2016-11-15T09:26:00-06:00 2015-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH ST STE 2800 MINNEAPOLIS MN 55402 990 2015-01-01 410991680 FAIRVIEW HEALTH SERVICES FAIR 6126724976 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 DAVID MURPHY INTERIM CEO 6126724976 2016-11-14 KRISTINA RASMUSSEN P00143920 6123974000 2016-11-15 2015 2017-02-10 21:41:12Z DAVID MURPHY 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 3749405388 false X WWW.FAIRVIEW.ORG X 1906 MN FAIRVIEW IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. 18 17 20401 4380 647334699 -13481769 12283467 6077131 3300573524 3599689925 37218402 129336168 12464108 12177060 3362539501 3747280284 3448790 3287931 0 1459567432 1522851417 0 0 1692822671 2015672428 3155838893 3541811776 206700608 205468508 3259852257 3394576929 1555761335 1616309904 1704090922 1778267025 X FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE. false false 1793871884 3287931 2680550019 PROVIDING MEDICAL SERVICES: FAIRVIEW HEALTH SERVICES IS AN INTEGRATED, ACADEMIC HEALTH SYSTEM BASED IN MINNEAPOLIS, MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW PROVIDERS AND STAFF ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE - EXCEPTIONAL PATIENT CARE AND EXPERIENCES AT A LOWER TOTAL COST OF CARE TO THE COMMUNITY WE SERVE. THE FAIRVIEW SYSTEM CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL; FIVE COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS; OVER 40 PRIMARY CARE CLINICS; OVER 55 SPECIALTY CARE CLINICS; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; AND 11 OWNED AND 48 MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY. FAIRVIEW'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. IN ADDITION TO THE 6,590,210 PATIENT CARE ENCOUNTERS IN 2015, FAIRVIEW PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS 1,700-BED HOSPITAL IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE HOSPITAL INCLUDES THE UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. IN 2015, US NEWS AND WORLD REPORT NAMED FIVE PEDIATRIC SPECIALTIES IN NATIONAL RANKINGS. THE NEONATOLOGY RANKING WAS HIGHEST AMOUNG HEALTCARE PROVIDERS IN MINNESOTA. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG. 1043537695 901819879 COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: FAIRVIEW IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF MEMBERS OF ITS COMMUNITY. TO SUPPORT FULL ACCESS TO SERVICES, FAIRVIEW PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS FOR SERVICES RENDERED, GENERALLY FALLS BELOW THE COST OF PROVIDING THE CARE. TO COMPENSATE FOR THE UNDER FUNDING BY GOVERNMENT PROGRAMS, FAIRVIEW MAKES A SIGNIFICANT FINANCIAL INVESTMENT TO OFFSET THESE LOSSES. IN 2015, FAIRVIEW INCURRED 60,942,973 OF TAXES AND SURCHARGE COSTS IN HEALTH CARE SERVICES THAT EXCEEDED THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS, SURCHARGE, TAXES AND FEES RELATED TO THESE PROGRAMS AND NOT INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 23,661,926. THE COST OF THE MEDICAL CARE SURCHARGE TO THE HOSPITALS WAS 29,945,836. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2015, FAIRVIEW PAID 31,672,567 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2015 TOTALED 4,9570,825 AND THE SALES AND INCOME TAXES TOTALED 637,656. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 137,190,132 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 1,035,390,946. 102707220 17320027 THE PRIMARY PURPOSE OF OUR EDUCATIONAL AND RESEARCH PROGRAMS IS TO BENEFIT PATIENTS AND THE COMMUNITY AT LARGE BY EDUCATING HEALTH PROFESSIONALS BOTH WITHIN FAIRVIEW AND IN THE BROADER COMMUNITY, AND BY FOSTERING ADVANCES IN KNOWLEDGE AND EVIDENCE-BASED IMPROVEMENTS TO CLINICAL TREATMENTS AND APPROACHES TO HEALTH CARE DELIVERY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA ACADEMIC HEALTH CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS, FAIRVIEW HAS A STRONG AND ABIDING COMMITMENT TO RESEARCH AND EDUCATION. TOGETHER, WE VIEW RESEARCH AS AN INTEGRAL AND CRITICAL COMPONENT IN PROVIDING EXCEPTIONAL CARE TO PATIENTS AND THE COMMUNITY. WE SEEK TO BE A NATIONAL LEADER IN CLINICAL RESEARCH AND A REGIONAL CENTER FOR CLINICAL RESEARCH ACTIVITIES. FAIRVIEW HEALTH SERVICES CONTINUED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2015. THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 179 SCHOOLS, 255 FAITH COMMUNITIES AND 50 COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY. 2940116799 true true false true false false false false false true true false false true true true false true false true true false false false false false true true true false true true false false false false false false false false false false true false false false true true true true false false true X 1280 0 true 20401 true true true true BD false false false false false false false false X 18 17 true false false false true true true true true false false true true true true true true true true true true MN X TODD SHERRILL 6126724986 400 STINSON BLVD NE MINNEAPOLIS MN 55413 DAVID MURPHY INTERIM CEO 40.00 X X 402770 0 3 LEVI DOWNS M D DIRECTOR 5.00 X 0 0 0 JOANELL DYRSTAD SECRETARY 5.00 X 0 0 0 MICHAEL FAY DIRECTOR 5.00 X 0 0 0 BROOKS JACKSON MD DIRECTOR 5.00 X 0 0 0 KAREN GRABOW DIRECTOR 5.00 X 0 0 0 ANN HENGEL DIRECTOR 5.00 X 0 0 0 CAROL LEY MD DIRECTOR 5.00 X 0 0 0 ANN LOWRY MD DIRECTOR 5.00 X 0 0 0 CHRISTOPHER P NELSON REV DIRECTOR 5.00 X 0 0 0 KEVIN NELSON MD DIRECTOR 5.00 X 0 0 0 MARK PALLER MD DIRECTOR 5.00 X 0 0 0 RICHARD OSTLUND DIRECTOR 5.00 X 0 0 0 CHARLES MOOTY DIRECTOR 5.00 X 0 0 0 LINDA MADSEN DIRECTOR 5.00 X 0 0 0 BRADFORD WALLIN DIRECTOR 5.00 X 0 0 0 BETSY WERGIN DIRECTOR 5.00 X 0 0 0 PEGGY JOHNSON DIRECTOR 5.00 X 0 0 0 CAROLYN WILSON PRESIDENT OF 40.00 X 1455642 0 143844 DANIEL M FROMM CHIEF FINANC 40.00 X 1000797 0 128934 DANIEL K ANDERSON PRESIDENT, F 40.00 X 836490 0 77207 PATRICK HERSON PRESIDENT OF 40.00 X 705125 0 62248 TRUDI TRYSLA SR. VP & GEN 40.00 X 595226 0 85645 JOHN DOHERTY SR. OPERATIN 40.00 X 567238 0 80193 MARK THOMAS PRES. & CEO 40.00 X 564064 0 59023 ALISTAIR JACQUES CHF INFORM.T 40.00 X 515368 0 24196 CAROLYN JACOBSON CHIEF HR OFF 40.00 X 500640 0 38641 TODD SHERRILL VP OF FINANC 40.00 X 261190 0 37333 ROBERT BEACHER PRESIDENT, F 40.00 X 763440 0 94202 BRADLEY BEARD PRESIDENT, S 40.00 X 714257 0 81142 DEBRA BOARDMAN PRESIDENT,RA 40.00 X 593595 0 47910 JOHN HERMAN PRESIDENT OF 40.00 X 509923 0 51066 JOHN BJORKLUND SR. VP PATIE 25.00 15.00 X 239221 197354 40175 KATHY TARANTO PRESIDENT EN 40.00 X 156760 0 1951 FREDERICK HARRIS NEURO SURGEO 40.00 X 1497646 0 30623 MICHAEL CAMPOLI MD SURGEON 40.00 X 1303976 0 53999 WILLIAM OMLIE MD SURGEON 40.00 X 777488 0 41338 DAVID LINDGREN M D SURGEON 40.00 X 730389 0 49853 JAMES LORGE M D SURGEON 40.00 X 664260 0 44559 RULON STACEY PRES. CEO EN 0.00 X 1779830 0 4848 MARK HANSBERRY VP STRATEGIC 0.00 X 502958 0 0 BETH KREHBIEL PRESIDENT, R 0.00 X 457609 0 12907 TERRY MARTINSON MEDICAL DIRE 0.00 X 263456 0 20162 18359358 197354 1312002 2264 true true false UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE ST NE MINNEAPOLIS MN 55455 MEDICAL/PHYSICI 217801655 UNIVERSITY OF MINNESOTA - REGENTS 420 DELAWARE ST NE MINNEAPOLIS MN 55455 EDUCATION 49793150 LIFESOURCE 2550 UNIVERSITY AVE W SUITE 315 SOUTH ST PAUL MN 55114 MEDICAL SUPPLY 13995485 RIGHTSOURCING INC PRO UNLIMITED MPS INC 999 STEWART AVE STE 100 BETHANY NY 11714 EMPLOYMENT SERV 10637078 HEALTH SYSTEMS COOP LAUNDRY 740 EAST 7TH ST 2ND FLOOR ST PAUL MN 55106 LAUNDRY SERVICE 5559963 849 5204084 824035 49012 739185 6077131 PATIENT CARE 624100 1141609882 1141609882 MEDICARE-MEDICAID 624100 901819879 901819879 PHARMACY 446110 638184147 638184147 LABORATORY 621500 566649166 566649166 PHARMACY 446110 318239608 318239608 33187243 23835767 9150552 200924 3599689925 81755979 81755979 13082993 905933 12177060 12177060 12177060 48799360 161146 1058025 48638214 -1058025 47580189 47580189 3747280284 2952154302 647334699 141714152 3287931 3287931 9500143 9500143 3003853 3003853 1210362966 1007275989 203086977 67705493 56938617 10766876 154937245 129513875 25423370 77341717 62729689 14612028 128276783 68643182 59633601 2100043 129321 1970722 759895 759895 865487 865487 3720778 3720778 293214201 144871005 148343196 677262 57049 620213 52458658 31418658 21040000 12155489 12155489 8707 8707 65207369 49146312 16061057 3598564 2450997 1147567 3556796 2988581 568215 103033829 100999280 2034549 114082891 89036014 25046877 8014115 2333892 5680223 SUPPLIES 1110796219 1101351980 9444239 TAXES 66858049 63832934 3025115 UTILITIES, REPAIRS, MAINT 28629092 14076978 14552114 SMALL ITEMS 17658201 9025808 8632393 3541811776 2940116799 601694977 0 1198965 1150729 298370690 458359661 34197771 28552686 388735569 408219087 70353999 76539587 18737005 19033220 1958506743 1098249942 868521515 860256801 1002711636 1005220535 112437270 115744436 153563058 56040406 311024779 365459781 3259852257 3394576929 401049694 256295099 812314860 510920000 48251336 501732393 294145445 347362412 1555761335 1616309904 X 1654771989 1734896980 49318933 43370045 1704090922 1778267025 3259852257 3394576929 205468508 -86135543 -45156862 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 48733 false false true 816754 false false 865487 false SCHEDULE C, PART II-B, LINE 1 DURING 2015 FAIRVIEW HEALTH SERVICES (FAIRVIEW) OFFICIALS HAD MEETINGS AND CONTACTS WITH BOTH FEDERAL AND STATE GOVERNMENT OFFICIALS, CONGRESSIONAL STAFF AND REPRESENTATIVES TO DISCUSS VARIOUS HEALTH CARE REFORM AND MEDICARE PROPOSALS AND PROPOSED LEGISLATION. FAIRVIEW HAS CORRESPONDED WITH REPRESENTATIVES, STAFF AND GOVERNMENT OFFICIALS OUTLINING OUR CONCERNS AND RECOMMENDATIONS REGARDING HEALTH CARE REFORM AND OTHER HEALTH CARE RELATED TOPICS. MANY OF THESE ACTIVITIES WERE CONDUCTED BY EMPLOYEES OF FAIRVIEW AND THE EXPENDITURES FOR THIS ACTIVITY TOTALED APPROXIMATELY 154,512. ADDITIONALLY, FAIRVIEW PAID APPROXIMATELY 710,975 TO OUTSIDE LOBBYISTS IN 2015. THIS AMOUNT INCLUDES AN AMOUNT OF MINNESOTA HOSPITAL ASSOCIATION DUES THAT WAS DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. FAIRVIEW ALSO PROVIDED INFORMATION AND/OR EXPRESSED ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2015, FAIRVIEW REPRESENTATIVES HAD MEETINGS WITH MEMBERS OF THE LEGISLATIVE/EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. FAIRVIEW MAY ALSO MEET WITH MEMBERS OF GOVERNMENT TO DISCUSS ISSUES DEALING WITH FAIRVIEW'S TAX EXEMPT STATUS AND HEALTH CARE ISSUES INCLUDING SALES TAX EXEMPTION, STATE HEALTH CARE REFORM, REAL ESTATE TAX ISSUES, MEDICAID, PHYSICIAN LICENSING, ETC. FAIRVIEW BELIEVES THESE INFORMATIONAL MEETINGS ARE ESSENTIAL TO SUPPORT OUR CHARITABLE PURPOSE AND DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION. 1459085 10368 -6485 1459459 1395623 68592 12345 -17475 1459085 1354699 1279 20534 -122 1375110 1316703 20825 17171 1354699 1273345 48469 49974 55085 1316703 0.13000 0.87000 false true true 16445738 16445738 1232607461 577046518 655560943 56727691 25540866 31186825 652725853 495662558 157063295 860256801 INVESTMENT IN AFFILIATES 257446588 GOODWILL & INTANGIBLE ASSETS 34234760 DEFERRED PREMIUMS & INS. RECOVERIES 31146961 NOTES RECEIVABLE 18057702 INSURANCE RECOVERIES 11317292 DEFERRED DEBT ACQUISITION COSTS 8251979 RESTRICTED FUND INVESTMENTS 4969669 OTHER LONG TERM 34829 DEBT SERVICE RESERVE FUND 1 365459781 OTHER LIABILITIES & RELATED ORG 245417551 WORK COMP RESERVE 37326490 DERIVATIVE FINL INSTRUMENTS 26159187 INS SUB CLAIMS RESERVE 14387045 OTHER LT LIABILITIES 7459194 DEFERRED RENT 7424254 LT PENSION 6065433 POST RETIREMENT 3123258 347362412 X SCHEDULE D, PAGE 2, PART V, LINE 4 THE INTENDED USES FOR THE ENDOWMENT FUNDS IS FOR EDUCATIONAL GRANTS AND AWARDS THAT ARE GIVEN THROUGH THE FAIRVIEW FOUNDATION. SCHEDULE D, PAGE 3, PART X DURING 2007, FAIRVIEW HEALTH SERVICES AND SUBSIDIARIES ADOPTED FASB INTERPRETATION NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48), WHICH CLARIFIES FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. IN ACCORDANCE WITH FIN 48, A TAX POSITION IS A PROPOSITION IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES. TAX POSITIONS SHALL BE RECOGNIZED ONLY WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%), BASED ON TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. UNDER FIN 48, THE FINANCIAL STATEMENT IMPACT OF AN UNCERTAIN INCOME TAX POSITION THAT WAS TAKEN OR IS EXPECTED TO BE TAKEN ON THE INCOME TAX RETURN AND THAT MEETS THE MORE- LIKELY-THAN-NOT THRESHOLD MUST BE RECOGNIZED AND MEASURED USING A PROBABILITY WEIGHTED APPROACH AT THE LARGEST AMOUNT THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON AUDIT BY THE RELEVANT TAXING AUTHORITY. THE ADOPTION OF FIN 48 DID NOT HAVE A MATERIAL IMPACT ON FAIRVIEW'S CONSOLIDATED FINANCIAL POSITION, LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS, (DEFICIT) EXCESS OF REVENUE OVER EXPENSES, OR CASH FLOWS. THERE ARE NO MATERIAL CHANGES IN FAIRVIEW'S UNRECOGNIZED INCOME TAX POSITION AT DECEMBER 31, 2015. FAIRVIEW HEALTH SERVICES AND ITS SUBSIDIARIES DO NOT EXPECT THAT THERE WILL BE A SIGNIFICANT CHANGE IN THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS. true CENTRAL AMERICA AND THE CARIBBEAN 1 PROGRAM SERVICES SELF INSURANCE 3420639 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENT 115744436 1 1 119165075 119165075 false false true false false false SCHEDULE F, PAGE 1, PART I, LINE 2 FAIRVIEW HEALTH SERVICES SOLICITS GRANT FUNDING ONLY FOR PURPOSES THAT QUALIFY AS CHARITABLE, RESEARCH OR EDUCATION PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FAIRVIEW'S PROCESSES AND PROCEDURES ADHERE TO FEDERAL GUIDELINES AND ARE SUBJECT TO AUDIT. THE SAME PROCESSES AND PROCEDURES ARE APPLIED FOR FEDERAL AS WELL AS PRIVATE GRANTS AND SERVICE AGREEMENTS. THE GRANT APPLICATION PROCESS IS MONITORED BY THE RESEARCH ADMINISTRATION GROUP AND THE APPLICATION OF GRANT FUNDS ARE MONITORED BY THE RESEARCH AND EDUCATION ACCOUNTING GROUP. THESE TWO GROUPS MEET MONTHLY TO ENSURE ALL GRANTS ARE BEING ADMINISTERED PROPERLY. SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 3,420,639 0 CENTRAL AMERICA AND THE CARIBBEAN 0 115,744,436 SCHEDULE F, PAGE 5, PART V FAIRVIEW HEALTH SERVICES (FHS) IS THE SOLE OWNER OF ASSOCIATED MEDICAL ASSURANCE (AMA), A SEPARATE LEGAL ENTITY, DOMICILED IN AND ORGANIZED UNDER THE LAWS OF BERMUDA. AMA IS A CAPTIVE INSURANCE COMPANY WHICH PROVIDES CERTAIN INSURANCE LIABILITY COVERAGE (INCLUDING GENERAL AND PROFESSIONAL) TO FHS AND ITS SUBSIDIARIES UNDER A REIMBURSEMENT POLICY. PREMIUMS PAID UNDER THE POLICY ARE BASED ON AN INDEPENDENT ACTUARIAL STUDY. THE METHOD USED TO ACCOUNT FOR EXPENDITURES IS BASED ON THE US DOLLAR. true true X true X 2.750000000000 true X 2.750000000000 true true false true true 55828554 8146748 47681806 0.01350 505742680 294552064 211190616 0.05960 561571234 302698812 258872422 0.07310 3259124 3259124 0.00090 97449467 14825968 82623499 0.02330 14124377 12518308 1606069 0.00050 5267048 2494059 2772989 0.00080 239582 239582 0.00010 120339598 29838335 90501263 0.02560 681910832 332537147 349373685 0.09860 582 582 8183 8183 8765 8765 true 40863346 817267 439563506 522695183 -83131677 X true true 5 1 UNIVERSITY OF MINNESOTA MEDICAL CEN 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 554541450 WWW.FAIRVIEW.ORG 366425 X X X X X X 2 FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVENUE S EDINA MN 554352104 WWW.FAIRVIEW.ORG 366381 X X X 3 FAIRVIEW RIDGES HOSPITAL 201 E NICOLLET BLVD BURNSVILLE MN 553375714 WWW.FAIRVIEW.ORG 365864 X X X 4 FAIRVIEW LAKES REGIONAL MEDICAL CTR 5200 FAIRVIEW BLVD WYOMING MN 550928013 WWW.FAIRVIEW.ORG 365838 X X X 5 FAIRVIEW NORTHLAND REGIONAL HOSP 911 NORTHLAND DR PRINCETON MN 553712172 WWW.FAIRVIEW.ORG 365842 X X X UNIVERSITY OF MINNESOTA MEDICAL CEN 1 false false true X X X X X X X X X X 15 true false false true X WWW.FAIRVIEW.ORG X X true 15 true WWW.FAIRVIEW.ORG false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X X X X X X true X true X X X true X false false FAIRVIEW SOUTHDALE HOSPITAL 2 false false true X X X X X X X X X X 15 true false false true X WWW.FAIRVIEW.ORG X X true 15 true WWW.FAIRVIEW.ORG false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X X X X X X true X true X X X true X false false FAIRVIEW RIDGES HOSPITAL 3 false false true X X X X X X X X X X 15 true false false true X WWW.FAIRVIEW.ORG X X true 15 true WWW.FAIRVIEW.ORG false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X X X X X X true X true X X X true X false false FAIRVIEW LAKES REGIONAL MEDICAL CTR 4 false false true X X X X X X X X X X 15 true false false true X WWW.FAIRVIEW.ORG X X true 15 true WWW.FAIRVIEW.ORG false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X X X X X X true X true X X X true X false false FAIRVIEW NORTHLAND REGIONAL HOSP 5 false false true X X X X X X X X X X 15 true false false true X WWW.FAIRVIEW.ORG X X true 15 true WWW.FAIRVIEW.ORG false false true X 275.000000000000 275.000000000000 X X X X X true true X X X true X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM X X X X X X true X true X X X true X false false FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 5 FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT THE UNIVERSITY OF MINNESOTA MEDICAL CENTER AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISE THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE THE UNIVERSITY OF MINNESOTA MEDICAL CENTER'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: SUZANNE BURKE-LEHMAN, RN, DEPARTMENT OF NURSING, SAINT CATHERINE UNIVERSITY DEBRA CATHCART, CHIEF NURSING EXECUTIVE, UNIVERSITY OF MINNESOTA MEDICAL CENTER DUSTIN CHAPMAN, BEHAVIORAL SERVICES LIAISON, UNIVERSITY OF MINNESOTA MEDICAL CENTER KELLY CHATMAN, SENIOR PASTOR, REDEEMER LUTHERAN CHURCH DIANE CROSS, BOARD CHAIR, UNIVERSITY OF MINNESOTA MEDICAL CENTER CAROLINE DUNN O'BRIEN, PHD, PUBLIC HEALTH EPIDEMIOLOGIST, INDEPENDENT CONSULTANT ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH AND CHURCH RELATIONS, FAIRVIEW HEALTH SERVICES ZAHRA HASSAN, COMMUNITY HEALTH OUTREACH COORDINATOR, UNIVERSITY OF MINNESOTA MEDICAL CENTER LAUREN JOHNSON, DIRECTOR OF PATIENT AND FAMILY SUPPORT SERVICES, UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL SHARIF MOHAMED, IMAM AND CHAPLAIN, UNIVERSITY OF MINNESOTA MEDICAL CENTER JENNIFER MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES LILIANA TOBON-GOMEZ, PRINCIPAL HEALTH PROMOTION SPECIALIST, HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT DR. STEVE VINCENT, PHYSICIAN, PEOPLE'S CENTER HEALTH SERVICES PA CHIA VUE, COMMUNITY HEALTH PROJECT MANAGER, UNIVERSITY OF MINNESOTA MEDICAL CENTER FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM. FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 11 A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE MEDICAL CENTER IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, AS WELL AS PARTICIPATION IN THE HEALTH COMMONS, THE HEALTHY KIDS & COMMUNITIES INITIATIVE AND NUMEROUS COMMUNITY EDUCATION AND HEALTH EVENTS. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND WELL-BEING AND CHRONIC DISEASE PREVENTION AND MANAGEMENT WITH A FOCUS ON HEALTHY LIVING. 1. MENTAL HEALTH AND WELL-BEING. IN 2015, UNIVERSITY OF MINNESOTA MEDICAL CENTER HOSTED 3 MINI-CONFERENCES FOCUSED ON IMMIGRANT MENTAL HEALTH TITLED "EXPLORING SOLUTIONS, REDUCING STIGMA" FOR HEALTHCARE PROFESSIONALS. THE PLANNING COMMITTEE CONSISTED OF THE COMMUNITY MENTAL HEALTH WORK GROUP ESTABLISHED IN THE PRIOR YEAR. A TOTAL OF 240 PEOPLE ATTENDED ALL 3 CONFERENCES. 300 ANTI-STIGMA POSTERS ON DEPRESSION AND SUBSTANCE ABUSE WERE DISTRIBUTED TO THE SOMALI COMMUNITY AND NEIGHBORHOOD ORGANIZATIONS, BUSINESSES, HEALTH FAIRS AND LOCAL EVENTS. 9 TRAININGS ON MENTAL HEALTH TOPICS WERE CONTINUED FOR 9 IMAMS. MENTAL HEALTH TOPICS INCLUDED: COGNITIVE BEHAVIORAL THERAPY, DEPRESSION, ANXIETY, BIPOLAR, SCHIZOPHRENIA, MEDICATIONS, SUBSTANCE ABUSE, CHILDHOOD DISORDERS, FAMILY HEALTH, AND SPIRITUAL HEALTH. 2. HEALTHY LIVING. CHRONIC DISEASE PREVENTION AND MANAGEMENT WITH A FOCUS ON HEALTHY LIVING. THERE IS A STRONG CORRELATION BETWEEN CHRONIC DISEASE CONDITIONS AND MENTAL HEALTH. FREE HEALTH CONSULTATIONS AND EDUCATION, BLOOD PRESSURE CHECKS, HEALING TOUCH, MASSAGE THERAPY, COMMUNITY GARDENING, YOGA, ZUMBA, BASKETBALL AND SWIMMING CLASSES, NUTRITION CLASSES, AND PROVIDING RESOURCES AND REFERRALS WERE OFFERED SERVICES. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT IS ONE OF THE MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT WILL BE THE FOCUS OF THE UNIVERSITY OF MINNESOTA MEDICAL CENTER'S COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 UNIVERSITY OF MINNESOTA MEDICAL CENTER (UMMC) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS - STROKE, SOCIAL DETERMINANTS OF HEALTH AND HOUSING FOR VULNERABLE POPULATIONS. STROKE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. SOCIAL DETERMINANTS OF HEALTH: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HOUSING FOR VULNERABLE POPULATIONS: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 16I A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 22D PATIENTS WITH AN INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 5 FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW SOUTHDALE HOSPITAL AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICES LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE THE FAIRVIEW SOUTHDALE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: ROB ANDERSON, DOCTOR OF OSTEOPATHIC MEDICINE, EMERGENCY PHYSICIAN PROFESSIONAL ASSOCIATION ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH, FAIRVIEW HEALTH SERVICES REV. FRED HANSON, SENIOR PASTOR, WOODLAKE LUTHERAN CHURCH ROSA HERRERA, FAMILY & STUDENT SUPPORT SERVICES COORDINATOR, PARTNERSHIP ACADEMY BRITTA HOVEY, INTEGRATED VASCULAR SERVICES DIRECTOR, FAIRVIEW SOUTHDALE HOSPITAL SCOTT HVIZDOS, PROGRAM DIRECTOR, VOLUNTEERS ENLISTED TO ASSIST PEOPLE (VEAP) RICHARD KARULF, MD, VICE PRESIDENT, MEDICAL AFFAIRS, FAIRVIEW SOUTHDALE HOSPITAL BRIAN KNAPP, VICE PRESIDENT, HOSPITAL OPERATIONS, SOUTH REGION, FAIRVIEW HEALTH SERVICES ALISSA LEROUX SMITH, COMMUNITY HEALTH AND VOLUNTEER SERVICES MANAGER, FAIRVIEW SOUTHDALE HOSPITAL JENNIFER MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES BONNIE PAULSEN, PUBLIC HEALTH ADMINISTRATOR, CITY OF BLOOMINGTON PUBLIC HEALTH DIVISION FRANCISCO RAMIREZ, COMMUNITY HEALTH WORKER, FAIRVIEW SOUTHDALE HOSPITAL JOANNA ROBERSON, NURSE MANAGER, ADULT MENTAL HEALTH, FAIRVIEW SOUTHDALE HOSPITAL CATHY UTNE, DIRECTOR, PATIENT AND GUEST SERVICES, FAIRVIEW SOUTHDALE HOSPITAL HERIBERTO VARGAS, SPANISH COMMUNICATION SPECIALIST/LIAISON, EDEN PRAIRIE SCHOOLS FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT: HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 11 A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, ON THE JOB TRAINING PROGRAMS, COMMUNITY HEALTH FAIRS, TELECARE, A TELEPHONE CHECK-IN PROGRAM, FUNDING FOR TRANSPORTATION FOR LOW-INCOME INDIVIDUALS, FINANCIAL SUPPORT FOR PROGRAMS AT NORMANDALE CENTER FOR HEALING AND WHOLENESS AND EDUCATIONAL PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE HOSPITALS IMPLEMENTATION STRATEGY. 1. OBESITY FAIRVIEW FINANCIALLY SUPPORTED THE CONSTRUCTION OF THREE EDIBLE GARDENS IN 2015 AT A CHURCH, AN ELEMENTARY SCHOOL AND A PUBLIC PARK, WHICH PROVIDED THE COMMUNITY WITH AN OPPORTUNITY TO LEARN ABOUT HEALTHY EATING IN ADDITION TO GROWING THEIR OWN PRODUCE. 2. MENTAL HEALTH IN 2015, FAIRVIEW SOUTHDALE MENTAL HEALTH FIRST AID INSTRUCTORS CONDUCTED FOUR MHFA CLASSES IN WHICH 178 PEOPLE ATTENDED AND WERE CERTIFIED IN MENTAL HEALTH FIRST AID. IN PARTNERSHIP WITH MINNESOTA LIFE COLLEGE - A LOCAL NOT-FOR-PROFIT VOCATIONAL AND LIFE SKILLS TRAINING PROGRAM FOR YOUNG ADULTS WITH LEARNING DIFFERENCES AND AUTISM SPECTRUM DISORDERS - PROVIDED VOLUNTEER EXPERIENCES FOR 6 STUDENTS AT THE HOSPITAL. THE TELECARE PROGRAM WAS UTILIZED TO PROVIDE OUTREACH TO 18 PEOPLE. IN ADDITION, FAIRVIEW PROVIDED DAILY WELLNESS CHECK-IN PHONE CALLS TO 22 SENIORS WHO LIVE ALONE THROUGH THE HOSPITAL TELECARE VOLUNTEER PROGRAM. PRIORITY NEEDS NOT BEING ADDRESSED AND ACCOMPAYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER IS ONE OF MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THIS REPORT WILL BE THE FOCUS OF FAIRVIEW SOUTHDALE'S HOSPITAL'S CENTERS COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW SOUTHDALE HOSPITAL (FSH) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS - STROKE, SOCIAL DETERMINANTS OF HEALTH AND HOUSING FOR VULNERABLE POPULATIONS. STROKE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. SOCIAL DETERMINANTS OF HEALTH: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HOUSING FOR VULNERABLE POPULATIONS: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 16I A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 22D PATIENTS WITH INCOMES UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 5 FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW RIDGES HOSPITAL AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE FAIRVIEW RIDGES HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: PAT BELLAND, PRESIDENT, FAIRVIEW RIDGES HOSPITAL ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH, FAIRVIEW HEALTH SERVICES TODD KIHNE, MD, CHIEF OF STAFF, SUBURBAN RADIOLOGIC CONSULTANTS BRIAN KNAPP, VICE PRESIDENT OF OPERATIONS, SOUTH REGION, FAIRVIEW HEALTH SERVICES BJ LARSON, DIRECTOR, SPIRITUAL HEALTH, FAIRVIEW HEALTH SERVICES REV. JEFF MARIAN, LEAD PASTOR, PRINCE OF PEACE LUTHERAN CHURCH JANET MOHR, LQ/CHSC CHAIR, MN DEPARTMENT OF EDUCATION SAL MONDELLI, PRESIDENT & CEO, 360 COMMUNITIES STACY MONTGOMERY, DIRECTOR OF PATIENT RELATIONS AND VOLUNTEER SERVICES, FAIRVIEW RIDGES HOSPITAL JENNY MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES ERIC NELSON, DIRECTOR OF CLINICAL QUALITY, FAIRVIEW RIDGES HOSPITAL JULIE SETHNEY, RN, DIRECTOR OF PATIENT CARE, FAIRVIEW RIDGES HOSPITAL LISA SNYDER, PHD, SUPERINTENDENT, LAKEVILLE AREA PUBLIC SCHOOLS JOHN STOLTENBERG, MD, INTERIM VICE PRESIDENT OF MEDICAL AFFAIRS, FAIRVIEW RIDGES HOSPITAL JESSICA VANDERSCOFF, MD, PHYSICIAN, PRIOR LAKE FAIRVIEW CLINICS ROBERT VOGEL, BOARD CHAIR, NEW MARKET BANK JEOFF WILL, VICE PRESIDENT OF OPERATIONS, FAIRVIEW RIDGES HOSPITAL FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 11 THE MOST CRITICAL NEEDS IDENTIFIED AND SELECTED WERE MENTAL HEALTH AND OBESITY. 1. MENTAL HEALTH FAIRVIEW RIDGES MEDICAL CENTER PARTNERED WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO OFFER CONTINUED OPPORTUNITIES FOR COMMUNITY MEMBERS TO ATTEND THE EVIDENCE-BASED YOUTH AND ADULT MENTAL HEALTH FIRST AID TRAINING. 24 COMMUNITY MEMBERS WERE CERTIFIED IN EITHER YOUTH OR ADULT MENTAL HEALTH FIRST AID IN 2014 AND BY 2015, 69 COMMUNITY MEMBERS AND FAIRVIEW EMPLOYEES WERE TRAINED AND CERTIFIED. IN 2015, FAIRVIEW HELD A GRIEF SUPPORT CAMP FOR CHILDREN AGES 6-17. IN 2015, FAIRVEW HOSTED FOUR "LUNCH AND LEARN" PROGRAMS DURING MENTAL HEALTH MONTH PROVIDING 54 INDIVIDUALS WITH EDUCATION AND RESOURCES AROUND COMMON MENTAL HEALTH CHALLENGES AND MENTAL HEALTH STIGMA. 2. CHRONIC DISEASE GOAL 1: EXCLUSIVE BREAST FEEDING PROGRAM FOR AT RISK FAMILIES FAIRVIEW RIDGES HOSPITAL AND DAKOTA COUNTY PUBLIC HEALTH'S METRO ALLIANCE FOR HEALTHY FAMILIES PARTNERSHIP CONTINUED AND GREW IN 2015. THE PROGRAM IDENTIFIES AT-RISK FAMILIES AND PROVIDES HEALTHY EATING AND NUTRITION EDUCATION FOCUSED ON "EXCLUSIVE BREASTFEEDING." FAIRVIEW RIDGES HOSPITAL HAS 100% COMPLIANCE ON STAFF TRAINED IN BABY FRIENDLY PHILOSOPHY/EXCLUSIVE BREAST FEEDING, THIS TRAINING WAS ALSO INCORPORATED INTO THE ORIENTATION FOR ALL NEW HIRES BY THE END OF 2015. IN 2015, NUTRITION SERVICES ADDED HEALTHY (INCLUDING VEGETARIAN) OPTIONS TO THEIR MENU, REMOVED FRIED FOODS FROM THEIR MENU AND ADDED VENDING MACHINES WITH HEALTHY CHOICE OPTIONS. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT BY FAIRVIEW RIDGES HOSPITAL IS ONE OF THE MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT REPORT WILL BE THE FOCUS OF FAIRVIEW RIDGES HOSPITALS COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW RIDGES HOSPITAL (FRH) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS - STROKE, SOCIAL DETERMINANTS OF HEALTH, AND HOUSING FOR VULNERABLE POPULATIONS. STROKE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. SOCIAL DETERMINANTS OF HEALTH: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HOUSING FOR VULNERABLE POPULATIONS: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 16I A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 22D PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 5 FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW LAKES MEDICAL CENTER AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. FAIRVIEW LAKES MEDICAL CENTER FOLLOWED CATHOLIC HEALTH ASSOCIATION'S 2013 ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS GUIDE PROCESS RECOMMENDATIONS IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT AND NEEDS PRIORITIZATION PROCESS. THROUGHOUT THE ASSESSMENT PROCESS, FAIRVIEW LAKES MEDICAL CENTER WORKED CLOSELY WITH COMMUNITY ORGANIZATIONS AND COALITIONS TO ENSURE THE FINAL PRODUCT WAS AN ACCURATE ASSESSMENT THAT REPRESENTED THE COMMUNITY HEALTH NEEDS, WITH A PARTICULAR FOCUS ON PERSONS WHO ARE UNINSURED AND/OR LOW- INCOME. FAIRVIEW LAKES MEDICAL CENTER RELIED UPON ITS ESTABLISHED COMMUNITY HEALTH STEERING COMMITTEE FOLLOWING A FAIRVIEW HEALTH SERVICES STANDARD CHARTER. FAIRVIEW LAKES MEDICAL CENTER'S COMMUNITY HEALTH STEERING COMMITTEE HAS 18 MEMBERS INCLUDING THE FOLLOWING ROLES: SOCIAL SERVICE AGENCY REPRESENTATIVE(S) REPRESENTATIVE FROM UNDERSERVED COMMUNITIES PUBLIC HEALTH REPRESENTATIVE(S) A HOSPITAL BOARD MEMBER A HOSPITAL SENIOR EXECUTIVE FAIRVIEW COMMUNITY HEALTH STAFF PHYSICIAN OR PRIMARY CARE REPRESENTATIVE THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: JANET BRAINARD, PARISH NURSE, ST. PAUL LUTHERAN CHURCH - WYOMING SHARNA BRAUCKS, EXECUTIVE DIRECTOR, YMCA - FOREST LAKE & LINO LAKES KATHY BYSTROM, NORTH REGION MANAGER, COMMUNITY HEALTH, FAIRVIEW LAKES MEDICAL CENTER KRIS CLEMENTSON, CLINIC ADMINISTRATOR, PINE, RUSH & NORTH BRANCH CLINICS, ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH, FAIRVIEW HEALTH SERVICES KATHY FILBERT, COMMUNITY HEALTH SERVICE ADMINISTRATOR, CHISAGO COUNTY PUBLIC HEALTH BRYAN GAFFY, VICE PRESIDENT OF OPERATIONS, FAIRVIEW LAKES MEDICAL CENTER TOMMI GODWIN, PLANNER II, WASHINGTON COUNTY PUBLIC HEALTH DEB HENTON, SUPERINTENDENT, NORTH BRANCH AREA SCHOOLS ROSEMARY HOOLIHAN, FORMER FAIRVIEW LAKES MEDICAL CENTER BOARD & CHSC MEMBER DR. KELLIE KERSHISHNIK, PHYSICIAN, FAIRVIEW MEDICAL GROUP JENNY MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES HEALTH SERVICES ANN NORGAARD, COMMUNITY HEALTH EDUCATOR/PUBLIC HEALTH PLANNER, CHISAGO COUNTY PUBLIC HEALTH JOANNE PLOETZ, BOARD MEMBER, FAIRVIEW LAKES MEDICAL CENTER BOARD OF DIRECTORS JENIFER RANCOUR, COMMUNITY HEALTH PLANNER, KANABEC-PINE PUBLIC HEALTH DR. PAULA REHDER, PHYSICIAN, FAIRVIEW MEDICAL GROUP JULIE SCHROEDER, TRAUMA MANAGER, FAIRVIEW LAKES MEDICAL CENTER RICH SMITH, EXECUTIVE DIRECTOR, FAMILY PATHWAYS FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM. FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 11 FAIRVIEW'S COMMUNITY HEALTH DEPARTMENT PROVIDED OVERSIGHT, STANDARDIZED TOOLS, PROCESSES AND INSTRUCTIONS AND ALSO DID THE GATHERING, CLEANING, FIRST LEVEL ANALYSIS AND PRESENTATION OF QUANTITATIVE AND QUALITATIVE DATA. FAIRVIEW LAKES MEDICAL CENTER'S LOCAL HOSPITAL TEAM AND COMMUNITY HEALTH STEERING COMMITTEE DATA SUBCOMMITTEE ALSO PARTICIPATED IN LIMITED DATA GATHERING FOR AREAS OF NEED IDENTIFIED BY THE FULL COMMITTEE AS POTENTIAL PRIORITY AREAS. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE AREAS OF PRIORITY WERE BASED UPON WHERE THE MEDICAL CENTER WILL HAVE THE GREATEST IMPACT WITH OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE OBESITY AND BEHAVIORAL HEALTH. 1. OBESITY BEGINNING IN 2014 THE HEALTH UP FOREST LAKE HEALTHY COMMUNITY INITIATIVE WORKED IN FOUR AREAS - INFRASTRUCTURE (CONDUCTING ASSET MAPPING OF PHYSICAL ACTIVITY, HEALTHY FOODS AND SOCIAL SUPPORT RESOURCES AND CREATING AN INTERACTIVE WEBSITE ; INCREASING ACCESS TO AND PROVIDING OPPORTUNITIES FOR PHYSICAL EXPAND THEIR WALKING CLUBS, AND HIGHLIGHTING EXISTING PARKS AND TRAILS WITHIN THE AREA; INCREASING ACCESS AND CONSUMPTION OF HEALTHY FOODS BYPARTNERING WITH LOCAL RESTAURANTS TO DEVELOP HEALTHY MENU OPTIONS AND BRINGING ACCESS TO LOCAL FARMERS AND MARKETS; AND INCREASING SOCIAL SUPPORT INCLUDING MENTAL HEALTH PROMOTION AND THE DEVELOPMENT OF A PARTNERSHIP WITH MENTAL HEALTH PROVIDERS AND CHURCHES TO INCREASE SOCIAL SUPPORTS AMONG CLIENTS AND THE SENIOR POPULATION. LONG TERM GOALS, BEYOND 2015, INCLUDE MORE TARGETED INTERVENTIONS, CLINICAL-COMMUNITY LINKAGES TO IMPROVE HEALTH, AN ACTIVE RECESS PILOT IN PARTNERSHIP WITH SCHOOLS, EVALUATION MODELS AND TRACKING MECHANISMS TO BETTER MEASURE HEALTH IMPROVEMENT. 2. MENTAL HEALTH BEGINNING IN 2014, FAIRVIEW LAKES MEDICAL CENTER PARTNERED WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO OFFER TWO OPPORTUNITIES FOR COMMUNITY MEMBERS TO ATTEND THE EVIDENCE-BASED ADULT MENTAL HEALTH FIRST AID TRAINING, 46 PEOPLE WERE CERTIFIED. TRAINING IN MENTAL HEALTH FIRST AID IN MULTIPLE SCHOOLS CONTINUED IN 2015. LIFELINES SUICIDE PREVENTION PROGRAM CURRICULUM WAS PRESENTED IN THEIR HEALTH CLASSES. IN 2015, 170 SCHOOL STAFF FROM EAST CENTRAL, HINKLEY- FINLAYSON, PINE CITY, RUSH CITY, NORTH BRANCH, CHISAGO LAKES, FOREST LAKE, AND NORTH LAKES ACADEMY CHARTER WERE TRAINED. THIS TRAINING ALSO INCLUDED COMMUNITY MEMBERS AND PARTNERS IDENTIFIED BY SCHOOLS. 3. SUBSTANCE USE FOCUS ON YOUTH DRUG AND ALCOHOL PREVENTION IN THIS COMMUNITY HAS CENTERED ON EVIDENCE BASED STRATEGIES THAT LEVERAGE POSITIVE NORMS AMONG YOUTH (E.G. CREATING POSITIVE SOCIAL NORMS). FOREST LAKE BEGAN DELIVERING MESSAGES TO FOREST LAKE AREA JUNIOR HIGH YOUTH IN THE FALL OF 2015. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT BY FAIRVIEW LAKES MEDICAL CENTER IS ONE OF MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THIS REPORT WILL BE THE FOCUS OF FAIRVIEW LAKES MEDICAL CENTER'S COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW LAKES MEDICAL CENTER (FLMC) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS STROKES, ACCESS TO CARE, POVERTY/HOUSING AND TEEN PREGNANCY. STROKES - DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. POVERTY/HOUSING - DETERMINATION THAT INTERVENTIONS ON BEHALF OF THE HOSPITAL WERE NOT FEASIBLE NOR DID THE HOSPITAL HAVE AVAILABLE EXISTING RESOURCES TO ADDRESS. TEEN PREGNANCY - DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY PUBLIC HEALTH DEPARTMENTS AND LOCAL SCHOOLS. ACCESS TO CARE - DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 16I A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 22D PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 5 FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW NORTHLAND MEDICAL CENTER AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE FAIRVIEW NORTHLAND MEDICAL CENTER'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: KATHY BYSTROM, NORTH REGION MANAGER, COMMUNITY HEALTH, FAIRVIEW NORTHLAND MEDICAL CENTER ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH AND CHURCH RELATIONS, FAIRVIEW HEALTH SERVICES LORI ENGBLOM, MANAGER, RESOURCE CHEMICAL & MENTAL HEALTH JULIA ESPE, SUPERINTENDENT, PRINCETON PUBLIC SCHOOLS BRYAN GAFFY, VICE PRESIDENT OF OPERATIONS, FAIRVIEW LAKES MEDICAL CENTER MOLLY HANSON, EXECUTIVE DIRECTOR, YMCA ELK RIVER SUE HERM, BOARD MEMBER AND EXECUTIVE COMMITTEE MEMBER, FAIRVIEW NORTHLAND MEDICAL CENTER BOARD OF DIRECTORS JENNIFER MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES KAY NASTROM, COMMUNITY HEALTH SERVICES SUPERVISOR AND ADMINISTRATOR, MILLE LACS COUNTY PUBLIC HEALTH JEREMY PETERSON, MD, PHYSICIAN, FAIRVIEW MEDICAL GROUP JENIFER RANCOUR, COMMUNITY HEALTH PLANNER, KANABEC-PINE PUBLIC HEALTH JULIE SCHROEDER, TRAUMA MANAGER, FAIRVIEW NORTHLAND MEDICAL CENTER ALISHA VOIGT, SHIP COORDINATOR/HEALTH EDUCATOR, MILLE LACS COUNTY PUBLIC HEALTH KARA ZOLLER, HEALTH PROMOTION SUPERVISOR, SHERBURNE COUNTY HEALTH AND HUMAN SERVICES FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 7D THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM. FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 11 THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE AREAS OF PRIORITY WERE SELECTED BASED UPON WHERE THE MEDICAL CENTER WILL HAVE THE GREATEST IMPACT WITH OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS IDENTIFIED AND SELECTED WERE: MENTAL HEALTH AND OBESITY. FAIRVIEW NORTHLAND'S REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS DISCOVERD THAT THE HOSPITAL IS CURRENTLY MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, IMPACT CONCUSSION TESTING, MEALS ALA CAR, THE ANNUAL BE HEALTHY BE SAFE: SAFETY FAIR AND BIKE RODEO, MEMBERSHIP ON REACH, ANNUAL COMMUNITY BASED FLU SHOT CLINICS AND MEDICAL EXPLORERS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTERS IMPLEMENTATION STRATEGY. 1. MENTAL HEALTH TRAININGS IN MENTAL HEALTH FIRST AID WERE OFFERED TO COMMUNITY MEMBERS AND STAFF IN 2015. A TOTAL OF 17 PEOPLE WERE CERTIFIED IN MENTAL HEALTH FIRST AID. 2. OBESITY FAIRVIEW NORTHLAND MEDICAL CENTER CONTINUES TO SERVE THE COMMUNITY VIA THE MEALS ALA CAR PROGRAM. OVER 800 HOURS OF PAID STAFF DIETICIAN TIME HAVE BEEN CONTRIBUTED TO MEAL PLANNING, MEAL PREPARATION AND PLANNING MEETINGS. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT IS ONE OF MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT WILL BE THE FOCUS OF UNIVERSITY OF MINNESOTA MEDICAL CENTERS COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW NORTHLAND MEDICAL CENTER (FNMC) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS STROKE, TEEN PREGNANCY, SUBSTANCE USE AND ABUSE, ALCOHOL, TOBACCO AND OTHER DRUGS, HEALTH CARE AFFORDABILITY, SOCIAL DETERMINANTS OF HEALTH, HEALTH EQUITY AND ACCESS TO CARE. STROKES: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. TEEN PREGNANCY: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY PUBLIC HEALTH DEPARTMENTS AND LOCAL SCHOOLS. SUBSTANCE USE AND ABUSE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY LOCAL COMMUNITY ORGANIZATIONS AND LOCAL SCHOOLS. ALCOHOL/TOBACCO AND OTHER DRUGS: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY LOCAL COMMUNITY ORGANIZATIONS AND LOCAL SCHOOLS. HEALTH CARE AFFORDABILITY; DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. SOCIAL DETERMINANTS OF HEALTH: DETERMINA TION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HEALTH EQUITY: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. ACCESS TO CARE: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 16I A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 22D PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. 101 CLINICS - WYOMING 5200 FAIRVIEW BLVD WYOMING MN 55092 FREE STANDING CLINIC CLINICS - FRIDLEY 6341 UNIVERSITY AVE NE FRIDLEY MN 55432 FREE STANDING CLINIC CLINICS - ANDOVER 13819 HANSON BLVD NW ANDOVER MN 55304 FREE STANDING CLINIC CLINICS - BROOKLYN PARK 1000 ZANE AVE NE BROOKLYN PARK MN 55443 FREE STANDING CLINIC CLINICS - PRINCETON 919 NORTHLAND DRIVE PRINCETON MN 55371 FREE STANDING CLINIC CVC - SOUTHDALE 6405 FRANCE AVE S STE W200 EDINA MN 55435 SPECIALTY CLINIC CLINICS - BLAINE 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 FREE STANDING CLINIC GPO ADMIN 2450 RIVERSIDE AVE MINNEAPOLIS MN 55454 FREE STANDING CLINIC CLINICS - ELK RIVER 290 MAIN ST NW STE 100 ELK RIVER MN 55330 FREE STANDING CLINIC CLINICS - WYOMING PRIMARY CARE 5200 FAIRVIEW BLVD WYOMING MN 55092 FREE STANDING CLINIC ORTHO LABS - FHME 2200 UNIVERSITY AVE W ST PAUL MN 55114 PT CLINIC CVC - UMMC 2525 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55414 SPECIALTY CLINIC CLINICS - COLUMBIA HEIGHTS 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 FREE STANDING CLINIC ONCOLOGY - UMMC 2525 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55414 SPECIALTY CLINIC SCPA - SOUTHDALE 6405 FRANCE AVE S EDINA MN 55435 SPECIALTY CLINIC LAKES - HOMECARING & HOSPICE 5200 FAIRVIEW BLVD WYOMING MN 55092 SPECIALTY CLINIC CLINICS - LINO LAKES 7455 VILLAGE DRIVE LINO LAKES MN 55014 FREE STANDING CLINIC CLINICS - MAPLE GROVE 14500 99TH AVENUE N MAPLE GROVE MN 55369 FREE STANDING CLINIC CLINICS - NORTH BRANCH 6413 OAK STREET NORTH BRANCH MN 55056 FREE STANDING CLINIC CLINICS - CHISAGO 11725 STINSON AVE CHISAGO CITY MN 55013 FREE STANDING CLINIC CLINICS - BLOOMINGTON LK XERXES 7901 XERXES AVENUE SOUTH BLOOMINGTON MN 55431 FREE STANDING CLINIC SCPA - RIDGES 305 NICOLLET BLVD STE 372 BURNSVILLE MN 55337 SPECIALTY CLINIC CLINICS - ZIMMERMAN 25945 GATEWAY DRIVE ZIMMERMAN MN 55398 FREE STANDING CLINIC HAND CENTER - ORTHO 2512 7TH ST S STE R102 MINNEAPOLIS MN 55454 PT CLINIC CLINICS - MILACA 150 10TH STREET NW MILACA MN 56353 FREE STANDING CLINIC CLINICS - HUGO 14663 MERCANTILE DRIVE HUGO MN 55038 FREE STANDING CLINIC CLINICS - RUSH CITY 760 W FOURTH STREET RUSH CITY MN 55069 FREE STANDING CLINIC SCPA - VEIN SOLUTIONS 6405 FRANCE AVE S EDINA MN 55435 SPECIALTY CLINIC CLINICS - BROOKLYN PARK UC 1000 ZANE AVE NE BROOKLYN PARK MN 55443 FREE STANDING CLINIC CVC - RIDGES 305 NICOLLET BLVD STE 372 BURNSVILLE MN 55337 SPECIALTY CLINIC CLINICS - HOSPITAL 1000 ZANE AVE NE BROOKLYN PARK MN 55443 FREE STANDING CLINIC FV CLINICS - FSOC WYOMING 5200 FAIRVIEW BLVD WYOMING MN 55092 PT CLINIC IAM - EDINA 6363 FRANCE AVE STE 100 EDINA MN 55435 PT CLINIC SR SVCCS & OTHER CONTINUM SVCS 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 FREE STANDING CLINIC CLINICS - BLOOMINGTON LK MPLS 1527 E LAKE STREET MINNEAPOLIS MN 55407 FREE STANDING CLINIC IAM - BURNSVILLE 675 E NICOLLET BLVD 135 BURNSVILLE MN 55337 PT CLINIC FV CLINICS - FS OC OAK RIDGE 675 E NICOLLET BLVD STE 250 BURNSVILLE MN 55337 PT CLINIC IAM - EDEN PRAIRIE 775 PRAIRIE CENTER DRIVE 250 EDEN PRAIRIE MN 55344 PT CLINIC FV CLINIC - SAVAGE 5725 LOFTUS LANE SAVAGE MN 55378 FREE STANDING CLINIC ORTHO LABS - RIVERSIDE 606 24TH AVE S STE 301 MINNEAPOLIS MN 55454 PT CLINIC ORTHO LABS - BURNSVILLE 501 NICOLLET BLVD STE LL50 BURNSVILLE MN 55337 PT CLINIC IAM - WEST HEALTH 2805 CAMPUS DRIVE 115 PLYMOUTH MN 55441 PT CLINIC BROOKLYN PARK SLEEP LAB 10000 ZANE AVE NE BROOKLYN PARK MN 55443 SPECIALTY CLINIC IAM - EAGAN 1440 DUCKWOOD DRIVE EAGAN MN 55122 PT CLINIC IAM - TRAINERS 4080 W BROADWAY 300 ROBBINSDALE MN 55422 PT CLINIC IAM - HIGHLAND PARK 2155 FORD PARKWAY ST PAUL MN 55116 PT CLINIC IAM - ARBOR LAKES 12000 ELM CREEK BLVD STE 120 MAPLE GROVE MN 55369 PT CLINIC ORTHO LABS - ST PAUL 2200 UNIVERSITY AVE S STE 114 ST PAUL MN 55114 PT CLINIC FV BLAINE PHYSICAL THERAPY 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 PT CLINIC CLINICS - INTEGRATED PRIMARY 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 FREE STANDING CLINIC IAM - UNIVERSITY 2525 UNIVERSITY AVENUE SE MINNEAPOLIS MN 55414 PT CLINIC IAM - BLOOMINGTON 600 W 98TH ST 390 BLOOMINGTON MN 55420 PT CLINIC IAM - APPLE VALLEY 15650 CEDAR AVE 160 APPLE VALLEY MN 55124 PT CLINIC IAM - BLAINE 1750 105TH AVE NE BLAINE MN 55449 PT CLINIC IAM - ROSEMOUNT 15075 CIMARRON AVE 20 ROSEMOUNT MN 55068 PT CLINIC IAM - PLYMOUTH 9750 ROCKFORD RD PLYMOUTH MN 55442 PT CLINIC IAM - UPTOWN 3033 EXCELSIOR BLVD 225 MINNEAPOLIS MN 55416 PT CLINIC CLINICS - ANDOVER UC 13819 HANSON BLVD NW ANDOVER MN 55304 FREE STANDING CLINIC IAM - ST ANTHONY 2600 39TH AVE NE 220 ST ANTHONY MN 55421 PT CLINIC IAM - MAPLE GROVE FV 14500 99TH AVE N STE 1-210 MAPLE GROVE MN 55369 PT CLINIC IAM - ELK RIVER 800 FREEPORT AVE N 200 ELK RIVER MN 55330 PT CLINIC ORTHO LABS - EDINA 6363 FRANCE AVE S STE 110 EDINA MN 55435 PT CLINIC ORTHO LABS - ADMIN 2200 UNIVERSITY AVE W STE 114 ST PAUL MN 55114 PT CLINIC IAM - BROOKLYN PARK 8559 EDINBROOK PKWY 104 BROOKLYN PARK MN 55443 PT CLINIC IAM - ROBBINSDALE 4080 W BROADWAY 300 ROBBINSDALE MN 55422 PT CLINIC IAM - LAKEVILLE 18592 JOPLIN AVE LAKEVILLE MN 55044 PT CLINIC FV FRIDLEY PHYSICAL THERAPY 6341 UNIVERSITY AVE NE FRIDLEY MN 55432 PT CLINIC IAM - LINO LAKES 7455 VILLAGE DR LINO LAKES MN 55014 PT CLINIC CLINICS - CHISAGO SLEEP LAB 11725 STINSON AVE CHISAGO CITY MN 55013 SPECIALTY CLINIC IAM - ROSEVILLE 1955 WEST COUNTY RD B2 ROSEVILLE MN 55113 PT CLINIC FV BROOKLYN PARK 10000 ZANE AVE N BROOKLYN PARK MN 55443 FREE STANDING CLINIC HAND CENTER - BURNSVILLE 675 E NICOLLET BLVD 225 BURNSVILLE MN 55337 PT CLINIC HAND CENTER - EDINA 6363 FRANCE AVE S 105 EDINA MN 55435 PT CLINIC IAM - HUGO 14712 VICTOR HUGO BOULEVARD HUGO MN 55038 PT CLINIC ORTHO LABS - EDINA DME 6545 FRANCE AVE S SUITE 471 EDINA MN 55435 PT CLINIC CLINICS - COMPLEX CARE 2450 RIVERSIDE AVE MINNEAPOLIS MN 55454 SPECIALTY CLINIC ORTHO LABS - BLAINE 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 PT CLINIC FV COLUMBIA PARK 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 FREE STANDING CLINIC IAM - MAPLEWOOD 1650 BEAM AVE LOWER LEVEL MAPLEWOOD MN 55109 PT CLINIC IAM - WOODBURY 7616 CURRELL AVE 270 WOODBURY MN 55125 PT CLINIC CVC - LAKES 5200 FAIRVIEW BLVD WYOMING MN 55092 SPECIALTY CLINIC FV CLINICS - SKIN CARE CTR SUITE 310 300 WEST 98TH ST BLOOMINGTON MN 55420 SPECIALTY CLINIC IAM - SAVAGE 5725 LOFTUS LANE SAVAGE MN 55378 PT CLINIC IOR - NORTHEAST ST 650 TAFT ST NE 400 MINNEAPOLIS MN 55413 PT CLINIC IAM - GOLDEN VALLEY 8301 GOLDEN VALLEY RD ST 202 GOLDEN VALLEY MN 55427 PT CLINIC HAND CENTER - FSOC BLAINE 10961 CLUB WEST PARKWAY NE STE 200 BLAINE MN 55449 PT CLINIC HAND CENTER - MAPLE GROVE 14500 99TH AVENUE SOUTH MAPLE GROVE MN 55369 PT CLINIC ORTHO LABS - WYOMING 6363 FRANCE AVE S STE 110 EDINA MN 55435 PT CLINIC ORTHO LABS - U OF M 500 HARVARD ST MINNEAPOLIS MN 55455 PT CLINIC PHYSICIAN - PAIN CLINIC BLAINE 10961 CLUB WEST PARKWAY NE BLAINE MN 55449 SPECIALTY CLINIC FSOC - OAK RIDGE 675 NICOLLET BLVD E BURNSVILLE MN 55337 PT CLINIC HAND CENTER - ELK RIVER 800 FREEPORT AVE N 200 ELK RIVER MN 55330 PT CLINIC FV PAIN CLINIC - COLUMBIA HEIGHTS 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 SPECIALTY CLINIC FV GERIATRICS - BLUESTONE VISTA 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 SPECIALTY CLINIC HAND CENTER - WEST HEALTH 2805 CAMPUS DRIVE STE 115 PLYMOUTH MN 55441 PT CLINIC PHYSICIANS - LIFE STYLE MED 6401 FRANCE AVE S EDINA MN 55435 SPECIALTY CLINIC CLINICS - FPOB 4000 CENTRAL AVE NE COLUMBIA HEIGHTS MN 55421 PT CLINIC IOR OTHER 701 25TH AVENUE SOUTH STE 500 MINNEAPOLIS MN 55454 PT CLINIC LIFESTYLE MEDICINE - WYOMING 5200 FAIRVIEW BLVD WYOMING MN 55092 SPECIALTY CLINIC ONCOLOGY CLINIC 424 HARVARD STREET SE MINNEAPOLIS MN 55455 SPECIALTY CLINIC CLINICS - PINE CITY 510 2ND STREET SE PINE CITY MN 55063 FREE STANDING CLINIC PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE PATIENTS THAT ARE ELIGIBLE FOR THE FAIRVIEW COMMUNITY CARE PROGRAM OR OTHER CHARITY CARE PLANS MAY RECEIVE A REDUCTION ON AMOUNTS OWED OR UP TO 100% OF TOTAL CHARGES. FAIRVIEW INFORMS PATIENTS ABOUT THE COMMUNITY CARE PROGRAM PRIOR TO DELIVERY OF SERVICES IF FEASIBLE AND AS APPROPRIATE AND DURING THE BILLING PROCESS. UNINSURED PATIENTS WITH HOUSEHOLD INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT OF THE TOTAL CHARGES. UNINSURED PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 275% OF THE FEDERAL POVERTY LEVEL AND BELOW 125,000 ARE CHARGED A DISCOUNT RATE EQUAL TO THE RATE FROM FAIRVIEW'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH SERVICES PROVIDED BY FAIRVIEW INCLUDES ADDICTION RECOVERY AND INPATIENT PSYCHIATRIC UNITS AND AMBULATORY PROGRAMS THAT SERVE LOW-INCOME COMMUNITIES AND HOME HEALTH PROGRAMS. THE FOLLOWING ARE AREAS OF NEED WHICH HAVE BEEN IDENTIFIED: SAFETY BASED ON A RECENT UPSWING OF VIOLENT CRIME, ADOLESCENT HEALTH BASED ON ASSESSMENT OF DIET, NUTRITION AND EXERCISE, AS WELL AS ASSETS AND RISK BEHAVIORS SUCH AS SUBSTANCE USE. THESE SUBSIDIZED SERVICES ARE SERVICES OFFERED BY THE HOSPITALS. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION FAIRVIEW USES THE DIRECT COSTING METHOD FOR DETERMINING EXPENSES. THE MEDICARE COST REPORTING CALCULATES SERVICES LINE BY LINE WHERE OTHER EXPENSES ARE CALCULATED AT THE OVERALL COST TO CHARGE RATIO. THE RATIO OF COST TO CHARGES (RCC) IS A PERCENTAGE OF ADJUSTED TOTAL EXPENSE TO GROSS PATIENT REVENUE. THE EXPENSE IS CALCULATED USING GENERAL ASSISTANCE MEDICAL CARE (GAMC) GROSS REVENUE PORTION, BASED ON OUR PAYER MIX RATIO, MULTIPLIED BY A RATIO OF COST TO CHARGES. THE ADJUSTED EXPENSE IS THE TOTAL EXPENSE LESS TAXES, DIRECTLY ASSIGNED COMMUNITY BENEFIT COST, AND TOTAL OTHER OPERATING REVENUE LESS OUTREACH LAB SUBACCOUNTS. ONE COMPONENT OF THE COSTING METHOD USED IS THE OTHER MEANS TESTED GOVERNMENT PROGRAM. MINNESOTAS GENERAL ASSISTANCE MEDICAL CARE PROGRAM (GAMC) MEETS THIS CRITERIA. GAMC IS A STATE FUNDED PROGRAM FOR LOW INCOME ADULTS, AGES 21-64, WHO HAVE NO DEPENDENT CHILDREN LIVING WITH THEM AND WHO DO NOT QUALIFY FOR FEDERALLY FUNDED HEALTH CARE PROGRAMS. ELIGIBLE RECIPIENTS MUST ALSO MEET INCOME AND ASSET TESTS. PART II - COMMUNITY BUILDING ACTIVITIES FAIRVIEW HEALTH SERVICES IS AN INTEGRATED ACADEMIC HEALTH CARE SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINN. COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT EACH FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. THE FAIRVIEW CORPORATE COMMUNITY HEALTH DEPARTMENT SUPPORTS THE LOCAL WORK BY SHARING BEST PRACTICES, FINDING EFFICIENCIES AMONG HOSPITAL COMMUNITY HEALTH PROGRAMS AND STAFFING AS APPROPRIATE, COORDINATING THE COMMUNITY NEEDS ASSESSMENTS AND MORE. ACTIVITIES INCLUDE A COMMUNITY HOUSING INITIATIVE, ECONOMIC DEVELOPMENT COLLABORATIVE, LEADERSHIP DEVELOPMENT AND COALITION BUILDING. IN 2015 FAIRVIEW LED A PARTNERSHIP-SPONSORED SCRUBS CAMP. THE CAMP WAS A WEEK-LONG RESIDENTIAL EXPERIENCE FOR NEIGHBORHOOD AND OTHER CITY YOUTH TO DO HANDS-ON EXPLORATION OF MEDICAL CAREERS. FAIRVIEW MAKES INVESTMENTS EACH YEAR IN COMMUNITY HEALTH PROGRAMMING. A REMARKABLE PROGRAM CALLED THE MINNESOTA IMMUNIZATION NETWORK INITIATIVE (MINI) PROVIDES FLU IMMUNIZATIONS FREE OF CHARGE TO LOW-INCOME AND UNINSURED INDIVIDUALS, LARGELY FROM DIVERSE MINORITY GROUPS. EACH FLU SEASON, MINI PROVIDES MORE THAN 6,000 IMMUNIZATIONS TO PREVENT INFLUENZA. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PART III, LINE 8 - MEDICARE EXPLANATION THE MEDICARE COST TO CHARGE RATIO REPORTING IS CALCULATED SERVICE LINE BY SERVICE LINE. OTHER EXPENSES ARE CALCULATED USING THE OVERALL COST TO CHARGE RATIO. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION AFTER OUR PATIENTS HAVE RECEIVED SERVICES, IT IS THE POLICY OF FAIRVIEW HEALTH SERVICES TO BILL PATIENTS AND THEIR APPLICABLE PAYORS ON A TIMELY AND ACCURATE BASIS. DURING THIS BILLING AND COLLECTION PROCESS, FAIRVIEW STAFF COMMITTED TO PROVIDING QUALITY CUSTOMER SERVICE AND TIMELY FOLLOW UP ON ALL OUTSTANDING ACCOUNTS. BILLING: IT IS THE GOAL OF FAIRVIEW TO BILL ALL CLAIMS ACCURATELY AND ON A TIMELY BASIS. ALTHOUGH DEPENDENT ON INFORMATION AND COMMUNICATIONS FROM PATIENTS AND PAYORS, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICE TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR COMMUNITY CARE. FAIRVIEW HAS AGREED TO CERTAIN BILLING AND COLLECTION PRACTICES BY AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THERE ARE FINANCIAL COUNSELORS AT EVERY ENTITY MONDAY THROUGH FRIDAY WHO INTERACT WITH THE PATIENTS IN PERSON AND OVER THE PHONE TO 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. PART VI, LINE 2 - NEEDS ASSESSMENT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) WERE CONDUCTED FOR ALL FAIRVIEW HOSPITALS AND MEDICAL CENTERS IN 2015. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY HEALTH NEEDS IN THE LOCAL COMMUNITY. ALTHOUGH EACH FAIRVIEW HOSPITAL AND/OR MEDICAL CENTER WORKED FROM QUALITATIVE AND QUANTITATIVE DATA SPECIFIC TO THEIR COMMUNITY, THERE WERE LARGE OVERLAPS IN THE IDENTIFIED COMMUNITY NEEDS. IN ADDITION TO IDENTIFYING HEALTH PRIORITIES BY HOSPITAL COMMUNITY, FAIRVIEW HEALTH SERVICES BEGAN PLANNING FOR A SYSTEM-WIDE STRATEGY FOR MEETING THE MENTAL HEALTH NEEDS PREVALENT IN ALL OF OUR COMMUNITIES. THE HOSPITALS AND/OR MEDICAL CENTERS PRIORITIES ARE AS FOLLOWS: FAIRVIEW LAKES MEDICAL CENTER: OBESITY, MENTAL HEALTH AND SUBSTANCE USE FAIRVIEW NORTHLAND MEDICAL CENTER: MENTAL HEALTH AND OBESITY FAIRVIEW RIDGES HOSPITAL: MENTAL HEALTH AND CHRONIC DISEASE. FAIRVIEW SOUTHDALE HOSPITAL: OBESITY AND MENTAL HEALTH UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL: MENTAL HEALTH AND WELL-BEING, CHRONIC DISEASE PREVENTION AND MANAGEMENT WITH A FOCUS ON HEALTH LIVING. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND ITS PRIORITY HEALTH ISSUES. MUCH OF THE 2015 WORK IS REPORTABLE PROCESS METRICS AS WE FOCUSED ON IDENTIFYING INTERNAL AND EXTERNAL PARTNERS, SECURING FUNDING AND DEVELOPING PROGRAMS. FAIRVIEW LAKES MEDICAL CENTER'S 2015 ACTIVITIES AND HIGHLIGHTS: 1.OBESITY COMMUNITY HEALTH STAFF DEVELOPED A HEALTHY LIVING COMMUNITY INITIATIVE CALLED HEALTH UP IN PARTNERSHIP WITH THE CITY OF FOREST LAKE, WASHINGTON DEPARTMENT OF PUBLIC HEALTH, FOREST LAKE AREA SCHOOLS AND OTHER KEY COMMUNITY PARTNERS. HEALTH UP IS ORGANIZED AROUND FOUR THEMES: EAT, MOVE, PLAY AND CONNECT. 2.MENTAL HEALTH IN 2015, FAIRVIEW LAKES HOSTED NUMEROUS COMMUNITY PRESENTATIONS TO EDUCATE AND REDUCE MENTAL HEALTH STIGMA AND HOSTED A LIFELINES SUICIDE PREVENTION PROGRAM TRAINING IN PARTNERSHIP WITH HAZELDEN. 170 SCHOOL STAFF FROM EAST CENTRAL, HINCKLEY-FINLAYSON, PINE CITY, RUSH CITY, NORTH BRANCH, CHISAGO LAKES, FOREST LAKE, AND NORTH LAKES ACADEMY CHARTER WERE TRAINED. THIS TRAINING ALSO INCLUDED COMMUNITY MEMBERS/PARTNERS IDENTIFIED BY SCHOOLS. 3. SUBSTANCE USE MOST FL DRUG FREE COMMUNITIES COALITION BEGAN DELIVERING TOBACCO MESSAGES TO FOREST LAKE AREA JUNIOR HIGH YOUTH IN THE FALL OF 2015. FAIRVIEW NORTHLAND MEDICAL CENTER 2015 ACTIVITIES AND HIGHLIGHTS: 1. MENTAL HEALTH IN 2015, FAIRVIEW NORTHLAND MEDICAL CENTER CONDUCTED TRAININGS TO COMMUNITY MEMBERS AND STAFF. TWO CLASSES WERE HELD IN IN CONJUNCTION WITH COMMUNITY PARTNERS AND A TOTAL OF 17 PEOPLE WERE CERTIFIED IN MENTAL HEALTH FIRST AID. 2.OBESITY IN 2015 OVER 800 HOURS OF PAID STAFF DIETICIAN TIME WAS CONTRIBUTED TO MEAL PLANNING, MEAL PREPARATION AND PLANNING MEETINGS. FAIRVIEW NORTHLAND MEDICAL CENTER WROTE AND RECEIVED A GRANT TO BUILD A ONE-MILE WALKING TRAIL ON CAMPUS. COMMUNITY WALKING MAPS ARE AVAILABLE IN THE MEDICAL CENTER. FAIRVIEW RIDGES MEDICAL CENTER 2015 ACTIVITIES AND HIGHLIGHTS: 1.MENTAL HEALTH IN 2015 FAIRVIEW HOSTED FOUR "LUNCH AND LEARN" PROGRAMS DURING MENTAL HEALTH MONTH, PROVIDING 54 INDIVIDUALS WITH EDUCATION AND RESOURCES AROUND COMMON MENTAL HEALTH CHALLENGES AND MENTAL HEALTH STIGMA. 2. CHRONIC DIEASE FORTY-THREE FAMILIES WERE IDENTIFIED AS AT-RISK AND PROVIDED WITH INTENSIVE HOME VISITATIONS THROUGH THE METRO ALLIANCE FOR HEALTHY FAMILIES. FAIRVIEW SOUTHDALE HOSPITAL 2015 ACTIVITIES AND HIGHLIGHTS: 1.OBESITY 2.MENTAL HEALTH IN 2015 FAIRVIEW PROVIDED DAILY WELLNESS CHECK-IN PHONE CALLS TO 22 SENIORS WHO LIVE ALONE THROUGH THE HOSPITAL TELECARE VOLUNTEER PROGRAM. UNIVERSITY OF MINNESOTA MEDICAL CENTER 2014 ACTIVITIES AND HIGHLIGHTS: 1.MENTAL HEALTH AND WELL BEING EXTENSIVE AND ONGOING TRAINING WAS PROVIDED FOR 10 IMAMS ON MENTAL HEALTH TOPICS AND RESOURCES. UNIVERSITY OF MINNESOTA MEDICAL CENTER ORGANIZED THREE IMMIGRANT MENTAL HEALTH HALF-DAY CONFERENCES FOR HEALTH CARE PROFESSIONALS TO PROVIDE A PLATFORM FOR NETWORKING, DISCUSSION AND INFORMATION AND RESOURCE EXCHANGE ON BEST PRACTICES WITH THE HOPES OF COLLECTIVELY IMPROVING THE MENTAL HEALTH OF THE STATE'S IMMIGRANT POPULATIONS. 2.CHRONIC DISEASE PRVENTION AND MANAGEMENT WITH A FOCUS ON HEALTHY LIVING PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FAIRVIEW 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. PART VI, LINE 4 - COMMUNITY INFORMATION FAIRVIEW HEALTH SERVICES IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINNESOTA. FAIRVIEW IS COMPRISED OF FIVE HOSPITALS AND ONE MEDICAL CENTER: 1) FAIRVIEW LAKES MEDICAL CENTER IN WYOMING, MN, 2) FAIRVIEW NORTHLAND MEDICAL CENTER IN PRINCETON, MN, 3) FAIRVIEW RIDGES HOSPITAL IN BURNSVILLE, MN, 4) FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, 5) UNIVERSITY OF MINNESOTA MEDICAL CENTER, MINNEAPOLIS, MN 6) FAIRVIEW MAPLE GROVE MEDICAL CENTER IN MAPLE GROVE, MN, A RELATED ENTITY FAIRVIEW ALSO HAS A FULL CONTINUUM OF HEALTH CARE SERVICES. SEE PART III PAGE 2 , LINES 4A, 4B AND 4C. FAIRVIEW LAKES MEDICAL CENTER HAS A PRIMARY SERVICE AREA OF 142,000 INDIVIDUALS RESIDING IN ANOKA, CHISAGO, ISANTI, PINE AND WASHINGTON COUNTIES IN MINNESOTA. ANOKA AND WASHINGTON ARE MORE URBAN AS THE TWIN CITIES METROPOLITAN AREA CONTINUES TO GROW INTO THESE COUNTIES. PINE, CHISAGO AND ISANTI COUNTIES ARE STILL RELATIVELY RURAL AREAS. IN THE NEXT THREE YEARS, A GROWTH RATE IF 11 PERCENT IS PROJECTED IN FAIRVIEW LAKES PRIMARY SERVICE AREA. FAIRVIEW LAKES MEDICAL CENTER IS THE ONLY HOSPITAL IN THE PRIMARY SERVICES AREA. WITHIN THE SECONDARY SERVICES AREAS, THERE ARE THREE OTHER HOSPITALS ON THE SOUTH EDGES OF THE SERVICE AREA. FAIRVIEW LAKES PROVIDES A FULL CONTINUUM OF SERVICES, FROM PRIMARY CARE SERVICES AT THE CLINIC TO HOME CARE SERVICES TO LONG-TERM CARE. OF ALL THE PATIENTS SERVED BY THE MEDICAL CENTER IN 2015. FAIRVIEW MAPLE GROVE MEDICAL CENTER, A RELATED ENTITY, SERVES APPROXIMATELY 360,000 INDIVIDUALS IN A PRIMARY SERVICE AREA WITHIN SHERBURNE, WRIGHT, HENNEPIN AND ANOKA COUNTIES IN MINNESOTA. MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS ABOVE THE STATE AVERAGE. HOWEVER, DUE TO THE SIZE AND DIVERSITY OF HENNEPIN COUNTY, A HIGHER THAN AVERAGE PERCENTAGE (11 PERCENT) OF COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LINE. SHERBURNE, WRIGHT AND ANOKA HAVE LARGE CHILDREN POPULATIONS; MORE THAN 100,000 CHILDREN UNDER THE AGE OF 18 LIVE IN THE MEDICAL CENTER PRIMARY SERVICE AREA. FAIRVIEW MAPLE GROVE IS AN AMBULATORY MEDICAL CENTER, WORKING IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS. FAIRVIEW NORTHLAND MEDICAL CENTER HAS A PRIMARY SERVICE AREA OF 79,000 INDIVIDUALS RESIDING IN SHERBURNE, BENTON, KANABEC, MILLE LACS AND ISANTI COUNTIES IN MINNESOTA. THREE OF THE FIVE COUNTIES IN THE PRIMARY SERVICE AREA HAVE MEDIAN HOUSEHOLD INCOMES LOWER THAN THE STATE AVERAGE. THE THREE COUNTIES ALSO HAVE A HIGHER THAN AVERAGE PERCENTAGE OF THEIR RESIDENTS LIVING BELOW THE FEDERAL POVERTY LINE. FAIRVIEW NORTHLAND IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA. WITHIN THE SECONDARY SERVICE AREA, THERE ARE FOUR OTHER HOSPITALS. FAIRVIEW NORTHLAND PROVIDES A FULL CONTINUUM OF SERVICES, FROM PRIMARY CARE SERVICES TO HOME CARE. FAIRVIEW RIDGES HOSPITAL IN BURNSVILLE, MN HAS A PRIMARY SERVICE AREA OF 336,000 INDIVIDUALS IN SCOTT AND DAKOTA COUNTIES. LOCATED IN THE SOUTHERN PART OF THE GREATER MINNEAPOLIS-ST. PAUL METROPOLITAN AREA, BOTH COUNTIES HAVE HIGHER THAN AVERAGE PERCENTAGES OF CHILDREN UNDER THE AGE OF 18. BY INCOME, INDIVIDUALS IN SCOTT AND DAKOTA COUNTIES HAVE A HIGHER HOUSEHOLD INCOME THAN THE STATE AVERAGE. FAIRVIEW RIDGES HOSPITAL IS A MULTI-SPECIALTY MEDICAL CENTER AND THE ONLY HOSPITAL SERVING THE PRIMARY SERVICE AREA. FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN HAS A PRIMARY SERVICE AREA OF OVER 497,207 INDIVIDUALS RESIDING IN HENNEPIN AND CARVER COUNTIES. CARVER COUNTY IS A SOUTHWEST SUBURB IN THE GREATER MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. INDIVIDUALS SPEAKING A LANGUAGE OTHER THAN ENGLISH IN THE HOME IN CARVER COUNTY IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE, WHILE IT IS SIGNIFICANTLY GREATER THAN THE AVERAGE IN HENNEPIN COUNTY. TWENTY-FIVE PERCENT OF HENNEPIN COUNTY RESIDENTS ARE ETHNIC MINORITIES. FAIRVIEW SOUTHDALE HOSPITAL IS ONE OF TWO HOSPITALS SERVING THE PRIMARY SERVICE AREA. IN THE LARGER AREA OF HENNEPIN AND CARVER COUNTIES, THERE ARE NINE HOSPITALS OR MEDICAL CENTERS SERVING THE COMMUNITY. FAIRVIEW SOUTHDALE IS A MULTI-SPECIALTY MEDICAL CENTER RATED BY HEALTHGRADES AS THE NUMBER ONE HOSPITAL IN MINNESOTA FOR HEART AND STROKE CARE. UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW (UMMC), LOCATED IN MINNEAPOLIS, IS A TERTIARY ACADEMIC MEDICAL CENTER DRAWING PATIENTS FROM ACROSS THE TWIN CITIES REGION, THE STATE AND THE COUNTRY. UMMC IS A PARTNER WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS. THE MEDICAL CENTER IS LOCATED IN THE CEDAR-RIVERSIDE NEIGHBORHOOD OF MINNEAPOLIS. CEDAR-RIVERSIDE IS A DIVERSE COMMUNITY LOCATED JUST OUTSIDE OF DOWNTOWN MINNEAPOLIS THAT IS HOME TO MORE THAN 7,500 INDIVIDUALS. CEDAR-RIVERSIDE IS HOME TO A LARGE GROUP OF RECENT IMMIGRANTS FROM SOMALIA AND OTHER AFRICAN COUNTRIES. ACCORDING TO THE MOST RECENT CENSUS DATA, FORTY ONE PERCENT OF RESIDENTS ARE WHITE, WHILE 32 PERCENT ARE BLACK AND 16 PERCENT ARE ASIAN. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW IS THE ONLY MEDICAL CENTER IN THE CEDAR-RIVERSIDE NEIGHBORHOOD. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH AS A NONPROFIT HEALTH SYSTEM, FAIRVIEW REINVESTS ANY EXCESS REVENUES INTO THE CORE OPERATIONS OF THE ORGANIZATION. RESEARCH AND EDUCATION ARE AT THE VERY HEART OF THE MISSION. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW INVESTS MILLIONS OF DOLLARS EACH YEAR INTO GROUND-BREAKING RESEARCH AND EDUCATION OF OUR NEXT GENERATION OF HEALTHCARE WORKFORCE. FAIRVIEW ALSO PARTNERS WITH A MYRIAD OF HIGHER EDUCATIONAL INSTITUTIONS TO PROVIDE CLINICAL HANDS-ON TRAINING FOR FUTURE NURSES, PHARMACISTS, LABORATORY PROFESSIONALS AND MORE. FAIRVIEW SERVES AS A TRAINING SITE FOR RESIDENTS IN VARIOUS SPECIALITIES AND IS THE CORE TEACHING SITE FOR THE UNIVERSITY OF MINNESOTA RESIDENTS. SENIOR RESIDENTS AND FELLOWS PROVIDE FAIRVIEW SOME DEGREE OF CLINICAL SERVICE THAT WE WOULD OTHERWISE NOT RECEIVE. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM FAIRVIEW HEALTH SERVICES IS AN INTEGRATED ACADEMIC HEALTH CARE SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINN. IT OPERATES FIVE COMMUNITY HOSPITALS, ONE ACADEMIC MEDICAL CENTER AND ONE AMBULATORY MEDICAL CENTER COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT THAT FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. FAIRVIEW'S CORPORATE COMMUNITY HEALTH DEPARTMENT SUPPORTS THESE LOCAL EFFORTS BY SHARING BEST PRACTICES, FINDING EFFICIENCIES AMONG HOSPITAL COMMUNITY HEALTH LEADERS AS APPROPRIATE, COORDINATING THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND MORE. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MINNESOTA true FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411573810 501C3 2720951 HOSPITAL SUPPORT REGENTS OF UNIVERSITY OF MINNESOTA P O BOX 1450 NW 5960 MINNEAPOLIS MN 55485 416007513 115 366980 CHILD HOSP SUPPORT UMP RESEARCH 420 DELAWARE STREET SE MINNEAPOLIS MN 55455 411843943 501C3 200000 CLINICAL CARE 3 SCHEDULE I, PAGE 1, PART I, LINE 2 FAIRVIEW HEALTH SERVICES SOLICITS GRANT FUNDING ONLY FOR PURPOSES THAT QUALIFY AS CHARITABLE, RESEARCH OR EDUCATION PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FAIRVIEW'S PROCESSES AND PROCEDURES ADHERE TO FEDERAL GUIDELINES AND ARE SUBJECT TO AUDIT. THE SAME PROCESSES AND PROCEDURES ARE APPLIED FOR FEDERAL AS WELL AS PRIVATE GRANTS AND SERVICE AGREEMENTS. THE GRANT APPLICATION PROCESS IS MONITORED BY THE RESEARCH ADMINISTRATION GROUP AND THE APPLICATION OF GRANT FUNDS ARE MONITORED BY THE RESEARCH AND EDUCATION ACCOUNTING GROUP. THESE TWO GROUPS MEET MONTHLY TO ENSURE ALL GRANTS ARE BEING ADMINISTERED PROPERLY. X X X X X true true false false false false false false false DAVID MURPHY INTERIM CEO 402770 3 402773 CAROLYN WILSON PRESIDENT OF UMMC 878532 577110 122347 21497 1599486 DANIEL M FROMM CHIEF FINANCIAL OFCR 609091 391706 91480 37454 1129731 DANIEL K ANDERSON PRESIDENT, FAIRVIEW 59765 222590 554135 77115 92 913697 PATRICK HERSON PRESIDENT OF NORTH 502339 196284 6502 57834 4414 767373 TRUDI TRYSLA SR. VP & GENERAL COU 421042 174184 58446 27199 680871 JOHN DOHERTY SR. OPERATING EXEC. 401483 157594 8161 45425 34768 647431 MARK THOMAS PRES. & CEO OF EBENE 327774 167197 69093 35898 23125 623087 ALISTAIR JACQUES CHF INFORM.TECH.8-14 438125 77243 24196 539564 CAROLYN JACOBSON CHIEF HR OFFICER 352248 148392 18550 20091 539281 TODD SHERRILL VP OF FINANCE 228337 32853 18550 18783 298523 ROBERT BEACHER PRESIDENT, FAIRVIEW 465075 270087 28278 64581 29621 857642 BRADLEY BEARD PRESIDENT, SOUTHDALE 527995 169637 16625 52584 28558 795399 DEBRA BOARDMAN PRESIDENT,RANGE HOSP 457216 127451 8928 39677 8233 641505 JOHN HERMAN PRESIDENT OF NORTHLA 344062 128287 37574 35518 15548 560989 JOHN BJORKLUND SR. VP PATIENT CARE 239221 104334 87722 5298 5364 13186 14786 6839 259371 217379 KATHY TARANTO PRESIDENT END 4-15 41596 89376 25788 1951 158711 FREDERICK HARRIS NEURO SURGEON 1203235 288014 6397 30623 1528269 MICHAEL CAMPOLI MD SURGEON 1290649 13327 18550 35449 1357975 WILLIAM OMLIE MD SURGEON 740966 33413 3109 18550 22788 818826 DAVID LINDGREN M D SURGEON 654014 76375 18550 31303 780242 JAMES LORGE M D SURGEON 557544 52727 53989 18550 26009 708819 RULON STACEY PRES. CEO END 7-14 230772 434000 1115058 4848 1784678 MARK HANSBERRY VP STRATEGIC PLANNIN 112958 390000 502958 BETH KREHBIEL PRESIDENT, RIDGES HO 91009 366600 12907 470516 TERRY MARTINSON MEDICAL DIRECTOR 22242 241214 20162 283618 SCHEDULE J, PAGE 1, PART I, LINE 4 DANIEL K. ANDERSON 554,227 0 0 PATRICK HERSON 0 5,612 0 JOHN DOHERTY 0 15,979 0 MARK THOMAS 0 71,297 0 ROBERT BEACHER 0 29,973 0 BRADLEY BEARD 0 21,190 0 DEBRA BOARDMAN 0 4,988 0 JOHN HERMAN 0 36,170 0 RULON STACEY 560,769 270,000 0 MARK HANSBERRY 390,000 0 0 BETH KREHBIEL 366,600 0 0 TERRY MARTINSON 241,214 0 0 SCHEDULE J, PART III 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. THE CONTRIBUTION IS UNFUNDED. THE PLAN COMPLIES WITH SECTION 457(F) OF THE CODE. A CITY OF MINNEAPOLIS FAIRVIEW HEALTH SERVICES 416005375 60374VDV2 2015-09-02 122972746 REFUNDED 1997, 2000,2002 & 2005 UPGRADE AND EXPANSION OF FAIRVIEW SOUTHDALE false false false B CITY OF MINNEAPOLIS FAIRVIEW HEALTH SERVICES 416005375 60374VCH4 2008-10-29 728392490 REFUND 2004A 5-13-2004, 2005A 5-10-2005, B&C CHILDREN'S HOSPITAL & EXPAN. false false false C CITY OF MINNEAPOLIS FAIRVIEW HEALTH SERVICES 416005375 60374VCY7 2010-10-06 222218750 REFUND 2008C, 2008D, 2008E false false false A 122972746 1409724 31000000 90563022 false false true true B 322583022 729602999 30447712 14697472 8640253 3957639 15341000 209408419 447110504 2011 true false true true C 222218750 222218750 true false true true A false false true true false 0.00190 0.00020 0.00210 false false true B false true true true true true 0.01280 0.00140 0.01420 false false true C false true true true false 0.00120 0.00120 false false true A false true false false false false false false true B false false false true true false false false true C false false true false true false false false true A true B true C true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION CITY OF MINNEAPOLIS EMERGENCY ROOM SCHEDULE K - DATE REBATE COMPUTATION PERFORMED CITY OF MINNEAPOLIS 10/26/12 SCHEDULE K - ADDITIONAL INFORMATION CITY OF MINNEAPOLIS DIFFERENCES BETWEEN THE ISSUE PRICE (PART 1) AND TOTAL PROCEEDS (PART II, LINE 3) OF SCHEDULE K ARE DUE TO INVESTMENT EARNINGS. CITY OF MINNEAPOLIS DIFFERENCES BETWEEN THE ISSUE PRICE (PART 1) AND TOTAL PROCEEDS (PART II, LINE 3) OF SCHEDULE K ARE DUE TO INVESTMENT EARNINGS. X MEDICAL EQUIPME 29 739185 FAIR MARKET VALUE false false false FORM 990 - ORGANIZATION'S MISSION FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE. FORM 990, PAGE 1, PART I, LINE 6 OUR VOLUNTEERS ARE VALUED MEMBERS OF THE HEALTH CARE TEAM, ENHANCING THE PATIENT AND FAMILY EXPERIENCE BY MEETING OUR PATIENTS' NEEDS. SOME OF THE SERVICES PROVIDED INCLUDE WAYFINDING FOR PATIENTS, FAMILIES AND VISITORS AND ESCORTS AND WHEELCHAIR TRANSPORTS FOR PATIENTS AND FAMILY MEMBERS. OUR VOLUNTEERS PROVIDE HOSPITALITY FOR PATIENTS, FAMILIES AND VISITORS AND PROVIDE ASSISTANCE WITH SPECIAL ONSITE AND COMMUNITY EVENTS AND ACTIVITIES. FORM 990, PAGE 2, PART III, LINE 4A HOUSING FACILITIES THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY. FAIRVIEW'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. IN ADDITION TO THE 6,590,210 PATIENT CARE ENCOUNTERS IN 2015, FAIRVIEW PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS 1,700-BED HOSPITAL IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE HOSPITAL INCLUDES THE UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. IN 2015, US NEWS AND WORLD REPORT NAMED FIVE PEDIATRIC SPECIALTIES IN NATIONAL RANKINGS. THE NEONATOLOGY RANKING WAS HIGHEST AMOUNG HEALTCARE PROVIDERS IN MINNESOTA. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG. FORM 990, PAGE 2, PART III, LINE 4B INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 23,661,926. THE COST OF THE MEDICAL CARE SURCHARGE TO THE HOSPITALS WAS 29,945,836. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2015, FAIRVIEW PAID 31,672,567 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2015 TOTALED 4,9570,825 AND THE SALES AND INCOME TAXES TOTALED 637,656. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 137,190,132 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 1,035,390,946. FORM 990, PAGE 2, PART III, LINE 4C FAIRVIEW HEALTH SERVICES CONTINUED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2015. THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 179 SCHOOLS, 255 FAITH COMMUNITIES AND 50 COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY. FORM 990, PART V, LINE 4B BERMUDA, CAYMAN ISLANDS FORM 990, PAGE 6, PART VI, LINE 2 MARK HANSBERRY AND DANIEL FROMM HAS A BUSINESS RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD HAS THREE CATEGORIES OF DIRECTORS: 1) 3 EX OFFICIO WHO ARE FAIRVIEW'S CEO AND THE UNIVERSITY'S VICE PRESIDENT OF MEDICAL SCHOOL AND A SENIOR LEADER OF THE UNIVERSITY MEDICAL SCHOOL OR OF THE UNIVERSITY APPOINTED, FROM TIME TO TIME, BY THE VICE PRESIDENT 2) 10 ELECTED DIRECTORS WHO ARE 1 DIRECTOR ELECTED BY THE REGENTS OF THE UNIVERSITY OF MINNESOTA AND 9 ELECTED BY THE BOARD AFTER NOMINATION FROM CERTAIN COMPONENTS OF THE FAIRVIEW SYSTEM; AND 3) BETWEEN 3 TO 8 AT-LARGE DIRECTORS ELECTED BY THE BOARD. FORM 990, PAGE 6, PART VI, LINE 7B THE REGENTS OF THE UNIVERSITY OF MINNESOTA HAVE THE RIGHT TO APPROVE PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IF THE AMENDMENT WOULD ADVERSELY AFFECT THEIR RIGHTS AND CERTAIN SALES OF SUBSTANTIALLY ALL OF FAIRVIEW'S ASSETS. AN ASSOCIATION OF APPROXIMATELY 70 LUTHERAN CHURCHES ELECTS MOST OF THE FAIRVIEW SOUTHDALE HOSPITAL, FAIRVIEW RIDGES HOSPITAL AND PART OF THE UMMC BOARDS OF TRUSTEES, AS WELL AS THE FPA COMMUNITY DIRECTORS AND THE EBENEZER SOCIETY BOARD OF DIRECTORS AND HAS THE RIGHT TO APPROVE CERTAIN FAIRVIEW BYLAW AMENDMENTS. FORM 990, PAGE 6, PART VI, LINE 11B THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY FAIRVIEW'S GENERAL COUNSEL, FAIRVIEW'S CHIEF FINANCIAL OFFICER AND CONTROLLER AND THEN BY AN INDEPENDENT TAX CONSULTANT. THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW OF CONTENT. THE FORM 990 IS SUBSEQUENTLY PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C MANAGERS, DIRECTORS AND SENIOR MANAGEMENT OF FAIRVIEW ARE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTERESTS BY BOARD MEMBERS AND SENIOR MANAGEMENT ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR SPECIFIC REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS AND KEY EMPLOYEES IS ALSO PRESENTED TO THE CONFLICT OF INTEREST REVIEW COMMITTEE FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONFLICTS, AS NECESSARY, DURING THE YEAR. FORM 990, PAGE 6, PART VI, LINE 15A THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. THE FULL BOARD APPROVES EXECUTIVE COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B THE DETERMINATION OF OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. FORM 990, PAGE 6, PART VI, LINE 19 FAIRVIEW HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT. FORM 990, PART XI, LINE 9 RELATED ORGS 24,085,479 DEFINED PLAN VALUATION -4,935,121 EQUITY DISTRIBUTION -12,576,456 HUD SURPLUS -187,562 PHARMACY OTHER -51,543,202 TOTAL -45,156,862 FAIRVIEW PHARMACY SERVICES LLC 711 KASOTA AVE MINNEAPOLIS MN 55414 721586863 PHARMACY S MN 952152880 91342374 NA FAIRVIEW MAPLE GROVE SURGERY CENTER 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 208335586 MEDICAL SU MN 6835329 1987085 NA RMC PROPERTIES INC 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 411482417 PROPERTY MN NA FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411573810 FUNDRAISIN MN 501C3 7 NA true FAIRVIEW HOME CARE AND HOSPICE 2450 26TH AVENUE SOUTH MINNEAPOLIS MN 55406 411434246 HOME HEALT MN 501C3 9 NA true FAIRVIEW PHYSICIAN ASSOCIATES NETWO 3400 WEST 66TH STREET MINNEAPOLIS MN 55435 411753325 CLINICAL I MN 501C3 9 NA true RANGE REGIONAL HEALTH SERVICES & SU 750 EAST 34TH STREET HIBBING MN 55746 411293970 PATIENT HE MN 501C3 3 NA true EBENEZER SOCIETY 2722 PARK AVENUE SOUTH MINNEAPOLIS MN 55407 410706141 HEALTH CAR MN 501C3 9 N/A true FAIRVIEW AUXILIARY 6401 FRANCE AVENUE SOUTH MINNEAPOLIS MN 55435 411414831 SUPPORT MN 501C3 11C N/A true FAIRVIEW CLINICS 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411761760 PHYSICIAN MN N/A true FAIRVIEW PHYSICIAN AND CLINIC SERVI 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411544996 PHYSICIAN MN N/A true FAIRVIEW DEVELOPMENT COMPANY 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411568579 LEASEHOLD MN N/A true FAIRVIEW EXPRESS CARE 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 205996177 PHYSICIAN MN N/A true BEHAVIORAL HEALTHCARE PROVIDERS 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN 55454 411805759 MENTAL HEA MN N/A true ASSOCIATED MEDICAL ASSURANCE 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS MN BD 55454 SELF INSUR BD N/A true false true true false false false false false false false true true true false false true true true true FAIRVIEW CLINICS L 702080 FAIR MARKET VALUE FAIRVIEW CLINICS J 2918687 FAIR MARKET VALUE BEHAVIORAL HEALTHCARE PROVIDERS L 109897 FAIR MARKET VALUE FAIRVIEW CLINICS P 8405198 FAIR MARKET VALUE RANGE REGIONAL HEALTH SERVICES S 4650123 FAIR MARKET VALUE FAIRVIEW CLINICS S 18764705 FAIR MARKET VALUE BEHAVIORAL HEALTHCARE PROVIDERS S 309941 FAIR MARKET VALUE RANGE REGIONAL HEALTH SERVICES M 134910 FAIR MARKET VALUE RANGE REGIONAL HEALTH SERVICES P 17000 FAIR MARKET VALUE FAIRVIEW FOUNDATION M 29454 FAIR MARKET VALUE FAIRVIEW FOUNDATION B 2720951 FAIR MARKET VALUE FAIRVIEW FOUNDATION C 3866868 FAIR MARKET VALUE FAIRVIEW DEVELOPMENT COMPANY L 11372 FAIR MARKET VALUE FAIRVIEW DEVELOPMENT COMPANY S 32574 FAIR MARKET VALUE EXPRESS CARE L 881460 FAIR MARKET VALUE EXPRESS CARE Q 21707 FAIR MARKET VALUE EXPRESS CARE S 1073111 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE L 310588 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE P 624027 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE S 3047800 FAIR MARKET VALUE FAIRVIEW HOMECARE & HOSPICE J 74177 FAIR MARKET VALUE FAIRVIEW PHYSICIAN ASSOCIATES NETWO L 126610 FAIR MARKET VALUE FAIRVIEW PHYSICIAN ASSOCIATES NETWO Q 232 FAIR MARKET VALUE FAIRVIEW PHYSICIAN ASSOCIATES NETWO S 2264796 FAIR MARKET VALUE EBENEZER SOCIETY L 112462 FAIR MARKET VALUE EBENEZER SOCIETY P 743617 FAIR MARKET VALUE EBENEZER SOCIETY S 7627220 FAIR MARKET VALUE FAIRVIEW FOUNDATION R 1243897 FAIR MARKET VALUE MAPLE GROVE SURGERY CENTER S 1035310 FAIR MARKET VALUE ASSOCIATED MEDICAL ASSURANCE S 40274 FAIR MARKET VALUE EBENEZER SOCIETY FOUNDATION Q 220620 FAIRVIEW MARKET VALUE