SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
RIDGEVIEW MEDICAL CENTER
 
Employer identification number

31-1667875
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

(1) RIDGEVIEW REAL ESTATE LLC
500 SOUTH MAPLE STREET
WACONIA,MN55387
LAND LESSOR MN 49,992 8,392 RIDGEVIEW MEDICAL CENTER
 
(2) RIDGEVIEW REAL ESTATE II LLC
500 SOUTH MAPLE STREET
WACONIA,MN55387
LAND LESSOR MN 0 0 RIDGEVIEW MEDICAL CENTER
 
(3) RIDGEVIEW COMMUNITY NETWORK LLC
500 SOUTH MAPLE STREET
WACONIA,MN55387
ACCOUNTABLE CARE ORGANIZATION MN 307,331 588,968 RIDGEVIEW MEDICAL CENTER
 






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?
Yes No
(1)RIDGEVIEW FOUNDATION
500 SOUTH MAPLE STREET

WACONIA,MN55387
41-1328097
RAISING FUNDS FOR RIDGEVIEW MEDICAL CENTER MN 501(C)(3) LINE 7 RIDGEVIEW MEDICAL CENTER
 
Yes
 
(2)RIDGEVIEW CLINICS
500 SOUTH MAPLE STREET

WACONIA,MN55387
41-1651783
HEALTH CARE SERVICES MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER
 
Yes
 
(3)RIDGEVIEW INSURANCE CO
60 E SOUTH TEMPLE STE 1800

SALT LAKE CITY,UT84111
45-4109041
CAPTIVE INSURANCE COMPANY UT 501(C)(3) LINE 12A, I RIDGEVIEW MEDICAL CENTER
 
Yes
 
(4)SIBLEY MEDICAL CENTER
601 W CHANDLER ST

ARLINGTON,MN55307
41-1801967
CRITICAL ACCESS HOSPITAL MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER
 
Yes
 
(5)MINNESOTA VALLEY HEALTH CENTER
621 S 4TH STREET

LE SUEUR,MN56058
41-0837659
HEALTH CARE SERVICES MN 501(C)(3) LINE 3 RIDGEVIEW MEDICAL CENTER
 
Yes
 




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
Schedule R (Form 990) 2018
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



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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


Yes No Yes No
(1) MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC

500 S MAPLE ST
WACONIA,MN55387
20-5785920
CARDIOLOGY SERVICES MN RIDGEVIEW MEDICAL CENTER
 
RELATED 2,127,868 4,958,586   No   Yes   50.000 %
(2) CHASKA PLAZA SURGERY CENTER

3000 HUNDERTMARK ROAD
CHASKA,MN55318
45-0975783
SURGERY SERVICES MN RIDGEVIEW MEDICAL CENTER
 
RELATED 1,946,458 3,532,360   No   Yes   51.000 %










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?
Yes No
(1) EXECUTIVE HEALTH MANAGEMENT SERVICES

500 SOUTH MAPLE STREET
WACONIA,MN55387
41-1760239
MANAGEMENT SERVICES MN RIDGEVIEW MEDICAL CENTER
 
C     100.000 % Yes  
(2) CHARITABLE REMAINDER UNITRUST (1)

 
 
CHARITABLE TRUST MN  
          No










Schedule R (Form 990) 2018
Page 3
Schedule R (Form 990) 2018
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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) RIDGEVIEW FOUNDATION

C 2,109,894 CASH VALUE
(2) MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC

J 1,217,386 FAIR MARKET VALUE
(3) RIDGEVIEW FOUNDATION

O 415,327 FAIR MARKET VALUE
(4) SIBLEY MEDICAL CENTER

O 8,613,776 FAIR MARKET VALUE
(5) MINNEAPOLIS HEART INSTITITUE AT RIDGEVIEW HEART CENTER LLC

O 843,176 FAIR MARKET VALUE
(6) RIDGEVIEW CLINICS

P 19,929,287 FAIR MARKET VALUE
(7) RIDGEVIEW LE SUEUR MEDICAL CENTER

O 6,568,961 FAIR MARKET VALUE
(8) CHASKA PLAZA SURGERY CENTER

D 3,023,547 FAIR MARKET VALUE
(9) CHASKA PLAZA SURGERY CENTER

Q 872,221 FAIR MARKET VALUE
(10) RIDGEVIEW COMMUNITY NETWORK

O 419,099 FAIR MARKET VALUE
Schedule R (Form 990) 2018
Page 4
Schedule R (Form 990) 2018
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Page 5
Schedule R (Form 990) 2018
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) 2018

Additional Data


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