2024-11-11T09:29:22-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-01-01 411651783 RIDGEVIEW CLINICS RIDG 9524422191 500 SOUTH MAPLE STREET WACONIA MN 55387 AARON BLOOMQUIST CHIEF FINANCIAL OFFICER 9524422191 2024-11-08 1 0 JUSTIN HARTERT P02236744 5074467100 2024-11-08 2023 2024-10-15 13:58:12Z MICHAEL PHELPS 500 SOUTH MAPLE STREET WACONIA MN 55387 25385711 0 X WWW.RIDGEVIEWMEDICAL.ORG X 1989 MN RIDGEVIEW MEDICAL CENTER EXISTS TO ENHANCE THE LIFELONG HEALTH OF THE PEOPLE WE SERVE WITH A CULTURE THAT NURTURES THE WHOLE PERSONMIND, BODY AND SPIRIT. 3 0 80 0 0 0 0 0 22739282 25385711 0 0 0 0 22739282 25385711 0 0 0 0 22646077 25292538 0 0 0 93205 93258 22739282 25385796 0 -85 2053424 7789743 16635333 18371737 -14581909 -10581994 TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY SERVED BY RIDGEVIEW MEDICAL CENTER. 0 0 24116424 0 25385711 RIDGEVIEW CLINICS PROVIDE HEALTHCARE SERVICES TO THE COMMUNITIES SURROUNDING RIDGEVIEW. 24116424 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 80 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X AARON BLOOMQUIST 9524422191 500 SOUTH MAPLE STREET WACONIA MN 55387 MICHAEL PHELPS BOARD CHAIR 5.00 45.00 X X 0 1117159 89808 BENJAMIN NIELSON CEO, TREASURER & SECRETARY 5.00 45.00 X X 0 373549 17913 AARON BLOOMQUIST CFO 0.50 49.50 X 0 606487 81944 TIM MEYER MD VICE CHAIR 40.00 0.00 X 0 374119 66043 NIMA ADIMI PHYSICIAN 40.00 0.00 X 1108947 0 80331 BRIAN GOOTZEIT PHYSICIAN 40.00 0.00 X 1018922 0 82086 SABINA KHAN PHYSICIAN 40.00 0.00 X 900424 0 98172 MUSTAFA TIEWALA PHYSICIAN 40.00 0.00 X 903396 0 78710 WADE SWENSON 40.00 0.00 X 614239 0 77137 4545928 2471314 672144 62 0 1 0 0 PROVIDER-BASED FEES 621110 25385711 25385711 25385711 25385711 25385711 0 0 21779011 20690060 1088951 1582718 1503582 79136 806076 765772 40304 1124733 1068496 56237 93057 88404 4653 MISC EXPENSE 201 110 91 25385796 24116424 1269372 0 50257 0 2003167 7789743 2053424 7789743 5501781 11565206 11133552 6806531 16635333 18371737 X -14581909 -10581994 -14581909 -10581994 2053424 7789743 X -85 4000000 X X 0 1 X 1 0 X X X 1 RIDGEVIEW MEDICAL CENTER 311667875 3 1 25385711 0 1 25385711 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 2: RIDGEVIEW CLINICS SUPPORTS RIDGEVIEW MEDICAL CENTER, A 501(C)(3) ORGANIZATION CLASSIFIED AS A PUBLIC CHARITY UNDER IRC SECTION 170(B)(1)(A)(III). RIDGEVIEW CLINICS COMPLETED THE CALCULATIONS FOR THE SECTION 509(A)(2) PUBLIC SUPPORT TEST FOR RIDGEVIEW MEDICAL CENTER FOR THE PERIOD 1/1/2018 - 12/31/2023 AND DETERMINED THAT RIDGEVIEW MEDICAL CENTER WOULD QUALIFY AS A PUBLICLY SUPPORTED ORGANIZATION UNDER IRC SECTION 509(A)(2). 0 DUE TO RIDGEVIEW MEDICAL CENTER 6797060 CHECKS WRITTEN IN EXCESS OF CASH 9471 6806531 X PART X, LINE 2: THE ORGANIZATION HAS RECEIVED NOTIFICATION THAT IT QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND ACCORDINGLY, IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. THE ORGANIZATION IS NOT CURRRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. THE ORGANIZATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. 0 1 0 0 0 1 1 0 0 MICHAEL PHELPS BOARD CHAIR 0 1113043 0 0 0 4116 0 30630 0 59178 0 1206967 0 0 NIMA ADIMI PHYSICIAN 562142 0 546265 0 540 0 22024 0 58307 0 1189278 0 0 0 BRIAN GOOTZEIT PHYSICIAN 688345 0 329185 0 1392 0 33830 0 48256 0 1101008 0 0 0 SABINA KHAN PHYSICIAN 686129 0 214145 0 150 0 31651 0 66521 0 998596 0 0 0 MUSTAFA TIEWALA PHYSICIAN 692054 0 210382 0 960 0 32564 0 46146 0 982106 0 0 0 WADE SWENSON 471788 0 141815 0 636 0 35672 0 41465 0 691376 0 0 0 AARON BLOOMQUIST CFO 0 605045 0 0 0 1442 0 23957 0 57987 0 688431 0 0 TIM MEYER MD VICE CHAIR 0 365336 0 6461 0 2322 0 27197 0 38846 0 440162 0 0 BENJAMIN NIELSON CEO, TREASURER & SECRETARY 0 346971 0 0 0 26578 0 17113 0 800 0 391462 0 0 PART I, LINE 3 THE PRESIDENT/CEO IS COMPENSATED BY RIDGEVIEW MEDICAL CENTER, THE SOLE MEMBER. THE FOLLOWING WERE USED BY RIDGEVIEW MEDICAL CENTER TO DETERMINE THE PRESIDENT/CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE (EXECUTIVE COMMITTEE) 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACT 5) COMPENSATION SURVEY OR STUDY 6) APROVAL BY THE BOARD OR COMPENSATION COMMITTEE (EXECUTIVE COMMITTEE) PART I, LINE 4B MICHAEL PHELPS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AT RIDGEVIEW MEDICAL CENTER. DURING 2023, $197,412 WAS CONTRIBUTED TO THE PLAN, $74,970 ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. AARON BLOOMQUIST PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AT RIDGEVIEW MEDICAL CENTER. DURING 2023, $231,049 WAS CONTRIBUTED TO THE PLAN, $10,720 ACCRUED WITHIN THE PLAN, AND $0 WAS PAID OUT OF THE PLAN. THESE DEFERRED COMPENSATION AMOUNTS ARE REPORTED ON A PRO-RATA BASIS WITHOUT REGARD TO THE INDIVIDUAL'S VESTING SCHEDULE. CURRENTLY, THE MAJORITY OF DEFERRED COMPENSATION IS NOT VESTED. PART I, LINE 6 THE OFFICERS OF RIDGEVIEW MEDICAL CENTER AND AFFILIATES RECEIVE BONUSES CONTINGENT ON THE NET EARNINGS OF THE CONSOLIDATED ENTITY AND GOALS ACHIEVED. BONUSES WERE EARNED IN 2023 AND PAID IN 2024. FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY RIDGEVIEW MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF RIDGEVIEW CLINICS IS RIDGEVIEW MEDICAL CENTER, A MINNESOTA NON-PROFIT CORPORATION AND A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS ARE ELECTED BY THE MEMBER. ANY DIRECTOR MAY ALSO BE REMOVED BY THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS REQUIRE APPROVAL OF THE MEMBER. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES THAT CAN ACT ON THE BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A DETAILED REVIEW OF THE FORM 990 WAS COMPLETED BY THE PRESIDENT AND TREASURER OF THE BOARD OF DIRECTORS. UPON APPROVAL, THE FINAL COPY OF THE FORM 990 WAS THEN PROVIDED TO THE FULL BOARD VIA EMAIL IN ADDITION TO BEING POSTED TO THE ORGANIZATION'S INTERNAL WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS ANNUALLY REVIEW AND SIGN THE STATEMENTS FOR POTENTIAL CONFLICTS OF INTEREST. EACH MEMBER IS EXPECTED TO DISCLOSE ANY CONFLICT OF INTEREST THAT MAY ARISE DURING THE YEAR. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE SITUATION WILL BE EXAMINED AND HANDLED APPROPRIATELY BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 ANY COMPENSATION RECEIVED BY OFFICERS OR BOARD MEMBERS OF RIDGEVIEW CLINICS IS DETERMINED BY RIDGEVIEW MEDICAL CENTER, THE SOLE MEMBER. FORM 990, PART VI, SECTION C, LINE 19 RIDGEVIEW CLINICS' FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS 4,000,000. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. RIDGEVIEW FOUNDATION 500 SOUTH MAPLE STREET WACONIA MN 55387 411328097 RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTER MN 501(C)(3) LINE 7 RIDGEVIEW MEDICAL CENTER 0 RIDGEVIEW MEDICAL CENTER 500 SOUTH MAPLE STREET WACONIA MN 55387 311667875 HEALTH CARE SERVICES MN 501(C)(3) LINE 3 N/A 0 RIDGEVIEW INSURANCE COMPANY 60 E SOUTH TEMPLE STE 1800 SALT LAKE CITY UT 84111 454109041 CAPTIVE INSURANCE COMPANY UT 501(C)(3) LINE 12A, I RIDGEVIEW MEDICAL CENTER 0 SIBLEY MEDICAL CENTER 601 W CHANDLER ST ARLINGTON MN 55307 411801967 HEALTH CARE SERVICES MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 0 MINNESOTA VALLEY HEALTH CENTER 621 S 4TH STREET LE SUEUR MN 56058 410837659 CRITICAL ACCESS HOSPITAL MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER 0 MINNEAPOLIS HEART INSTITUTE AT RIDGEVIEW HEART CENTER LLC 500 S MAPLE ST WACONIA MN 55387 205785920 CARDIOLOGY SERVICES MN N/A 0 0 CHASKA PLAZA SURGERY CENTER 3000 HUNDERTMARK ROAD CHASKA MN 55318 450975783 SURGERY SERVICES MN N/A 0 0 EXECUTIVE HEALTH MANAGEMENT SERVICES 500 SOUTH MAPLE STREET WACONIA MN 55387 411760239 MANAGEMENT SERVICES MN N/A C 0 CHARITABLE REMAINDER TRUST (1) CHARITABLE TRUST MN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0