FAIRVIEW HEALTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FAIRVIEW HEALTH SERVICES (EIN 41-0991680)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201303189349302965
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T11:12:12-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	50 SOUTH SIXTH ST STE 2800	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	410991680	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FAIRVIEW HEALTH SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FAIR	NameControl
Phone	6126724976	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2450 RIVERSIDE AVENUE	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55454	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Rulon Stacey	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Phone	6126724976	Phone
Date Signed	2013-11-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kristina Rasmussen	Name
PTIN	P00143920	PTIN
Phone	6123974000	Phone
Date Prepared	2013-11-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Rulon Stacey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2450 RIVERSIDE AVENUE	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55454	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3082352015	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.fairview.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1906	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	To improve the health of the communities we serve. See Schedule O.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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	18694	TotalNbrEmployees
Total Nbr Volunteers	4656	TotalNbrVolunteers
Total Gross UBI	299107049	TotalGrossUBI
Net Unrelated Business Txbl Income	-8906025	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3830761	ContributionsGrantsPriorYear
Contributions Grants Current Year	4478314	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2580257082	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2891984448	ProgramServiceRevenueCY
Investment Income Prior Year	-16523702	InvestmentIncomePriorYear
Investment Income Current Year	67018697	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7561086	OtherRevenuePriorYear
Other Revenue Current Year	11596238	OtherRevenueCurrentYear
Total Revenue Prior Year	2575125227	TotalRevenuePriorYear
Total Revenue Current Year	2975077697	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2112167	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2472735	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1234045246	SalariesEtcPriorYear
Salaries Etc Current Year	1352834366	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1334452237	OtherExpensePriorYear
Other Expenses Current Year	1447110322	OtherExpensesCurrentYear
Total Expenses Prior Year	2570609650	TotalExpensesPriorYear
Total Expenses Current Year	2802417423	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4515577	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	172660274	RevenuesLessExpensesCY
Total Assets BOY	2600633058	TotalAssetsBOY
Total Assets EOY	2770113656	TotalAssetsEOY
Total Liabilities BOY	1487604088	TotalLiabilitiesBOY
Total Liabilities EOY	1488229548	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1113028970	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1281884108	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Fairview's mission is:To improve the health of the communities we serve. See Schedule O.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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1171673965	Expense
Grants	2468735	Grants
Revenue	1980521018	Revenue
Description	Providing medical servicesFairview Health Services provides exceptional clinical care and patient experience within the full continuum of services in the system. 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 the entire continuum of healthcare services in a coordinated and cost-effective manner to both urban and rural communities. See Schedule O.Fairview also has a full continuum of health care services, including primary and specialty care clinics, physical therapy/sports medicine, retail pharmacies, home care and hospice, long-term care and more. The healthcare services which Fairview provides to the community include but are not limited to: primary, specialty, tertiary and quatenary care, hospital and physician services, senior services, home care and hospice, pharmacy, children's health care, therapy, behavioral and other services. In addition to the 2,330,893 patient care encounters in 2012, Fairview personnel experienced over 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. Fairview's mission is to improve the health of the communities it serves. Medical services which Fairview provides to the community include: arthritis services, assisted living, battered women support services, behavioral services, bone marrow transplants, cancer care, children's health care services, chronic care services, complementary medicine, diabetes services, education, emergency services, heart health services, home health care, hospice, infusion therapy, inpatient and outpatient mental health and chemical dependency services, maternal/child health, multiple sclerosis services, neurosciences, nutrition and weight management services, pharmacy services, radiology and imaging, rehabilitation services, respiratory care services, skilled nursing care, solid organ transplants, senior services, social work services, support groups and services for various health issues, surgical services, urgent care, volunteer opportunities, walking programs and wound care.Services are offered at the following locations: Fairview Southdale Hospital, located in Edina, Minnesota is a multi-specialty medical center rated by HealthGrades as the number one hospital in Minnesota for heart and stroke care in 2012. Southdale was also five-star rated in 2012 in 15 areas including Critical Care, Pulmonary Services, Joint Replacement, and Total Knee Replacement. University of Minnesota Amplatz Children's Hospital is located in Minneapolis, Minnesota on the campus of the University of Minnesota Medical Center, Fairview. UMACH provides a broad spectrum of pediatric programs and services -- ranging from pediatric general surgery, imaging and neonatal and pediatric intensive care to cardiac and oncology services and blood and marrow and organ transplantation. The hospital is also home to Minnesota's only children's behavioral inpatient unit with programming exclusively devoted to children ages 12 and younger. University of Minnesota Medical Center, Fairview in Minneapolis, is one of the most respected teaching institutions in the nation, balancing responsiveness to patient needs and wishes with access to innovative treatments and technology to deliver superior health outcomes. As the core teaching hospital of the University of Minnesota Medical School, the medical center focuses on patient care, which is congruent with the medical school's mission of research and education. Fairview serves as a training site for residents in various specialties 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. University of Minnesota Medical Center, Fairview includes outpatient and inpatient facilities. 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. Areas of specialization include solid organ and blood and marrow transplantation, heart disease, cancer, neurosciences, pediatrics, and behavioral illnesses. In 2012, UMMC was ranked on the U.S. New & World Report's "America's Best Hospitals" list among the top 50 hospitals in the United States in six specialties. Fairview Range Medical Center located in Hibbing, Minnesota, a related entity, provides advanced, high technology, inpatient and outpatient care. Fairview Range combines the area's finest medical services to provide the most comprehensive health care system on the Iron Range and northeast Minnesota. Fairview Lakes Medical Center, located in Wyoming, Minnesota, takes a patient-focused and team-oriented approach to health care. This medical center offers inpatient and outpatient care to the surrounding community. Fairview Northland Medical Center, located in Princeton, Minnesota, provides health care to communities ranging from Elk River north to Milaca. Fairview Ridges Hospital, located in Burnsville, Minnesota is a multi-specialty medical center dedicated to taking care of you and your family. With more than 40 locations across the Twin Cities and Minnesota,Fairview Clinics aim to make primary care seamless for its patients. In 2012, more than 99 percent of Fairview patients rated the care they received as excellent and were so satisfied that they would recommend a Fairview clinic to their family or friends. Patients reported that the electronic medical record system has enhanced doctor-patient relationships. Information transfers are fast and direct. Fairview MyChart offers online access to providers and medical records.Fairview, in partnership with University of Minnesota Physicians, provides exceptional specialty care at the more than 50 specialty care clinics at the University of Minnesota Medical Center. Fairview operates other continuum services including: 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.Fairview is committed to the health needs of the communities it serves. Fairview subsidizes some of the essential services and programs that operate at a loss, including hospice, palliative services and mental health services.For more information, visit www.fairview.org.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	987092016	Expense
Revenue	899942306	Revenue
Description	Cost of participating in government programsFairview 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. See Schedule O.In 2012, Fairview incurred $57,204,826 of taxes and surcharges costs in health care services that exceeded the reimbursement received by public programs, surcharges, 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 ReimbursementFairview 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 $296,410,799. The cost of the Medicaid Surcharge Minnesota Care tax to the hospitals was $20,700,333.MinnesotaCare taxThe 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 2012, Fairview paid $30,974,479 in MinnesotaCare taxes. Taxes and feesFairview does pay some property tax to local and state government. This helps to fund civil and educational services in the community. These costs for 2012 totaled $4,685,180.Costs exceed Medicare Reimbursement:Fairview cares for thousands of individuals ages 65 and older who are covered by Medicare. Fairview incurred $63,601,860 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 $578,166,014.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	103002293	Expense
Grants	4000	Grants
Revenue	11521124	Revenue
Description	The primary purpose of the educational and research programs is to educate health professionals in the broader community. The programs of medical, general clinical and patient care research are designed primarily to benefit the community. Through its affiliation with the University, Fairview increased its focus and support on research and education. The University of Minnesota Medical Center, Fairview, Fairview Southdale Hospital and Fairview Ridges Hospital are the primary teaching sites for the residency program at the University of Minnesota.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	2261768274	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	795	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	18694	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	TODD SHERRILL	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6126724986	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 STINSON BLVD NE	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55413	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (54 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Jon R Campbell
Chairman/Director	10.00	X	0	0	0
Bobbie Daniels MD
Director	5.00	X	0	0	0
Doug Dirks
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
Buck Foot III
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
Charles Mooty
Interim CEO (8-1-12 to 12-31-12)	40.00	X	434415	0	12764	X
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
Mark Eustis
Pres.& CEO (1-1-12 to 7-31-12)	40.00	X	1232871	0	8012	X
Daniel K Anderson
President, Fairview Community Hospitals	40.00		570917	0	66377	X
Brent Asplin
President, Fairview Medical Group	40.00		571308	0	37472	X
Terry Carroll
Sr. VP, Transformation & Chief Information Officer	40.00		459267	0	58546	X
George Chresand
Sr. VP & General Counsel	40.00		354486	0	58485	X
John Doherty
Sr. Operating Exec.	40.00		310405	0	64045	X
Daniel M Fromm
Chief Financial Officer	40.00		457968	0	49274	X
Mark Hansberry
VP Strategic Planning	40.00		370258	0	62866	X
David Leach
Vice President & Treasurer	40.00		186150	0	37624	X
Paula Phillippe
Chief of Human Resources	40.00		430949	0	63998	X
Todd Sherrill
Vice President of Finance & Controller	40.00		237669	0	26655	X
Mark Thomas
Pres. & CEO of Ebenezer	40.00		403512	0	49049	X
Allen Vickers
VP Chief Audit Exec & Comp	40.00		213215	0	37390	X
Carolyn Wilson
President of UMMC & UMAH	40.00		633270	0	21469	X
Robert Beacher
President, Fairview Pharma	40.00		601465	0	51277		X
Bradley Beard
President, Southdale Hospital	40.00		460681	0	71571		X
Debra Boardman
President, Range Hospital	40.00		267743	0	24744		X
John Herman
President of Northland & MGMC	40.00		293729	0	31661		X
Richard Howard
President Fairview Foundation	2.00		0	251894	32716		X	40.00
Beth Krehbiel
President, Ridges Hospital	40.00		338397	0	53420		X
Terry Martinson
Executive Regional Medical Director	40.00		297521	0	48900		X
Kathleen Taranto
Sr. VP Patient Care	40.00		368736	0	38197		X
Mark Werner
Chief Clinical Integration Officer 1-1-12-10-31-	40.00		922447	0	30672		X
Scott Wordelman
Pres.& CEO-Red Wing (1-1 to 6-30-12)	40.00		434889	0	39152		X
Steven Hill
Chief Operating Officer 1-1-12tp 12-31-12	40.00		357677	0	27424		X
David Moen
President of FPA 1-1-12 to 6-31-12	2.00		0	381400	17189		X	40.00
David M Lindgren MD
Orthopedic Surgeon	40.00		685296	0	44372				X
William Omlie MD
Surgeon	40.00		667798	0	36449				X
Daniel Yoon MD
Surgeon	40.00		564725	0	24575				X
H L Saylor MD
Surgeon	40.00		580961	0	36022				X
Michael Tran MD
Surgeon	40.00		608999	0	31380				X
James Fox
Former CFO	0.00		375361	0	11048					X
Steven A Borgstrom
Former VP, Treasurer	0.00		231504	0	0					X
Mark Dixon
Former Pres.of South Region	0.00		520208	0	9419					X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	15444797	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	633294	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1314214	TotalOtherCompensation
Number Individuals GT100 K	1752	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
U OF M PHYSICIANS #200
420 DELAWARE ST NE	MINNEAPOLIS	MN	55455	MEDICAL/PHYSICIAN	176904923
REGENTS OF THE UNIVERSITY OF MINNESOTA
420 DELAWARE ST NE	MINNEAPOLIS	MN	55455	EDUCATION SERVICES	43744123
PHARMACEUTICAL TECHNOLOGIES
P O BOX 407	BOYS TOWN	NE	68010	TECHNOLOGY SERVICES	20217989
SODEXO
4880 PAYSPHERE CIRCILE	CHICAGO	IL	60674	FOOD SERVICES	8929142
ACCRETIVE HEALTH INC
401 NORTH MICHIGAN AVE STE 2700	CHICAGO	IL	60611	REVENUE CYCLE CONSULTATION/MANAGEMENT	2618540

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	676	NumberOfContractorsGT100K
Related Organizations	3842504	RelatedOrganizations
Government Grants	635810	GovernmentGrants
Noncash Contributions	1277635	NoncashContributions
Total Contributions	4478314	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Care	624100	903060643	903060643
Medicare-Medicaid	624100	794227389	794227389
Laboratory	621500	594229677	586652285	7577392
Pharmacy	446110	521361887	230303313	291058574
Cafeteria, misc	561439	66197175	65894381	302794

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12907677	TotalRevenueColumn
Related Or Exempt Function Income	12739388	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	168289	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	2891984448	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	36837729	TotalRevenueColumn
Exclusion	$36,837,729	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	12250453	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	654215	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	11596238	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	11596238	TotalRevenueColumn
Exclusion	$11,596,238	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	136433542	Securities
Other	367529	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	105688283	Securities
Other	931820	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	30745259	Securities
Other	-564291	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	30180968	TotalRevenueColumn
Exclusion	$30,180,968	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2975077697	TotalRevenueColumn
Related Or Exempt Function Income	2592877399	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	299107049	UnrelatedBusinessRevenue
Exclusion	$78,614,935	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2468735	Total
Program Services	2468735	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	4000	Total
Program Services	4000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	12707525	Total
Program Services	1304996	ProgramServices
Management And General	11402529	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	1687095	Total
Management And General	1687095	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1060793694	Total
Program Services	889395671	ProgramServices
Management And General	171398023	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	58123743	Total
Program Services	49291548	ProgramServices
Management And General	8832195	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	150729739	Total
Program Services	126954146	ProgramServices
Management And General	23775593	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	68792570	Total
Program Services	55785092	ProgramServices
Management And General	13007478	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	93440233	Total
Program Services	83568460	ProgramServices
Management And General	9871773	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2717769	Total
Program Services	337714	ProgramServices
Management And General	2380055	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	792239	Total
Management And General	792239	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	267449	Total
Management And General	267449	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1652271	Total
Management And General	1652271	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	308239469	Total
Program Services	119218049	ProgramServices
Management And General	189021420	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1837013	Total
Program Services	41883	ProgramServices
Management And General	1795130	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	50548975	Total
Program Services	22340181	ProgramServices
Management And General	28208794	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	21268536	Total
Management And General	21268536	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	14526	Total
Program Services	2119	ProgramServices
Management And General	12407	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	56958034	Total
Program Services	45424560	ProgramServices
Management And General	11533474	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2619886	Total
Program Services	1717600	ProgramServices
Management And General	902286	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3079345	Total
Program Services	2568516	ProgramServices
Management And General	510829	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	41974602	Total
Program Services	39657633	ProgramServices
Management And General	2316969	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	102300386	Total
Program Services	80989383	ProgramServices
Management And General	21311003	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	11545737	Total
Program Services	6417766	ProgramServices
Management And General	5127971	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies Non Medical	615964919	609937503	6027416
Taxes	63507107	60873355	2633752
Medical Supplies	54685486	53339678	1345808
Utilities, Repairs, Mai	13696340	10129686	3566654

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2802417423	Total
Program Services	2261768274	ProgramServices
Management And General	540649149	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3322470	BOY
EOY	811875	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	44143882	BOY
EOY	159970532	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	45389230	BOY
EOY	45816479	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	355148658	BOY
EOY	352265040	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	49906981	BOY
EOY	52440942	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	11615013	BOY
EOY	16141170	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1668809804	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	848243615	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	833677315	BOY
EOY	820566189	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	668907521	BOY
EOY	752780806	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	42196156	BOY
EOY	83144508	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	443468119	BOY
EOY	331829373	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	102857713	BOY
EOY	154346742	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2600633058	BOY
EOY	2770113656	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	262990255	BOY
EOY	191844121	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	836086765	BOY
EOY	828509414	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	47813889	BOY
EOY	47824031	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	340713179	BOY
EOY	420051982	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1487604088	BOY
EOY	1488229548	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1053870877	BOY
EOY	1216069219	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	59158093	BOY
EOY	65814889	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1113028970	BOY
EOY	1281884108	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2600633058	BOY
EOY	2770113656	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	172660274	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	23524150	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-27329286	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	1	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Mailings Members	$0	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$267,449	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	267449	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	During 2012 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 $104,211. Additionally, Fairview paid approximately $163,238 to outside lobbyists in 2012. 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 2012, 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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1316703	BeginningOfYearBalance
Contributions	20825	Contributions
Investment Earnings Or Losses	17171	InvestmentEarningsOrLosses
End Of Year Balance	1354699	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1273345	BeginningOfYearBalance
Contributions	48469	Contributions
Investment Earnings Or Losses	49974	InvestmentEarningsOrLosses
Grants Or Scholarships	55085	GrantsOrScholarships
End Of Year Balance	1316703	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1242544	BeginningOfYearBalance
Contributions	17356	Contributions
Investment Earnings Or Losses	23235	InvestmentEarningsOrLosses
Grants Or Scholarships	9790	GrantsOrScholarships
End Of Year Balance	1273345	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1203453	BeginningOfYearBalance
Contributions	15648	Contributions
Investment Earnings Or Losses	23443	InvestmentEarningsOrLosses
End Of Year Balance	1242544	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	930716	BeginningOfYearBalance
Contributions	299914	Contributions
Investment Earnings Or Losses	-27177	InvestmentEarningsOrLosses
End Of Year Balance	1203453	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.13000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.87000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16445740	OtherCostOrOtherBasis
Book Value	16445740	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1048681997	OtherCostOrOtherBasis
Depreciation	468080679	Depreciation
Book Value	580601318	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19476760	OtherCostOrOtherBasis
Depreciation	11803801	Depreciation
Book Value	7672959	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	527815772	OtherCostOrOtherBasis
Depreciation	360010437	Depreciation
Book Value	167805335	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56389535	OtherCostOrOtherBasis
Depreciation	8348698	Depreciation
Book Value	48040837	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	820566189	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	Investments in Affiliates	Description
Book Value	331829373	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	331829373	TotalOfBookValueProgramRelated

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
Debt Services Reserve Fund	32360130
Restricted Fund	119629
Note Receivable	643631
Good-will and Intangibles, Land Held and Deferred Premium	42353283
Other Long Term Assets	493445
Deferred Deb & Rev	11355436
Investment Workers Comp	27972701
Construction Fund	39048487

Field	Value	IRS element (for citing)
Total Book Value Other Assets	154346742	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
IBNR Claims Reserve Ins subs Claim Reserve	$10,523,448
Work Comp Reserve	$3,038,010
Other Liabilities	$24,239,391
Related Org Liabilities	$365,995,463
Current Portion of Work Comp	$4,417,039
Current Portion of LT Debt	$11,838,631

Field	Value	IRS element (for citing)
Total Of Amounts	420051982	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Scholarships and awards given during 2012 amounted to zero and are awarded through the Fairview Foundation. 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 scholarship enables a recipient to attend one of the three-month CPE training courses 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. 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. Pediatric Cardiology Fund purpose 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.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	During 2007, Fairview 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 proposition 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. The adoption of FIN 48 did not have a material impact on Fairview's consolidated financial position, liability for unrecognized income tax benefits, (deficit) excess of revenue over expenses, or cash flows. There are no material changes in Fairview's unrecognized income tax position on December 31, 2012. Fairview does not expect that there will be a significant change in the total amount of unrecognized tax benefits within the next 12 months. At December 31, 2012, 2011, and 2010, Fairview has net operating loss carryforwards 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 carryforwards due to the uncertainty regarding their use.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America and the Caribbean	1	Program Services	Self Insurance	7011599
Central America and the Caribbean		Investment		83144508

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	1	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Subtotal Amount Spent	90156107	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	90156107	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Method Used to Acccount for Expenditures:	Schedule F, Part I, Line 3: The method used to account for expenditures is based on the US dollar.
	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.	Schedule F Part I.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	275.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	275.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	0	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23826584	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56854	DirectOffsettingRevenue
Net Community Benefit Expense	23769730	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	401723643	TotalCommunityBenefitExpense
Direct Offsetting Revenue	262821638	DirectOffsettingRevenue
Net Community Benefit Expense	138902005	NetCommunityBenefitExpense
Percent Of Total Expense	0.04960	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	425550227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	262878492	DirectOffsettingRevenue
Net Community Benefit Expense	162671735	NetCommunityBenefitExpense
Percent Of Total Expense	0.05810	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1566782	TotalCommunityBenefitExpense
Net Community Benefit Expense	1566782	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	98000817	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9268363	DirectOffsettingRevenue
Net Community Benefit Expense	88732454	NetCommunityBenefitExpense
Percent Of Total Expense	0.03170	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8030768	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5091465	DirectOffsettingRevenue
Net Community Benefit Expense	2939303	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5001476	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2252761	DirectOffsettingRevenue
Net Community Benefit Expense	2748715	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	313613	TotalCommunityBenefitExpense
Net Community Benefit Expense	313613	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	112913456	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16612589	DirectOffsettingRevenue
Net Community Benefit Expense	96300867	NetCommunityBenefitExpense
Percent Of Total Expense	0.03440	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	538463683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	279491081	DirectOffsettingRevenue
Net Community Benefit Expense	258972602	NetCommunityBenefitExpense
Percent Of Total Expense	0.09250	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	13625	TotalCommunityBuildingExpense
Net Community Building Expense	13625	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	23176	TotalCommunityBuildingExpense
Net Community Building Expense	23176	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1408	TotalCommunityBuildingExpense
Net Community Building Expense	1408	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	306	TotalCommunityBuildingExpense
Net Community Building Expense	306	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	38515	TotalCommunityBuildingExpense
Net Community Building Expense	38515	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$58,173,944	BadDebtExpenseAmount
Amount Attributable To	1163479	AmountAttributableTo
Amount Reimbursed By Medicare	358677890	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	404410606	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-45732716	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility
Fairview Lakes Regional Medical Center
1	5200 Fairview Blvd	Wyoming	MN	550928013	X	X	X
Fairview Northland Regional Hospital
2	911 Northland Dr	Princeton	MN	553712172	X	X	X
Fairview Ridges Hospital
3	201 E Nicollet Blvd	Burnsville	MN	553375714	X	X	X
Fairview Southdale Hospital
4	6401 France Avenue S	Edina	MN	554352104	X	X	X
University of Minnesota Medical Center
5	2450 Riverside Avenue S	Minneapolis	MN	554541450	X	X	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit Other ActionsPermitOtherActions	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Fairview Lakes Regional Medical Center
1	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	X	0	0	1	1	275.000000000000	1	275.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	1	X	0	X	X	X	1	X	0	0
Fairview Northland Regional Hospital
2	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	X	0	0	1	1	275.000000000000	1	275.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	1	X	0	X	X	X	1	X	0	0
Fairview Ridges Hospital
3	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	X	0	0	1	1	275.000000000000	1	275.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	1	X	0	X	X	X	1	X	0	0
Fairview Southdale Hospital
4	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	X	0	0	1	1	275.000000000000	1	275.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	1	X	0	X	X	X	1	X	0	0
University of Minnesota Medical Center
5	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	X	0	0	1	1	275.000000000000	1	275.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	1	X	0	X	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	82	NumberOfOtherFacilities

Other Facilities OtherFacilities (82 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CPMG CLINIC FRIDLEY
631 UNIVERSITY AVE NE	FRIDLEY	MN	55432	FREE STANDING CLINIC
FAIRVIEW WYOMING CLINIC
5200 FAIRVIEW BLVD	WYOMING	MN	550928013	FREE STANDING CLINIC
CPMG CLINIC ANDOVER UC
13819 HANSON BLVD NW	ANDOVER	MN	55304	URGENT CARE CLINIC
CPMG CLINIC BROOKLYN PARK
1000 ZANE AVE NE	BROOKLYN PARK	MN	55443	FREE STANDING CLINIC
CPMG CLINIC BLAINE
10961 CLUB WEST PARKWAY NE	BLAINE	MN	55449	FREE STANDING CLINIC
CVC SOUTHDALE
6405 FRANCE AVE	EDINA	MN	55435	FREE STANDING CLINIC
WYOMING PRIMARY CARE CLINIC
5200 FAIRVIEW BLVD	WYOMING	MN	550928013	FREE STANDING CLINIC
FAIRVIEW PRINCETON CLINIC
919 NORTHLAND DR	PRINCETON	MN	553712172	FREE STANDING CLINIC
FAIRVIEW ELK RIVER CLINIC
290 MAIN STREET NW STE 100	ELK RIVER	MN	553301251	FREE STANDING CLINIC
ONCOLOGY CLINIC UMMC
424 HARVARD STREET SE	MINNEAPOLIS	MN	55455	FREE STANDING CLINIC
CVC UNIVERSITY OF MINNESOTA MEDICAL CENT
424 HARVARD STREET SE	MINNEAPOLIS	MN	55455	FREE STANDING CLINIC
SCPA SOUTHDALE
6405 FRANCE AVE	EDINA	MN	55435	FREE STANDING CLINIC
CPMG CLINIC COLUMBIA PARK
4000 CENTRAL AVE NE	COLUMBIA HEIGHTS	MN	55421	FREE STANDING CLINIC
FAIRVIEW ORTHOTIC FHME REMOTE SITES
2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	ORTHOTIC CLINIC & EQUIPMENT
LAKES CLINIC LINO LAKES
7455 VILLAGE DRIVE	LINO LAKES	MN	550141181	FREE STANDING CLINIC
LAKES HOMECARING and HOSPICE
5200 FAIRVIEW BLVD	WYOMING	MN	550928013	HOME HEALTH CARE & HOSPICE
BLOOMINGTON LAKES XERXES CLINIC
7901 XERXES AVENUE SOUTH	BLOOMINGTON	MN	55431	FREE STANDING CLINIC
SCPA RIDGES
201 E NICOLLET BLVD	BURNSVILLE	MN	55337	FREE STANDING CLINIC
FAIRVIEW CHISAGO LAKES CLINIC
11725 STINSON AVE	CHISAGO CITY	MN	550139542	FREE STANDING CLINIC
FAIRVIEW NORTH BRANCH CLINIC
6413 OAK ST	NORTH BRANCH	MN	550565129	FREE STANDING CLINIC
CPMG CLINIC BROOKLYN PARK UC
1001 ZANE AVE NE	BROOKLYN PARK	MN	55443	URGENT CARE CLINIC
HAND CENTER ORTHOTIC
2450 RIVERSIDE AVE	MINNEAPOLIS	MN	55454	ORTHOTIC CLINIC & EQUIPMENT
SCPA VEIN SOLUTIONS
6405 FRANCE AVE	EDINA	MN	55435	SPECIALTY CLINICS
NORTHLAND CLINCS ZIMMERMAN
25945 GATEWAY DR	ZIMMERMAN	MN	553985300	FREE STANDING CLINIC
FAIRVIEW HUGO CLINIC
14663 MERCANTILE DR N	HUGO	MN	550384559	FREE STANDING CLINIC
LAKES CLINIC RUSH CITY
760 W 4TH ST	RUSH CITY	MN	550699063	FREE STANDING CLINIC
CVC RIDGES
201 NICOLLET BLVD	BURNSVILLE	MN	55337	FREE STANDING CLINIC
CLINICS HOSPITAL
2450 RIVERSIDE AVE	MINNEAPOLIS	MN	55454	FREE STANDING CLINIC
NORTHLAND CLINICS MILACA
150 10TH ST NW	MILACA	MN	563531737	FREE STANDING CLINIC
INSTITUTE FOR ATHLETIC MEDICINE EDINA
6363 FRANCE AVE S 100	EDINA	MN	55435	PT CLINIC
CPMG CLINIC ANDOVER
13820 HANSON BLVD NW	ANDOVER	MN	55304	FREE STANDING CLINIC
HOMECARE and SENIOR SERVICES
2450 RIVERSIDE AVE	MINNEAPOLIS	MN	55454	HOME HEALTH CARE & SENIOR SERVICES
INSTITUTE ATHLETIC MEDICINE BURNSVILLE
501 NICOLLET BLVD 100	BURNSVILLE	MN	55337	PT CLINIC
INSTITUTE ATHLETIC MEDICINE EDEN PRAIR
775 PRAIRIE CENTER DRIVE 250	EDEN PRAIRIE	MN	55344	PT CLINIC
FAIRVIEW ORTHOTICS AND PROSTHETICS
2450 RIVERSIDE AVE	MINNEAPOLIS	MN	55454	SPECIALTY CLINICS
FAIRVIEW ORTHOTICS AND PROSTHETICS
501 NICOLLET BLVD 100	BURNSVILLE	MN	55337	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE WEST HEALT
2805 CAMPUS DRIVE 115	PLYMOUTH	MN	55441	PT CLINIC
INSTITUTE ATHLETIC MEDICINE EAGAN
1440 DUCKWOOD DRIVE	EAGAN	MN	55122	PT CLINIC
INSTITUTE ATHLETIC MEDICINE TRAINERS
4080 W BROADWAY 300	ROBBINSDALE	MN	554222233	PT CLINIC
BROOKLYN PARK SLEEP CENTER
10000 ZANE AVE NE	BROOKLYN PARK	MN	55443	SPECIALTY CLINICS
LAKES CLINIC PINE CITY
510 2ND ST SE	PINE CITY	MN	55063	FREE STANDING CLINIC
INSTITUTE ATHLETIC MEDICINE HIGHLAND P
2155 FORD PARKWAY	ST PAUL	MN	55116	PT CLINIC
INSTITUTE ATHLETIC MEDICINE BLOOMINGTON
600 W 98TH ST 390	BLOOMINGTON	MN	55420	PT CLINIC
FSOC OAK RIDGE
675 E NICOLIE	BURNSVILLE	MN	55420	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE ARBOR LAKE
12000 ELM CREEK BLVD STE 120	MAPLE GROVE	MN	55369	PT CLINIC
INSTITUTE ATHLETIC MEDICINE APPLE VALL
15650 CEDAR AVE 160	APPLE VALLEY	MN	55124	PT CLINIC
INSTITUTE ATHLETIC MEDICINE UNIV VILLA
2525 UNIVERSITY AVENUEN S E	MINNEAPOLIS	MN	55414	PT CLINIC
INSTITUTE ATHLETIC MEDICINE APPLE VALLEY
15650 CEDAR AVE 160	APPLE VALLEY	MN	55124	PT CLINIC
FAIRVIEW ORTHOTICS AND PROSTHETICS
2200 UNIVERSITY AVE W STE 114	ST PAUL	MN	55114	SPECIALTY CLINICS
CLINIC SAVAGE
5725 LOFTUS L	SAVAGE	MN	55378	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE ROBBINSDAL
4080 W BROADWAY 300	ROBBINSDALE	MN	554222233	PT CLINIC
INSTITUTE ATHLETIC MEDICINE PLYMOUTH
9750 ROCKFORD ROAD	PLYMOUTH	MN	55442	PT CLINIC
FAIRVIEW BLAINE PHYSICAL THERAPT
10961 CLUB WEST PARKWAY NE	BLAINE	MN	55449	PT CLINIC
INSTITUTE ATHLETIC MEDICINE BLAINE
1750 105TH AVE NE	BLAINE	MN	55449	PT CLINIC
INSTITUTE ATHLETIC MEDICINE ELK RIVER
800 FREEPORT AVE N 200	ELK RIVER	MN	553301251	PT CLINIC
INSTITUTE ATHLETIC MEDICINE BROOKLYN P
8559 EDINBROOK PARKWAY 104	BROOKLYN PARK	MN	55443	PT CLINIC
INSTITUTE ATHLETIC MEDICINE MAPLE GROV
14500 99TH AVE N STE 1-210	MAPLE GROVE	MN	55369	PT CLINIC
FAIRVIEW ORTHOTICS AND PROSTHETICS
6363 FRANCE AVE S 110	EDINA	MN	55435	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE UPTOWN
3033 EXCELSIOR BLVD 225	MINNEAPOLIS	MN	55416	PT CLINIC
INSTITUTE ATHLETIC MEDICINE ST ANTHONY
2600 39TH AVE NE 220	ST ANTHONY	MN	55421	PT CLINIC
INSTITUTE ATHLETIC MEDICINE ROSEVILLE
1955 WEST COUNTY RD B2	ROSEVILLE	MN	55113	PT CLINIC
FAIRVIEW RIDLEY PHYSICAL THERAPY
6341 UNIVERSITY AVE NE	FRIDLEY	MN	55432	PT CLINIC
RIVERSIDE PRIMARY
2450 RIVERSIDE AVE	MINNEAPOLIS	MN	55454	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE LINO LAKES
7455 VILLAGE DRIVE	LINO LAKES	MN	550141181	PT CLINIC
ORTHO LABS ADMIN
2450 RIVERSIDE AVE	MINNEAPOLIS	MN	55013	PT CLINIC
INSTITUTE ATHLETIC MEDICINE LAKEVILLE
18592 JOPLIN AVE	LAKEVILLE	MN	55044	PT CLINIC
HAND CENTER BURNSVILLE
675 E NICOLLET BLVD 225	BURNSVILLE	MN	55337	SPECIALTY CLINICS
CHISAGO SLEEP LAB
11725 STINSON AVE	CHISAGO CITY	MN	550139542	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE FARMINGTON
15075 CIMARRON AVE 20	ROSEMOUNT	MN	55068	PT CLINIC
BROOKLN PARK PHYSICAL THERAPY
10000 ZANE AVE NE	BROOKLYN PARK	MN	55443	PT CLINIC
HAND CENTER EDINA
6363 FRANCE AVE S 100	EDINA	MN	55435	SPECIALTY CLINICS
INSTITUTE ATHLETIC MEDICINE HUGO
14712 VICTOR HUGO BOULEVARD	HUGO	MN	550384559	PT CLINIC
INSTITUTE ATHLETIC MEDICINE MAPLEWOOD
1650 BEAM AVE LOWER LEVEL	MAPLEWOOD	MN	55109	PT CLINIC
COLUMBIA PARK PHYSICAL THERAPY
4000 CENTRAL AVE NE	COLUMBIA HEIGHTS	MN	55421	PT CLINIC
INSTITUTE ATHLETIC MEDICINE WOODBURY
7616 CURRELL AVE 270	WOODBURY	MN	55125	PT CLINIC
ORTHO LABS DME EDINA
6545 FRAMCE AVE S STE 471	EDINA	MN	55435	PT CLINIC
IOR NORTHEAST CLINIC
650 TAFT ST NE 400	MINNEAPOLIS	MN	55413	SPECIALTY CLINICS
HAND CENTER FSOC BLAINE
10961 CLUB WEST PARKWAY NE	BLAINE	MN	55440	PT CLINIC
INSTITUTE ATHLETIC MEDICINE SAVAGE
5725 LOFTUS L	SAVAGE	MN	55378	PT CLINIC
HAND CENTER MAPLE GROVE
14500 99TH AVE N STE 1-210	MAPLE GROVE	MN	55369	PT CLINIC
FV PAIN CLINIC COLUMBIA HEIGHTS
4000 CENTRAL AVE NE	COLUMBIA HEIGHTS	MN	55421	SPECIALTY CLINICS
HAND CENTER WEST HEALTH
2805 CAMPUS DRIVE 115	PLYMOUTH	MN	55441	PT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (54 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 3c: 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 incomes up to 275% of the federal poverty level qualify for a 100% discount of the total charges. Uninsured patients with household incomes 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 7: 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. 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. The ratio of cost to charges (RCC) is a percentage of adjusted total expense to gross patient revenue. The expense is calculated using GAMC Gross Revenue portion, based on our payer mix ratio, multiplied by a ration 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.
Part I, Line 7g: 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.More recently realized is the need for more accurate diagnosis of Autism as it relates to Somali children. Current statistics suggest a disproportionate number of Somali children are being diagnosed with Autism. Fairview Health Services has been working with the Somali community since its high rate of autism was first identified. Clinicians of Fairview and the University of Minnesota that specialize in autism diagnosis and treatment have been working with the Somali community to determine next steps in the treatment. A program modeled after Fairviews has been implemented in the Somali community that helps with the management of autism within the community.
Part I, L7 Col(f): 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 II: Fairview is involved in a number of activities which are classified by definition as community building activities. While the majority of community activity addresses direct health needs, the community building activities are valuable for building tangible and intangible community infrastructure housing, safety, leadership skills and more. Across the Fairview system, 15 programs and partnerships are classified as community building activities. They range from a community housing initiative, economic development collaborative, leadership development and coalition building. In 2012 Fairview led a Partnership-sponsored Scrubs Camp. The camp was a week-long residential experience for neighborhood and other city youth to get 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) is providing flu immunizations free of charge to low-income and uninsured individuals, largely from diverse minority groups. Each flu season, MIMI provides more than 6,000 immunizations to prevent influenza.
Part III, Line 4: 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: 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.Medicare Advantage patients and not cost report services, plus non-allowable costs allocated to Medicare patients also generate a shortfall of $13,017,603 not included in Part III, Sec. B Line 7 or reported elsewhere.
Part III, Line 9b: 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 tell them about programs that are available as well as help them apply for the programs. The information about needing help paying the bill is 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 too. If a patient/family member calls the Central Business Office customer service staff to say they need assistance paying the bill they are informed about options at that time as well. Fairview provides a service that you call and this service interprets conversaton 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 make the call together to the interpreter phone service. The interpreter services has 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 not refer 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 with required documents (income verification, etc.) is submitted, all collection action will be suspended until the patient is notified of Fairview's determination.
Part V, Section B, 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 EducatorJill Briggs, Chisago County Public HealthKathy Bystrom Assistant Manager, Fairview Lakes Community Health OutreachKris Clementson, RN, Patient Care Supervisor Pine City, Rush City, North Branch & Job CareTherese Durkin, M.D.Ann Ellison, Director, Fairview Community HealthDebby Feist, Community member, former Fairview Lakes Board memberSue Hedlund, Washington County Public Health and EnvironmentRosemary Hoolihan, Fairview Lakes Board MemberSteve Housh, President, Fairview Lakes Medical Center Kellie Kershisnik, M.D. Fairview Lakes Board MemberCarla Norelius, Manager, Fairview Lakes Community Health OutreachThe qualitative data included:Focus groups of three populations (mothers, seniors, vulnerable)Web surveys of community based agencies, coalitions and church communityKey stakeholder interviews with elected officials, community laders, law enforcement, physicians and members of community based agencies.	Fairview Lakes Regional Medical Center
Part V, Section B, 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 ParishAnn Ellison, Fairview Community HealthCarie Fuhrman, Community Development Director, City of PrincetonMarni Gustafson, Executive Director, Sterling Point Senior CommunitySue Herm, Fairview Northland Board Member and Faculty St. Cloud State UniversityJohn Herman, President, Fairview Northland Medical CenterPete Jensen, M.DMarie Maslowski, Manager, Community Health OutreachAllison Miller, Patient Educator, Rum River Health ServicesBrian Payne, Chief of Police, City of PrincetonPam Pringle, Director of Patient Care Practice and Community MemberJanelle Schroeder, Community Health Supervisor, Mille Lacs CountyDawn Sievert, District Nurse, Princeton Schools.The qualitative data includes:Focus groups of three populations (mothers, seniors, vulnerable)Web surveys with Chamber of Commerce membersKey stakeholder interviews with elected officials, community leaders, physicians and members of local public health departments.	Fairview Northland Regional Hospital
Part V, Section B, 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 HealthJennifer Deschaine, Scott County Public HealthDoug Dirks, Fairview Ridges Board member, community memberAnn Ellison, Fairview Community HealthBeth Krehbeil, President Fairview Ridges HospitalCharles Li MDRev. Jeff Marian, Pastor, Prince of Peace Lutheran Church, community memberJanet Mohr, Fairview Ridges Board member, Associate Professor, Minnesota State University Moorhead, community member Stacy Montgomery, Fairview Ridges Community Health, community memberShari Prest, Fairview Ridges Board member, community memberMurt Sherek, Fairview Ridges Board member, retired RN, community memberPeter Toensing MD, Fairview Ridges Chief of StaffThe qualitative data included:Focus groups of three populations (mothers, seniors, vulnerable)Web surveysKey stakeholder interviews with elected officials, community leaders, physicians and members of community-based agencies.	Fairview Ridges Hospital
Part V, Section B, 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 RichfieldAnn Ellison, Fairview Community HealthRobb Gruman, Vice President, Facilities and Support Services, Fairview Southdale Hospital Amy Gumestad, Director, Admissions and Marketing, Minnesota Life CollegeDavid Holm, retired Pastor, Fairview Southdale Hospital Board MemberMartin Kirsch, former Mayor of Richfield, Fairview Southdale Hospital Board MemberBJ Larson, Director of Spiritual Health, Fairview Southdale and Ridges HospitalsAlissa 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 CommerceCathy Utne, Director, Patient and Guest Services, Fairview Southdale HospitalRaymond Yu, Principal, Oakgrove Elementary SchoolKaren Zeleznak, Public Health Administrator, Bloomington Health DivisionThe 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.	Fairview Southdale Hospital
Part V, Section B, 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 NursingDiane 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, FairviewSandra Eliason, M.D. Fairview ClinicsAnn Ellison, Director, Fairview Community HealthMohammed Hassan, M.D. University of Minnesota PhysiciansCarrie Link, MD University of Minnesota Department of Family Medicine and Community HealthDonna McAlpine, University of Minnesota School of Public HealthGretchen Musicant, Commissioner, Minneapolis Department of Health and Family Support Sahra Noor, Director, Department of Community Health, University of Minnesota Medical Center, FairviewMarge Page, Vice President, University of Minnesota Medical Center, FairviewHiba Sharif, Department of Community Health, University of Minnesota Medical Center, FairviewCarolyn Wilson, President, University of Minnesota Medical Center, FairviewThe 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.	University of Minnesota Medical Center
Part V, Section B, 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.pdf	Fairview Lakes Regional Medical Center
Part V, Section B, 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.pdf	Fairview Northland Regional Hospital
Part V, Section B, 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.pdf	Fairview Ridges Hospital
Part V, Section B, 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.pdf	Fairview Southdale Hospital
Part V, Section B, 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.pdf	University of Minnesota Medical Center
Part V, Section B, 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 with its partners at University of Minnesota Physicians and University of Minnesota can have the greatest impact due to our particular strengths and expertise.The most critical needs that were selected are obesity and behavioral health.	Fairview Lakes Regional Medical Center
Part V, Section B, Line 7: Priority Needs Not Being Addressed and the Reasons:Fairview Northland Medical Center is not directly involved with the mental health priority because there are scarce resources and 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 with its partners at University of Minnesota Physicians and University of Minnesota can have the greatest impact due to our particular strengths and expertise.The most critical needs that were selected are: healthcare information and education, access to affordable healthcare and affordable place to exercise.Fairview Northlands 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.	Fairview Northland Regional Hospital
Part V, Section B, Line 7: Priority Needs Not Being Addressed and the Reasons:Education and Information was not addressed but 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 but Fairview Ridges Hospital will work with community based dental providers to provide education to the community about available services. Access to Care/Working Moms was another issue. After further consideration, it was felt that the issue of Access to Care/Working Moms 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 is 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 with its partners at University of Minnesota Physicians and University of Minnesota can have the greatest impact due to our particular strengths and expertise.The most critical needs that were 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 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 hospitals implementation strategy.	Fairview Ridges Hospital
Part V, Section B, 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 sees 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 with its partners at University of Minnesota Physicians and University of Minnesota can have the greatest impact due to our particular strengths and expertise.The most critical needs that were 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.	Fairview Southdale Hospital
Part V, Section B, Line 7: Priority Needs Not Being Addressed and the Reasons:Health information and education was not identified as one of the communitys 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 with its partners at University of Minnesota Physicians and University of Minnesota can have the greatest impact due to our particular strengths and expertise.The most critical needs that were 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 centers implementation strategy.	University of Minnesota Medical Center
Part V, Section B, Line 10: Uninsured patients with household incomes up to 275% of the federal poverty level qualify for a 100% discount of the total charges.	Fairview Lakes Regional Medical Center
Part V, Section B, Line 10: Uninsured patients with household incomes up to 275% of the federal poverty level qualify for a 100% discount of the total charges.	Fairview Northland Regional Hospital
Part V, Section B, Line 10: Uninsured patients with household incomes up to 275% of the federal poverty level qualify for a 100% discount of the total charges.	Fairview Ridges Hospital
Part V, Section B, Line 10: Uninsured patients with household incomes up to 275% of the federal poverty level qualify for a 100% discount of the total charges.	Fairview Southdale Hospital
Part V, Section B, Line 10: Uninsured patients with household incomes up to 275% of the federal poverty level qualify for a 100% discount of the total charges.	University of Minnesota Medical Center
Part V, Section B, Line 11: Uninsured patients with household incomes greater than 275% of the federal poverty level and below $125,000 are charged a discount rate equal to the highest contracted rate Fairview has negotiated with private payers.	Fairview Lakes Regional Medical Center
Part V, Section B, Line 11: Uninsured patients with household incomes greater than 275% of the federal poverty level and below $125,000 are charged a discount rate equal to the highest contracted rate Fairview has negotiated with private payers.	Fairview Northland Regional Hospital
Part V, Section B, Line 11: Uninsured patients with household incomes greater than 275% of the federal poverty level and below $125,000 are charged a discount rate equal to the highest contracted rate Fairview has negotiated with private payers.	Fairview Ridges Hospital
Part V, Section B, Line 11: Uninsured patients with household incomes greater than 275% of the federal poverty level and below $125,000 are charged a discount rate equal to the highest contracted rate Fairview has negotiated with private payers.	Fairview Southdale Hospital
Part V, Section B, Line 11: Uninsured patients with household incomes greater than 275% of the federal poverty level and below $125,000 are charged a discount rate equal to the highest contracted rate Fairview has negotiated with private payers.	University of Minnesota Medical Center
Part V, Section B, Line 14g: A summary of the Financial Assistance Policy is posted in various locations in the hospital.	Fairview Lakes Regional Medical Center
Part V, Section B, Line 14g: A summary of the Financial Assistance Policy is posted in various locations in the hospital.	Fairview Northland Regional Hospital
Part V, Section B, Line 14g: A summary of the Financial Assistance Policy is posted in various locations in the hospital.	Fairview Ridges Hospital
Part V, Section B, Line 14g: A summary of the Financial Assistance Policy is posted in various locations in the hospital.	Fairview Southdale Hospital
Part V, Section B, Line 14g: A summary of the Financial Assistance Policy is posted in various locations in the hospital.	University of Minnesota Medical Center
Part V, Section B, 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 may be eligible to participate in Fairviews Community Care program once the billing process has begun, he can inform Fairview and collection processes will be suspended until a determination can be made regarding the patients eligibility.	Fairview Lakes Regional Medical Center
Part V, Section B, 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 may be eligible to participate in Fairviews Community Care program once the billing process has begun, he can inform Fairview and collection processes will be suspended until a determination can be made regarding the patients eligibility.	Fairview Northland Regional Hospital
Part V, Section B, 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 may be eligible to participate in Fairviews Community Care program once the billing process has begun, he can inform Fairview and collection processes will be suspended until a determination can be made regarding the patients eligibility.	Fairview Ridges Hospital
Part V, Section B, 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 may be eligible to participate in Fairviews Community Care program once the billing process has begun, he can inform Fairview and collection processes will be suspended until a determination can be made regarding the patients eligibility.	Fairview Southdale Hospital
Part V, Section B, 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 may be eligible to participate in Fairviews Community Care program once the billing process has begun, he can inform Fairview and collection processes will be suspended until a determination can be made regarding the patients eligibility.	University of Minnesota Medical Center
Part V, Section B, 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	Fairview Lakes Regional Medical Center
Part V, Section B, 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	Fairview Northland Regional Hospital
Part V, Section B, 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	Fairview Ridges Hospital
Part V, Section B, 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	Fairview Southdale Hospital
Part V, Section B, 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	University of Minnesota Medical Center
Part VI, Line 2: Community needs assessments are conducted by Fairview corporate community health department staff every year on a rolling three year cycle for the primary service areas within Fairview Health Services. Year 1: Basic Demographic Assessments Year 2: Adolescent Assessments Year 3: Site or Issue Specific Assessments (e.g. analysis of charity care patients). Staff begin with existing community documents to build a baseline of information. This information may include patient data, existing recent social and cultural reports, education and business reports, new demographic information about income, housing, education and more. Next, staff conduct key interviews with community leaders from diverse sectors: social services, philanthrophy, government, health, education, business, minority groups, faith groups. Interviews allow assumptions to be validated and new information to be gathered. In addition, site community health staff partner with local public health departments and other community groups as part of their supplemental assessment of community need and/or to utilize the findings from their groups to better understand their communities. In Chisago and Washington counties, Fairview participates in the State Health Improvement Program (SHIP) community assessments. Identified needs include adolescent health based on the assessment of diet, nutrition and exercise. The mission of Healthy Communities Health Group of Maple Grove is: Attitude is Contagious - Healthy Community Healthy Youth of Maple Grove promotes positive development in youth and builds a sense of community.The goal of the Statewide Health Improvement Program is to increase Minnesotans longevity by living, better, healthier lives thereby reducing the burden of chronic disease. SHIP interventions are designed to reduce the percentage of Minnesotans who use or are exposed to tobacco and who are obese or overweight. Fairview Lakes CHO has an active role on the Leadership Team which oversees and provides guidance and oversight to the SHIP application and interventions.Provide low-income and other community members with bike helmets at cost or no cost while providing bike safety education and helmet fittings at community events other than Safety Camps.Planning Safe Bike to School Project to increase exercise. Includes bike donations to provide bikes to low income students so they can participate.Co-Coach Pioneering Healthy Communities Partnership with the YMCA and 10 other key sectors to implement policy and environmental changes that facilitates making healthierchoices where we live, work and play.Community Initiative works to prevent suicide through advocacy, education and support. Programming provides support for schools, staff and students and the community at large.The Chemical Health Initiative of Goodhue County was developed to enhance the quality of life of the Goodhue County families and citizens by promoting chemical health. The Initiative works on reducing drug, alcohol and tobacco use in the county by establishing community councils, and by providing awareness, education and prevention programming to communities.Coalition that is working to prevent underage drinking on the Iron Range. Providing education to community on social host laws and partnering with the courts to hold adult providers more accountable. Part of the ZAP grant.The Chemical Health Action Collaborative of Washington County works to prevent and reduce youth chemical use amoung youth through partnership, education, intervention, and change in social norms.The Chisago County Mental Wellness Task Force works to reduce the risk of suicide through education and collaboration with the larger Chisago community.The Mental Wellness Initiative includes the Teen Health Fund. Partners from five Washington County communities meet as individual communities and a larger group to network, develop and implement comprehensive depression awareness and suicide prevention programs in their school districts and communities. The local THF group is called the Forest Lake Area Depression Awareness and Suicide Prevention Collaborative.Beyond the formal needs assessments, Fairview leadership is engaged in their respective communities. Involvement includes participation on community boards, foundations, schools and more. Fairview also seeks community involvement through, community leaders serving on hospital boards and committees. Information gleaned through these connections are equally as important as the formal needs assessments. These connections can often identify emerging issues.
Part VI, Line 3: 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: 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 Center6) 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. In 2012, Fairview received national recognition when it was named to Thomson Reuter's top 10 U.S. health systems.As a system, 17.4 percent of patients served in 2012 were either uninsured or covered by Medicaid. Medicare covered 33.7 percent of all patients serviced by Fairview in 2012.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, 11 percent growth is projected in Fairview Lakes primary service area. Four of the counties within the primary service area have household incomes higher than the state average. In contrast, Pine County, the northern most county in the service area, has an average household income of $43,938, which is 21% below the state average. Pine County also has 13.6 percent of residents below the poverty line, higher than the 2010 state average at 11.6 percent.Fairview Lakes Medical Center is the only hospital in the primary services area. Within the secondary services areas, there are three other hospitas 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 2012, 13.3 percent were uninsured or covered by Medicaid. In 2012, 35.9 percent of patients were covered by Medicare. 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. Of all the patients served by the medical center in 2012, 7.9 percent were uninsured or covered by Medicaid. In 2012, 31.5 percent of patients were covered by Medicare.Fairview Northland Medical Center has a primary service area of 79,000 individuals residing in Sherburne, Benton, Kanabec, Mille Lac and Isanti counties in Minnesota. This largely rural area has projected a 17.5 percent increase by 2012, far exceeding the state average of 3.3 percent. Three of the five counties in the primary service area have median household incomes lower than the state average. Incomes in these counties (Benton, Mille Lac and Kanabec) range from $45,384 to 50,587, well below the state average of $57,318. 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. Of all the patients served by the medical center in 2012, 17.1 percent were uninsured or covered by Medicaid. In 2012, 36.7 percent of patients were covered by Medicare.Fairview Ridges Hospital in Burnsville, MN has a primary service area of 336,000 individuals in Scott and Dakota counties. Over the last decade, Scott County has grown by 47 percent. Growth is projected to continue in Scott County, with an additional 19 percent growth by 2012.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. Within Scott and Dakota counties, there are three other hospitals or medical centers. Of all the patients served by the medical center in 2012, 14.2 percent were uninsured or covered by Medicaid. In 2012, 33.4 percent of patients were covered by Medicare.Fairview Southdale Hospital in Edina, MN has a primary service area of 497,207 individuals residing in Hennepin and Carver counties. Carver County, a southwest suburb in the greater Minneapolis-St. Paul metropolitan area, is projecting a 13.9 percent increase in population by 2012. 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.Hennepin is large and diverse county, with 1.1 million residents. Eleven percent of Hennepin County residents live below the poverty line; yet the median household income is $62,275. Nearly 10 percent of the county is comprised of individuals born outside of this country. Twenty-five percent of the 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 in 2009. Southdale is also five-star rated in 2009 in 15 areas including Critical Care, Pulmonary Services, Joint Replacement, and Total Knee Replacement. Of all the patients served by the medical center in 2012, 46.6 percent were covered by Medicare. In 2012, 7.9 percent of patients were uninsured or covered by Medicaid. 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.Census data illustrates the economic challenges faced by the Cedar-Riverside neighborhood. More than half of Cedar-Riverside residents age 65 and above were living below the poverty guideline. For residents below age 65, 46 percent were below the poverty line. The University of Minnesota Medical Center, Fairview is the only medical center in the Cedar-Riverside neighborhood. Of all the patients served by the medical center in 2012, 21.3 percent were uninsured or covered by Medicaid. In 2012, 29.4 percent of patients were covered by Medicare.
Part VI, Line 5: Fairview Health Services is governed by an unpaid board of directors. The majority of the directors are community members who represent the various service areas and entities within the system. 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: Fairview Health Services, an integrated health care system headquartered in Minneapolis, MN. Based on the health care needs in that service area, community benefit activity is carried out by staff/leadership at that facility. The Fairview corporate community health department supports the local effort by sharing best practices, finding efficiencies among hospital community health leaders as appropriate, coordinating the community needs assessments and more.
MN	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Fairview Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2450 Riverside Avenue	AddressLine1
City	Minneapolis	City
State	MN	State
ZIP Code	55454	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	411573810	EINOfRecipient
IRC Section	501(c)3	IRCSection
Amount Of Cash Grant	2468735	AmountOfCashGrant
Purpose Of Grant	Support for the Compassion Capital Fund.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	Scholarships to high school students for medical education.	TypeOfGrant
Number Of Recipients	8	NumberOfRecipients
Amount Of Cash Grant	4000	AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The grants funds shall only be used for purposes that qualify as charitable, research and education purposes as defined in Section 501(c)(3) of the Internal Revenue Code of 1986.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	1	InitialContractException
Rebuttable Presumption Procedure	1	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (35 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Charles Mooty
Interim CEO (8-1-12 to 12-31-12)	434415	0	0	0	0	0	0	0	12764	0	447179	0	0	0
Mark Eustis
Pres.& CEO (1-1-12 to 7-31-12)	682221	0	33033	0	517617	0	0	0	8012	0	1240883	0	539106	0
Daniel K Anderson
President, Fairview Community Hospit	529407	0	16551	0	24959	0	42534	0	23843	0	637294	0	0	0
Brent Asplin
President, Fairview Medical Group	427808	0	143500	0	0	0	17500	0	19972	0	608780	0	0	0
Terry Carroll
Sr. VP, Transformation & Chief Infor	445423	0	13844	0	0	0	45095	0	13451	0	517813	0	0	0
George Chresand
Sr. VP & General Counsel	330648	0	11271	0	12567	0	27091	0	31394	0	412971	0	0	0
John Doherty
Sr. Operating Exec.	300485	0	9920	0	0	0	29076	0	34969	0	374450	0	0	0
Daniel M Fromm
Chief Financial Officer	457968	0	0	0	0	0	17500	0	31774	0	507242	0	0	0
Mark Hansberry
VP Strategic Planning	351301	0	10731	0	8226	0	27616	0	35250	0	433124	0	0	0
David Leach
Vice President & Treasurer	186150	0	0	0	0	0	13518	0	24106	0	223774	0	0	0
Paula Phillippe
Chief of Human Resources	417642	0	12320	0	987	0	34756	0	29242	0	494947	0	0	0
Todd Sherrill
Vice President of Finance & Controll	211419	0	26250	0	0	0	10957	0	15698	0	264324	0	0	0
Mark Thomas
Pres. & CEO of Ebenezer	300916	0	86122	0	16474	0	28499	0	20550	0	452561	0	0	0
Allen Vickers
VP Chief Audit Exec & Comp	213215	0	0	0	0	0	15348	0	22042	0	250605	0	0	0
Carolyn Wilson
President of UMMC & UMAH	633270	0	0	0	0	0	3236	0	18233	0	654739	0	0	0
Robert Beacher
President, Fairview Pharma	428488	0	172977	0	0	0	21925	0	29352	0	652742	0	0	0
Bradley Beard
President, Southdale Hospital	419759	0	13217	0	27705	0	29037	0	42534	0	532252	0	0	0
Debra Boardman
President, Range Hospital	265308	0	0	0	2435	0	17996	0	6748	0	292487	0	0	0
John Herman
President of Northland & MGMC	291422	0	0	0	2307	0	18255	0	13406	0	325390	0	0	0
Richard Howard
President Fairview Foundation	0	247065	0	0	0	4829	0	18365	0	14351	0	284610	0	0
Beth Krehbiel
President, Ridges Hospital	319808	0	10029	0	8560	0	23085	0	30335	0	391817	0	0	0
Terry Martinson
Executive Regional Medical Director	297521	0	0	0	0	0	33008	0	15892	0	346421	0	0	0
Kathleen Taranto
Sr. VP Patient Care	357473	0	11263	0	0	0	20761	0	17436	0	406933	0	0	0
Mark Werner
Chief Clinical Integration Officer 1	606566	0	236251	0	79630	0	17500	0	13172	0	953119	0	0	0
Scott Wordelman
Pres.& CEO-Red Wing (1-1 to 6-30-12)	269926	0	69900	0	95063	0	26466	0	12686	0	474041	0	43393	0
Steven Hill
Chief Operating Officer 1-1-12tp 12-	352486	0	0	0	5191	0	17500	0	9924	0	385101	0	0	0
David Moen
President of FPA 1-1-12 to 6-31-12	0	318532	0	62868	0	0	0	0	0	17189	0	398589	0	0
David M Lindgren MD
Orthopedic Surgeon	527812	0	122267	0	35217	0	17500	0	26872	0	729668	0	0	0
William Omlie MD
Surgeon	588651	0	36000	0	43147	0	17500	0	18949	0	704247	0	0	0
Daniel Yoon MD
Surgeon	523489	0	0	0	41236	0	17500	0	7075	0	589300	0	0	0
H L Saylor MD
Surgeon	456186	0	37000	0	87775	0	17500	0	18522	0	616983	0	0	0
Michael Tran MD
Surgeon	538366	0	0	0	70633	0	17500	0	13880	0	640379	0	0	0
James Fox
Former CFO	0	0	0	0	375361	0	11048	0	0	0	386409	0	0	0
Steven A Borgstrom
Former VP, Treasurer	0	0	0	0	231504	0	0	0	0	0	231504	0	0	0
Mark Dixon
Former Pres.of South Region	0	0	0	0	520208	0	9419	0	0	0	529627	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
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. Financial planning is provided for certain executives and reported on the respective W2.
Part I, Lines 4a-b	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 2012 that was $245,000). 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: Terry Carroll $27,594, Daniel Anderson $25,034, Bradley Beard $11,537, George Chresand $9,591, John Doherty $15,668, James Fox $9,419, Mark Hansberry $10,116, Beth Krehbiel $5,585, Mark Dixon $9,419, Mark Thomas $10,999, Terry Martinson $15,508, Paula Phillippe $17,256, Allan Vickers $80, Patrick Herson $200, John Herman $755, Robert Beacher $4,425, Kathy Taranto $3,261 Richard Howard $865, Deborah Boardman $496 and Scott Wordelman $8,966. As part of separation agreements, James Fox received a severance payment in the amount of $375,361, Steven Borgstrom received $231,504 and Mark Dixon received $520,208.
Part I, Line 8	Mark Eustis signed an initial employment agreement on August 1, 2007. The full Board approves executive compensation. This agreement was not renewed in July 2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF MINNEAPOLIS
A	416005375	60374VCE1	2005-05-10	75567679	HOSPITAL EXPANSION OF PRINCETON HOSPITAL & RIDGES HOSPITAL	0	0	0
CITY OF MINNEAPOLIS
B	416005375	60374VCH4	2008-10-29	728392490	REFUND 2004A 5-13-2004, 2005A 5-10-2005, B&C CHILDREN'S HOSPITAL & EXPAN.	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Working Capital ExpendituresWorkingCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds
A	78679343	475355	2070299	76133689	2007	0	0	1	1
B	729818429	8640253	3957639	209408419	2011	1	0	0	1	4005000	30447712	14912902	15341000	447110504

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ResearchEngageBondCounselResearch
A	0	1	1	1	0	0.00000	0.00000	0	0	1
B	0	0	1	1	1	0.00000	0.00000	0	0	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	1	0	0	0	0	0	1
B	0	1	0	0	1	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Schedule K	Identifier
Explanation	Differences between the issue price (Part I) and total proceeds (Part II, line 3) of Schedule K are due to investment earnings.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	University of Minnesota Physicians	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	1 entity officer: Bobbi Daniels is a board member	Relationship
Amount Of Transaction	176904923	AmountOfTransaction
Description Of Transaction	Supplies physician services.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Medical Equipment	Description
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1277635	NoncashContribsRptdF990
Method Of Determining Revenues	replacement cost	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	The members of the corporation are the individuals who constitute the Directors of this corporation.
Form 990, Part VI, Section A, 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, Part VI, Section A, 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, Part VI, Section B, line 11	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, Part VI, Section B, 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 are brought to the Audit and Compliance Committee of 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, directors and senior management which is also presented to the Audit and Compliance Committee of the Board 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, Part VI, Section B, line 15	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, Part VI, Section C, 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 Service: Program service expenses 119,218,049. Management and general expenses 189,021,420. Fundraising expenses 0. Total expenses 308,239,469.	Other Fees
Form 990, Part XI, line 9:	Change in Beneficial Interest in Related Organization 77,560,963. Received Donated Capital Equipment Not Recognized for Book Income 1,277,635. Defined Plans Valuation -2,088,451. Related Organization Adjustment -104,079,433.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Direct Controlling Entity NADirectControllingEntityNA	Legal Domicile Foreign CountryLegalDomicileForeignCountry
FAIRVIEW PHARMACY SERVICES LLC
711 KASOTA AVE	MINNEAPOLIS	MN	55414	721586863	Pharmacy sales	MN	487788506	49890735	N/A
Fairview Maple Grove Surgery Center
2450 Riverside Avenue	MINNEAPOLIS	MN	55454	208335586	Medical Surgery Services	MN	6164926	2025808	N/A
Associated Medical Assurance
2450 Riverside Avenue	MINNEAPOLIS	MN	55454		Self-Insurance		4000825	50970441	N/A	BD

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Fairview Foundation
2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	411573810	FUNDRAISING TO SUPPORT FAIRVIEW'S MISSION	MN	501(c)(3)	7	N/A	1
Fairview Home Care and Hospice
2450 26TH AVENUE S	MINNEAPOLIS	MN	55406	411434246	HOME HEALTH CARE	MN	501(c)(3)	9	N/A	1
RMC Properties Inc
2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	411482417	LAND LEASE HOLD	MN	501(c)(3)	9	N/A	1
Fairview Physician Associates Network
3400 WEST 66TH STREET	MINNEAPOLIS	MN	55435	411753325	CLINICAL INTEGRATION	MN	501(c)(3)	9	N/A	1
Range Regional Health Services & Subs
750 EAST 34TH STREET	HIBBING	MN	55746	411293970	PATIENT HEALTH CARE SERVICES	MN	501(c)(3)	3	N/A	1
Ebenezer Society
2722 PARK AVENUE SOUTH	MINNEAPOLIS	MN	55407	410706141	NURSING AND RESIDENTIAL CARE	MN	501(c)(3)	9	N/A	1
Fairview Auxiliary
6401 FRANCE AVENUE SOUTH	MINNEAPOLIS	MN	55435	411414831	SUPPORT HOSPITAL SERVICES	MN	501(c)(3)	13	N/A	1
Fairview Red Wing Health Services & subs
701 FAIRVIEW BLVD	RED WING	MN	55066	411713783	HOSPITAL SERVICES	MN	501(c)(3)	3	N/A	1

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
Fairview Clinics
2450 Riverside Avenue	Minneapolis	MN	55454	411761760	PHYSICIAN SERVICES	MN	N/A	C	119993420	22053671	1.00000	1
Fairview Physician and Clinic Services Inc
2450 Riverside Avenue	Minneapolis	MN	55454	411544996	PHYSICIAN SERVICES	MN	N/A	C			1.00000	1
Fairview Development Company
2450 Riverside Avenue	Minneapolis	MN	55454	411568579	LEASEHOLD MANAGEMENT	MN	N/A	C	1796126	5935924	1.00000	1
Fairview Subsidiary III (Express Care)
2450 Riverside Avenue	Minneapolis	MN	55454	205996177	PHYSICIAN SERVICES	MN	N/A	C	779866	127003	1.00000	1
Behavioral Healthcare Providers
2450 Riverside Avenue	Minneapolis	MN	55454	411805759	MENTAL HEALTH PRACTITIONERS	MN	N/A	C	7168555	2912735	1.00000	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
FAIRVIEW CLINICS
L	535459	Fair Market Value
FAIRVIEW CLINICS
J	150190	Fair Market Value
BEHAVIORAL HEALTHCARE PROVIDERS
L	96802	Fair Market Value
FAIRVIEW CLINICS
P	430566	Fair Market Value
RANGE REGIONAL HEALTH SERVICES
R	179788	Fair Market Value
FAIRVIEW PHYSICIAN ASSOCIATES NETWORK
S	174848	Fair Market Value
FAIRVIEW HOME CARE & HOSPICE
P	50927	Fair Market Value
FAIRVIEW HOME CARE & HOSPICE
R	765511	Fair Market Value
BEHAVIORAL HEALTHCARE PROVIDERS
S	250525	Fair Market Value
FAIRVIEW SUBSIDIARY III (EXPRESS CARE)
S	502665	Fair Market Value
FAIRVIEW DEVELOPMENT COMPANY
S	163069	Fair Market Value
EBENEZER SOCIETY
S	375863	Fair Market Value
FAIRVIEW CLINICS
R	26978104	Fair Market Value
EBENEZER SOCIETY
L	640973	Fair Market Value
FAIRVIEW FOUNDATION
C	2564869	Fair Market Value
FAIRVIEW FOUNDATION
B	2468735	Fair Market Value
FAIRVIEW HOME CARE & HOSPICE
M	57674	Fair Market Value
FAIRVIEW SUBSIDIARY III (EXPRESS CARE)
L	797239	Fair Market Value
FAIRVIEW PHYSICIAN ASSOCIATES NETWORK
M	90313	Fair Market Value
FAIRVIEW DEVELOPMENT COMPANY
M	90313	Fair Market Value
FAIRVIEW FOUNDATION
S	830025	Fair Market Value