Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
FAIRVIEW HEALTH SERVICES
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2450 RIVERSIDE AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
MINNEAPOLIS, MN55454
D Employer identification number

41-0991680
E Telephone number

G Gross receipts $ 2,767,488,987
F Name and address of principal officer:
MARK EUSTIS
2450 RIVERSIDE AVENUE
MINNEAPOLIS,MN55454
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.fairview.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1906
M State of legal domicile: MN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To improve the health of the communities we serve. See Schedule O.We commit our skills and resources to the benefit of the whole person by providing the finest in healthcare, while addressing the physical, emotional and spiritual needs of individuals and their families. We further pledge to support the research and education efforts of our partner, the University of Minnesota, and its tradition of excellence.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 15
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 17,464
6 Total number of volunteers (estimate if necessary) .... 6 3,636
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 173,338,860
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -4,296,209
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,658,005 4,346,740
9 Program service revenue (Part VIII, line 2g) ......... 2,615,461,684 2,736,032,009
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 87,205,548 -18,138,464
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,969,068 5,298,917
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,713,294,305 2,727,539,202
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 48,590 1,750,000
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,135,333,533 1,171,068,968
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,368,548,009 1,464,137,589
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,503,930,132 2,636,956,557
19 Revenue less expenses. Subtract line 18 from line 12...... 209,364,173 90,582,645
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 2,407,037,112 2,564,961,247
21 Total liabilities (Part X, line 26)............ 1,393,020,825 1,431,994,180
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 1,014,016,287 1,132,967,067
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: Fairview's mission is:To improve the health of the communities we serve. See Schedule O.We commit our skills and resources to the benefit of the whole person by providing the finest in healthcare, while addressing the physical, emotional and spiritual needs of individuals and their families. We further pledge to support the research and education efforts of our partner, the University of Minnesota, and its tradition of excellence. Fairview's Vision: To be the best health care delivery system for America, in partnership with the University of Minnesota.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 582,221,146 including grants of $ 1,744,500 ) (Revenue $ 1,581,706,715 )
Providing medical servicesFairview Health Services provides exceptional clinical care and patient experience within the full continuum of services in the system. Through its network of hospitals, clinics and ambulatory care programs, and its affiliation with the Academic Health Center of the University of Minnesota and University of Minnesota Physicians (the University faculty practice), Fairview provides the entire continuum of healthcare services in a coordinated and cost-effective manner to both urban and rural communities. See Schedule O.Fairview also has a full continuum of health care services, including primary and specialty care clinics, physical therapy/sports medicine, retail pharmacies, home care and hospice, long-term care and more. The healthcare services which Fairview provides to the community include but are not limited to: primary, specialty, tertiary and quatenary care, hospital and physician services, senior services, home care and hospice, pharmacy, children's health care, therapy, behavioral and other services. In addition to the 1,419,393 patient care encounters in 2010, Fairview personnel experienced over 800,000 encounters with the community at large, including low-income populations as well as education and media encounters for special needs groups and other community members. Fairview's mission is to improve the health of the communities it serves. Medical services which Fairview provides to the community include: arthritis services, assisted living, battered women support services, behavioral services, bone marrow transplants, cancer care, children's health care services, chronic care services, complementary medicine, diabetes services, education, emergency services, heart health services, home health care, hospice, infusion therapy, inpatient and outpatient mental health and chemical dependency services, maternal/child health, multiple sclerosis services, neurosciences, nutrition and weight management services, pharmacy services, radiology and imaging, rehabilitation services, respiratory care services, skilled nursing care, solid organ transplants, senior services, social work services, support groups and services for various health issues, surgical services, urgent care, volunteer opportunities, walking programs and wound care.Services are offered at the following locations: Fairview Southdale Hospital, located in Edina, Minnesota is a multi-specialty medical center rated by HealthGrades as the number one hospital in Minnesota for heart and stroke care in 2010. Southdale was also five-star rated in 2010 in 15 areas including Critical Care, Pulmonary Services, Joint Replacement, and Total Knee Replacement. University of Minnesota Amplatz Children's Hospital is located in Minneapolis, Minnesota on the campus of the University of Minnesota Medical Center. UMACH provides a broad spectrum of pediatric programs and services -- ranging from pediatric general surgery, imaging and neonatal and pediatric intensive care to cardiac and oncology services and blood and marrow and organ transplantation. The hospital is also home to Minnesota's only children's behavioral inpatient unit with programming exclusively devoted to children ages 12 and younger. The University of Minnesota Medical Center, Fairview in Minneapolis, is one of the most respected teaching institutions in the nation, balancing responsiveness to patient needs and wishes with access to innovative treatments and technology to deliver superior health outcomes. As the core teaching hospital of the University of Minnesota Medical School, the medical center focuses on patient care, which is congruent with the medical school's mission of research and education. Fairview serves as a training site for residents in various specialties and is the core teaching site for the University of Minnesota residents. Senior residents and fellows provide Fairview some degree of clinical service that we would otherwise not receive. University of Minnesota Medical Center includes outpatient and inpatient facilities. Comprehensive services range from primary care, emergency care and the delivery of thousands of babies each year, as well as care of patients with the most complex medical conditions. Areas of specialization include solid organ and blood and marrow transplantation, heart disease, cancer, neurosciences, pediatrics, and behavioral illnesses. In 2010, UMMC was ranked on the U.S. New & World Report's "America's Best Hospitals" list among the top 50 hospitals in the United States in six specialties. Fairview University Medical Center-Mesabi located in Hibbing, Minnesota, a related entity, provides advanced, high technology, inpatient and outpatient care. Mesabi combines the area's finest medical services to provide the most comprehensive health care system on the Iron Range and northeast Minnesota. Fairview Lakes Medical Center, located in Wyoming, Minnesota, takes a patient-focused and team-oriented approach to health care. This medical center offers inpatient and outpatient care to the surrounding community. Fairview Northland Regional Medical Center, located in Princeton, Minnesota, provides health care to communities ranging from Elk River north to Milaca. Fairview Red Wing Medical Center, a related subsidiary, combines a clinic and hospital into one state-of-the-art facility. Opened in 2001, the medical center has a 50-bed inpatient hospital care unit that includes intensive care and a birthing center. Clinic services include: primary family services, specialty medical and specialty surgical services, urgent and emergency care and rehabilitation services. This medical center also offers the latest in diagnostic tools, i.e. CT scan, MRI and full lab services. Red Wing Medical Center is a complete health care facility for patients throughout Goodhue and Pierce counties.Fairview Ridges Hospital, located in Burnsville, Minnesota is a multi-specialty medical center dedicated to taking care of you and your family. With more than 40 locations across the Twin Cities and Minnesota,Fairview Clinics aim to make primary care seamless for its patients. In 2008, more than 99 percent of Fairview patients rated the care they received as excellent and were so satisfied that they would recommend a Fairview clinic to their family or friends. Patients reported that the electronic medical record system has enhanced doctor-patient relationships. Information transfers are fast and direct. Fairview MyChart offers online access to providers and medical records.Fairview, in partnership with University of Minnesota Physicians, provides exceptional specialty care at the more than 50 specialty care clinics at the University of Minnesota Medical Center. Fairview operates other continuum services including: Fairview Home Care and Hospice, Fairview Home Medical Equipment, Fairview Pharmacy, Institute for Athletic Medicine, Fairview Rehabilitation Services, Fairview MS Achievement Center, Fairview Partners, Fairview Counseling Services, Fairview Care Management and Coordination, and subsidized health services.Fairview is committed to the health needs of the communities it serves. Fairview subsidizes some of the essential services and programs that operate at a loss, including hospice, palliative services and mental health services.For more information, visit www.fairview.org.
4b (Code:   ) (Expenses $ 1,272,811,417 including grants of $   ) (Revenue $ 1,109,705,098 )
Cost of participating in government programsFairview is committed to serving the health care needs of members of its community. To support full access to services, Fairview participates in the following public health care programs: Medicare, Medicaid, MinnesotaCare and General Assistance Medical Care. Reimbursement from these programs for services rendered, generally falls below the cost of providing the care. To compensate for the under funding by government programs, Fairview makes a significant financial investment to offset these losses. See Schedule O.In 2010, Fairview incurred $59,615,461 of taxes and surcharges costs in health care services that exceeded the reimbursement received by public programs, surcharges, taxes and fees related to these programs and not including Medicare. The following is a breakdown on costs related to the cost of participating in government programs: Costs exceed Medicaid ReimbursementFairview is serving thousands of low-income individuals covered by Medical Assistance, General Assistance Medical Care and MinnesotaCare. Reimbursement from these programs is less than Fairview's cost of providing care to these patients. Total Medicaid costs were $306,424,194. The cost of the Medicaid Surcharge was $21,696,937.MinnesotaCare taxThe state of Minnesota levies a 2 percent tax on certain healthcare provider revenues. Money generated from this tax helps to defray the costs incurred from MinnesotaCare and other programs/services for uninsured individuals. In 2010, Fairview paid $32,390,555 in MinnesotaCare taxes. Taxes and feesFairview does pay some property tax to local and state government. This helps to fund civil and educational services in the community. These costs totaled $5,527,969Costs exceed Medicare Reimbursement:Fairview cares for thousands of individuals ages 65 and older who are covered by Medicare. Fairview incurred $51,791,566 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 $373,229,306.
4c (Code:   ) (Expenses $ 78,836,942 including grants of $   ) (Revenue $ 24,409,946 )
The primary purpose of the educational and research programs is to educate health professionals in the broader community. The programs of medical, general clinical and patient care research are designed primarily to benefit the community. Through its affiliation with the University, Fairview increased its focus and support on research and education.The University of Minnesota Medical Center,Fairview, Fairview Southdale Hospital and Fairview Ridges Hospital are the primary teaching sites for the residency program at The University of Minnesota.See Schedule O Education grants are given to high school students entering health care areas that are needed by the communities served. Grants are also given to employees to improve their education and skills to better serve the communities they serve.
(Code:   ) (Expenses $ 81,783,386 including grants of $   ) (Revenue $ 20,210,250 )
Uncompensated careIn 2010, Fairview experienced a dramatic increase in uncompensated care, due to higher unemployment, loss of personal income and other economic factors. Fairview tracks financial contributions of this type in three categories: charity care, uninsured discount program and bad debt.Charity careFairview treats all patients with dignity and respect, regardless of their ability to pay. Fairview's Community Care program supports the mission to provide quality medical care to everyone in the community. To qualify for 100 percent of hospital expense to be assumed by Fairview, individual or family income must be at or below 275 percent of the Federal Poverty Guidelines. Fairview also offers Community Care Programs for Fairview Clinics, Fairview Home Care and Hospice and Fairview Pharmacy. In 2010, Fairview incurred $47,504,145 in costs associated with providing charity care to some of its patients. Uninsured hospital discount programFairview provides an upfront discount to uninsured patients for hospital and hospital-based clinic services that are medically necessary. This discount is automatically applied to the patient's bill. To qualify for this discount, patients or the account guarantor, must be uninsured and a Minnesota resident. Patients who receive the uninsured discount may also apply for Fairview's Hospital Community Care Program. In 2010, Fairview provided $5,302,780 in subsidized discounts to uninsured individuals. Fairview participates in various community activities that address health problems. Fairview provides numerious in-kind donations to individuals and other not-for-profit organizations to support community needs.Bad DebtFairview provides medical care to all those in need. There are instances when patients are unable or unwilling to pay for care received. When patient account balances go unpaid, the amounts are tracked as bad debt. In 2010, bad debt exceeded $29,679,273.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 81,783,386 including grants of $   ) (Revenue $ 20,210,250 )
4e Total program service expensesMediumBullet$ 2,015,652,891
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
No
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
1,264
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
17,464
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD , CJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
19
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
DANIEL FROMM
2450 RIVERSIDE AVENUE SO
MINNEAPOLIS,MN55454
(612) 672-4976
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) John Bjorklund MD
Director
 5.00 X           0 0 0
(2) Jon R Campbell
Chairman/Director
 10.00 X           0 0 0
(3) Frank Cerra MD
Director
 5.00 X           0 0 0
(4) Bobbie Daniels
Director
 5.00 X           0 0 0
(5) Doug Dirks
Director
 5.00 X           0 0 0
(6) Dan Dixon
Director
 5.00 X           0 0 0
(7) Joanell Dyrstad
Secretary
 5.00 X           0 0 0
(8) Michael Fay
Director
 5.00 X           0 0 0
(9) Buck Foot III
Director
 5.00 X           0 0 0
(10) Ann Hengel
Director
 5.00 X           0 0 0
(11) Carol Ley MD
Director
 5.00 X           0 0 0
(12) Charles Mooty
Director
 5.00 X           0 0 0
(13) Christopher P Nelson
Director
 5.00 X           0 0 0
(14) Kevin Nelson
Director
 5.00 X           0 0 0
(15) Mark Paller
Director
 5.00 X           0 0 0
(16) Joanne Lofgren Ploetz
Director
 5.00 X           0 0 0
(17) Deborah Powell MD
Director
 5.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Paula Roe
Director
 5.00 X           0 0 0
(19) Roby Thompson MD
Director
 5.00 X           0 0 0
(20) Connie G Weinman
Vice Chair/Director
 5.00 X           0 0 0
(21) Betsy Wergin
Director
 5.00 X           0 0 0
(22) Mark Eustis
President & CEO
 50.00 X   X       1,311,286 0 156,917
(23) James Fox
CFO
 40.00     X       580,817 0 65,777
(24) Gordon Alexander
President of UMMC
 40.00     X       459,320 0 7,637
(25) Bradley Beard
President of Fairview Southdale Hospital
 40.00     X       514,370 0 65,201
(26) Daniel K Anderson
Sr. Operating Officer
 40.00     X       589,398 0 44,583
(27) Robert Beacher
President, Fairview Pharmacy Services
 40.00     X       453,195 0 44,478
(28) Paula Phillippe
Chief Human Resources Officer
 40.00     X       408,836 0 49,443
(29) Scott Wordelman
President & CEO, Fairview Red Wing
 40.00     X       327,132 0 32,568
(30) Larry Pfaff
President of Range Regional Health Services
 40.00     X       127,567 0 0
(31) Mark Thomas
President & CEO of Ebenezer
 40.00     X       351,542 0 39,120
(32) George Chresand
Sr. VP & General Counsel
 40.00     X       436,837 0 50,089
(33) Beth Krehbiel
President, Fairview Ridges Hospital
 40.00     X       362,848 0 44,113
(34) Allen Vickers
VP, Chief Audit Exec & Comp
 40.00     X       257,618 0 39,943
(35) Mark Hansberry
VP, Marketing & Communications
 40.00     X       400,602 0 50,891
(36) John Doherty
Sr. Operating Exec.
 40.00     X       440,771 0 53,784
(37) Terry Carroll
CIO
 40.00     X       554,497 0 44,182
(38) Richard Howard
President, Fairview Foundation
 40.00     X       297,066 0 32,431
(39) Steven A Borgstrom
VP, Treasurer
 40.00     X       286,097 0 22,010
(40) Mark Dixon
Pres. South Region
 40.00     X       692,574 0 53,557
(41) Daniel M Fromm
VP, Finance
 40.00     X       391,397 0 46,306
(42) Terry Martinson
CAO
 40.00     X       448,855 0 31,797
(43) Deborah DeMarais
President, CPMG
 40.00       X     377,353 0 26,634
(44) Kathleen Taranto
Sr. VP Patient Care
 40.00       X     426,240 0 32,592
(45) Steven Hill
President of UMMC
 40.00       X     424,066 0 26,501
(46) David M Lindgren MD
Orthopedic Surgeon
 40.00         X   950,455 0 36,727
(47) William Omlie MD
Surgeon
 40.00         X   671,334 0 35,287
(48) Daniel Yoon MD
Surgeon
 40.00         X   578,558 0 23,224
(49) Todd Lindquist MD
Surgeon
 40.00         X   630,512 0 45,143
(50) John Rogers MD
Surgeon
 40.00         X   629,133 0 29,949
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,380,276 0 1,230,884
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,945
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
U OF M PHYSICIANS
420 DELAWARE ST NE
MINNEAPOLIS,MN55455 		MEDICAL/PHYSICIAN 86,298,679
AD STRATEGIES
5775 Wayzata Blvd
MINNEAPOLIS,MN55416 		CONSULTING 3,171,968
CAROL CORPORATION
NW 5936 PO Box 1450
MINNEAPOLIS,MN55485 		TECHNOLOGY SERVICES 3,157,611
CENTRAL MINNESOTA DIAGNOSTIC INC
911 NORTHLAND DRIVE
PRINCETON,MN55371 		DIAGNOSTIC IMAGING 2,725,909
VALIDUS CONSULTING LLC
c/o Vitalize Consulting Solutions 8
Bloomington,MN55437 		CONSULTING 2,126,764
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet201
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,525,410
e Government grants (contributions)1e 1,637,888
f All other contributions, gifts, grants, and
similar amounts not included above1f 		183,442
g Noncash contributions included in lines 1a-1f:$ 208,442
h Total. Add lines 1a-1f.......MediumBullet 4,346,740
Program Service Revenue Business Code
2a Pharmacy 446,110 936,083,784 767,359,247 168,724,537  
b Medicare-Medicaid 624,100 677,210,833 677,210,833    
c Laboratory 621,500 558,849,201 555,054,357 3,794,844  
d Patient Care 624,100 528,059,857 524,243,868   3,815,989
e Medical Services 541,900 10,568,617 10,290,024 278,593  
f All other program service revenue . 25,259,717 24,718,831 540,886  
g Total. Add lines 2a–2f........MediumBullet 2,736,032,009
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 15,629,318     15,629,318
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 7,411,072  
b Less: rental expenses 2,112,155  
c Rental income or (loss) 5,298,917  
d Net rental income or (loss).......MediumBullet 5,298,917     5,298,917
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 3,775,561 294,287
b Less: cost or other basis and sales expenses 34,006,402 3,831,228
c Gain or (loss) -30,230,841 -3,536,941
d Net gain or (loss)..........MediumBullet -33,767,782     -33,767,782
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 2,727,539,202 2,558,877,160 173,338,860 -9,023,558
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,744,500 1,744,500
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 5,500 5,500
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 10,496,218 2,519,092 7,977,126  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 923,951,991 766,458,600 157,493,391  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 54,345,768 44,909,689 9,436,079  
9 Other employee benefits ....... 119,868,878 101,147,028 18,721,850  
10 Payroll taxes ........... 62,406,113 50,132,804 12,273,309  
11 Fees for services (non-employees):        
a Management ...... 123,778,824 77,893,523 45,885,301  
b Legal ......... 1,832,962 147,567 1,685,395  
c Accounting ........... 446,606   446,606  
d Lobbying ........... 626,878   626,878  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 1,458,601   1,458,601  
g Other .......... 395,462,780 138,614,636 256,848,144  
12 Advertising and promotion .... 3,880,665 64,244 3,816,421  
13 Office expenses ....... 50,519,349 25,403,809 25,115,540  
14 Information technology ...... 18,592,552   18,592,552  
15 Royalties .. 500 500    
16 Occupancy ........... 56,192,889 43,624,084 12,568,805  
17 Travel ............ 4,450,783 3,660,605 790,178  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,133,346 2,735,289 398,057  
20 Interest ........... 40,124,232 37,339,008 2,785,224  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 91,642,895 71,769,151 19,873,744  
23 Insurance .............. 11,659,166 6,001,286 5,657,880  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Supplies Non Medical 315,419,470 312,697,935 2,721,535  
b Medical Supplies 210,173,429 208,068,725 2,104,704  
c Taxes 60,480,909 59,066,307 1,414,602  
d Bad Debt 29,679,273 29,616,018 63,255  
e Miscellaneous 23,278,549 13,774,029 9,504,520  
f All other expenses 21,302,931 18,258,962 3,043,969  
25 Total functional expenses. Add lines 1 through 24f 2,636,956,557 2,015,652,891 621,303,666 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 13,803,627 1 5,376,889
2 Savings and temporary cash investments ....... 80,997,946 2 60,374,536
3 Pledges and grants receivable, net ......... 39,007,555 3 38,672,373
4 Accounts receivable, net ......... 271,621,480 4 257,986,181
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 136,000 5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 36,185,395 8 41,411,969
9 Prepaid expenses and deferred charges ............ 14,510,657 9 18,215,784
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,529,268,487
b Less: accumulated depreciation. ..... 10b 753,723,676 717,317,162 10c 775,544,811
11 Investments—publicly traded securities .......... 593,204,789 11 646,441,376
12 Investments—other securities. See Part IV, line 11 ...... 42,290,786 12 43,878,592
13 Investments—program-related. See Part IV, line 11 .. 417,868,866 13 542,440,317
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 180,092,849 15 134,618,419
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,407,037,112 16 2,564,961,247
Liabilities 17 Accounts payable and accrued expenses . 262,958,437 17 248,871,858
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 848,771,465 20 842,909,114
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 36,236,261 23 50,660,530
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 245,054,662 25 289,552,678
26 Total liabilities. Add lines 17 through 25..... 1,393,020,825 26 1,431,994,180
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 963,816,480 27 1,080,831,229
28 Temporarily restricted net assets ..... 50,199,807 28 52,135,838
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 1,014,016,287 33 1,132,967,067
34 Total liabilities and net assets/fund balances ..... 2,407,037,112 34 2,564,961,247
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
2,727,539,202
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
2,636,956,557
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
90,582,645
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
1,014,016,287
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
28,368,135
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
1,132,967,067
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
FAIRVIEW HEALTH SERVICES
  		Employer identification number

41-0991680
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
FAIRVIEW HEALTH SERVICES
  		Employer identification number

41-0991680
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
FAIRVIEW HEALTH SERVICES
  		Employer identification number

41-0991680
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
26,456
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
600,422
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
626,878
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Explanation of Other Lobbying Activities: Part II-B, Line 1i: During 2010, Fairview Health Services (Fairview) officials had several meetings and contact with both federal and state government officials, congressional staff and representatives to discuss various health care reform and Medicare proposals and proposed legislation. Fairview also has representation on the healthcare leadership council which has advocated health care reform proposals. In addition, Fairview has corresponded with representatives, staff and government officials outlining our concerns and recommendations regarding health care reform. The primary focus of these interactions was to discuss principles for health care reform rather than attempting to influence the passage of any specific legislation. The majority of these activities were conducted by employees of Fairview. The expenditures for this activity totaled approximately $127,183. Additionally, Fairivew paid approximately $499,695 to outside lobbyists in 2010. Fairview 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 2010, 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 deal with members of government to discuss issues dealing with Fairview's tax exempt status and health care issues including sales tax exemption, state health care reform, real estate tax issues, physician licensing, Medicaid , etc. Fairview believes these informational meetings are essential support to our charitable purpose and does not constitute attempts to influence specific legislation as contemplated by these questions.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 1,242,544 1,203,453 930,716
b Contributions ........ 17,356 15,648 299,914
c Investment earnings or losses ... 23,235 23,443 -27,177
d Grants or scholarships ..... 9,790    
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ...... 1,273,345 1,242,544 1,203,453
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet13.000 %
c
Term endowment: SchDMd Bullet87.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   15,549,664 15,549,664
b Buildings ................   788,446,399 386,863,946 401,582,453
c Leasehold improvements ............   57,530,345 35,384,301 22,146,044
d Equipment ................   440,084,831 326,336,042 113,748,789
e Other .................   227,657,248 5,139,387 222,517,861
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 775,544,811
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Investments in Affiliates 539,678,648 C
(2) Captive & Subs 2,761,669 C







Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet 542,440,317
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Debt Services Reserve Fund 26,892,123
(2) Construction Fund 34,141,552
(3) Restricted Fund 119,584
(4) Note Receivable 2,694,338
(5) Good-will and Intangibles, Land Held and Deferred Premium 32,231,434
(6) Other Long Term Assets 26,885
(7) Deferred Premium 25,956,215
(8) Deferred Debt Acquisition Cost 12,556,288

Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 134,618,419
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
IBNR Claims Reserve Ins subs Claim Reserve 7,640,317
Work Comp Reserve 25,953,894
Other Liabilities & Third Party Payable Contracts 17,229,603
Related Org Liabilities 226,700,244
Current Portion of Work Comp 4,490,078
Current Portion of LT Debt 7,538,542



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 289,552,678
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Description of Intended Use of Endowment Funds: Part V, Line 4: Medical Missions Fund was established to support Medical Missions. It is paid annually from investment revenues earned by the endowment. There were no scholarships or awards given during 2010. Clinical Pastoral Endowment Fund was established to provide a Clinical Pastoral Education Scholarship Award for ELCA pastors who are interested in becoming acquainted with the field for specialized ministry. The scholarship enables a recipient to attend one of the three-month CPE training courses offered by any of the Fairview hospitals. The applicant shall have finished the unit of training prior to receipt of the scholarship money. Scholarship money is paid from annual investment income. Service Award Endowment Fund was established to support a nurse volunteer working in a short-term mission assignment. The award is paid annually from investment revenues earned by the endowment. Pediatric Cardiology Fund purpose is to provide funding for pediatric cardiology in the areas of prevention, treatment, and research. Domestic Violence Fund earnings should be used to fund the training recognition and/or recruitment of volunteers for programs supporting victims of domestic violence.
Description of Uncertain Tax Positions Under FIN 48: Part X: During 2007, Fairview adopted FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes, an interpretation of FASB Statement No. 109, Accounting for Income Taxes (FIN 48), which clarifies the Accounting for Uncertainty in Income Taxes recognized in an entity's financial statements and prescribes a recognition threshold and measurement attributes for financial statement disclosure of tax positions taken or expected to be taken on a tax return. In accordance with FIN 48, a tax position is a proposition in a previously filed tax return or a position expected to be taken in a future tax filing that is reflected in measuring current or deferred income tax assets and liabilities. Tax positions shall be recognized only when it is more likely than not (likelihood being greater than 50%), based on technical merits, that the position will be sustained upon examination. Under FIN 48, the financial statement impact of an uncertain income tax position that was taken or is expected to be taken on the income tax return and that meets the more-likely-than-not threshold must be recognized and measured using a probability weighted approach at the largest amount that is more likely than not to be sustained upon audit by the relevant taxing authority. The adoption of FIN 48 did not have a material impact on Fairview's consolidated financial position, liability for unrecognized income tax benefits, (deficit) excess of revenue over expenses, or cash flows. There are no material changes in Fairview's unrecognized income tax position on December 31, 2010. Fairview does not expect that there will be a significant change in the total amount of unrecognized tax benefits within the next 12 months. At December 31, 2010, 2009, and 2008, Fairview has net operating loss carryforwards for federal income tax purposes. A valuation allowance has been recorded for the full amount of the deferred tax asset related to the net operating loss carryforwards due to the uncertainty regarding their use.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
Central America and the Caribbean   1 Program Services Self Insurance 8,426,936
Sub-Saharian Africa     Program Services Medical Missions 15,694
Central America and the Caribbean     Program Services Medical Missions 62,553
Central America and the Caribbean     Investment   89,939,048
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....   1 98,444,231
b Total from continuation sheets to Part I ...   0 0
c Totals (add lines 3a and 3b)   1 98,444,231
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
Method Used to Acccount for Expenditures:   Schedule F, Part I, Line 3: The method used to account for expenditures is based on the US dollar.
Other Information Schedule F, 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.
Other Information Schedule F, Part V The Medical Missions Program has three components which are Medical Missions Honduras, Medical Missions Tanzania and Medical Missions Worldwide. The programs in Honduras and Tanzania are in partnership with organization located in those countries. The trips are led by Walter Arqueta, a Fairview employee who works in the Medical Missions Program. The Medical Missions Honduras includes surgical trips that treat people with hernia and gall bladder problems in addition to basic healthcare assessment and treatment. The Medical Missions Tanzania supports basic healthcare needs and focuses on treatment and education of mothers with babies. The Medical Missions Worldwide program allows Fairview employees, providers, retirees and volunteers to apply for grant funding for medical mission trips around the world. The Medical Missions Worldwide program works on basic medical needs and the specific needs of the people in the countries selected. The community benefit amount reported represents the administrative salary dollars used to support the Medical Missions Program.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
 
No
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
No
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    18,462,324 607,615 17,854,709 0.680 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    306,424,194 222,396,063 84,028,131 3.220 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     5,131,163 2,379,817 2,751,346 0.110 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    330,017,681 225,383,495 104,634,186 4.010 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    1,751,091 30,405 1,720,686 0.070 %
f Health professions education
(from Worksheet 5) .. 		    76,489,810 24,409,946 52,079,864 2.000 %
g Subsidized health services
(from Worksheet 6) .. 		    5,302,780 4,268,428 1,034,352 0.040 %
h Research (from Worksheet 7)     2,347,132   2,347,132 0.090 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    516,144   516,144 0.020 %
jTotal Other Benefits ...     86,406,957 28,708,779 57,698,178 2.220 %
kTotal. Add lines 7d and 7j. ..     416,424,638 254,092,274 162,332,364 6.230 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     277   277 0 %
2 Economic development     3,012   3,012 0 %
3 Community support     1,555   1,555 0 %
4 Environmental improvements            
5 Leadership development and training for community members     243   243 0 %
6 Coalition building     62   62 0 %
7 Community health improvement advocacy     25,093   25,093 0 %
8 Workforce development            
9 Other     929   929 0 %
10 Total     31,171   31,171  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
29,679,273
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
593,585
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
321,437,740
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
373,229,306
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-51,791,566
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?5
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Fairview Lakes Regional Medical Center
5200 Fairview Blvd
Wyoming,MN550928013 		X X         X    
2 Fairview Northland Regional Hospital
911 Northland Dr
Princeton,MN553712172 		X X         X    
3 Fairview Ridges Hospital
201 E Nicollet Blvd
Burnsville,MN553375714 		X X         X    
4 Fairview Southdale Hospital
6401 France Avenue S
Edina,MN554352104 		X X         X    
5 University of Minnesota Medical Center
2450 Riverside Avenue S
Minneapolis,MN554541450 		X X X X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:not required
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8   No
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9   No
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11   No
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12   No
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13   No
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14   No
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16   No
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18   No
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?64
Name and address Type of Facility (Describe)
1 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
2 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
3 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
4 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
5 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
6 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
7 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
8 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
9 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
10 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
11 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
12 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
13 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
14 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
15 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
16 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
17 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
18 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
19 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
20 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
21 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
22 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
23 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
24 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
25 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
26 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
27 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
28 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
29 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
30 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
31 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
32 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
33 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
34 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
35 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
36 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
37 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
38 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
39 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
40 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
41 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
42 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
43 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
44 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
45 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
46 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
47 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
48 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
49 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
50 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
51 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
52 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
53 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
54 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
55 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
56 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
57 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
58 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
59 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
60 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
61 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
62 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
63 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
64 CPMG Clinic Fridley
6341 University Ave NE
Fridley,MN55432 		Free Standing Clinic
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    Part I, Line 3c: Patients that are eligible for the Fairview Community Care Program or other Charity Care Plans may receive a reduction on amounts owed or up to 100% of total charges. Fairview informs patients about the Community Care Program prior to delivery of services if feasible and as appropriate and during the billing process. Fairview's uninsured discount program gives uninsured patients with a household income below $125,000 an uninsured discount equivalent to Fairview's lowest negotiated rate for services that are deemed to be medically necessary.
    Part I, Line 7: Fairview uses the cost to charge ratio method for determining expenses. The Medicare cost reporting calculates services line by line whereas other expenses are calculated at the overall cost to charge ratio. One component of the costing method used is the Other Means tested government program. Minnesotas General Assistance Medical Care program (GAMC) meets this criteria. GAMC is a state funded program for low income adults, ages 21-64, who have no dependent children living with them and who do not qualify for federally funded health care programs. Eligible recipients must also meet requirements of income and assets. The ratio of cost to charges (RCC) is a percentage of adjusted total expense to gross patient revenue. The expense is calculated using GAMC Gross Revenue portion, based on our payer mix ratio, multiplied by a ratio of cost to charges. The adjusted expense is the total expense less bad debt, taxes, directly assigned community benefit cost, and total other operating revenue less outreach Lab subaccounts.
    Part I, Line 7g: Subsidized health services provided by Fairview includes addiction recovery and inpatient psychiatric units and ambulatory programs that serve low-income communities and home health programs. The following are areas of need which have been identified: Safety based on a recent upswing of violent crime, adolescent health based on assessment of diet, nutrition and exercise, as well as assets and risk behaviors such as substance use. These subsidized services are services offered by the hospitals. More recently realized is the need for more accurate diagnosis of Autism as it relates to Somali children. Current statistics suggest a disproportionate number of Somali children are being diagnosed with Autism. Fairview Health Services has been working with the Somali community since its high rate of autism was first identified. Clinicians of Fairview and the University of Minnesota that specialize in autism diagnosis and treatment have been working with the Somali community to determine next steps in the treatment. A program modeled after Fairviews has been implemented in the Somali community that helps with the management of autism within the community.
    Part I, L7 Col(f): The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in healthcare coverage, and other collection indicators. The amount of bad debt expense included on form 990, Part IX, line 25, column (A) but subtracted for purposes of calculating the percentages in column (f) is $29,679,273.
In-Kind donations Schedule H, Part I, Line 7I The In-kind donations include donated equipment, the cost of rooms donated for usage by community groups and staff hours donated to the community.
Health Professions Education Schedule H, Part I, Line 7F The education amount identified for 2010 represents total expenses Fairview has identified that relate to medical education activities at UMMC in 2010. First, Fairview identified the education related revenues University of Minnesota Medical Center received in 2010 (excluding IME revenue based on the revisions made in the 2008 Guide for Planning & Reporting Community Benefits DME, MERC funding (Medical Education Research), Recoveries on Excess Utilization of Charge Based Payors.Fairview also identified the education related expenses at UMMC (excluding bad debt expense based on the revisions made in the 2008 Guide for Planning & Reporting Community Benefit): Resident Support Expenses - U of M resident stipend & benefits, professional liability insurance and other resident support admin expenses. Direct Departmental Expenses - Expenses (tasks & resources) in Fairview departments associated with the University of MN programs for residents, fellows, and medical students, as well as students in allied health, pharmacy & nursing programs. Utilization Expenses are expenses associated with an increased/decreased length of stay due to teaching activities and expenses associated with additional units/tests ordered due to teaching efforts. Space Costs are expenses for resident call rooms, other discrete space used for medical education and utilization related space costs. Administrative & Support: Indirect Costs are discrete or comingled expenses that are incremental to the clinical operations of UMMC and are required by the presence of education activities.
    Part II: Fairview is involved in a limited number of activities which are classified by definition as community building activities. While the majority of community activity addresses direct health needs, the community building activities are valuable for building tangible and intangible community infrastructure housing, safety, leadership skills and more. Across the Fairview system, 15 programs and partnerships are classified as community building activities. They range from a community housing initiative, economic development collaborative, leadership development and coalition building. In 2010 Fairview led a Partnership-sponsored Scrubs Camp. The camp was a week-long residential experience for neighborhood and other city youth to get hands-on exploration of medical careers. Fairview makes investments each year in community health programming.
    Part III, Line 4: The provision for bad debts is based on management's assessment of historical and expected net collections considering historical business and economic conditions, trends in healthcare coverage, and other collection indicators. Fairview uses the cost to charge ratio method for determining expenses.
    Part III, Line 8: Fairview uses the cost to charge ratio method for determining expenses. The Medicare cost to charge ratio reporting is calculated service line by service line. Other expenses are calculated using the overall cost to charge ratio.Medicare Advantage patients plus non-allowable costs allocated to Medicare patients also generate a shortfall of $7,731,620 not included in Part III, Sec. B Line 7 or reported elsewhere.
    Part III, Line 9b: After our patients have received services, it is the policy of Fairview Health Services to bill patients and their applicable payors on a timely and accurate basis. During this billing and collection process, Fairview staff is commited 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 educate them about programs available as well as assisting them in applying for the programs. Information about offering patients assistance with paying their bill is posted on signs in the hospitals. Also, materials are distributed to self pay patients by the registration staff. Statements sent out after the patient's visit, provide this information as well. If a patient/family member calls the Central Business Office customer service staff to say they need assistance paying their bill, they are informed about options at that time. For non-English speaking patients, Fairview provides an interpreter service over the phone. This service interprets conversatons over the phone and can be used either as a three way phone call or the Financial Counselor, in a room with the patient or family can make the call together to the interpreter phone service. The interpreter services can interpret close to 200 languages.The billing process will be adhered to within 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 provided 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, the account will not be referred to a collection agency or attorney. Once the application and required documentation is received (income verification etc.), the account will then be processed based on the outcome of the Community Care determination.5) If a patient contacts Fairview regarding Community Care after their account has been referred to a collection agency or attorney, Fairview will send an application to the patient provided the account meets the Community Care requirements. If the completed application with required documents (income verification, etc.) is submitted, all collection action will be suspended until the patient is notified of Fairview's determination.
    Part VI, Line 2: Community needs assessments are conducted by Fairview corporate community health department staff every year on a rolling three year cycle for the primary service areas within Fairview Health Services. Year 1: Basic Demographic Assessments Year 2: Adolescent Assessments Year 3: Site or Issue Specific Assessments (e.g. analysis of charity care patients). Staff begin with existing community documents to build a baseline of information. This information may include patient data, existing recent social and cultural reports, education and business reports, new demographic information about income, housing, education and more. Next, staff conduct key interviews with community leaders from diverse sectors: social services, philanthrophy, government, health, education, business, minority groups, faith groups. Interviews allow assumptions to be validated and new information to be gathered. In addition, site community health staff partner with local public health departments and other community groups as part of their supplemental assessment of community need and/or to utilize the findings from their groups to better understand their communities. In Chisago and Washington counties, Fairview participates in the State Health Improvement Program (SHIP) community assessments. Identified needs include adolescent health based on the assessment of diet, nutrition and exercise. The goal of the Statewide Health Improvement Program is to increase Minnesotans longevity by living better, healthier lives thereby reducing the burden of chronic disease. SHIP interventions are designed to reduce the percentage of Minnesotans who use or are exposed to tobacco and who are obese or overweight. Fairview Lakes CHO has an active role on the Leadership Team which oversees and provides guidance and oversight to the SHIP application and interventions.Provide low-income and other community members with bike helmets at cost or no cost while providing bike safety education and helmet fittings at community events other than Safety Camps.Planning the Safe Bike to School Project to increase exercise. Includes bike donations to provide bikes to low income students so they can participate.Co-Coach Pioneering Healthy Communities Partnership with the YMCA and 10 other key sectors to implement policy and environmental changes that facilitates making healthier choices where we live, work and play.Community Initiative works to prevent suicide through advocacy, education and support. Programming provides support for schools, staff and students and the community at large.The Chemical Health Initiative of Goodhue County was developed to enhance the quality of life of the Goodhue County families and citizens by promoting chemical health. The Initiative works on reducing drug, alcohol and tobacco use in the county by establishing community councils, and by providing awareness, education and prevention programming to communities.Coalition that is working to prevent underage drinking on the Iron Range. Providing education to community on social host laws and partnering with the courts to hold adult providers more accountable. Part of the ZAP grant.The Chemical Health Action Collaborative of Washington County works to prevent and reduce chemical use among youth through partnership, education, intervention, and change in social norms.The Chisago County Mental Wellness Task Force works to reduce the risk of suicide through education and collaboration with the larger Chisago community.The Mental Wellness Initiative includes the Teen Health Fund. Partners from five Washington County communities meet as individual communities and a larger group to network, develop and implement comprehensive depression awareness and suicide prevention programs in their school districts and communities. The local THF group is called the Forest Lake Area Depression Awareness and Suicide Prevention Collaborative.Beyond the formal needs assessments, Fairview leadership is engaged in their respective communities. Involvement includes participation on community boards, foundations, schools and more. Fairview also seeks community involvement through, community leaders serving on hospital boards and committees. Information gleaned through these connections are equally as important as the formal needs assessments. These connections can often identify emerging issues.
    Part VI, Line 3: Fairview makes informaton about its charity care programs available on its Website (www.fairview.org). At the time of registration for services and through written materials in lobbies and waiting rooms. For patients identified as self-pay (whether that occurs before services are delivered or during the billing cycle), Fairview utilizes a standard process to assist patients in learning about and access assistance from government programs or Fairview's Charity Care Program.For uninsured patients seen in a Fairview hospital, Fairview partners with an external vendor who meets with self-pay patients to assist them determine eligibility for government programs of Fairview's Charity Care Program. The vendor will also assist patients with completing the necessary paperwork to access these resources.Staff in Fairview's central business office have a self-pay team, which directs patients to the appropriate resources. There is also a community care coordinator who assists in getting patients connected to additional resources for which they may qualify.
    Part VI, Line 4: Fairview Health Services is an integrated health system headquartered in Minneapolis, Minnesota. Fairview is comprised of five hospitals or medical centers: 1) Fairview Lakes Medical Center in Wyoming, MN,2) Fairview Northland Medical Center in Princeton, MN,3) Fairview Ridges Hospital in Burnsville, MN,4) Fairview Southdale Hospital in Edina, MN,5) University of Minnesota Medical CenterFairview also has a full continuum of health care services. See Part III Page 2 , Lines 4a, 4b and 4c. In 2010, Fairview received national recognition when it was named to Thomson Reuter's top 10 U.S. health systems.As a system, 17.3 percent of patients served in 2010 were either uninsured or covered by Medicaid. Medicare covered 33.9 percent of all patients serviced by Fairview in 2010.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 in nature, as the Twin Cities metropolitan area continues to expand into these counties. Pine, Chisago and Isanti Counties remain relatively rural areas. In the next three years, 11 percent growth is projected in Fairview Lakes primary service area. Four of the counties within the primary service area have household incomes higher than the state average. In contrast, Pine County, the northern most county in the service area, has an average household income of $44,945, which is 21% below the state average. Pine County also has 13.6 percent of residents below the poverty line, higher than the 2008 state average at 9.6 percent.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 2010, 15.4 percent were uninsured or covered by Medicaid. In 2010, 36.6 percent of patients were covered by Medicare. Fairview Maple Grove Medical Center serves 360,000 individuals in a primary service area within Sherburne, Wright, Hennepin and Anoka counties in Minnesota. Population growth is predicted in this area in the upcoming years. 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 populations od children; more than 100,000 children under the age of 18 live in the medical center's primary service area. Fairview Maple Grove is an ambulatory medical center, working in partnership with University of Minnesota Physicians. Of all the patients served by the medical center in 2009, 8.3 percent were uninsured or covered by Medicaid. In 2009, 25 percent of patients were covered by Medicare.Fairview Northland Medical Center has a primary service area of 79,000 individuals residing in Sherburne, Benton, Kanabec, Mille Lacs and Isanti counties in Minnesota. This largely rural area has projected a 17.5 percent increase by 2012, far exceeding the state average of 3.3 percent. Three of the five counties in the primary service area have median household incomes lower than the state average. Incomes in these counties (Benton, Mille Lacs and Kanabec) range from $45,384 to 50,587, well below the state average of $57,318. The three counties also have a higher than average percentage of their residents living below the federal poverty line.Fairview Northland is the only hospital in the primary service area. Within the secondary service area, there are four other hospitals. Fairview Northland provides a full continuum of services, from primary care services to home care. Of all the patients served by the medical center in 2010, 19.4 percent were uninsured or covered by Medicaid. In 2010, 35.3 percent of patients were covered by Medicare.Fairview Red Wing Medical Center has a primary service area of 47,000 individuals who reside in Goodhue County in Minnesota and Pierce County in Wisconsin. This rural, agricultural community is relatively stable by population, ethnicity and language.Red Wing is located in Goodhue County. The average household income in Goodhue County was $54,967 in 2008, just below the state average of $57,000. In the county, 6.9 percent live below the poverty line, which is less than the state average of 9.6 percent.Fairview Red Wing Medical Center is the only hospital in the community. Fairview Red Wing 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 2009, 17.4 percent were uninsured or covered by Medicaid. In 2009, 32.8 percent of patients served at Fairview Red Wing were covered by Medicare. In the future, that population is projected to surpass the state average.Fairview Ridges Hospital in Burnsville, MN has a primary service area of 336,000 individuals in Scott and Dakota counties. Over the last decade, Scott County has grown by 47 percent. Growth is projected to continue in Scott County, with an additional 19 percent growth by 2012.Located in the southern part of the greater Minneapolis-St. Paul metropolitan area, both counties have higher than average percentages of children under the age of 18. By income, individuals in Scott and Dakota counties have a higher household income than the state average. Fairview Ridges Hospital is a multi-specialty medical center and the only hospital serving the primary service area. Within Scott and Dakota counties, there are three other hospitals or medical centers. Of all the patients served by the medical center in 2010, 15.7 percent were uninsured or covered by Medicaid. In 2010, 30.7 percent of patients were covered by Medicare.Fairview Southdale Hospital in Edina, MN has a primary service area of 497,207 individuals residing in Hennepin and Carver counties. Carver County, a southwest suburb in the greater Minneapolis-St. Paul metropolitan area, is projecting a 13.9 percent increase in population by 2012. Individuals speaking a language other than English in the home in Carver County is significantly less than the state average, while it is significantly greater than the average in Hennepin County.Hennepin is large and diverse county, with 1.1 million residents. Eleven percent of Hennepin County residents live below the poverty line; yet the median household income is $62,275. Nearly 10 percent of the county is comprised of individuals born outside of this country. Twenty-five percent of the county residents are ethnic minorities.Fairview Southdale Hospital is one of two hospitals serving the primary service area. In the larger area of Hennepin and Carver counties, there are nine hospitals or medical centers serving the community. Fairview Southdale is a multi-specialty medical center rated by HealthGrades as the number one hospital in Minnesota for heart and stroke care in 2009. Southdale is also five-star rated in 2009 in 15 areas including Critical Care, Pulmonary Services, Joint Replacement, and Total Knee Replacement. Of all the patients served by the medical center in 2010, 44.3 percent were covered by Medicare. In 2010, 8 percent of patients were uninsured or covered by Medicaid. University of Minnesota Medical Center, Fairview (UMMC), located in Minneapolis, is a tertiary academic medical center drawing patients from across the Twin Cities region, the state and the country. UMMC is a partner with the University of Minnesota and University of Minnesota Physicians. The medical center is located in the Cedar-Riverside neighborhood of Minneapolis. Cedar-Riverside is a diverse community located just outside of downtown Minneapolis that is home to more than 7,500 individuals. Cedar-Riverside is home to a large group of recent immigrants from Somalia and other African countries. According to the most recent census data, forty one percent of residents are white, while 32 percent are black and 16 percent are Asian.Census data illustrates the economic challenges faced by the Cedar-Riverside neighborhood. More than half of Cedar-Riverside residents age 65 and above were living below the poverty guideline. For residents below age 65, 46 percent were below the poverty line. The University of Minnesota Medical Center, Fairview is the only medical center in the Cedar-Riverside neighborhood. Of all the patients served by the medical center in 2010, 21.3 percent were uninsured or covered by Medicaid. In 2010, 30 percent of patients were covered by Medicare.
    Part VI, Line 6: Fairview Health Services is governed by an unpaid board of directors. The majority of the directors are community members who represent the various service areas and entities within the system. As a nonprofit health system, Fairview reinvests any excess revenues into the core operations of the organization. Research and education are at the very heart of the mission. In partnership with the University of Minnesota, Fairview invests millions of dollars each year into ground-breaking research and education of the next generation of our 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 7: Fairview Health Services, an integrated health care system headquartered in Minneapolis, MN. Based on the health care needs in that service area, community benefit activity is carried out by staff/leadership at that facility. The Fairview corporate community health department supports the local effort by sharing best practices, finding efficiencies among hospital community health leaders as appropriate, coordinating the formal community needs assessments and more.
Reports Filed With States Part VI, Line 7 MN
Schedule H (Form 990) 2010
Additional Data


Software ID:  
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number
41-0991680
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Fairview Foundation2450 Riverside Avenue
Minneapolis,MN55454 		41-1573810 501(c)3 1,744,500       Support for the Compassion Capital Fund.






















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
1
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Community Health Benefit Education grants 1 500      
(2) Scholarships to high school students for medical education 10 5,000      











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The grants funds shall only be used for purposes that qualify as charitable, research and education purposes as defined in Section 501(c)(3) of the Internal Revenue Code of 1986.
Schedule I (Form 990) 2010


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Mark Eustis (i)
(ii)		 843,522
0 		467,764
0 		0
0 		144,102
0 		12,815
0 		1,468,203
0 		0
0
(2) James Fox (i)
(ii)		 435,443
0 		145,374
0 		0
0 		43,701
0 		22,076
0 		646,594
0 		0
0
(3) Gordon Alexander (i)
(ii)		 224,962
0 		176,409
0 		57,949
0 		0
0 		7,637
0 		466,957
0 		0
0
(4) Bradley Beard (i)
(ii)		 398,913
0 		115,457
0 		0
0 		38,364
0 		26,837
0 		579,571
0 		0
0
(5) Daniel K Anderson (i)
(ii)		 456,891
0 		132,507
0 		0
0 		29,995
0 		14,588
0 		633,981
0 		0
0
(6) Robert Beacher (i)
(ii)		 351,621
0 		101,574
0 		0
0 		17,150
0 		27,328
0 		497,673
0 		0
0
(7) Paula Phillippe (i)
(ii)		 303,983
0 		104,853
0 		0
0 		27,722
0 		21,721
0 		458,279
0 		0
0
(8) Scott Wordelman (i)
(ii)		 267,275
0 		59,857
0 		0
0 		21,477
0 		11,091
0 		359,700
0 		0
0
(9) Mark Thomas (i)
(ii)		 250,983
0 		100,559
0 		0
0 		25,076
0 		14,044
0 		390,662
0 		0
0
(10) George Chresand (i)
(ii)		 328,768
0 		108,069
0 		0
0 		27,153
0 		22,936
0 		486,926
0 		0
0
(11) Beth Krehbiel (i)
(ii)		 293,676
0 		69,172
0 		0
0 		22,817
0 		21,296
0 		406,961
0 		0
0
(12) Allen Vickers (i)
(ii)		 203,318
0 		54,300
0 		0
0 		17,252
0 		22,691
0 		297,561
0 		0
0
(13) Mark Hansberry (i)
(ii)		 298,985
0 		101,617
0 		0
0 		23,079
0 		27,812
0 		451,493
0 		0
0
(14) John Doherty (i)
(ii)		 327,180
0 		113,591
0 		0
0 		24,508
0 		29,276
0 		494,555
0 		0
0
(15) Terry Carroll (i)
(ii)		 411,191
0 		143,306
0 		0
0 		33,067
0 		11,115
0 		598,679
0 		0
0
(16) Richard Howard (i)
(ii)		 237,117
0 		59,949
0 		0
0 		17,150
0 		15,281
0 		329,497
0 		0
0
(17) Steven A Borgstrom (i)
(ii)		 230,919
0 		48,836
0 		6,342
0 		17,150
0 		4,860
0 		308,107
0 		0
0
(18) Mark Dixon (i)
(ii)		 516,940
0 		175,634
0 		0
0 		39,364
0 		14,193
0 		746,131
0 		0
0
(19) Daniel M Fromm (i)
(ii)		 325,786
0 		65,611
0 		0
0 		17,150
0 		29,156
0 		437,703
0 		0
0
(20) Terry Martinson (i)
(ii)		 282,121
0 		166,734
0 		0
0 		19,673
0 		12,124
0 		480,652
0 		0
0
(21) Deborah DeMarais (i)
(ii)		 312,318
0 		63,195
0 		1,840
0 		2,450
0 		24,184
0 		403,987
0 		0
0
(22) Kathleen Taranto (i)
(ii)		 333,828
0 		92,412
0 		0
0 		17,150
0 		15,442
0 		458,832
0 		0
0
(23) Steven Hill (i)
(ii)		 330,784
0 		87,874
0 		5,408
0 		17,150
0 		9,351
0 		450,567
0 		0
0
(24) David M Lindgren MD (i)
(ii)		 823,150
0 		86,000
0 		41,305
0 		17,150
0 		19,577
0 		987,182
0 		0
0
(25) William Omlie MD (i)
(ii)		 602,538
0 		39,533
0 		29,263
0 		17,150
0 		18,137
0 		706,621
0 		0
0
(26) Daniel Yoon MD (i)
(ii)		 543,333
0 		2,250
0 		32,975
0 		17,150
0 		6,074
0 		601,782
0 		0
0
(27) Todd Lindquist MD (i)
(ii)		 564,755
0 		10,050
0 		55,707
0 		17,150
0 		27,993
0 		675,655
0 		0
0
(28) John Rogers MD (i)
(ii)		 558,446
0 		37,050
0 		33,637
0 		17,150
0 		12,799
0 		659,082
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  Part I, Line 1a Social club dues are paid only on behalf of the CEO, primarily to provide offsite meeting spaces. If used for personal purposes, a rated portion of the dues is reported on the respective W2. Financial planning is provided for certain executives and reported on the respective W2.
  Part I, Line 4b The Plan is open only to a select group of highly compensated employees. The Plan contributes the difference of what 403(b) employer contributions were missed for participants who earn more than the IRS limit on eligible compensation for qualified retirement plans (in 2010 that was $245,000). The contribution is unfunded. The Plan complies with section 457(f) of The Code. Those participating in a supplemental non-qualified retirement plan that is a 457(f)plan includes the following top level executives: Terry Carroll $15,917, Daniel Anderson $12,845, Bradley Beard $21,214, George Chresand $10,003, John Doherty $7,358, James Fox $26,551, Mark Hansberry $5,929, Beth Krehbiel $5,667, Mark Dixon $22,214, Paula Phillippe $10,573, Allen Vickers $102, Mark Thomas $7,926, Terry Martinson $2,523, Scott Wordelman $8,770 and Gordon Alexander withdrew from the plan. The plan for Mark Eustis, $126,952, is a dollar amount described in his employment agreement that is adjusted from time to time by the percentage increase in his base salary.
  Part I, Line 8 Mark Eustis signed an initial employment agreement on August 1, 2007. The full Board approves executive compensation.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number
41-0991680
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A CITY OF MINNEAPOLIS
  		61-6005375 60374VCA9 05-10-2005 75,567,679 HOSPITAL EXPANSION OF PRINCETON HOSPITAL & RIDGES HOSPITAL   X   X   X
B CITY OF MINNEAPOLIS
  		61-6005375 60374VCH4 10-29-2008 728,392,490 REFUND 2004A 5-13-2004, 2005A 5-10-2005, B&C CHILDREN'S HOSPITAL & EXPAN.   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 78,679,343 729,521,757    
4 Gross proceeds in reserve funds . . 30,447,712 30,447,712    
5 Capitalized interest from proceeds. 14,613,220 14,613,220    
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 2,545,654 8,640,253    
8 Credit enhancement from proceeds. 3,957,639 3,957,639    
9 Working capital expenditures from proceeds . . 15,341,000 15,341,000    
10 Capital expenditures from proceeds . . 76,133,689 174,336,586    
11 Other spent proceeds . . 447,110,504 447,110,504    
12 Other unspent proceeds. . . 35,074,843 35,074,843    
13 Year of substantial completion . . . 2007
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X          
15 Were the bonds issued as part of an advance refunding issue?   X   X        
16 Has the final allocation of proceeds been made? . . X     X        
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X          
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X        
2 Is the bond issue a variable rate issue?   X X          
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X        
6 Did the bond issue qualify for an exception to rebate? . . .   X X          
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Form 990, Schedule K, Part II, Line 3 Difference in Proceeds of Issue to Issue Price The difference between "Proceeds of Issue" and "Issue Price" is due to earnings.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Wells Fargo
  		2 entity officers are Jon Campbell and Paula Roe, board members 1,785,578 Various banking services   No
(2) Bloomington Lake Clinic
  		Professional corp owned more than 5% by John Bjorklund a board member 19,583 Clinic incentive payments.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ... X 1 25,000 replacement cost
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Medical Equipment ) X 1 183,442 replacement cost
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Identifier Return Reference Explanation
Form 990, Part VI, Section A, line 6   The members of the corporation are the individuals who constitute the Directors of this corporation.
Form 990, Part VI, Section A, line 7a   The Board has three categories of directors: 1) 3 ex officio who are Fairview's CEO and the University's Senior Vice President for Health Sciences and the Medical School Dean; 2) 10 elected directors who are 1 director elected by the Regents of the University of Minnesota and 9 elected by the Board after nomination from certain components of the Fairview system; and 3) between 3 to 8 at-large directors elected by the Board.
Form 990, Part VI, Section A, line 7b   The Regents of the University of Minnesota have the right to approve proposed amendments to the Articles of Incorporation and Bylaws of the corporation if the amendment would adversly affect their rights and certain sales of substantially all of Fairview's asset. The Fairview Association has the right to approve certain Bylaw amendments.
Form 990, Part VI, Section B, line 11   The Tax Department conducts a detailed review of the completed return. The return is also reviewed by Fairview's General Counsel and Controller and then by an independent tax consultant. The Form 990 is presented to the Finance Committee for review of content. The Form 990 is subsequently provided to the members of the Board of Directors prior to filing. Upon approval from the Board of Directors, the Form 990 is filed.
  Form 990, Part VI, Section B, line 12c Managers, directors and senior management of Fairview are required to annually complete Fairview's Duty of Loyalty and Conflict of Interest Statement in compliance with Fairview's Conflict of Interest policy. Disclosures are reviewed by the compliance department. Conflicts of interests by Board members are brought to the Audit and Compliance Committee of the Board, along with additional detailed information, for specific review. In addition, the Compliance Officer compiles a schedule showing reported conflicts of interest by managers, directors and senior management which is also presented to the Audit and Compliance Committee of the Board for review and discussion. Any problematic issues arising from these disclosures are discussed and resolved by the committee. Board members and management employees are expected to update their conficts, as necessary, during the year.
  Form 990, Part VI, Section B, line 15 The determination of executive compensation of the organization is processed by the Board's Human Resources Committee and includes a review of comparability data, review by independent experts and contemporaneous substantiation of the deliberation and decision process. The full Board approves executive compensation.
  Form 990, Part VI, Section C, line 19 Fairview Health Services makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Inspection of the documents is available at the corporate finance department.
Transactions With Related Organizations Column B Part VII Compensation of Officers, Directors, Trustees Mark Eustis devoted 2 hours to the Fairview Foundation on a weekly basis and 5 hours weekly to the Ebenezer Society. Paula Phillippe devoted 5 hours weekly to Fairview Red Wing Health Services. John Doherty devoted 5 hours weekly to Fairview Red Wing Health Services.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 30,452,292. Change in Beneficial Interest in Related Organization -4,434,326. Received Donated Leasehold Improvements Not Recognized for Book 25,000. Received Donated Capital Equipment Not Recognized for Book 183,442. Intercompany transfer 2,141,727. Total to Form 990, Part XI, Line 5: 28,368,135.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
FAIRVIEW HEALTH SERVICES
 
Employer identification number

41-0991680
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) FAIRVIEW PHARMACY SERVICES LLC
711 KASOTA AVE
MINNEAPOLIS,MN55414
72-1586863 		Pharmacy sales MN 307,776,274 34,089,284 N/A
(2) Fairview Maple Grove Surgery Center
2450 Riverside Avenue
MINNEAPOLIS,MN55454
20-8335586 		Medical Surgery Services MN 4,119,867 4,243,353 N/A
(3) Associated Medical Assurance
2450 Riverside Avenue
MINNEAPOLIS,MN55454
 Self-Insurance BD 8,402,936 46,060,456 N/A






Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Fairview Foundation

2450 RIVERSIDE AVENUE

MINNEAPOLIS,MN55454
41-1573810 		FUNDRAISING TO SUPPORT FAIRVIEW'S MISSION MN 501(c)(3) 7 N/A
Yes
 
(2) Fairview Home Care and Hospice

2450 26TH AVENUE S

MINNEAPOLIS,MN55406
41-1434246 		HOME HEALTH CARE MN 501(c)(3) 9 N/A
Yes
 
(3) RMC Properties Inc

2450 RIVERSIDE AVENUE

MINNEAPOLIS,MN55454
41-1482417 		LAND LEASE HOLD MN 501(c)(3) 9 N/A
Yes
 
(4) Fairview Physician Associates Network

3400 WEST 66TH STREET

MINNEAPOLIS,MN55435
41-1753325 		CLINICAL INTEGRATION MN 501(c)(3) 9 N/A
Yes
 
(5) Fairview Red Wing Health Services & Subs

701 FAIRVIEW BLVD

RED WING,MN55066
41-1713783 		PATIENT HEALTH CARE SERVICES MN 501(c)(3) 3 N/A
Yes
 
(6) Range Regional Health Services & Subs

750 EAST 34TH STREET

HIBBING,MN55746
41-1293970 		PATIENT HEALTH CARE SERVICES MN 501(c)(3) 3 N/A
Yes
 
(7) Ebenezer Social Ministries & subs

2722 PARK AVENUE SOUTH

MINNEAPOLIS,MN55407
41-1883845 		NURSING HOME MANAGEMENT MN 501(c)(3) 9 N/A
Yes
 
(8) Ebenezer Society

2722 PARK AVENUE SOUTH

MINNEAPOLIS,MN55407
41-0706141 		NURSING AND RESIDENTIAL CARE MN 501(c)(3) 9 N/A
Yes
 
(9) Fairview Auxiliary

6401 FRANCE AVENUE SOUTH

MINNEAPOLIS,MN55435
41-1414831 		SUPPORT HOSPITAL SERVICES MN 501(c)(3) 13 N/A
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Southdale Medical Diagnostics LLC

1485 Fox Street
Wayzata,MN55391
26-0384340 		Diagnostics MN N/A
 Related 122,744     No     No  
(2) CDI Fairview Eden Prairie LLC

5775 Wayzata Boulevard Ste 400
St Louis Park,MN55416
20-4794739 		Diagnostics MN N/A
 Related 256,692 337,720   No     No 25.000 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) Fairview Clinics
2450 Riverside Avenue
Minneapolis,MN55454
41-1761760 		PHYSICIAN SERVICES MN N/A
 C 950,585,326 42,219,743 100.000 %
(2) Fairview Physician and Clinic Services Inc
2450 Riverside Avenue
Minneapolis,MN55454
41-1544996 		PHYSICIAN SERVICES MN N/A
 C     100.000 %
(3) Fairview Development Company
2450 Riverside Avenue
Minneapolis,MN55454
41-1568579 		LEASEHOLD MANAGEMENT MN N/A
 C 2,082,832 6,839,485 100.000 %
(4) Fairview Wholesale Services Pharmacy
2450 Riverside Avenue
Minneapolis,MN55454
61-1408831 		WHOLESALE PHARMACY SERVICES MN N/A
 C 294,060 -34,826 100.000 %
(5) Ebenezer Management Services & Subsidiary
2722 Park Avenue South
Minneapolis,MN55407
41-1567046 		NURSING & RESIDENTIAL CARE PROPERTY MANAGERS MN N/A
 C 24,032,573 6,145,060 100.000 %
(6) Fairview Subsidiary III (Express Care)
2450 Riverside Avenue
Minneapolis,MN55454
20-5996177 		PHYSICIAN SERVICES MN N/A
 C 802,375 72,211 100.000 %
(7) Behavioral Healthcare Providers
2450 Riverside Avenue
Minneapolis,MN55454
41-1805759 		MENTAL HEALTH PRACTITIONERS MN N/A
 C 6,434,395 969,146 100.000 %
(8) Surgical Consultants PA
2450 Riverside Avenue
Minneapolis,MN55454
41-0877307 		MEDICAL SERVICES MN N/A
 C   512,709 100.000 %
(9) Minnesota Heart Inc
2450 Riverside Avenue
Minneapolis,MN55454
41-1598660 		MEDICAL SERVICES MN N/A
 C   571,216 100.000 %
(10) Minnesota Sports Medicine
2450 Riverside Avenue
Minneapolis,MN55454
41-1727346 		SPORTS MEDICINE MN N/A
 C 43,566   50.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) FAIRVIEW FOUNDATION

 I 48,000 Fair Market Value
(2) FAIRVIEW CLINICS

 I 2,519,105 Fair Market Value
(3) FAIRVIEW CLINICS

 P 5,376,089 Fair Market Value
(4) BEHAVIORAL HEALTHCARE PROVIDERS

 K 119,302 Fair Market Value
(5) FAIRVIEW CLINICS

 Q 41,610,788 Fair Market Value
(6) RANGE REGIONAL HEALTH SERVICES

 Q 2,640,161 Fair Market Value
(7) FAIRVIEW PHYSICIAN ASSOCIATES NETWORK

 Q 187,890 Fair Market Value
(8) FAIRVIEW HOME CARE & HOSPICE

 P 433,346 Fair Market Value
(9) FAIRVIEW HOME CARE & HOSPICE

 R 348,401 Fair Market Value
(10) BEHAVIORAL HEALTHCARE PROVIDERS

 R 1,006,563 Fair Market Value
(11) FAIRVIEW SUBSIDIARY III (EXPRESS CARE)

 R 280,099 Fair Market Value
(12) SURGICAL CONSULTANTS

 R 316,212 Fair Market Value
(13) MINNESOTA HEART

 Q 1,589,833 Fair Market Value
(14) FAIRVIEW DEVELOPMENT COMPANY

 R 32,413 Fair Market Value
(15) EBENEZER SOCIETY

 R 970,848 Fair Market Value
(16) FAIRVIEW FOUNDATION

 R 1,130,967 Fair Market Value
(17) FAIRVIEW CLINICS

 K 1,148,236 Fair Market Value
(18) FAIRVIEW RED WING HEALTH SERVICES

 K 204,776 Fair Market Value
(19) EBENEZER SOCIETY

 K 124,174 Fair Market Value
(20) FAIRVIEW HOME CARE & HOSPICE

 I 58,397 Fair Market Value
(21) FAIRVIEW PHYSICIAN ASSOCIATES NETWORK

 P 546 Fair Market Value
(22) FAIRVIEW FOUNDATION

 C 2,448,697 Fair Market Value
(23) FAIRVIEW FOUNDATION

 B 1,744,500 Fair Market Value
(24) FAIRVIEW FOUNDATION

 P 128,115 Fair Market Value
(25) RED WING HEALTH SERVICES

 R 26,003 Fair Market Value
(26) FAIRVIEW FOUNDATION

 K 22,706 Fair Market Value
(27) FAIRVIEW HOME CARE & HOSPICE

 K 180,901 Fair Market Value
(28) FAIRVIEW SUBSIDIARY III (EXPRESS CARE)

 I 31,510 Fair Market Value
(29) FAIRVIEW SUBSIDIARY III (EXPRESS CARE)

 P 1,425 Fair Market Value
(30) FAIRVIEW RED WING HEALTH SERVICES

 O 17,036 Fair Market Value
(31) FAIRVIEW PHYSICIAN ASSOCIATES NETWORK

 K 18,663 Fair Market Value
(32) FAIRVIEW SUBSIDIARY III (EXPRESS CARE)

 K 837,582 Fair Market Value
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: