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AITKIN COMMUNITY HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
AITKIN COMMUNITY HOSPITAL INC (EIN 41-0745522)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-13
IRS object ID
202402269349300525
Schema version
2022v5.0
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)
Return2024-08-13T10:31:15-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST FIRST STREET SUITE 700AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410745522EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AITKIN COMMUNITY HOSPITAL DBABusinessNameLine1Txt
Business Name Line2RIVERWOOD HEALTHCARE CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAITKBusinessNameControlTxt
Phone2189272121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCASEY JOHNSONPersonNm
Person TitleCFOPersonTitleTxt
Phone2189272121PhoneNum
Signature2024-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE BOYERPreparerPersonNm
PTINP01278549PTIN
Phone2187275025PhoneNum
Preparation2024-08-08PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEN WESTMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$138,002,756GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RIVERWOODHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionRIVERWOOD HEALTHCARE CENTER'S MISSION IS TO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. COUPLING THIS WITH OUR VISION OF BEING THE REGION'S PREFERRED HEALTH SYSTEM PROVIDING EXCEPTIONAL CARE AND OUR VALUES OF INTEGRITY, CUSTOMER SERVICE, UNITY, RESPECT, COMPASSION, EXCELLENCE AND PASSION WE FOCUSED ON SIX STRATEGIC GOALS. THESE SIX PILLARS ARE PEOPLE, CUSTOMER SERVICE, GROWTH, COMMUNITY, STEWARDSHIP AND QUALITY. WE STRIVE FOR THESE IN ALL THAT WE DO FOR OUR PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee558TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$460,980TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$463,848PYContributionsGrantsAmt
CY Contributions Grants$1,620,461CYContributionsGrantsAmt
PY Program Service Revenue$87,225,506PYProgramServiceRevenueAmt
CY Program Service Revenue$92,703,428CYProgramServiceRevenueAmt
PY Investment Income$3,240,912PYInvestmentIncomeAmt
CY Investment Income$305,703CYInvestmentIncomeAmt
PY Other Revenue$811,859PYOtherRevenueAmt
CY Other Revenue$1,468,685CYOtherRevenueAmt
PY Total Revenue$91,742,125PYTotalRevenueAmt
CY Total Revenue$96,098,277CYTotalRevenueAmt
PY Grants And Similar Paid$123,405PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$130,111CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,245,271PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$45,063,758CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$47,709,144PYOtherExpensesAmt
CY Other Expenses$49,524,206CYOtherExpensesAmt
PY Total Expenses$89,077,820PYTotalExpensesAmt
CY Total Expenses$94,718,075CYTotalExpensesAmt
PY Revenues Less Expenses$2,664,305PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,380,202CYRevenuesLessExpensesAmt
Total Assets BOY$122,550,858TotalAssetsBOYAmt
Total Assets EOY$133,201,757TotalAssetsEOYAmt
Total Liabilities BOY$51,542,238TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,455,320TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$71,008,620NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,746,437NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$81,102,291ExpenseAmt
Grant$130,111GrantAmt
Revenue$93,899,438RevenueAmt
DescRIVERWOOD HEALTHCARE CENTER'S MISSION IS TO IMPROVE HEALTH BY PROVIDING HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. COUPLING THIS WITH OUR VISION OF BEING THE REGION'S PREFERRED HEALTH SYSTEM PROVIDING EXCEPTIONAL CARE AND OUR VALUES OF INTEGRITY, CUSTOMER SERVICE, UNITY, RESPECT, COMPASSION, EXCELLENCE AND PASSION, WE FOCUSED ON SIX STRATEGIC GOALS. THESE SIX PILLARS ARE PEOPLE, CUSTOMER SERVICE, GROWTH, COMMUNITY, STEWARDSHIP AND QUALITY. WE STRIVE FOR THESE IN ALL THAT WE DO FOR OUR PATIENTS.IN 2023, RIVERWOOD ADDED MEDICAL PROVIDERS TO ITS SPECIALTY CARE STAFF TO INCREASE ACCESS FOR RESIDENTS TO OBSTETRICS/GYNECOLOGY AND ENT PHYSICIANS. FOR PRIMARY CARE, RIVERWOOD CONTINUES TO USE DIGITAL TECHNOLOGY TO ENHANCE PATIENT CARE, INCLUDING CONTINUING TELEMEDICINE VIRTUAL VISITS FOR PRIMARY CARE AND SPECIALTY CARE, AND TAPS VIRTUAL RESOURCES FOR INPATIENT CARE AS WELL. DURING THE CORONAVIRUS PANDEMIC LIMITATIONS, RIVERWOOD HEALTHCARE CENTER BEGAN GIVING PATIENTS THE OPPORTUNITY TO MEET WITH THEIR HEALTH CARE PROVIDERS VIRTUALLY FROM HOME. ONGOING, IT OFFERS GREATER CONVENIENCE FOR THOSE WHO FOUND IT DIFFICULT TO GET AWAY FROM THEIR JOB, FIND THE TIME TO TRAVEL TO THEIR CLINIC FOR AN IN-PERSON EXAM OR WHEN WEATHER CONDITIONS MAKE IT UNSAFE TO TRAVEL. DR. TIM ARNOLD SAID, "FROM A PROVIDER PERSPECTIVE, THE VIRTUAL VISIT GIVES US A NEW WAY TO CARE FOR OUR PATIENTS THAT IS MUCH BETTER THAN A PHONE VISIT. WE STILL LIKE TO BE ABLE TO SEE PATIENTS IN THE CLINIC, BUT THIS IS A GREAT OPTION FOR BOTH PROVIDERS AND PATIENTS." RIVERWOOD RECEIVED SEVERAL HOSPITAL DESIGNATIONS IN 2023. COMPREHENSIVE ADVANCED LIFE SUPPORT (CALS)- RIVERWOOD WAS THE FIRST HOSPITAL IN THE STATE OF MINNESOTA TO RECEIVE CALS DESIGNATION IN 2008 AND IT CONTINUES THROUGH TODAY. CALS CRITERIA REQUIRES ALL PROVIDERS WHO TREAT PATIENTS IN THE HOSPITAL BE CERTIFIED IN TRAUMA, ADVANCED CARDIAC LIFE SUPPORT (ACLS) AS WELL AS PEDIATRICS AND NEONATAL CARE CERTIFIED. CALS IS ONE OF THE PREMIER EDUCATION PROGRAMS FOR RURAL HEALTH CARE PROVIDERS. WITH 100% OF NURSES AND PROVIDERS TRAINED IN CALS AND SECURING RECOMMENDED EQUIPMENT, RIVERWOOD PROVES ITS COMMITMENT TO THE PEOPLE IT SERVES. RIVERWOOD HEALTHCARE CENTER WAS RECOGNIZED FOR EXCELLENCE IN WORKPLACE SAFETY AND HEALTH DURING THE 2023 MINNESOTA SAFETY AND HEALTH CONFERENCE. RIVERWOOD RECEIVED THE CONFERENCE MERITORIOUS ACHIEVEMENT: INCIDENCE RATES THAT ARE BETTER THAN THE INDUSTRY AVERAGE FOR AT LEAST THREE YEARS, AND A SCORE BETWEEN 50 AND 74 ON A 100-POINT SAFETY PROGRAM EVALUATION SCALE. FROM SAFE FACILITIES AND EQUIPMENT TO FOLLOWING THE BEST SAFETY PRACTICES, A FOCUS ON WORKPLACE SAFETY IS EMBEDDED IN ALL THAT WE DO AT RIVERWOOD. THE RIVERWOOD HEALTHCARE CENTER DIABETES SELF-MANAGEMENT EDUCATION PROGRAM HAS BEEN AWARDED CONTINUED RECOGNITION STATUS FROM THE AMERICAN DIABETES ASSOCIATION (ADA). RIVERWOOD'S PROGRAM WAS ORIGINALLY RECOGNIZED BY THE ADA IN 2005. THE PROGRAM IS A VOLUNTARY PROCESS THAT ASSURES THAT APPROVED EDUCATION SERVICES HAVE MET THE NATIONAL STANDARDS FOR DIABETES SELF-MANAGEMENT EDUCATION SERVICES. PROGRAMS THAT ACHIEVE RECOGNITION STATUS HAVE A STAFF OF KNOWLEDGEABLE HEALTH PROFESSIONALS WHO CAN PROVIDE HIGH QUALITY CARE AND INFORMATION ABOUT DIABETES MANAGEMENT FOR PARTICIPANTS. THIS DESIGNATION RECOGNIZES THE EXCELLENCE OF CARE PROVIDED TO PATIENTS WITH DIABETES WHO RECEIVE CARE FROM OUR DIABETES EDUCATION TEAM AT RIVERWOOD. WITH A MEDICAL PROVIDER'S REFERRAL, THOSE WITH DIABETES ARE OFFERED INDIVIDUAL OR GROUP EDUCATION SESSIONS TO SUCCESSFULLY MANAGE THIS CHRONIC DISEASE. RIVERWOOD HEALTHCARE CENTER EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR CRITICAL ACCESS HOSPITAL ACCREDITATION BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. THE LATEST RESULTS FROM HOSPITAL CONSUMER ASSESSMENT OF HEALTH CARE PROVIDERS AND SYSTEMS (HCAHPS) SURVEYS SHOW THAT RIVERWOOD CONSISTENTLY GETS RATED FIVE STARS, THE HIGHEST RATING OF "EXCELLENCE" FROM THE PATIENTS IT SERVES. THE FIVE-STAR RATINGS ISSUED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES ARE FOR PATIENTS' EXPERIENCE OF THEIR HOSPITAL CARE. FACTORS INCLUDE IMPORTANT TOPICS LIKE HOW WELL NURSES AND DOCTORS COMMUNICATE, HOW RESPONSIVE HOSPITAL STAFF WERE TO NEEDS, AND CLEANLINESS AND QUIETNESS OF THE HOSPITAL ENVIRONMENT. THE FIVE-STAR RATING IS BASED ON HCAHPS SURVEY DATA FROM 2021 AND 2022. THE MINNESOTA DEPARTMENT OF HEALTH RECENTLY RECERTIFIED RIVERWOOD HEALTHCARE CENTER IN AITKIN AS A LEVEL III TRAUMA HOSPITAL. AFTER PARTICIPATING IN AN INTENSE TRAINING PROCESS TO BECOME PART OF MINNESOTA'S STATEWIDE TRAUMA SYSTEM, THE AITKIN COUNTY HOSPITAL EARNED ITS INITIAL DESIGNATION IN DECEMBER 2006 AND WAS THE FIRST RURAL HOSPITAL IN MINNESOTA TO ACHIEVE THE LEVEL III DESIGNATION. "RIVERWOOD HAS A STRONG COMMITMENT TO CARING FOR TRAUMA PATIENTS WHERE RAPID MEDICAL RESPONSE IS CRITICAL TO SAVING LIVES," SAYS DR. JIM HARRIS, RIVERWOOD EMERGENCY DEPARTMENT MEDICAL DIRECTOR AND TRAUMA PROGRAM MEDICAL DIRECTOR. "THROUGH THE STATEWIDE TRAUMA SYSTEM, WE PARTICIPATE IN CONTINUOUS PERFORMANCE IMPROVEMENT ACTIVITIES AND STAFF TRAINING, ENSURING THAT ALL OUR ED NURSES AND PHYSICIANS ARE RECERTIFIED IN ADVANCED LIFESAVING AND TRAUMA CARE ANNUALLY. CONGRATULATIONS TO OUR RIVERWOOD TEAM FOR THIS BIG ACHIEVEMENT OF CONTINUOUS TRAUMA CENTER DESIGNATION OVER 17 YEARS." THE MINNESOTA TRAUMA SYSTEM FEATURES FOUR LEVELS OF CARE WITH VARYING DEGREES OF RESOURCES AVAILABLE AT HOSPITALS. LEVELS I AND II HOSPITALS HAVE THE MOST TRAUMA CARE RESOURCES. THESE ARE TYPICALLY HIGH-VOLUME TRAUMA CENTERS WITH MANY SURGICAL SUBSPECIALTIES IMMEDIATELY AVAILABLE AT THE HOSPITAL. LEVEL III AND LEVEL IV HOSPITALS DEMONSTRATE A COMMITMENT TO PROVIDING HIGH QUALITY TRAUMA CARE WITH RESPECT TO THE RESOURCES THEY HAVE AVAILABLE. LEVEL III TRAUMA CENTERS HAVE SURGEONS READILY AVAILABLE TO THE HOSPITAL BUT LACK OTHER SURGERY SUBSPECIALTIES. LEVEL IV HOSPITALS DO NOT REQUIRE SURGERY SERVICES. FOR A SEVERELY INJURED PERSON, THE TIME BETWEEN SUSTAINING AN INJURY AND RECEIVING DEFINITIVE CARE IS THE MOST IMPORTANT PREDICTOR OF SURVIVALCALLED THE "GOLDEN HOUR." THE CHANCE OF SURVIVAL DIMINISHES WITH TIME. A STRONG LOCAL TRAUMA CENTER ENHANCES THE CHANCE OF SURVIVAL, REGARDLESS OF PROXIMITY TO AN URBAN HOSPITAL OFFERING A HIGHER LEVEL OF TRAUMA CARE. "INJURY IS A LEADING CAUSE OF PREMATURE DEATH IN MINNESOTA," SAID MINNESOTA COMMISSIONER OF HEALTH DR. BROOKE CUNNINGHAM. "THE GOAL OF THE TRAUMA SYSTEM IS TO DECREASE INJURED PATIENTS' TIME TO CARE BY MAKING SURE THEIR MEDICAL NEEDS ARE APPROPRIATELY MATCHED WITH HOSPITAL RESOURCES." ON AVERAGE, TRAUMA CLAIMS THE LIVES OF 4,300 MINNESOTANS ANNUALLY. STATES WITH TRAUMA SYSTEMS HAVE SEEN SURVIVAL RATES INCREASE BY 15 TO 20 PERCENT. WIDE-SCALE PARTICIPATION IN THE VOLUNTARY TRAUMA SYSTEM ENSURES THAT A STATEWIDE, COOPERATIVE EFFORT IS IN PLACE TO CARE FOR SERIOUSLY INJURED PATIENTS. RIVERWOOD HEALTHCARE CENTER WAS RECOGNIZED BY THE MINNESOTA HOSPITAL ASSOCIATION (MHA) FOR ONE OF THE OUTSTANDING COMMUNITY PROGRAMS IN MINNESOTA WITH ITS RIVERWOOD CONNECTS PROGRAM. AT THE RECENT 2023 MHA ANNUAL MEETING, RIVERWOOD REPRESENTATIVES ACCEPTED THE AWARD FOR EXEMPLARY ACHIEVEMENT IN COMMUNITY BENEFITS FOR ADDRESSING SOCIAL DETERMINANTS OF HEALTH WITH PATIENTS. MHA SHARED THESE COMMENTS ON THE COMMUNITY BENEFITS AWARD: "THE TEAM AT RIVERWOOD RECOGNIZES THE UNIQUE NEEDS OF THE POPULATION THEY SERVE. WITH AN OLDER POPULATION IN A RURAL AREA, GETTING RESOURCES OUT TO THOSE WHO NEED THEM WAS A CHALLENGE THAT RIVERWOOD TOOK ON AND DEVELOPED COMMUNITY PARTNERSHIPS TO ADDRESS." RIVERWOOD CONNECTS PROGRAM IS A COMMUNITY HEALTH INITIATIVE THAT PROVIDES A CENTRAL PLATFORM FOR RESOURCES ADDRESSING SOCIAL INFLUENCERS OF HEALTH, SUCH AS FOOD INSECURITY, HOUSING AND TRANSPORTATION. RIVERWOOD ADDS PATIENTS TO THE PLATFORM TO ENSURE THEY CAN ACCESS THE RESOURCES THEY NEED AND PARTNERS WITH AITKIN COUNTY CARE TO ENSURE RESOURCES ARE DISTRIBUTED EFFECTIVELY. IN JUNE 2023, RIVERWOOD CONNECTS WENT LIVE WITH FIND HELP AND FOOD RX. FIND HELP IS A COLLABORATIVE EFFORT DERIVED FROM THE 2020 NEEDS ASSESSMENT COMPLETED BY THE AITKIN COUNTY COALITION, LED BY AITKIN COUNTY CARE. THE ASSESSMENT IDENTIFIED THE NEED FOR A COMMUNITY RESOURCE HUB WITH FIND HELP SELECTED AS THE ONLINE HUB OF CHOICE. THE ONLINE PLATFORM "FIND HELP" WAS BUILT IN 2010 TO OFFER AN EASIER WAY TO FIND SOCIAL SERVICES AND TO CONNECT TO THEM DIRECTLY AND ELECTRONICALLY. WITH THE FINANCIAL AND ADMINISTRATIVE ASSISTANCE FROM AITKIN COUNTY CARE, RIVERWOOD IMPLEMENTED FIND HELP IN ITS FACILITY AND COMMUNITY WIDE.Desc
Total Program Service Expenses$81,102,291TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee558EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUDY TURNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2189272121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DR JEFFREY EHNSTROM
DIRECTOR/PHYSICIAN40.00Yes (X)$409,661$0$46,767
DR TIMOTHY DIRKS
DIRECTOR1.00Yes (X)$0$0$0
HEATHER HIPP
DIRECTOR1.00Yes (X)$0$0$0
LOWELL LARSON
DIRECTOR1.00Yes (X)$0$0$0
TOM LUNDBERG
DIRECTOR1.00Yes (X)$0$0$0
JARED LUNDGREN
DIRECTOR1.00Yes (X)$0$0$0
STEVE WILSON
DIRECTOR1.00Yes (X)$0$0$0
CHRISTINE BRIGHT
SECRETARY1.00Yes (X)$0$0$0Yes (X)
CHAD GROSS
TREASURER1.00Yes (X)$0$0$0Yes (X)
MIKE PAULBECK
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
KATHLEEN RYAN
CHAIR1.00Yes (X)$0$0$0Yes (X)
KEN WESTMAN
CEO38.00$402,039$0$36,590Yes (X)2.00
CASEY JOHNSON
CFO38.00$239,131$0$43,937Yes (X)2.00
DR DAVID TAYLOR
CMO40.00$573,564$0$45,646Yes (X)
CYNTHIA BAKER
COO38.00$307,934$0$47,5262.00Yes (X)
DR JESSICA HODSON
ER PHYSICAN40.00$407,421$0$53,691Yes (X)
DR JIM HARRIS
ER PHYSICAN40.00$391,473$0$44,976Yes (X)
DR ERIK BOSTROM
PROVIDER40.00$303,003$0$45,847Yes (X)
DR TONY BLANKERS
PROVIDER40.00$287,238$0$45,694Yes (X)
TIMOTHY ARNOLD
PROVIDER40.00$280,053$0$46,137Yes (X)
TODD A SANDBERG
CEO UNTIL 7/31/21 (FORMER OFFICER)38.00$196,923$0$02.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,798,440TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$456,811TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K75IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CUYUNA REGIONAL MEDICAL CENTER
320 E MAIN STCROSBYMN56441MEDICAL/SURGICAL PROF SVCS$5,298,464
LIFE GUARD ANESTHESIA SERVICES INC
29561 395TH PLACEAITKINMN56431ANESTHESIA PROF SVCS$1,952,759
MEDICAL SOLUTIONS LLC
1010 N 102ND ST 300OMAHANE68114HOURLY LABOR$1,792,922
CENTRAL MINNESOTA DIAGNOSTICS INC
150 10TH STMILACAMN56353RADIOLOGY PROF SVCS$1,471,415
PREMIER SURGICAL ASSOCIATES PA
318 E MAIN STCROSBYMN56441MEDICAL PROF SVCS$924,204
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$479,048RelatedOrganizationsAmt
Government Grants$729,277GovernmentGrantsAmt
All Other Contributions$412,136AllOtherContributionsAmt
Total Contributions$1,620,461TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621500$92,273,709$92,273,709
RETAIL PHARMACY456110$429,719$429,719
FieldValueIRS element (for citing)
Total Program Service Revenue$92,703,428TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,577,398TotalRevenueColumnAmt
Exclusion$1,577,398ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$40,631,984SecuritiesAmt
Other$800OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$41,904,479SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,272,495SecuritiesAmt
Other$800OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,271,695TotalRevenueColumnAmt
Exclusion-$1,271,695ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OTHER REVENUE900099$798,441$798,441
EQUITY IN EARNINGS OF AFFILIATES900099$551,305$551,305
CAFETERIA900099$241,414$241,414

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$122,475TotalRevenueColumnAmt
Related Or Exempt Func Income-$153,736RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$31,261UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,468,685OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,098,277TotalRevenueColumnAmt
Related Or Exempt Func Income$93,469,719RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$460,980UnrelatedBusinessRevenueAmt
Exclusion$547,117ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$124,111TotalAmt
Program Services$124,111ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,000TotalAmt
Program Services$6,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,145,980TotalAmt
Program Services$484,554ProgramServicesAmt
Management And General$1,661,426ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,521,452TotalAmt
Program Services$29,407,072ProgramServicesAmt
Management And General$4,114,380ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,224,137TotalAmt
Program Services$1,107,889ProgramServicesAmt
Management And General$116,248ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,838,631TotalAmt
Program Services$5,185,447ProgramServicesAmt
Management And General$653,184ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,333,558TotalAmt
Program Services$2,037,785ProgramServicesAmt
Management And General$295,773ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$178,785TotalAmt
Management And General$178,785ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$165,890TotalAmt
Management And General$165,890ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,078TotalAmt
Management And General$3,078ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,921,664TotalAmt
Program Services$14,301,405ProgramServicesAmt
Management And General$1,620,259ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,420TotalAmt
Program Services$61ProgramServicesAmt
Management And General$9,359ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,564,728TotalAmt
Program Services$1,850,112ProgramServicesAmt
Management And General$714,616ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,284TotalAmt
Program Services$1,284ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$974,904TotalAmt
Program Services$848,904ProgramServicesAmt
Management And General$126,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$74,186TotalAmt
Program Services$68,528ProgramServicesAmt
Management And General$5,658ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$57,827TotalAmt
Program Services$38,812ProgramServicesAmt
Management And General$19,015ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,011,387TotalAmt
Program Services$707,197ProgramServicesAmt
Management And General$304,190ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,969,730TotalAmt
Program Services$3,345,086ProgramServicesAmt
Management And General$624,644ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$387,214TotalAmt
Management And General$387,214ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS$12,285,752$12,285,752
MEDICAL SUPPLIES$7,529,489$7,378,055$151,434
REPAIRS & MAINTENANCE$1,373,695$1,329,681$44,014
PROVISION FOR UNCOLLECT$959,995$959,995

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,055,178TotalAmt
Program Services-$365,439ProgramServicesAmt
Management And General$2,420,617ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$94,718,075TotalAmt
Program Services$81,102,291ProgramServicesAmt
Management And General$13,615,784ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,152,994BOYAmt
EOY$3,748,573EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,507,358BOYAmt
EOY$15,928,909EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,455,407BOYAmt
EOY$4,586,049EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$588,569BOYAmt
EOY$649,101EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,047,110LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$58,833,581LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,151,234BOYAmt
EOY$60,213,529EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$56,857,602BOYAmt
EOY$21,460,425EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$545,591EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,837,694BOYAmt
EOY$26,069,580EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$122,550,858BOYAmt
EOY$133,201,757EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,415,597BOYAmt
EOY$18,133,078EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,690,112BOYAmt
EOY$22,329,478EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,624,363BOYAmt
EOY$9,628,215EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,812,166BOYAmt
EOY$5,364,549EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,542,238BOYAmt
EOY$55,455,320EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$64,106,987BOYAmt
EOY$71,115,583EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,901,633BOYAmt
EOY$6,630,854EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,008,620BOYAmt
EOY$77,746,437EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$122,550,858BOYAmt
EOY$133,201,757EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,380,202ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,906,406NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts-$134,818DonatedServicesAndUseFcltsAmt
Prior Period Adjustments$6PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,586,021OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,078OtherActivitiesAmt
Total Lobbying Expenditures$3,078TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationRIVERWOOD HEALTHCARE CENTER PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF THE DUES PAID THAT WERE USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$536,857BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$50,366InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,000GrantsOrScholarshipsAmt
End Year Balance$572,223EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$656,179BeginningYearBalanceAmt
Contributions$8,000ContributionsAmt
Investment Earnings Or Losses-$111,322InvestmentEarningsOrLossesAmt
Grants Or Scholarships$16,000GrantsOrScholarshipsAmt
End Year Balance$536,857EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$593,667BeginningYearBalanceAmt
Investment Earnings Or Losses$77,512InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,000GrantsOrScholarshipsAmt
End Year Balance$656,179EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$542,002BeginningYearBalanceAmt
Contributions$250ContributionsAmt
Investment Earnings Or Losses$51,415InvestmentEarningsOrLossesAmt
End Year Balance$593,667EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$558,828BeginningYearBalanceAmt
Contributions$18,132ContributionsAmt
Investment Earnings Or Losses$31,974InvestmentEarningsOrLossesAmt
Grants Or Scholarships$26,932GrantsOrScholarshipsAmt
Other Expenditures$40,000OtherExpendituresAmt
End Year Balance$542,002EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.25479BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.47137PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27383TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,684,922OtherCostOrOtherBasisAmt
Book Value$1,684,922BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,220,368OtherCostOrOtherBasisAmt
Depreciation$25,994,715DepreciationAmt
Book Value$16,225,653BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,143,461OtherCostOrOtherBasisAmt
Depreciation$200,607DepreciationAmt
Book Value$942,854BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,677,464OtherCostOrOtherBasisAmt
Depreciation$28,896,321DepreciationAmt
Book Value$5,781,143BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,320,895OtherCostOrOtherBasisAmt
Depreciation$3,741,938DepreciationAmt
Book Value$35,578,957BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,213,529TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN RIVERWOOD MEDICAL PROPERTIES, LLC-$1,400,312
ASSETS LIMITED FOR RESERVE ACCOUNTS$959,966
ASSETS LIMITED BY AGREEMENT FOR INTEREST RATE SWAP INSTRUMENTS$6,000,000
BENEFICIAL INTEREST IN NET ASSETS-HOSPITAL FOUNDATION$6,630,853
ASSETS LIMITED BY BOARD FOR FUNDED DEPRECIATION$3,074,367
ASSETS LIMITED BY AGREEMENT FOR DEFERRED COMPENSATION$2,590,069
INVESTMENT IN CENTRAL MINNESOTA DIAGNOSTICS, INC.$1,429,610
ASSETS LIMITED BY AGREEMENT FOR WORKER'S COMPENSATION$259,387
RIGHT-OF-USE LEASE ASSET$4,637,579
INTEREST RATE SWAPS$1,888,061
FieldValueIRS element (for citing)
Total Book Value Other Assets$26,069,580TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY PAYOR SETTLEMENTS$896,000
OPERATING LEASE LIABILITY$4,468,549
FieldValueIRS element (for citing)
Total Liability$5,364,549TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$100,768,202TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,906,406NetUnrealizedGainsInvstAmt
Other Revenue$811,022OtherRevenueAmt
Revenue Not Reported$4,717,428RevenueNotReportedAmt
Revenue Subtotal$96,050,774RevenueSubtotalAmt
Other Revenues Not Included$47,503OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$47,503RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$96,098,277TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$94,312,024TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$134,818DonatedServicesUseFcltsAmt
Other Expenses Included$435,368OtherExpensesIncludedAmt
Expenses Not Reported$570,186ExpensesNotReportedAmt
Expenses Subtotal$93,741,838ExpensesSubtotalAmt
Other Expenses Not Included$976,237OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$976,237ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$94,718,075TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO BE USED AND DISTRIBUTED AS A SCHOLARSHIP OR EDUCATIONAL FUND TO AID IN THE EDUCATION AND RECRUITMENT OF HEALTH CARE PROFESSIONALS FOR RIVERWOOD HEALTHCARE CENTER.
PART X, LINE 2:NONPROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED AND IN CERTAIN OTHER INSTANCES. NONPROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE ORGANIZATION HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:IMPLICIT PRICE CONCESSIONS -959,995. DECREASE IN INTEREST IN NET ASSETS - RIVERWOOD FOUNDATION -270,779. RIVERWOOD MEDICAL PROPERTIES, LLC REVENUE 126,000. ELIMINATIONS RELATED TO RIVERWOOD MEDICAL PROPERTIES, LLC 27,735. UNREALIZED GAIN ON INTEREST RATE SWAPS 1,888,061.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SISU MEDICAL SOLUTIONS, LLC SCHEDULE K-1 ACTIVITY 31,261. GRANT EXPENSE NETTED WITH REVENUE 16,242.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RIVERWOOD MEDICAL PROPERTIES, LLC EXPENSES 561,368. ELIMINATION RELATED TO RIVERWOOD MEDICAL PROPERTIES, LLC -126,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:IMPLICIT PRICE CONCESSIONS 959,995. GRANT EXPENSE NETTED WITH REVENUE 16,242.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,372,199TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,372,199NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,846,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,444,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,402,147NetCommunityBenefitExpnsAmt
Total Expense0.01500TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,218,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,444,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,774,346NetCommunityBenefitExpnsAmt
Total Expense0.02960TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$965,033TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$965,033NetCommunityBenefitExpnsAmt
Total Expense0.01030TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,330TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,330NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$974,363TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$974,363NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,192,863TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,444,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,748,709NetCommunityBenefitExpnsAmt
Total Expense0.04000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$959,995BadDebtExpenseAmt
Reimbursed By Medicare$26,211,474ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$27,546,145CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,334,671MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD HEALTHCARE CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILL DRIVEAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTPS://RIVERWOODHEALTHCARE.ORG/WebsiteAddressTxt
State License406244StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherN/AOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1AITKIN COMMUNITY HOSPITAL DBA RIVERWOODBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 5: RIVERWOOD HEALTHCARE CENTER SOUGHT INPUT FROM KEY INFORMANTS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. IN ORDER TO DO THIS, RIVERWOOD PROVIDED A LIST OF RECOMMENDED PARTICIPANTS TO THE INDEPENDENT VENDOR, PROFESSIONAL RESEARCH CONSULTANTS, INC(PRC). THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS THEY WORK WITH AS WELL AS THE OVERALL COMMUNITY. OF THE INITIAL RECOMMENDED LIST, 51 PEOPLE PARTICIPATED AS COMMUNITY STAKEHOLDERS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT.
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 11: THE MISSION OF RIVERWOOD HEALTHCARE CENTER IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND PERSONALIZED CARE. THE IMPLEMENTATION STRATEGY IS DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF THE PEOPLE IN AITKIN COUNTY AND THEIR UNIQUE CHARACTERISTICS. THE IMPLEMENTATION STRATEGIES ARE BASED ON RIVERWOOD'S CURRENT PROGRAMMING, SURVEY DATA AND COMMUNITY INPUT. RIVERWOOD'S STRATEGIC PLAN IS DEVELOPED BY ITS LEADERSHIP TEAM AND REVIEWED ANNUALLY. THE IMPLEMENTATION STRATEGY ALSO IDENTIFIES HOW EXISTING AND PLANNED RIVERWOOD SERVICES, PARTNERSHIPS AND PROGRAMS WILL BE UTILIZED TO HELP ADDRESS COMMUNITY HEALTH NEEDS.THE IMPLEMENTATION STRATEGY FOR THE HEALTH OF AITKIN COUNTY IS THE HOSPITAL/COMMUNITY PLAN FOR ADDRESSING THE COMMUNITY HEALTH NEEDS. THE IRS DICTATES THE CONTENTS OF AN IMPLEMENTATION STRATEGY AND STATES THAT THE HOSPITAL MUST ADDRESS HOW IT BOTH INTENDS AND DOES NOT INTEND TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. RIVERWOOD'S IMPLEMENTATION STRATEGY IS DESCRIBED IN THIS SECTION OF THE REPORT. ADDRESSING OUR COMMUNITY'S NEEDS WILL BE ACCOMPLISHED BY SUSTAINING EFFORTS OPERATING WITHIN A TARGETED HEALTH PRIORITY AREA, DEVELOPING LATEST PROGRAMS AND INITIATIVES TO ADDRESS IDENTIFIED HEALTH NEEDS AND PROMOTE AND UNDERSTAND THESE NEEDS. WE WILL CONTINUE TO STAY THE COURSE AND FOLLOW OUR STRATEGIC PLAN. WE WILL CREATE THE FUTURE WE SEEK BY FOCUSING ON SIX STRATEGIC GOALS.1) COMMUNITY: EXPAND OUR COMMUNITY IMPACT TO INCREASE EMPHASIS ON HEALTH BEHAVIORS, SOCIAL/ECONOMIC FACTORS, AND ENHANCED COMMUNITY PARTNERSHIPS.2) PEOPLE: FOSTER A HIGH PERFORMING WORKPLACE3) STEWARDSHIP: ACHIEVE SUSTAINABLE OPERATING MARGIN AND MAINTAIN ADVANTAGEOUS FINANCIAL AND CASH POSITION 4) QUALITY: EVOLVE OUR CLINICAL CARE DELIVERY MODEL AND CULTURE TO ACHIEVE TOP QUALITY KEY AMBULATORY AND INPATIENT MEASURE RESULTS AND HAVE ZERO PREVENTABLE SERIOUS SAFETY EVENTS5) GROWTH: EXPAND AND ENHANCE BOTH OUR PARTNERSHIP AND PATIENT RELATIONSHIPS6) CUSTOMER SERVICE: ACHIEVE PATIENT EXPERIENCE GOALS AND CREATE A CULTURE OF CUSTOMER SERVICE ACROSS ALL SERVICE LINESPRIORITY HEALTH ISSUES RIVERWOOD WILL ADDRESS:IN CONSIDERATION OF THE TOP HEALTH PRIORITIES IDENTIFIED THRU THE CHNA PROCESS, AND CONSIDERING HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION STATEMENT, GOALS, AND STRATEGIC PRIORITIES, IT WAS DETERMINED THAT RIVERWOOD WILL FOCUS ON DEVELOPING AND/OR SUPPORTING THESE STRATEGIES AND INITIATIVES TO IMPROVE:1) MENTAL HEALTH 3) NUTRITION, PHYSICAL ACTIVITY AND WEIGHT3) HEART DISEASE & STROKEISSUES THAT RIVERWOOD WILL NOT ADDRESS INCLUDE ACCESS TO HEALTHCARE SERVICES FOR MENTAL HEALTH, DISABILITY & CHRONIC PAIN, INJURY & VIOLENCE, CANCER, ORAL HEALTH, SUBSTANCE ABUSE, AND COVID-19/ RESPIRATORY DISEASE. LIMITED RESOURCES EXCLUDED CANCER, ORAL HEALTH, SUBSTANCE ABUSE, DISABILITY AND CHRONIC PAIN AND RESPIRATORY DISEASE AS AREAS CHOSEN FOR ACTION AT THIS TIME. RIVERWOOD FEELS THAT EFFORTS OUTLINED HEREIN TO IMPROVE HEALTH CARE SERVICES WILL ALSO HAVE A POSITIVE IMPACT IN THESE AREAS. AS FOR INJURY AND VIOLENCE, RIVERWOOD BELIEVES THAT THIS PRIORITY AREA FALLS WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. CONCLUSION:IN ADDITION TO SPECIFIC STRATEGIES AND MISSION DRIVEN PROGRAMS, RIVERWOOD CONTINUES TO MAINTAIN ITS HEALTH CARE HOME CERTIFICATION USING A TEAM-BASED APPROACH TO ADDRESS SOCIAL DETERMINATES OF HEALTH AND PATIENT NEEDS. EXPANDING THE ROLE OF MENTAL HEALTH RN THROUGH BEHAVIORAL HEALTH INTEGRATION WILL SUPPORT THE PROVIDER AND PROVIDE CARE COORDINATION FOR PATIENTS TO ASSIST THEM IN CONNECTING WITH APPROPRIATE COMMUNITY RESOURCES. WE HAVE COLLABORATED WITH A COMMUNITY WIDE TASKFORCE TO INCREASE MENTAL HEALTH AWARENESS. THE GOAL IS REDUCING AVOIDABLE ED ADMISSIONS DUE TO MENTAL HEALTH CONCERNS. RIVERWOOD PARTNERS WITH AITKIN COUNTY COMMITTEE FOR THE AWARENESS AND PREVENTION OF SUICIDE (CAPS) TO BRING SUICIDE PREVENTION AWARENESS TO SCHOOL STUDENTS IN THE COUNTY AS WELL AS TO THE PUBLIC. EVENTS INCLUDED SCREENINGS, PANEL DISCUSSIONS AND CONVERSATIONS TO HELP SPREAD HOPE AND FIGHT SUICIDE THROUGHOUT AITKIN COUNTY. IN CONJUNCTION WITH PUBLIC HEALTH, RIVERWOOD IS WORKING TO DEVELOP PROGRAMS TO INCREASE AWARENESS OF DEPRESSION AND SUICIDE SINCE WE ARE SEEING INCREASED RATES IN GENERAL BUT ESPECIALLY AMONG TEENS. IN DIRECT CORRELATION WITH MENTAL HEALTH IS THE OPIOID ADDICTION CRISIS. RIVERWOOD HAS WORKED WITH THE MINNESOTA DEPARTMENT OF HEALTH IN SECURING OPIOID PREVENTION AND TREATMENT GRANTS. THESE GRANTS HELP FUND A MULTIDISCIPLINARY CONTROLLED SUBSTANCE CARE TEAM THAT CONTINUES TO PROVIDE MONTHLY OVERSIGHT TO ALL CLINIC LOCATIONS TO HELP INFORM AND EDUCATE COMMUNITY MEMBERS ABOUT SUBSTANCE ABUSE. THIS GROUP COLLABORATES WITH A LARGER PARTNERSHIP OF LOCAL AND REGIONAL HEALTH SYSTEMS, CITY AND COUNTY LAW ENFORCEMENT, AITKIN COUNTY HEALTH AND HUMAN SERVICES, AREA SCHOOL DISTRICTS AND THE MINNESOTA DEPARTMENT OF HEALTH TO TEACH BEST PRACTICES AND EDUCATE COMMUNITY MEMBERS ABOUT SUBSTANCE ABUSE, PREVENTION, AND TREATMENT. THE GOAL HERE IS TO REDUCE BOTH INAPPROPRIATE USE OF OPIOIDS BY PATIENTS AND RATES OF OPIOID ADDICTION BY INCREASING COMMUNITY WIDE AWARENESS. FOR THE AREAS OF NUTRITION, ACTIVITY, WEIGHT, AND DIABETES, RIVERWOOD PARTNERS WITH COMMUNITY EDUCATION THROUGH AITKIN AND MCGREGOR SCHOOLS AND AITKIN COUNTY PUBLIC HEALTH TO ENCOURAGE THE HEALTH AND WELLNESS OF OUR COMMUNITIES. EDUCATION ON PREVENTION AND OFFERING SUPPORT, MANAGEMENT PROGRAMS AND COMMUNITY RESOURCES SUPPORTS THE HEALTH AND WELL-BEING OF OUR POPULATION. THE PROGRAM OF LIVING WELL WITH CHRONIC CONDITIONS IS OFFERED TO RESIDENTS OF AITKIN COUNTY. A COMMUNITY WELLNESS RESOURCE GUIDE IS MAINTAINED BY RIVERWOOD AND IS AVAILABLE TO ALL PATIENTS AND COMMUNITY MEMBERS. RIVERWOOD CONTINUES TO SUPPORT A HEALTHY COMMUNITY BY PARTICIPATING IN HEALTH FAIRS, COMMUNITY WALKS/RUNS AND PROMOTING VOLUNTEERISM. REGULARLY PROVIDED REGISTERED DIETITIAN HEALTHY EATING TIPS AND RECIPES ARE AVAILABLE TO THE COMMUNITY ON OUR WEBSITE. IN CONJUNCTION WITH USDA FEDERAL FUNDED MINNESOTA DEPARTMENT OF HEALTH GUSNIP GRANT, RIVERWOOD IS IMPLEMENTING THE FOOD RX PROGRAM WHICH WILL HELP CLOSE THE GAP WITH FOOD INSECURITY. GUSNIP FRESH PRODUCE PRESCRIPTIONS BRING TOGETHER PARTNERS FROM THE FOOD AND HEALTHCARE SYSTEM TO ASSIST LOW-INCOME FAMILIES BY INCREASING PURCHASING POWER AND ACCESS TO FRESH FRUITS AND VEGETABLES. THIS PROGRAM CAN ONLY BE UTILIZED ON FRESH PRODUCE, WHICH IS OFTEN EXPENSIVE IN MINNESOTA WINTERS. A COMMUNITY HEALTH BOARD-SHIP GRANT ESTABLISHED A FARM 2 RIVERWOOD PROGRAM PROVIDING FRESH PRODUCE IN THE CAFETERIA AND OPPORTUNITIES FOR THE COMMUNITY TO PURCHASE THROUGH THE AITKIN COUNTY FARMERS MARKET HUB ONLINE PLATFORM. WEDNESDAY FARMER'S MARKETS WILL BE HELD ON CAMPUS AT RIVERWOOD TO MAKE IT EASY FOR PATIENTS AND THE COMMUNITY TO ACCESS FRESH LOCAL HEALTHY FOODS. THIS IMPLEMENTATION SUPPORTS AND COLLABORATES WITH LOCAL FARMERS AND ENGAGES LOCAL GROCERS. FOR THE AREA OF HEART DISEASE AND STROKE, RIVERWOOD UTILIZES MINNESOTA COMMUNITY MEASURES AND ACCOUNTABLE CARE ORGANIZATIONS METRICS TO MEASURE PATIENT PROGRESS TOWARDS PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS. UTILIZING THESE MEASURES WITH OUR CARE MANAGEMENT TEAM, RIVERWOOD CAN HELP KEEP PATIENTS HEALTHY AND OUT OF THE HOSPITAL CREATING SHARED SAVINGS FOR BOTH THE PATIENT AND THE FACILITY. THROUGH UTILIZATION OF SOCIAL MEDIA OUTLETS, ENEWSLETTER, OUR WEBSITE, FREE SEMINARS, AND EDUCATIONAL AWARENESS CAMPAIGNS WE PROMOTE AND INCREASE AWARENESS OF THE IMPORTANCE OF ANNUAL VISITS. NURSE CARE MANAGERS CONTACT PATIENTS TO EDUCATE THEM ON MEDICATION ADHERENCE, OFFER SMOKING SESSION PROGRAMS AND OFFER BLOOD PRESSURE CUFFS FOR PATIENTS WITH HYPERTENSIONS ISSUES FOR AT HOME MONITORING. SEE PART V, PAGE 8 FOR CONTINUATION
AITKIN COMMUNITY HOSPITAL DBA RIVERWOOD HEALTHCAREPART V, SECTION B, LINE 16J: THE HOSPITAL EMPLOYS A FINANCIAL COUNSELOR WHO IS AVAILABLE TO TALK WITH ANY PATIENT WHO FEELS THEY MAY HAVE DIFFICULTY PAYING THEIR BILL. SHE IS A TRAINED MNSURE NAVIGATOR AND CAN ASSIST ANYONE WITH CHECKING TO SEE IF THEY QUALIFY FOR MEDICAL ASSISTANCE, MNCARE OR IF THEY COULD PURCHASE AN INSURANCE. SHE OFFERS INFORMATION ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) AND CAN ANSWER ANY QUESTIONS ON APPLYING FOR AND GETTING COMMUNITY CARE THROUGH THE HOSPITAL. ALL THE HOSPITAL'S PATIENT ACCOUNTS REPRESENTATIVES ARE EDUCATED ABOUT COMMUNITY CARE AND IF PATIENTS INDICATE THEY DON'T FEEL THEY CAN PAY, STAFF WILL GET THEM THE FAP AND APPLICATION. NURSING, PHYSICIANS AND ALL PATIENT CARE STAFF ARE EDUCATED ABOUT FAP AND SHARE WITH PATIENTS WHO INDICATED A NEED. RIVERWOOD ALSO HAS DAILY PATIENT CENTERED BEDSIDE ROUNDING WHERE ALL INPATIENTS AND THEIR FAMILIES GET TO MEET WITH THE HOSPITAL'S HEALTHCARE TEAM, WHICH INCLUDES THE FINANCIAL COUNSELOR. EVERY TEAM MEMBER INTRODUCES THEMSELVES AND EXPLAINS WHAT THEY DO, WITH THE FINANCIAL COUNSELOR INFORMING THE PATIENT ABOUT HER AVAILABILITY TO ASSIST THEM WITH ANY OF THEIR INSURANCE OR FINANCIAL NEEDS. EACH INPATIENT ALSO ETS A FOLDER OF BROCHURES OF HEALTHCARE INFORMATION AS PART OF THEIR STAY. THIS FOLDER CONTAINS INFORMATION REGARDING THE FAP AND LISTS THE FINANCIAL COUNSELORS CONTACT INFORMATION, SHOULD A PATIENT WANT TO MAKE CONTACT AFTER DISCHARGE FROM THE FACILITY.
PART V, LINE 7A, CHNA - HOSPITAL'S WEBSITEHTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2023/03/2022-PRC-CHNA-REPORT-AITKIN-COUNTY-MN.PDF
PART V, LINE 10, IMPLEMENTATION PLAN WEBSITEHTTPS://RIVERWOODHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2023/03/2022-IMPLEMENTATION-STRATEGY-FINAL.PDF
PART V, LINE 16A, FAP WEBSITEHTTPS://RIVERWOODHEALTHCARE.ORG/PATIENTS/FINANCIAL-ASSISTANCE-PROGRAM/
PART V, LINE 16B, FAP APPLICATION WEBSITEHTTPS://VIEW.OFFICEAPPS.LIVE.COM/OP/VIEW.ASPX?SRC=HTTPS%3A%2F%2FRIVERWOODHEALTHCARE.ORG%2FWP-CONTENT%2FUPLOADS%2F2023%2F05%2F4-POLICY-4-COMMUNITY-CARE-AND-UNINSURED-PROGRAM-3.DOCX&WDORIGIN=BROWSELINK
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARYHTTPS://RIVERWOODHEALTHCARE.ORG/PLAIN-LANGUAGE-FINANCIAL-ASSISTANCE-PLAN
PART V, SECTION B, LINE 11 (CONTINUED):RIVERWOOD BUILDS EVALUATIVE MEASURES AND GOALS INTO ALL ITS PROGRAMS AND SERVICES. IN ADDITION, THE CHNA PLAN IS REVIEWED AND REWRITTEN EVERY THREE YEARS. RIVERWOOD'S MANAGEMENT TEAM CONTINUES TO PLAY A LEADERSHIP ROLE IN THE IMPLEMENTATION OF STRATEGIES AND MONITORING ITS PROGRESS AND ADJUSTS STRATEGIES AS NEEDED. RIVERWOOD CONTINUES TO OFFER SAME DAY CLINIC TO EXPAND ACCESS TO MEDICAL CARE FOR THE COMMUNITY. BOTH FACE-TO-FACE AND VIRTUAL VISITS ARE AVAILABLE TO IMPROVE ACCESS AND HELP REDUCE WAIT TIMES. IN SUPPORT OF SUBSTANCE ABUSE, RIVERWOOD HAS A MULTI-DISCIPLINARY CONTROLLED SUBSTANCE CARE TEAM TO ASSIST PATIENTS WITH OPIOID ADDICTIONS AND TO REDUCE PRESCRIBING OF SUCH MEDICINES. THE TEAM CONSISTS OF PHYSICIANS, NURSES, PHARMACISTS, AND SOCIAL WORKERS WHO MEET MONTHLY. RIVERWOOD HAS RECEIVED A GRANT FOR THE STATE OF MN TO AID IN CONTINUAL SUPPORT OF THE DRUG CRISES. THE FREE TOOL, FINDHELP.ORG, IS UTILIZED AT RIVERWOOD TO ASSIST PATIENTS WITH FINDING COMMUNITY HELP THEY MIGHT NEED INCLUDING HUNGER, DIETARY NEEDS, CHRONIC CARE MANAGEMENT, ETC. THIS IS ACCOMPLISHED AS A PART OF AN ANNUAL VISIT AS A QUESTIONNAIRE AND ALLOWS THE PATIENT'S CARE GIVER TO HELP THEM MEET UNMET NEEDS AS RELATED TO THEIR SOCIAL DETERMINANTS OF HEALTH AND "FIND HELP."
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - RIVERWOOD AITKIN CLINIC
200 BUNKER HILL DRIVEAITKINMN56431CLINIC
2 - RIVERWOOD MCGREGOR CLINIC
2 E CENTRAL AVENUEMCGREGORMN55760CLINIC
3 - RIVERWOOD GARRISON CLINIC
27278 STATE HWY 18GARRISONMN56450CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO INCOME BASED TESTING, OUR CHARITY CARE POLICY REQUIRES THAT AN APPLICANT MUST HAVE RECEIVED A DENIAL FROM EITHER MEDICAID (MINNESOTA ASSISTANCE) OR OTHER STATE SUBSIDIZED HEALTHCARE PROGRAMS (MINNESOTA CARE OR GMAC).
PART I, LINE 7:COSTS ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO FROM THE AS FILED 2023 MEDICARE COST REPORT.
PART I, LN 7 COL(F):IMPLICIT PRICE CONCESSIONS FROM FINANCIAL STATEMENTS IS $959,995.
PART I, LINE 6A:THE ORGANIZATION FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH MINNESOTA. THIS INFORMATION IS AVAILABLE ON THE MINNESOTA HOSPITAL ASSOCIATION WEBSITE.
PART II, COMMUNITY BUILDING ACTIVITIES:N/A
PART III, LINE 2:TO DETERMINE IMPLICIT PRICE CONCESSIONS, RIVERWOOD FILTERS THE ACCOUNTS RECEIVABLE DETAIL MONTHLY BY SELF-PAY. THOSE SELF-PAY BALANCES THEN GET PLACED INTO BUCKETS BASED ON THEIR SERVICE DATE. RIVERWOOD THEN APPLIES AN INCREASINGLY LARGER PERCENTAGE BASED ON THE AGING OF THE SELF-PAY BALANCE; THE OLDER THE BALANCE IS, THE MORE GETS ALLOWED FOR AND BECOMES IMPLICIT PRICE CONCESSIONS. SEE THE GRADUATED BUCKET %'S BELOW: 0-60: 10%, 61-90: 15%, 91-120: 30%, 121-150: 40%, 151-360: 60%, 361+: 90%
PART III, LINE 3:AT RIVERWOOD HEALTHCARE CENTER, IMPLICIT PRICE CONCESSIONS ARE CONSIDERED THE UNWILLINGNESS TO PAY, WHILE CHARITY CARE AND FREE CARE ARE THE INABILITY TO PAY.
PART III, LINE 4:SEE FOOTNOTE 1 ON PAGE 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE COSTING METHODOLOGY USED IN DETERMINING THE MEDICARE ALLOWABLE COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6:THE HOSPITAL FOLLOWED MEDICARE'S PRESCRIBED METHODS OF DETERMINING COSTS PAYABLE UNDER TITLE XVIII (MEDICARE) IN COMPLETING ITS ANNUAL MEDICARE COST REPORT (COST REPORT) USING DATA AVAILABLE FROM THE INSTITUTION'S BASIC ACCOUNTS, AS USUALLY MAINTAINED, TO ARRIVE AT EQUITABLE AND PROPER PAYMENT FOR SERVICES. THE COST REPORT WAS COMPLETED USING THE HOSPITAL'S TRIAL BALANCE OF EXPENSES, AS WELL AS OTHER STATISTICAL AND FINANCIAL RECORDS MAINTAINED BY THE HOSPITAL. AS REQUIRED BY MEDICARE REGULATIONS, CERTAIN RECLASSIFICATIONS AND ADJUSTMENTS TO COSTS WERE INCLUDED IN THE COST REPORT TO DETERMINE MEDICARE ALLOWABLE COSTS.AFTER MEDICARE ALLOWABLE COSTS ARE DETERMINED, THE COST REPORT PROVIDES FOR THE STEP DOWN METHOD OF COST FINDING. THIS METHOD PROVIDES FOR ALLOCATING THE COST OF SERVICES RENDERED BY EACH GENERAL SERVICE COST CENTER TO OTHER COST CENTERS, WHICH UTILIZE THE SERVICES. ONCE THE COSTS OF A GENERAL SERVICE COST CENTER HAVE BEEN ALLOCATED, THAT COST CENTER IS CONSIDERED CLOSED. ONCE CLOSED, IT DOES NOT RECEIVE ANY OF THE COSTS SUBSEQUENTLY ALLOCATED FROM THE REMAINING GENERAL SERVICE COST CENTERS. AFTER ALL COSTS OF THE GENERAL SERVICE COST CENTERS HAVE BEEN ALLOCATED TO THE REMAINING COST CENTERS, THE TOTAL COSTS OF THESE REMAINING COST CENTERS ARE FURTHER DISTRIBUTED TO THE DEPARTMENTAL CLASSIFICATION TO WHICH THEY PERTAIN, E.G., HOSPITAL GENERAL INPATIENT ROUTINE, SUBPROVIDER, ANCILLARY, ETC.AFTER THE STEP-DOWN PROCESS, THE COST REPORT PROVIDES FOR THE APPORTIONMENT OF COSTS TO THE MEDICARE PROGRAM BASED ON A NUMBER OF DIFFERENT METHODOLOGIES INCLUDING PER PATIENT DAY, PER VISIT, AND PERCENTAGE OF CHARGES, AS MOST PREVALENT. MEDICARE COSTS AS DETERMINED BY THE COST REPORT METHODOLOGIES DESCRIBED PREVIOUSLY WERE UTILIZED TO COMPLETE THE APPLICABLE MEDICARE ALLOWABLE COSTS OF CARE FOR SCHEDULE H (FORM 990) PART III SECTION B LINE 6.
PART III, LINE 9B:AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PATIENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND REDIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECEIPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFORMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE.
PART VI, LINE 2:NEEDS ASSESSMENT:TO CONTINUE SUPPORTING THE PUBLIC'S MENTAL HEALTH, RIVERWOOD OFFERS FREE AND CONFIDENTIAL GROUP COUNSELING SESSIONS TO INDIVIDUALS NEEDING GRIEF SUPPORT. AN EXPERIENCED BEREAVEMENT COUNSELING LEADER HEADS UP THE GROUP. MENTAL HEALTH PLAYS A KEY ROLE IN THE WELL-BEING OF ALL OUR PATIENTS. TO MAKE PATIENTS MENTALLY HEALTHIER, RIVERWOOD HOLDS VIRTUAL SEMINARS FROM FOUR RIVERWOOD BEHAVIORAL HEALTH PROFESSIONALS INCLUDING QUESTION-AND-ANSWER SESSIONS. PARTICIPANTS SUBMIT A QUESTION WITH THEIR REGISTRATION OR VIA THE CHAT FUNCTION DURING THE PROGRAM. THE PRESENTERS INCLUDED RIVERWOOD'S PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS LICENSED INDEPENDENT CLINICAL SOCIAL WORKERS. STAFF TALK ABOUT SELF-CARE AND HOW SPECIFIC ACTIVITIES AND PRACTICES CAN HELP YOU TAKE CARE OF YOUR MENTAL WELL-BEING. MENTAL HEALTH PROBLEMS THAT STOP A PERSON FROM FUNCTIONING WELL OR FEELING GOOD ARE DISCUSSED AS WELL AS HOW PROFESSIONAL HELP CAN MAKE A SIGNIFICANT DIFFERENCE.IN SUPPORT OF OUR YOUNGEST PATIENTS, RIVERWOOD OFFERS FREE BOOKS THROUGH THE RIVERWOOD READS PROGRAM AS WELL AS HAVING PROVIDERS READ THESE BOOKS IN THE SCHOOL CLASSROOMS. WE SPECIFICALLY CHOSE A BOOK TO GO WITH THE CORRELATING WELL CHILD CHECKUP OR SPECIFIC CLASSROOM AGE GROUP. RIVERWOOD PROVIDERS REVIEW THE BOOK WITH THE CHILD AND GUARDIAN DURING THE CHILD'S APPOINTMENT. TO SUPPORT OUR COMMUNITY, RIVERWOOD STAFF VOLUNTEERED HOURS TO BENEFIT AREA ORGANIZATIONS SUCH AS SALVATION ARMY, AMERICAN RED CROSS, OPERATION CHRISTMAS, AND AITKIN COUNTY FAIR. TO OFFER FREE SUPPORT, RIVERWOOD OFFERS AN ONLINE SYMPTOM CHECKER WHICH IS A SELF-EVALUATION PLATFORM THAT ENHANCES PATIENT CARE ACCESS AND PATIENT ENGAGEMENT. THIS OFFERS A LIVE CHAT WITH RIVERWOOD STAFF AND GIVES SELECTION LINKS TO PERTINENT CONTENT TO ASSIST PATIENTS IN NAVIGATING TO CARE SERVICES AND GETTING AN APPOINTMENT EFFICIENTLY, ALLOWING CONVENIENT SCHEDULING OF MEDICAL APPOINTMENTS WITHOUT A PHONE CALL. RIVERWOOD HEALTHCARE PROVIDERS OFFER FREE AND INFORMATIVE VIRTUAL SEMINARS TO THE PUBLIC THROUGHOUT THE YEAR. TOPICS SUCH AS MENTAL HEALTH, WELL-BEING, AND SELF-CARE TOPICS. DIETARY AND NUTRITION TIPS ARE GIVEN BY REGISTERED DIETICIANS AND PROVIDED IN NEWSLETTERS ON HEALTHY LIVING. FREE WELLNESS BLOGS ON RIVERWOOD'S WEBSITE COVER A VARIETY OF TOPICS ON HEALTH, WELLNESS, PREVENTION PERTINENT TO THE SEASON OF THE YEAR.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AITKIN COMMUNITY HOSPITAL PROVIDES MEDICAL CARE WITHOUT CHARGE OR AT REDUCED RATES TO RESIDENTS OF THE COMMUNITY, PRIMARILY TO THE UNINSURED AND TO PAITENTS EXPRESSING A WILLINGNESS TO PAY BUT WHO ARE UNABLE DUE TO SOCIO-ECONOMIC FACTORS. THE HOSPITAL EMPLOYS A FULL TIME FINANCIAL COUNSELOR WHO WORKS WITH PATIENTS TO EVALUATE ELIGIBILITY AND DIRECT THEM AS NEEDED TO LOCAL STATE OR COUNTY STAFF FOR ASSISTANCE WITH APPLICATIONS FOR GOVERNMENTAL ASSISTANCE PROGRAMS. UPON RECIEPT OF DENIAL, PATIENT WILL BE PROVIDED A CHARITY CARE APPLICATION. DEPENDING ON THE PATIENT'S INCOME AND THE GUIDELINES, THEY WILL BE PROVIDED A WAIVER OF ALL CHARGES OR A REDUCTION IN THEIR MEDICAL CHARGES. RIVERWOOD'S EMPLOYED FINANICAL COUNSELOR IS A MNSURE NAVIGATOR, TRAINED AND CERTIFIED BY THE STATE OF MN, AND IS AVAILABLE TO ASSIST PATIENT WITH CHECKING FOR THEIR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE, MNSURE, OR TO PURCHASE INSURANCE.THE HOSPITAL'S BILLING STAFF, PATIENT ACCESS STAFF AND OUTSIDE COLLECTION AGENCIES ARE ALL EDUCATED AND AWARE OF THE CHARITY CARE ASSISTANCE PROGRAM AND IN THE COURSE OF THEIR EVERYDAY WORK WILL OFFER PATIENTS THIS INFROMATION IF THEY EXPRESS A NEED FOR FINANCIAL ASSISTANCE. NURSING PROVIDERS AND ALL HEALTHCARE STAFF ARE ALSO AWARE OF THE ASSISTANCE PROGRAM AND CAN HELP DIRECT PATIENTS TO THE FINANCIAL COUNSELOR.
PART VI, LINE 4:COMMUNITY INFORMATION:AITKIN COMMUNITY HOSPITAL, INC. DBA RIVERWOOD HEATLHCARE CENTER (RIVERWOOD), A 501(C)3 NON-PROFIT CORPORATION, IS SITUATED IN THE CENTER OF AITKIN COUNTY. IT WAS FOUNDED IN 1948 AND IS LOCATED AT 200 BUNKER HILL DRIVE IN AITKIN, MN (POP. 1984). RIVERWOOD IS A 25 BED ACUTE-CARE CRITICAL ACCESS HOSPITAL AND HAS THREE RURAL HEALTH CLINICS IN AITKIN, MCGREGOR, AND GARRISON. ALL THREE CLINICS ARE LOCATED IN A MEDICALLY UNDERSERVED AREA (MUA). RIVERWOOD OFFERS PATIENTS A CONTINUUM OF CARE INCLUDING INPATIENT, OUTPATIENT, SPECIALTY, SURGICAL AND EMERGENCY SERVICES. THE DISTANCE TO THE NEXT HOSPITAL IS 17 MILES. DULUTH AND ST. CLOUD ARE THE TWO CLOSEST CITIES WITH TERTIARY CARE CENTERS BOTH APPROXIMATELY 90 MILES FROM AITKIN. RIVERWOOD SERVES THE RESIDENTS OF AITKIN COUNTY (POP. 15,834), THE EAST SIDE OF CROW WING COUNTY (POP. 63,855) AND MILLE LACS COUNTY (POP. 25,728). THE GEOGRAPHIC AREA OF THESE COUNTIES IS RURAL. SPECIAL POPULATIONS SERVED INCLUDE THOSE WITH A HIGH RATE OF POVERTY AND UNEMPLOYMENT WITHIN AITKIN COUNTY. IN 2021, THE ESTIMATED PERCENTAGES OF THE COUNTY WITH POPULATIONS BELOW POVERTY LEVEL WAS 12.2% WITH CHILDREN BEING AT 18.0%. POPULATION WITH FAIR OR POOR HEALTH WAS AT 15.8%. OTHER SPECIAL POPULATIONS INCLUDE THE ELDERLY. THE LARGEST PERCENTAGE OF RIVERWOOD'S CURRENT PATIENT BASE CONSIDS OF PATIENTS OVER THE AGE OF 65. AITKIN COUNTY HAS THE OLDEST MEDIAN POPULATION IN THE STATE OF MINNESOTA. THE MEDIAN AGE IS 55.5 YEARS OF AGE COMPARED TO THE MINNESOTA AVERAGE OF 38 YEARS OLD.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTH: IN FURTHERANCE OF ITS CHARITABLE PURPOSE, THE CENTER PROVIDES A WIDE VARIETY OF BENEFITS TO THE COMMUNITY, INCLUDING OFFERING VARIOUS COMMUNITY BASED SERVICE PROGRAMS AND THE DONATION OF SPACE FOR USE BY COMMUNITY GROUPS. ADDITIONALLY, A LARGE NUMBER OF HEALTH RELATED EDUCATIONAL PROGRAMS ARE PROVIDED FOR THE BENEFIT OF THE COMMUNITY, INCLUDING HEALTH ENHANCEMENTS AND WELLNESS, CLASSES ON SPECIFIC CONDITIONS AND PROGRAMS DESIGNED TO IMPROVE THE GENERAL STANDARDS OF THE HEALTH OF THE COMMUNITY. RIVERWOOD REGULARLY PARTNERS WITH AITKIN COUNTY HEALTH AND HUMAN SERVICES, CITY AND COUNTY LAW ENFORCMENT, AREA SCHOOL DISTRICTS AND OTHER HEALTH CARE PROVIDERS TO EDUCATE, PLAN AND COLLABORATE ON HEALTHCARE NEEDS OF THE COMMUNITY.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESMN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERWOOD HEALTHCARE CENTER & COMMUNITY HOSPITAL FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 BUNKER HILLAddressLine1Txt
CityAITKINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56431ZIPCd
FieldValueIRS element (for citing)
Recipient EIN411738787RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$0CashGrantAmt
Non Cash Assistance$101,780NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceADMINISTRATIVE EXPENSESNonCashAssistanceDesc
Purpose Of GrantTO PROVIDE ADMINISTRATIVE SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
DOLLARS FOR SCHOLARS HEALTHCARE EDUCATION SCHOLARSHIP3$4,500
RIVERWOOD EMPLOYEE HIGH SCHOOL SENIOR STUDENT SCHOLARSHIP6$1,500

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL PAYS FOR CERTAIN ADMINISTRATIVE EXPENSES FOR THE FOUNDATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR DAVID TAYLOR
CMO$573,519$0$0$0$45$0$12,200$0$33,446$0$619,210$0$0$0
DR JESSICA HODSON
ER PHYSICAN$407,376$0$0$0$45$0$12,200$0$41,491$0$461,112$0$0$0
DR JEFFREY EHNSTROM
DIRECTOR/PHYSICIAN$409,616$0$0$0$45$0$11,627$0$35,140$0$456,428$0$0$0
KEN WESTMAN
CEO$376,994$0$25,000$0$45$0$7,139$0$29,451$0$438,629$0$0$0
DR JIM HARRIS
ER PHYSICAN$391,428$0$0$0$45$0$11,842$0$33,134$0$436,449$0$0$0
CYNTHIA BAKER
COO$237,151$0$70,738$0$45$0$11,767$0$35,759$0$355,460$0$0$0
DR ERIK BOSTROM
PROVIDER$292,958$0$10,000$0$45$0$12,200$0$33,647$0$348,850$0$0$0
DR TONY BLANKERS
PROVIDER$283,193$0$4,000$0$45$0$11,837$0$33,857$0$332,932$0$0$0
TIMOTHY ARNOLD
PROVIDER$270,008$0$10,000$0$45$0$11,577$0$34,560$0$326,190$0$0$0
CASEY JOHNSON
CFO$202,036$0$37,050$0$45$0$9,934$0$34,003$0$283,068$0$0$0
TODD A SANDBERG
CEO UNTIL 7/31/21 (FORMER OFFICER)$0$0$0$0$196,923$0$0$0$0$0$196,923$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID TODD A. SANDBERG, FORMER CEO, $196,923 IN SEVERENCE PAYMENTS DURING CALENDAR YEAR 2022. THE TERMINATION TERMS ARE FROM AUGUST 1, 2021 TO JULY 31, 2022. MR. SANDBERG RECEIVED PAY TOTALING $320,000 AND BENEFITS TOTALING $14,300 RELATED TO HIS TERMINATION.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF AITKIN
A4160049182016-05-17$5,985,025REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001000
CITY OF MCGREGOR
B4109067362016-05-17$8,000,000REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001000
CITY OF TAMARACK
C4113158422016-05-17$8,000,000REFINANCE DEBT WHICH FINANCED CONSTRUCTION OF NEW HOSPITAL IN 2001000
CITY OF AITKIN
D4160049182017-12-28$9,732,000RENOVATE, EXPAND, EQUIP CLINIC SPACE; BUILD 9 CHAIR KIDNEY DIALYSIS CENTER000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,253,789$5,985,025$89,142$5,895,8832013Yes (1)0Yes (1)Yes (1)
B$3,012,571$8,000,000$119,153$7,880,8472013Yes (1)0Yes (1)Yes (1)
C$3,012,571$8,000,000$119,153$7,880,8472013Yes (1)0Yes (1)Yes (1)
D$2,263,985$9,732,000$194,640$9,537,360201900Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C00Yes (1)0Yes (1)000Yes (1)
D00Yes (1)0Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF MCGREGOR
A4109067362022-12-22$9,000,000CONSTRUCT AND EQUIP 63,450 SQ FOOT NEW SURGERY CENTER ADDITION TO HOSPITAL000
CITY OF AITKIN
B4160049182022-12-22$10,000,000CONSTRUCT AND EQUIP 63,450 SQ FOOT NEW SURGERY CENTER ADDITION TO HOSPITAL000
CITY OF TAMARACK
C4113158422022-12-22$10,000,000CONSTRUCT AND EQUIP 63,450 SQ FOOT NEW SURGERY CENTER ADDITION TO HOSPITAL000
CITY OF GARRISON
D4109849992022-12-22$8,500,000CONSTRUCT AND EQUIP 63,450 SQ FOOT NEW SURGERY CENTER ADDITION TO HOSPITAL000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtUnspentUnspentAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$9,000,000$248,443$8,751,557000Yes (1)
B$10,000,000$277,430$9,722,570000Yes (1)
C$10,000,000$276,600$7,685,048000Yes (1)$2,038,352
D$8,500,000$235,110$8,264,890000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BREMER CDE
A00Yes (1)0Yes (1)Yes (1)12.5000000000000000Yes (1)
BREMER CDE
B00Yes (1)0Yes (1)Yes (1)12.5000000000000000Yes (1)
BREMER CDE
C00Yes (1)0Yes (1)Yes (1)12.5000000000000000Yes (1)
BREMER CDE
D00Yes (1)0Yes (1)Yes (1)12.5000000000000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJENNIFER EHNSTROMPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF BOARD MEMBER JEFFREY EHNSTROMRelationshipDescriptionTxt
Transaction$21,777TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A"AITKIN COUNTY CARE HAS BEEN INSTRUMENTAL IN ASSISTING WITH COMMUNITY OUTREACH TO ORGANIZATIONS ON ONBOARDING WITH FIND HELP," SAID RACHEL JOHNSON, POPULATION HEALTH PROGRAM MANAGER AT RIVERWOOD. "THROUGH DATA ANALYTICS WITH BOTH THE ELECTRONIC HEALTH RECORD AND FIND HELP, RIVERWOOD HAS BEEN ABLE TO ADDRESS PATIENT'S SOCIAL DETERMINANTS OF HEALTH AND CONNECT THEM TO RESOURCES NEEDED." ONE OF THE KEY RESOURCES PROVIDED THROUGH THE RIVERWOOD CONNECTS PROGRAM IS ACCESS TO NUTRITIOUS FOOD. THE FOOD RX PROGRAM EMPHASIZES THE ROLE HEALTHY FOOD PLAYS IN OVERALL HEALTH AND ELIMINATES BARRIERS LIKE BUDGET AND TRANSPORTATION TO ACCESSING FOOD. IN PARTNERSHIP WITH LOCAL FARMERS, AITKIN FARMERS MARKET HUB, AND AITKIN COUNTY STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP, PARTICIPANTS ARE PROVIDED COMMUNITY SUPPORTED AGRICULTURE SHARES AND "RIVERWOOD CONNECTS BUCKS" TO BE USED AT THE AITKIN FARMERS MARKET. BY PROVIDING EQUITABLE ACCESS TO NUTRITIOUS FOOD AND COMMUNITY RESOURCES, RIVERWOOD IS TAKING STEPS TO MAKE THE COMMUNITIES IT SERVES HEALTHIER. THE MINNESOTA DEPARTMENT OF HEALTH (MDH) HAS AWARDED RIVERWOOD HEALTHCARE CENTER WITH THE 2023 MINNESOTA RURAL HEALTH TEAM AWARD FOR ITS WORK IN IDENTIFYING THE SOCIAL DETERMINANTS OF HEALTH AMONG ITS PATIENTS AND CREATING COMMUNITY PARTNERSHIPS TO ADDRESS THOSE NEEDS. RIVERWOOD WAS ONE OF FOUR MINNESOTA HEALTH ORGANIZATIONS AND INDIVIDUALS RECOGNIZED BY THE MDH OFFICE OF RURAL HEALTH AND PRIMARY CARE FOR THE 2023 MINNESOTA RURAL HEALTH AWARDS, WHICH WERE ANNOUNCED TO COINCIDE WITH NATIONAL RURAL HEALTH DAY ON NOV. 16. "RIVERWOOD WORKS HARD TO PROVIDE SERVICES TO A DIVERSE POPULATION OF ELDERLY, LOW-INCOME, AND MULTI-GENERATIONAL FAMILIES," SAID POPULATION HEALTH MANAGER RACHEL JOHNSON. "IN RESPONSE TO OUR 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, WE DEVELOPED THE RIVERWOOD CONNECTS PROGRAM (#TOGETHERWEWILLCONNECT) TO IDENTIFY THE UNIQUE NEEDS OF THE POPULATION WE SERVE AND TO ADDRESS SOCIAL DETERMINANTS OF HEALTH." THIS COMMUNITY HEALTH INITIATIVE IS A COLLABORATIVE EFFORT WITH LEADERS FROM AITKIN COUNTY STATEWIDE HEALTH IMPROVEMENT PARTNERSHIP (SHIP), AITKIN FARMERS MARKET HUB AND AITKIN COUNTY CARE (COORDINATING AREA RESOURCES EFFECTIVELY). THEY HAVE BEEN WORKING TOGETHER TO IMPLEMENT FIND HELP, A 24/7 ON-LINE RESOURCE HUB, AS WELL AS ESTABLISH THE FOOD RX PROGRAM THAT PROVIDES QUALIFYING PARTICIPANTS WITH COMMUNITY SUPPORT AGRICULTURE (CSA) SHARES AND RIVERWOOD CONNECT BUCKS TO BE USED AT THE AITKIN FARMERS MARKET. ACCESS TO AFFORDABLE NUTRITIOUS FOOD AS WELL AS TO OTHER COMMUNITY RESOURCES SUCH AS TRANSPORTATION, UTILITY AND HOUSING ASSISTANCE, ARE ESSENTIAL RESOURCES THAT HELP ADVANCE HEALTH EQUITY IN AITKIN COUNTY AND BEYOND. RIVERWOOD WENT LIVE IN JUNE 2023 WITH THE COMMUNITY RESOURCE QUESTIONNAIRE IN WHICH THE ORGANIZATION STARTED EVALUATING AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH WITH PATIENTS THROUGH THE RIVERWOOD CONNECTS PROGRAM. TO DATE RIVERWOOD HAS ASSESSED 1,352 UNIQUE PATIENTS AND DETERMINED THE TOP AREA OF NEED IS ACCESS AND SUPPORT FOR FOOD AT 38%; AFFORDABLE AND STABLE HOUSING AT 20%; TRANSPORTATION TO AND FROM WORK, APPOINTMENTS, NECESSITIES AT 7%; AND HOUSING AND UTILITIES MONEY AT 7%. RIVERWOOD HAS REFERRED SEVENTY-SEVEN PATIENTS AND ENROLLED FIFTY-NINE PATIENTS INTO ITS FOOD RX PROGRAM. POPULATION HEALTH PROGRAM MANAGER RACHEL JOHNSON ADDED, "WE ARE GRATEFUL TO OUR PARTNERS IN ASSISTING US IN MAKING THIS WORK POSSIBLE. AITKIN COUNTY CARE ASSISTED WITH IDENTIFYING THE NEED FOR A RESOURCE HUB, INCLUDING FINANCIAL AND ADMINISTRATIVE ASSISTANCE. THEY HAVE BEEN INSTRUMENTAL WITH COMMUNITY OUTREACH AND ONBOARDING COMMUNITY ORGANIZATIONS WITH FIND HELP. ADDITIONALLY, AITKIN COUNTY SHIP AND THE AITKIN FARMERS MARKET HUB HAVE BEEN INFLUENTIAL ON SETTING UP THE FOOD RX PROGRAM. THE FOOD RX PROGRAM WOULD NOT BE POSSIBLE WITHOUT THEIR SUPPORT WITH LOCAL FARMERS AND OUTREACH EFFORTS. RIVERWOOD CONNECTS IS NOT ONLY HELPING COMMUNITY MEMBERS IN NEED BUT SUPPORTING LOCAL SMALL BUSINESSES AND ORGANIZATIONS THROUGHOUT THE COUNTY AND REGION." THE MINNESOTA DEPARTMENT OF HEALTH HAS RECERTIFIED RIVERWOOD HEALTHCARE CENTER AS A HEALTH CARE HOME. THIS MEANS THAT RIVERWOOD PRIMARY CARE CLINICS IN AITKIN, GARRISON AND MCGREGOR HAVE MET A SET OF RIGOROUS STANDARDS TO PROVIDE PATIENT AND FAMILY-CENTERED CARE AND WILL CONTINUE WORKING TO IMPROVE THE QUALITY, EXPERIENCE, AND VALUE OF CARE. HEALTH CARE HOMES PROVIDE COMPLETE CARE, RANGING FROM DISEASE PREVENTION TO MANAGEMENT OF COMPLEX AND CHRONIC CONDITIONS, AND ARE DEDICATED TO MEETING THE HIGHEST STANDARDS FOR HEALTH CARE DELIVERY. CERTIFIED HEALTH CARE HOME CLINICS OFFER A TEAM-BASED APPROACH TO PRIMARY CARE THAT MAKES IT EASIER FOR PATIENTS TO COMMUNICATE AND PARTNER WITH THEIR CARE TEAM. THEY ARE THEIR PATIENTS' HOME FOR HEALTH CARE. A HEALTH CARE HOME COORDINATES CARE WITH SPECIALISTS AND COMMUNITY SERVICES TO ENSURE PATIENTS RECEIVE WHAT THEY NEED TO STAY HEALTHY AND IMPROVE AND MANAGE THEIR HEALTH. THIS INCLUDES EXPANDED ACCESS TO APPOINTMENTS, 24/7 ACCESS TO A CLINIC REPRESENTATIVE, PROACTIVE PLANNING FOR CARE, DESIGNATED PATIENT CARE COORDINATORS, AND AN OVERALL FOCUS ON QUALITY IMPROVEMENT. RIVERWOOD IS PROUD TO ANNOUNCE THAT ITS PRIMARY CARE CLINICS IN AITKIN, GARRISON AND MCGREGOR HAVE BEEN CERTIFIED BY THE MINNESOTA DEPARTMENT OF HEALTH AS LEVEL 3 HCHS. THIS MEANS THAT THE DESIGNATED CLINICS HAVE MET THE REQUIREMENTS OF THE FOUNDATIONAL LEVEL OF CERTIFICATION AS WELL AS THOSE OF LEVEL 2 AND HAVE FURTHER ADVANCED THEIR CARE MODEL. LEVEL 3 CLINICS HAVE DONE CONSIDERABLE WORK TO INTEGRATE CARE DELIVERY WITH THE COMMUNITY, INCLUDING CONTRIBUTING TO THE COMMUNITY HEALTH NEEDS ASSESSMENT AND POPULATION HEALTH IMPROVEMENT PROCESS, AS WELL AS PLAYING A ROLE IN IMPLEMENTING AND MONITORING THE PROGRESS OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. AT RIVERWOOD, SEVEN REGISTERED NURSE CARE COORDINATORS WORK WITHIN THE HEALTH CARE TEAM TO PROVIDE CHRONIC CARE MANAGEMENT, PRINCIPAL CARE MANAGEMENT, AND BEHAVIORAL HEALTH INTEGRATION SERVICES TO ABOUT 324 PATIENTS WITH COMPLEX MEDICAL CONDITIONS OR NEEDS. THESE NURSES OFFER AN ADDED LAYER OF CARE, HELPING TO COORDINATE TREATMENT AND CONNECT PATIENTS WITH THE RESOURCES THEY NEED TO REACH THEIR HEALTH GOALS. CARE COORDINATION SERVICES HELP TO IMPROVE CARE TRANSITIONS THAT REDUCE HOSPITAL READMISSIONS, ADVERSE HEALTH EVENTS, AND UNNECESSARY EMERGENCY DEPARTMENT USE. DR. TIM ARNOLD, RIVERWOOD FAMILY PHYSICIAN, COMMENTS, "THE REGISTERED NURSE CARE COORDINATORS DO A GREAT JOB OF WATCHING THE HOSPITAL PATIENT LIST AND INCOMING MESSAGES AND HANDLING EMERGING PROBLEMS. THEY FOLLOW UP WITH PATIENTS REGULARLY, WHICH HELPS TO REDUCE CHRONIC DISEASE PROBLEMS AND NEW HEALTH ISSUES. I FEEL THIS ALLOWS ME TO TAKE BETTER CARE OF MY PATIENTS." HEIDI OLESEN, RN, PRIMARY CARE SERVICES MANAGER, ADDS, "ACHIEVING A LEVEL 3 CERTIFICATION DEMONSTRATES THAT OUR CLINICS PROVIDE A HIGH LEVEL OF QUALITY CARE TO OUR PATIENTS. OUR TEAM WORKS TO COORDINATE CARE, ADDRESS SOCIAL DETERMINANTS OF HEALTH, FOCUS ON POPULATION AND COMMUNITY HEALTH, AND CONTINUOUSLY LOOKS FOR WAYS TO IMPROVE CARE DELIVERY AND OUTCOMES FOR OUR PATIENTS." AS AN ADDED MEASURE SHOWING STRONG COMMITMENT TO HEALTHCARE EXCELLENCE, RIVERWOOD WAS RECOGNIZED BY BEING NAMED TO A LIST OF TOP 100 CRITICAL ACCESS HOSPITALS IN THE U.S., FOR THE SIXTH TIME IN THE PAST DECADE. THE CHARTIS CENTER FOR RURAL HEALTH COMPILES THESE RANKINGS THAT RATE THE 1,300 RURAL 25-BED HOSPITALS ON EIGHT INDICES OF STRENGTH: QUALITY, OUTCOMES, PATIENT PERSPECTIVES, COST, CHARGE AND FINANCIAL STABILITY, INPATIENT MARKET SHARE, AND OUTPATIENT MARKET SHARE.
FORM 990, PART III, LINE 4ARIVERWOOD HEALTHCARE CENTER STRIVES TO DELIVER THE HIGHEST QUALITY PATIENT-CENTERED CARE. WE CONTINUALLY EXAMINE EMERGING HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE THROUGHOUT AITKIN COUNTY AND THE GARRISON AND MILLE LACS AREA. WITH A STRONG FOCUS ON HEALTH, WELLNESS AND PREVENTION, THE CENTER STRIVES TO EDUCATE AND INFORM ITS PATIENTS AND THE COMMUNITY ON HEALTH ISSUES. THE COMMUNITY'S AND PATIENT'S NEEDS ARE LISTENED TO AND INCORPORATED IN OUR MISSION STATEMENT, STRATEGIC PLAN, AND VISION. TO ENSURE THAT WE CAN KEEP MEETING THE NEEDS OF THE PUBLIC UNDER OUR "PEOPLE" PILLAR, RIVERWOOD IS CURRENTLY CONSTRUCTING A NEW SURGICAL WING. WITH THE NEED FOR MORE OPERATING ROOMS AND LARGER ROOMS, THIS WILL ALLOW ACCOMMODATING THE TECHNOLOGY OF A DA VINCI ROBOT, VELYS ORTHOPEDIC EQUIPMENT AND UROSKOP INTERVENTIONAL UROLOGY OPERATING ROOM TABLE. THIS EXPANSION ALLOWS US TO MEET OUR LARGER SURGERY VOLUMES, OFFERING PRIVACY NEEDS FOR PATIENTS WHO DESERVE HEALING AND RECOVERY. THE HOSPITAL'S NEW SURGERY SPACE WILL CONSIST OF APPROXIMATELY 60,500 SQUARE FEET OF NEW SURGICAL DEPARTMENTS, INCLUDING SIX OPERATING ROOMS, TWO LARGE PROCEDURE ROOMS, THREE ENDOSCOPY ROOMS, TWENTY-FIVE PREP AND RECOVERY ROOMS, POST-ANESTHESIA CARE UNIT, STERILE PROCESSING AND STAFF SUPPORT. THE ADDITION WILL ALSO INCLUDE APPROXIMATELY 12,000 SQUARE FEET OF CLINICAL SPACE FOR GENERAL SURGERY, UROLOGY AND OB/GYN. RIVERWOOD HEALTHCARE PURCHASED THE MCGREGOR PHARMACY, EFFECTIVE APRIL 20, 2023, OFFERING PHARMACY CUSTOMERS THE SAME LOCATION AND ENHANCED, HIGH-QUALITY SERVICES. RIVERWOOD PATIENTS RECEIVE THE SAME CARING AND PERSONALIZED APPROACH TO SERVICES AT THE MCGREGOR PHARMACY THAT RIVERWOOD PROVIDES ITS CLINIC AND HOSPITAL PATIENTS. RIVERWOOD CONTINUES TO BUILD COMPREHENSIVE CARE AND SERVICES TO OUR PATIENTS IN THE COMMUNITIES WE SERVE. TAKING OWNERSHIP OF THE MCGREGOR PHARMACY IS AN ADDITIONAL PATIENT SATISFIER OFFERING SPECIALIZED PHARMACEUTICAL SERVICES AND CONVENIENCE FOR OUR MCGREGOR PATIENTS. THIS IS JUST ONE MORE WAY WE DELIVER EXCEPTIONAL HEALTHCARE INTO THE FUTURE. WITH AN ELECTRONIC HEALTH RECORD TRANSITION UNDERWAY IN 2023, WE ARE CREATING A DIGITAL FRONT DOOR EXPERIENCE THAT WILL GIVE OUR PATIENTS MORE OWNERSHIP OVER THEIR CARE WHILE ADDING CONVENIENCE AND TIME-SAVING FEATURES. INTERNALLY, THIS CONVERSION GIVES RIVERWOOD MORE AUTONOMY AND FLEXIBILITY TO ADJUST AND STREAMLINE WORKFLOWS AND PROCESSES OF CARE, ALL DESIGNED FOR PERSONALIZATION OF THE SYSTEM TO BEST FIT OUR PATIENTS' NEEDS.
FORM 990, PART VI, SECTION A, LINE 6RIVERWOOD HEALTHCARE CENTER HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ARIVERWOOD HEALTHCARE CENTER HAS MEMBERS WHO MAY ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD HAS AUTHORIZED THE FINANCE COMMITTEE TO REVIEW AND APPROVE THE 990 AFTER PREPARATION. AFTER APPROVAL BY THE FINANCE COMMITTEE, THE 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. CONFLICTS ARE DISCUSSED, REVIEWED, AND FORMS ARE SIGNED ANNUALLY BY EACH BOARD MEMBER. THIS IS DONE AT THE HOSPITAL'S ANNUAL REORGANIZATIONAL MEETING. SECTION 1. PURPOSE THE PURPOSE OF THIS POLICY IS TO PROVIDE A MEANS BY WHICH TO ADDRESS ANY CONFLICT OF INTEREST INVOLVING THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, AND EMPLOYEES THAT AFFECT OR HAVE THE POTENTIAL TO AFFECT THE SAFETY OR QUALITY OF CARE, TREATMENT, AND SERVICES. SECTION 2. PERSONS CONCERNED THIS STATEMENT IS DIRECTED NOT ONLY TO BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT, OR EMPLOYED PRACTITIONERS, BUT TO ALL EMPLOYEES OR NON-EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF RHCC. FOR EXAMPLE, THIS WOULD INCLUDE ALL WHO MAKE PURCHASING DECISIONS, ALL PERSONS WHO MIGHT BE DESCRIBED AS "MANAGEMENT PERSONNEL, AND ANYONE WHO HAS PROPRIETARY INFORMATION CONCERNING RHCC. SECTION 3. AREAS IN WHICH CONFLICT MAY ARISE CONFLICTS OF INTEREST MAY ARISE IN THE RELATIONS OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WITH ANY OF THE FOLLOWING THIRD PARTIES: 1. PERSONS AND FIRMS SUPPLYING GOODS AND SERVICES TO RHCC. 2. PERSONS AND FIRMS FROM WHOM RHCC LEASES PROPERTY AND EQUIPMENT. 3. PERSONS AND FIRMS WITH WHOM RHCC IS DEALING OR PLANNING TO DEAL IN CONNECTION WITH THE GIFT, PURCHASE OR SALE OF REAL ESTATE, SECURITIES, OR OTHER PROPERTY. 4. COMPETING OR AFFINITY ORGANIZATIONS. 5. DONORS AND OTHERS SUPPORTING RHCC. 6. AGENCIES, ORGANIZATIONS AND ASSOCIATIONS WHICH AFFECT THE OPERATIONS OF RHCC. 7. FAMILY MEMBERS, FRIENDS, AND OTHER EMPLOYEES. SECTION 4. NATURE OF CONFLICTING INTEREST A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS MENTIONED IN SECTION 3. SUCH AN INTEREST MIGHT ARISE THROUGH: SECTION 5. INTERPRETATION OF THIS STATEMENT OF POLICY THE AREAS OF CONFLICTING INTEREST LISTED IN SECTION 3, AND THE RELATIONS IN THOSE AREAS WHICH MAY GIVE RISE TO CONFLICT, AS LISTED IN SECTION 4, ARE NOT EXHAUSTIVE. CONFLICTS MIGHT ARISE IN OTHER AREAS OR THROUGH OTHER RELATIONS. IT IS ASSUMED THAT THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES WILL RECOGNIZE SUCH AREAS AND RELATION BY ANALOGY. THE FACT THAT ONE OF THE INTERESTS DESCRIBED IN SECTION 4 EXISTS DOES NOT NECESSARILY MEAN THAT A CONFLICT EXISTS, OR THAT THE CONFLICT, IF IT EXISTS, IS MATERIAL ENOUGH TO BE OF PRACTICAL IMPORTANCE, OR IF MATERIAL, THAT UPON FULL DISCLOSURE OF ALL RELEVANT FACTS AND CIRCUMSTANCES IT IS NECESSARILY ADVERSE TO THE INTERESTS OF RHCC. HOWEVER, IT IS THE POLICY OF THE GOVERNING BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS DESCRIBED IN SECTION 4 SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARDS OF DIRECTORS, OFFICERS, LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. SECTION 6. DISCLOSURE POLICY AND PROCEDURE PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST AND ALL MATERIAL FACTS ARE FULLY DISCLOSED TO THE GOVERNING BOARD OF DIRECTORS OR TO A COMMITTEE WITH BOARD-DELEGATED POWERS; 2. THE PERSON WITH THE CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL BE EXCLUDED FROM THE DISCUSSION AND VOTE ON APPROVAL OF SUCH TRANSACTION; 3. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; 4. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER RHCC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; 5. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN RHCC'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO RHCC, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. DISCLOSURE DISCLOSURE IN RHCC SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE GOVERNING BOARD OF DIRECTORS. DISCLOSURE INVOLVING DIRECTORS SHOULD BE MADE TO THE GOVERNING BOARD CHAIR (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE GOVERNING BOARD VICE-CHAIR) WHO SHALL BRING THESE MATTERS TO THE GOVERNING BOARD. DECISION THE GOVERNING BOARD OF DIRECTORS OR A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS SHALL DETERMINE WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO RHCC. IN THE CASE OF A CONFLICT INVOLVING A MEMBER OF THE GOVERNING BOARD OF DIRECTORS, THE GOVERNING BOARD OR COMMITTEE REVIEWING THE MATTER SHALL CONSIDER THE DISABLING GUIDELINES ATTACHED HERETO. THE DECISION OF THE GOVERNING BOARD OR COMMITTEE ON THESE MATTERS WILL REST IN ITS SOLE DISCRETION, AND ITS CONCERN MUST BE THE WELFARE OF RHCC AND THE ADVANCEMENT OF RHCC'S PURPOSE. SECTION 7. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY 1. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. 2. IF, AFTER HEARING THE RESPONSE OF THE PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THAT THE PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE NO ACTION, REPRIMAND, REQUEST FOR RESIGNATION OR REMOVAL FROM THE BOARD OF DIRECTORS AS THE FACTS AND CIRCUMSTANCES MAY WARRANT. SECTION 9. COMPENSATION 1. A VOTING MEMBER OF THE BOARD OF DIRECTORS WHO RECEIVES COMPENSATION FOR PROVISION OF SERVICES AS AN EMPLOYEE OR CONTRACTOR, DIRECTLY OR INDIRECTLY, FROM RHCC IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 2. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. 3. NO MEMBER OF THE BOARD OR ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM RHCC, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING COMPENSATION. 4. PHYSICIANS WHO RECEIVE COMPENSATION FROM RHCC, WHETHER DIRECTLY OR INDIRECTLY OR AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS. NO PHYSICIAN, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING PHYSICIAN COMPENSATION. SECTION 10. ANNUAL STATEMENTS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING OR FOUNDATION BOARD DELEGATED POWERS, AND ALL LICENSED INDEPENDENT, CONTRACT OR EMPLOYED PRACTITIONERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON-- 1. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; 2. HAS READ AND UNDERSTANDS THE POLICY; 3. HAS AGREED TO COMPLY WITH THE POLICY; AND 4. UNDERSTANDS THAT RHCC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15ARIVERWOOD HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT MEETS AT LEAST QUARTERLY TO REVIEW, DISCUSS, AND RECOMMEND ANY COMPENSATION CHANGES FOR THE CEO. THIS IS DONE WITH EXTERNAL MARKET DATA CONDUCTED BY AN INDEPENDENT FIRM (MOST RECENTLY ARTHUR J. GALLAGHER COMPANIES). THE COMPENSATION COMMITTEE RELIES HEAVILY ON THAT EXTERNAL INDEPENDENT DATA AND IN ACCORDANCE WITH RIVERWOOD'S COMPENSATION PHILOSOPHY, IS UTILIZED TO MAKE RECOMMENDATION TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THE DATA UTILIZED FOR CEO COMPENSATION WAS LAST UPDATED/COMPLETED MAY 2023, AND WILL BE CONDUCTED EVERY 2 YEARS. DOCUMENTATION AND RECORD KEEPING IS MAINTAINED FOR BOTH COMPENSATION COMMITTEE AND BOARD OF DIRECTORS MEETINGS IN WHICH CEO COMPENSATION DISCUSSIONS AND/OR DECISIONS OCCUR.
FORM 990, PART VI, SECTION C, LINE 19RIVERWOOD ANNUALLY PRODUCES A FISCAL YEAR-END FINANCIALS REPORT SHOWING THE ORGANIZATION'S FINANCIAL STATUS VIA A STATEMENT OF OPERATIONS, STATISTICAL HIGHLIGHTS AND COMMUNITY BENEFITS STATEMENT. THIS REPORT IS MADE AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IT IS DISTRIBUTED TO MEMBERS OF THE ORGANIZATION AT AN ANNUAL MEETING AND IS POSTED TO OUR WEBSITE IN THE ABOUT US SECTION. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,940,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,940,941. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,360,464. MANAGEMENT AND GENERAL EXPENSES 1,620,259. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,980,723.
FORM 990, PART XI, LINE 9:DECREASE IN INTEREST IN NET ASSETS OF RIVERWOOD FOUNDATION -270,779. SISU MEDICAL SOLUTIONS, LLC SCHEDULE K-1 ACTIVITY -31,261. UNREALIZED GAIN ON INTEREST RATE SWAPS 1,888,061.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
RIVERWOOD HEALTH CARE CENTER FOUNDATION
200 BUNKER HILL DRIVEAITKINMN56431411738787SUPPORTMN501(C)(3)LINE 12A, IRIVERWOOD HEALTHCARE CENTERYes (1)
RIVERWOOD MEDICAL PROPERTIES LLC
200 BUNKER HILL DRIVEAITKINMN56431823113322SUPPORTMN501(C)(3)LINE 12A, IRIVERWOOD HEALTHCARE CENTERYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RIVERWOOD FOUNDATION
C$478,130FMV
RIVERWOOD FOUNDATION
B$101,780FMV
RIVERWOOD MEDICAL PROPERTIES
K$126,000FMV
RIVERWOOD MEDICAL PROPERTIES
A$99FMV