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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW SVEC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUE WESTROM</PersonNm>
        <TitleTxt>TRUSTEE (THROUGH JAN 2017)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE MICHALSKI</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27888</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BETTY ARVIDSON</PersonNm>
        <TitleTxt>CFO / VP OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>23207</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS BRUGGEMAN</PersonNm>
        <TitleTxt>COO / VP OF OPERATIONS</TitleTxt>
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        <OtherCompensationAmt>24405</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>APRIL GRUNHOVD</PersonNm>
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        <OtherCompensationAmt>7773</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LANCE NORMAN</PersonNm>
        <TitleTxt>VP OF ANCILLARY SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEAN TATE</PersonNm>
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        <OtherCompensationAmt>13601</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR OLATUBOSUN FASHORO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR ERIK KANTEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR SARAVANA BALARAMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <PersonNm>DR KARI WESSMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR MIRZA BAIG</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <GovernmentGrantsAmt>53386</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621990</BusinessCd>
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        <ExclusionAmt>2188873</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>2055462</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>293050</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <EOYAmt>2125</EOYAmt>
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        <EOYAmt>1032132</EOYAmt>
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        <EOYAmt>371600</EOYAmt>
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        <Desc>ESTIMATED WORKERS' COMPENSATION CLAIMS</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS A CUSTODIAN OF FUNDS FOR RESIDENTS. THE HOSPITAL HOLDS THESE FUNDS FOR PURCHASES MADE BY THE RESIDENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <OwnWebsiteURLTxt>SEE PART V, SECTION B, LINE 7D</OwnWebsiteURLTxt>
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        <StrategyWebsiteURLTxt>SEE PART V, SECTION B, LINE 7D</StrategyWebsiteURLTxt>
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        <FormAndLineReferenceDesc>RIVERVIEW HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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 SOCIAL SERVICES DEPARTMENT- RIVERVIEW HEALTH- TRI-VALLEY OPPORTUNITY COUNCIL- NORTHWESTERN MENTAL HEALTH CENTER- CROOKSTON PUBLIC SCHOOLS- TRI-COUNTY COMMUNITY CORRECTIONS</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIVERVIEW HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON OUR WEBSITE AT: WWW.RIVERVIEWHEALTH.ORG/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.ASPX.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>RIVERVIEW HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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. DURING THIS FISCAL YEAR, RIVERVIEW HEALTH ENGAGED OTHER COMMUNITY PROFESSIONALS IN EYE CARE, DENTISTRY AND PUBLIC HEALTH TO PRESENT TO THE GROUPS.RIVERVIEW HEALTH ALSO OFFERS TYPE 2 DIABETES PREVENTION CLASSES IN AN EFFORT TO PREVENT OR REDUCE THE ONSET OF TYPE 2 DIABETES. DURING THIS FISCAL YEAR, RIVERVIEW HEALTH EXTENDED THE PREVENTION CLASSES TO FERTILE AND RED LAKE FALLS.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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - RIVERVIEW CLINIC CROOKSTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>323 S MINNESOTA STREET</AddressLine1Txt>
            <CityNm>CROOKSTON</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56716</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - RIVERVIEW CLINIC EAST GRAND FORKS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1428 CENTRAL AVENUE NE</AddressLine1Txt>
            <CityNm>EAST GRAND FORKS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56721</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - RIVERVIEW CLINIC FERTILE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>306 N MILL STREET</AddressLine1Txt>
            <CityNm>FERTILE</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56540</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - RIVERVIEW CLINIC RED LAKE FALLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>105 INTERNATIONAL DRIVE</AddressLine1Txt>
            <CityNm>RED LAKE FALLS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56750</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC/REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - RIVERVIEW CLINIC THIEF RIVER FALLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1140 VANROOY DRIVE</AddressLine1Txt>
            <CityNm>THIEF RIVER FALLS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56701</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - RIVERVIEW CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>323 S MINNESOTA STREET</AddressLine1Txt>
            <CityNm>CROOKSTON</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56716</ZIPCd>
          </USAddress>
          <FacilityTxt>NURSING HOME</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - RIVERVIEW HOME CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>721 S MINNESOTA STREET</AddressLine1Txt>
            <CityNm>CROOKSTON</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56716</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - RIVERVIEW RECOVERY CROOKSTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>721 S MINNESOTA STREET</AddressLine1Txt>
            <CityNm>CROOKSTON</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56716</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CHEMICAL DEPENDENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - RIVERVIEW RECOVERY EAST GRAND FORKS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 GATEWAY DRIVE NE SUITE 4</AddressLine1Txt>
            <CityNm>EAST GRAND FORKS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56721</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CHEMICAL DEPENDENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - RIVERVIEW RECOVERY ROSEAU</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>216 CENTER STREET W 101</AddressLine1Txt>
            <CityNm>ROSEAU</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56751</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CHEMICAL DEPENDENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - RIVERVIEW RECOVERY THIEF RIVER FALLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>309 N LEBREE AVENUE SUITE 10</AddressLine1Txt>
            <CityNm>THIEF RIVER FALLS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>56701</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CHEMICAL DEPENDENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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-7J 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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $ 1,144,936.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE THE "PATIENT AND RESIDENT RECEIVABLES, NET NOTE ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED FROM THE 2017 FILED MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PERFORMED PATIENT SURVEYS AND HIRED CONSULTANTS THAT PERFORM SURVEYS AND STUDIES TO DETERMINE HEALTH CARE NEEDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>RIVERVIEW HEALTH'S PRIMARY SERVICE AREA CONSISTS OF POLK AND RED LAKE COUNTIES, WITH A POPULATION OF APPROXIMATELY 35,700. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>MN</ExplanationTxt>
      </SupplementalInformationDetail>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270052</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>BETTY ARVIDSON</PersonNm>
        <TitleTxt>CFO / VP OF FINANCE</TitleTxt>
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        <TotalCompensationFilingOrgAmt>166361</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <PersonNm>CHRIS BRUGGEMAN</PersonNm>
        <TitleTxt>COO / VP OF OPERATIONS</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16841</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155577</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR OLATUBOSUN FASHORO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>16789</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>764915</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ERIK KANTEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>616862</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>14575</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16493</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>647930</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR SARAVANA BALARAMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>376122</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14575</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>404927</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR KARI WESSMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>350736</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>350736</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>342749</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14451</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>371775</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF CROOKSTON MN</BusinessNameLine1Txt>
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        <BondIssuerEIN>416005076</BondIssuerEIN>
        <CUSIPNum>227235AV0</CUSIPNum>
        <BondIssuedDt>2017-09-21</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>REFUND SERIES 2007 BONDS</PurposeDesc>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <InReserveFundAmt>1073607</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>319807</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>8606586</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>RIVERVIEW HEALTHCARE'S BOARD OF DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THEIR ANNUAL MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY AMENDMENTS MADE TO RIVERVIEW HEALTHCARE'S ARTICLES OF INCORPORATION OR BYLAWS MUST BE APPROVED BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 HOPSITAL 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>RIVERVIEW HEALTHCARE'S FINANCIAL STATEMENTS ARE SUMMARIZED AND MADE AVAILABLE TO THE PUBLIC AT THE ANNUAL MEETING. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 389,306. MANAGEMENT AND GENERAL EXPENSES 210,620. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599,926. CONTRACT PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,009,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,009,375. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,951,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,951,649. OUTSIDE TRANSCRIPTION SERVICE: PROGRAM SERVICE EXPENSES 37,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,998. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 785,686. MANAGEMENT AND GENERAL EXPENSES 1,412,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,198,632. RETAIL PRODUCTS: PROGRAM SERVICE EXPENSES 616,986. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 616,986. CASH SHORT &amp; OVER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 496.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>RIVERVIEW HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>323 SOUTH MINNESOTA STREET</AddressLine1Txt>
          <CityNm>CROOKSTON</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>56716</ZIPCd>
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        <EIN>411699589</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GLENMORE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>323 SOUTH MINNESOTA STREET</AddressLine1Txt>
          <CityNm>CROOKSTON</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>56716</ZIPCd>
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        <EIN>411112748</EIN>
        <PrimaryActivitiesTxt>CHEMICAL DEPENDENCY FINANCIAL ASSISTANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RIVERVIEW HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>397404</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>