HEALTHEAST ST JOHNS HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALTHEAST ST JOHNS HOSPITAL (EIN 41-1456897)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202213119349301941
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T11:03:09-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411456897EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Healtheast St John's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone6126724976PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12450 Riverside AvenueAddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55454ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames HerefordPersonNm
Person TitlePresident/CEOPersonTitleTxt
Signature2022-11-07SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJamesPersonFirstNm
Person LastHerefordPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1James HerefordBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12450 Riverside AvenueAddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55454ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$348,843,504GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.fairview.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionHealthEast St. John's Hospital is an acute care hospital.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers93TotalVolunteersCnt
Total Gross UBI$311,612TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,127,406PYContributionsGrantsAmt
CY Contributions Grants$402,429CYContributionsGrantsAmt
PY Program Service Revenue$253,686,407PYProgramServiceRevenueAmt
CY Program Service Revenue$348,236,155CYProgramServiceRevenueAmt
PY Investment Income$102,932PYInvestmentIncomeAmt
CY Investment Income$197,193CYInvestmentIncomeAmt
PY Other Revenue$148PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$259,916,893PYTotalRevenueAmt
CY Total Revenue$348,835,777CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$144,604,366PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$192,772,825CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$119,893,363PYOtherExpensesAmt
CY Other Expenses$177,581,492CYOtherExpensesAmt
PY Total Expenses$264,497,729PYTotalExpensesAmt
CY Total Expenses$370,354,317CYTotalExpensesAmt
PY Revenues Less Expenses-$4,580,836PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$21,518,540CYRevenuesLessExpensesAmt
Total Assets BOY$136,095,621TotalAssetsBOYAmt
Total Assets EOY$146,618,224TotalAssetsEOYAmt
Total Liabilities BOY$25,372,154TotalLiabilitiesBOYAmt
Total Liabilities EOY$56,722,274TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$110,723,467NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,895,950NetAssetsOrFundBalancesEOYAmt
MissionFairview is driven to heal, discover, and educate for longer, healthier lives.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$298,861,516ExpenseAmt
Revenue$347,924,543RevenueAmt
DescHealthEast St. John's Hospital opened in Maplewood in 1985. State-of-the-art care in a comforting environment. From the moment patients and visitors walk into HealthEast St. John's Hospital they experience our warm, inviting atmosphere and caring, personal staff. State-of-the-art technology, combined with the expertise of our specialists, nurses and staff, contribute to our innovative healing environment and personal, compassionate health care delivery. Our 184-bed facility offers a wide variety of diagnostic and therapeutic services. To meet the needs of our growing community, St. John's Hospital provides innovative technologies and services such as the intensivist program (on-site critical care physician specialists), 24-hour in-house obstetrics coverage and a neonatal intensive care unit (NICU). Truly a community hospital, St. John's is part of a 32-acre health care campus and offers a convenient, suburban location, easy access to major highways and free parking. We are proud to have served our community for 100 years. St. John's is part of Fairview Health Services. Fairview Health Services is an industry-leading, award-winning, nonprofit, integrated health system providing exceptional health care across the full spectrum of health care services. Founded in 1906, Fairview serves the twelve-county Minneapolis/St. Paul Metro Area, as well as communities throughout greater Minnesota and portions of Northern Iowa and Western Wisconsin and is one of the most comprehensive and geographically accessible systems in Minnesota. Fairview, the University of Minnesota and the University of Minnesota Physicians approved an agreement which became effective in late 2018 (the "M Health Fairview Agreement"). While the parties maintain their separate governance, the M Health Fairview Agreement further integrated operations across the clinical delivery system and enhances research and education by creating a joint clinical enterprise among the parties. The M Health Fairview Agreement brings together not only UMMC and its related service lines, but also Fairview's other hospitals, primary care clinics, and other services. All are part of a shared care delivery system that is led by a single structure that includes academic physician leadership. The goal of the joint clinical enterprise is to create a nationally-renowned academic health system. This care system was united under a single brand, M Health Fairview, which is inclusive of the Fairview Hospitals and Clinics In March 2020, the World Health Organization declared the COVID-19 outbreak a pandemic. The pandemic has had a significant negative effect on the healthcare industry. Fairview continues to follow guidance from the Center for Disease Control and Prevention and the Minnesota Department of Health and is coordinating its activities with state and local governments as well as other health systems in the state and region. First and foremost, Fairview's focus is on caring for its patients during this ongoing pandemic. Fairview continues to provide COVID-19 vaccines to all individuals ages 5 and older. Fairview is committed to educating the community and distributing vaccines. Fairview has administered the most vaccines in the State of Minnesota. As of December 31, 2021, Fairview has administered more than 540,000 doses to patients in the system. A remarkable program called the Minnesota Immunization Network Initiative (MINI), a collaboration led by Fairview and supported by over 120 community partners, works to reduce barriers to influenza vaccinations for communities experiencing disparities. MINI provides flu immunizations free of charge to community members six months and older. Since inception, more than 100,000 immunizations have been given to prevent influenza. MINI clinics are hosted at non-traditional locations such as churches, mosques, temples, schools, community centers, libraries, food pantries, and homeless shelters. The clinics are hosted by a local partner who provides the space, promotion, and serves as a trusted messenger for community members. Fairview provides the vaccine and clinical team, including interpreters, support staff and information about other local community resources. Influenza vaccinations are provided at no charge to participants, six months and older. MINI clinics have expanded their reach to include other vaccinations such as Hepatitis A, blood pressure screening and cardiovascular health education, free dental varnish treatments and oral health education. These services are often provided in conjunction with MINI flu shots clinics or on their own. During the COVID-19 pandemic, the MINI program leveraged over 15 years of experience providing mobile clinical services in diverse settings to respond to the urgent public health crisis. MINI launched a large scale, low barrier testing initiative in partnership with Saint Paul Ramsey County Public Health and the Minnesota Department of Health. This collaboration enabled thousands of community members to receive a free COVID-19 test in convenient, trusted community spaces. In total, MINI supported 47 testing events and administered almost 20,000 tests. To date, MINI has provided 800 community based COVID vaccination clinics and given over 49,800 vaccinations. MINI continued to provide influenza vaccinations throughout the pandemic and administered over 4,000 free flu shots in 2021. The Fairview system consists of 11 hospitals, it controls and operates University of Minnesota Medical Center, the adult and pediatric teaching hospital of the University of Minnesota Medical School, has 10 community based general acute care hospitals and 1 long-term acute care hospital; over 80 primary and specialty care clinics; offers over 100 specialty care services; urgent care clinics; occupational health clinics; 36 retail and specialty pharmacies; pharmacy benefit management services; rehabilitation centers; counseling; hospice services; 90+ owned and managed senior care facilities and long-term care housing facilities (through Ebenezer Society, a Fairview subsidiary); and emergency medical transportation. Fairview's 34,000+ employees and network of 5,000+ system providers embrace innovation and new thinking to drive a healthier future through healing, discovery and education. The health care and medical services which Fairview provides to the community include, but are not limited to: primary, specialty, tertiary, and quaternary care; hospital and physician services; senior services; assisted living; long-term care; urgent care and emergency services; pharmacy; care of mothers and children; physical therapy/sports medicine; rehabilitation services; and inpatient and outpatient behavioral health care and chemical dependency services. Fairview provides specialized care for the treatment of cancer, heart disease, diabetes, wound care, chronic conditions, solid organ transplant, blood and marrow transplant, and many other specialties. Fairview also offers social work services, health education and support groups and services for various health issues.Desc
Total Program Service Expenses$298,861,516TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dawn KsepkaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6126724986PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 University Avenue WAddressLine1Txt
CitySt PaulCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Ann Lowry MD
Vice Chair0.02.0Yes (X)Yes (X)$0$25,000$0
Jakub Tolar MD
Vice Chair0.02.0Yes (X)Yes (X)$0$0$0
James Hereford
President/CEO2.040.0Yes (X)Yes (X)$0$2,262,435$512,663
Karen Grabow
Secretary0.02.0Yes (X)Yes (X)$0$25,000$0
Rich Ostlund
Chair0.02.0Yes (X)Yes (X)$0$35,000$0
Barclay Berdan
Director0.02.0Yes (X)$0$20,000$0
Brad Wallin
Director0.03.0Yes (X)$0$20,000$0
Brian Burnett
Director, end 1-20210.02.0Yes (X)$0$0$0
David Levy
Director, new 20212.0Yes (X)$0$15,000$0
Jodi Richard
Director0.02.0Yes (X)$0$25,000$0
John Heinmiller
Director0.02.0Yes (X)$0$25,000$0
Julie Causey
Director0.02.0Yes (X)$0$20,000$0
Kenneth Roering
Director0.02.0Yes (X)$0$20,000$0
Melissa Geller MD
Director0.02.0Yes (X)$0$0$0
Michael Connly
Director0.03.0Yes (X)$0$25,000$0
Myron Frans
Director, began 2-20212.0Yes (X)$0$0$0
Shawntera Hardy
Director2.0Yes (X)$0$20,000$0
Stephen Swensen
Director, began 2-20213.0Yes (X)$0$15,000$0
Timothy Marx
Director0.02.0Yes (X)$0$25,000$0
Andrea Mokros
EVP & Chf Public Aff2.040.0Yes (X)$0$477,461$89,462
David Crosby
Chief Value Based Solutions2.040.0Yes (X)$0$885,868$74,781
John Batson
CFO2.040.0Yes (X)$0$1,047,259$149,411
Laura Reed RN
COO2.040.0Yes (X)$0$1,085,509$157,567
Mark Welton MD
Chief Medical Officer2.040.0Yes (X)$0$889,454$140,103
Mary Nease
Chief People Officer2.040.0Yes (X)$0$701,028$115,764
Robert Beacher
Chief of Shared Clin2.040.0Yes (X)$0$827,814$141,184
Sameer Badlani
CIO2.040.0Yes (X)$0$783,708$120,111
Scott Weber
Chf Mrktg Comm & Dig2.040.0Yes (X)$0$491,713$88,867
Srijoy Mahapatra
Chf Strategy Officer2.040.0Yes (X)$0$797,074$13,939
Trudi Trysla
Chief Legal Counsel2.040.0Yes (X)$0$799,805$152,560
Diane Ogren MD
Medical Director, General Surgery40.00$0$1,002,134$22,511Yes (X)
James McGreevy MD
Physician40.040.0$0$821,339$54,202Yes (X)
Jeffrey Borut MD
Physician40.00$0$859,815$45,997Yes (X)
Kyle Wahlstrom MD
Physician40.040.0$0$854,654$23,130Yes (X)
Xin Wang MD
Physician40.00$0$815,792$48,513Yes (X)
Elizabeth Bennett MD
Physician40.040.0$0$894,890$41,635Yes (X)
Elizabeth Cameron MD
Physician40.040.0$0$587,748$40,768Yes (X)
John Doherty
Former Officer0.00.0$0$242,131$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$17,442,632TotReportableCompRltdOrgAmt
Total Other Compensation$2,033,169TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$3,230RelatedOrganizationsAmt
Government Grants$399,199GovernmentGrantsAmt
Total Contributions$402,429TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Revenue621110$346,458,032$346,458,032
Cafeteria Revenue722514$798,720$798,720
JV Income-MSC/MIC621400$667,791$667,791
Lab Services621500$311,612$311,612

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$348,236,155TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,920TotalRevenueColumnAmt
Exclusion$149,920ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$55,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$7,727OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$47,273OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,273TotalRevenueColumnAmt
Exclusion$47,273ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$348,835,777TotalRevenueColumnAmt
Related Or Exempt Func Income$347,924,543RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$311,612UnrelatedBusinessRevenueAmt
Exclusion$197,193ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$151,444,668TotalAmt
Program Services$143,835,811ProgramServicesAmt
Management And General$7,608,857ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,689,840TotalAmt
Program Services$13,310,320ProgramServicesAmt
Management And General$379,520ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,743,245TotalAmt
Program Services$17,362,715ProgramServicesAmt
Management And General$380,530ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,895,072TotalAmt
Program Services$9,318,457ProgramServicesAmt
Management And General$576,615ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,389,397TotalAmt
Program Services$4,684,727ProgramServicesAmt
Management And General$1,704,670ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,153TotalAmt
Management And General$10,153ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,405,592TotalAmt
Program Services$15,028,734ProgramServicesAmt
Management And General$1,376,858ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$142TotalAmt
Management And General$142ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,740,376TotalAmt
Program Services$4,878,190ProgramServicesAmt
Management And General$862,186ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,481,719TotalAmt
Program Services$6,146,236ProgramServicesAmt
Management And General$335,483ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$92,970TotalAmt
Program Services$44,084ProgramServicesAmt
Management And General$48,886ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$103,101TotalAmt
Program Services$76,208ProgramServicesAmt
Management And General$26,893ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,290,265TotalAmt
Program Services$2,290,265ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,551,501TotalAmt
Program Services$5,285,260ProgramServicesAmt
Management And General$266,241ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$655,047TotalAmt
Program Services$655,047ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$66,679,361$65,903,890$775,471
Corporate Service Expense$56,583,658$56,583,658
Taxes - Medical$5,792,447$5,792,447
Taxes - Other$1,934,026$1,933,924$102

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,871,737TotalAmt
Program Services$2,315,201ProgramServicesAmt
Management And General$556,536ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$370,354,317TotalAmt
Program Services$298,861,516ProgramServicesAmt
Management And General$71,492,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$450BOYAmt
EOY$450EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$45,599,300BOYAmt
EOY$45,255,376EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,581,208BOYAmt
EOY$6,341,612EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,475BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$90,507,409LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,079,165LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$57,914,863BOYAmt
EOY$67,428,244EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$19,191,716BOYAmt
EOY$19,909,507EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,790,609BOYAmt
EOY$7,683,035EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$136,095,621BOYAmt
EOY$146,618,224EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,334,024BOYAmt
EOY$18,117,890EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$140,756BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,897,374BOYAmt
EOY$38,604,384EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,372,154BOYAmt
EOY$56,722,274EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$110,723,467BOYAmt
EOY$89,895,950EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,723,467BOYAmt
EOY$89,895,950EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,095,621BOYAmt
EOY$146,618,224EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$21,518,540ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$691,023OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$10,153OtherActivitiesAmt
Total Lobbying Expenditures$10,153TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationThe organization pays annual membership dues to the American Hospital Association and the Minnesota Hospital Association. A portion of these annual dues are determined to be used for lobbying purposes.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,880,000OtherCostOrOtherBasisAmt
Book Value$11,880,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,520,792OtherCostOrOtherBasisAmt
Depreciation$10,898,310DepreciationAmt
Book Value$41,622,482BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,841OtherCostOrOtherBasisAmt
Depreciation$121,244DepreciationAmt
Book Value$52,597BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,272,617OtherCostOrOtherBasisAmt
Depreciation$11,156,011DepreciationAmt
Book Value$7,116,606BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,660,159OtherCostOrOtherBasisAmt
Depreciation$903,600DepreciationAmt
Book Value$6,756,559BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$67,428,244TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Invesment in Joint Ventures$19,909,507
Program Related Investments
FieldValueIRS element (for citing)
Total Book Value Program Rltd$19,909,507TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
Book Value$7,683,035BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,683,035TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Lease Liabilities$8,211,710
Intercompany Payable$30,334,590
Other LT Liabilities$58,084
FieldValueIRS element (for citing)
Total Liability$38,604,384TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationHealhtEast St. John's Hospital is part of Fairview Health Services. Fairview recognizes all tax positions, including those positions in a previously filed tax return or a position expected to be taken in a future tax filing that is reflected in measuring current or deferred income tax assets and liabilities, when it is more likely than not (likelihood of greater than 50%) that, based on technical merits, the position will be sustained upon examination. There are $14,540 and $0 uncertain tax positions recorded on the consolidated balance sheets as of December 31, 2021 and 2020, respectively. Fairview has made reasonable estimates of the provision for income taxes and on existing deferred tax balances based on accounting guidance included in ASC 740, Income Taxes. Fairview does not expect that there will be a significant change in the total amount of unrecognized tax benefits within the next 12 months.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,447,158TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$181,233DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,265,925NetCommunityBenefitExpnsAmt
Total Expense0.0088TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,202,724TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,740,493DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,462,231NetCommunityBenefitExpnsAmt
Total Expense0.0607TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$67,649,882TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,921,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,728,156NetCommunityBenefitExpnsAmt
Total Expense0.0695TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$403,272TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$403,272NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,131,570TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,466,993DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,664,577NetCommunityBenefitExpnsAmt
Total Expense0.0099TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,555,190TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,977,060DirectOffsettingRevenueAmt
Net Community Benefit Expns$578,130NetCommunityBenefitExpnsAmt
Total Expense0.0016TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$107DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,925TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,925NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$10,123,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,444,160DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,678,904NetCommunityBenefitExpnsAmt
Total Expense0.0126TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$77,772,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,365,886DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,407,060NetCommunityBenefitExpnsAmt
Total Expense0.0821TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$15,611,714BadDebtExpenseAmt
Bad Debt Expense Attributable$312,234BadDebtExpenseAttributableAmt
Reimbursed By Medicare$140,540,558ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$180,042,661CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$39,502,103MedicareSurplusOrShortfallAmt
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
HealthEast Surgery Center-Maplewood LLC
Surgery Center0.52390.0837
Maplewood Imaging LLC
Radiology Imaging Center0.50.0
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HealthEast St John's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Website Addresshttps://mhealthfairview.org/locations/m-health-fairview-st-johns-hospitalWebsiteAddressTxt
State License406183StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HealthEast St John's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Section C, Line 7dOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Section C, Line 7dStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.fairview.org/billing/financial-assistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.fvfiles.com/2266.pdfFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.fairview.org/billing/financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EFairview is committed to transparency and accountability in all we do, including our efforts to assess - and respond to - our community's most pressing health needs. The community benefit work that we do across Fairview must reflect our community's actual needs, not our assumptions about what those needs might or should be. Because we understand that change cannot happen when we work in silos, and it cannot happen in a single year, we grounded our 2021 CHNA process in alignment with our 2018 CHNA needs, existing data, and the voices of community members and community partners. Once we had collected, analyzed, and synthesized the information we received from both primary and secondary data sources, we established a prioritization process through which we could identify the community health needs that, if effectively addressed, would have the greatest positive impact on our communities and particularly on our priority populations. Having a consistent, defined process helps reduce the skewing effect of conscious and unconscious biases and enables us to define priority need areas that reflect our community's top health needs rather than our perception of those needs. We evaluated areas of need based on four broad criteria: -Has this need been voiced by the community? Has this need been vetted by the community? -Does this need align with Fairview's strategies and priorities? -Does this need align with existing public health strategies and community health assessments? -Does this need build upon Fairview's 2018 CHNA priority needs? Our process resulted in the identification of three priority need areas. They are: -Navigating and accessing care and resources -Healing, connectedness, and mental health -Addressing structural racism and barriers to achieving health equity.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - . The assessment process and data collection methods we used during this CHNA cycle were different than ever before due to the COVID-19 pandemic. COVID- 19 caused delays in data collection among local, state, and national organizations. As a result of these delays, the U.S. Census Bureau had not yet released finalized data from the 2020 U.S. Census by the time we began the CHNA process. As a result, we used 2015-2019 American Community Survey data. Local public health agencies also were not able to provide updated data as they have in the past. We acknowledge that, due to these setbacks, the data we used is less recent than desired. Additionally, COVID-19 required us to add new safety precautions to our method of gathering community voice data. For example, all conversations and interviews, which had previously been in-person meetings, took place in a virtual format instead. We collected additional community voice data by convening a broad array of stakeholders, with special focus on the priority populations. The process included discussions with community benefit and assessment committees, our community advisory council, the HOPE Commission listening and learning sessions, and key stakeholder interviews. Throughout this process, community members, local business leaders, government representatives, nonprofit and community organizations, and content experts shared their voices and perspectives about their community's health needs. Each hospital within Fairview has a community benefit and assessment committee that is involved in the CHNA process throughout the three-year cycle. Each committee is comprised of local community and organizational leaders and staffed by the Fairview Community Advancement department. The community benefit and assessment committees met four times between April and October in 2021, three of which were individual committee meetings and one of which was a system-wide Community Impact Summit that brought all the committees together. Each committee meeting consisted of facilitated discussions through which our team gathered input about top community needs. The Fairview Community Advisory Council, composed of key community leaders and staffed by Community Advancement, reviews the CHNA report and written implementation strategy and recommends it to the Patient Care and Experience Committee of the Fairview Board of Directors for review and adoption. Each member represents the member's respective community, and members represent a broad range of sectors, among them community organizations serving cultural communities, higher education organizations, banks, and a nonprofit electric company. The Community Advisory Council met from May through November 2021 to participate in the CHNA process, give feedback, and ultimately recommend the CHNA and implementation strategy for adoption. The HOPE Commission is a multi-year transformational change effort of M Health Fairview to drive more equitable outcomes and inclusive environments and experiences for our patients, employees, and communities. The Commission conducted a series of listening and learning sessions in 2020 and 2021. The objective was to hold a mirror to Fairview to assess where we are now and how we can make lasting change. Part of being an anti-racist health system is developing a candid understanding of our shortcomings. We particularly sought to hear perspectives and ideas from the most impacted populations: BIPOC employees and patients, front-line workers who care for underserved and marginalized patients, and those patients themselves. A survey was also made available each year to gather insights and suggestions from employees and patients who could not directly participate in a listening and learning session. In 2020, the commission convened 32 virtual listening and learning sessions and two town halls involving more than 1,500 participants across Fairview sites. The sessions focused on employees but included patients and community members as well. In September 2021, the HOPE Commission continued the listening and learning sessions following the same model. In this iteration, however, the focus was primarily on gathering input from patients (and employees as patients). In both 2020 and 2021's listening and learning sessions, the facilitators and note takers reflected the community represented by the session's group to the greatest degree possible. In August and September 2021, Fairview's Community Advancement team conducted a series of interviews with staff members who work with communities. Each conversation followed a consistent interview protocol developed for this purpose, and each interview was captured by means of detailed notes. The goal of these interviews was to draw on staff expertise to gain a deeper understanding of our priority needs and to determine whether there are any emerging needs that we should be considering. Between Aug. 31 and Sept.17, 2021, we conducted 17 interviews. In August 2021, we held two focus groups in partnership with other organizations. We convened the first focus group in partnership with HealthPartners and Allina Health, and the participants were faith community nurses. We convened the second focus group in partnership with the organizations that are a part of the East Side Health and Well-being Collaborative. This meeting's focus was on accessing care and resources for different cultural communities. Fairview also participated in two large surveys. KRC Research conducted a survey around health and health care needs in St. Paul between June 8 and July 7, 2021, and administered it to community members, Fairview employees, patients, and community partners. Responses were received from 294 residents, more than 1,000 employees, 221 patients, and 20 partners. The survey was offered online and by phone and in five languages: English, Spanish, Hmong, Somali, and Karen. Fairview also supported and was a partner organization in Bridge to Health, a survey that assesses the health needs of northern Minnesota residents. The Bridge to Health survey was administered between Aug. 28 and Oct. 23, 2020. The geographic areas that were sampled included Aitkin, Carlton, Cook, Itasca, Koochiching, Lake, St. Louis, and Pine counties in Minnesota, as well as Douglas County in Wisconsin. As a foundational part of program planning and evaluation, Community Advancement staff are continuously soliciting feedback from community partners and program participants. We capture this information on an ongoing basis and use it to provide valuable context and drive insights into the needs of the communities we serve. Fairview staff developed standardized tools, processes, instructions, and facilitator, interviewer, and note-taker protocols and training. All primary data was compiled, cleaned, and analyzed. Community conversations lasted various lengths from 30-120 minutes. All community input was captured by a note-taker. The Fairview team contracted with the following groups to support our assessment process: -Loren Blinde, PhD of Writing Power, a copywriter and content strategist, on the writing of the report. -Kristi Fordyce, an independent contractor, for analysis support. -Weber Shandwick, for data collection and analysis of focus groups and stakeholder interviews focused on St. Paul. -KRC Research for the administration and analysis of the St. Paul Community Survey
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - . The Community Health Needs Assessment Report for St. John's Hospital is located at: https://stcr-prd-cd.fairview.org/-/media/Files/Local-Health-Needs/Read-full-reports/2021-CHNA-Report-St-Johns-Hospital2125.pdf?_ga=2.80486679.1669769048.1661452772-XXX-XX-XXXX.1594916074 The Community Health Needs Assessment Implementation Strategy for St. John's Hospital is located at: https://stcr-prd-cd.fairview.org/-/media/Files/Local-Health-Needs/CHNA-Implementation-Strategy-Report-20222024-St-Johns.pdf?_ga=2.XXX-XX-XXXX.1669769048.1661452772-XXX-XX-XXXX.1594916074
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - . Over the course of 2021, Fairview's hospitals and medical centers, including St. John's Hospital, conducted our Community Health Needs Assessment (CHNA) process to determine our priority needs and our response. As part of this process, we listened and learned much about our community's most pressing needs. Through those conversations, and supported by community data, we prioritized the following needs: Navigating and accessing care and resources; Healing, connectedness, and mental health; and Addressing structural racism and barriers to achieving health equity. The CHNA Implementation Strategy Report outlines the major strategies and actions we will deploy throughout the 2022-2024 assessment cycle. The current generation will be the first generation in American history to experience shorter life expectancy than their parents did.1 Over the past decade, rates of poverty, food insecurity, isolation, mental illness, addiction, and other determinants of poor health have continued to rise and these do not impact everyone equally - Minnesota has some of the nation's largest racial, ethnic, and geographic health inequities. To impact these devastating trends, we must respond in ways that align with the factors that research has shown to have a significant effect on an individual's health and wellbeing. Studies estimate that eighty percent of a person's health outcomes are influenced by factors outside a healthcare setting,2 and a person's zip code matters more than their genetic code when it comes to long-term health.3 Given these realities, our response must reach outside the health system's walls and must focus on those experiencing health inequities to be most effective. Since the 2010 passage of the Affordable Care Act, our health system has engaged in four CHNA cycles. During each cycle, we have found the same or similar needs have existed for our communities. This means that our communities have largely faced the same challenges for more than a decade - and that despite our efforts to address these issues, these problems are not relenting. In fact, in many cases, these conditions have worsened over the past decade. Over the past 10 years of responding to our communities' biggest needs we have learned important lessons which have guided us in the development of our Fairview Health Services 2022-2024 implementation strategies. An essential part of the 2018 CHNA process was the identification of priority needs in the local community. The hospitals and/or medical centers identified the following priority needs for St. John's Hospital: Mental health and well-being, Healthy lifestyles, Access to care and services. Each hospital and/or medical center developed a hospital specific implementation plan around its priority health issues along with a system focus on policy, system, and environmental (PSE) change to address the identified priority needs. Each program is evaluated on an annual basis against program specific anticipated impacts. As part of the evaluation process each program indicator is assigned a value of "green", "yellow" or "red" based upon the following criteria. A rating of "green" means that the program (a) met, or exceeded, 2021 hospital goal/s as written in hospital implementation plan (b) it has count data tied to both goal/s and anticipated impact/s (c) there is an evaluation tool with measure tied to anticipated impact/s. A rating of "yellow" means that the program (a) had partial completion of 2021 hospital goal/s as written in hospital implementation plan (b) it has count data tied to either goal/s or anticipated impact/s but not both (c) there is an evaluation tool without measure tied to anticipated impact/s. A rating of "red" means that the program (a) did not complete the 2021 hospital goal/s written in hospital implementation plan (b) there was no count data (c) there was no evaluation tool/s. Policy, System, and Environmental (PSE) change initiatives often take multiple years to plan and implement. Using a CDC evaluation framework each PSE initiative is monitored and evaluated annually against anticipated activities and milestones linked to the six connected PSE evaluation steps. The six connected steps of PSE change we tracked for monitoring and evaluation purposes are (1) engage stakeholders, (2) describe the program, (3) focus the evaluation design, (4) gather credible evidence, (5) justify conclusions, and (6) ensure use and share lessons learned. In 2021 COVID-19 impacted many of our Community Health Improvement Plan (CHIP) programs and other offerings with impacts such as transitioning in person classes and services to virtual, adjusting participant surveys, and pivoting some programs to broaden their scope and more directly respond to COVID-19 related needs in the community. Priority: Mental health and wellbeing M Health Fairview St. John's Hospital offered Cultural Brokers. East Side partners designed the position of Cultural Broker serving St. Paul's East Side of Saint Paul Community to build stress resilience and holistic wellbeing among community members. The Cultural Broker co-navigates mainstream systems with clients and helps bridge those systems within culture, as well as locates resources and advocates for residents' interests. This support results in improved access to culturally relevant mental health care and other resources that build stress resilience over the long term. The 2021 anticipated impact for the Cultural Brokers was an increase in participants' connectedness to others in the community. The anticipated impact was assigned a value of "yellow". 2021 Impact: Green - Outcome: 9% decrease from participants' preassessments (78%) to participants' post-assessments (69%) in response to the following statement: I strongly agree or agree that I feel connected to others in the community. M Health Fairview St. John's Hospital offered the evidence-based Mental Health First Aid program. The program introduces risk factors and warning signs of common mental health and substance use disorders, builds understanding of their impact, and reviews support options. The interactive course teaches participants how to offer initial help to an individual who may be experiencing a mental health concern or crisis and connect them to the appropriate resources. Youth Mental Health First Aid is the second core program which focuses on mental health concerns among youth ages 12-18. The 2021 anticipated impact for the Mental Health First Aid programs was an increase in participants' ability to recognize and correct misconceptions about mental health and mental illness. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 30% increase from pre-survey (70%) to post-survey (100%) in response to the following: I strongly agree or agree that I can recognize and correct misconceptions about mental health, substance use and mental illness as I encounter them. Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered the Mobile Substance Use Disorder Support Program, serving adult residents (18+) in Ramsey, Dakota and Washington Counties who have substance use issues through Mobile SUDs team who are professional peer recovery specialists and clinical staff who collaborate to develop individual recovery plans. The 2021 anticipated impact for the Mobile Substance Use Disorder Support Program was an increase in the number of active participants in the recovery program. The anticipated impact was assigned a value of "red". 2021 Outcome: This program was discontinued in 2021. A similar program will be developed within the Mental Health & Addiction Transition Clinic for short-term treatment of patients after an emergency room visit. M Health Fairview St. John's Hospital offered the Trauma Informed Congregations program, the implementation of the Risking Connection in Faith Communities curriculum across Faith Communities. Risking Connection helps clergy understand the nature of trauma, its impact on people and how faith leaders can support and bring healing to trauma survivors. The 2021 anticipated impact for the Trauma Informed Congregations program was an increase in clergy/leader understanding of the impact of trauma on trauma survivors. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 100% of participants reported they understand the impact trauma can have on their clients. Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered Youth Grief Services sessions and camps. Youth Grief Services (YGS) provides a safe and nurturing place where families can turn for help after a loved one dies. YGS assists in the healing process through a network of programs and
Schedule H, Part V, Section B, Line 11 Facility , 2Facility , 2 - . services that support, educate, and connect grieving families. 2021 Outcome: Ownership of Youth Grief Services transferred from Fairview Health Services to Brighter Days Grief Center in December 2020, providing a seamless transition of the program for participants. M Health Fairview St. John's Hospital collaborated in policy, systems and environmental (PSE) change around responding to trauma in settings such as schools and faith communities. This initiative includes activities and milestones linked to PSE evaluation steps (1) engage stakeholders, (2) describe the program, and (3) focus the evaluation design, (4) gather credible evidence, (5) justify conclusions, and (6) ensure use and share lessons learned. 2021 Impact: Opened Minnesota's first EmPATH unit- or Emergency Psychiatric Assessment, Treatment, and Healing- a pioneering approach to emergency mental health that offers rapid, comprehensive care in a calming environment at Fairview Southdale Hospital. Planning underway for opening a second unit at University of Minnesota Medical Center. Conducted HOPE Listening and Learning sessions and a survey, to assess the experiential needs of patients and caregivers when accessing care in our system. Planning for Virtual Health Hubs that will break down barriers and allow people to access mental health care despite physical location. Member partner of both the Mental Well Being Task Force for the Hennepin County Community Health Improvement Partnership (CHIP) and Ramsey County Mental Health and Wellness Action Team (MHWAT). In partnership with Ebenezer Senior Living, developed a new quarterly speaking series called HOPE, that address topics such as Adverse Childhood Experiences (ACEs), trauma, and pandemic fatigue. In the development/planning stage for a Wellness Hub that will include providing comprehensive mental health care in a calming, relaxing space. Priority: Healthy lifestyles M Health Fairview St. John's Hospital offered East Side Table services. A diverse group of partner organizations from the East Side of Saint Paul co-designed a program aiming to empower individuals to improve at-home cooking skills while being mindful of common barriers East Side community members face. Through a 8-week Make-at-Home Meal Kit program, community events, tastings and cooking demos, and a multi-language website with resources, East Side Table partner organizations are hoping to lower the barriers to eating healthier at home; time, motivation and expense. The 2021 anticipated impact for the East Side Table was an increase in participants' self-reported food skills. The anticipated impact was assigned a value of ""yellow" due to a post survey technology issue. 2021 Impact: Green - Outcome: 45% decrease from pre-program-survey (100%) to post-program-survey (53%) in response to the following: I Strongly agree or agree that I feel comfortable performing common kitchen tasks such as measuring ingredients and chopping vegetables. M Health Fairview St. John's Hospital offered the evidence-based Falls Prevention Suite which included two programs (1) Matter of Balance a program designed to reduce the fear of falling and increase activity levels among older adults. It includes 8 sessions for a small group of 8-12 participants led by two trained facilitators. Participants learn to view falls and fear of falling as controllable, set realistic goals to increase activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance. (2) Tai Ji Quan a research-based 12-week program that is designed to keep older adults mobile and independent. The program meets twice a week for one hour. The classes will help participants improve balance, strengthen muscles, and reduce the risk of falling. The 2021 anticipated impact for the Falls Prevention Suite was a decrease participants' fear of falling. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 14% decrease from pre-survey (86%) to post-survey (73%) in participants that responded with a little, somewhat, or a lot to the following: How fearful are you of falling? Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered the evidence-based Living Well Suite which included three programs that were developed by Stanford University's Patient Education Research Center. (1) Chronic Disease Self- Management is a workshop given 2.5 hours once a week, for six weeks offered to individuals and their caregivers who are living with chronic conditions. Subjects addressed include medication use, communication with doctors and caregivers, nutrition, and fitness- with practical exercises and advice designed to meet participants' needs. (2) Chronic Pain Self-Management is a workshop given 2 hours once a week, for six weeks, in community settings. The workshop helps participants, and their support person, deal with the ongoing issues associated with chronic pain. (3) Diabetes Self-Management is a 6 week once a week program developed to helps those living with diabetes or pre-diabetes to improve their general health. The 2021 anticipated impact for the Living Well Suite was an increase participants' perception of positive lifestyle changes. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 89% of participants that responded to the post program survey indicated that they strongly agree or agree with the following statement: The program has helped them manage chronic condition(s). Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered Veggie Rx a program intended to decrease food insecurity by distributing vegetables to populations of color and those experiencing poverty who are food insecure, have diet related chronic disease and would benefit from increased access to nutritious food. The Hmong American Farmers Association (HAFA) provides CSA (community shared agriculture) shares for this program. The 2021 anticipated impact for Veggie Rx was an increase vegetable consumption in food insecure patients. The anticipated impact was assigned a value of "yellow". 2021 Impact: Green - Outcome: 3% decrease from pre-survey (41%) to post-survey (38%) in response to the following question: I consume three or more servings of vegetable per day. While we don't know exactly why participants reported a decrease in the number of servings of vegetables, we know that this program serves food insecure patients who have been disproportionality impacted by the impacts of COVID-19. Over the course of 2022 we will explore the survey results with clinic leads and participants and improve our processes as needed. M Health Fairview St. John's Hospital collaborated in policy, systems and environmental (PSE) change around healthy food transformation addressing issues such as food insecurity, food access, and changes to cafeteria menus. This initiative includes activities and milestones linked to PSE evaluation steps (1) engage stakeholders, (2) describe the program, and (3) focus the evaluation design, (4) gather credible evidence, (5) justify conclusions, and (6) ensure use and share lessons learned. 2021 Impact: Green - Outcome: Strengthened partnerships with local food organizations such as Second Harvest Heartland and Sanneh Foundation. Includes planning for a Wellness Hub that will be a new distribution site for food and provide workforce development opportunities for youth in the food sector. Continue to serve as a backbone partner in the Food Justice Network. Expanded Community Supported Agriculture (CSA) program to new CSA farms to meet the differing needs of clinic participants and support new farmer partners. Planning to offer, in partnership with Keystone Community Services, a mobile food pantry at clinics. Signed contact for Now Pow which will screen patients for social determinants such as food security and provide resources and referrals. Priority: Access to care and resources M Health Fairview St. John's Hospital offered Cultural Brokers. East Side partners designed the position of Cultural Broker serving St. Paul's East Side of Saint Paul Community to build stress resilience and holistic wellbeing among community members. The Cultural Broker co-navigates mainstream systems with clients and helps bridge those systems within culture, as well as locates resources and advocates for residents' interests. This support results in improved access to culturally relevant mental health care and other resources that build stress resilience over the long term. The 2021 anticipated impact for the Cultural Brokers was an increase in participants' confidence to access services themselves. The anticipated impact was assigned a
Schedule H, Part V, Section B, Line 11 Facility , 3Facility , 3 - . value of "green". 2021 Impact: Green - Outcome: 23% increase from participants' preassessments (69%) that stated: they strongly agree/agree they feel confident accessing services myself - to participants' post-assessments (82%) that stated: they agree or strongly agree that they feel confident they can now access the services they need because of the Cultural Broker. M Health Fairview St. John's Hospital conducted Minnesota Immunization Network Initiative (MINI) Clinics. MINI is a multi-sector, community collaboration providing free flu shots to uninsured, underserved, and minority populations. The MINI clinics bring flu vaccine, educational materials, and volunteers to community locations such as churches or community centers and with its partners, ensure a culturally and linguistically appropriate experience in a safe and trusted environment. The 2021 anticipated impact for the MINI clinics was an increase in the number of clinics with culturally and/or linguistically appropriate materials around accessing care and resources. The anticipated impact was assigned a value of "green". 2021 Impact: Green - 2 new partner clinics. 50% of new partner clinic sites had culturally and/or linguistically appropriate materials around accessing care and resources. M Health Fairview St. John's Hospital offered the evidence-based Falls Prevention Suite which included two programs (1) Matter of Balance a program designed to reduce the fear of falling and increase activity levels among older adults. It includes 8 sessions for a small group of 8-12 participants led by two trained facilitators. Participants learn to view falls and fear of falling as controllable, set realistic goals to increase activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance. (2) Tai Ji Quan a research-based 12-week program that is designed to keep older adults mobile and independent. The program meets twice a week for one hour. The classes will help participants improve balance, strengthen muscles, and reduce the risk of falling. The 2021 anticipated impact for the Falls Prevention Suite was an increase in participants' comfort talking to their health care provider about medications and other possible risks of falling. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 67% of participants that responded to the post program survey indicated that they strongly agree or agree with the following statement: I feel more comfortable talking to my health care provider about my medications and other possible risks for falling. Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered the evidence-based Living Well Suite which included three programs that were developed by Stanford University's Patient Education Research Center. (1) Chronic Disease Self- Management is a workshop given 2.5 hours once a week, for six weeks offered to individuals and their caregivers who are living with chronic conditions. Subjects addressed include medication use, communication with doctors and caregivers, nutrition, and fitness- with practical exercises and advice designed to meet participants' needs. (2) Chronic Pain Self-Management is a workshop given 2 hours once a week, for six weeks, in community settings. The workshop helps participants, and their support person, deal with the ongoing issues associated with chronic pain. (3) Diabetes Self-Management is a 6 week once a week program developed to helps those living with diabetes or pre-diabetes to improve their general health. The 2021 anticipated impact for the Living Well Suite was an increase in participants who agree that the program helps them work with their health care providers. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 86% of participants that responded to the post program survey indicated that they strongly agree or agree with the following statement: The program has helped them work with healthcare professionals. Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered the evidence-based Mental Health First Aid program. The program introduces risk factors and warning signs of common mental health and substance use disorders, builds understanding of their impact, and reviews support options. The interactive course teaches participants how to offer initial help to an individual who may be experiencing a mental health concern or crisis and connect them to the appropriate resources. Youth Mental Health First Aid is the second core program which focuses on mental health concerns among youth ages 12-18. The 2021 anticipated impact for the Mental Health First Aid programs was increase participants' confidence in assisting someone to connect with professional resources. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 31% increase from pre-survey (67%) to post-survey (98%) in response to the following: I strongly agree or agree that I can assist someone who may be dealing with a mental health problem, substance use challenge or crisis in seeking professional help. Evaluation of survey results was done on a program level. M Health Fairview St. John's Hospital offered Veggie Rx a program intended to decrease food insecurity by distributing vegetables to populations of color and those experiencing poverty who are food insecure, have diet related chronic disease and would benefit from increased access to nutritious food. The Hmong American Farmers Association (HAFA) provides CSA (community shared agriculture) shares for this program. The 2021 anticipated impact for Veggie Rx was an Increase participants' knowledge about where to buy locally grown produce. The anticipated impact was assigned a value of "green". 2021 Impact: Green - Outcome: 81% of participants reported they strongly agree or agree to the following: Where to buy locally grown produce in your area. Needs identified but not addressed Although the following health needs were not selected as priority needs, M Health Fairview St. John's Hospital will continue to support work aligned with addressing these needs as appropriate particularly when doing so would address the social determinants of health and/or the leading causes of premature death. Chronic lower respiratory disease: This issue will be addressed as part of patient care but falls outside the scope of the community-based CHNA Implementation Strategy. Cost associated with care: This issue will be addressed as part of patient care but falls outside the scope of the community-based CHNA Implementation Strategy. Quality and consistency of care: This issue will be addressed as part of patient care but falls outside the scope of the community-based CHNA Implementation Strategy. Stroke: This issue will be addressed as part of patient care but falls outside the scope of the community-based CHNA Implementation Strategy. Transportation: This issue is beyond what M Health Fairview St. John's hospital resources can support at this time.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - . The Minnesota Attorney General agreement was used in the determination of the eligibility for financial assistance.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - . The organization attaches a summary of the policy to billing invoices and also communicates to patients during admission, financial counseling and collection calls that there is a financial assistance program and that an application can be provided to them. A summary of the Financial Assistance Policy is posted in various locations in the hospital.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
HealthEast Surgery Center-Maplewood
2945 Hazelwood StreetMaplewoodMN55109Outpatient Surgery Center
HealthEast Medical Imaging LLC
2945 Hazelwood Street Suite 100MaplewoodMN551091126Outpatient Imaging Center
HealthEast Optimum Rehabilitation-M
1570 Beam Avenue Suite 200MaplewoodMN55109Outpatient Rehabilitation Clinic
HealthEast Optimum Rehabilitation-M
1390 University Avenue WestSt PaulMN55104Outpatient Rehabilitation Clinic
HealthEast Optimum Rehabilitation-W
1825 Woodwinds DriveWoodburyMN55125Outpatient Rehabilitation Clinic
HealthEast Optimum Rehabilitation-S
2900 Curve Crest BoulevardStillwaterMN55082Outpatient Rehabilitation Clinic
HealthEast Spine Center
1747 Beam AvenueMaplewoodMN55109Outpatient Spine Rehabilitation Clinic
HealthEast Pain Care
1600 St Johns Blvd Suite 101MaplewoodMN55109Outpatient Pain Care Clinic
Mental Health & Addiction Care-John
1675 Beam Avenue Suite 101AMaplewoodMN55109Outpatient Mental Health Care
HealthEast Sleep Center - Maplewood
3100 Kennard Street Suite 200MaplewoodMN55109Outpatient Sleep Center

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7f Exclusions from Percent of Total ExpenseThe 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.
Schedule H, Part I, Line 3cPATIENTS 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. PATIENTS WITH HOUSEHOLD INCOME UP TO 200% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT OF TOTAL CHARGES. PATIENTS WITH A HOUSEHOLD INCOME OF 201%-300% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A PARTIAL DISCOUNT OF TOTAL CHARGES BASED ON THE AMOUNT GENERALLY BILLED OR EQUAL TO THE RATE FROM FAIRVIEW'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT, WHICHEVER IS HIGHER. UNINSURED PATIENTS WHO ARE RESIDENTS OF MINNESOTA OR WISCONSIN AND WITH A HOUSEHOLD INCOME GREATER THAN 300% OF THE FEDERAL POVERTY LEVEL AND RECEIVE MEDICALLY NECESSARY HOSPITAL OR HOSPITAL BASED SERVICES ARE CHARGED A DISCOUNT RATE EQUAL TO THE RATE FROM FAIRVIEW'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT.
Schedule H, Part I, Line 7g Subsidized Health ServicesThere are no costs associated with physician clinics included in line 7g.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe amounts reported on Form 990, Schedule H, Part I, Line 7a through 7c were determined using the cost to charge ratio derived from Worksheet 2 in the Schedule H, Form 990 Instructions. Form 990, Schedule H, Part I, Lines 7e through 7j are reported at charges as recorded by the organization.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountThe bad debt expense reported on Part III, Line 2 is reported at charges as recorded by the organization. The following describes the costing methodology used in determining bad debt and the rationale for including a portion of bad debt as community benefit: The bad debt allowance is calculated as a percentage of patient receivables after deductions for estimated provisions for contractual adjustments (discounts) on services provided to enrollees of Medicare, Medicaid, third-party payor programs, charity care, uninsured discounts, and other administrative adjustments. Certain patient accounts are written off to bad debt because the organization does not have sufficient information to determine if the patient would qualify for free care or financial aid. Therefore, it is possible that some bad debt is actually charity care. However, if a patient account is written off to bad debt and the collection agency later determines that the patient would have qualified for free care or financial aid, then the bad debt expense is reclassified to charity care.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyBad Debt Expense, Patients Eligible for Assistance The bad debt expense attributable to patients that may be eligible for financial assistance is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in healthcare coverage, and other collection indicators.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteSubsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad expense for the years ended December 31, 2021 and 2020, was not significant. See page 23 of the audited financial statements for additional information.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsIT IS PART OF the organization's MISSION THAT COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT EACH FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. 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. UNCOMPENSATED COSTS RESULTING FROM MEDICARE, MEDICAID AND STATE AND LOCAL INDIGENT CARE PROGRAMS ARE CONSIDERED A COMMUNITY BENEFIT BECAUSE OF THE SIGNIFICANT DIFFERENCES BETWEEN ACTUAL COSTS AND REIMBURSEMENT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceAFTER 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 IS 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 OPPORTUNITY 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 INFORM OF PROGRAMS AVAILABLE TO THEM AS WELL AS ASSIST THEM IN APPLYING FOR THE PROGRAMS. THE INFORMATION ABOUT NEEDING ASSISTANCE WITH PAYING THE BILL IS POSTED ON SIGNS IN THE HOSPITALS AND MATERIALS ARE DISTRIBUTED TO SELF-PAY PATIENTS BY REGISTRATION STAFF. THE STATEMENTS SENT OUT AFTER THE VISIT PROVIDE THIS INFORMATION AS WELL. IF A PATIENT/FAMILY MEMBER CALLS THE CENTRAL BUSINESS OFFICE CUSTOMER SERVICE STAFF TO ASK FOR ASSISTANCE WITH PAYING THEIR BILL, THEY ARE INFORMED ABOUT OPTIONS AT THAT TIME. FAIRVIEW PROVIDES AN INTERPRETER SERVICE THAT INTERPRETS CONVERSATIONS OVER THE PHONE. THIS SERVICE CAN BE USED EITHER AS A THREE WAY PHONE CALL OR THE FINANCIAL COUNSELOR, IN A ROOM WITH THE PATIENT OR FAMILY CAN PLACE THE CALL TOGETHER TO THE INTERPRETER PHONE SERVICE. THE INTERPRETER SERVICES LINE ACCOMMODATES CLOSE TO 200 LANGUAGES. THE BILLING PROCESS WILL BE ASSISTED BY THE FOLLOWING GUIDELINES: 1) FOR ALL INSURED PATIENTS, FAIRVIEW WILL BILL ALL THIRD PARTY PAYOR INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY AND ACCURATE BASIS. 2) FOR ALL UNINSURED PATIENTS WITH MINNESOTA RESIDENCY RECEIVING HOSPITAL BASED SERVICES DEEMED MEDICALLY NECESSARY, FAIRVIEW WILL APPLY AN UNINSURED DISCOUNT EQUAL TO THE DISCOUNT PROVIDER TO OUR LARGEST CONTRACTED NON-GOVERNMENT PAYOR, ANY REMAINING BALANCE WILL BE BILLED TO THE PATIENT IN A TIMELY AND MANNER. 3) ALL BILLED PATIENTS HAVE THE OPPORTUNITY TO CONTACT FAIRVIEW REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. FINANCIAL ASSISTANCE MAY INCLUDE COMMUNITY CARE, PAYMENT ARRANGEMENTS, MEDICAL ASSISTANCE OR OTHER APPLICABLE PROGRAMS. 4) IF A PATIENT CONTACTS FAIRVIEW REGARDING COMMUNITY CARE BEFORE THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY OR ATTORNEY, AN APPLICATION AND REQUIRED DOCUMENTATION IS REQUESTED (INCOME VERIFICATION ETC.), THE ACCOUNT WILL THEN BE PROCESSED BASED ON THE OUTCOME OF THE COMMUNITY CARE DETERMINATION. 5) FAIRVIEW TAKES REASONABLE MEASURES TO AVOID REFERRING AN ACCOUNT TO COLLECTION UNLESS THERE ARE NO RESPONSES FROM THE PATIENT. IF A PATIENT CONTACTS FAIRVIEW REGARDING COMMUNITY CARE AFTER THEIR ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY OR ATTORNEY, FAIRVIEW WILL SEND AN APPLICATION TO THE PATIENT PROVIDED THE ACCOUNT MEETS THE COMMUNITY CARE REQUIREMENTS. IF THE COMPLETED APPLICATION ALONG WITH REQUIRED DOCUMENTATION (INCOME VERIFICATION, ETC.) IS SUBMITTED, ALL COLLECTION ACTION WILL BE SUSPENDED UNTIL THE PATIENT IS NOTIFIED OF FAIRVIEW'S DETERMINATION.
Schedule H, Part V, Section B, Line 16a FAP website- HealthEast St. John's Hospital: Line 16a URL: https://www.fairview.org/billing/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website- HealthEast St. John's Hospital: Line 16b URL: http://www.fvfiles.com/2266.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- HealthEast St. John's Hospital: Line 16c URL: https://www.fairview.org/billing/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessmentOur triennial community health needs assessment process provides an important opportunity to engage with and understand our community, analyze what has changed-for better or worse-since the last assessment, and prioritize together with the community the issues we must urgently address in order to improve wellbeing and resilience. Fairview's 2021 Community Health Needs Assessment (CHNA) builds upon previous assessments and was developed in partnership with community members and organizations, local public health agencies, and other hospitals and health systems. It serves as a tool for guiding policy, advocacy, and program planning. It also fulfills Internal Revenue Service (IRS) requirements for CHNA pursuant to the Affordable Care Act of 2010, which requires 501(c)(3) nonprofit hospitals to conduct an assessment at least every three years and provide an annual evaluation of the previous implementation strategy's impact. Through this process, we aim to: -Intentionally engage with community members and organizations, public health agencies, and other hospitals and health systems to identify and understand significant health needs in the community. -Understand the needs of the community it serves by analyzing current demographics and social determinants of health indicators, as well as by collecting direct input from community members and organizations. -Inform the CHNA implementation strategy and action plan development. As part of the 2021 CHNA process, we reexamined and built upon the extensive community insights shared during our 2018 CHNA, while also surveying the community for current and emerging needs. We have identified three system-wide priority need areas, and we will collaborate with our hospitals and shared services to address these priorities. Our specific response will vary by hospital based on the ways in which the priority needs manifest across a given community as well as the partnerships, both ongoing and new, that we have developed to address those needs. Our community commitment - creating a healthier future and Improving the health and wellbeing of our communities. The healthcare people receive in a hospital or clinic is only a small part of a person's overall health. That's why our commitment to advancing health equity goes beyond the walls of our facilities and reaches out into the community. We collaborate with community partners to improve health and wellbeing and advance health equity. Our priorities include: * Bringing clinical services into neighborhoods to expand access * Advancing our anchor mission initiatives - local hiring, local purchasing, local investing, and leading and serving locally * Addressing social risk factors through food access and housing programs and community education and outreach. Why is this a priority for our healthcare system? Nearly 80 percent of health is influenced by factors outside of clinical care. These factors, called the social determinants of health, are our health behaviors and the economic and social conditions in which we live. To help address the social determinants of health, we are creating a health and wellness hub in downtown St. Paul that will focus on health, housing, and supportive services for the community. All this work is closely tied to our HOPE Commission's health equity and anti-racism efforts. It's designed to be culturally appropriate and to meet the specific needs of the community. We seek to do "with" and not "to" the communities we belong to and are proud to contribute to our community in so many ways. Fairview Health Services is committed to the health and wellbeing of our communities. For generations we have served the people of Minnesota, cared for our patients, and invested in the people and partnerships that make us stronger, together. As a nonprofit health system and an anchor institution-an organization rooted in our communities-we have a commitment to intentionally apply our long-term, place-based economic power and human capital in partnership with community to mutually benefit the long-term wellbeing of both. We recognize that this commitment begins in and with our communities. This work cannot be done alone, we must collaborate with community-based organizations, local public health departments, and other health systems. Our efforts, resources, and commitments are investments in the health and wellbeing of our communities where we live, work, learn, play, and worship. Our community benefit programs and activities focus on our mission to heal, discover, and educate for longer, healthier lives and must meet at least one of these objectives: * Improve access to health care services. * Enhance the health of the community. * Advance medical or health care knowledge. * Relieve the burden of government to improve health. Fairview Health Services, is committed to providing exceptional care, delivering breakthrough research and innovation to healthcare, improving health and wellbeing, and promoting health equity. As anchor institutions rooted in the hearts of the communities we serve, this commitment goes beyond our walls and into the community. THERE ARE DIFFERENT WAYS OUR HEALTH SYSTEM FULFILLS THIS PROMISE INCLUDING: * Allocating resources to benefit the community. The process is guided by our community health needs assessments, developed collaboratively with the communities we serve, and implemented in partnership with local organizations and leaders. - The priority needs identified in our 2021 assessment are: healing, connectedness, and mental health; addressing structural racism and barriers to achieving health equity; and navigating and accessing care and resources. Our efforts will center on people experiencing poverty as well as racial or ethnic populations experiencing health disparities. * Bringing clinical services into neighborhoods to expand access. These free healthcare services are offered in diverse and/or under-resourced neighborhoods. * Addressing social risk factors, known as the social determinants of health, through food access and housing programs, and community education and outreach. The goal is to improve community health and wellbeing. * Advancing our HOPE (Healing, Opportunity, People, and Equity) Commission's - health equity and anti-racism efforts to drive more equitable outcomes and inclusive environments and experiences for our patients, employees, and communities. Success stories include: improving patient sociodemographic data to better understand the populations we serve and more accurately assess for disparities, and increasing the representation of diverse populations in clinical trials.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceThe organization MAKES INFORMATION 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.
Schedule H, Part VI, Line 4 Community informationThe CHNA community of each hospital and medical center is defined as a subset of zip codes within the Fairview service area, where 90 percent of its patients live. Each of the hospitals and medical centers were attributed unique zip codes and geographies. The St. John's Hospital community is comprised of 13 zip codes. Our definition of communities includes all community members, including those who are patients and employees who live, work, and play in our service areas.
Schedule H, Part VI, Line 5 Promotion of community healthAS A NONPROFIT HEALTH SYSTEM, the organization 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 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.
Schedule H, Part VI, Line 6 Affiliated health care systemSt. John's Hospital is a community-focused, non-profit hospital that is part of Fairview Health Services. Woodwinds Health Campus provides innovative technology, compassionate care, and a full spectrum of family health services. Fairview Health Services is a Minneapolis-based nonprofit health system driven to heal, discover, and educate for longer, healthier lives. Founded in 1906, Fairview provides exceptional care to patients and communities as one of the most comprehensive and geographically accessible systems in Minnesota, serving the greater Twin Cities metro area and north-central Minnesota. Through a close relationship with the University of Minnesota, Fairview offers access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. Our mission: Fairview is driven to heal, discover, and educate for longer, healthier lives. The Fairview system consists of 11 hospitals, it controls and operates University of Minnesota Medical Center, the adult and pediatric teaching hospital of the University of Minnesota Medical School, has 10 community based general acute care hospitals and 1 long-term acute care hospital; over 80 primary and specialty care clinics; offers over 100 specialty care services; urgent care clinics; occupational health clinics; 36 retail and specialty pharmacies; pharmacy benefit management services; rehabilitation centers; counseling; hospice services; 90+ owned and managed senior care facilities and long-term care housing facilities (through Ebenezer Society, a Fairview subsidiary); and emergency medical transportation. Fairview's 34,000+ employees and network of 5,000+ system providers embrace innovation and new thinking to drive a healthier future through healing, discovery and education. Fairview hospitals and medical centers included: Bethesda Hospital (St. Paul) Fairview Lakes Medical Center (Wyoming) Fairview Northland Medical Center (Princeton) Fairview Range Medical Center (Hibbing) Fairview Ridges Hospital (Burnsville) Fairview Southdale Hospital (Edina) Grand Itasca Clinic & Hospital (Grand Rapids) St. John's Hospital (Maplewood) St. Joseph's Hospital (St. Paul) University of Minnesota Medical Center and University of Minnesota Masonic Children's Hospital (Minneapolis) Woodwinds Health Campus (Woodbury)
Schedule H, Part VI, Line 7 State filing of community benefit reportMN

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Hereford
President/CEO$0$1,729,577$0$400,000$0$132,858$0$443,315$0$69,348$0$2,775,098$0$0
John Doherty
Former Officer$0$0$0$0$0$242,131$0$0$0$0$0$242,131$0$108,075
Sameer Badlani
CIO$0$683,708$0$100,000$0$0$0$96,760$0$23,351$0$903,819$0$0
John Batson
CFO$0$896,162$0$150,000$0$1,097$0$122,016$0$27,395$0$1,196,670$0$0
Robert Beacher
Chief of Shared Clin$0$668,801$0$100,000$0$59,013$0$94,280$0$46,904$0$968,998$0$0
David Crosby
Chief Value Based Solutions$0$625,606$0$193,764$0$66,498$0$45,885$0$28,897$0$960,649$0$0
Srijoy Mahapatra
Chf Strategy Officer$0$114,408$0$0$0$682,666$0$13,724$0$215$0$811,013$0$0
Andrea Mokros
EVP & Chf Public Aff$0$377,461$0$100,000$0$0$0$68,452$0$21,010$0$566,924$0$0
Mary Nease
Chief People Officer$0$601,028$0$100,000$0$0$0$88,016$0$27,747$0$816,791$0$0
Laura Reed RN
COO$0$975,974$0$100,000$0$9,535$0$124,997$0$32,569$0$1,243,076$0$0
Trudi Trysla
Chief Legal Counsel$0$605,729$0$100,000$0$94,077$0$87,973$0$64,587$0$952,365$0$0
Scott Weber
Chf Mrktg Comm & Dig$0$446,713$0$45,000$0$0$0$67,212$0$21,655$0$580,580$0$0
Mark Welton MD
Chief Medical Officer$0$769,694$0$100,000$0$19,760$0$104,369$0$35,734$0$1,029,557$0$0
Elizabeth Bennett MD
Physician$0$746,343$0$148,060$0$486$0$17,400$0$24,235$0$936,525$0$0
Elizabeth Cameron MD
Physician$0$410,358$0$177,390$0$0$0$17,400$0$23,368$0$628,516$0$0
Jeffrey Borut MD
Physician$0$661,199$0$198,616$0$0$0$17,400$0$28,597$0$905,812$0$0
James McGreevy MD
Physician$0$717,207$0$104,132$0$0$0$17,400$0$36,802$0$875,541$0$0
Diane Ogren MD
Medical Director, General Surgery$0$777,329$0$224,805$0$0$0$17,400$0$5,111$0$1,024,645$0$0
Kyle Wahlstrom MD
Physician$0$716,116$0$138,538$0$0$0$17,400$0$5,730$0$877,784$0$0
Xin Wang MD
Physician$0$548,931$0$266,861$0$0$0$17,400$0$31,113$0$864,305$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentSeverance payments made to individuals in 2021: Srijoy Mahapatra $561,774 John Doherty $134,056
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planParticipants in a nonqualified retirement plan who received an accrued contribution: James Hereford $425,915 Laura Reed, RN $107,597 John Batson $104,616 Mark Welton, MD $86,969 Robert Beacher $76,880 Andrea Mokros $51,732 Sameer Badlani $79,360 Trudi Trysla $70,573 Mary Nease $70,616 Srijoy Mahapatra $11,441 Scott Weber $49,812 David Crosby $37,185 Payments from nonqualified retirement plan to individuals were: John Doherty $490,775 Srijoy Mahapatra $36,811
Schedule J, Part I, Line 7 Non-fixed paymentsFairview Health Services provides lump sum financial awards based on system-wide, business unit and/or departments financial and quality measures. Annual goals, specifically tied to productivity and quality indicators, are set for the year and an incentive paid out annually if key goals and measures are achieved.
Schedule J, Part I, Line 4aSeverance benefit payments will commence on the first regularly scheduled pay date that occurs at least five (5) days after the expiration of the rescission period. Payment of severance benefits is contingent upon (i) my having first signed and not rescinded my Service Agreement and Release Agreement and (ii) the return of Fairview's property.
Schedule J, Part I, Line 4b Other Additional InformationThe nonqualified plan (the Plan) is only open 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. Participants may not elect to defer compensation. Contributions will be made in the form of a credit to the participant's account. Within 60 days after a participant becomes vested in a contribution, the Plan shall pay to the participant an amount equal to the amount the Participant is required to pay Federal, state, local, and foreign income taxes and employment taxes due to the vesting. The remaining amount in the participant's account shall not be paid until the separation from service payment date. A participant's account shall be distributed in cash. The plan complies with section 457(f) of the Code.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a Lines 1a and 2a: Section B: Independent ContractorsAll Form 1099's and W-2's were filed by a related organization Fairview Health Services, a 501(c)(3) non-profit, tax-exempt organization.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe members of the corporation are the individuals who constitute the Directors of this corporation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe 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, Line 7b Decisions requiring approval by members or stockholdersThe 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, Line 11b Review of form 990 by governing bodyThe Tax Department conducts a detailed review of the completed return. The Form 990 is then presented to the Executive Committee of the Board for their review and approval on behalf of the Board of Directors. Upon approval from the Board of Directors, the Form 990 is filed.
Form 990, Part VI, Line 12c Conflict of interest policyManagers, directors and senior management of Fairview are required to annually complete Fairview's Duty of Loyalty and Conflict of Interest Statement in compliance with Fairview's Conflict of Interest policy. Disclosures are reviewed by the compliance department. Conflicts of interests by Board members and senior management are brought to the Audit and Compliance Committee of the Board, along with additional detailed information, for review. In addition, the Compliance Officer compiles a schedule showing reported conflicts of interest by managers and key employees is also presented to the Conflict of Interest Review Committee for review and discussion. Any problematic issues arising from these disclosures are discussed and resolved by the committee. Board members and management employees are expected to update their conflicts, as necessary, during the year.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe determination of executive compensation of the organization is processed by the Human Resources Committee and includes a review of comparability data, review by independent experts and contemporaneous substantiation of the deliberation and decision process. This process is performed annually and was last completed in December 2021.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesThe determination of executive compensation of the organization is processed by the Human Resources Committee and includes a review of comparability data, review by independent experts and contemporaneous substantiation of the deliberation and decision process. This process is performed annually and was last completed in December 2021.
Form 990, Part VI, Line 19 Required documents available to the publicThis organization 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 VII, Section B, Line 1 Additional InformationForm 1099's were filed by a related organization Fairview Health Services, a 501(c)(3) non-profit, tax-exempt organizations.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPartnership Distribution - 691023;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HealthEast Outpatient Services LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 University Avenue WAddressLine1Txt
CitySt PaulCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55104ZIPCd
FieldValueIRS element (for citing)
EIN461336243EIN
Primary ActivitiesOutpatientPrimaryActivitiesTxt
Legal Domicile StateMNLegalDomicileStateCd
Total Income$355,807TotalIncomeAmt
End Of Year Assets$497,483EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FairviewBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2Txt
D&T Facility Management Company
2450 Riverside AvenueMinneapolisMN55454411928275ManagementMN501(c)(3)Type IFairviewfalse
Ebenezer Society
7505 Metro BlvdEdinaMN55439410706141NursingMN501(c)(3)10FairviewfalseSuite 100
Fairview Foundation
2450 Riverside Avenue SouthMinneapolisMN55454411573810FundraisingMN501(c)(3)1Fairviewfalse
Fairview Health Services
2450 Riverside AvenueMinneapolisMN55454410991680HospitalMN501(c)(3)3NAfalse
Fairview Home Care and Hospice
2450 26th Avenue SouthMinneapolisMN55454411434246Home HealthMN501(c)(3)10Fairviewfalse
Fairview Physician Associates Netwo
3400 West 66th StreetMinneapolisMN55435411753325ClinicalMN501(c)(3)10Fairviewfalse
Grand Itasca Clinic and Hosptial
1601 Golf Course RoadGrand RapidsMN55744411865874HospitalMN501(c)(3)3Fairviewfalse
HealthEast Care System
2450 Riverside Avenue SouthMinneapolisMN55454363517697HospitalMN501(c)(3)3Fairviewfalse
HealthEast Medical Research Institute
2450 Riverside Avenue SouthMinneapolisMN55454411765832Med ResearMN501(c)(3)4Fairviewfalse
HealthEast Professional Services
2450 Riverside Avenue SouthMinneapolisMN55454261226617PhysicianMN501(c)(3)11Fairviewfalse
HealthEast St Joseph's Hospital
2450 Riverside Avenue SouthMinneapolisMN55454410693880HospitalMN501(c)(3)3Fairviewfalse
HealthEast Woodwinds Hospital
2450 Riverside Avenue SouthMinneapolisMN55454411592761HospitalMN501(c)(3)3Fairviewfalse
PreferredOne Community Health Plan
6105 Golden Hills DriveGolden ValleyMN55416411796007InsuranceMN501(c)(4)Fairviewfalse
Range Regional Health Services
750 East 34th StreetHibbingMN55746411293970HospitalMN501(c)(3)3Fairviewfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Ridges Surgery Center LLC
14101 Fairview Drive Ste 400BurnsvilleMN55337462441825Surg CntrMNNAN/A
HealthEast Surgery Center-Maplewood
569 Brookwood Village Suite 901BirminghamAL35209203349887Surg CntrALHE St John'sRelated$999,887$1,362,938falseYes (true)0.52
Maplewood Imaging Center LLC
2355 Hwy 36 Suite 100RosevilleMN55113261379236ImagingMNHE St John'sRelated-$332,096$75,283falsefalse0.5
Crosstown Surgery Center LLC
4200 Dahlberg Drive Suite 300Golden ValleyMN55422272552748Surgery CenterMNNAN/A
SouthHealth ASC LLC
4200 Dahlberg Drive Suite 300Golden ValleyMN55422822364607Surgery CenterMNNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Fairview Clinics
2450 Riverside Avenue SouthMinneapolisMN55454411761760PhysicianMNNAC Corporationfalse
Fairview Physician and Clinic Services
2450 Riverside Avenue SouthMinneapolisMN55454411544996PhysicianMNNAC Corporationfalse
Fairview Development Company
2450 Riverside Avenue SouthMinneapolisMN55454411568579LeaseholdMNNAC Corporationfalse
Fairview Express Care
2450 Riverside Avenue SouthMinneapolisMN55454205996177PhysicianMNNAC Corporationfalse
FHS Assurance Limited
2450 Riverside Avenue SouthMinneapolisMN55454980417513Self insurMNNAC Corporationfalse
HealthEast Diversified Services Inc
2450 Riverside Avenue SouthMinneapolisMN55454411388583ReferenceMNNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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