RIVERVIEW HEALTHCARE ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: RIVERVIEW HEALTHCARE ASSOCIATION (EIN 41-0724029)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-16
IRS object ID: 202332289349301033
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-16T13:53:31-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 S 6TH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410724029	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HEALTHCARE ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	RIVE	BusinessNameControlTxt
Phone	2182819200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	323 SOUTH MINNESOTA STREET	AddressLine1Txt
City	CROOKSTON	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56716	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARRIE MICHALSKI	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	2182819200	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CARRIE	PersonFirstNm
Person Last	MICHALSKI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MACKENZIE MCNAUGHTON	PreparerPersonNm
PTIN	P02025805	PTIN
Phone	6123764500	PhoneNum
Preparation	2023-08-10	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HEALTH AND SUBSIDIARY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CARRIE MICHALSKI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	323 SOUTH MINNESOTA STREET	AddressLine1Txt
City	CROOKSTON	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56716	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$66,261,673	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RIVERVIEWHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1898	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	RIVERVIEW HEALTH PROVIDES WORLD-CLASS HEALTHCARE THROUGH A CULTURE OF EXCELLENCE THAT PROVIDES ACCESS TO OUR COMMUNITY FOR ALL HEALTHCARE NEEDS SERVING AS AN ADVOCATE FOR OUR COMMUNITY, PATIENTS, MEDICAL STAFF AND EMPLOYEES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	436	TotalEmployeeCnt
Total Volunteers	170	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,631,914	PYContributionsGrantsAmt
CY Contributions Grants	$1,261,889	CYContributionsGrantsAmt
PY Program Service Revenue	$60,831,814	PYProgramServiceRevenueAmt
CY Program Service Revenue	$63,572,392	CYProgramServiceRevenueAmt
PY Investment Income	$114,367	PYInvestmentIncomeAmt
CY Investment Income	$193,820	CYInvestmentIncomeAmt
PY Other Revenue	$978,340	PYOtherRevenueAmt
CY Other Revenue	$1,233,572	CYOtherRevenueAmt
PY Total Revenue	$71,556,435	PYTotalRevenueAmt
CY Total Revenue	$66,261,673	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$35,043,532	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$35,400,976	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$31,677,403	PYOtherExpensesAmt
CY Other Expenses	$36,832,823	CYOtherExpensesAmt
PY Total Expenses	$66,720,935	PYTotalExpensesAmt
CY Total Expenses	$72,233,799	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,835,500	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,972,126	CYRevenuesLessExpensesAmt
Total Assets BOY	$104,798,732	TotalAssetsBOYAmt
Total Assets EOY	$90,134,185	TotalAssetsEOYAmt
Total Liabilities BOY	$72,632,520	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$64,253,187	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$32,166,212	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$25,880,998	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE DELIVER A HEALTHCARE EXPERIENCE THAT CONSISTENTLY EXCEEDS PATIENTS' EXPECTATIONS THROUGH EXCEPTIONAL PEOPLE - OUR PEOPLE ARE OUR FOUNDATION. WE EMPLOY TRUSTED, DEDICATED PROFESSIONALS WHO SERVE WITH COMPASSION, EMPATHY AND RESPECT. EXCEPTIONAL CARE - OUR PATIENTS ARE OUR FOCUS. WE BUILD RELATIONSHIPS TO DELIVER PERSONALIZED CARE. EXCEPTIONAL OUTCOMES - OUR PASSION IS TO ENHANCE LIVES. WE ENGAGE IN THE BEST PRACTICES TO HEAL PEOPLE AND PROMOTE HEALTHY COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$54,885,932	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$57,876,168	RevenueAmt
Desc	RIVERVIEW HEALTHCARE DIRECTLY PROVIDES OR SUPPORTS THE PROVISION OF A CONTINUUM OF QUALITY, ACCESSIBLE AND COST-EFFECTIVE SERVICES FOCUSED ON THE NEEDS OF INDIVIDUALS. RIVERVIEW STRIVES TO MEET AREA MEDICAL NEEDS AND IMPROVE THE PHYSICAL AND MENTAL WELLBEING FOR PEOPLE OF THE AREA. THE HOSPITAL IS A MODERN 25-BED ACUTE CARE CRITICAL ACCESS HOSPITAL. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2022, THE HOSPITAL HAD 758 ADMISSIONS, 1,698 PATIENT DAYS, 48,845 OUTPATIENT VISITS, 1,622 SURGERIES, AND 6,098 ER PATIENT VISITS. THE CLINICS PROVIDE A WIDE RANGE OF SERVICES INCLUDING FAMILY PRACTICE DOCTORS AND SPECIALTY DOCTORS. FOR THE YEAR ENDED SEPTEMBER 30, 2022, CLINIC PAITIENT VISITS WERE 32,202.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,930,329	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$4,144,457	RevenueAmt
Desc	RIVERVIEW CARE CENTER PROVIDES STIMULATING DAILY ACTIVITIES FOR ITS RESIDENT IN AN ENJOYABLE ENVIRONMENT AND A CARING ATMOSPHERE WHERE ALL RESIDENTS ARE TREATED WITH THE UTMOST DIGNITY. THE MEMORY CARE UNIT PROMOTES A CALM AND THERAPEUTIC ATMOSPHERE. RIVERVIEW CARE CENTER IS A 24-BED FACILITY, FOR THE YEAR ENDING SEPTEMBER 30, 2022, THERE WERE 6 NURSING HOME ADMISSIONS AND 7,359 RESIDENT DAYSRIVERVIEW HOME CARE IS A FULL SERVICE HOME CARE AGENCY PROVIDING 24-HOUR ACCESS TO ON CALL NURSES, ROUTINE SERVICE ON WEEKENDS AND HOLIDAYS, AND A FULL RANGE OF THERAPY SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2022, THERE WERE 1,330 HOME CARE PAITENTS AND 13,676 PATIENT VISITS. (CONTINUED IN SCHEDULE O)RIVERVIEW ASSISTED LIVING PROVIDES SERVICE TO RESIDENTS IN CROOKSTON. ASSISTANCE FOR THOSE UNABLE TO LIVE ALONE WITHOUT AID INCLUDES HOUSEKEEPING, HELP DRESSING, BATHING, PREPARING MEALS, MEDICATION SET-UP AND MANY OTHER SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2022, THERE WERE 196 ASSISTED LIVING PATIENTS AND 5,482 PATIENT VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,471,593	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,551,767	RevenueAmt
Desc	RIVERVIEW RECOVERY CENTER PROVIDES A DAY TREATMENT AND OUTPATIENT TREATMENT PROGRAM EFFECTIVE FOR THE ADULT WHO IS ABUSING OR DEPENDENT ON ONE OR MORE MOOD-ALTERING CHECMICALS. THE RECOVERY CENTER OPERATES CLINICS IN CROOKSTON, EAST GRAND FORKS, THIEF RIVER FALLS, AND ROSEAU, MINNESOTA. FOR THE YEAR ENDING SEPTEMBER 30, 2022, RECOVERY CENTER HAD 1,240 OUTPATIENT VISITS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$60,287,854	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	131	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	436	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BETTY ARVIDSON	PersonNm
Phone	2182819756	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	323 SOUTH MINNESOTA ST	AddressLine1Txt
City	CROOKSTON	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56716	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DR ERIK KANTEN
TRUSTEE/PHYSICIAN	41.00	0.00	Yes (X)	$655,230	$0	$44,925
DR BRETT VIBETO
TRUSTEE/PHYSICIAN	41.00	0.00	Yes (X)	$460,281	$0	$29,665
GRANT GUNDERSON
CHAIR	4.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ANDY OMAN
CHAIR (THRU JAN OF 22)	4.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
TIM BRINKMAN
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
STEPHANIE HARBOTT
TREASURER	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
KARI KOENIG
SECRETARY	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MICHELLE COTA
TRUSTEE (THRU JAN OF 22)	1.00	0.00	Yes (X)	$0	$0	$0
LORI KELLER
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
GARRET BOROWICZ
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
REED ENGELSTAD
TRUSTEE	1.00	0.00	Yes (X)	$0	$0	$0
CARRIE MICHALSKI
PRESIDENT & CEO	40.00	1.00		$303,170	$0	$45,174	Yes (X)
BETTY ARVIDSON
CFO / VP OF FINANCE	40.00	1.00		$168,860	$0	$31,200	Yes (X)
CHRIS BRUGGEMAN
COO / VP OF OPERATIONS	40.00	0.00		$153,381	$0	$40,957	Yes (X)
LANCE NORMAN
VP OF ANCILLARY SERVICES	40.00	0.00		$161,881	$0	$23,578	Yes (X)
APRIL GRUNHOVD
CNO / VP OF PATIENT SERVIC	40.00	0.00		$177,783	$0	$11,916	Yes (X)
JEAN TATE
VP OF HUMAN RESOURCES	40.00	0.00		$135,599	$0	$22,082	Yes (X)
DR HAMID ABBASI
PHYSICIAN	40.00	0.00		$891,823	$0	$0		Yes (X)
DR OLATUBOSUN FASHORO
PHYSICIAN / CHIEF OF STAFF	40.00	0.00		$862,408	$0	$45,511		Yes (X)
DR RAM PANERU
PHYSICIAN	40.00	0.00		$784,454	$0	$45,505		Yes (X)
DR SUNNY KIM
PHYSICIAN	40.00	0.00		$898,819	$0	$0		Yes (X)
DR COLIN FENNELL
PHYSICIAN	40.00	0.00		$887,466	$0	$43,604		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,541,155	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$384,117	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	41	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SANFORD FARGO CLINIC NORTH
PO BOX 2168	FARGO	ND	58107	PHYSICIAN & CLINICAL SERVICES	$957,328
FIRST AMERICAN COMMERCIAL GROUP
1801 W OLYMPIC BLVD	PASADENA	CA	91199	COMPUTER & MEDICAL EQUIPMENT LEASING	$624,512
JD GLOBAL MEDICAL INC
107 LIBERTY VIEW INC	JERSEY CITY	NJ	07302	PHYSICIAN SERVICES	$546,613
CHG MEDICAL STAFFING INC
PO BOX 972633	DALLAS	TX	75397	MEDICAL STAFFING SERVICE	$384,561
CHG COMPANIES INC
PO BOX 972651	DALLAS	TX	75397	MEDICAL STAFFING SERVICE	$321,087

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Related Organizations	$168,743	RelatedOrganizationsAmt
Government Grants	$1,093,146	GovernmentGrantsAmt
Total Contributions	$1,261,889	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RIVERVIEW HOSPITAL	621990	$34,975,756	$34,975,756
PHYSICIAN CLINICS	621110	$22,900,412	$22,900,412
RIVERVIEW CARE CENTER	621400	$2,694,403	$2,694,403
RIVERVIEW RECOVERY	621990	$1,551,767	$1,551,767
HOME HEALTH/ASSISTED LIVING	621610	$1,450,054	$1,450,054

Field	Value	IRS element (for citing)
Total Program Service Revenue	$63,572,392	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$193,320	TotalRevenueColumnAmt
Exclusion	$193,320	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$500	TotalRevenueColumnAmt
Exclusion	$500	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
RETAIL SALES	452000	$923,208	$923,208
CAFETERIA	621990	$161,532	$161,532
OTHER OPERATING REVENUE	621990	$89,019	$89,019

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,813	TotalRevenueColumnAmt
Exclusion	$59,813	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,233,572	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,261,673	TotalRevenueColumnAmt
Related Or Exempt Func Income	$63,572,392	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,427,392	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,683,698	TotalAmt
Program Services	$396,420	ProgramServicesAmt
Management And General	$2,287,278	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$25,936,308	TotalAmt
Program Services	$23,775,234	ProgramServicesAmt
Management And General	$2,161,074	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,197,616	TotalAmt
Program Services	$1,097,828	ProgramServicesAmt
Management And General	$99,788	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,863,812	TotalAmt
Program Services	$3,541,870	ProgramServicesAmt
Management And General	$321,942	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,719,542	TotalAmt
Program Services	$1,576,266	ProgramServicesAmt
Management And General	$143,276	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,755	TotalAmt
Management And General	$5,755	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$98,168	TotalAmt
Program Services	$20,359	ProgramServicesAmt
Management And General	$77,809	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$111,650	TotalAmt
Management And General	$111,650	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,780	TotalAmt
Management And General	$3,780	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$8,828	TotalAmt
Management And General	$8,828	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,723,774	TotalAmt
Program Services	$8,060,012	ProgramServicesAmt
Management And General	$1,663,762	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$301,944	TotalAmt
Management And General	$301,944	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$364,983	TotalAmt
Program Services	$176,297	ProgramServicesAmt
Management And General	$188,686	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$913,732	TotalAmt
Program Services	$95,423	ProgramServicesAmt
Management And General	$818,309	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,251,962	TotalAmt
Program Services	$492,611	ProgramServicesAmt
Management And General	$759,351	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$98,239	TotalAmt
Program Services	$91,182	ProgramServicesAmt
Management And General	$7,057	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,570,192	TotalAmt
Program Services	$2,570,192	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,595,505	TotalAmt
Program Services	$4,595,505	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$412,873	TotalAmt
Management And General	$412,873	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$8,638,453	$8,619,996	$18,457
DRUGS	$1,827,735	$1,827,735
BAD DEBT EXPENSE	$1,353,743	$1,353,743
MAINTENANCE & REPAIRS	$1,310,905	$907,328	$403,577

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,240,602	TotalAmt
Program Services	$1,089,853	ProgramServicesAmt
Management And General	$2,150,749	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,233,799	TotalAmt
Program Services	$60,287,854	ProgramServicesAmt
Management And General	$11,945,945	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,009	BOYAmt
EOY	$8,157	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$33,708,349	BOYAmt
EOY	$20,483,773	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,940,813	BOYAmt
EOY	$10,637,835	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$397,840	BOYAmt
EOY	$359,642	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,279,162	BOYAmt
EOY	$1,131,898	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$274,682	BOYAmt
EOY	$273,995	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$100,501,502	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,165,389	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$57,792,827	BOYAmt
EOY	$54,336,113	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,377,260	BOYAmt
EOY	$2,682,455	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,790	BOYAmt
EOY	$220,317	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,798,732	BOYAmt
EOY	$90,134,185	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,408,576	BOYAmt
EOY	$7,279,536	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,522,205	BOYAmt
EOY	$846,912	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,355,541	BOYAmt
EOY	$54,884,544	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$4,747	BOYAmt
EOY	$4,789	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,466,005	BOYAmt
EOY	$888,290	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$245,892	BOYAmt
EOY	$126,816	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$629,554	BOYAmt
EOY	$222,300	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,632,520	BOYAmt
EOY	$64,253,187	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,166,212	BOYAmt
EOY	$25,880,998	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$32,166,212	BOYAmt
EOY	$25,880,998	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,798,732	BOYAmt
EOY	$90,134,185	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$5,972,126	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$313,088	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$3,780	OtherActivitiesAmt
Total Lobbying Expenditures	$3,780	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	RIVERVIEW HEALTHCARE ASSOCIATION PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY THAT HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MINNESOTA HOSPITAL ASSOCIATION THAT WERE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,216,280	BeginningYearBalanceAmt
Contributions	$13,055	ContributionsAmt
Investment Earnings Or Losses	-$124,195	InvestmentEarningsOrLossesAmt
Other Expenditures	$51	OtherExpendituresAmt
End Year Balance	$1,105,089	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,187,673	BeginningYearBalanceAmt
Contributions	$1,805	ContributionsAmt
Investment Earnings Or Losses	$91,830	InvestmentEarningsOrLossesAmt
Other Expenditures	$65,028	OtherExpendituresAmt
End Year Balance	$1,216,280	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$734,564	BeginningYearBalanceAmt
Contributions	$431,375	ContributionsAmt
Investment Earnings Or Losses	$45,555	InvestmentEarningsOrLossesAmt
Other Expenditures	$23,821	OtherExpendituresAmt
End Year Balance	$1,187,673	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,264,171	BeginningYearBalanceAmt
Contributions	$378,394	ContributionsAmt
Investment Earnings Or Losses	$32,094	InvestmentEarningsOrLossesAmt
Other Expenditures	$940,095	OtherExpendituresAmt
End Year Balance	$734,564	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,011,633	BeginningYearBalanceAmt
Contributions	$229,213	ContributionsAmt
Investment Earnings Or Losses	$25,658	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,333	OtherExpendituresAmt
End Year Balance	$1,264,171	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,103,890	OtherCostOrOtherBasisAmt
Book Value	$1,103,890	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,472,982	OtherCostOrOtherBasisAmt
Depreciation	$29,373,899	DepreciationAmt
Book Value	$47,099,083	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,690	OtherCostOrOtherBasisAmt
Depreciation	$207,318	DepreciationAmt
Book Value	$105,372	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,611,940	OtherCostOrOtherBasisAmt
Depreciation	$16,584,172	DepreciationAmt
Book Value	$6,027,768	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$54,336,113	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ESTIMATED WORKERS' COMPENSATION CLAIMS	Desc
Amt	$222,300	Amt

Field	Value	IRS element (for citing)
Total Liability	$222,300	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	THE HOSPITAL IS A CUSTODIAN OF FUNDS FOR RESIDENTS. THE HOSPITAL HOLDS THESE FUNDS FOR PURCHASES MADE BY THE RESIDENTS.
PART V, LINE 4:	RIVERVIEW HEALTHCARE'S ENDOWMENT INCLUDES FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. THESE FUNDS ARE MAINTAINED IN THE RIVERVIEW HEALTHCARE FOUNDATION. THE FUNDS ARE USED TO PROVIDE TO THE RESIDENTS OF IT SERVICE AREA, QUALITY HEALTHCARE AND RELATED HEALTH SERVICES, EDUCATION, RESEARCH, PROMOTION OF HEALTH AND OTHER ACTIVITIES IN THE COMMUNITY. THE CONTRIBUTIONS RAISED BY THE FOUNDATION ARE GRANTED TO RIVERVIEW HEALTHCARE ASSOCIATION TO PURCHASE MEDICAL EQUIPMENT AND SUPPLIES FOR PROMOTION OF HEALTHCARE IN THE COMMUNITY.
PART X, LINE 2:	THE ASSOCIATION FOLLOWS THE PROVISION OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE ASSOCIATION'S FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	150.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,788	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,035,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,576,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,458,372	NetCommunityBenefitExpnsAmt
Total Expense	0.04880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,125,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,576,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,548,160	NetCommunityBenefitExpnsAmt
Total Expense	0.05010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,449	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,449	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,005	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,082,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,418,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,664,203	NetCommunityBenefitExpnsAmt
Total Expense	0.02350	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,905	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,905	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,226,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,418,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,808,562	NetCommunityBenefitExpnsAmt
Total Expense	0.02560	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,351,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,995,202	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,356,722	NetCommunityBenefitExpnsAmt
Total Expense	0.07570	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,353,743	BadDebtExpenseAmt
Bad Debt Expense Attributable	$164,400	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$15,362,589	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,666,492	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,696,097	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	323 SOUTH MINNESOTA ST	AddressLine1Txt
City	CROOKSTON	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56716	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.RIVERVIEWHEALTH.ORG	WebsiteAddressTxt
State License	375398	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVERVIEW HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION B, LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	150.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION B, LINE 16J	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION B, LINE 16J	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION B, LINE 16J	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
RIVERVIEW HOSPITAL	PART V, SECTION B, LINE 5: RIVERVIEW CONTRACTED WITH CLIFTONLARSONALLEN, LLP TO CONDUCT COMMUNITY INTERVIEWS AND TO ASSIST IN PREPARING THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY.THE INFORMATION WAS GATHERED THROUGH ONE-ON-ONE AND SMALL GROUP INTERVIEWS WITH KEY COMMMUNITY STAKEHOLDERS. THE INFORMATION WAS GATHERED FROM PEOPLE IN PUBLIC HEALTH, GOVERNMENT HEALTH AND OTHER GOVERNMENT AGENCIES, LEADERS OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.THE FOLLOWING AGENCIES, ORGANIZATIONS, AND BUSINESSES PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASESSMENT PROCESS BY CONTRIBUTING THEIR PERSPECTIVES, OPINIONS, AND OBERVATIONS. WE THANK THEM FOR THEIR PAST AND CONTINUED ASSISTANCE. - POLK COUNTY PUBLIC HEALTH DEPARTMENT- POLK COUNTY SHERIFF'S DEPARTMENT- RIVERVIEW HEALTH- TRI-VALLEY OPPORTUNITY COUNCIL- NORTHWEST MENTAL HEALTH - CROOKSTON PUBLIC SCHOOL DISTRICT- INTER-COUNTY NURSING SERVICE
RIVERVIEW HOSPITAL	PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.RIVERVIEWHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
RIVERVIEW HOSPITAL	PART V, SECTION B, LINE 11: IN THE 2013 CHNA REPORT, RIVERVIEW HEALTH IDENTIFIED OBESITY, JOINT OR BACK PAIN, AND HIGH BLOOD PRESSURE AS THE PRIMARY COMMUNITY HEALTH NEEDS. BASED ON THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH HAS TAKEN THE FOLLOWING STEPS SINCE 2013 TO IMPROVE THE HEALTH OF OUR COMMUNITY:1. RIVERVIEW HEALTH HAS ROLE MODELED AN EMPLOYEE WELLNESS PROGRAM THAT ENCOURAGES HEALTHY EATING CHOICES AND PHYSICAL ACTIVITY AS A MEANS OF MANAGING WEIGHT AND OVERALL HEALTH.2. RIVERVIEW HEALTH HIRED A REGISTERED DIETICIAN THAT SPECIALIZES IN EDUCATION AND PLANNING FOR HEALTHY DIET AND WEIGHT MANAGEMENT, BOTH IN INPATIENT AND OUTPATIENT SETTINGS.3. RIVERVIEW HEALTH IMPLEMENTED A BMI (BODY MASS INDEX) TRACKING SYSTEM AND TARGETED PATIENTS WITH HIGH RISK FACTORS FOR SUPPORT AND EDUCATION.IN JUNE 2016 RIVERVIEW HEALTH PUBLISHED ITS SECOND CHNA REPORT. BASED ON THAT COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH IDENTIFIED OBESITY AND DIABETES AS THE PRIMARY SIGNIFICANT COMMUNITY HEALTH NEED AND SUBSTANCE ABUSE AND MENTAL HEALTH AS THE SECONDARY SIGNIFICANT COMMUNITY HEALTH NEEDS.OBESITY AND DIABETES:RIVERVIEW HEALTH OFFERS INITIATIVES TO ENHANCE THE EDUCATION AND TREATMENT OF OBESITY AND DIABETES IN THE COMMUNITY. IN ADDITION TO HIRING A REGISTERED DIETICIAN THAT SPECIALIZES IN EDUCATION AND PLANNING FOR HEALTHY DIET AND WEIGHT MANAGEMENT, RIVERVIEW HAS HIRED A HEALTH COACH TO OFFER A TEAM BASED APPROACH TO CHRONIC DISEASE MANAGEMENT AND OBESITY. THIS POSITION WORKS COLLABORATIVELY WITH CLINICIANS, PATIENTS AND OTHER SERVICE PROVIDERS TO BETTER MANAGE CHRONIC CONDITIONS IN THE COMMUNITY INCLUDING DIABETES AND OBESITY.RIVERVIEW HEALTH HAS ALSO INCREASED EDUCATIONAL OPPORTUNITIES FOR THOSE SEEKING EDUCATION IN DIABETES AND NUTRITION BY OFFERING A TYPE 2 DIABETES SUPPORT GROUP.RIVERVIEW HEALTH ALSO OFFERS TYPE 2 DIABETES PREVENTION CLASSES IN AN EFFORT TO PREVENT OR REDUCE THE ONSET OF TYPE 2 DIABETES.SUBSTANCE ABUSE AND MENTAL HEALTH:RIVERVIEW HEALTH ALREADY OFFERS OUTPATIENT ADDICTION SERVICE THROUGH ITS RIVERVIEW RECOVERY CENTER.RIVERVIEW RECOVERY CENTER OFFERS AN EXTENSIVE LIST OF OUTPATIENT PROGRAMS THAT ALLOW PATIENTS THE ABILITY TO RECEIVE HIGH-CALIBER CLINICAL CARE WHILE MAINTAINING COMMITMENTS TO WORK, FAMILY AND HOME.OUTPATIENT SERVICES ARE OFFERED AT RIVERVIEW RECOVERY'S LOCATIONS: CROOKSTON, EAST GRAND FORKS, ROSEAU AND THIEF RIVER FALLS.TREATMENTS INCLUDE: - RULE 25 CHEMICAL DEPENDENCY ASSESSMENT: A COMPREHENSIVE CHEMICAL HEALTH ASSESSMENT. - INDIVIDUAL COUNSELING SESSIONS: PROVIDED FOR INDIVIDUALS THAT HAVE COMPLETED TREATMENT AND ARE STRUGGLING WITH THOUGHTS OF USING. - INTENSIVE OUTPATIENT TREATMENT: THIS INCLUDES THREE GROUP COUNSELING MEETINGS PER WEEK, ONE WEEKLY INDIVIDUAL COUNSELING SESSION AND REGULAR URINE DRUG AND ALCOHOL SCREENING FOR INDIVIDUALS STRUGGLING WITH ADDICTION THAT DO NOT MEET CRITERIA FOR RESIDENTIAL TREATMENT. - RELAPSE PREVENTION: RELAPSE PREVENTION INCLUDES ONE INDIVIDUAL COUNSELING SESSION PER WEEK AS WELL AS REGULAR URINE DRUG AND ALCOHOL SCREENING TESTS FOR INDIVIDUALS THAT HAVE COMPLETED TREATMENT, INPATIENT OR INTENSIVE OUTPATIENT, IN THE LAST THREE YEARS AND ARE STRUGGLING WITH ADDICTION. RELAPSE PREVENTION IS INTENDED FOR INDIVIDUALS THAT ARE NOT USING DAILY, BUT WANT TO STOP THE CYCLE. - DRIVING WITH CARE 1: FOR THE FIRST TIME DWI OFFENDER WITH A BLOOD ALCOHOL LEVEL OF LESS THAN .15 AT THE TIME OF ARREST. DRIVING WITH CARE 1 IS A GROUP EDUCATION AND TRAINING PROGRAM THAT HAS PROVEN TO REDUCE RECURRENCE OF DWI. NEW CLASSES BEGIN QUARTERLY. - DRIVING WITH CARE 2: FOR THE FIRST TIME DWI OFFENDER WITH A BLOOD ALCOHOL LEVEL OF MORE THAN .15 AT THE TIME OF ARREST, OR MULTIPLE DWI OFFENCES. DRIVING WITH CARE 2 IS A GROUP EDUCATION AND TRAINING PROGRAM THAT HAS PROVEN TO REDUCE RECURRENCE OF DWI. NEW CLASSES BEGIN QUARTERLY.RATHER THAN EXPAND THE SCOPE OF MENTAL HEALTH SERVICES, RIVERVIEW WILL CONTINUE TO WORK WITH COMMUNITY PARTNERS SUCH AS THE NORTHWESTERN MENTAL HEALTH CENTER TO ENSURE THE COMMUNITY HAS ADEQUATE ACCESS TO MENTAL HEALTH SERVICES.IN 2019 RIVERVIEW HEALTH PUBLISHED ITS THIRD CHNA REPORT. BASED ON THAT COMMUNITY HEALTH NEEDS ASSESSMENT, RIVERVIEW HEALTH IDENTIFIED OBESITY, INCLUDING JOINT/BACK PAIN AND HIGH BLOOD PRESSURE AS THE PRIMARY SIGNIFICANT COMMUNITY HEALTH NEED AND SUBSTANCE ABUSE AND MENTAL HEALTH AS THE SECONDARY SIGNIFICANT COMMUNITY HEALTH NEEDS.BETWEEN OCTOBER 2019 AND SEPTEMBER 2022, RIVERVIEW HEALTH TOOK THE FOLLOWING ACTIONS TO ADDRESS THE PREVIOUSLY IDENTIFIED COMMUNITY HEALTH NEEDS: OBESITY:RIVERVIEW HEALTH CONTINUES TO EMPLOY A LICENSED REGISTERED DIETICIAN (LRD) THAT FOCUSES ON THE HEALTHY EATING HABITS OF THE PATIENTS IN OUR COMMUNITY. THIS POSITION SERVED IN A CAPACITY FOR 1:1 CARE PLAN DEVELOPMENT AND GROUP EDUCATION AS WELL AS COMMUNITY PRESENTATIONS RELATING TO HEALTHY INTAKE AND WEIGHT/METABOLIC CONTROL. FREQUENCY OF REFERRALS FROM PROVIDERS FOR 1:1 COUNSELING WITH THE REGISTERED DIETICIAN HAS MORE THAN DOUBLED IN THE PAST THREE YEARS. AS AN INTEGRAL PART OF THE TEAM THE DIETICIAN WORKS WITH PROVIDERS AND HEALTH COACHES TO MANAGE THE HEALTH OF PATIENTS. RIVERVIEW HAS WORKED TOWARD IMPROVING PATIENTS THAT STRUGGLE WITH EATING HABITS AND WEIGHT CONTROL. THIS IMPROVEMENT IS SPECIFICALLY MEASURED THROUGH A GOAL THAT STATES: RIVERVIEW WILL IMPROVE OVERALL CONTROL OF ADULT DIABETIC PATIENT BLOOD SUGAR LEVELS TO AT LEAST 80% OF PATIENTS HAVING A HGBA1C MEASUREMENT OF LESS THAN 8%. RIVERVIEW HAS MET THE GOAL IN EACH YEAR SINCE INCEPTION. IN ADDITION TO EMPLOYING A REGISTERED DIETICIAN RIVERVIEW SPONSORS COMMUNITY EVENTS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE FOLLOWING LIST INCLUDES EXAMPLES:THE POWER OF PRODUCE: FOR THE PAST THREE YEARS RIVERVIEW HAS SPONSORED THE POWER OF PRODUCE TO PROVIDE FREE WHOLE FRUITS AND VEGETABLES TO KIDS AND SENIOR CITIZENS AT THE LOCAL FARMERS MARKET. RIVERVIEW 2K WALK AND ROLL: AN EVENT FOCUSED ON PROMOTING AND ENCOURAGING ACTIVITY AND MOVEMENT DIABETES SUPPORT GROUP: PEER GROUP THAT SUPPORTS AND PROMOTES HEALTHY ACTIVITIES AND HABITS. HEALTH HABITS COOKING VIDEOS: EXAMPLE - HTTPS://YOUTU.BE/UND3QJQZZFS MEDICAL MINUTE VIDEOS: EXAMPLE - HTTPS://YOUTU.BE/5R-ER6KCRZA SUBSTANCE ABUSE:RIVERVIEW CONTINUES TO OFFER SUBSTANCE ABUSE TREATMENT. TO INCREASE ACCESS TO TREATMENT, RIVERVIEW RECOVERY CENTER STARTED OFFERING ELECTRONIC OPTIONS FOR SERVICES. WITH THE USE OF A SMART PHONE OR TABLET CLIENTS CAN CONNECT WITH COUNSELORS FOR A VARIETY OF ASSESSMENT AND TREATMENT OPTIONS. THIS STRATEGY HAS DECREASED THE AMOUNT OF NO SHOWS FOR TREATMENT APPOINTMENTS AND ALLOWS THE CLIENT FLEXIBILITY FOR TREATMENT. TREATMENTS INCLUDE: COMPREHENSIVE HEALTH ASSESSMENTS: A COMPREHENSIVE CHEMICAL HEALTH ASSESSMENT. INDIVIDUAL COUNSELING SESSIONS: PROVIDED FOR INDIVIDUALS THAT HAVE COMPLETED TREATMENT AND ARE STRUGGLING WITH THOUGHTS OF USING. INTENSIVE OUTPATIENT TREATMENT: INTENSIVE OUTPATIENT THERAPY INCLUDES THREE GROUP COUNSELING MEETINGS PER WEEK. ONE WEEKLY INDIVIDUAL COUNSELING SESSION AND REGULAR URINE DRUG AND ALCOHOL SCREENING FOR INDIVIDUALS STRUGGLING WITH ADDICTION THAT DO NOT MEET THE CRITERIA FOR RESIDENTIAL TREATMENT. RELAPSE PREVENTION: RELAPSE PREVENTION INCLUDES ONE INDIVIDUAL COUNSELING SESSION PER WEEK AS WELL AS REGULAR URINE DRUG AND ALCOHOL SCREENING TESTS FOR INDIVIDUALS THAT HAVE COMPLETED TREATMENT, INPATIENT OR INTENSIVE OUTPATIENT, IN THE LAST THREE YEARS AND ARE STRUGGLING WITH ADDICTION. RELAPSE PREVENTION IS INTENDED FOR INDIVIDUALS THAT ARE NOT USING DAILY BUT WANT TO STOP THE CYCLE.DRIVING WITH CARE 1: FOR THE FIRST TIME DWI OFFENDER WITH A BLOOD ALCOHOL LEVEL OF LESS THAN .15 AT THE TIME OF ARREST. DRIVING WITH CARE 1 IS A GROUP EDUCATION AND TRAINING PROGRAM THAT HAS PROVEN TO REDUCE THE RECURRENCE OF DWI. NEW CLASSES BEGIN QUARTERLY. DRIVING WITH CARE 2: FOR THE FIRST TIME DWI OFFENDER WITH A BLOOD-ALCOHOL LEVEL OF MORE THAN .15 AT THE TIME OF ARREST, OR MULTIPLE DWI OFFENSES. DRIVING WITH CARE 2 IS A GROUP EDUCATION AND TRAINING PROGRAM THAT HAS PROVEN TO REDUCE THE RECURRENCE OF DWI. NEW CLASSES BEGIN QUARTERLY. MENTAL HEALTH:RIVERVIEW CONTINUES TO PARTNER WITH ALLUMA (FORMERLY NORTHWESTERN MENTAL HEALTH) TO ENSURE THE COMMUNITY HAS ADEQUATE ACCESS TO MENTAL HEALTH SERVICES. SOME OF THE COLLABORATIONS WITH ALLUMA INCLUDE: SUICIDE PREVENTION RIVERVIEW HEALTH FOCUSES ON SUICIDE PREVENTION, MENTAL HEALTH, AND MENTAL WELLNESS. RIVERVIEW HEALTH HAS A SUICIDE PREVENTION STEERING COMMITTEE UTILIZING THE ZERO SUICIDE INITIATIVE. RIVERVIEW PARTNERS WITH THE MINNESOTA DEPARTMENT OF HEALTH AND ALLUMA WITH THE ZERO SUICIDE INITIATIVE ACTION PLAN. CRISIS TEAM ALLUMA HAS A CRISIS RESPONSE TEAM THAT WILL RESPOND TO OUR EMERGENCY DEPARTMENT IF A NEED ARISES. THE CRISIS RESPONSE TEAM ALLOWS FOR GREATER CARE COORDINATION AND ENSURES THE PATIENTS HAVE ACCESS TO THE SERVICES THEY NEED.
RIVERVIEW HOSPITAL	PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTNACE POLICY IS AVAILABLE AT:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/3D66C20A22744620A988C9626281EC69/2023-COMMUNITY-CARE-APPLICATION-FULL.PDFTHE FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/3D66C20A22744620A988C9626281EC69/2023-COMMUNITY-CARE-APPLICATION-FULL.PDFTHE FINANCIAL ASSITANCE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://RES.CLOUDINARY.COM/DPMYKPSIH/IMAGE/UPLOAD/RIVERVIEW-HEALTH-SITE-275/MEDIA/3D66C20A22744620A988C9626281EC69/2023-COMMUNITY-CARE-APPLICATION-FULL.PDF

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - RIVERVIEW CLINIC CROOKSTON
323 S MINNESOTA STREET	CROOKSTON	MN	56716	OUTPATIENT CLINIC
2 - RIVERVIEW CLINIC EAST GRAND FORKS
1428 CENTRAL AVENUE NE	EAST GRAND FORKS	MN	56721	OUTPATIENT CLINIC/REHAB
3 - RIVERVIEW CLINIC FERTILE
306 N MILL STREET	FERTILE	MN	56540	OUTPATIENT CLINIC
4 - RIVERVIEW CLINIC RED LAKE FALLS
105 INTERNATIONAL DRIVE	RED LAKE FALLS	MN	56750	OUTPATIENT CLINIC/REHAB
5 - RIVERVIEW CLINIC THIEF RIVER FALLS
1140 VANROOY DRIVE	THIEF RIVER FALLS	MN	56701	OUTPATIENT CLINIC
6 - RIVERVIEW CARE CENTER
323 S MINNESOTA STREET	CROOKSTON	MN	56716	NURSING HOME
7 - RIVERVIEW HOME CARE
721 S MINNESOTA STREET	CROOKSTON	MN	56716	HOME HEALTH
8 - RIVERVIEW RECOVERY CROOKSTON
721 S MINNESOTA STREET	CROOKSTON	MN	56716	OUTPATIENT CHEMICAL DEPENDENCY
9 - RIVERVIEW RECOVERY EAST GRAND FORKS
210 GATEWAY DRIVE NE SUITE 3	EAST GRAND FORKS	MN	56721	OUTPATIENT CHEMICAL DEPENDENCY
10 - RIVERVIEW RECOVERY ROSEAU
216 CENTER STREET W 101	ROSEAU	MN	56751	OUTPATIENT CHEMICAL DEPENDENCY
11 - RIVERVIEW RECOVERY THIEF RIVER FALLS
213 NORTH LEBREE AVE SUITE 100	THIEF RIVER FALLS	MN	56701	OUTPATIENT CHEMICAL DEPENDENCY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	ELIGIBILITY FOR CHARITY CARE IS BASED ON HOUSEHOLD INCOME COMPARED TO FEDERAL POVERTY GUIDELINES FOR THE INDIVIDUAL'S FAMILY SIZE. TO QUALIFY FOR CHARITY CARE, A PERSON MUST RECEIVE MEDICALLY NECESSARY CARE AT RIVERVIEW HOSPITAL AND CLINICS, BE A RESIDENT OF EITHER MINNESOTA OR NORTH DAKOTA, SUBMIT A COMPLETE CHARITY CARE APPLICATION INCLUDING REQUIRED DOCUMENTATION, AND SUBMIT EVIDENCE OF APPLICATION FOR GOVERNMENT MEDICAL ASSISTANCE.
PART I, LINE 7:	COSTS INCLUDED ON LINES 7A AND 7B ARE CALCULATED USING FINANCIAL DATA AND THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 OF THE IRS SCHEDULE H INSTRUCTIONS. THE COSTS REPORTED ON LINES 7E-7I ARE DIRECT COSTS TO THE FACILITIES FOR THE PROGRAMS DESCRIBED BELOW. PART 1, LINE 7E COSTS: COMMUNITY HEALTH SERVICES IS THE TOTAL COST OF ACTIVITIES TO IMPROVE COMMUNITY HEALTH IN THE FOLLOWING AREAS: (1)PROVIDING COMMUNITY HEALTH EDUCATION WITH HEALTH LECTURES AND WORKSHOPS TO COMMUNITIY GROUPS, HEALTH AND CAREER DAY FAIRS, FAMILY AND FRIENDS CPR CLASSES AND BY PROVIDING SPECIFIC DIAGNOSES (AUTISM) SUPPORT GROUPS; (2) PROVIDING CLINICAL SERVICES SUCH AS FREE BLOOD PRESSURE AND CHOLESTEROL SCREENING AT HEALTH FAIRS; AND (3) PROVIDING SUPPORT SERVICES LIKE ENROLLMENT ASSISTANCE IN PUBLIC PROGRAMS, MENTAL HEALTH SERVICE HOT-LINES AND BUS TRANSPORTATION VOUCHERS TO ENHANCE PATIENT ACCESS TO CARE.PART I, LINE 7F COSTS: HEALTH PROFESSIONS EDUCATION IS THE COST OF OPERATING PROFESSIONAL EDUCATION AND TRAINING PROGRAMS FOR MEDICAL STUDENTS, NURSING STUDENTS, AND TECHNICIANS. SCHOLARSHIPS ARE ALSO OFFERED TO NON-EMPLOYEES FOR NURSING AND OTHER PROFESSIONAL EDUCATION.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE COSTS FOR BILLED SERVICES THAT ARE SUBSIDIZED BY THE HEALTH CARE ORGANIZATION. CLINICAL PATIENT CARE SERVICES ARE PROVIDED DESPITE A NEGATIVE MARGIN BECAUSE THEY ARE NEEDED BY THE COMMUNITY THE HOSPITAL'S SUBSIDIZED HEALTH SERVICES INCLUDE THE HOSPITAL OPERATED CLINIC.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,353,743.
PART III, LINE 2:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE ASSOCIATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ASSOCIATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ASSOCIATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 3:	ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANT POLICY WAS DETERMINED BY TAKING THE BAD DEBT EXPENSE AND MULTIPLYING IT BY THE RATIO OF THE ORGANIZATION'S MEDICAID CONTRACTUAL ADJUSTMENTS TO THE TOTAL PATIENT SERVICE REVENUE AMOUNTS FROM THE HAR REPORT.
PART III, LINE 4:	SEE THE "PATIENT AND RESIDENT RECEIVABLES, NET NOTE ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED FROM THE 2021 FILED MEDICARE COST REPORT.
PART III, LINE 9B:	THROUGHOUT THE PAYMENT AND COLLECTION PROCESS, STAFF ATTEMPTS TO IDENTIFY TO THE EXTENT POSSIBLE, PATIENTS WHICH ARE WORTHY AND APPROPRIATE FOR CHARITY CONSIDERATION. THOSE ACCOUNTS TO BE CONSIDERED FOR CHARITY REDUCTIONS ARE ASKED TO COMPLETE A FINANCIAL DISCLOSURE FORM, WHICH WILL PROVIDE PERTINENT PATIENT FINANCIAL INFORMATION NECESSARY TO DETERMINE FINANCIAL NEED. REVIEW OF POTENTIAL CHARITY REQUESTS ARE PERFORMED DAILY BY THE FINANCIAL COORDINATOR AND CERTAIN RECOMMENDATIONS ARE FORWARDED TO THE CFO FOR SIGNATURE AND APPROVAL. ALL MINNESOTA RESIDENTS, UPON REQUEST, WHO ARE UNINSURED WILL RECEIVE A PRIVATE PAY DISCOUNT DETERMINED BY THE INSURANCE COMPANY WITH WHICH RIVERVIEW HEALTH DOES THE GREATEST VOLUME. THE SOCIAL SERVICES DEPARTMENT OF RIVERVIEW HEALTHCARE WORKS CLOSELY WITH THE STATE MEDICAID ELIGIBILITY PROGRAM TO ENSURE PATIENTS HAVE ACCESS TO AVAILABLE PROGRAMS. NON-INSURED PATIENTS ARE REFERRED TO THE STATE MEDICAID ELIGIBILITY PROGRAM FOR A PROBABILITY OF ELIGIBILITY ASSESSMENT.
PART VI, LINE 2:	THE HOSPITAL PERFORMED PATIENT SURVEYS AND HIRED CONSULTANTS THAT PERFORM SURVEYS AND STUDIES TO DETERMINE HEALTH CARE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	CHARITY CARE FORMS ARE HANDED OUT IN ADMITTING AND ALSO PLACED IN COLLECTION LETTERS. MEDICAID SERVICES INFORMATION IS AVAILABLE TO PATIENTS AT REGISTRATION. THE MULTI-DISCIPLINARY DISCHARGE PLANNING COMMITTEE MEETS DAILY AND PLANS THE DISCHARGE OF PATIENTS, INCLUDING FINNANCIAL PLANNING. REFER TO APPROPRIATE AGENCIES AND PROGRAMS FOR FINANCIAL AID WHEN THE PATIENT HAS NO HOSPITAL INSURANCE OR WHEN PATIENT/FAMILY RESOURCES ARE LIMITED OR DEPLETED.
PART VI, LINE 4:	RIVERVIEW HEALTH PRIMARY SERVICE AREA CONSISTS OF POLK & RED LAKE COUNTY WITH A POPULATION OF APPROXIMATELY 34,700. THE UNEMPLOYMENT RATE IS BELOW THE STATE LEVEL. THE MAJORITY OF WORKERS ARE EMPLOYED IN HEALTHCARE, MANUFACTURING OR FARMING.POLK AND RED LAKE COUNTIES HAVE A LARGER-THAN-AVERAGE PROPORTION OF ELDERLY INDIVIDUALS POLK AND RED LAKE COUNTIES HAVE A MEDIAN INCOME BELOW STATE AVERAGE.
PART VI, LINE 5:	COMMUNITY BUILDING ACTIVITIES ARE PROGRAMS AND ACTIVITIES THAT ARE DESIGNED TO ADDRESS ROOT CAUSES OF HEALTH PROBLEMS IN THE COMMUNITY. DISASTER READINESS, REDUCING THE AIR ENVIRONMENTAL HAZARDS, SHARPS DISPOSAL AND COMMUNITY LEADERSHIP DEVELOPMENT ARE SOME PROGRAMS. RECRUITMENT OF PHYSICIANS TO THIS RURAL COMMUNITY AND PROVIDING PROGRAMS TO DRIVE ENTRY INTO HEALTH CAREERS AND NURSING PRACTICE ARE TWO OTHER ACTIVITIES.
PART VI, LINE 7, REPORTS FILED WITH STATES	MN

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR COLIN FENNELL
PHYSICIAN	$887,466	$0	$0	$0	$0	$0	$15,950	$0	$27,654	$0	$931,070	$0	$0	$0
DR OLATUBOSUN FASHORO
PHYSICIAN / CHIEF OF STAFF	$862,408	$0	$0	$0	$0	$0	$15,950	$0	$29,561	$0	$907,919	$0	$0	$0
DR SUNNY KIM
PHYSICIAN	$898,819	$0	$0	$0	$0	$0	$0	$0	$0	$0	$898,819	$0	$0	$0
DR HAMID ABBASI
PHYSICIAN	$891,823	$0	$0	$0	$0	$0	$0	$0	$0	$0	$891,823	$0	$0	$0
DR RAM PANERU
PHYSICIAN	$784,454	$0	$0	$0	$0	$0	$15,950	$0	$29,555	$0	$829,959	$0	$0	$0
DR ERIK KANTEN
TRUSTEE/PHYSICIAN	$655,230	$0	$0	$0	$0	$0	$15,950	$0	$28,975	$0	$700,155	$0	$0	$0
DR BRETT VIBETO
TRUSTEE/PHYSICIAN	$460,281	$0	$0	$0	$0	$0	$15,950	$0	$13,715	$0	$489,946	$0	$0	$0
CARRIE MICHALSKI
PRESIDENT & CEO	$303,170	$0	$0	$0	$0	$0	$15,950	$0	$29,224	$0	$348,344	$0	$0	$0
BETTY ARVIDSON
CFO / VP OF FINANCE	$168,860	$0	$0	$0	$0	$0	$9,642	$0	$21,558	$0	$200,060	$0	$0	$0
CHRIS BRUGGEMAN
COO / VP OF OPERATIONS	$153,381	$0	$0	$0	$0	$0	$9,151	$0	$31,806	$0	$194,338	$0	$0	$0
APRIL GRUNHOVD
CNO / VP OF PATIENT SERVIC	$177,783	$0	$0	$0	$0	$0	$9,849	$0	$2,067	$0	$189,699	$0	$0	$0
LANCE NORMAN
VP OF ANCILLARY SERVICES	$161,881	$0	$0	$0	$0	$0	$9,124	$0	$14,454	$0	$185,459	$0	$0	$0
JEAN TATE
VP OF HUMAN RESOURCES	$135,599	$0	$0	$0	$0	$0	$7,791	$0	$14,291	$0	$157,681	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CROOKSTON MN
A	416005076	227235AV0	2017-09-21	$10,000,000	REFUND SERIES 2007 BONDS	0	0	0
CITY OF CROOKSTON MN
B	416005076	227235BL1	2019-04-24	$48,166,705	FACILITY CONSTRUCTION	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$1,235,000	$10,000,000	$1,403,642	$267,958	$8,832,997	Yes (1)	0	Yes (1)	Yes (1)
B	$2,001,705	$48,166,705	$4,015,135	$1,118,209		0	0	0	Yes (1)	$43,033,361

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	0	0	Yes (1)	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 12B	FINALIZED AUDITED FINANCIAL STATEMENTS WERE NOT AVAILABLE AS OF THE RETURN PREPARATION DATE. NON-FINALIZED FINANCIAL STATEMENTS FROM CLIFTONLARSONALLEN WERE ATTACHED TO THE RETURN.
FORM 990, PART VI, SECTION A, LINE 1A	ALL OF THE OFFICERS OF THE HOSPITAL AND SUCH OTHER PERSONS, IF ANY, ELECTED BY THE BOARD OF DIRECTORS BY RESOLUTION SHALL CONSTITUTE THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE HOSPITAL. THE EXECUTIVE COMMITTEE SHALL ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS AND SHALL AT ALL TIMES BE SUBJECT TO THE CONTROL AND DIRECTION OF THE BOARD OF DIRECTORS. DURING SUCH INTERVALS AND SUBJECT TO SUCH CONTROL AND DIRECTION, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY AND POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE HOSPITAL, SUBJECT TO SUCH LIMITATIONS AS THE BOARD OF DIRECTORS MAY IMPOSE. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	RIVERVIEW HEALTHCARE SHALL HAVE VOTING MEMBERS WHO MUST BE 18 YEARS OF AGE OR OLDER, PAY THE MEMBERSHIP FEE DETERMINED BY THE BOARD, MUST LIVE WITHIN 30 MILES OF THE COMMUNITIES SERVED BY RIVERVIEW AND AGREE TO ABIDE BY THE ARTICLES OF INCORPORATION, BYLAWS AND OTHER RULES OF THE HOSPITAL. ANY MEMBER WHO FAILS TO PAY ANY DUES OR ASSESSMENT MAY, AFTER REASONABLE NOTICE, HAVE HIS OR HER MEMBERSHIP CANCELLED.
FORM 990, PART VI, SECTION A, LINE 7A	RIVERVIEW HEALTHCARE'S BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THEIR ANNUAL MEETING.
FORM 990, PART VI, SECTION A, LINE 7B	ANY AMENDMENTS MADE TO RIVERVIEW HEALTHCARE'S ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE FORM 990 WAS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE ACCOUNTING MANAGER FOR ACCURACY AND COMPLETENESS. AT THIS TIME THE FORM 990 WAS PRESENTED TO THE AUDIT AND FINANCE COMMITTEE. UPON APPROVAL, THE FORM 990 WAS SHARED ELECTRONICALLY WITH THE BOARD MEMBERS PRIOR TO A REGULARLY SCHEDULED BOARD MEETING AT WHICH THE BOARD MEMBERS APPROVED THE RETURN PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTERESTS POLICY SERVES TO PROTECT THE INTEGRITY OF ASSOCIATION INFORMATION, PRODUCTS, SERVICES AND EMPLOYEE EFFORTS. EMPLOYEES ARE EXPECTED TO DEVOTE THEIR BEST EFFORTS AND BE LOYAL TO THE INTERESTS OF RIVERVIEW HEALTH. RIVERVIEW RECOGNIZES THE RIGHT OF EMPLOYEES TO ENGAGE IN ACTIVITIES OUTSIDE OF THEIR EMPLOYMENT HERE, WHICH ARE OF A PRIVATE NATURE AND UNRELATED TO OUR BUSINESS. HOWEVER, A POLICY OF FULL DISCLOSURE WILL BE FOLLOWED TO ASSESS AND PREVENT POTENTIAL CONFLICTS OF INTERESTS FROM ARISING. 1. EMPLOYEES ARE NOT PERMITTED TO ENGAGE IN ACTIVITIES THAT ARE IN COMPETITION WITH THE BUSINESS ACTIVITIES OF RIVERVIEW HEALTH (EXAMPLES MAY INCLUDE, BUT ARE NOT LIMITED TO, REHAB SERVICES, CD COUNSELING, HOME CARE, OUTSIDE CONSULTATION SERVICES SUCH AS PHARMACY OR DIETETICS, OR OTHER REVENUE PRODUCING AREAS). 2. EMPLOYEES MUST DISCLOSE IN FULL, AT TIME OF EMPLOYMENT AND ANNUALLY THEREAFTER, ANY ACTIVITY THAT THEY ENGAGE IN THAT IS SIMILAR IN NATURE OR IN DIRECT COMPETITION WITH A SERVICE OF RIVERVIEW HEALTH. 3. NO EMPLOYEE MAY ENGAGE IN OUTSIDE WORK THAT WILL INTERFERE WITH HIS OR HER PRIMARY JOB WITH RIVERVIEW HEALTH. THERE IS AN EXPECTATION OF A DUTY OF LOYALTY BY ALL EMPLOYEES. 4. NO EMPLOYEE MAY ACCEPT PAYMENT, RETAINER, COMMISSION, CONSULTING FEE OR ENTER INTO ANY OTHER FEE ARRANGEMENT OR REMUNERATIONS FOR SERVICES PROVIDED IN CONJUNCTION WITH RIVERVIEW HEALTH OTHER THAN THEIR NORMAL WAGES WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 5. NO OUTSIDE WORK MAY BE DONE DURING ANY EMPLOYEES WORK HOURS. ASSOCIATION FACILITIES, EQUIPMENT, LABOR OR SUPPLIES MAY NOT BE USED TO CONDUCT NON-RIVERVIEW HEALTH BUSINESS WITHOUT THE EXPRESS APPROVAL OF ADMINISTRATION. 6. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF HEALTH CARE SERVICES. 7. EMPLOYEES MUST DISCLOSE ANY MATERIAL FINANCIAL OR OTHER BENEFICIAL INTEREST IN ANY ENTITY ENGAGED IN THE DELIVERY OF GOODS AND SERVICES TO RIVERVIEW HEALTH. 8. FAILURE TO DISCLOSE INFORMATION RELATED TO ANY OF THE ABOVE POINTS TO ADMINISTRATION MAY LEAD TO CORRECTIVE ACTION UP TO AND INCLUDING DISCHARGE. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ANNUALLY SIGN A CONFLICT OF INTEREST FORM. IF A CONFLICT OF INTEREST EXISTS, THE CONFLICTED PERSON ABSTAINS FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15A	THE RIVERVIEW HEALTHCARE ASSOCIATION BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. ANNUALLY, THE BOARD OF DIRECTORS RECEIVES COMPENSATION SURVEYS FROM HRAM AND THE MINNESOTA HOSPITAL ASSOCIATION AND USES THESE TO SET THE COMPENSATION FOR THE CEO. SIMILAR METHODS ARE USED TO SET THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. HOWEVER, THE COMPENSATION IS REVIEWED AND APPROVED BY THE ADMINISTRATION OFFICERS AND HUMAN RESOURCES. THESE PROCESSES ARE COMPLETED ANNUALLY IN JANUARY.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART IX, LINE 11G	MEDICAL SERVICES FEES: PROGRAM SERVICE EXPENSES 7,148,841. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,148,841. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 911,171. MANAGEMENT AND GENERAL EXPENSES 1,663,762. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,574,933.
FORM 990, PART XII, LINE 2C:	THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
RIVERVIEW HEALTHCARE FOUNDATION
323 SOUTH MINNESOTA STREET	CROOKSTON	MN	56716	411699589	FUNDRAISING	MN	501(C)(3)	LINE 7	RIVERVIEW HEALTHCARE ASSOCIATION	Yes (1)
GLENMORE FOUNDATION
323 SOUTH MINNESOTA STREET	CROOKSTON	MN	56716	411112748	CHEMICAL DEPENDENCY FINANCIAL ASSISTANCE	MN	501(C)(3)	LINE 12C, III-FI		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RIVERVIEW HEALTHCARE FOUNDATION
C	$150,671	CASH
GLENMORE FOUNDATION
C	$18,314	CASH