670000REFUND PRIOR ISSUANCE AND BUILDING ADDITION000
CITY OF EXCELSIOR MN
416005143NONEAVAIL2005-07-124212750BUILD NEW CLINIC & FINANCE MRI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
5000000100000490000020070011
433742385000425232320070011
96700001176613050000200310116502339
421275082500413020020050011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001
011010.024000.000000.024001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
100000
100000
100000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF COLOGNE MN
416005068NONEAVAIL2007-03-139000000DEFEASE 1999 BONDS000
CITY OF CARVER MN
416005037NONEAVAIL2007-03-287000000DEFEASE 1999 BONDS000
CITY OF HAMBURG MN
410941733NONEAVAIL2007-04-127000000DEFEASE 1999 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
900000089500005000020070111
700000069500005000020070111
700000061024235000020070111847577

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
100000
100000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JODY WERNER
DAUGHTER-IN-LAW OF BOARD MEMBER41014SALARY AND BENEFITS0
SHIRLEY LEHRKE
WIFE OF EX-OFFICIO BOARD MEMBER48789SALARY AND BENEFITS0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6CHILDREN'S HEALTH CARE, DBA CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA, IS A MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE MAYOR OF WACONIA SERVES AS AN EX-OFFICIO NON-VOTING MEMBER OF THE BOARD. CERTAIN RIGHTS, LIKE AUTHORITY OVER CAPITAL EXPENDITURES, ARE RESERVED BY THE CITY OF WACONIA.
FORM 990, PART VI, SECTION B, LINE 11THE CFO REVIEWS THE FORM 990. THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM AFTER THE CFO'S REVIEW PRIOR TO FILING.
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 12C
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 B, LINE 15
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 VI, SECTION C, LINE 19
UNRESTRICTED NET ASSETSBEGINNING OF THE YEAR UNRESTRICTED NET ASSETS IN THE 2010 FORM 990 WILL NOT EQUAL ENDING UNRESTRICTED NET ASSETS IN THE 2009 FORM 990. THIS IS DUE TO THE RECLASSIFICATION OF THE NONCONTROLLING INTEREST IN RIDGEVIEW MEDICAL CENTER FROM OTHER LIABILITIES INTO UNRESTRICTED NET ASSETS TO MATCH WHAT WAS DONE DURING THE AUDIT OF RIDGEVIEW MEDICAL CENTER'S FINANCIAL STATEMENTS. BEGINNING OF THE YEAR PREPAID EXPENSES, OTHER ASSETS, ACCOUNTS PAYABLE & OTHER LIABILITIES WILL NOT EQUAL ENDING OF THE YEAR FROM THE 2009 FORM 990. THIS IS DUE TO THE RECLASSIFICATION OF RELATED PARTY RECEIVABLES AND PAYABLES TO SHOW THEM SEPARATELY ON SCHEDULE D, PART IX AND PART X AS PART OF OTHER ASSETS AND OTHER LIABILITIES RESPECTIVELY.FORM 990, PART X, LINE 27
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 3,056,092. MINORITY INTEREST EARNINGS ALLOCATION -278,022. INVESTMENT IN FOUNDATION 864,541. TRANSFER FROM NONCONTROLLING INTEREST SHAREHOLDER 2,578,278. TOTAL TO FORM 990, PART XI, LINE 5: 6,220,889.FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDITTHE PROCESS FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
RIDGEVIEW REAL ESTATE LLC
500 SOUTH MAPLE STREETWACONIAMN55387LAND LESSORMN499924166RIDGEVIEW MEDICAL CENTER
RIDGEVIEW REAL ESTATE II LLC
500 SOUTH MAPLE STREETWACONIAMN55387LAND LESSORMN01000RIDGEVIEW MEDICAL CENTER

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
RIDGEVIEW FOUNDATION
500 SOUTH MAPLE STREETWACONIAMN55387411328097RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTERMN501(C)(3)LINE 11A, IRIDGEVIEW MEDICAL CENTER0
RIDGEVIEW CLINICS
500 SOUTH MAPLE STREETWACONIAMN55387411651783HEALTH CARE SERVICESMN501(C)(3)LINE 3RIDGEVIEW MEDICAL CENTER0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 SOUTH MAPLE STREETAddressLine1
CityWACONIACity
StateMNState
ZIP Code55387ZIPCode
FieldValueIRS element (for citing)
EIN205785920EIN
Primary ActivityCARDIOLOGY SERVICESPrimaryActivity
Legal Domicile StateMNLegalDomicileState
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-324402ShareOfTotalIncome
Share Of EOY Assets1295361ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryType Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CREATEHEALTH INC
500 SOUTH MAPLE STREETWACONIAMN55387260594364HEALTHCARE SERVICESMNC0.48000
EXECUTIVE HEALTH MANAGEMENT SERVICES INC
500 SOUTH MAPLE STREETWACONIAMN55387411760239MANAGEMENT SERVICESMNC1.00000RIDGEVIEW MEDICAL CENTER
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
RIDGEVIEW FOUNDATION
C1048482AMOUNT TRANSFERRED
RIDGEVIEW FOUNDATION
N508635EMPLOYEE SALARIES & BENEFITS
RIDGEVIEW FOUNDATION
B197309FAIR MARKET VALUE
RIDGEVIEW FOUNDATION
E1691508FAIR MARKET VALUE
RIDGEVIEW CLINICS
N7723862AMOUNT TRANSFERRED

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.