TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DR ERIK KANTEN...................................................................... TRUSTEE/PHYSICIAN	41.00 ................. 0.00	X			638,884	98,201
(2) DR BRETT VIBETO...................................................................... TRUSTEE/PHYSICIAN	41.00 ................. 0.00	X			464,079	73,017
(3) GRANT GUNDERSON...................................................................... CHAIR	4.00 ................. 0.00	X	X		0	0
(4) TIM BRINKMAN...................................................................... VICE CHAIR	2.00 ................. 0.00	X	X		0	0
(5) STEPHANIE HARBOTT...................................................................... TREASURER	2.00 ................. 0.00	X	X		0	0
(6) KARI KOENIG...................................................................... SECRETARY	1.00 ................. 0.00	X	X		0	0
(7) LORI KELLER...................................................................... TRUSTEE	1.00 ................. 0.00	X			0	0
(8) GARRET BOROWICZ...................................................................... TRUSTEE	1.00 ................. 0.00	X			0	0
(9) REED ENGELSTAD...................................................................... TRUSTEE	1.00 ................. 0.00	X			0	0
(10) CARRIE MICHALSKI...................................................................... PRESIDENT & CEO	40.00 ................. 1.00		X		395,168	80,332
(11) BETTY ARVIDSON...................................................................... CFO / VP OF FINANCE	40.00 ................. 1.00		X		196,181	57,343
(12) CHRIS BRUGGEMAN...................................................................... COO / VP OF OPERATIONS	40.00 ................. 0.00		X		177,308	68,746
(13) LANCE NORMAN...................................................................... VP OF ANCILLARY SERVICES	40.00 ................. 0.00		X		186,483	53,415
(14) APRIL GRUNHOVD...................................................................... CNO / VP OF PATIENT SERVIC	40.00 ................. 0.00		X		196,864	40,078
(15) JEAN TATE...................................................................... VP OF HUMAN RESOURCES	40.00 ................. 0.00		X		162,821	73,998
(16) DR KARI WESSMAN...................................................................... PHYSICIAN	40.00 ................. 0.00			X	567,906	70,697
(17) DR OLATUBOSUN FASHORO...................................................................... PHYSICIAN / CHIEF OF STAFF	40.00 ................. 0.00			X	969,035	105,779

(A) Name and business address	(B) Description of services	(C) Compensation
INSPIRED SPINE HEALTH 1601 HWY 13 E BURNSVILLE,MN55337	CONTRACT PHYSICIAN	2,829,774
SANFORD HEALTH PO BOX 5074 SIOUX FALLS,SD57117	VARIOUS SERVICES (IT, LAB, CONTRACTED ME	786,582
FIRST AMERICAN COMMERCIAL BANK CORP 1801 W OLYMPIC BLVD PASADENA,CA91199	EQUIPMENT LEASES	651,704
JD GLOBAL MEDICAL 107 LIBERTY VIEW DR JERSEY CITY,NJ07302	CONTRACT EMERGENCY DEPT PHYSICIAN	516,540
REDY TECH GO (DBA RTG MEDICAL) 4611 22ND ST FREMONT,NE68025	CONTRACT MEDICAL STAFFING	480,053
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 19

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization RIVERVIEW HEALTHCARE ASSOCIATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization RIVERVIEW HEALTHCARE ASSOCIATION		Employer identification number 41-0724029

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization RIVERVIEW HEALTHCARE ASSOCIATION			Employer identification number 41-0724029
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

3,857

Total. Add lines 1c through 1i ....................................................................................................

3,857

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	RIVERVIEW HEALTHCARE ASSOCIATION PAYS DUES TO CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY THAT HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MINNESOTA HOSPITAL ASSOCIATION THAT WERE USED FOR LOBBYING.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	1,105,089	1,216,280	1,187,673	734,564	1,264,171
b	Contributions ...	23,253	13,055	1,805	431,375	378,394
c	Net investment earnings, gains, and losses	29,556	-124,195	91,830	45,555	32,094
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,264	51	65,028	23,821	940,095
f	Administrative expenses ....
g	End of year balance ......	1,156,634	1,105,089	1,216,280	1,187,673	734,564

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

100.000 %

Permanent endowment SchDMd Bullet

0 %

Term endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,133,890		1,133,890
b	Buildings ....	76,161,791	32,096,943	44,064,848
c	Leasehold improvements	312,690	220,386	92,304
d	Equipment ....	17,873,012	13,331,176	4,541,836
e	Other .....	6,680		6,680
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				49,839,558

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,558,487
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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 D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 15000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	244,419		244,419	0.360 %
b	Medicaid (from Worksheet 3, column a) . . . . .	12,440,557	9,661,219	2,779,338	4.130 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	12,684,976	9,661,219	3,023,757	4.490 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	26,543		26,543	0.040 %
f	Health professions education (from Worksheet 5) . . .	98,632	0	98,632	0.150 %
g	Subsidized health services (from Worksheet 6) . . . .	14,689,609	14,451,085	238,524	0.350 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	14,814,784	14,451,085	363,699	0.540 %
k	Total. Add lines 7d and 7j .	27,499,760	24,112,304	3,387,456	5.030 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,113,599

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

147,547

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

12,680,077

Enter Medicare allowable costs of care relating to payments on line 5.....

9,019,173

Subtract line 6 from line 5. This is the surplus (or shortfall)........

3,660,904

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	RIVERVIEW HOSPITAL 323 SOUTH MINNESOTA ST CROOKSTON,MN56716 WWW.RIVERVIEWHEALTH.ORG 375398	X	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	RIVERVIEW HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION B, LINE 7D

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION B, LINE 7D

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	RIVERVIEW HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 150.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION B, LINE 16J

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION B, LINE 16J

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION B, LINE 16J

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	RIVERVIEW HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	RIVERVIEW HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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 ASSISTANCE POLICY IS AVAILABLE AT:HTTPS://WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/THE FINANCIAL ASSISTANCE POLICY APPLICATION IS AVAILABLE AT:HTTPS://WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/THE FINANCIAL ASSSTANCE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.RIVERVIEWHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address		Type of Facility (describe)
1	1 - RIVERVIEW CLINIC CROOKSTON 323 S MINNESOTA STREET CROOKSTON,MN56716	OUTPATIENT CLINIC
2	2 - RIVERVIEW CLINIC EAST GRAND FORKS 1428 CENTRAL AVENUE NE EAST GRAND FORKS,MN56721	OUTPATIENT CLINIC/REHAB
3	3 - RIVERVIEW CLINIC FERTILE 306 N MILL STREET FERTILE,MN56540	OUTPATIENT CLINIC
4	4 - RIVERVIEW CLINIC RED LAKE FALLS 105 INTERNATIONAL DRIVE RED LAKE FALLS,MN56750	OUTPATIENT CLINIC/REHAB
5	5 - RIVERVIEW CLINIC THIEF RIVER FALLS 1140 VANROOY DRIVE THIEF RIVER FALLS,MN56701	OUTPATIENT CLINIC
6	6 - RIVERVIEW CARE CENTER 323 S MINNESOTA STREET CROOKSTON,MN56716	NURSING HOME
7	7 - RIVERVIEW HOME CARE 721 S MINNESOTA STREET CROOKSTON,MN56716	HOME HEALTH
8	8 - RIVERVIEW RECOVERY CROOKSTON 721 S MINNESOTA STREET CROOKSTON,MN56716	OUTPATIENT CHEMICAL DEPENDENCY
9	9 - RIVERVIEW RECOVERY EAST GRAND FORKS 210 GATEWAY DRIVE NE SUITE 3 EAST GRAND FORKS,MN56721	OUTPATIENT CHEMICAL DEPENDENCY
10	10 - RIVERVIEW RECOVERY ROSEAU 216 CENTER STREET W 101 ROSEAU,MN56751	OUTPATIENT CHEMICAL DEPENDENCY
11	11 - RIVERVIEW RECOVERY THIEF RIVER FALLS 213 NORTH LEBREE AVE SUITE 100 THIEF RIVER FALLS,MN56701	OUTPATIENT CHEMICAL DEPENDENCY

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 $ 1,113,599.
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 13 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS REPORTED ON PART III, LINE 6 WERE DERIVED FROM THE 2022 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 H (Form 990) 2022

Additional Data

Software ID:
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- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DR OLATUBOSUN FASHORO PHYSICIAN / CHIEF OF STAFF	(i) (ii)	969,035 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	89,004 ------------- 0	1,074,814 ------------- 0	0 ------------- 0
2DR COLIN FENNELL PHYSICIAN	(i) (ii)	744,297 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	73,651 ------------- 0	834,723 ------------- 0	0 ------------- 0
3DR RAM PANERU PHYSICIAN	(i) (ii)	671,974 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	59,692 ------------- 0	748,441 ------------- 0	0 ------------- 0
4DR ERIK KANTEN TRUSTEE/PHYSICIAN	(i) (ii)	638,884 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	81,426 ------------- 0	737,085 ------------- 0	0 ------------- 0
5DR KARI WESSMAN PHYSICIAN	(i) (ii)	567,906 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	53,922 ------------- 0	638,603 ------------- 0	0 ------------- 0
6DR MANEESH KANAL PHYSICIAN	(i) (ii)	473,499 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	56,977 ------------- 0	547,251 ------------- 0	0 ------------- 0
7DR BRETT VIBETO TRUSTEE/PHYSICIAN	(i) (ii)	464,079 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	56,242 ------------- 0	537,096 ------------- 0	0 ------------- 0
8CARRIE MICHALSKI PRESIDENT & CEO	(i) (ii)	395,168 ------------- 0	0 ------------- 0	0 ------------- 0	16,775 ------------- 0	63,557 ------------- 0	475,500 ------------- 0	0 ------------- 0
9BETTY ARVIDSON CFO / VP OF FINANCE	(i) (ii)	196,181 ------------- 0	0 ------------- 0	0 ------------- 0	11,156 ------------- 0	46,187 ------------- 0	253,524 ------------- 0	0 ------------- 0
10CHRIS BRUGGEMAN COO / VP OF OPERATIONS	(i) (ii)	177,308 ------------- 0	0 ------------- 0	0 ------------- 0	8,326 ------------- 0	60,420 ------------- 0	246,054 ------------- 0	0 ------------- 0
11LANCE NORMAN VP OF ANCILLARY SERVICES	(i) (ii)	186,483 ------------- 0	0 ------------- 0	0 ------------- 0	10,536 ------------- 0	42,879 ------------- 0	239,898 ------------- 0	0 ------------- 0
12APRIL GRUNHOVD CNO / VP OF PATIENT SERVIC	(i) (ii)	196,864 ------------- 0	0 ------------- 0	0 ------------- 0	10,898 ------------- 0	29,180 ------------- 0	236,942 ------------- 0	0 ------------- 0
13JEAN TATE VP OF HUMAN RESOURCES	(i) (ii)	162,821 ------------- 0	0 ------------- 0	0 ------------- 0	9,237 ------------- 0	64,761 ------------- 0	236,819 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2022

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization
RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number
41-0724029

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF CROOKSTON MN	41-6005076	227235AV0	09-21-2017	10,000,000	REFUND SERIES 2007 BONDS		X		X		X
B	CITY OF CROOKSTON MN	41-6005076	227235BL1	04-24-2019	48,166,705	FACILITY CONSTRUCTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	1,985,000		1,555,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	10,000,000		48,166,705
4 Gross proceeds in reserve funds .............	1,403,642		4,015,135
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	267,958		1,118,209
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			43,033,361
11 Other spent proceeds .............	8,832,997
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X
b Exception to rebate? ........		X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Return Reference	Explanation
FORM 990, PART III, LINE 3	RIVERVIEW CARE CENTER CLOSED IN MAY 2023.
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 15	THE RIVERVIEW HEALTHCARE ASSOCIATION BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. ANNUALLY, THE BOARD OF DIRECTORS RECEIVES COMPENSATION SURVEYS FROM HRAM AND THE MINNESOTA HOSPITAL ASSOCIATION AND USES THESE TO SET THE COMPENSATION FOR THE CEO. SIMILAR METHODS ARE USED TO SET THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. HOWEVER, THE COMPENSATION IS REVIEWED AND APPROVED BY THE ADMINISTRATION OFFICERS AND HUMAN RESOURCES. THESE PROCESSES ARE COMPLETED ANNUALLY IN JANUARY.
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 7,160,062. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,160,062. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 876,914. MANAGEMENT AND GENERAL EXPENSES 1,799,893. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,676,807.
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

RIVERVIEW HEALTHCARE ASSOCIATION

Employer identification number

41-0724029

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)RIVERVIEW HEALTHCARE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON,MN56716 41-1699589	FUNDRAISING	MN	501(C)(3)	LINE 7	RIVERVIEW HEALTHCARE ASSOCIATION	Yes
(2)GLENMORE FOUNDATION 323 SOUTH MINNESOTA STREET CROOKSTON,MN56716 41-1112748	CHEMICAL DEPENDENCY FINANCIAL ASSISTANCE	MN	501(C)(3)	LINE 12C, III-FI	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) RIVERVIEW HEALTHCARE FOUNDATION	C	210,870	CASH

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	449
6	Total number of volunteers (estimate if necessary) .............	6	31
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,261,889	384,658
9	Program service revenue (Part VIII, line 2g) .........	63,572,392	60,879,542
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	193,820	599,173
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,233,572	1,134,810
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	66,261,673	62,998,183
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	35,400,976	32,731,093
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	36,832,823	35,738,010
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	72,233,799	68,469,103
19	Revenue less expenses. Subtract line 18 from line 12.......	-5,972,126	-5,470,920
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	90,134,185	85,198,944
21	Total liabilities (Part X, line 26).............	64,253,187	64,709,833
22	Net assets or fund balances. Subtract line 21 from line 20.....	25,880,998	20,489,111

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 53,177,246 including grants of $ 0 ) (Revenue $ 56,444,072 )
	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, 2023, THE HOSPITAL HAD 1,042 ADMISSIONS, 1,330 PATIENT DAYS, 48,862 OUTPATIENT VISITS, 1,927 SURGERIES, AND 6,170 ER PATIENT VISITS. THE CLINICS PROVIDE A WIDE RANGE OF SERVICES INCLUDING FAMILY PRACTICE DOCTORS AND SPECIALTY DOCTORS. FOR THE YEAR ENDED SEPTEMBER 30, 2023, CLINIC PATIENT VISITS WERE 34,174.

4b	(Code: ) (Expenses $ 1,919,244 including grants of $ 0 ) (Revenue $ 1,469,436 )
	RIVERVIEW CARE CENTER PROVIDED STIMULATING DAILY ACTIVITIES FOR ITS RESIDENTS IN AN ENJOYABLE ENVIRONMENT AND A CARING ATMOSPHERE WHERE ALL RESIDENTS ARE TREATED WITH THE UTMOST DIGNITY. THE MEMORY CARE UNIT PROMOTED A CALM AND THERAPEUTIC ATMOSPHERE. RIVERVIEW CARE CENTER WAS A 24-BED FACILITY, FOR THE YEAR ENDING SEPTEMBER 30, 2023, THERE WAS 1 NURSING HOME ADMISSION AND 3,654 RESIDENT DAYS. THE RIVERVIEW CARE CENTER CLOSED IN MAY OF 2023.

4c	(Code: ) (Expenses $ 1,316,099 including grants of $ 0 ) (Revenue $ 1,491,936 )
	RIVERVIEW HOME CARE IS A FULL SERVICE HOME CARE AGENCY PROVIDING 24-HOUR ACCESS TO ON CALL NURSES, ROUTINE SERVICE ON WEEKENDS AND HOLIDAYS, AND A FULL RANGE OF THERAPY SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2023, THERE WERE 1,310 HOME CARE PATIENTS AND 13,621 PATIENT VISITS. RIVERVIEW ASSISTED LIVING PROVIDES SERVICE TO RESIDENTS IN CROOKSTON. ASSISTANCE FOR THOSE UNABLE TO LIVE ALONE WITHOUT AID INCLUDES HOUSEKEEPING, HELP DRESSING, BATHING, PREPARING MEALS, MEDICATION SET-UP AND MANY OTHER SERVICES. FOR THE YEAR ENDING SEPTEMBER 30, 2023, THERE WERE 179 ASSISTED LIVING PATIENTS AND 5,111 PATIENT VISITS.

	(Code: ) (Expenses $ 678,630 including grants of $ ) (Revenue $ 1,474,098 )
	RIVERVIEW RECOVERY CENTER PROVIDES A DAY TREATMENT AND OUTPATIENT TREATMENT PROGRAM EFFECTIVE FOR THE ADULT WHO IS ABUSING OR DEPENDENT ON ONE OR MORE MOOD-ALTERING CHEMICALS. THE RECOVERY CENTER OPERATES CLINICS IN CROOKSTON, EAST GRAND FORKS, THIEF RIVER FALLS, AND ROSEAU, MINNESOTA. FOR THE YEAR ENDING SEPTEMBER 30, 2023, RECOVERY CENTER HAD 1,217 OUTPATIENT VISITS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 678,630 including grants of $ ) (Revenue $ 1,474,098 )
4e	Total program service expenses57,091,219

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,844,499	0	962,251

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) DR RAM PANERU........................................................................ PHYSICIAN	40.00 .......................0.00	X	671,974	0	76,467
(19) DR MANEESH KANAL........................................................................ PHYSICIAN	40.00 .......................0.00	X	473,499	0	73,752
(20) DR COLIN FENNELL........................................................................ PHYSICIAN	40.00 .......................0.00	X	744,297	0	90,426

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	239,757
e	Government grants (contributions)		1e	143,651

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,250

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		384,658

		Business Code
2a	RIVERVIEW HOSPITAL	621990	33,257,262	33,257,262
b	PHYSICIAN CLINICS	621110	23,186,810	23,186,810
c	HOME HEALTH/ASSISTED LIVING	621610	1,491,936	1,491,936
d	RIVERVIEW RECOVERY	621990	1,474,098	1,474,098
e	RIVERVIEW CARE CENTER	621400	1,469,436	1,469,436
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		60,879,542

3 Investment income (including dividends, interest, and othersimilar amounts) ......			600,027			600,027
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		150	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		150	6c
d	Net rental income or (loss).......			150			150
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses	854		7b
c	Gain or (loss)	-854		7c
d	Net gain or (loss).........			-854			-854
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	RETAIL SALES		456110	682,256			682,256
b	OTHER OPERATING REVENUE		621990	255,898			255,898
c	CAFETERIA		621990	173,731			173,731
d	All other revenue ....			22,775			22,775
e	Total. Add lines 11a–11d ......			1,134,660
12	Total revenue. See instructions.....			62,998,183	60,879,542	0	1,733,983

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,243,342	340,278	1,903,064
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	24,276,989	22,138,358	2,138,631
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,096,195	999,628	96,567
9	Other employee benefits .......	3,526,314	3,215,671	310,643
10	Payroll taxes ...........	1,588,253	1,448,339	139,914
11	Fees for services (non-employees):
a	Management ......	975		975
b	Legal .........	173,509	20,580	152,929
c	Accounting ...........	157,275	1,600	155,675
d	Lobbying ...........	3,857		3,857
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,508		1,508
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	9,836,869	8,036,976	1,799,893
12	Advertising and promotion ....	290,372		290,372
13	Office expenses .......	360,568	138,598	221,970
14	Information technology ......	847,564	88,120	759,444
15	Royalties ..
16	Occupancy ...........	1,345,638	526,831	818,807
17	Travel ............	84,574	80,616	3,958
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	2,516,884	2,516,884
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,362,461	4,362,461
23	Insurance ...	428,202		428,202
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	8,044,809	8,033,554	11,255
b	DRUGS	2,188,597	2,188,597
c	MAINTENANCE & REPAIRS	1,336,550	883,501	453,049
d	BAD DEBT EXPENSE	1,113,599	1,113,599
e	All other expenses	2,644,199	957,028	1,687,171
25	Total functional expenses. Add lines 1 through 24e	68,469,103	57,091,219	11,377,884	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			8,157	1	2,003
2	Savings and temporary cash investments .........			20,483,773	2	19,144,488
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			10,637,835	4	8,532,909
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			359,642	7	397,184
8	Inventories for sale or use ............			1,131,898	8	1,312,977
9	Prepaid expenses and deferred charges ......			273,995	9	272,838
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	95,488,063
b	Less: accumulated depreciation	10b	45,648,505	54,336,113	10c	49,839,558
11	Investments—publicly traded securities .			2,682,455	11	3,669,855
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			220,317	15	2,027,132
16	Total assets. Add lines 1 through 15 (must equal line 33)...			90,134,185	16	85,198,944

17	Accounts payable and accrued expenses .....	7,279,536	17	7,484,990
18	Grants payable ...		18
19	Deferred revenue .........	846,912	19	844,611
20	Tax-exempt bond liabilities .........	54,884,544	20	53,366,849
21	Escrow or custodial account liability. Complete Part IV of Schedule D	4,789	21	79
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	888,290	23	454,817
24	Unsecured notes and loans payable to unrelated third parties ..	126,816	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	222,300	25	2,558,487
26	Total liabilities. Add lines 17 through 25..	64,253,187	26	64,709,833

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	25,880,998	27	20,489,111
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	25,880,998	32	20,489,111
33	Total liabilities and net assets/fund balances ........	90,134,185	33	85,198,944