2026-08-17T08:33:43-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-10-01 410724029 RIVERVIEW HEALTHCARE ASSOCIATION RIVE 2182819200 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 CARRIE MICHALSKI PRESIDENT & CEO 2182819200 2026-08-14 1 1 JUSTIN HARTERT P02236744 5074467100 2026-08-14 2024 2025-03-06 01:10:19Z RIVERVIEW HEALTH AND SUBSIDIARY CARRIE MICHALSKI 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 68204739 0 X WWW.RIVERVIEWHEALTH.ORG X 1898 MN RIVERVIEW HEALTH PROVIDES WORLD-CLASS HEALTHCARE THROUGH A CULTURE OF EXCELLENCE THAT PROVIDES ACCESS TO OUR COMMUNITY FOR ALL HEALTHCARE NEEDS SERVING AS AN ADVOCATE FOR OUR COMMUNITY, PATIENTS, MEDICAL STAFF AND EMPLOYEES. 11 9 384 30 0 0 396811 84748 60356877 67410145 582199 264269 1542953 445527 62878840 68204689 0 0 0 0 31344833 33769784 0 0 0 36713129 37650318 68057962 71420102 -5179122 -3215413 76522410 71890970 60213030 58703888 16309380 13187082 X WE DELIVER A HEALTHCARE EXPERIENCE THAT CONSISTENTLY EXCEEDS PATIENTS' EXPECTATIONS THROUGH EXCEPTIONAL PEOPLE - OUR PEOPLE ARE OUR FOUNDATION. WE EMPLOY TRUSTED, DEDICATED PROFESSIONALS WHO SERVE WITH COMPASSION, EMPATHY AND RESPECT. EXCEPTIONAL CARE - OUR PATIENTS ARE OUR FOCUS. WE BUILD RELATIONSHIPS TO DELIVER PERSONALIZED CARE. EXCEPTIONAL OUTCOMES - OUR PASSION IS TO ENHANCE LIVES. WE ENGAGE IN THE BEST PRACTICES TO HEAL PEOPLE AND PROMOTE HEALTHY COMMUNITIES. 0 0 56537064 0 64936502 RIVERVIEW HEALTHCARE DIRECTLY PROVIDES OR SUPPORTS THE PROVISION OF A CONTINUUM OF QUALITY, ACCESSIBLE AND COST-EFFECTIVE SERVICES FOCUSED ON THE NEEDS OF INDIVIDUALS. RIVERVIEW STRIVES TO MEET AREA MEDICAL NEEDS AND IMPROVE THE PHYSICAL AND MENTAL WELLBEING FOR PEOPLE OF THE AREA. THE HOSPITAL IS A MODERN 25-BED ACUTE CARE CRITICAL ACCESS HOSPITAL. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2025, THE HOSPITAL HAD 538 ADMISSIONS, 1,088 PATIENT DAYS, 48,342 OUTPATIENT VISITS, 1,646 SURGERIES, AND 6,776 ER PATIENT VISITS. THE CLINICS PROVIDE A WIDE RANGE OF SERVICES INCLUDING FAMILY PRACTICE DOCTORS AND SPECIALTY DOCTORS. FOR THE YEAR ENDED SEPTEMBER 30, 2025, CLINIC PATIENT VISITS WERE 35,147. 1618314 0 1005548 RIVERVIEW HOME CARE IS A FULL SERVICE HOME CARE AGENCY PROVIDING 24-HOUR ACCESS TO ON CALL NURSES, ROUTINE SERVICE ON WEEKENDS AND HOLIDAYS, AND A FULL RANGE OF THERAPY SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2025, THERE WERE 810 HOME CARE PATIENTS AND 9,258 PATIENT VISITS. RIVERVIEW ASSISTED LIVING PROVIDES SERVICE TO RESIDENTS IN CROOKSTON. ASSISTANCE FOR THOSE UNABLE TO LIVE ALONE WITHOUT AID INCLUDES HOUSEKEEPING, HELP DRESSING, BATHING, PREPARING MEALS, MEDICATION SET-UP AND MANY OTHER SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2025, THERE WERE 126 ASSISTED LIVING PATIENTS AND 3,590 PATIENT VISITS. 896511 0 1468095 RIVERVIEW RECOVERY CENTER PROVIDES A DAY TREATMENT AND OUTPATIENT TREATMENT PROGRAM EFFECTIVE FOR THE ADULT WHO IS ABUSING OR DEPENDENT ON ONE OR MORE MOOD-ALTERING CHEMICALS. THE RECOVERY CENTER OPERATES CLINICS IN CROOKSTON, EAST GRAND FORKS, THIEF RIVER FALLS, AND ROSEAU, MINNESOTA. FOR THE YEAR ENDING SEPTEMBER 30, 2025, RECOVERY CENTER HAD 11,374 OUTPATIENT VISITS. 59051889 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 114 0 1 384 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X CARRIE MICHALSKI 2182819407 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 DR ERIK KANTEN TRUSTEE/PHYSICIAN 41.00 0.00 X 390960 0 92234 DR BRETT VIBETO TRUSTEE/PHYSICIAN 41.00 0.00 X 463078 0 92433 STEPHANIE HARBOTT CHAIR 4.00 0.00 X X 0 0 0 TIM BRINKMAN VICE CHAIR 2.00 0.00 X X 0 0 0 GRANT GUNDERSON SECRETARY 2.00 0.00 X X 0 0 0 LORI KELLER TREASURER 2.00 0.00 X X 0 0 0 KARI KOENIG TRUSTEE 1.00 0.00 X 0 0 0 MICHELLE COTE TRUSTEE 1.00 0.00 X 0 0 0 TANNER HOLTEN TRUSTEE 1.00 0.00 X 0 0 0 NICOLE HELDSTAB TRUSTEE 1.00 0.00 X 0 0 0 JUDY HULST TRUSTEE 1.00 0.00 X 0 0 0 CARRIE MICHALSKI PRESIDENT & CEO 40.00 1.00 X 334521 0 92403 BETTY ARVIDSON CFO / VP OF FINANCE 40.00 1.00 X 180821 0 72916 APRIL GRUNHOVD CNO/VP OF PATIENT SERVICES 40.00 0.00 X 179179 0 40178 LANCE NORMAN VP OF ANCILLARY SERVICES 40.00 0.00 X 157542 0 65205 CHRIS BRUGGEMAN COO / VP OF OPERATIONS 40.00 0.00 X 153564 0 43778 JEAN TATE VP OF HUMAN RESOURCES (THRU 12/24) 40.00 0.00 X 213080 0 78194 DR OLATUBOSUN FASHORO PHYSICIAN / CHIEF OF STAFF 40.00 0.00 X 1014739 0 124389 DR RAM PANERU PHYSICIAN 40.00 0.00 X 901907 0 124064 DR COLIN FENNELL PHYSICIAN 40.00 0.00 X 826980 0 62378 DR KARI WESSMAN PHYSICIAN 40.00 0.00 X 504908 0 74717 DR MANEESH KANAL PHYSICIAN 40.00 0.00 X 329778 0 57665 5651057 0 1020554 57 0 1 0 SUNNY S KIM MD PA 1601 HWY 13 E SUITE 100 BURNSVILLE MN 55337 CONTRACT PHYSICIANS 2901639 SANFORD MEDICAL CENTER PO BOX 5074 SIOUX FALLS SD 571175074 VARIOUS SERVICES (IT, LAB, CONTRACTED ME 679970 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 753734606 CONTRACT PHYSICIANS 603911 CLIFTONLARSONALLEN 220 S 6TH ST SUITE 300 MINNEAPOLIS MN 55402 ACCOUNTING SERVICES 161786 ELEVATE MEDICAL SOLUTIONS LLC 345 W WASHINGTON AVE MADISON WI 53703 LAB TESTING 100432 21 61224 23524 84748 RIVERVIEW HOSPITAL 621990 38508758 38508758 PHYSICIAN CLINICS 621110 24870938 24870938 340B PHARMACY REVENUE 446610 1525160 1525160 RIVERVIEW RECOVERY 621990 1468095 1468095 HOME HEALTH/ASSISTED LIVING 621610 1005529 1005529 31665 31665 67410145 264319 264319 50 -50 -50 -50 OTHER OPERATING REVENUE 621990 262026 262026 CAFETERIA 722514 183501 183501 445527 68204689 67410145 0 709796 X 2656422 1328211 1328211 25197362 22182385 3014977 1150912 1093283 57629 3160399 2940563 219836 1604689 1463327 141362 3500 242 3258 237469 237469 144323 144323 18044 18044 10485276 7310803 3174473 443755 323943 119812 1187853 867137 320716 974675 711516 263159 1203553 395701 807852 293199 214036 79163 2332812 2332812 3897583 3897583 379428 379428 MEDICAL SUPPLIES 7192273 7124946 67327 PHARMACEUTICALS 3144564 2295544 849020 BAD DEBT EXPENSE 1822779 1822779 MAINTENANCE & REPAIRS 1334973 882459 452514 2554259 1864619 689640 71420102 59051889 12368213 0 2179 973065 14226076 10930327 11334761 12372513 488625 872135 1393605 1711492 295768 457276 98731928 55088007 46971109 43643921 118010 124249 1692277 805992 76522410 71890970 7083741 7118893 51797250 50127720 79 79 165596 44590 1166364 1412606 60213030 58703888 X 16309380 13187082 16309380 13187082 76522410 71890970 -3215413 93115 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5921 5921 0 PART II-B, LINE 1: RIVERVIEW HEALTHCARE ASSOCIATION PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY THAT HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MINNESOTA HOSPITAL ASSOCIATION THAT WERE USED FOR LOBBYING. 0 1 X 1269780 1550000 17458 2837238 1156634 17845 95771 470 1269780 1105089 23253 29556 1264 1156634 1216280 13055 -124195 51 1105089 1187673 1805 91830 65028 1216280 1.00000 0.00000 0.00000 0 1 1 1133890 1133890 76560853 37808145 38752708 20714541 17033341 3681200 322644 246521 76123 43643921 ESTIMATED WORKERS' COMPENSATION CLAIMS 204400 OPERATING LEASE PAYABLE 758206 THIRD PARTY PAYABLE 450000 1412606 PART IV, LINE 2B: THE HOSPITAL IS A CUSTODIAN OF FUNDS FOR RESIDENTS. THE HOSPITAL HOLDS THESE FUNDS FOR PURCHASES MADE BY THE RESIDENTS. PART V, LINE 4: RIVERVIEW HEALTHCARE'S ENDOWMENT INCLUDES FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE MAINTAINED IN THE RIVERVIEW HEALTHCARE FOUNDATION. THE FUNDS ARE USED TO PROVIDE TO THE RESIDENTS OF IT SERVICE AREA, QUALITY HEALTHCARE AND RELATED HEALTH SERVICES, EDUCATION, RESEARCH, PROMOTION OF HEALTH AND OTHER ACTIVITIES IN THE COMMUNITY. THE CONTRIBUTIONS RAISED BY THE FOUNDATION ARE GRANTED TO RIVERVIEW HEALTHCARE ASSOCIATION TO PURCHASE MEDICAL EQUIPMENT AND SUPPLIES FOR PROMOTION OF HEALTHCARE IN THE COMMUNITY. 1 1 X 1 X 1 X 1 1 0 1 1 6155666 4873896 1281770 0.01840 6155666 4873896 1281770 0.01840 65534 65534 0.00090 90818 90818 0.00130 7983593 6536584 1447009 0.02080 8826 8826 0.00010 8148771 6536584 1612187 0.02310 14304437 11410480 2893957 0.04150 1 1822939 241531 14748823 10071264 4677559 X 1 1 1 1 RIVERVIEW HOSPITAL 323 SOUTH MINNESOTA ST CROOKSTON MN 56716 WWW.RIVERVIEWHEALTH.ORG 375398 X X X X RIVERVIEW HOSPITAL 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V, SECTION B, LINE 7D X X 1 24 1 SEE PART V, SECTION B, LINE 7D 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X SEE PART V, SECTION B, LINE 16J X X X X X X X 1 X 0 X X X 1 X 0 0 RIVERVIEW HOSPITAL PART V, SECTION B, LINE 5: RIVERVIEW HEALTH'S EXECUTIVES LED THE PLANNING, CONDUCT, AND REPORTING OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE CONTRACTED WITH CLIFTONLARSONALLEN LLP, A PROFESSIONAL SERVICES FIRM, TO CONDUCT COMMUNITY INTERVIEWS AND TO ASSIST IN PREPARING THIS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND THE HOSPITAL'S IMPLEMENTATION STRATEGY.THE INFORMATION WAS GATHERED THROUGH ONE-ON-ONE AND SMALL GROUP INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS. THE INFORMATION WAS GATHERED FROM PEOPLE IN PUBLIC HEALTH, GOVERNMENT HEALTH AND OTHER GOVERNMENT AGENCIES, LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.THE FOLLOWING AGENCIES, ORGANIZATIONS, AND BUSINESSES PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS, AND OBSERVATIONS. WE THANK THEM FOR THEIR PAST AND CONTINUED ASSISTANCE. - POLK COUNTY PUBLIC HEALTH DEPARTMENT- PENNINGTON & RED LAKE COUNTY PUBLIC HEALTH & HOME CARE- POLK COUNTY SHERIFF'S DEPARTMENT- RED LAKE COUNTY SHERIFF'S OFFICE- CROOKSTON POLICE DEPARTMENT- RIVERVIEW HEALTH- TRI-VALLEY OPPORTUNITY COUNCIL- TRI-COMMUNITY CORRECTIONS - ALLUMA RIVERVIEW HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.RIVERVIEWHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/CHNA AND IMPLEMENTATION STRATEGY DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/1F6108B270F543228714C5DDC76849F1/RVHEALTH_CHNA2025_WIMPLEMENTATIONSTRAGEGY.PDF RIVERVIEW HOSPITAL PART V, SECTION B, LINE 11: IN SEPTEMBER OF 2025, RIVERVIEW HEALTH PUBLISHED ITS FIFTH CHNA REPORT. IN CONDUCTING OUR COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH COLLECTED INFORMATION ABOUT COMMUNITY HEALTH NEEDS THROUGH INTERVIEWS IN THE SUMMER OF 2025. THESE FINDINGS WERE SUPPLEMENTED WITH QUANTITATIVE DATA OBTAINED FROM VARIOUS PUBLIC SOURCES. BASED ON THAT COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH IDENTIFIED OBESITY AS THE PRIMARY SIGNIFICANT COMMUNITY HEALTH NEED AND SUBSTANCE ABUSE AND MENTAL HEALTH AS THE SECOND SIGNIFICANT COMMUNITY HEALTH NEED. RIVERVIEW HEALTH IS PLEASED TO SUBMIT THIS IMPLEMENTATION STRATEGY. WE DO SO BOTH AS A MATTER OF COMPLIANCE WITH SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE, AS MANDATED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AND AS AN OBLIGATION TO THOSE WE SERVE. AS AN ORGANIZATION, WE HAVE TAKEN THIS CHANGE IN LAW AS AN OPPORTUNITY TO IMPROVE OUR COMMUNITY SERVICE AND CONTINUOUSLY FOCUS ON MEETING THE CHANGING HEALTH CARE NEEDS OF OUR COMMUNITY. CONSISTENT WITH THE REQUIREMENTS OF SECTION 501(R)(3), THIS IMPLEMENTATION STRATEGY IDENTIFIES RIVERVIEW HEALTH'S PLANNED RESPONSE TO EACH SIGNIFICANT COMMUNITY HEALTH NEED. IF RIVERVIEW HEALTH DOES NOT PLAN TO ADDRESS A HEALTH NEED, THIS IMPLEMENTATION STRATEGY EXPLAINS WHY.OBESITY:OBESITY, RESULTING FROM BOTH POOR NUTRITION AND LACK OF PHYSICAL ACTIVITY, IS A MAJOR PROBLEM IN MINNESOTA. OBESITY IS ONE OF THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN THE PREVIOUS ASSESSMENTS, AND THE COMMUNITY IS STILL CONCERNED WITH THE SITUATION IN 2025. HEART DISEASE, PRE-DIABETES, AND DIABETES ARE ON THE RISE. CAUSES OF THESE ISSUES VARY AND INCLUDE LIMITED ACCESS TO HEALTHY FOODS, A LACK OF COMMUNITY ACTIVITY SPACES AND ACTIVITIES, PARENTS AND CHILDREN SPENDING TOO MUCH TIME ON PHONES AND PLAYING WITH ELECTRONICS, MANY NOT BEING ABLE TO AFFORD HEALTHY FOOD CHOICES, AND SOME CHOOSING TO BE INACTIVE. IN ADDITION TO HIRING A REGISTERED DIETICIAN THAT SPECIALIZES IN EDUCATION AND PLANNING FOR HEALTHY DIET AND WEIGHT MANAGEMENT, RIVERVIEW HAS HIRED HEALTH COACHES TO OFFER A TEAM-BASED APPROACH TO CHRONIC DISEASE MANAGEMENT AND OBESITY. THIS POSITION WILL WORK COLLABORATIVELY WITH CLINICIANS, PATIENTS, AND OTHER SERVICE PROVIDERS TO BETTER MANAGE CHRONIC CONDITIONS IN THE COMMUNITY, INCLUDING DIABETES AND OBESITY. RIVERVIEW OBTAINED CERTIFICATION IN HEALTH HOME IN 2019 AND WILL CONTINUE TO DEVELOP AND EXPAND HEALTH HOME SERVICES TO PATIENTS IN THE COMMUNITY. DR. COMFORT OLAYIOYE, MD IS PURSUING A CERTIFICATION IN OBESITY MEDICINE WITH A PLAN TO OFFER THAT EXPERTISE TO PATIENTS BY THE END OF 2026. RIVERVIEW HEALTH WILL CONTINUE TO OFFER EDUCATIONAL OPPORTUNITIES FOR THOSE SEEKING EDUCATION IN DIABETES AND NUTRITION; AND WILL CONTINUE TO SUPPORT PREVIOUSLY MENTIONED HEALTHY LOCAL INITIATIVES SUCH AS POWER OF PRODUCE (PROVIDING FREE FRUITS AND VEGETABLES TO CHILDREN AND SENIOR CITIZENS AT THE LOCAL FARMERS MARKET), THE OX CART DAYS 5K, AND A YOUTH DODGE BALL TOURNAMENT. IN 2025, RIVERVIEW JOINED AN ACCOUNTABLE CARE ORGANIZATION (ACO) THROUGH THE HEADWATERS CLINICAL INTEGRATED NETWORK. HEADWATERS MISSION IS TO ADVANCE A SUSTAINABLE NETWORK OF RURAL MINNESOTA HOSPITALS AND CLINICS THAT COLLABORATIVELY INCREASE CLINICAL QUALITY AND SHARE RESOURCES TO IMPROVE COMMUNITY HEALTH. THROUGH THE ACO RIVERVIEW HAS ACCESS TO CLINICAL INFORMATION THAT HELPS TARGET INTERVENTIONS AROUND SPECIFIC QUALITY GOALS THAT NOT ONLY TARGET OBESITY BUT ALSO OVERALL WELLNESS:CHRONIC CONDITIONS:-DIABETES: GLYCEMIC STATUS ASSESSMENT > 9% -CONTROLLING HIGH BLOOD PRESSUREBEHAVIORAL HEALTH:-SCREENING FOR DEPRESSION AND FOLLOW UP PLAN WELLNESS AND PREVENTION:-BREAST CANCER SCREENINGSUBSTANCE ABUSE AND MENTAL HEALTHRIVERVIEW HEALTH ALREADY OFFERS OUTPATIENT ADDICTION SERVICES THROUGH ITS RIVERVIEW RECOVERY CENTER. RIVERVIEW RECOVERY CENTER PROVIDES AN EXTENSIVE LIST OF OUTPATIENT PROGRAMS THAT ALLOW PATIENTS THE ABILITY TO RECEIVE HIGH-CALIBER CLINICAL CARE WHILE MAINTAINING COMMITMENTS TO WORK, FAMILY, AND HOME. OUTPATIENT SERVICES ARE AVAILABLE AT ALL OF RIVERVIEW RECOVERY'S LOCATIONS: CROOKSTON, EAST GRAND FORKS, ROSEAU AND THIEF RIVER FALLS. RIVERVIEW RECOVERY CENTER PROVIDES ACCESS TO SERVICES BOTH IN PERSON, AND THROUGH THE USE OF TELEMEDICINE. TREATMENTS INCLUDE: COMPREHENSIVE SUBSTANCE USE ASSESSMENTS:COMPREHENSIVE ASSESSMENTS IDENTIFY SUBSTANCE-RELATED NEEDS, CO-OCCURRING CONDITIONS, MEDICAL AND FUNCTIONAL CONCERNS, STRENGTHS, AND RECOVERY SUPPORTS TO DETERMINE ASAM-ALIGNED LEVEL OF CARE AND INDIVIDUALIZED TREATMENT PLANNING. INDIVIDUAL AND GROUP COUNSELING:INDIVIDUAL AND GROUP COUNSELING ADDRESS SUBSTANCE-RELATED NEEDS, RELAPSE RISK, AND SKILL DEVELOPMENT TO SUPPORT SUSTAINED RECOVERY AND INTEGRATION OF TREATMENT GAINS INTO DAILY LIVING. TREATMENT COORDINATION: TREATMENT COORDINATION PROVIDES ONE-TO-ONE ASSISTANCE WITH CARE PLANNING, REFERRALS, FOLLOW-UP FOR MEDICAL AND MENTAL HEALTH SERVICES, LINKAGE TO SOCIAL SERVICES AND HOUSING RESOURCES, AND DOCUMENTATION OF COORDINATED CARE ACTIVITIES. PEER RECOVERY SUPPORT SERVICES:PEER RECOVERY SUPPORT SERVICES ARE PROVIDED TO OFFER MENTORSHIP, RECOVERY EDUCATION, ADVOCACY, AND SUPPORT IN ACCESSING ONGOING TREATMENT AND COMMUNITY-BASED RECOVERY RESOURCES. ASAM LEVEL 0.5, LEVEL 1.0 & ASAM LEVEL 2.1 OUTPATIENT TREATMENT-ASAM LEVEL 0.5 DWI / EARLY INTERVENTION EDUCATION (1016 HOURS):PROVIDES STRUCTURED EDUCATION IN A BLENDED HYBRID FORMAT (ON-LINE AND IN-PERSON) AND IS FOCUSED ON EARLY INTERVENTION, SUBSTANCE USE EDUCATION, RISK AWARENESS, DECISION-MAKING, AND PREVENTION OF FUTURE SUBSTANCE-RELATED PROBLEMS. ASAM LEVEL 1.0 OUTPATIENT TREATMENT (LONG-TERM REMISSION MONITORING):PROVIDES UP TO 5 HOURS OF SKILLED SERVICES PER MONTH TO SUPPORT RECOVERY MAINTENANCE AND ONGOING MONITORING, BASED ON ASSESSED NEED AND THE INDIVIDUAL TREATMENT PLAN. ASAM LEVEL 1.0 OUTPATIENT TREATMENT:PROVIDES 18 HOURS PER WEEK OF SKILLED SERVICES, INCLUDING INDIVIDUAL AND GROUP COUNSELING, AND EDUCATION. WITH LEVEL OF CARE ADJUSTED AS CLINICALLY INDICATED. ASAM LEVEL 2.1 INTENSIVE OUTPATIENT TREATMENT:PROVIDES A MINIMUM OF 9-19 HOURS PER WEEK OF SKILLED SERVICES, INCLUDING INDIVIDUAL AND GROUP COUNSELING, AND EDUCATION. WITH LEVEL OF CARE ADJUSTED AS CLINICALLY INDICATED. IN 2024 RIVERVIEW ADDED ADDITIONAL MENTAL HEALTH SERVICES. RIVERVIEW HEALTH WILL CONTINUE TO SUPPORT ITS EXPANDED SCOPE OF MENTAL HEALTH SERVICES THROUGH TELEHEALTH ACCESS TO PROVIDERS JUSTIN GOFF, AND JENNIFER DOTESTH:JUSTIN GOFF, MSSW, LCSW:JUSTIN GOFF IS A LICENSED CLINICAL SOCIAL WORKER WHO UNDERSTANDS THE IMPORTANCE OF ADAPTING THE CARE PLAN TO THE PATIENT. HE OFFERS TALK THERAPY FOR INDIVIDUALS AGES THREE AND UP. A GRADUATE OF THE UNIVERSITY OF LOUISVILLE, KENTUCKY, WITH A MASTER OF SCIENCE IN SOCIAL WORK, HE PROVIDES PATIENT-CENTERED, EVIDENCE-BASED SERVICES TO HELP PATIENTS ACHIEVE THEIR GOALS. A MEMBER OF THE NATIONAL ASSOCIATION OF SOCIAL WORKERS, GOFF'S MANY YEARS OF EXPERIENCE INCLUDES WORK IN:-ADDICTION COUNSELING-COGNITIVE BEHAVIORAL THERAPY-CRISIS MANAGEMENT-ACCEPTANCE AND COMMITMENT THERAPYJENNIFER DOTSETH, MSN, APRN, PMHNP-BC, PHN JENNIFER DOTSETH OFFERS ASSESSMENTS AND MEDICATION MANAGEMENT TO CHILDREN AGES SIX AND OLDER AND ADULTS THROUGH TELEHEALTH SERVICES. SHE SPECIALIZES IN TREATMENT-RESISTANT AND PERINATAL MENTAL HEALTH DISORDERS. WORKING IN HEALTHCARE SINCE 2017, DOTSETH HELD SEVERAL SUPERVISORY ROLES AS A REGISTERED NURSE IN CLINICS, MEDICAL CENTERS, AND JAIL SETTINGS IN MINNESOTA BEFORE EARNING A MASTER'S DEGREE IN NURSING AT WALDEN UNIVERSITY, MINNEAPOLIS, AND BECOMING A MENTAL HEALTH PROVIDER. DOTSETH STRIVES TO FORM HONEST AND TRANSPARENT RELATIONSHIPS WITH PATIENTS AND EXPLORES ALTERNATIVES TO MEDICATION WHEN POSSIBLE. IN ADDITION TO THE MENTAL HEALTH SERVICES RIVERVIEW OFFERS WE ALSO PARTNER WITH ALLUMA TO PROVIDE EXPANDED ACCESS TO SERVICES INCLUDING:SUICIDE PREVENTION RIVERVIEW HEALTH FOCUSES ON SUICIDE PREVENTION, MENTAL HEALTH, AND MENTAL WELLNESS. RIVERVIEW HEALTH HAS A SUICIDE PREVENTION STEERING COMMITTEE UTILIZING THE ZERO SUICIDE INITIATIVE. RIVERVIEW PARTNERS WITH THE MINNESOTA DEPARTMENT OF HEALTH AND ALLUMA WITH THE ZERO SUICIDE INITIATIVE ACTION PLAN. CRISIS TEAM ALLUMA HAS A CRISIS RESPONSE TEAM THAT WILL RESPOND TO OUR EMERGENCY DEPARTMENT IF A NEED ARISES. THE CRISIS RESPONSE TEAM ALLOWS FOR GREATER CARE COORDINATION AND ENSURES THE PATIENTS HAVE ACCESS TO THE SERVICES THEY NEED. INFORMATION ABOUT THE ALLUMA CAN BE OBTAINED FROM THEIR WEBSITE AT HTTP://WWW.ALLUMACARES.ORG/. RIVERVIEW HOSPITAL PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTNACE POLICY IS AVAILABLE AT:HTTPS://WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCECOLLECTION-POLICY/DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/8725A94B950541A79B75D88E3AD4FACC/7-9-2025-FINANCIAL-ASSISTANCE-FINAL.PDFTHE FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT:HTTPS://WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCECOLLECTION-POLICY/FINANCIAL ASSISTANCE POLICY APPLICATION DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/20B494EED80C4DBB9C19D314ACA378EE/2026-COMMUNITY-CARE-APPLICATION-FULL.PDFTHE FINANCIAL ASSITANCE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCECOLLECTION-POLICY/PLAIN LANGUAGE SUMMARY DIRECT LINK:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/20B494EED80C4DBB9C19D314ACA378EE/2026-COMMUNITY-CARE-APPLICATION-FULL.PDFIF A READER USES THIS INFORMATION TO ACCESS THE FORM ONLINE, PLEASE ENSURE THE URL IS FORMATTED IN LOWERCASE WHEN COPYING AND PASTING THE DIRECT LINKS. 10 1 - RIVERVIEW CLINIC CROOKSTON 323 S MINNESOTA STREET CROOKSTON MN 56716 OUTPATIENT CLINIC 2 - RIVERVIEW CLINIC EAST GRAND FORKS 1428 CENTRAL AVENUE NE EAST GRAND FORKS MN 56721 OUTPATIENT CLINIC/REHAB 3 - RIVERVIEW CLINIC FERTILE 306 N MILL STREET FERTILE MN 56540 OUTPATIENT CLINIC 4 - RIVERVIEW CLINIC RED LAKE FALLS 105 INTERNATIONAL DRIVE RED LAKE FALLS MN 56750 OUTPATIENT CLINIC/REHAB 5 - RIVERVIEW CLINIC THIEF RIVER FALLS 1140 VANROOY DRIVE THIEF RIVER FALLS MN 56701 OUTPATIENT CLINIC 6 - RIVERVIEW HOME CARE 721 S MINNESOTA STREET CROOKSTON MN 56716 HOME HEALTH 7 - RIVERVIEW RECOVERY CROOKSTON 721 S MINNESOTA STREET CROOKSTON MN 56716 OUTPATIENT CHEMICAL DEPENDENCY 8 - RIVERVIEW RECOVERY EAST GRAND FORKS 210 GATEWAY DRIVE NE SUITE 3 EAST GRAND FORKS MN 56721 OUTPATIENT CHEMICAL DEPENDENCY 9 - RIVERVIEW RECOVERY ROSEAU 216 CENTER STREET W 101 ROSEAU MN 56751 OUTPATIENT CHEMICAL DEPENDENCY 10 - RIVERVIEW RECOVERY THIEF RIVER FALLS 213 NORTH LEBREE AVE SUITE 100 THIEF RIVER FALLS MN 56701 OUTPATIENT CHEMICAL DEPENDENCY PART I, LINE 3C: ELIGIBILITY FOR CHARITY CARE IS BASED ON HOUSEHOLD INCOME COMPARED TO FEDERAL POVERTY GUIDELINES FOR THE INDIVIDUAL'S FAMILY SIZE. TO QUALIFY FOR CHARITY CARE, A PERSON MUST RECEIVE MEDICALLY NECESSARY CARE AT RIVERVIEW HOSPITAL AND CLINICS, BE A RESIDENT OF EITHER MINNESOTA OR NORTH DAKOTA, SUBMIT A COMPLETE CHARITY CARE APPLICATION INCLUDING REQUIRED DOCUMENTATION, AND SUBMIT EVIDENCE OF APPLICATION FOR GOVERNMENT MEDICAL ASSISTANCE. PART I, LINE 7: COSTS INCLUDED ON LINES 7A AND 7B ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS SCHEDULE H INSTRUCTIONS. THE COSTS REPORTED ON LINES 7E-7I ARE DIRECT COSTS TO THE FACILITIES FOR THE PROGRAMS DESCRIBED BELOW. PART 1, LINE 7E COSTS: COMMUNITY HEALTH SERVICES IS THE TOTAL COST OF ACTIVITIES TO IMPROVE COMMUNITY HEALTH IN THE FOLLOWING AREAS: (1)PROVIDING COMMUNITY HEALTH EDUCATION WITH HEALTH LECTURES AND WORKSHOPS TO COMMUNITIY GROUPS, HEALTH AND CAREER DAY FAIRS, FAMILY AND FRIENDS CPR CLASSES AND BY PROVIDING SPECIFIC DIAGNOSES (AUTISM) SUPPORT GROUPS; (2) PROVIDING CLINICAL SERVICES SUCH AS FREE BLOOD PRESSURE AND CHOLESTEROL SCREENING AT HEALTH FAIRS; AND (3) PROVIDING SUPPORT SERVICES LIKE ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS, MENTAL HEALTH SERVICE HOT-LINES AND BUS TRANSPORTATION VOUCHERS TO ENHANCE PATIENT ACCESS TO CARE.PART I, LINE 7F COSTS: HEALTH PROFESSIONS EDUCATION IS THE COST OF OPERATING PROFESSIONAL EDUCATION AND TRAINING PROGRAMS FOR MEDICAL STUDENTS, NURSING STUDENTS, AND TECHNICIANS. SCHOLARSHIPS ARE ALSO OFFERED TO NON-EMPLOYEES FOR NURSING AND OTHER PROFESSIONAL EDUCATION. PART I, LINE 7G: THE HOSPITAL PROVIDES CERTAIN HEALTH CARE SERVICES THAT OPERATE AT A FINANCIAL LOSS BUT ARE MAINTAINED BECAUSE THEY ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS AND IMPROVE ACCESS TO CARE WITHIN THE SERVICE AREA. THESE SERVICES ARE CONSIDERED SUBSIDIZED HEALTH SERVICES BECAUSE THE REVENUE GENERATED FROM PATIENT CARE DOES NOT FULLY COVER THE COSTS OF PROVIDING THE SERVICES.DURING THE YEAR, THE HOSPITAL PROVIDED THE FOLLOWING SUBSIDIZED HEALTH SERVICES:- ADULT AND PEDIATRIC CLINIC SERVICES- INTENSIVE CARE UNIT (ICU)- NURSERY SERVICES- SENIOR LIFE SOLUTIONS PROGRAM- EAST GRAND FORKS CLINIC- OBSERVATION BED SERVICESTHESE PROGRAMS AND SERVICES ARE ESSENTIAL TO MEETING THE HEALTH CARE NEEDS OF THE COMMUNITY AND ARE MAINTAINED DESPITE OPERATING WITH NEGATIVE MARGINS IN ORDER TO ENSURE CONTINUED ACCESS TO NECESSARY MEDICAL CARE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,822,779. PART III, LINE 2: PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANT POLICY WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE AND MULTIPLYING IT BY THE RATIO OF THE ORGANIZATION'S MEDICAID CONTRACTUAL ADJUSTMENTS TO THE TOTAL PATIENT SERVICE REVENUE AMOUNTS FROM THE HAR REPORT. PART III, LINE 4: SEE THE "PATIENT ACCOUNTS RECEIVABLE NOTE ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED FROM THE 2024 FILED MEDICARE COST REPORT. PART III, LINE 9B: THROUGHOUT THE PAYMENT AND COLLECTION PROCESS, STAFF ATTEMPTS TO IDENTIFY TO THE EXTENT POSSIBLE, PATIENTS WHICH ARE WORTHY AND APPROPRIATE FOR CHARITY CONSIDERATION. THOSE ACCOUNTS TO BE CONSIDERED FOR CHARITY REDUCTIONS ARE ASKED TO COMPLETE A FINANCIAL DISCLOSURE FORM, WHICH WILL PROVIDE PERTINENT PATIENT FINANCIAL INFORMATION NECESSARY TO DETERMINE FINANCIAL NEED. REVIEW OF POTENTIAL CHARITY REQUESTS ARE PERFORMED DAILY BY THE FINANCIAL COORDINATOR AND CERTAIN RECOMMENDATIONS ARE FORWARDED TO THE CFO FOR SIGNATURE AND APPROVAL. ALL MINNESOTA RESIDENTS, UPON REQUEST, WHO ARE UNINSURED WILL RECEIVE A PRIVATE PAY DISCOUNT DETERMINED BY THE INSURANCE COMPANY WITH WHICH RIVERVIEW HEALTH DOES THE GREATEST VOLUME. THE SOCIAL SERVICES DEPARTMENT OF RIVERVIEW HEALTHCARE WORKS CLOSELY WITH THE STATE MEDICAID ELIGIBILITY PROGRAM TO ENSURE PATIENTS HAVE ACCESS TO AVAILABLE PROGRAMS. NON-INSURED PATIENTS ARE REFERRED TO THE STATE MEDICAID ELIGIBILITY PROGRAM FOR A PROBABILITY OF ELIGIBILITY ASSESSMENT. PART VI, LINE 2: THE HOSPITAL PERFORMED PATIENT SURVEYS AND HIRED CONSULTANTS THAT PERFORM SURVEYS AND STUDIES TO DETERMINE HEALTH CARE NEEDS OF THE COMMUNITY. PART VI, LINE 3: CHARITY CARE FORMS ARE HANDED OUT IN ADMITTING AND ALSO PLACED IN COLLECTION LETTERS. MEDICAID SERVICES INFORMATION IS AVAILABLE TO PATIENTS AT REGISTRATION. THE MULTI-DISCIPLINARY DISCHARGE PLANNING COMMITTEE MEETS DAILY AND PLANS THE DISCHARGE OF PATIENTS, INCLUDING FINNANCIAL PLANNING. REFER TO APPROPRIATE AGENCIES AND PROGRAMS FOR FINANCIAL AID WHEN THE PATIENT HAS NO HOSPITAL INSURANCE OR WHEN PATIENT/FAMILY RESOURCES ARE LIMITED OR DEPLETED. PART VI, LINE 4: RIVERVIEW HEALTHCARE ASSOCIATION IS LOCATED IN CROOKSTON, MINNESOTA AND SERVES A PREDOMINANTLY RURAL COMMUNITY IN NORTHWESTERN MINNESOTA. THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF POLK AND RED LAKE COUNTIES, WHICH TOGETHER HAVE A POPULATION OF APPROXIMATELY 34,700 RESIDENTS. THE SERVICE AREA INCLUDES SEVERAL SMALL COMMUNITIES AND IS CHARACTERIZED BY LONG TRAVEL DISTANCES TO CERTAIN SPECIALTY HEALTHCARE SERVICES. POLK AND RED LAKE COUNTIES HAVE A HIGHER-THAN-AVERAGE PERCENTAGE OF OLDER ADULTS COMPARED TO STATEWIDE DEMOGRAPHICS. THE ECONOMY IS SUPPORTED PRIMARILY BY AGRICULTURE, HEALTHCARE, EDUCATIONAL SERVICES, MANUFACTURING, AND RETAIL TRADE. WHILE UNEMPLOYMENT RATES ARE GENERALLY COMPARABLE TO OR BELOW STATE LEVELS, MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS BELOW THE STATE AVERAGE AND CERTAIN POPULATIONS EXPERIENCE ECONOMIC CHALLENGES THAT MAY AFFECT ACCESS TO HEALTHCARE SERVICES. THE COMMUNITY ALSO INCLUDES MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS, AND RIVERVIEW HEALTHCARE ASSOCIATION WORKS WITH LOCAL ORGANIZATIONS, PUBLIC HEALTH AGENCIES, SCHOOLS, AND COMMUNITY PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS. PART VI, LINE 5: COMMUNITY BUILDING ACTIVITIES ARE PROGRAMS AND ACTIVITIES THAT ARE DESIGNED TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS IN THE COMMUNITY. DISASTER READINESS, REDUCING THE AIR ENVIRONMENTAL HAZARDS, SHARPS DISPOSAL AND COMMUNITY LEADERSHIP DEVELOPMENT ARE SOME PROGRAMS. RECRUITMENT OF PHYSICIANS TO THIS RURAL COMMUNITY AND PROVIDING PROGRAMS TO DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE ARE TWO OTHER ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES MN X X X X X 0 0 0 0 0 0 0 0 0 DR OLATUBOSUN FASHORO PHYSICIAN / CHIEF OF STAFF 1014739 0 0 0 0 0 19250 0 105139 0 1139128 0 0 0 DR RAM PANERU PHYSICIAN 901907 0 0 0 0 0 19250 0 104814 0 1025971 0 0 0 DR COLIN FENNELL PHYSICIAN 826980 0 0 0 0 0 19250 0 43128 0 889358 0 0 0 DR KARI WESSMAN PHYSICIAN 504908 0 0 0 0 0 19250 0 55467 0 579625 0 0 0 DR BRETT VIBETO TRUSTEE/PHYSICIAN 463078 0 0 0 0 0 19250 0 73183 0 555511 0 0 0 DR ERIK KANTEN TRUSTEE/PHYSICIAN 390960 0 0 0 0 0 19250 0 72984 0 483194 0 0 0 CARRIE MICHALSKI PRESIDENT & CEO 334521 0 0 0 0 0 19051 0 73352 0 426924 0 0 0 DR MANEESH KANAL PHYSICIAN 329778 0 0 0 0 0 0 0 57665 0 387443 0 0 0 JEAN TATE VP OF HUMAN RESOURCES (THRU 12/24) 213080 0 0 0 0 0 11719 0 66475 0 291274 0 0 0 BETTY ARVIDSON CFO / VP OF FINANCE 180821 0 0 0 0 0 11524 0 61392 0 253737 0 0 0 LANCE NORMAN VP OF ANCILLARY SERVICES 157542 0 0 0 0 0 10873 0 54332 0 222747 0 0 0 APRIL GRUNHOVD CNO/VP OF PATIENT SERVICES 179179 0 0 0 0 0 11399 0 28779 0 219357 0 0 0 CHRIS BRUGGEMAN COO / VP OF OPERATIONS 153564 0 0 0 0 0 10581 0 33197 0 197342 0 0 0 A CITY OF CROOKSTON MN 416005076 227235AV0 2017-09-21 10000000 REFUND SERIES 2007 BONDS 0 0 0 B CITY OF CROOKSTON MN 416005076 227235BL1 2019-04-24 48166705 FACILITY CONSTRUCTION 0 0 0 A 3560000 10000000 1403642 267958 8832997 1 0 1 1 B 3205000 48166705 4015135 1118209 43033361 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CITY OF CROOKSTON, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 05/24/2022 ISSUER NAME: CITY OF CROOKSTON, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 07/19/2023 FORM 990, PART VI, SECTION A, LINE 1A ALL OF THE OFFICERS OF THE HOSPITAL AND SUCH OTHER PERSONS, IF ANY, ELECTED BY THE BOARD OF DIRECTORS BY RESOLUTION SHALL CONSTITUTE THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE HOSPITAL. THE EXECUTIVE COMMITTEE SHALL ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. DURING SUCH INTERVALS AND SUBJECT TO SUCH CONTROL AND DIRECTION, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE HOSPITAL, SUBJECT TO SUCH LIMITATIONS AS THE BOARD OF DIRECTORS MAY IMPOSE. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 RIVERVIEW HEALTHCARE SHALL HAVE VOTING MEMBERS WHO MUST BE 18 YEARS OF AGE OR OLDER, PAY THE MEMBERSHIP FEE DETERMINED BY THE BOARD, MUST LIVE WITHIN 30 MILES OF THE COMMUNITIES SERVED BY RIVERVIEW AND AGREE TO ABIDE BY THE ARTICLES OF INCORPORATION, BYLAWS AND OTHER RULES OF THE HOSPITAL. ANY MEMBER WHO FAILS TO PAY ANY DUES OR ASSESSMENT MAY, AFTER REASONABLE NOTICE, HAVE HIS OR HER MEMBERSHIP CANCELLED. FORM 990, PART VI, SECTION A, LINE 7A RIVERVIEW HEALTHCARE'S BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THEIR ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B ANY AMENDMENTS MADE TO RIVERVIEW HEALTHCARE'S ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 WAS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE ACCOUNTING MANAGER FOR ACCURACY AND COMPLETENESS. THE DRAFT FORM 990 WAS SHARED ELECTRONICALLY WITH THE BOARD MEMBERS PRIOR TO A REGULARLY SCHEDULED BOARD MEETING AT WHICH THE BOARD MEMBERS AGREED TO AN ONLINE APPROVAL ONCE THE RETURN WAS COMPLETED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTERESTS POLICY SERVES TO PROTECT THE INTEGRITY OF ASSOCIATION INFORMATION, PRODUCTS, SERVICES AND EMPLOYEE EFFORTS. EMPLOYEES ARE EXPECTED TO DEVOTE THEIR BEST EFFORTS AND BE LOYAL TO THE INTERESTS OF RIVERVIEW HEALTH. RIVERVIEW RECOGNIZES THE RIGHT OF EMPLOYEES TO ENGAGE IN ACTIVITIES OUTSIDE OF THEIR EMPLOYMENT HERE, WHICH ARE OF A PRIVATE NATURE AND UNRELATED TO OUR BUSINESS. HOWEVER, A POLICY OF FULL DISCLOSURE WILL BE FOLLOWED TO ASSESS AND PREVENT POTENTIAL CONFLICTS OF INTERESTS FROM ARISING. 1. EMPLOYEES ARE NOT PERMITTED TO ENGAGE IN ACTIVITIES THAT ARE IN COMPETITION WITH THE BUSINESS ACTIVITIES OF RIVERVIEW HEALTH (EXAMPLES MAY INCLUDE, BUT ARE NOT LIMITED TO, REHAB SERVICES, CD COUNSELING, HOME CARE, OUTSIDE CONSULTATION SERVICES SUCH AS PHARMACY OR DIETETICS, OR OTHER REVENUE PRODUCING AREAS). 2. EMPLOYEES MUST DISCLOSE IN FULL, AT TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER, ANY ACTIVITY THAT THEY ENGAGE IN THAT IS SIMILAR IN NATURE OR IN DIRECT COMPETITION WITH A SERVICE OF RIVERVIEW HEALTH. 3. NO EMPLOYEE MAY ENGAGE IN OUTSIDE WORK THAT WILL INTERFERE WITH HIS OR HER PRIMARY JOB WITH RIVERVIEW HEALTH. THERE IS AN EXPECTATION OF A DUTY OF LOYALTY BY ALL EMPLOYEES. 4. NO EMPLOYEE MAY ACCEPT PAYMENT, RETAINER, COMMISSION, CONSULTING FEE OR ENTER INTO ANY OTHER FEE ARRANGEMENT OR REMUNERATIONS FOR SERVICES PROVIDED IN CONJUNCTION WITH RIVERVIEW HEALTH OTHER THAN THEIR NORMAL WAGES WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 5. NO OUTSIDE WORK MAY BE DONE DURING ANY EMPLOYEES WORK HOURS. ASSOCIATION FACILITIES, EQUIPMENT, LABOR OR SUPPLIES MAY NOT BE USED TO CONDUCT NON-RIVERVIEW HEALTH BUSINESS WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 6. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF HEALTH CARE SERVICES. 7. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF GOODS AND SERVICES TO RIVERVIEW HEALTH. 8. FAILURE TO DISCLOSE INFORMATION RELATED TO ANY OF THE ABOVE POINTS TO ADMINISTRATION MAY LEAD TO CORRECTIVE ACTION UP TO AND INCLUDING DISCHARGE. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ANNUALLY SIGN A CONFLICT OF INTEREST FORM. IF A CONFLICT OF INTEREST EXISTS, THE CONFLICTED PERSON ABSTAINS FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE RIVERVIEW HEALTHCARE ASSOCIATION BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. ANNUALLY, THE BOARD OF DIRECTORS RECEIVES COMPENSATION SURVEYS FROM HRAM AND THE MINNESOTA HOSPITAL ASSOCIATION AND USES THESE TO SET THE COMPENSATION FOR THE CEO. SIMILAR METHODS ARE USED TO SET THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. HOWEVER, THE COMPENSATION IS REVIEWED AND APPROVED BY THE ADMINISTRATION OFFICERS AND HUMAN RESOURCES. THESE PROCESSES ARE COMPLETED ANNUALLY IN JANUARY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART IX, LINE 11G MEDICAL SERVICES FEES: PROGRAM SERVICE EXPENSES 230,398. MANAGEMENT AND GENERAL EXPENSES 3,107,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,337,965. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 7,080,405. MANAGEMENT AND GENERAL EXPENSES 66,906. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,147,311. RIVERVIEW HEALTHCARE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 411699589 FUNDRAISING MN 501(C)(3) LINE 7 RIVERVIEW HEALTHCARE ASSOCIATION 1 GLENMORE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON MN 56716 411112748 CHEMICAL DEPENDENCY FINANCIAL ASSISTANCE MN 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0