Civic Intelligence

Aitkin Community Hospital DBA Riverwood Healthcare Center

EIN 41-0745522 • 501(c)3 • Aitkin, MN

Profile

To improve health by providing high quality, compassionate and personalized care.

200 Bunker Hill DriveAitkin, MN 56431

www.riverwoodhealthcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

72nd percentile

0.56x

Higher debt load relative to assets than 72% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

71st percentile

0.92x

Higher debt load relative to revenue than 71% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

25th percentile

-2.1%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

65th percentile

$663,309

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

92nd percentile

29%

Faster asset growth than 92% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

53rd percentile

8.9%

Faster revenue growth than 53% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$172,276,125

Up $39,074,368 (+29%) from 2023

Liabilities

Up

$96,324,782

Up $40,869,462 (+74%) from 2023

Net Assets

Down

$75,951,343

Down $1,795,094 (-2.3%) from 2023

Revenue

Up

$104,626,437

Up $8,528,160 (+8.9%) from 2023

Expenses

Up

$106,873,235

Up $12,155,160 (+13%) from 2023

Net Income

Down

-$2,246,798

Down $3,627,000 (-263%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0Assets 2010: $54,724,711Liabilities 2010: $31,702,846Net Assets 2010: $23,021,8652010Assets 2011: $74,110,478Liabilities 2011: $49,080,072Net Assets 2011: $25,030,4062011Assets 2012: $76,475,801Liabilities 2012: $47,846,263Net Assets 2012: $28,629,5382012Assets 2013: $75,825,894Liabilities 2013: $45,417,709Net Assets 2013: $30,408,1852013Assets 2014: $81,626,274Liabilities 2014: $47,474,845Net Assets 2014: $34,151,4292014Assets 2015: $84,910,661Liabilities 2015: $47,771,545Net Assets 2015: $37,139,1162015Assets 2016: $81,835,029Liabilities 2016: $41,122,759Net Assets 2016: $40,712,2702016Assets 2017: $85,323,954Liabilities 2017: $40,428,848Net Assets 2017: $44,895,1062017Assets 2018: $101,611,660Liabilities 2018: $50,996,653Net Assets 2018: $50,615,0072018Assets 2019: $109,141,859Liabilities 2019: $51,886,313Net Assets 2019: $57,255,5462019Assets 2020: $131,651,817Liabilities 2020: $69,653,539Net Assets 2020: $61,998,2782020Assets 2021: $140,704,305Liabilities 2021: $60,170,037Net Assets 2021: $80,534,2682021Assets 2022: $122,550,858Liabilities 2022: $51,542,238Net Assets 2022: $71,008,6202022Assets 2023: $133,201,757Liabilities 2023: $55,455,320Net Assets 2023: $77,746,4372023Assets 2024: $172,276,125Liabilities 2024: $96,324,782Net Assets 2024: $75,951,3432024

Highlighted filing

2024

Assets$172,276,125
Liabilities$96,324,782
Net Assets$75,951,343

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $42,368,8992010Expenses 2011: $43,466,3602011Expenses 2012: $47,645,0482012Revenue 2013: $53,907,876Expenses 2013: $51,978,971Net Income 2013: $1,928,9052013Revenue 2014: $57,305,147Expenses 2014: $53,972,367Net Income 2014: $3,332,7802014Revenue 2015: $61,179,445Expenses 2015: $55,779,109Net Income 2015: $5,400,3362015Revenue 2016: $60,678,455Expenses 2016: $57,527,591Net Income 2016: $3,150,8642016Revenue 2017: $62,423,274Expenses 2017: $59,577,982Net Income 2017: $2,845,2922017Revenue 2018: $67,129,103Expenses 2018: $65,205,758Net Income 2018: $1,923,3452018Revenue 2019: $75,277,598Expenses 2019: $67,644,569Net Income 2019: $7,633,0292019Revenue 2020: $74,576,888Expenses 2020: $71,310,451Net Income 2020: $3,266,4372020Revenue 2021: $95,564,990Expenses 2021: $80,161,227Net Income 2021: $15,403,7632021Revenue 2022: $91,742,125Expenses 2022: $89,077,820Net Income 2022: $2,664,3052022Revenue 2023: $96,098,277Expenses 2023: $94,718,075Net Income 2023: $1,380,2022023Revenue 2024: $104,626,437Expenses 2024: $106,873,235Net Income 2024: -$2,246,7982024

Highlighted filing

2024

Revenue$104,626,437
Expenses$106,873,235
Net Income-$2,246,798

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$172$96.3$76.0$105$107$2.25
2023Detailed filing. Detailed filing data is available for this year.$133$55.5$77.7$96.1$94.7$1.38
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$123$51.5$71.0$91.7$89.1$2.66
2021Detailed filing. Detailed filing data is available for this year.$141$60.2$80.5$95.6$80.2$15.4
2020Detailed filing. Detailed filing data is available for this year.$132$69.7$62.0$74.6$71.3$3.27
2019Detailed filing. Detailed filing data is available for this year.$109$51.9$57.3$75.3$67.6$7.63
2018Detailed filing. Detailed filing data is available for this year.$102$51.0$50.6$67.1$65.2$1.92
2017Detailed filing. Detailed filing data is available for this year.$85.3$40.4$44.9$62.4$59.6$2.85
2016Detailed filing. Detailed filing data is available for this year.$81.8$41.1$40.7$60.7$57.5$3.15
2015Detailed filing. Detailed filing data is available for this year.$84.9$47.8$37.1$61.2$55.8$5.40
2014Detailed filing. Detailed filing data is available for this year.$81.6$47.5$34.2$57.3$54.0$3.33
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$75.8$45.4$30.4$53.9$52.0$1.93
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$76.5$47.8$28.6$47.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$74.1$49.1$25.0$43.5
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$54.7$31.7$23.0$42.4
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 10, 2025
Return Version
2023v6.0
Gross Receipts
$124,935,527
Mission and Program Overview

Mission

Provide high quality inpatient and outpatient care and three primary clinics care to the residents of aitkin and the surrounding area.

Riverwood healthcare center's mission is to improve health by providing high quality, compassionate and personalized care. Coupling this with our vision of being the region's preferred health system providing exceptional care and our values of integrity, customer service, unity, respect, compassion, excellence and passion we focused on six strategic goals. These six pillars are people, customer service, growth, community, stewardship and quality. We strive for these in all that we do for our patients.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$60,213,529$94,444,383▲ $34,230,854
Accounts Receivable$15,928,909$18,891,363▲ $2,962,454
Cash and Non-Interest-Bearing Accounts$3,748,573$9,283,190▲ $5,534,617
Investments in Publicly Traded Securities$21,460,425$6,732,748▼ $14,727,677
Inventories for Sale or Use$4,586,049$4,782,618▲ $196,569
Prepaid Expenses and Deferred Charges$649,101$760,503▲ $111,402
Intangible Assets$545,591$424,348▼ $121,243
Total Assets$133,201,757$172,276,125▲ $39,074,368
Other Assets Total$26,069,580$36,956,972▲ $10,887,392
Liabilities
Tax Exempt Bond Liabilities$22,329,478$55,739,090▲ $33,409,612
Mortgage Notes Payable Secured by Investment Property$9,628,215$22,148,022▲ $12,519,807
Accounts Payable and Accrued Expenses$18,133,078$13,929,779▼ $4,203,299
Other Liabilities$5,364,549$4,507,891▼ $856,658
Total Liabilities$55,455,320$96,324,782▲ $40,869,462
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$71,115,583$69,461,080▼ $1,654,503
Net Assets With Donor Restrictions$6,630,854$6,490,263▼ $140,591
Total Net Assets Fund Balance$77,746,437$75,951,343▼ $1,795,094
Total Liabilities and Net Assets / Fund Balance$133,201,757$172,276,125▲ $39,074,368

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$61,366,986$27,626,113$88,993,099
Equipment$19,869,029$30,010,891$49,879,920
Other Land Buildings$10,379,984$3,927,460$14,307,444
Land$1,684,923-$1,684,923
Leasehold Improvements$1,143,461-$1,143,461
Other Assets Org$919,040--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$572,223$600▲ $117,235$45,788$636,270
2022$536,857-▲ $50,366-$572,223
2021$656,179$8,000▼ $111,322-$536,857
2020$593,667-▲ $77,512-$656,179
2019$542,002$250▲ $51,415-$593,667
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr David TaylorCMOFT$613,257$50,052$663,309
Ken WestmanCEOFT$431,444$52,905$484,349
Dr Jeffrey EhnstromDirector/physicianFT$424,860$56,213$481,073
Dr Jim HarrisEr PhysicanFT$420,433$49,690$470,123
Dr Jessica HodsonEr PhysicanFT$402,689$59,213$461,902
Robert SchmiegCrnaFT$380,956$44,159$425,115
Dr Christopher HughesProviderFT$355,709$53,367$409,076
Dr Melissa HerbransonProviderFT$334,954$68,246$403,200
Cynthia BakerCOOFT$229,212$46,837$276,049
Casey JohnsonCFOFT$216,748$44,643$261,391

Board Members and Trustees

NameTitle
Kathleen RyanChair
Christine BrightVice Chair
Mike PaulbeckVice Chair (until 06/2024)
Bryan NistlerDirector
Dr Timothy DirksDirector
Heather HippDirector
Jared LundgrenDirector
Steve WilsonDirector
Tom LundbergDirector
Lowell LarsonSecretary
Chad GrossTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Cuyuna Regional Medical CenterMedical/surgical Prof Svcs320 E MAIN ST, Crosby, MN 56441$6,091,850
Central Minnesota Diagnostics INCRadiology Prof Svcs150 10TH ST, Milaca, MN 56353$1,769,491
Life Guard Anesthesia Services INCAnesthesia Prof Svcs29561 395TH PLACE, Aitkin, MN 56431$1,727,146
Medical Solutions LLCHourly Labor1010 N 102ND ST 300, Omaha, NE 68114$1,625,572
Premier Surgical Associates PaMedical Prof Svcs318 E MAIN ST, Crosby, MN 56441$1,127,842
Revenue and Support

Revenue Composition

Contributions and Grants
$683,121
Program Service Revenue
$101,971,501
Investment Income
$665,989
Other Revenue
$1,305,826
All Other Contributions
$116,153
Change in Net Assets
$-2,246,798

Audited Revenue Reconciliation

Revenue per Audited Statements
$104,592,623
Revenue Not Reported on Financial Statements
$33,814
Revenue Not Reported on Form 990
$1,002,976
Other Revenue Adjustments
$33,814
Total Revenue per Audited Statements
$105,595,599
Total Revenue per Form 990
$104,626,437
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$58,661,333
Salaries, Compensation, and Employee Benefits$48,027,830
Grants and Similar Amounts Paid$184,072
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$31,340,162$4,023,705-$35,363,867
Fees for Services Other$16,390,295$2,111,788-$18,502,083
Other Employee Benefits$5,843,703$709,611-$6,553,314
Depreciation Depletion$3,686,920$915,977-$4,602,897
All Other Expenses$274,908$2,532,250-$2,807,158
Office Expenses$2,139,665$395,944-$2,535,609
Payroll Taxes$2,189,046$306,715-$2,495,761
Current Officers, Directors, Trustees, and Key Employees$476,331$1,818,581-$2,294,912
Pension Plan Contributions$1,199,131$120,845-$1,319,976
Interest$957,708$237,933-$1,195,641
Occupancy$944,382$155,450-$1,099,832
Other Expenses$159,142$534,880-$694,022
Insurance-$452,139-$452,139
Fees for Services Accounting-$337,308-$337,308
Grants to Domestic Orgs$180,572--$180,572
Travel$98,470$8,398-$106,868
Conferences and Meetings$54,566$22,824-$77,390
Fees for Services Legal-$71,040-$71,040
Advertising-$12,426-$12,426
Fees for Services Lobbying-$3,798-$3,798
Grants to Domestic Individuals$3,500--$3,500
Information Technology$2,839--$2,839
Total Functional Expenses$91,846,734$15,026,501$0$106,873,235

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$107,442,086
Total Expenses per Form 990$106,873,235
Expenses per Audited Statements$106,839,421
Expenses Not Reported on Form 990$602,665
Expenses Not Reported on Financial Statements$33,814
Other Expense Adjustments$33,814
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Riverwood Healthcare Center & Community Hospital FoundationAitkin, MN501(c)(3)To Provide Administrative Support$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jennifer EhnstromFamily Member of Board Member Jeffrey EhnstromEmploymentNo$20,151
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$4,080,388
Interest Rate Swap$427,503

Bond Issues

BondIssuerIssuedIssue PricePurpose
BCity of Aitkin2022-12-22$10,000,000Construct and equip 63,450 sq foot new surgery center addition to hospital
CCity of Tamarack2022-12-22$10,000,000Construct and equip 63,450 sq foot new surgery center addition to hospital
DCity of Aitkin2017-12-28$9,732,000Renovate, expand, equip clinic space; build 9 chair kidney dialysis center
ACity of Mcgregor2022-12-22$9,000,000Construct and equip 63,450 sq foot new surgery center addition to hospital
DCity of Garrison2022-12-22$8,500,000Construct and equip 63,450 sq foot new surgery center addition to hospital
BCity of Mcgregor2016-05-17$8,000,000Refinance debt which financed construction of new hospital in 2001
CCity of Tamarack2016-05-17$8,000,000Refinance debt which financed construction of new hospital in 2001
ACity of Aitkin2016-05-17$5,985,025Refinance debt which financed construction of new hospital in 2001

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$10,000,000$9,722,570$34,209-
C$10,000,000$9,723,400$34,209-
D$9,732,000$9,537,360$2,838,072$194,640
A$9,000,000$8,751,557$30,788-
D$8,500,000$8,264,890$29,077-
B$8,000,000$7,880,847$3,459,017$119,153
C$8,000,000$7,880,847$3,459,017$119,153
A$5,985,025$5,895,883$2,587,788$89,142

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Riverwood healthcare center has members.

Form 990, Part VI, Section A, Line 7A

Riverwood healthcare center has members who may elect members of the governing body.

Form 990, Part VI, Section B, Line 11B

The board has authorized the finance committee to review and approve the 990 after preparation. After approval by the finance committee, the 990 is submitted to the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Officers, directors, and key employees are required to disclose annually interests that could give rise to conflicts. Conflicts are discussed, reviewed, and forms are signed annually by each board member. This is done at the hospital's annual reorganizational meeting. Section 1. Purpose the purpose of this policy is to provide a means by which to address any conflict of interest involving the boards of directors, officers, licensed independent, contract, or employed practitioners, and employees that affect or have the potential to affect the safety or quality of care, treatment, and services. Section 2. Persons concerned this statement is directed not only to boards of directors, officers, licensed independent, contract, or employed practitioners, but to all employees or non-employees who can influence the actions of rhcc. For example, this would include all who make purchasing decisions, all persons who might be described as "management personnel, and anyone who has proprietary information concerning rhcc. Section 3. Areas in which conflict may arise conflicts of interest may arise in the relations of the boards of directors, officers, licensed independent, contract or employed practitioners, and management employees with any of the following third parties: 1. Persons and firms supplying goods and services to rhcc. 2. Persons and firms from whom rhcc leases property and equipment. 3. Persons and firms with whom rhcc is dealing or planning to deal in connection with the gift, purchase or sale of real estate, securities, or other property. 4. Competing or affinity organizations. 5. Donors and others supporting rhcc. 6. Agencies, organizations and associations which affect the operations of rhcc. 7. Family members, friends, and other employees. Section 4. Nature of conflicting interest a conflicting interest may be defined as an interest, direct or indirect, with any persons or firms mentioned in section 3. Such an interest might arise through: section 5. Interpretation of this statement of policy the areas of conflicting interest listed in section 3, and the relations in those areas which may give rise to conflict, as listed in section 4, are not exhaustive. Conflicts might arise in other areas or through other relations. It is assumed that the boards of directors, officers, licensed independent, contract or employed practitioners, and management employees will recognize such areas and relation by analogy. The fact that one of the interests described in section 4 exists does not necessarily mean that a conflict exists, or that the conflict, if it exists, is material enough to be of practical importance, or if material, that upon full disclosure of all relevant facts and circumstances it is necessarily adverse to the interests of rhcc. However, it is the policy of the governing board that the existence of any of the interests described in section 4 shall be disclosed before any transaction is consummated. It shall be the continuing responsibility of the boards of directors, officers, licensed independent, contract or employed practitioners, and management employees to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make such disclosures. Section 6. Disclosure policy and procedure procedures for addressing conflicts of interest transactions with parties with whom a conflicting interest exists may be undertaken only if all of the following are observed: 1. The conflicting interest and all material facts are fully disclosed to the governing board of directors or to a committee with board-delegated powers; 2. The person with the conflict of interest may make a presentation at the governing board or committee meeting, but after the presentation, he or she shall be excluded from the discussion and vote on approval of such transaction; 3. The chairperson of the governing board or committee shall, if appropriate, appoint a disinterested person or committee to inve

Form 990, Part VI, Section B, Line 15A

Riverwood has a compensation committee of the board of directors that meets at least quarterly to review, discuss, and recommend any compensation changes for the ceo. This is done with external market data conducted by an independent firm (most recently arthur j. Gallagher companies). The compensation committee relies heavily on that external independent data and in accordance with riverwood's compensation philosophy, is utilized to make recommendation to the board of directors for their review and approval. The data utilized for ceo compensation was last updated/completed may 2023, and will be conducted every 2 years. Documentation and record keeping is maintained for both compensation committee and board of directors meetings in which ceo compensation discussions and/or decisions occur.

Form 990, Part VI, Section C, Line 19

Riverwood annually produces a fiscal year-end financials report showing the organization's financial status via a statement of operations, statistical highlights and community benefits statement. This report is made available to the public for the same period of disclosure as set forth in section 6104(d). It is distributed to members of the organization at an annual meeting and is posted to our website in the about us section. The governing documents and conflict of interest policies are not made available to the general public.

Filing and Contact Details

Filer

Filer Name
Aitkin Community Hospital Dba
EIN
41-0745522
Phone
2189272121
Address
200 BUNKER HILL DRIVE, AITKIN, MN 56431

Signing Officer

Name
Casey Johnson
Title
CFO
Phone
2189272121
Signed
2025-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ken Westman
Formed
1948
Legal Domicile
Mn
Voting Board Members
11
Independent Board Members
10
Employees
605
Volunteers
103

Preparer

Firm
Rsm US Llp
Address
227 WEST FIRST STREET SUITE 700, DULUTH, MN 55802
Preparer
Julie Boyer
Phone
2187275025
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A

Riverwood representatives accepted the award for exemplary achievement in community benefits for addressing social determinants of health with patients. Mha shared these comments on the community benefits award: "the team at riverwood recognizes the unique needs of the population they serve. With an older population in a rural area, getting resources out to those who need them was a challenge that riverwood took on and developed community partnerships to address." riverwood connects is a community health initiative that provides a central platform for resources addressing social influencers of health, such as food insecurity, housing, and transportation. Riverwood adds patients to the platform to ensure they can access the resources they need and partners with aitkin county care to ensure resources are distributed effectively. In 2023, riverwood connects went live with find help and food rx. Find help is a collaborative effort derived from the 2020 needs assessment completed by the aitkin county coalition, led by aitkin county care. The assessment identified the need for a community resource hub with find help selected as the online hub of choice. Find help was built in 2010 to offer an easier way to find social services and to connect to them directly and electronically. With financial and administrative assistance from aitkin county care, riverwood implemented find help in its facility and community wide. Aitkin county care was instrumental in assisting with community outreach to organizations onboarding with find help. By using data analytics with both the electronic health record and find help, riverwood has been able to address patient's social determinants of health and connect them to resources. One of the key resources provided through the riverwood connects program is access to nutritious food. The food rx program emphasizes the role healthy food plays in overall health and eliminates barriers like budget and transportation to accessing food. In partnership with local farmers, aitkin farmers market hub, and aitkin county statewide health improvement partnership, participants are provided community supported agriculture shares and "riverwood connects bucks" to be used at the aitkin farmers market. By providing equitable access to nutritious food and community resources, riverwood is taking steps to make the communities it serves healthier. Riverwood healthcare center, with the help of the aitkin farmers market hub and aitkin county public health, was awarded the minnesota local food purchase assistance (lfpa) grant by the minnesota department of agriculture (mda). The lfpa program is a new grant from mda to fund projects that buy local food, primarily from socially disadvantaged and emerging farmers, and to distribute food to underserved communities. Riverwood is partnering with the aitkin farmers market hub to purchase locally grown food from aitkin county's very own and nearby farmers. Additionally, riverwood has partnered with aitkin county care and angels of mcgregor to help distribute the food boxes to the senior population they serve. The grant, which offers money for food boxes, administration and outreach costs and transportation, allows riverwood to procure food from local farmers and distribute food boxes through the aitkin farmers market hub. The first boxes distributed in january contained apples, honey, whole wheat flour, cornmeal, wild rice, dry beans, oatmeal, pork chops and ground pork. Together, boxes will be delivered each month from january to may in 2024 and 2025. Riverwood partners with aitkin county care and angels of mcgregor to disburse boxes throughout the county. Boxes are provided to each organization, and they distribute the food to those they have identified as at-risk or food insecure. Riverwood is providing the administration of the grant along with outreach efforts within the communities of aitkin county. Each month areas are identified through aitkin county care and angels. Food boxes w

Form 990, Part III, Line 4A

Headwaters leadership announced the headwaters hvn board of directors includes seven leaders from member rural hospitals across minnesota. The active daily management of the network will be led by principals from cibolo health. Cibolo health helps independent rural hospitals create clinically integrated networks with their peers to overcome the obstacles rural healthcare providers face. The headwaters cin will drive care coordination efforts and reduce administrative burdens for providers. The network includes a clinical integration committee (cic) to oversee all clinical and quality initiatives. The committee includes one medical practitioner from each member hospital. The headwaters hvn also will provide member hospitals a menu of shared services that promote more efficient operations. The network is exploring shared solutions in population health platform, data analytics, care management solutions and other areas. "everyone involved with headwaters has a great sense of collaboration, a high 'collaborative iq,' that will help us sustain independent hospitals for the long term," westman said. "we understand that working together works for our communities." riverwood healthcare center's launched and introduced its new podcast, riverwood on call. Hosted by our chief medical officer, dr. David taylor, this podcast will feature insightful discussions and interviews with our providers. Our first four episodes feature dr. Timothy arnold, a family physician at the mcgregor clinic. Dr. Arnold shares his journey into medicine and his keys to living a healthy life. In his conversation with dr. Taylor, he delves into his passion for primary care and the concept of health spanhow long we live healthily, rather than just living longer. Dr. Arnold explains that wellness is not merely the absence of disease but a balance within the body's systems. He emphasizes that health should be viewed in terms of overall well-being, considering factors like mental, physical, and social health. This holistic approach reflects a shift in medical thinking, moving beyond traditional metrics to focus on quality of life. Listeners gain valuable insights into various health topics, from preventive care and wellness strategies to innovative treatments and personal stories from our healthcare providers. Listen to episodes of riverwood on call on spotify, pandora, apple podcasts, iheart, or on the riverwood website. Riverwood received more five star ratings from the centers for medicaid and medicare for earning a five-star rating for cleanliness. This report is produced based on patient satisfaction surveys issued and compiled by the hospital consumer assessment of healthcare providers and systems (hcahps). This is a national, standardized survey of hospital patients about their experience during a recent inpatient stay. The surveys were completed between october 2022 and september 2023. "at riverwood healthcare center, our housekeeping staff is dedicated to maintaining a spotless hospital environment that supports the health and safety of our hospital patients," explains april baxley, environmental services manager. "our staff uses a robust checklist to ensure they do not miss any key areas or high-touch points of contact, such as door handles, elevator buttons and light switches, during their regular cleaning rounds. This national hospital cleanliness rating is a testament to the outstanding work of our entire environmental services team." the survey is given to a random sample of adult patients between 2 and 42 days after discharge and includes twenty-seven items, including cleanliness and quietness of the hospital environment. The results are published on the care compare website four times a year. The overall hcahps summary score is on a 5-star rating scale, with 4- and 5-star ratings being the best. Riverwood healthcare center offers free monthly meetups on women's health and wellness topics at local restaurants. Participants hear from local doctors regard

Form 990, Part III, Line 4A

We continually examine emerging healthcare needs of the communities we serve throughout aitkin county and the garrison and mille lacs area. With a strong focus on health, wellness and prevention, the center strives to educate and inform its patients and the community on health issues. The community's and patient's needs are listened to and incorporated in our mission statement, strategic plan, and vision. To ensure that we can keep meeting the needs of the public under our "people" pillar, riverwood opened a new surgical wing in august 2024. With the need for more operating rooms and larger rooms, this allowed accommodating the technology of a da vinci robot, velys orthopedic equipment and uroskop interventional urology operating room table. This expansion allowed us to meet our larger surgery volumes, offering privacy needs for patients who deserve healing and recovery. The hospital's new surgery space consists of approximately 60,500 square feet of new surgical departments, including six operating rooms, two large procedure rooms, three endoscopy rooms, twenty-five prep and recovery rooms, post-anesthesia care unit, sterile processing, and staff support. The addition includes approximately 12,000 square feet of clinical space for general surgery, urology, and ob/gyn. In january 2024, an electronic health record transition went live, creating a digital front door experience that gave our patients more ownership over their care while adding convenience and time-saving features. Internally, this conversion gave riverwood more autonomy and flexibility to adjust and streamline workflows and processes of care, all designed for personalization of the system to best fit patients' needs.

Form 990, Part IX, Line 11G

Physician fees: program service expenses 6,004,633. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,004,633. Professional fees: program service expenses 10,385,662. Management and general expenses 2,111,788. Fundraising expenses 0. Total expenses 12,497,450.

FORM 990, PART XI, LINE 9:

Decrease in interest in net assets of riverwood foundation -140,591. Unrealized gain on interest rate swaps -2,315,564.

Financial Statement Notes

PART V, LINE 4:

To be used and distributed as a scholarship or educational fund to aid in the education and recruitment of health care professionals for riverwood healthcare center.

PART X, LINE 2:

Nonprofit organizations may become subject to income taxes if qualification as a tax-exempt entity changes, if unrelated business income is generated and in certain other instances. Nonprofit organizations are required to assess the certainty of their tax positions related to these matters and, in some cases, record liabilities for potential taxes, interest and penalties accompanied by footnote disclosures. The organization has not identified any uncertain tax positions that would require the accrual of an income tax provision. Generally, the organization is no longer subject to income tax examinations by the u.s. Federal or state tax authorities for years before 2021.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Decrease in interest in net assets - riverwood foundation -140,591. Riverwood medical properties, llc revenue 126,000. Eliminations related to riverwood medical properties, llc 257,976. Unrealized gain/loss on interest rate swaps -2,315,564.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Grant expense netted with revenue 33,814.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Riverwood medical properties, llc expenses 561,369. Elimination related to riverwood medical properties, llc -126,000.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Grant expense netted with revenue 33,814.

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IRS990/Form990PartVIISectionAGrp/PersonNm6STEVE WILSON
IRS990/Form990PartVIISectionAGrp/PersonNm7LOWELL LARSON
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IRS990/Form990PartVIISectionAGrp/PersonNm9CHRISTINE BRIGHT
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IRS990/Form990PartVIISectionAGrp/PersonNm12KEN WESTMAN
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IRS990/Form990PartVIISectionAGrp/PersonNm14DR DAVID TAYLOR
IRS990/Form990PartVIISectionAGrp/PersonNm15CYNTHIA BAKER
IRS990/Form990PartVIISectionAGrp/PersonNm16DR JIM HARRIS
IRS990/Form990PartVIISectionAGrp/PersonNm17DR JESSICA HODSON
IRS990/Form990PartVIISectionAGrp/PersonNm18ROBERT SCHMIEG
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IRS990/Form990PartVIISectionAGrp/PersonNm20DR MELISSA HERBRANSON
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR/PHYSICIAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt19PROVIDER
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