2014-11-17T12:41:53-06:00 2013-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH ST STE 2800 MINNEAPOLIS MN 55402 990 2013-01-01 410991680 FAIRVIEW HEALTH SERVICES FAIR 6126724976 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 RULON STACEY PRESIDENT & CHIEF EXECUTIVE 6126724976 2014-11-17 KRISTINA RASMUSSEN P00143920 6123974000 2014-11-17 2013 2015-11-30 17:44:51Z RULON STACEY 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 3309665454 false X WWW.FAIRVIEW.ORG X 1906 MN FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE. 19 15 19785 4452 346978431 -14105990 4478314 7899846 2891984448 3121442790 67018697 104236077 11596238 12399616 2975077697 3245978329 2472735 7512225 0 1352834366 1411332665 0 0 1447110322 1556998017 2802417423 2975842907 172660274 270135422 2770113656 3037108737 1488229548 1494095886 1281884108 1543012851 X FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE. false false 1301737961 7512225 2180341646 PROVIDING MEDICAL SERVICES: FAIRVIEW HEALTH SERVICES IS AN INTEGRATED, ACADEMIC HEALTH SYSTEM BASED IN MINNEAPOLIS, MINNESOTA. THE FAIRVIEW SYSTEM IS COMMITTED TO PROVIDING EXCEPTIONAL CLINICAL CARE AND AN EXCEPTIONAL PATIENT AND FAMILY EXPERIENCE. THROUGH ITS NETWORK OF HOSPITALS, CLINICS AND AMBULATORY CARE PROGRAMS, AND ITS AFFILIATION WITH THE ACADEMIC HEALTH CENTER OF THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS (THE UNIVERSITY FACULTY PRACTICE), FAIRVIEW PROVIDES HEALTH CARE SERVICES ACROSS THE ENTIRE CONTINUUM IN A COORDINATED AND COST-EFFECTIVE MANNER TO BOTH URBAN AND RURAL COMMUNITIES. FAIRVIEW'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. IN ADDITION TO THE 5,865,622 PATIENT CARE ENCOUNTERS IN 2013, FAIRVIEW PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION IN 2012 AND 2013. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS IS ONE OF THE MOST RESPECTED ACADEMIC MEDICAL CENTERS IN THE NATION. IN 2013, BECKER'S HOSPITAL REVIEW NAMED THE MEDICAL CENTER AMONG THE 100 GREAT HOSPITALS IN AMERICA. THE 1,700-BED MEDICAL CENTER IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES AND INCLUDES THE AMPLATZ CHILDRENS HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS COLLABORATE TO PROVIDE PATIENTS ACCESS TO GROUNDBREAKING TREATMENTS AND TECHNOLOGY. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S 2013 HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG. 1019309958 927230777 COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: FAIRVIEW IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF MEMBERS OF ITS COMMUNITY. TO SUPPORT FULL ACCESS TO SERVICES, FAIRVIEW PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS FOR SERVICES RENDERED, GENERALLY FALLS BELOW THE COST OF PROVIDING THE CARE. TO COMPENSATE FOR THE UNDER FUNDING BY GOVERNMENT PROGRAMS, FAIRVIEW MAKES A SIGNIFICANT FINANCIAL INVESTMENT TO OFFSET THESE LOSSES. IN 2013, FAIRVIEW INCURRED 60,005,050 OF TAXES AND SURCHARGE COSTS IN HEALTH CARE SERVICES THAT EXCEEDED THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS, SURCHARGE, TAXES AND FEES RELATED TO THESE PROGRAMS AND NOT INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 304,818,710. THE COST OF THE MEDICAID SURCHARGE MINNESOTA CARE TAX TO THE HOSPITALS WAS 21,910,659. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2013, FAIRVIEW PAID 31,450,710 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2013 TOTALED 4,657,875 AND THE SALES AND INCOME TAXES TOTALED 1,985,806. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 50,736,760 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 629,179,558. 105328091 13870367 THE PRIMARY PURPOSE OF OUR EDUCATIONAL AND RESEARCH PROGRAMS IS TO BENEFIT PATIENTS AND THE COMMUNITY AT LARGE BY EDUCATING HEALTH PROFESSIONALS BOTH WITHIN FAIRVIEW AND IN THE BROADER COMMUNITY, AND BY FOSTERING ADVANCES IN KNOWLEDGE AND EVIDENCE-BASED IMPROVEMENTS TO CLINICAL TREATMENTS AND APPROACHES TO HEALTH CARE DELIVERY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA ACADEMIC HEALTH CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS, FAIRVIEW HAS A STRONG AND ABIDING COMMITMENT TO RESEARCH AND EDUCATION. TOGETHER, WE VIEW RESEARCH AS AN INTEGRAL AND CRITICAL COMPONENT IN PROVIDING EXCEPTIONAL CARE TO PATIENTS AND THE COMMUNITY. WE SEEK TO BE A NATIONAL LEADER IN CLINICAL RESEARCH AND A REGIONAL CENTER FOR CLINICAL RESEARCH ACTIVITIES. FAIRVIEW HEALTH SERVICES INCREASED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2013 . THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 153 SCHOOLS AND COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY. 2426376010 true true false true false false false false false true true false true true true true false true false true true false false false false false true true true false true true false false false false false false false false false true true false false false true true true true false false true X 901 0 true 19785 true true true true BD false false false false false false false false X 19 15 false false false false true true true true true false false true true true true true true true true true true MN X TODD SHERRILL 6126724986 400 STINSON BLVD NE MINNEAPOLIS MN 55413 CHARLES MOOTY INTERIM CEO/ 40.00 X X 838951 0 30862 RULON STACEY PRESIDENT CE 40.00 X X 163715 0 0 BOBBIE DANIELS MD DIRECTOR 5.00 X 0 0 0 JOANELL DYRSTAD SECRETARY 5.00 X 0 0 0 MICHAEL FAY DIRECTOR 5.00 X 0 0 0 AARON FRIEDMAN MD DIRECTOR 5.00 X 0 0 0 KAREN GRABOW DIRECTOR 5.00 X 0 0 0 ANN HENGEL DIRECTOR 5.00 X 0 0 0 CAROL LEY MD DIRECTOR 5.00 X 0 0 0 ANN LOWRY MD DIRECTOR 5.00 X 0 0 0 DAVID MURPHY DIRECTOR 5.00 X 0 0 0 CHRISTOPHER P NELSON REV DIRECTOR 5.00 X 0 0 0 KEVIN NELSON MD DIRECTOR 5.00 X 0 0 0 MARK PALLER MD DIRECTOR 5.00 X 0 0 0 JOANNE LOFGREN PLOETZ DIRECTOR 5.00 X 0 0 0 BRADFORD WALLIN DIRECTOR 5.00 X 0 0 0 CONNIE G WEINMAN DIRECTOR 5.00 X 0 0 0 BETSY WERGIN DIRECTOR 5.00 X 0 0 0 PEGGY JOHNSON DIRECTOR 5.00 X 0 0 0 CAROLYN WILSON PRESIDENT OF 40.00 X 1083885 0 221039 DANIEL K ANDERSON PRESIDENT, F 40.00 X 852859 0 97683 BRENT ASPLIN PRESIDENT, F 40.00 X 787342 0 22005 DANIEL M FROMM CHIEF FINANC 40.00 X 778601 0 87986 MARK HANSBERRY VP STRATEGIC 40.00 X 562365 0 77525 TERRY CARROLL SR. VP, TRAN 40.00 X 526363 0 7511 MARK THOMAS PRES. & CEO 40.00 X 502628 0 74638 JOHN DOHERTY SR. OPERATIN 40.00 X 500312 0 75541 PAULA PHILLIPPE CHIEF OF HUM 40.00 X 485597 0 17307 STEVE HOUSCH PRESIDENT FA 40.00 X 365645 0 56062 TRUDI TRYSLA SR. VP & GEN 40.00 X 305053 0 49658 ALLEN VICKERS VP-CHIEF AUD 40.00 X 304289 0 111891 TODD SHERRILL VICE PRESIDE 40.00 X 268321 0 34263 CAROLYN JACOBSON INTERIM CHIE 40.00 X 253083 0 26182 DAVID LEACH VICE PRESIDE 40.00 X 228095 0 43156 ROBERT BEACHER PRESIDENT, F 40.00 X 667953 0 109586 BRADLEY BEARD PRESIDENT, S 40.00 X 637982 0 86418 STEVEN HILL CHIEF OPERAT 40.00 X 549957 0 21216 KATHLEEN TARANTO SR. VP PATIE 40.00 X 470955 0 61447 BETH KREHBIEL PRESIDENT, R 40.00 X 470464 0 66240 JOHN HERMAN PRESIDENT OF 40.00 X 438009 0 47336 TERRY MARTINSON EXECUTIVE RE 40.00 X 429973 0 57304 DEBRA BOARDMAN PRESIDENT,RA 40.00 X 366018 0 37054 JOHN SWEET MD PHYSICIAN 40.00 X 962967 0 32727 MICHAEL CAMPOLI MD SURGEON 40.00 X 949711 0 52039 ASA KIM MD SURGEON 40.00 X 679916 0 38126 WILLIAM OMLIE MD SURGEON 40.00 X 676795 0 38630 HOWARD SAYLOR III PHYSICIAN 40.00 X 621477 0 112037 MARK WERNER FORMER CCI 0.00 X 658894 0 0 MARK EUSTIS FORMER PRES. X 393251 0 0 SCOTT WORDELMAN FORMEPRES.& X 286603 0 7723 JAMES FOX FORMER CFO X 145359 0 0 MARK DIXON FORMER PRES. 0.00 X 100983 0 0 18314371 1801192 2020 true true false MCKESSON CORPORATION 3230 SPRUCE ST LITTLE CANADA MN 55117 REVENUE CYCLE C 305676256 U OF M PHYSICIANS 200 420 DELAWARE ST NE MINNEAPOLIS MN 55455 MEDICAL/PHYSICI 208526885 REGENTS OF THE UNIVERSITY OF MINNESO 420 DELAWARE ST NE MINNEAPOLIS MN 55455 EDUCATION SERVI 49988883 PHARMACEUTICAL TECHNOLOGIES P O BOX 407 BOYS TOWN NE 68010 TECHNOLOGY SERV 20743911 SODEXO 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE 7998062 834 6636059 1263787 3895324 7899846 PATIENT CARE 624100 956338877 956338877 MEDICARE-MEDICAID 624100 927230777 927230777 LABORATORY 621500 518739135 518739135 PHARMACY 446110 336756870 336756870 PHARMACY 446110 258256472 258256472 124120659 113658138 10221561 240960 3121442790 40400732 40400732 13083635 684019 12399616 12399616 12399616 126838451 62530592 472514 64307859 -472514 63835345 -472514 64307859 3245978329 2773750885 346978431 117349167 X 7512225 7512225 17491844 2009506 15482338 776392 776392 1114000088 930001042 183999046 60456562 50754850 9701712 147337660 123222765 24114895 71270119 58029104 13241015 74706059 71372548 3333511 3779625 1336057 2443568 528792 528792 395715 395715 3557078 3557078 335890767 171905221 163985546 654658 63429 591229 54388027 29873701 24514326 26225355 26225355 16520 16520 69859261 43854607 26004654 3488508 2403623 1084885 2996324 2504798 491526 42810528 40653480 2157048 92632039 68355863 24276176 13546475 6687261 6859214 SUPPLIES NON MEDICAL 654966911 649873433 5093478 MEDICAL SUPPLIES 59848352 59848352 TAXES 55347176 52451821 2895355 UTILITIES, REPAIRS, MAINT 33813939 29581175 4232764 27545908 24081149 3464759 2975842907 2426376010 549466897 0 811875 1218610 159970532 175543498 45816479 41599141 352265040 368846909 52440942 60612347 16141170 29881777 1745439171 913657974 820566189 831781197 752780806 985183286 83144508 92660298 331829373 297259574 154346742 152522100 2770113656 3037108737 191844121 265939603 828509414 820642062 47824031 48726550 420051982 358787671 1488229548 1494095886 X 1216069219 1496924911 65814889 46087940 1281884108 1543012851 2770113656 3037108737 X 270135422 13632771 -22639450 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 542314 false false 542314 false SCHEDULE C, PART II-B, LINE 1 DURING 2013 FAIRVIEW HEALTH SERVICES (FAIRVIEW) OFFICIALS HAD MEETINGS AND CONTACTS WITH BOTH FEDERAL AND STATE GOVERNMENT OFFICIALS, CONGRESSIONAL STAFF AND REPRESENTATIVES TO DISCUSS VARIOUS HEALTH CARE REFORM AND MEDICARE PROPOSALS AND PROPOSED LEGISLATION. FAIRVIEW ALSO HAS REPRESENTATION ON THE HEALTHCARE LEADERSHIP COUNCIL WHICH HAS ADVOCATED HEALTH CARE REFORM PROPOSALS. IN ADDITION, FAIRVIEW HAS CORRESPONDED WITH REPRESENTATIVES, STAFF AND GOVERNMENT OFFICIALS OUTLINING OUR CONCERNS AND RECOMMENDATIONS REGARDING HEALTH CARE REFORM. THE PRIMARY FOCUS OF ALL THESE INTERACTIONS WAS TO DISCUSS PRINCIPLES FOR HEALTH CARE REFORM RATHER THAN TRYING TO INFLUENCE THE PASSAGE OF ANY SPECIFIC LEGISLATION. THE MAJORITY OF THESE ACTIVITIES WERE CONDUCTED BY EMPLOYEES OF FAIRVIEW AND THE EXPENDITURES FOR THIS ACTIVITY TOTALED APPROXIMATELY 146,599. ADDITIONALLY, FAIRVIEW PAID APPROXIMATELY 395,715 TO OUTSIDE LOBBYISTS IN 2013. THIS AMOUNT INCLUDES AN AMOUNT OF MINNESOTA HOSPITAL ASSOCIATION DUES THAT WAS DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. FAIRVIEW ALSO PROVIDED INFORMATION AND/OR EXPRESSED ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2013, FAIRVIEW REPRESENTATIVES HAD MEETINGS WITH MEMBERS OF THE LEGISLATIVE/EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. FAIRVIEW MAY ALSO MEET WITH MEMBERS OF GOVERNMENT TO DISCUSS ISSUES DEALING WITH FAIRVIEW'S TAX EXEMPT STATUS AND HEALTH CARE ISSUES INCLUDING SALES TAX EXEMPTION, STATE HEALTH CARE REFORM, REAL ESTATE TAX ISSUES, PHYSICIAN LICENSING, MEDICAID , ETC. FAIRVIEW BELIEVES THESE INFORMATIONAL MEETINGS ARE ESSENTIAL TO SUPPORT OUR CHARITABLE PURPOSE AND DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION AS CONTEMPLATED BY THESE QUESTIONS. 1354699 20534 -122 1375110 1316703 20825 17171 1354699 1273345 48469 49974 55085 1316703 1242544 17356 23235 9790 1273345 1203453 15648 23443 1242544 0.13000 0.87000 false true true 16445738 16445738 1150098209 509261012 640837197 21224391 11622261 9602130 557670833 392774701 164896132 831781197 INVESTMENTS IN AFFILIATES 297259574 C 297259574 DEFERRED PREMIUMS & INS. RECOVERIES 63643675 DEBT SERVICE RESERVE FUND 35358222 GOODWILL & INTANGIBLE ASSETS 32231434 DEFERRED DEBT ACQUISITION COSTS 11218962 INSURANCE RECOVERIES 10069807 152522100 OTHER LIABILITIES & RELATED ORG 265111576 WORK COMP RESERVE 39465044 DERIVATIVE FINL INSTRUMENTS 35570969 INS SUB CLAIMS RESERVE 12769219 POST RETIREMENT 3025019 LT PENSION 2845844 358787671 X SCHEDULE D, PAGE 2, PART V, LINE 4 SCHOLARSHIPS AND AWARDS GIVEN DURING 2013 WERE AWARDED THROUGH THE FAIRVIEW FOUNDATION. THE CLINICAL PASTORAL ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE A CLINICAL PASTORAL EDUCATION SCHOLARSHIP AWARD FOR ELCA PASTORS WHO ARE INTERESTED IN BECOMING ACQUAINTED WITH THE FIELD FOR SPECIALIZED MINISTRY. THE SCHOLAR- SHIP ENABLES A RECIPIENT TO ATTEND ONE OF THE THREE-MONTH CPE TRAINING COURCES OFFERED BY ANY OF THE FAIRVIEW HOSPITALS. THE APPLICANT SHALL HAVE FINISHED THE UNIT OF TRAINING PRIOR TO RECEIPT OF THE SCHOLARSHIP MONEY. SCHOLARSHIP MONEY IS PAID FROM ANNUAL INVESTMENT INCOME. THE SERVICE AWARD ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT A NURSE VOLUNTEER WORKING IN A SHORT-TERM MISSION ASSIGNMENT. THE AWARD IS PAID ANNUALLY FROM INVESTMENT REVENUES EARNED BY THE ENDOWMENT. THE PURPOSE OF THE PEDIATRIC CARDIOLOGY FUND IS TO PROVIDE FUNDING FOR PEDIATRIC CARDIOLOGY IN THE AREAS OF PREVENTION, TREATMENT, AND RESEARCH. DOMESTIC VIOLENCE FUND EARNINGS SHOULD BE USED TO FUND THE TRAINING RECOGNITION AND/OR RECRUITMENT OF VOLUNTEERS FOR PROGRAMS SUPPORTING VICTIMS OF DOMESTIC VIOLENCE. SCHEDULE D, PAGE 3, PART X DURING 2007, FAIRVIEW HEALTH SERVICES AND SUBSIDIARIES ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. IN ACCORDANCE WITH FIN 48, A TAX POSITION IS A POSITION IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES. TAX POSITIONS SHALL BE RECOGNIZED ONLY WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%), BASED ON TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. UNDER FIN 48, THE FINANCIAL STATEMENT IMPACT OF AN UNCERTAIN INCOME TAX POSITION THAT WAS TAKEN OR IS EXPECTED TO BE TAKEN ON THE INCOME TAX RETURN AND THAT MEETS THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE RECOGNIZED AND MEASURED USING A PROBABILITY WEIGHTED APPROACH AT THE LARGEST AMOUNT THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON AUDIT BY THE RELEVANT TAXING AUTHORITY. THERE ARE NO MATERIAL CHANGES IN FAIRVIEW HEALTH SERVICES UNRECOGNIZED INCOME TAX POSITION AT DECEMBER 31, 2013. FAIRVIEW RECOGNIZED ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. FAIRVIEW HAS NET OPERATING LOSS CARRY FORWARDS FOR FEDERAL INCOME TAX PURPOSES. A VALUATION ALLOWANCE HAS BEEN RECORDED FOR THE FULL AMOUNT OF THE DEFERRED TAX ASSET RELATED TO THE NET OPERATING LOSS CARRY FORWARDS DUE TO THE UNCERTAINTY REGARDING THEIR USE. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEET FOR THE YEARS ENDED DECEMBER 31, 2013, 2012, AND 2011. true CENTRAL AMERICA AND THE CARIBBEAN 1 PROGRAM SERVICES SELF INSURANCE 3290818 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT 92660298 1 1 95951116 95951116 false false true false false false SCHEDULE F, PAGE 1, PART I, LINE 2 FAIRVIEW HEALTH SERVICES SOLICITS GRANT FUNDING ONLY FOR PURPOSES THAT QUALIFY AS CHARITABLE, RESEARCH OR EDUCATION PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FAIRVIEW'S PROCESSES AND PROCEDURES ADHERE TO FEDERAL GUIDELINES AND ARE SUBJECT TO AUDIT. THE SAME PROCESSES AND PROCEDURES ARE APPLIED FOR FEDERAL AS WELL AS PRIVATE GRANTS AND SERVICE AGREEMENTS. THE GRANT APPLICATION PROCESS IS MONITORED BY THE RESEARCH ADMINISTRATION GROUP AND THE APPLICATION OF GRANT FUNDS ARE MONITORED BY THE RESEARCH AND EDUCATION ACCOUNTING GROUP. THESE TWO GROUPS MEET MONTHLY TO ENSURE ALL GRANTS ARE BEING ADMINISTERED PROPERLY. SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 3,290,818 0 CENTRAL AMERICA AND THE CARIBBEAN 0 92,660,298 SCHEDULE F, PAGE 5, PART V FAIRVIEW HEALTH SERVICES (FHS) IS THE SOLE OWNER OF ASSOCIATED MEDICAL ASSURANCE (AMA), A SEPARATE LEGAL ENTITY, DOMICILED IN AND ORGANIZED UNDER THE LAWS OF BERMUDA. AMA IS A CAPTIVE INSURANCE COMPANY WHICH PROVIDES CERTAIN INSURANCE LIABILITY COVERAGE (INCLUDING GENERAL AND PROFESSIONAL) TO FHS AND ITS SUBSIDIARIES UNDER A REIMBURSEMENT POLICY. PREMIUMS PAID UNDER THE POLICY ARE BASED ON AN INDEPENDENT ACTUARIAL STUDY. THE METHOD USED TO ACCOUNT FOR EXPENDITURES IS BASED ON THE US DOLLAR. true true X true X 2.750000000000 true X 2.750000000000 true true true false true false 30387006 41143 30345863 0.01020 416598947 261521259 155077688 0.05210 446985953 261562402 185423551 0.06230 2423222 2423222 0.00080 100326615 11617606 88709009 0.02980 2437321 1435386 1001935 0.00030 6368851 3778894 2589957 0.00090 448693 448693 0.00020 112004702 16831886 95172816 0.03200 558990655 278394288 280596367 0.09430 811 811 2896 2896 736 736 4443 4443 true 30698531 613971 396022817 446759577 -50736760 X true true 5 1 FAIRVIEW LAKES REGIONAL MEDICAL CTR 5200 FAIRVIEW BLVD WYOMING MN 550928013 WWW.FAIRVIEW.ORG 365838 X X X 2 FAIRVIEW NORTHLAND REGIONAL HOSP 911 NORTHLAND DR PRINCETON MN 553712172 WWW.FAIRVIEW.ORG 365842 X X X 3 FAIRVIEW RIDGES HOSPITAL 201 E NICOLLET BLVD BURNSVILLE MN 553375714 WWW.FAIRVIEW.ORG 365864 X X X 4 FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVENUE S EDINA MN 554352104 WWW.FAIRVIEW.ORG 366381 X X X 5 UNIVERSITY OF MINNESOTA MEDICAL CTR 2450 RIVERSIDE AVENUE S MINNEAPOLIS MN 554541450 WWW.FAIRVIEW.ORG 366425 X X X X X X FAIRVIEW LAKES REGIONAL MEDICAL CTR 1 true X X X X X X X X X X 12 true false true X WWW.FAIRVIEW.ORG X X X X X X X X X X false false true true 275.000000000000 true 275.000000000000 true X X X X X X X X true true X X true X false X X X true X false false FAIRVIEW NORTHLAND REGIONAL HOSP 2 true X X X X X X X X X X 12 true false true X WWW.FAIRVIEW.ORG X X X X X X X X X X false false true true 275.000000000000 true 275.000000000000 true X X X X X X X X true true X X true X false X X X true X false false FAIRVIEW RIDGES HOSPITAL 3 true X X X X X X X X X X 12 true false true X WWW.FAIRVIEW.ORG X X X X X X X X X X false false true true 275.000000000000 true 275.000000000000 true X X X X X X X X true true X X true X false X X X true X false false FAIRVIEW SOUTHDALE HOSPITAL 4 true X X X X X X X X X X 12 true false true X WWW.FAIRVIEW.ORG X X X X X X X X X X false false true true 275.000000000000 true 275.000000000000 true X X X X X X X X true true X X true X false X X X true X false false UNIVERSITY OF MINNESOTA MEDICAL CTR 5 true X X X X X X X X X X 12 true false true X WWW.FAIRVIEW.ORG X X X X X X X X X X false false true true 275.000000000000 true 275.000000000000 true X X X X X X X X true true X X true X false X X X true X false false FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 3 FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH ALONG WITH FAIRVIEW COMMUNITY HEALTH STAFF PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW LAKES CHNA. FAIRVIEW LAKES REACHED OUT TO MEMBERS OF OUR COMMUNITIES IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF STAKEHOLDERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: TERESA BENGE, RN, DIABETES EDUCATOR JILL BRIGGS, CHISAGO COUNTY PUBLIC HEALTH KATHY BYSTROM ASSISTANT MANAGER, FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH KRIS CLEMENTSON, RN, PATIENT CARE SUPERVISOR PINE CITY, RUSH CITY, NORTH BRANCH & JOB CARE THERESE DURKIN, M.D. ANN ELLISON, DIRECTOR, FAIRVIEW COMMUNITY HEALTH DEBBY FEIST, COMMUNITY MEMBER, FORMER FAIRVIEW LAKES BOARD MEMBER SUE HEDLUND, WASHINGTON COUNTY PUBLIC HEALTH AND ENVIRONMENT ROSEMARY HOOLIHAN, FAIRVIEW LAKES BOARD MEMBER STEVE HOUSH, PRESIDENT, FAIRVIEW LAKES MEDICAL CENTER KELLIE KERSHISNIK, M.D. FAIRVIEW LAKES BOARD MEMBER CARLA NORELIUS, MANAGER, FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE INDIVIDUALS) FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 5C THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA. FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 7 PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: ABDOMINAL PAIN, AFFORDABILITY, EDUCATION/INFORMATION, SAFE, YEAR ROUND EXERCISE OPTIONS AND WORK/LIFE BALANCE WERE NOT ADDRESSED. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH THE PROVISION OF CHARITY CARE, MEDICAID SERVICES, AND HEALTH PROFESSIONAL EDUCATION PROGRAMS. IN ADDITION, COMMUNITY HEALTH OUTREACH STAFF PROVIDES LEADERSHIP IN NUMEROUS COLLABORATIONS, INCLUDING: SHIP (STATEWIDE HEALTH IMPROVEMENT PROGRAM), THE FOREST LAKE AREA PARTNERSHIP FOR FAMILIES, INC., CHISAGO COUNTY MENTAL WELLNESS INITIATIVE, COMMUNITY PARTNERSHIP FOR YOUTH AND FAMILIES AND THE FRIENDS MAKE A DIFFERENCE MENTORING PROGRAM. THESE EXISTING PARTNERSHIPS HAVE BEEN IDENTIFIED AS VALUABLE ASSETS AND WILL BE CONSIDERED IN THE HOSPITALS IMPLEMENTATION PLANNING. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE OBESITY AND BEHAVIORAL HEALTH. FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 14G A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 16E IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEWS COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENT'S ELIGIBILITY. FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 20D PATIENTS WITH AN INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 3 FAIRVIEW NORTHLAND ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW NORTHLAND COMMUNITY HEALTH NEEDS ASSESSMENT. FAIRVIEW NORTHLAND REACHED OUT TO MEMBERS OF OUR COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: FR. KEVIN ANDERSON, PASTOR, CHRIST OUR LIGHT CATHOLIC PARISH ANN ELLISON, FAIRVIEW COMMUNITY HEALTH CARIE FUHRMAN, COMMUNITY DEVELOPMENT DIRECTOR, CITY OF PRINCETON MARNI GUSTAFSON, EXECUTIVE DIRECTOR, STERLING POINT SENIOR COMMUNITY SUE HERM, FAIRVIEW NORTHLAND BOARD MEMBER AND FACULTY ST. CLOUD STATE UNIVERSITY JOHN HERMAN, PRESIDENT, FAIRVIEW NORTHLAND MEDICAL CENTER PETE JENSEN, M.D MARIE MASLOWSKI, MANAGER, COMMUNITY HEALTH OUTREACH ALLISON MILLER, PATIENT EDUCATOR, RUM RIVER HEALTH SERVICES BRIAN PAYNE, CHIEF OF POLICE, CITY OF PRINCETON PAM PRINGLE, DIRECTOR OF PATIENT CARE PRACTICE AND COMMUNITY MEMBER JANELLE SCHROEDER, COMMUNITY HEALTH SUPERVISOR, MILLE LACS COUNTY DAWN SIEVERT, DISTRICT NURSE, PRINCETON SCHOOLS. THE QUALITATIVE DATA INCLUDES: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE INDIVIDUALS) WEB SURVEYS WITH CHAMBER OF COMMERCE MEMBERS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF LOCAL PUBLIC HEALTH DEPARTMENTS. FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 5C THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA. FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 7 PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: FAIRVIEW NORTHLAND MEDICAL CENTER IS NOT DIRECTLY INVOLVED WITH THE MENTAL HEALTH PRIORITY BECAUSE RESOURCES ARE SCARCE AND A LACK OF CLARITY ABOUT A COMMUNITY-BASED FOCUS AREA FOR MENTAL HEALTH. THIS WILL BE EXPLORED MORE FULLY WITH COMMUNITY MEMBERS AND PARTNERS TO MORE CLEARLY UNDERSTAND THE NEED. MEANWHILE, FAIRVIEW NORTHLAND IS IN THE PROCESS OF INITIATING A DIAGNOSTIC EVALUATION CENTER (DEC) ON SITE. DECS ARE LOCATED IN EMERGENCY DEPARTMENTS AROUND THE METRO AREA AND PROVIDE DIAGNOSTIC ASSESSMENTS BY LICENSED CLINICIANS TO DETERMINE THE APPROPRIATE LEVEL OF CARE FOR PATIENTS EXPERIENCING A BEHAVIORAL CRISIS. THE DEC IS AN INNOVATIVE CARE MODEL THAT HAS CREATED IMMEDIATE ACCESS TO APPROPRIATE CARE AND PROMOTES COORDINATION OF INFORMATION WITH ALL PROVIDERS INVOLVED IN THE PATIENT'S CARE. INFORMATION GATHERED THROUGH DEC WILL INFORM FUTURE PLANNING FOR COMMUNITY-BASED MENTAL HEALTH PROGRAMMING. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE: HEALTHCARE INFORMATION AND EDUCATION, ACCESS TO AFFORDABLE HEALTHCARE AND AN AFFORDABLE PLACE TO EXERCISE. FAIRVIEW NORTHLAND'S REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, IMPACT CONCUSSION TESTING, MEALS ALA CAR, THE ANNUAL BE HEALTHY BE SAFE: SAFETY FAIR AND BIKE RODEO, MEMBERSHIP ON REACH, ANNUAL COMMUNITY BASED FLU SHOT CLINICS AND MEDICAL EXPLORERS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTERS IMPLEMENTATION STRATEGY. FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 14G A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 16E IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENTS AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEWS' COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENT'S ELIGIBILITY. FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 20D PATIENTS WITH INCOMES UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 3 FAIRVIEW RIDGES ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW RIDGES COMMUNITY HEALTH NEEDS ASSESSMENT. FAIRVIEW RIDGES REACHED OUT TO MEMBERS OF THE COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: BONNIE BRUESHOFF, DAKOTA COUNTY PUBLIC HEALTH JENNIFER DESCHAINE, SCOTT COUNTY PUBLIC HEALTH DOUG DIRKS, FAIRVIEW RIDGES BOARD MEMBER, COMMUNITY MEMBER ANN ELLISON, FAIRVIEW COMMUNITY HEALTH BETH KREHBEIL, PRESIDENT FAIRVIEW RIDGES HOSPITAL CHARLES LI M.D. REV. JEFF MARIAN, PASTOR, PRINCE OF PEACE LUTHERAN CHURCH, COMMUNITY MEMBER JANET MOHR, FAIRVIEW RIDGES BOARD MEMBER, ASSOCIATE PROFESSOR, MINNESOTA STATE UNIVERSITY MOORHEAD, COMMUNITY MEMBER STACY MONTGOMERY, FAIRVIEW RIDGES COMMUNITY HEALTH, COMMUNITY MEMBER SHARI PREST, FAIRVIEW RIDGES BOARD MEMBER, COMMUNITY MEMBER MURT SHEREK, FAIRVIEW RIDGES BOARD MEMBER, RETIRED RN, COMMUNITY MEMBER PETER TOENSING MD, FAIRVIEW RIDGES CHIEF OF STAFF THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 5C THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 7 PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: EDUCATION AND INFORMATION WAS NOT ADDRESSED HOWEVER, EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. ACCESS TO DENTAL CARE WAS NOT ADDRESSED HOWEVER, FAIRVIEW RIDGES HOSPITAL WILL WORK WITH COMMUNITY BASED DENTAL PROVIDERS TO PROVIDE EDUCATION TO THE COMMUNITY ABOUT AVAILABLE SERVICES. ACCESS TO CARE/WORKING MOTHERS WAS ANOTHER ISSUE. AFTER FURTHER CONSIDERATION, IT WAS DETERMINED THAT THE ISSUE OF ACCESS TO CARE/WORKING MOTHERS WAS RELATED MORE TO ACCESS TO CARE FOR FAMILIES IN THE PRIMARY CARE CLINIC. FOR THIS REASON, THE ISSUE WAS BROUGHT TO THE ATTENTION OF THE FAIRVIEW MEDICAL GROUP WHO ARE DEVELOPING ACTION STEPS TO EXPAND SERVICES HOURS IN THIS COMMUNITY. TO FURTHER ADDRESS THIS NEED,FAIRVIEW RIDGES HOSPITAL WILL CONTINUE TO BE A FUNDING PARTNER TO PORTICO HEALTHNET, A LOCAL COMMUNITY NON-PROFIT THAT HELPS UNINSURED COMMUNITY MEMBERS ACCESS AFFORDABLE HEALTH COVERAGE AND CARE. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND OBESITY AND DIABETES. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, PARTICIPATION IN SEVERAL COMMUNITY BASED EDUCATION EFFORTS SUCH AS LAKEVILLE HEART RESTART, AIMED AT IMPROVING THE SURVIVAL RATE OF PEOPLE IN SUDDEN CARDIAC ARREST, A PARTNERSHIP WITH THE BURNSVILLE FIRE DEPARTMENT TO DISTRIBUTE BIKE HELMETS AND EDUCATE ABOUT BIKE SAFETY, AND SAFE, A SUPPORT AND EDUCATION PROGRAM FOR VICTIMS OF SEXUAL ASSAULT. THESE ACTIVITIES WERE DETERMINED TO BE ADDITIONAL PRIORITIES FOR THE HOSPITAL'S IMPLEMENTATION STRATEGY. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 14G A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 16E IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 20D PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 3 FAIRVIEW SOUTHDALE ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW SOUTHDALE HOSPITAL CHNA. FAIRVIEW SOUTHDALE HOSPITAL REACHED OUT TO MEMBERS OF OUR COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: BRAD BEARD, PRESIDENT, FAIRVIEW SOUTHDALE HOSPITAL STEVE DEVICH, MANAGER, CITY OF RICHFIELD ANN ELLISON, FAIRVIEW COMMUNITY HEALTH ROBB GRUMAN, VICE PRESIDENT, FACILITIES AND SUPPORT SERVICES, FAIRVIEW SOUTHDALE HOSPITAL AMY GUMESTAD, DIRECTOR, ADMISSIONS AND MARKETING, MINNESOTA LIFE COLLEGE DAVID HOLM, RETIRED PASTOR, FAIRVIEW SOUTHDALE HOSPITAL BOARD MEMBER BJ LARSON, DIRECTOR OF SPIRITUAL HEALTH, FAIRVIEW SOUTHDALE AND RIDGES HOSPITALS ALISSA LEROUX SMITH, MANAGER, COMMUNITY HEALTH AND VOLUNTEER SERVICES, FAIRVIEW SOUTHDALE HOSPITAL RICHARD STURGEON, M.D., INTERIM VICE PRESIDENT OF MEDICAL AFFAIRS, FAIRVIEW SOUTHDALE HOSPITAL LORI SYVERSON, PRESIDENT, EDINA CHAMBER OF COMMERCE CATHY UTNE, DIRECTOR, PATIENT AND GUEST SERVICES, FAIRVIEW SOUTHDALE HOSPITAL RAYMOND YU, PRINCIPAL, OAKGROVE ELEMENTARY SCHOOL KAREN ZELEZNAK, PUBLIC HEALTH ADMINISTRATOR, BLOOMINGTON HEALTH DIVISION THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES. FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 5C THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA. FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 7 PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: ACCESS TO DENTAL CARE WAS IDENTIFIED AS A TOP COMMUNITY NEED; HOWEVER, THE STEERING COMMITTEE DETERMINED THAT DENTAL CARE WAS BEYOND THE SCOPE OF FAIRVIEW SOUTHDALE HOSPITALS EXPERTISE AT THIS TIME. WHILE NOT IDENTIFIED AS ONE OF THE COMMUNITIES TOP TWO HEALTH NEEDS, HEALTH INFORMATION AND EDUCATION IS SOMETHING THAT FAIRVIEW SOUTHDALE VIEWS AS A PRIORITY. THE CHNA DATA RELATED TO HEALTH INFORMATION AND EDUCATION WILL BE COMMUNICATED ACROSS THE ORGANIZATION. EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE HEALTHLY LIFESTYLES AND SOCIAL AND EMOTIONAL WELL-BEING. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, ON THE JOB TRAINING PROGRAMS, COMMUNITY HEALTH FAIRS, TELECARE, A TELEPHONE CHECK-IN PROGRAM, FUNDING FOR TRANSPORTATION FOR LOW-INCOME INDIVIDUALS, FINANCIAL SUPPORT FOR PROGRAMS AT NORMANDALE CENTER FOR HEALING AND WHOLENESS AND EDUCATIONAL PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE HOSPITALS IMPLEMENTATION STRATEGY. FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 14G A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 16E IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY. FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 20D PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 3 UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW, ALONG WITH FAIRVIEW COMMUNITY HEALTH, PROVIDED LEADERSHIP FOR THE 2012 CHNA. THE MEDICAL CENTER REACHED OUT TO MEMBERS OF THE COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: TOM CLANCY, UNIVERSITY OF MINNESOTA SCHOOL OF NURSING DIANE CROSS, BOARD MEMBER, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW CONNIE DELANEY, UNIVERSITY OF MINNESOTA SCHOOL OF NURSING, AND BOARD MEMBER, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW SANDRA ELIASON, M.D. FAIRVIEW CLINICS ANN ELLISON, DIRECTOR, FAIRVIEW COMMUNITY HEALTH MOHAMMED HASSAN, M.D. UNIVERSITY OF MINNESOTA PHYSICIANS CARRIE LINK, MD UNIVERSITY OF MINNESOTA DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH DONNA MCALPINE, UNIVERSITY OF MINNESOTA SCHOOL OF PUBLIC HEALTH GRETCHEN MUSICANT, COMMISSIONER, MINNEAPOLIS DEPARTMENT OF HEALTH AND FAMILY SUPPORT SAHRA NOOR, DIRECTOR, DEPARTMENT OF COMMUNITY HEALTH, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW MARGE PAGE, VICE PRESIDENT, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW HIBA SHARIF, DEPARTMENT OF COMMUNITY HEALTH, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW CAROLYN WILSON, PRESIDENT, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES. FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 5C THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA. FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 7 PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: HEALTH INFORMATION AND EDUCATION WERE NOT IDENTIFIED AS ONE OF THE COMMUNITIES TOP HEALTH NEEDS. EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND HEART DISEASE. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE MEDICAL CENTER IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, AS WELL AS PARTICIPATION IN THE HEALTH COMMONS, THE HEALTHY KIDS & COMMUNITIES INITIATIVE AND NUMEROUS COMMUNITY EDUCATION AND HEALTH EVENTS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTER'S IMPLEMENTATION STRATEGY. FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 14G A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 16E IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY. FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 20D PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. 101 CLINICS - WYOMING 5200 FAIRVIEW BLVD WYOMING MN 55092 FREE STANDING CLINIC CLINICS - FRIDLEY 6341 UNIVERSITY AVE NE FRIDLEY MN 55432 FREE STANDING CLINIC CLINICS - ANDOVER 13819 HANSON BLVD NW ANDOVER MN 55304 FREE STANDING CLINIC CLINICS - BROOKLYN PARK 1000 ZANE AVE NE BROOKLYN PARK MN 55443 FREE STANDING CLINIC CLINICS - PRINCETON 919 NORTHLAND DRIVE PRINCETON MN 55371 FREE STANDING CLINIC CVC - SOUTHDALE 6405 FRANCE AVE S STE W200 EDINA MN 55435 SPECIALTY CLINIC CLINICS - BLAINE 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 FREE STANDING CLINIC GPO ADMIN 2450 RIVERSIDE AVE MINNEAPOLIS MN 55454 FREE STANDING CLINIC CLINICS - ELK RIVER 290 MAIN ST NW STE 100 ELK RIVER MN 55330 FREE STANDING CLINIC CLINICS - WYOMING PRIMARY CARE 5200 FAIRVIEW BLVD WYOMING MN 55092 FREE STANDING CLINIC ORTHO LABS - FHME 2200 UNIVERSITY AVE W ST PAUL MN 55114 PT CLINIC CVC - UMMC 2525 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55414 SPECIALTY CLINIC CLINICS - COLUMBIA HEIGHTS 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 FREE STANDING CLINIC ONCOLOGY - UMMC 2525 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55414 SPECIALTY CLINIC SCPA - SOUTHDALE 6405 FRANCE AVE S EDINA MN 55435 SPECIALTY CLINIC LAKES - HOMECARING & HOSPICE 5200 FAIRVIEW BLVD WYOMING MN 55092 SPECIALTY CLINIC CLINICS - LINO LAKES 7455 VILLAGE DRIVE LINO LAKES MN 55014 FREE STANDING CLINIC CLINICS - MAPLE GROVE 14500 99TH AVENUE N MAPLE GROVE MN 55369 FREE STANDING CLINIC CLINICS - NORTH BRANCH 6413 OAK STREET NORTH BRANCH MN 55056 FREE STANDING CLINIC CLINICS - CHISAGO 11725 STINSON AVE CHISAGO CITY MN 55013 FREE STANDING CLINIC CLINICS - BLOOMINGTON LK XERXES 7901 XERXES AVENUE SOUTH BLOOMINGTON MN 55431 FREE STANDING CLINIC SCPA - RIDGES 305 NICOLLET BLVD STE 372 BURNSVILLE MN 55337 SPECIALTY CLINIC CLINICS - ZIMMERMAN 25945 GATEWAY DRIVE ZIMMERMAN MN 55398 FREE STANDING CLINIC HAND CENTER - ORTHO 2512 7TH ST S STE R102 MINNEAPOLIS MN 55454 PT CLINIC CLINICS - MILACA 150 10TH STREET NW MILACA MN 56353 FREE STANDING CLINIC CLINICS - HUGO 14663 MERCANTILE DRIVE HUGO MN 55038 FREE STANDING CLINIC CLINICS - RUSH CITY 760 W FOURTH STREET RUSH CITY MN 55069 FREE STANDING CLINIC SCPA - VEIN SOLUTIONS 6405 FRANCE AVE S EDINA MN 55435 SPECIALTY CLINIC CLINICS - BROOKLYN PARK UC 1000 ZANE AVE NE BROOKLYN PARK MN 55443 FREE STANDING CLINIC CVC - RIDGES 305 NICOLLET BLVD STE 372 BURNSVILLE MN 55337 SPECIALTY CLINIC CLINICS - HOSPITAL 1000 ZANE AVE NE BROOKLYN PARK MN 55443 FREE STANDING CLINIC FV CLINICS - FSOC WYOMING 5200 FAIRVIEW BLVD WYOMING MN 55092 PT CLINIC IAM - EDINA 6363 FRANCE AVE STE 100 EDINA MN 55435 PT CLINIC SR SVCCS & OTHER CONTINUM SVCS 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 FREE STANDING CLINIC CLINICS - BLOOMINGTON LK MPLS 1527 E LAKE STREET MINNEAPOLIS MN 55407 FREE STANDING CLINIC IAM - BURNSVILLE 675 E NICOLLET BLVD 135 BURNSVILLE MN 55337 PT CLINIC FV LINICS - FS OC OAK RIDGE 675 E NICOLLET BLVD STE 250 BURNSVILLE MN 55337 PT CLINIC IAM - EDEN PRAIRIE 775 PRAIRIE CENTER DRIVE 250 EDEN PRAIRIE MN 55344 PT CLINIC FV CLINIC - SAVAGE 5725 LOFTUS LANE SAVAGE MN 55378 FREE STANDING CLINIC ORTHO LABS - RIVERSIDE 606 24TH AVE S STE 301 MINNEAPOLIS MN 55454 PT CLINIC ORTHO LABS - BURNSVILLE 501 NICOLLET BLVD STE LL50 BURNSVILLE MN 55337 PT CLINIC IAM - WEST HEALTH 2805 CAMPUS DRIVE 115 PLYMOUTH MN 55441 PT CLINIC BROOKLYN PARK SLEEP LAB 10000 ZANE AVE NE BROOKLYN PARK MN 55443 SPECIALTY CLINIC IAM - EAGAN 1440 DUCKWOOD DRIVE EAGAN MN 55122 PT CLINIC IAM - TRAINERS 4080 W BROADWAY 300 ROBBINSDALE MN 55422 PT CLINIC IAM - HIGHLAND PARK 2155 FORD PARKWAY ST PAUL MN 55116 PT CLINIC IAM - ARBOR LAKES 12000 ELM CREEK BLVD STE 120 MAPLE GROVE MN 55369 PT CLINIC ORTHO LABS - ST PAUL 2200 UNIVERSITY AVE S STE 114 ST PAUL MN 55114 PT CLINIC FV BLAINE PHYSICAL THERAPY 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 PT CLINIC CLINICS - INTEGRATED PRIMARY 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 FREE STANDING CLINIC IAM - UNIVERSITY 2525 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55414 PT CLINIC IAM - BLOOMINGTON 600 W 98TH ST 390 BLOOMINGTON MN 55420 PT CLINIC IAM - APPLE VALLEY 15650 CEDAR AVE 160 APPLE VALLEY MN 55124 PT CLINIC IAM - BLAINE 1750 105TH AVE NE BLAINE MN 55449 PT CLINIC IAM - ROSEMOUNT 15075 CIMARRON AVE 20 ROSEMOUNT MN 55068 PT CLINIC IAM - PLYMOUTH 9750 ROCKFORD RD PLYMOUTH MN 55442 PT CLINIC IAM - UPTOWN 3033 EXCELSIOR BLVD 225 MINNEAPOLIS MN 55416 PT CLINIC CLINICS - ANDOVER UC 13819 HANSON BLVD NW ANDOVER MN 55304 FREE STANDING CLINIC IAM - ST ANTHONY 2600 39TH AVE NE 220 ST ANTHONY MN 55421 PT CLINIC IAM - MAPLE GROVE FV 14500 99TH AVE N STE 1-210 MAPLE GROVE MN 55369 PT CLINIC IAM - ELK RIVER 800 FREEPORT AVE N 200 ELK RIVER MN 55330 PT CLINIC ORTHO LABS - EDINA 6363 FRANCE AVE S STE 110 EDINA MN 55435 PT CLINIC ORTHO LABS - ADMIN 2200 UNIVERSITY AVE W STE 114 ST PAUL MN 55114 PT CLINIC IAM - BROOKLYN PARK 8559 EDINBROOK PKWY 104 BROOKLYN PARK MN 55443 PT CLINIC IAM - ROBBINSDALE 4080 W BROADWAY 300 ROBBINSDALE MN 55422 PT CLINIC IAM - LAKEVILLE 18592 JOPLIN AVE LAKEVILLE MN 55044 PT CLINIC FV FRIDLEY PHYSICAL THERAPY 6341 UNIVERSITY AVE NE FRIDLEY MN 55432 PT CLINIC IAM - LINO LAKES 7455 VILLAGE DR LINE LAKES MN 55014 PT CLINIC CLINICS - CHISAGO SLEEP LAB 11725 STINSON AVE CHISAGO CITY MN 55013 SPECIALTY CLINIC IAM - ROSEVILLE 1955 WEST COUNTY RD B2 ROSEVILLE MN 55113 PT CLINIC FV BROOKLYN PARK 10000 ZANE AVE N BROOKLYN PARK MN 55443 FREE STANDING CLINIC HAND CENTER - BURNSVILLE 675 E NICOLLET BLVD 225 BURNSVILLE MN 55337 PT CLINIC HAND CENTER - EDINA 6363 FRANCE AVE S 105 EDINA MN 55435 PT CLINIC IAM - HUGO 14712 VICTOR HUGO BOULEVARD HUGO MN 55038 PT CLINIC ORTHO LABS - EDINA DME 6545 FRANCE AVE S SUITE 471 EDINA MN 55435 PT CLINIC CLINICS - COMPLEX CARE 2450 RIVERSIDE AVE MINNEAPOLIS MN 55454 SPECIALTY CLINIC ORTHO LABS - BLAINE 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 PT CLINIC FV COLUMBIA PARK 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 FREE STANDING CLINIC IAM - MAPLEWOOD 1650 BEAM AVE LOWER LEVEL MAPLEWOOD MN 55109 PT CLINIC IAM - WOODBURY 7616 CURRELL AVE 270 WOODBURY MN 55125 PT CLINIC CVC - LAKES 5200 FAIRVIEW BLVD WYOMING MN 55092 SPECIALTY CLINIC FV CLINICS - SKIN CARE CTR SUITE 310 300 WEST 98TH ST BLOOMINGTON MN 55420 SPECIALTY CLINIC IAM - SAVAGE 5725 LOFTUS LANE SAVAGE MN 55378 PT CLINIC IOR - NORTHEAST ST 650 TAFT ST NE 400 MINNEAPOLIS MN 55413 PT CLINIC IAM - GOLDEN VALLEY 8301 GOLDEN VALLEY RD ST 202 GOLDEN VALLEY MN 55427 PT CLINIC HAND CENTER - FSOC BLAINE 10961 CLUB WEST PARKWAY NE STE 200 BLAINE MN 55449 PT CLINIC HAND CENTER - MAPLE GROVE 14500 99TH AVENUE SOUTH MAPLE GROVE MN 55369 PT CLINIC ORTHO LABS - WYOMING 6363 FRANCE AVE S STE 110 EDINA MN 55435 PT CLINIC ORTHO LABS - U OF M 500 HARVARD ST MINNEAPOLIS MN 55455 PT CLINIC PHYSICIAN - PAIN CLINIC BLAINE 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 SPECIALTY CLINIC FSOC - OAK RIDGE 675 NICOLLET BLVD E BURNSVILLE MN 55337 PT CLINIC HAND CENTER - ELK RIVER 800 FREEPORT AVE N 200 ELK RIVER MN 55330 PT CLINIC FV PAIN CLINIC - COLUMBIA HEIGHTS 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 SPECIALTY CLINIC FV GERIATRICS - BLUESTONE VISTA 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 SPECIALTY CLINIC HAND CENTER - WEST HEALTH 2805 CAMPUS DRIVE STE 115 PLYMOUTH MN 55441 PT CLINIC PHYSICIANS - LIFE STYLE MED 6401 FRANCE AVE S EDINA MN 55435 SPECIALTY CLINIC CLINICS - FPOB 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 PT CLINIC IOR OTHER 701 25TH AVENUE SOUTH STE 500 MINNEAPOLIS MN 55454 PT CLINIC LIFESTYLE MEDICINE - WYOMING 5200 FAIRVIEW BLVD WYOMING MN 55092 SPECIALTY CLINIC ONCOLOGY CLINIC 424 HARVARD STREET SE MINNEAPOLIS MN 55455 SPECIALTY CLINIC CLINICS - PINE CITY 510 2ND STREET SE PINE CITY MN 55063 FREE STANDING CLINIC PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE PATIENTS THAT ARE ELIGIBLE FOR THE FAIRVIEW COMMUNITY CARE PROGRAM OR OTHER CHARITY CARE PLANS MAY RECEIVE A REDUCTION ON AMOUNTS OWED OR UP TO 100% OF TOTAL CHARGES. FAIRVIEW INFORMS PATIENTS ABOUT THE COMMUNITY CARE PROGRAM PRIOR TO DELIVERY OF SERVICES IF FEASIBLE AND AS APPROPRIATE AND DURING THE BILLING PROCESS. UNINSURED PATIENTS WITH HOUSEHOLD INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT OF THE TOTAL CHARGES. UNINSURED PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 275% OF THE FEDERAL POVERTY LEVEL AND BELOW 125,000 ARE CHARGED A DISCOUNT RATE EQUAL TO THE RATE FROM FAIRVIEW'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES PROVIDED BY FAIRVIEW INCLUDES ADDICTION RECOVERY AND INPATIENT PSYCHIATRIC UNITS AND AMBULATORY PROGRAMS THAT SERVE LOW-INCOME COMMUNITIES AND HOME HEALTH PROGRAMS. THE FOLLOWING ARE AREAS OF NEED WHICH HAVE BEEN IDENTIFIED: SAFETY BASED ON A RECENT UPSWING OF VIOLENT CRIME, ADOLESCENT HEALTH BASED ON ASSESSMENT OF DIET, NUTRITION AND EXERCISE, AS WELL AS ASSETS AND RISK BEHAVIORS SUCH AS SUBSTANCE USE. THESE SUBSIDIZED SERVICES ARE SERVICES OFFERED BY THE HOSPITALS. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION FAIRVIEW USES THE COST TO CHARGE RATIO METHOD FOR DETERMINING EXPENSES. THE MEDICARE COST REPORTING CALCULATES SERVICES LINE BY LINE WHERE OTHER EXPENSES ARE CALCULATED AT THE OVERALL COST TO CHARGE RATIO. THE RATIO OF COST TO CHARGES (RCC) IS A PERCENTAGE OF ADJUSTED TOTAL EXPENSE TO GROSS PATIENT REVENUE. THE EXPENSE IS CALCULATED USING GENERAL ASSISTANCE MEDICAL CARE (GAMC) GROSS REVENUE PORTION, BASED ON OUR PAYER MIX RATIO, MULTIPLIED BY A RATIO OF COST TO CHARGES. THE ADJUSTED EXPENSE IS THE TOTAL EXPENSE LESS BAD DEBT, TAXES, DIRECTLY ASSIGNED COMMUNITY BENEFIT COST, AND TOTAL OTHER OPERATING REVENUE LESS OUTREACH LAB SUBACCOUNTS. ONE COMPONENT OF THE COSTING METHOD USED IS THE OTHER MEANS TESTED GOVERNMENT PROGRAM. MINNESOTAS GENERAL ASSISTANCE MEDICAL CARE PROGRAM (GAMC) MEETS THIS CRITERIA. GAMC IS A STATE FUNDED PROGRAM FOR LOW INCOME ADULTS, AGES 21-64, WHO HAVE NO DEPENDENT CHILDREN LIVING WITH THEM AND WHO DO NOT QUALIFY FOR FEDERALLY FUNDED HEALTH CARE PROGRAMS. ELIGIBLE RECIPIENTS MUST ALSO MEET INCOME AND ASSET TESTS. PART II - COMMUNITY BUILDING ACTIVITIES FAIRVIEW HEALTH SERVICES IS AN INTEGRATED ACADEMIC HEALTH CARE SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINN. COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT EACH FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. THE FAIRVIEW CORPORATE COMMUNITY HEALTH DEPARTMENT SUPPORTS THE LOCAL WORK BY SHARING BEST PRACTICES, FINDING EFFICIENCIES AMONG HOSPITAL COMMUNITY HEALTH PROGRAMS AND STAFFING AS APPROPRIATE, COORDINATING THE COMMUNITY NEEDS ASSESSMENTS AND MORE. ACTIVITIES INCLUDE A COMMUNITY HOUSING INITIATIVE,ECONOMIC DEVELOPMENT COLLABORATIVE, LEADERSHIP DEVELOPMENT AND COALITION BUILDING. IN 2013 FAIRVIEW LED A PARTNERSHIP-SPONSORED SCRUBS CAMP. THE CAMP WAS A WEEK-LONG RESIDENTIAL EXPERIENCE FOR NEIGHBORHOOD AND OTHER CITY YOUTH TO DO HANDS-ON EXPLORATION OF MEDICAL CAREERS. FAIRVIEW MAKES INVESTMENTS EACH YEAR IN COMMUNITY HEALTH PROGRAMMING. A REMARKABLE PROGRAM CALLED THE MINNESOTA IMMUNIZATION NETWORK INITIATIVE (MINI) PROVIDES FLU IMMUNIZATIONS FREE OF CHARGE TO LOW-INCOME AND UNINSURED INDIVIDUALS, LARGELY FROM DIVERSE MINORITY GROUPS. EACH FLU SEASON, MINI PROVIDES MORE THAN 6,000 IMMUNIZATIONS TO PREVENT INFLUENZA. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. FAIRVIEW USES THE COST TO CHARGE RATIO METHOD FOR DETERMINING EXPENSES. PART III, LINE 8 - MEDICARE EXPLANATION FAIRVIEW USES THE COST TO CHARGE RATIO METHOD FOR DETERMINING EXPENSES. THE MEDICARE COST TO CHARGE RATIO REPORTING IS CALCULATED SERVICE LINE BY SERVICE LINE. OTHER EXPENSES ARE CALCULATED USING THE OVERALL COST TO CHARGE RATIO. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION AFTER OUR PATIENTS HAVE RECEIVED SERVICES, IT IS THE POLICY OF FAIRVIEW HEALTH SERVICES TO BILL PATIENTS AND THEIR APPLICABLE PAYORS ON A TIMELY AND ACCURATE BASIS. DURING THIS BILLING AND COLLECTION PROCESS, FAIRVIEW STAFF COMMITTED TO PROVIDING QUALITY CUSTOMER SERVICE AND TIMELY FOLLOW UP ON ALL OUTSTANDING ACCOUNTS. BILLING: IT IS THE GOAL OF FAIRVIEW TO BILL ALL CLAIMS ACCURATELY AND ON A TIMELY BASIS. ALTHOUGH DEPENDENT ON INFORMATION AND COMMUNICATIONS FROM PATIENTS AND PAYORS, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICE TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR COMMUNITY CARE. FAIRVIEW HAS AGREED TO CERTAIN BILLING AND COLLECTION PRACTICES BY AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THERE ARE FINANCIAL COUNSELORS AT EVERY ENTITY MONDAY THROUGH FRIDAY WHO INTERACT WITH THE PATIENTS IN PERSON AND OVER THE PHONE TO INFOR OF PROGRAMS AVAILABLE TO THEM AS WELL AS ASSIST THEM IN APPLYING FOR THE PROGRAMS. THE INFORMATION ABOUT NEEDING ASSISTANCE WITH PAYING THE BILL IS POSTED ON SIGNS IN THE HOSPITALS AND MATERIALS ARE DISTRIBUTED TO SELF-PAY PATIENTS BY REGISTRATION STAFF. THE STATEMENTS SENT OUT AFTER THE VISIT PROVIDE THIS INFORMATION AS WELL. IF A PATIENT/FAMILY MEMBER CALLS THE CENTRAL BUSINESS OFFICE CUSTOMER SERVICE STAFF TO ASK FOR ASSISTANCE WITH PAYING THEIR BILL, THEY ARE INFORMED ABOUT OPTIONS AT THAT TIME. FAIRVIEW PROVIDES AN INTERPRETER SERVICE THAT INTERPRETS CONVERSATONS OVER THE PHONE. THIS SERVICE CAN BE USED EITHER AS A THREE WAY PHONE CALL OR THE FINANCIAL COUNSELOR, IN A ROOM WITH THE PATIENT OR FAMILY CAN PLACE THE CALL TOGETHER TO THE INTERPRETER PHONE SERVICE. THE INTERPRETER SERVICES LINE ACCOMMODATES CLOSE TO 200 LANGUAGES. THE BILLING PROCESS WILL BE ASSISTED BY THE FOLLOWING GUIDELINES: 1) FOR ALL INSURED PATIENTS, FAIRVIEW WILL BILL ALL THIRD PARTY PAYOR INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY AND ACCURATE BASIS. 2) FOR ALL UNINSURED PATIENTS WITH MINNESOTA RESIDENCY RECEIVING HOSPITAL BASED SERVICES DEEMED MEDICALLY NECESSARY. FAIRVIEW WILL APPLY AN UNINSURED DISCOUNT EQUAL TO THE DISCOUNT PROVIDER TO OUR LARGEST CONTRACTED NON-GOVERNMENT PAYOR, ANY REMAINING BALANCE WILL BE BILLED TO THE PATIENT IN A TIMELY AND MANNER. 3) ALL BILLED PATIENTS HAVE THE OPPORTUNITY TO CONTACT FAIRVIEW REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. FINANCIAL ASSISTANCE MAY INCLUDE COMMUNITY CARE, PAYMENT ARRANGEMENTS, MEDICAL ASSISTANCE OR OTHER APPLICABLE PROGRAMS. 4) IF A PATIENT CONTACTS FAIRVIEW REGARDING COMMUNITY CARE BEFORE THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY OR ATTORNEY, AN APPLICATION AND REQUIRED DOCUMENTATION IS REQUESTED (INCOME VERIFICATION ETC.), THE ACCOUNT WILL THEN BE PROCESSED BASED ON THE OUTCOME OF THE COMMUNITY CARE DETERMINATION. 5) FAIRVIEW TAKES REASONABLE MEASURES TO AVOID REFERING AN ACCOUNT TO COLLECTION UNLESS THERE ARE NO RESPONSES FROM THE PATIENT. IF A PATIENT CONTACTS FAIRVIEW REGARDING COMMUNITY CARE AFTER THEIR ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY OR ATTORNEY, FAIRVIEW WILL SEND AN APPLICATION TO THE PATIENT PROVIDED THE ACCOUNT MEETS THE COMMUNITY CARE REQUIREMENTS. IF THE COMPLETED APPLICATION ALONG WITH REQUIRED DOCUMENTATION (INCOME VERIFICATION, ETC.) IS SUBMITTED, ALL COLLECTION ACTION WILL BE SUSPENDED UNTIL THE PATIENT IS NOTIFIED OF FAIRVIEW'S DETERMINATION. PART VI, LINE 2 - NEEDS ASSESSMENT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) WERE CONDUCTED FOR ALL FAIRVIEW HOSPITALS AND MEDICAL CENTERS IN 2012. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY HEALTH NEEDS IN THE LOCAL COMMUNITY. ALTHOUGH EACH FAIRVIEW HOSPITAL AND/OR MEDICAL CENTER WORKED FROM QUALITATIVE AND QUANTITATIVE DATA SPECIFIC TO THEIR COMMUNITY, THERE WERE LARGE OVERLAPS IN THE IDENTIFIED COMMUNITY NEEDS. IN ADDITION TO IDENTIFYING HEALTH PRIORITIES BY HOSPITAL COMMUNITY, FAIRVIEW HEALTH SERVICES BEGAN PLANNING FOR A SYSTEM-WIDE STRATEGY FOR MEETING THE MENTAL HEALTH NEEDS PREVALENT IN ALL OF OUR COMMUNITIES. THE HOSPITALS AND/OR MEDICAL CENTERS PRIORITIES ARE AS FOLLOWS: FAIRVIEW LAKES MEDICAL CENTER: OBESITY, BEHAVIORAL HEALTH (MENTAL AND CHEMICAL) FAIRVIEW NORTHLAND MEDICAL CENTER: HEALTH CARE INFORMATION AND REFERRAL, ACCESS TO AFFORDABLE HEALTH CARE, ACCESS TO HEALTHY FOODS, AFFORDABLE PLACE TO EXERCISE. FAIRVIEW RIDGES HOSPITAL: MENTAL HEALTH, OBESITY/DIABETES. FAIRVIEW SOUTHDALE HOSPITAL: HEALTHY LIFESTYLES, SOCIAL AND EMOTIONAL WELL-BEING. UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL: MENTAL HEALTH, HEART DISEASE. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND ITS PRIORITY HEALTH ISSUES. MUCH OF THE 2013 WORK IS REPORTABLE PROCESS METRICS AS WE FOCUSED ON IDENTIFYING INTERNAL AND EXTERNAL PARTNERS, SECURING FUNDING AND DEVELOPING PROGRAMS. FAIRVIEW LAKES MEDICAL CENTER'S 2013 ACTIVITIES AND HIGHLIGHTS: 1.OBESITY IN FEBRUARY OF 2013 A GROUP OF KEY COMMUNITY STAKEHOLDERS (THE LIVING HEALTHY WASHINGTON COUNTY) WAS CONVENED IN THE FOREST LAKE AREA TO ADDRESS CHRONIC DISEASES RELATED TO OBESITY. A YEAR ONE AIM STATEMENT, GOALS AND ACTION STEPS WERE ESTABLISHED IN PREPARATION FOR A 2014 "LAUNCH" OF THE INITIATIVE. GOALS WERE OUTLINED: GOAL 1 - REVIEW/CONDUCT ASSESSMENTS TO DEFINE/REFINE GOALS TO ADDRESS DISEASE CONDITIONS AND MENTAL HEALTH OF THE FOREST LAKE AREA. GOAL 2 - DEVELOP A VISION, MISSION AND STRATEGIC PLAN. GOAL 3 - DEVELOP A NAME BRAND AND COMMUNICATION PLAN. GOAL 4 - DEVELOP A ROLL-OUT PLAN FOR THE HEALTHUP FOREST LAKE INITIATIVE. 2.BEHAVIORAL HEALTH IN 2013, FAIRVIEW LAKES PARTNERED WITH THE COMMUNITY PARTNERSHIP FOR YOUTH & FAMILIES, THE FOREST LAKE AREA PARTNERSHIP FOR FAMILIES, INC., SCHOOLS THROUGHOUT THE SERVICE AREA, AND THE CONNECT COLLABORATIVE IN WASHINGTON COUNTY TO ADDRESS ALCOHOL, TOBACCO AND OTHER DRUG USE AMONG YOUTH AND YOUNG ADULTS. CURRENT INITIATIVES TARGETED TOWARD YOUTH AND YOUNG ADULTS INCLUDE: MOST OF US SOCIAL NORMS CAMPAIGN AND COMMUNITY PARTNERSHIP STRATEGIC PREVENTION FRAMEWORK STATE INCENTIVE GRANT. WE WILL BUILD ON THESE EXISTING PARTNERSHIPS TO ENHANCE WORK IN THIS AREA. IN 2013, FAIRVIEW LAKES HOSTED NUMEROUS COMMUNITY PRESENTATIONS TO EDUCATE AND REDUCE MENTAL HEALTH STIGMA AND HOSTED A LIFELINES SUICIDE PREVENTION PROGRAM TRAINING IN PARTNERSHIP WITH HAZELDEN. ONE HUNDRED AND SIXTY-SEVEN PARTICIPANTS FROM FOUR SCHOOL DISTRICTS AND VARIOUS COMMUNITY AGENCIES ATTENDED THE TRAINING. BY THE END OF 2013, THREE OF THE SCHOOL DISTRICTS HAD COMPLETED THEIR ASSESSMENTS AND IMPLEMENTED THE CURRICULUM IN HEALTH CLASSES. FAIRVIEW NORTHLAND MEDICAL CENTER 2013 ACTIVITIES AND HIGHLIGHTS: 1.HEALTH CARE INFORMATION AND EDUCATION IN 2013, FAIRVIEW NORTHLAND MEDICAL CENTER CONDUCTED THE BE HEALTHY, BE SAFE HEALTH FAIR AND BIKE RODEO AND CONTINUED TO PROVIDE SUPPORT FOR THE REACH LITERACY PROGRAM BY HAVING CLINICS EMPHASIZE THE IMPORTANCE OF LITERACY AND BY PROVIDING FREE BOOKS DURING WELL-CHILD VISITS. DUE TO LACK OF RESOURCES, IMPACT CONCUSSION TESTING AND MEDICAL EXPLORERS WERE DISCONTINUED. 2.ACCESS TO AFFORDABLE HEALTH CARE IN 2013, FAIRVIEW NORTHLAND MEDICAL CENTER PARTNERED WITH RUM RIVER HEALTH SERVICES TO DEVELOP A FREE/REDUCED COST CLINIC FOR UNDERINSURED AND UNINSURED COMMUNITY MEMBERS. UNFORTUNATELY, RUM RIVER HEALTH SERVICES CLOSED ITS DOORS IN 2013. FAIRVIEW NORTHLAND MEDICAL CENTER IS ACTIVELY LOOKING FOR OTHER ALTERNATIVES TO PARTNER IN THE CARE OF UNDER-INSURED AND UNINSURED INDIVIDUALS. 3.ACCESS TO HEALTHY FOODS IN 2013, FAIRVIEW NORTHLAND MEDICAL CENTER OPENED 13 COMMUNITY GARDEN PLOTS ON SITE, WHICH ARE AVAILABLE TO COMMUNITY MEMBERS. FAIRVIEW NORTHLAND MEDICAL CENTER CONTINUES TO SERVE THE COMMUNITY VIA THE MEALS ALA CAR PROGRAM. 4.AFFORDABLE PLACE TO EXERCISE IN 2013, FAIRVIEW NORTHLAND MEDICAL CENTER WROTE AND RECEIVED A GRANT TO BUILD A ONE-MILE WALKING TRAIL ON CAMPUS. COMMUNITY WALKING MAPS ARE AVAILABLE IN THE MEDICAL CENTER. POSSIBILITIES FOR A FITNESS FACILITY ON CAMPUS ARE BEING EXPLORED. FAIRVIEW RIDGES MEDICAL CENTER 2013 ACTIVITIES AND HIGHLIGHTS: 1.MENTAL HEALTH IN 2013, FAIRVIEW RIDGES MEDICAL CENTER PARTNERED WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO PILOT THE EVIDENCE-BASED YOUTH MENTAL HEALTH FIRST AID TRAINING IN THE COMMUNITY. THE YOUTH GRIEF SERVICES CAMP ERIN CONTINUES TO OPERATE AT MAXIMUM CAPACITY FOR BOTH VOLUNTEERS AND CAMPERS. THE YOUTH GRIEF SERVICES PROGRAM INCREASED THE NUMBER OF TRAINED VOLUNTEERS BY 9 PERCENT AND CLASSES REMAIN FULL WITH ONE SEVEN-WEEK SERIES SERVING 85 INDIVIDUALS. 2.OBESITY/ DIABETES IN 2013, FAIRVIEW RIDGES HOSPITAL PARTNERED WITH DAKOTA COUNTY PUBLIC HEALTH'S METRO ALLIANCE FOR HEALTHY FAMILIES. THE PROGRAM IDENTIFIES AT-RISK FAMILIES AND PROVIDES HEALTHY EATING AND NUTRITION EDUCATION FOCUSED ON "EXCLUSIVE BREASTFEEDING." AS A RESULT, FAIRVIEW RIDGES HAS INCREASED ITS TRAINING OF EMPLOYEES IN "EXCLUSIVE BREASTFEEDING" AND PROVIDES FREE WEEKLY SUPPORT GROUPS FOR MOTHERS AND THEIR BABIES FACILITATED BY A LACTATION CONSULTANT. FORTY-THREE FAMILIES WERE IDENTIFIED AS AT-RISK AND PROVIDED WITH INTENSIVE HOME VISITATIONS THROUGH THE METRO ALLIANCE FOR HEALTHY FAMILIES. 3.OTHER COMMUNITY NEEDS IN 2013, FAIRVIEW RIDGES MEDICAL CENTER PROVIDED PLANNING ASSISTANCE AND A FINANCIAL CONTRIBUTION TO PRINCE OF PEACE CHURCH IN THE DEVELOPMENT OF A DENTAL CLINIC FOR UNINSURED AND UNDERINSURED INDIVIDUALS. FAIRVIEW SOUTHDALE HOSPITAL 2013 ACTIVITIES AND HIGHLIGHTS: 1.HEALTHY LIFESTYLES IN 2013, FAIRVIEW SOUTHDALE HOSPITAL PARTNERED WITH THE CHURCH OF THE ASSUMPTION AND OAK GROVE SCHOOL TO FUND COMMUNITY GARDENS. FAIRVIEW SOUTHDALE HOSPITAL WORKED WITH EDINA PARKS AND RECREATION TO SUPPORT THE CONSTRUCTION OF AN EDIBLE PLAYGROUND. THEY ESTABLISHED A COMMUNITY HEALTH ROLE AND HIRED A COMMUNITY HEALTH WORKER TO LEAD EDUCATION ON HEALTHY EATING AND PHYSICAL ACTIVITY IN THE LATINO COMMUNITY. SUPPORT AND FUNDING FOR THIS WORK WAS IN PARTNERSHIP WITH BLOOMINGTON PUBLIC HEALTH AND BLUE CROSS AND BLUE SHIELD OF MINNESOTA. 2.SOCIAL AND EMOTIONAL WELL-BEING IN 2013, FAIRVIEW SOUTHDALE HOSPITAL IDENTIFIED INDIVIDUALS TO BE TRAINED AS MENTAL HEALTH FIRST AID INSTRUCTORS, SECURED BUDGET DOLLARS AND OTHER RESOURCES, AND CREATED A COMPREHENSIVE WORK PLAN TO BE IMPLEMENTED IN 2014. UNIVERSITY OF MINNESOTA MEDICAL CENTER 2013 ACTIVITIES AND HIGHLIGHTS: 1.MENTAL HEALTH IN 2013, UNIVERSITY OF MINNESOTA MEDICAL CENTER ESTABLISHED A MENTAL HEALTH WORK GROUP REPRESENTATIVE OF THE BROADER COMMUNITY. THIS GROUP PRODUCED A MULTI-MEDIA STIGMA CAMPAIGN AIRED ON SOMALI TV WITH AN ESTIMATED VIEWERSHIP OF 22,500. EXTENSIVE AND ONGOING TRAINING WAS PROVIDED FOR 10 IMAMS ON MENTAL HEALTH TOPICS AND RESOURCES. 2.HEART DISEASE IN 2013, UNIVERSITY OF MINNESOTA MEDICAL CENTER SUPPORTED THE HEALTH COMMONS, A NURSE-MANAGED DROP IN CENTER FOCUSED ON MENTAL, PHYSICAL AND SOCIAL WELL-BEING. INITIATIVES AT THE HEALTH COMMONS INCLUDE FITNESS AND NUTRITION PROGRAMMING FOR YOUTH AND ADULTS WITH MORE THAN 1,000 PARTICIPANTS. ALSO, MORE THAN 200 ADULT SCREENINGS FOR HYPERTENSION WERE CONDUCTED AND COMMUNITY GARDENS WERE PROMOTED. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FAIRVIEW MAKES INFORMATON ABOUT ITS CHARITY CARE PROGRAMS AVAILABLE ON ITS WEBSITE (WWW.FAIRVIEW.ORG). AT THE TIME OF REGISTRATION FOR SERVICES AND THROUGH WRITTEN MATERIALS IN LOBBIES AND WAITING ROOMS. FOR PATIENTS IDENTIFIED AS SELF-PAY (WHETHER THAT OCCURS BEFORE SERVICES ARE DELIVERED OR DURING THE BILLING CYCLE), FAIRVIEW UTILIZES A STANDARD PROCESS TO ASSIST PATIENTS LEARN ABOUT AND ACCESS ASSISTANCE FROM GOVERNMENT PROGRAMS OR FAIRVIEW'S CHARITY CARE PROGRAM. FOR UNINSURED PATIENTS SEEN IN A FAIRVIEW HOSPITAL, FAIRVIEW PARTNERS WITH AN EXTERNAL VENDOR WHO MEETS WITH SELF-PAY PATIENTS TO ASSIST THEM DETERMINE ELIGIBILITY FOR GOVERNMENT PROGRAMS OF FAIRVIEW'S CHARITY CARE PROGRAM. THE VENDOR WILL ALSO ASSIST PATIENTS WITH COMPLETING THE NECESSARY PAPERWORK TO ACCESS THESE RESOURCES. STAFF IN FAIRVIEW'S CENTRAL BUSINESS OFFICE HAVE A SELF-PAY TEAM, WHICH DIRECTS PATIENTS TO THE APPROPRIATE RESOURCES. THERE IS ALSO A COMMUNITY CARE COORDINATOR WHO ASSISTS IN GETTING PATIENTS CONNECTED TO ADDITIONAL RESOURCES FOR WHICH THEY MAY QUALIFY. PART VI, LINE 4 - COMMUNITY INFORMATION FAIRVIEW HEALTH SERVICES IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINNESOTA. FAIRVIEW IS COMPRISED OF SIX HOSPITALS OR MEDICAL CENTERS: 1) FAIRVIEW LAKES MEDICAL CENTER IN WYOMING, MN, 2) FAIRVIEW NORTHLAND MEDICAL CENTER IN PRINCETON, MN, 3) FAIRVIEW RIDGES HOSPITAL IN BURNSVILLE, MN, 4) FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, 5) UNIVERSITY OF MINNESOTA MEDICAL CENTER, MINNEAPOLIS, MN 6) FAIRVIEW MAPLE GROVE MEDICAL CENTER IN MAPLE GROVE, MN, A RELATED ENTITY FAIRVIEW ALSO HAS A FULL CONTINUUM OF HEALTH CARE SERVICES. SEE PART III PAGE 2 , LINES 4A, 4B AND 4C. FAIRVIEW LAKES MEDICAL CENTER HAS A PRIMARY SERVICE AREA OF 142,000 INDIVIDUALS RESIDING IN ANOKA, CHISAGO, ISANTI, PINE AND WASHINGTON COUNTIES IN MINNESOTA. ANOKA AND WASHINGTON ARE MORE URBAN AS THE TWIN CITIES METROPOLITAN AREA CONTINUES TO GROW INTO THESE COUNTIES. PINE, CHISAGO AND ISANTI COUNTIES ARE STILL RELATIVELY RURAL AREAS. IN THE NEXT THREE YEARS, A GROWTH RATE IF 11 OERCEBT IS PROJECTED IN FAIRVIEW LAKES PRIMARY SERVICE AREA. FAIRVIEW LAKES MEDICAL CENTER IS THE ONLY HOSPITAL IN THE PRIMARY SERVICES AREA. WITHIN THE SECONDARY SERVICES AREAS, THERE ARE THREE OTHER HOSPITALS ON THE SOUTH EDGES OF THE SERVICE AREA. FAIRVIEW LAKES PROVIDES A FULL CONTINUUM OF SERVICES, FROM PRIMARY CARE SERVICES AT THE CLINIC TO HOME CARE SERVICES TO LONG-TERM CARE. OF ALL THE PATIENTS SERVED BY THE MEDICAL CENTER IN 2013. FAIRVIEW MAPLE GROVE MEDICAL CENTER, A RELATED ENTITY, SERVES 360,000 INDIVIDUALS IN A PRIMARY SERVICE AREA WITHIN SHERBURNE, WRIGHT, HENNEPIN AND ANOKA COUNTIES IN MINNESOTA. MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS ABOVE THE STATE AVERAGE. HOWEVER, DUE TO THE SIZE AND DIVERSITY OF HENNEPIN COUNTY, A HIGHER THAN AVERAGE PERCENTAGE (11 PERCENT) OF COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LINE. SHERBURNE, WRIGHT AND ANOKA HAVE LARGE CHILDREN POPULATIONS; MORE THAN 100,000 CHILDREN UNDER THE AGE OF 18 LIVE IN THE MEDICAL CENTER PRIMARY SERVICE AREA. FAIRVIEW MAPLE GROVE IS AN AMBULATORY MEDICAL CENTER, WORKING IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS. FAIRVIEW NORTHLAND MEDICAL CENTER HAS A PRIMARY SERVICE AREA OF 79,000 INDIVIDUALS RESIDING IN SHERBURNE, BENTON, KANABEC, MILLE LACS AND ISANTI COUNTIES IN MINNESOTA. THREE OF THE FIVE COUNTIES IN THE PRIMARY SERVICE AREA HAVE MEDIAN HOUSEHOLD INCOMES LOWER THAN THE STATE AVERAGE. THE THREE COUNTIES ALSO HAVE A HIGHER THAN AVERAGE PERCENTAGE OF THEIR RESIDENTS LIVING BELOW THE FEDERAL POVERTY LINE. FAIRVIEW NORTHLAND IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA. WITHIN THE SECONDARY SERVICE AREA, THERE ARE FOUR OTHER HOSPITALS. FAIRVIEW NORTHLAND PROVIDES A FULL CONTINUUM OF SERVICES, FROM PRIMARY CARE SERVICES TO HOME CARE. FAIRVIEW RIDGES HOSPITAL IN BURNSVILLE, MN HAS A PRIMARY SERVICE AREA OF 336,000 INDIVIDUALS IN SCOTT AND DAKOTA COUNTIES. LOCATED IN THE SOUTHERN PART OF THE GREATER MINNEAPOLIS-ST. PAUL METROPOLITAN AREA, BOTH COUNTIES HAVE HIGHER THAN AVERAGE PERCENTAGES OF CHILDREN UNDER THE AGE OF 18. BY INCOME, INDIVIDUALS IN SCOTT AND DAKOTA COUNTIES HAVE A HIGHER HOUSEHOLD INCOME THAN THE STATE AVERAGE. FAIRVIEW RIDGES HOSPITAL IS A MULTI-SPECIALTY MEDICAL CENTER AND THE ONLY HOSPITAL SERVING THE PRIMARY SERVICE AREA. FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN HAS A PRIMARY SERVICE AREA OF OVER 497,207 INDIVIDUALS RESIDING IN HENNEPIN AND CARVER COUNTIES. CARVER COUNTY IS A SOUTHWEST SUBURB IN THE GREATER MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. INDIVIDUALS SPEAKING A LANGUAGE OTHER THAN ENGLISH IN THE HOME IN CARVER COUNTY IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE, WHILE IT IS SIGNIFICANTLY GREATER THAN THE AVERAGE IN HENNEPIN COUNTY. TWENTY-FIVE PERCENT OF HENNEPIN COUNTY RESIDENTS ARE ETHNIC MINORITIES. FAIRVIEW SOUTHDALE HOSPITAL IS ONE OF TWO HOSPITALS SERVING THE PRIMARY SERVICE AREA. IN THE LARGER AREA OF HENNEPIN AND CARVER COUNTIES, THERE ARE NINE HOSPITALS OR MEDICAL CENTERS SERVING THE COMMUNITY. FAIRVIEW SOUTHDALE IS A MULTI-SPECIALTY MEDICAL CENTER RATED BY HEALTHGRADES AS THE NUMBER ONE HOSPITAL IN MINNESOTA FOR HEART AND STROKE CARE. UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW (UMMC), LOCATED IN MINNEAPOLIS, IS A TERTIARY ACADEMIC MEDICAL CENTER DRAWING PATIENTS FROM ACROSS THE TWIN CITIES REGION, THE STATE AND THE COUNTRY. UMMC IS A PARTNER WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS. THE MEDICAL CENTER IS LOCATED IN THE CEDAR-RIVERSIDE NEIGHBORHOOD OF MINNEAPOLIS. CEDAR-RIVERSIDE IS A DIVERSE COMMUNITY LOCATED JUST OUTSIDE OF DOWNTOWN MINNEAPOLIS THAT IS HOME TO MORE THAN 7,500 INDIVIDUALS. CEDAR-RIVERSIDE IS HOME TO A LARGE GROUP OF RECENT IMMIGRANTS FROM SOMALIA AND OTHER AFRICAN COUNTRIES. ACCORDING TO THE MOST RECENT CENSUS DATA, FORTY ONE PERCENT OF RESIDENTS ARE WHITE, WHILE 32 PERCENT ARE BLACK AND 16 PERCENT ARE ASIAN. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW IS THE ONLY MEDICAL CENTER IN THE CEDAR-RIVERSIDE NEIGHBORHOOD. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH AS A NONPROFIT HEALTH SYSTEM, FAIRVIEW REINVESTS ANY EXCESS REVENUES INTO THE CORE OPERATIONS OF THE ORGANIZATION. RESEARCH AND EDUCATION ARE AT THE VERY HEART OF THE MISSION. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW INVESTS MILLIONS OF DOLLARS EACH YEAR INTO GROUND-BREAKING RESEARCH AND EDUCATION OF OUR NEXT GENERATION OF HEALTHCARE WORKFORCE. FAIRVIEW ALSO PARTNERS WITH A MYRIAD OF HIGHER EDUCATIONAL INSTITUTIONS TO PROVIDE CLINICAL HANDS-ON TRAINING FOR FUTURE NURSES, PHARMACISTS, LABORATORY PROFESSIONALS AND MORE. FAIRVIEW SERVES AS A TRAINING SITE FOR RESIDENTS IN VARIOUS SPECIALITIES AND IS THE CORE TEACHING SITE FOR THE UNIVERSITY OF MINNESOTA RESIDENTS. SENIOR RESIDENTS AND FELLOWS PROVIDE FAIRVIEW SOME DEGREE OF CLINICAL SERVICE THAT WE WOULD OTHERWISE NOT RECEIVE. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM FAIRVIEW HEALTH SERVICES IS AN INTEGRATED ACADEMIC HEALTH CARE SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINN. IT OPERATES FIVE COMMUNITY HOSPITALS , ONE ACADEMIC MEDICAL CENTER AND ONE AMBULATORY MEDICAL CENTER COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT THAT FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. FAIRVIEW'S CORPORATE COMMUNITY HEALTH DEPARTMENT SUPPORTS THESE LOCAL EFFORTS BY SHARING BEST PRACTICES, FINDING EFFICIENCIES AMONG HOSPITAL COMMUNITY HEALTH LEADERS AS APPROPRIATE, COORDINATING THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND MORE. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MINNESOTA true FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411573810 501C3 6597842 HOSPITAL SUPPORT REGENTS OF UNIVERSITY OF MINNESOTA P O BOX 1450 NW 5960 MINNEAPOLIS MN 55485 416007513 115 654383 CHILD HOSP SUPPORT UMP RESEARCH 420 DELAWARE STREET SE MINNEAPOLIS MN 55455 416007513 501C3 260000 PROVIDE CLINICAL CAR 3 SCHEDULE I, PAGE 1, PART I, LINE 2 FAIRVIEW HEALTH SERVICES SOLICITS GRANT FUNDING ONLY FOR PURPOSES THAT QUALIFY AS CHARITABLE, RESEARCH OR EDUCATION PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FAIRVIEW'S PROCESSES AND PROCEDURES ADHERE TO FEDERAL GUIDELINES AND ARE SUBJECT TO AUDIT. THE SAME PROCESSES AND PROCEDURES ARE APPLIED FOR FEDERAL AS WELL AS PRIVATE GRANTS AND SERVICE AGREEMENTS. THE GRANT APPLICATION PROCESS IS MONITORED BY THE RESEARCH ADMINISTRATION GROUP AND THE APPLICATION OF GRANT FUNDS ARE MONITORED BY THE RESEARCH AND EDUCATION ACCOUNTING GROUP. THESE TWO GROUPS MEET MONTHLY TO ENSURE ALL GRANTS ARE BEING ADMINISTERED PROPERLY. X X true true X X X X X X true true false false false false false false false CHARLES MOOTY INTERIM CEO/DIRECTOR 838951 14850 16012 869813 RULON STACEY PRESIDENT CEO 11-13 163715 163715 CAROLYN WILSON PRESIDENT OF UMMC 725712 358173 198651 22388 1304924 DANIEL K ANDERSON PRESIDENT, FAIRVIEW 563005 275803 14051 73515 24168 950542 BRENT ASPLIN PRESIDENT, FAIRVIEW 517036 270306 22005 809347 DANIEL M FROMM CHIEF FINANCIAL OFCR 514570 264031 52092 35894 866587 MARK HANSBERRY VP STRATEGIC PLANNIN 373080 189285 46591 30934 639890 TERRY CARROLL SR. VP, TRANSFORMATI 283164 223652 19547 7511 533874 MARK THOMAS PRES. & CEO OF EBENE 312975 181088 8565 58254 16384 577266 JOHN DOHERTY SR. OPERATING EXEC. 339997 156987 3328 37876 37665 575853 PAULA PHILLIPPE CHIEF OF HUMAN RESOU 261655 223214 728 17307 502904 STEVE HOUSCH PRESIDENT FAIRVIEW L 259526 106119 29292 26770 421707 TRUDI TRYSLA SR. VP & GENERAL COU 238380 66673 17850 31808 354711 ALLEN VICKERS VP-CHIEF AUDIT EXEC 217605 86684 86926 24965 416180 TODD SHERRILL VICE PRESIDENT OF FI 218975 49346 17850 16413 302584 CAROLYN JACOBSON INTERIM CHIEF HR 222826 30257 17850 8332 279265 DAVID LEACH VICE PRESIDENT & TRE 185505 42590 16548 26608 271251 ROBERT BEACHER PRESIDENT, FAIRVIEW 438462 229491 76588 32998 777539 BRADLEY BEARD PRESIDENT, SOUTHDALE 431546 196275 10161 56668 29750 724400 STEVEN HILL CHIEF OPERATING OFFI 40506 509108 343 21194 22 571173 KATHLEEN TARANTO SR. VP PATIENT CARE 331782 138747 426 43565 19096 532402 1214 BETH KREHBIEL PRESIDENT, RIDGES HO 330122 140342 38714 27526 536704 JOHN HERMAN PRESIDENT OF NORTHLA 296348 139329 2332 31810 15526 485345 TERRY MARTINSON EXECUTIVE REGIONAL M 298646 128634 2693 39454 17850 487277 DEBRA BOARDMAN PRESIDENT,RANGE HOSP 270832 92746 2440 28711 8343 403072 JOHN SWEET MD PHYSICIAN 689635 260921 12411 17850 14877 995694 MICHAEL CAMPOLI MD SURGEON 902734 12604 34373 17850 34189 1001750 ASA KIM MD SURGEON 667275 10503 2138 17850 20276 718042 WILLIAM OMLIE MD SURGEON 587487 45000 44308 17850 20780 715425 HOWARD SAYLOR III PHYSICIAN 486186 35000 100291 86700 25337 733514 MARK WERNER FORMER CCI 238297 420597 658894 MARK EUSTIS FORMER PRES.& CEO 393251 393251 SCOTT WORDELMAN FORMEPRES.& CEO-R W 286603 7723 294326 JAMES FOX FORMER CFO 145359 145359 104178 MARK DIXON FORMER PRES.OF SOUTH 100983 100983 72972 SCHEDULE J, PAGE 1, PART I, LINE 1A SOCIAL CLUB DUES ARE PAID ONLY ON BEHALF OF THE CEO, PRIMARILY TO PROVIDE OFFSITE MEETING SPACES. IF USED FOR PERSONAL PURPOSES, A RATED PORTION OF THE DUES IS REPORTED ON THE RESPECTIVE W2. SCHEDULE J, PAGE 1, PART I, LINE 4 KATHLEEN TARANTO 0 1,214 0 MARK WERNER 420,597 0 0 SCOTT WORDELMAN 286,603 0 0 JAMES FOX 41,181 117,809 0 MARK DIXON 28,011 72,972 0 SCHEDULE J, PART III THE PLAN IS OPEN ONLY TO A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES. THE PLAN CONTRIBUTES THE DIFFERENCE OF WHAT 403(B) EMPLOYER CONTRIBUTIONS WERE MISSED FOR PARTICIPANTS WHO EARN MORE THAN THE IRS LIMIT ON ELIGIBLE COMPENSATION FOR QUALIFIED RETIREMENT PLANS (IN 2013 THAT WAS 255,000). THE CONTRIBUTION IS UNFUNDED. THE PLAN COMPLIES WITH SECTION 457(F) OF THE CODE. THOSE PARTICIPATING IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THAT IS A 457(F)PLAN INCLUDES THE FOLLOWING TOP LEVEL EXECUTIVES: DANIEL ANDERSON 55,665, BRADLEY BEARD 38,836, GEORGE CHRESAND 17,951, JOHN DOHERTY 20,026, DANIEL FROMM 34,242 MARK HANSBERRY 28,741, BETH KREHBIEL 20,864, MARK THOMAS 40,404, TERRY MARTINSON 21,604, ALLAN VICKERS 226, PATRICK HERSON 10,396, JOHN HERMAN 13,960, ROBERT BEACHER 58,738, KATHY TARANTO 25,715 RICHARD HOWARD 10,960, DEBORAH BOARDMAN 10,861, CAROLYN WILSON 23,702 AND SCOTT WORDELMAN 7,723. A CITY OF MINNEAPOLIS 416005375 60374VCE1 2005-05-10 75567679 HOSPITAL EXPANSION OF PRINCETON HOSPITAL & RIDGES HOSPITAL false false false B CITY OF MINNEAPOLIS FAIRVIEW HEALTH SERVICES 416005375 60374VCH4 2008-10-29 728392490 REFUND 2004A 5-13-2004, 2005A 5-10-2005, B&C CHILDREN'S HOSPITAL & EXPAN. false false false A 78679343 475355 2070299 76133689 2007 false false true true B 9520000 729602999 30447712 14697472 8640253 3957639 15341000 209408419 447110504 2011 true false true true A false false true true false false false true B false true true true true true false false true A false false true false false false false false true B false false false true true false false false true SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION CITY OF MINNEAPOLIS DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) OF SCHEDULE K ARE DUE TO INVESTMENT EARNINGS. CITY OF MINNEAPOLIS THE DIFFERENCES BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS ARE DUE TO INVESTMENT EARNINGS. SCHEDULE K - DATE REBATE COMPUTATION PERFORMED CITY OF MINNEAPOLIS 07/26/12 SCHEDULE K - ADDITIONAL INFORMATION CITY OF MINNEAPOLIS HOSPITAL EXPANSION OF PRINCETON HOSPITAL & RIDGES HOSPITAL CITY OF MINNEAPOLIS REFUND 2004A 5-13-2004, 2005A 5-10-2005, B&C CHILDREN'S HOSPITAL & EXPAN. UNIVERSITY OF MINNESOTA PHYSICIANS BOARD MEMBER 208526885 MEDICAL SERVICES false UNIVERSITY OF MINNESOTA BOARD MEMBER 49998883 MEDICAL SERVICES false X MEDICAL EQUIPME 1 3895324 REPLACEMENT COST false false false FORM 990 - ORGANIZATION'S MISSION FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE. FORM 990, PAGE 1, PART I, LINE 6 OUR VOLUNTEERS ARE VALUED MEMBERS OF THE HEALTH CARE TEAM, ENHANCING THE PATIENT AND FAMILY EXPERIENCE BY MEETING OUR PATIENTS' NEEDS. SOME OF THE SERVICES PROVIDED INCLUDE WAYFINDING FOR PATIENTS, FAMILIES AND VISITORS. THEY PROVIDE HOSPITALITY FOR PATIENTS, FAMILIES AND VISITORS AND PROVIDE ASSISTANCE WITH SPECIAL ONSITE AND COMMUNITY EVENTS AND ACTIVITIES. FORM 990, PAGE 2, PART III, LINE 4A PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION IN 2012 AND 2013. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS IS ONE OF THE MOST RESPECTED ACADEMIC MEDICAL CENTERS IN THE NATION. IN 2013, BECKER'S HOSPITAL REVIEW NAMED THE MEDICAL CENTER AMONG THE 100 GREAT HOSPITALS IN AMERICA. THE 1,700-BED MEDICAL CENTER IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES AND INCLUDES THE AMPLATZ CHILDRENS HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS COLLABORATE TO PROVIDE PATIENTS ACCESS TO GROUNDBREAKING TREATMENTS AND TECHNOLOGY. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S 2013 HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG. FORM 990, PAGE 2, PART III, LINE 4B INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 304,818,710. THE COST OF THE MEDICAID SURCHARGE MINNESOTA CARE TAX TO THE HOSPITALS WAS 21,910,659. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2013, FAIRVIEW PAID 31,450,710 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2013 TOTALED 4,657,875 AND THE SALES AND INCOME TAXES TOTALED 1,985,806. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 50,736,760 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 629,179,558. FORM 990, PAGE 2, PART III, LINE 4C FAIRVIEW HEALTH SERVICES INCREASED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2013 . THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 153 SCHOOLS AND COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY. FORM 990, PART V, LINE 4B BERMUDA, CAYMAN ISLANDS FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD HAS THREE CATEGORIES OF DIRECTORS: 1) 3 EX OFFICIO WHO ARE FAIRVIEW'S CEO AND THE UNIVERSITY'S VICE PRESIDENT OF MEDICAL SCHOOL AND A SENIOR LEADER OF THE UNIVERSITY MEDICAL SCHOOL OR OF THE UNIVERSITY APPOINTED, FROM TIME TO TIME, BY THE VICE PRESIDENT 2) 10 ELECTED DIRECTORS WHO ARE 1 DIRECTOR ELECTED BY THE REGENTS OF THE UNIVERSITY OF MINNESOTA AND 9 ELECTED BY THE BOARD AFTER NOMINATION FROM CERTAIN COMPONENTS OF THE FAIRVIEW SYSTEM; AND 3) BETWEEN 3 TO 8 AT-LARGE DIRECTORS ELECTED BY THE BOARD. FORM 990, PAGE 6, PART VI, LINE 7B THE REGENTS OF THE UNIVERSITY OF MINNESOTA HAVE THE RIGHT TO APPROVE PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IF THE AMENDMENT WOULD ADVERSELY AFFECT THEIR RIGHTS AND CERTAIN SALES OF SUBSTANTIALLY ALL OF FAIRVIEW'S ASSETS. AN ASSOCIATION OF APPROXIMATELY 70 LUTHERAN CHURCHES ELECTS MOST OF THE FAIRVIEW SOUTHDALE HOSPITAL, FAIRVIEW RIDGES HOSPITAL AND PART OF THE UMMC BOARDS OF TRUSTEES, AS WELL AS THE FPA COMMUNITY DIRECTORS AND THE EBENEZER SOCIETY BOARD OF DIRECTORS AND HAS THE RIGHT TO APPROVE CERTAIN FAIRVIEW BYLAW AMENDMENTS. FORM 990, PAGE 6, PART VI, LINE 11B THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY FAIRVIEW'S GENERAL COUNSEL, FAIRVIEW'S CHIEF FINANCIAL OFFICER AND CONTROLLER AND THEN BY AN INDEPENDENT TAX CONSULTANT. THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW OF CONTENT. THE FORM 990 IS SUBSEQUENTLY PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C MANAGERS, DIRECTORS AND SENIOR MANAGEMENT OF FAIRVIEW ARE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTERESTS BY BOARD MEMBERS AND SENIOR MANAGEMENT ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEEOF THE BOARD, ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR SPECIFIC REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS AND KEY EMPLOYEES IS ALSO PRESENTED TO THE CONFLICT OF INTEREST REVIEW COMMITTEE FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONFLICTS, AS NECESSARY, DURING THE YEAR. FORM 990, PAGE 6, PART VI, LINE 15A THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. THE FULL BOARD APPROVES EXECUTIVE COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE DETERMINATION OF OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. FORM 990, PAGE 6, PART VI, LINE 19 FAIRVIEW HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT. FORM 990, PART IX, LINE 11G OTHER HOSPITAL SERVICE FEES 11,516,637 163,985,546 0 OTHER CORPORATE SERVICE FEES 160,388,584 0 0 FORM 990, PART XI, LINE 9 0 RELATED ORG 7,263,536 CT EQUITY DISTRIBUTION 9,180,000 UMF FUNDS RELEASED 20,722,986 FAIRVIEW PHARMACY SERVICES LLC 711 KASOTA AVE MINNEAPOLIS MN 55414 721586863 PHARMACY S MN 559860214 57666682 NA FAIRVIEW MAPLE GROVE SURGERY CENTER 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 208335586 MEDICAL SU MN 5922779 1801587 NA FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411573810 FUNDRAISIN MN 501C3 7 NA true FAIRVIEW HOME CARE AND HOSPICE 2450 26TH AVENUE SOUTH MINNEAPOLIS MN 55406 411434246 HOME HEALT MN 501C3 9 NA true RMC PROPERTIES INC 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411482417 LAND LEASE MN 501C2 9 NA true FAIRVIEW PHYSICIAN ASSOCIATES NETWO 3400 WEST 66TH STREET MINNEAPOLIS MN 55435 411753325 CLINICAL I MN 501C3 9 NA true RANGE REGIONAL HEALTH SERVICES & SU 750 EAST 34TH STREET HIBBING MN 55746 411293970 PATIENT HE MN 501C3 3 NA true EBENEZER SOCIETY 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 410706141 HEALTH CAR MN 501C3 9 N/A true FAIRVIEW AUXILIARY 6401 FRANCE AVENUE SOUTH MINNEAPOLIS MN 55435 411414831 SUPPORT MN 501C3 11C N/A true EXCELERX 711 KASOTA AVENUE MINNEAPOLIS MN 55414 452665537 MANAGEMENT MN FAIRVIEW P EXCLUDED 3157924 210632 false true 0.51000 FAIRVIEW CLINICS 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411761760 PHYSICIAN MN N/A true FAIRVIEW PHYSICIAN AND CLINIC SERVI 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411544996 PHYSICIAN MN N/A true FAIRVIEW DEVELOPMENT COMPANY 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411568579 LEASEHOLD MN N/A true FAIRVIEW EXPRESS CARE 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 205996177 PHYSICIAN MN N/A true BEHAVIORAL HEALTHCARE PROVIDERS 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411805759 MENTAL HEA MN N/A true ASSOCIATED MEDICAL ASSURANCE 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 SELF INSUR N/A false false true true false false false false false false false true true true false false true true true true FAIRVIEW CLINICS M 559386 FAIR MARKET VALUE FAIRVIEW CLINICS K 2614293 FAIR MARKET VALUE BEHAVIORAL HEALTHCARE PROVIDERS M 102955 FAIR MARKET VALUE FAIRVIEW CLINICS Q 6580683 FAIR MARKET VALUE RANGE REGIONAL HEALTH SERVICES R 7188350 FAIR MARKET VALUE FAIRVIEW CLINICS R 22745604 FAIR MARKET VALUE BEHAVIORAL HEALTHCARE PROVIDERS R 328664 FAIR MARKET VALUE RANGE REGIONAL HEALTH SERVICES M 28259 FAIR MARKET VALUE RANGE REGIONAL HEALTH SERVICES Q 2282 FAIR MARKET VALUE FAIRVIEW FOUNDATION L 4930 FAIR MARKET VALUE FAIRVIEW FOUNDATION B 2671963 FAIR MARKET VALUE FAIRVIEW FOUNDATION C 6636059 FAIR MARKET VALUE FAIRVIEW DEVELOPMENT COMPANY M 10161 FAIR MARKET VALUE FAIRVIEW DEVELOPMENT COMPANY R 37186 FAIR MARKET VALUE EXPRESS CARE M 845128 FAIR MARKET VALUE EXPRESS CARE Q 35883 FAIR MARKET VALUE EXPRESS CARE R 1248213 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE M 55624 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE Q 624747 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE S 182505319 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE K 62417 FAIR MARKET VALUE FAIRVIEW PHYSICIAN ASSOCIATES NETWO M 61240 FAIR MARKET VALUE FAIRVIEW PHYSICIAN ASSOCIATES NETWO P 630 FAIR MARKET VALUE FAIRVIEW PHYSICIAN ASSOCIATES NETWO S 235922 FAIR MARKET VALUE EBENEZER SOCIETY M 185549 FAIR MARKET VALUE EBENEZER SOCIETY Q 247623 FAIR MARKET VALUE EBENEZER SOCIETY R 202430 FAIR MARKET VALUE EBENEZER SOCIETY R 388711 FAIR MARKET VALUE EBENEZER RIDGES R 291915 FAIR MARKET VALUE EBENEZER SOCIETY FOUNDATION R 14838 FAIR MARKET VALUE FAIRVIEW FOUNDATION R 1417385 FAIR MARKET VALUE ASSOCIATED MEDICAL ASSURANCE R 5441076 FAIR MARKET VALUE