TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CHARLES MOOTY........................................................................ INTERIM CEO/	40.00 .......................	X	X	838,951	30,862
(2) RULON STACEY........................................................................ PRESIDENT CE	40.00 .......................	X	X	163,715	0
(3) BOBBIE DANIELS MD........................................................................ DIRECTOR	5.00 .......................	X		0	0
(4) JOANELL DYRSTAD........................................................................ SECRETARY	5.00 .......................	X		0	0
(5) MICHAEL FAY........................................................................ DIRECTOR	5.00 .......................	X		0	0
(6) AARON FRIEDMAN MD........................................................................ DIRECTOR	5.00 .......................	X		0	0
(7) KAREN GRABOW........................................................................ DIRECTOR	5.00 .......................	X		0	0
(8) ANN HENGEL........................................................................ DIRECTOR	5.00 .......................	X		0	0
(9) CAROL LEY MD........................................................................ DIRECTOR	5.00 .......................	X		0	0
(10) ANN LOWRY MD........................................................................ DIRECTOR	5.00 .......................	X		0	0
(11) DAVID MURPHY........................................................................ DIRECTOR	5.00 .......................	X		0	0
(12) CHRISTOPHER P NELSON REV........................................................................ DIRECTOR	5.00 .......................	X		0	0
(13) KEVIN NELSON MD........................................................................ DIRECTOR	5.00 .......................	X		0	0
(14) MARK PALLER MD........................................................................ DIRECTOR	5.00 .......................	X		0	0
(15) JOANNE LOFGREN PLOETZ........................................................................ DIRECTOR	5.00 .......................	X		0	0
(16) BRADFORD WALLIN........................................................................ DIRECTOR	5.00 .......................	X		0	0
(17) CONNIE G WEINMAN........................................................................ DIRECTOR	5.00 .......................	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) BETSY WERGIN........................................................................ DIRECTOR	5.00 .......................	X					0	0
(19) PEGGY JOHNSON........................................................................ DIRECTOR	5.00 .......................	X					0	0
(20) CAROLYN WILSON........................................................................ PRESIDENT OF	40.00 .......................		X				1,083,885	221,039
(21) DANIEL K ANDERSON........................................................................ PRESIDENT, F	40.00 .......................		X				852,859	97,683
(22) BRENT ASPLIN........................................................................ PRESIDENT, F	40.00 .......................		X				787,342	22,005
(23) DANIEL M FROMM........................................................................ CHIEF FINANC	40.00 .......................		X				778,601	87,986
(24) MARK HANSBERRY........................................................................ VP STRATEGIC	40.00 .......................		X				562,365	77,525
(25) TERRY CARROLL........................................................................ SR. VP, TRAN	40.00 .......................		X				526,363	7,511
(26) MARK THOMAS........................................................................ PRES. & CEO	40.00 .......................		X				502,628	74,638
(27) JOHN DOHERTY........................................................................ SR. OPERATIN	40.00 .......................		X				500,312	75,541
(28) PAULA PHILLIPPE........................................................................ CHIEF OF HUM	40.00 .......................		X				485,597	17,307
(29) STEVE HOUSCH........................................................................ PRESIDENT FA	40.00 .......................		X				365,645	56,062
(30) TRUDI TRYSLA........................................................................ SR. VP & GEN	40.00 .......................		X				305,053	49,658
(31) ALLEN VICKERS........................................................................ VP-CHIEF AUD	40.00 .......................		X				304,289	111,891
(32) TODD SHERRILL........................................................................ VICE PRESIDE	40.00 .......................		X				268,321	34,263
(33) CAROLYN JACOBSON........................................................................ INTERIM CHIE	40.00 .......................		X				253,083	26,182
(34) DAVID LEACH........................................................................ VICE PRESIDE	40.00 .......................		X				228,095	43,156
(35) ROBERT BEACHER........................................................................ PRESIDENT, F	40.00 .......................			X			667,953	109,586
(36) BRADLEY BEARD........................................................................ PRESIDENT, S	40.00 .......................			X			637,982	86,418
(37) STEVEN HILL........................................................................ CHIEF OPERAT	40.00 .......................			X			549,957	21,216
(38) KATHLEEN TARANTO........................................................................ SR. VP PATIE	40.00 .......................			X			470,955	61,447
(39) BETH KREHBIEL........................................................................ PRESIDENT, R	40.00 .......................			X			470,464	66,240
(40) JOHN HERMAN........................................................................ PRESIDENT OF	40.00 .......................			X			438,009	47,336
(41) TERRY MARTINSON........................................................................ EXECUTIVE RE	40.00 .......................			X			429,973	57,304
(42) DEBRA BOARDMAN........................................................................ PRESIDENT,RA	40.00 .......................			X			366,018	37,054
(43) JOHN SWEET MD........................................................................ PHYSICIAN	40.00 .......................				X		962,967	32,727
(44) MICHAEL CAMPOLI MD........................................................................ SURGEON	40.00 .......................				X		949,711	52,039
(45) ASA KIM MD........................................................................ SURGEON	40.00 .......................				X		679,916	38,126
(46) WILLIAM OMLIE MD........................................................................ SURGEON	40.00 .......................				X		676,795	38,630
(47) HOWARD SAYLOR III........................................................................ PHYSICIAN	40.00 .......................				X		621,477	112,037
(48) MARK WERNER........................................................................ FORMER CCI	0.00 .......................					X	658,894	0
(49) MARK EUSTIS........................................................................ FORMER PRES.	.......................					X	393,251	0
(50) SCOTT WORDELMAN........................................................................ FORMEPRES.&	.......................					X	286,603	7,723
(51) JAMES FOX........................................................................ FORMER CFO	.......................					X	145,359	0
(52) MARK DIXON........................................................................ FORMER PRES.	0.00 .......................					X	100,983	0

(A) Name and business address	(B) Description of services	(C) Compensation
MCKESSON CORPORATION3230 SPRUCE STLITTLE CANADAMN55117	REVENUE CYCLE C	305,676,256
U OF M PHYSICIANS 200420 DELAWARE ST NEMINNEAPOLISMN55455	MEDICAL/PHYSICI	208,526,885
REGENTS OF THE UNIVERSITY OF MINNESO420 DELAWARE ST NEMINNEAPOLISMN55455	EDUCATION SERVI	49,988,883
PHARMACEUTICAL TECHNOLOGIESP O BOX 407BOYS TOWNNE68010	TECHNOLOGY SERV	20,743,911
SODEXO4880 PAYSPHERE CIRCLECHICAGOIL60674	FOOD SERVICE	7,998,062
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 834

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 United States. See Part IV, line 21	7,512,225	7,512,225
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	17,491,844	2,009,506	15,482,338
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	776,392		776,392
7	Other salaries and wages	1,114,000,088	930,001,042	183,999,046
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	60,456,562	50,754,850	9,701,712
9	Other employee benefits .......	147,337,660	123,222,765	24,114,895
10	Payroll taxes ...........	71,270,119	58,029,104	13,241,015
11	Fees for services (non-employees):
a	Management ......	74,706,059	71,372,548	3,333,511
b	Legal .........	3,779,625	1,336,057	2,443,568
c	Accounting ...........	528,792		528,792
d	Lobbying ...........	395,715		395,715
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,557,078		3,557,078
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	335,890,767	171,905,221	163,985,546
12	Advertising and promotion ....	654,658	63,429	591,229
13	Office expenses .......	54,388,027	29,873,701	24,514,326
14	Information technology ......	26,225,355		26,225,355
15	Royalties ..	16,520		16,520
16	Occupancy ...........	69,859,261	43,854,607	26,004,654
17	Travel ............	3,488,508	2,403,623	1,084,885
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	2,996,324	2,504,798	491,526
20	Interest ...........	42,810,528	40,653,480	2,157,048
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	92,632,039	68,355,863	24,276,176
23	Insurance ..............	13,546,475	6,687,261	6,859,214
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES NON MEDICAL	654,966,911	649,873,433	5,093,478
b	MEDICAL SUPPLIES	59,848,352	59,848,352
c	TAXES	55,347,176	52,451,821	2,895,355
d	UTILITIES, REPAIRS, MAINT	33,813,939	29,581,175	4,232,764
e	All other expenses	27,545,908	24,081,149	3,464,759
25	Total functional expenses. Add lines 1 through 24e	2,975,842,907	2,426,376,010	549,466,897	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	811,875	1	1,218,610
2	Savings and temporary cash investments .........	159,970,532	2	175,543,498
3	Pledges and grants receivable, net ...........	45,816,479	3	41,599,141
4	Accounts receivable, net .............	352,265,040	4	368,846,909
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	52,440,942	8	60,612,347
9	Prepaid expenses and deferred charges ..........	16,141,170	9	29,881,777
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,745,439,171
b	Less: accumulated depreciation .....	10b	913,657,974	820,566,189	10c	831,781,197
11	Investments—publicly traded securities ..........	752,780,806	11	985,183,286
12	Investments—other securities. See Part IV, line 11 .....	83,144,508	12	92,660,298
13	Investments—program-related. See Part IV, line 11 .....	331,829,373	13	297,259,574
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	154,346,742	15	152,522,100
16	Total assets. Add lines 1 through 15 (must equal line 34)......	2,770,113,656	16	3,037,108,737
	17	Accounts payable and accrued expenses .........	191,844,121	17	265,939,603
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	828,509,414	20	820,642,062
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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 ..	47,824,031	23	48,726,550
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	420,051,982	25	358,787,671
26	Total liabilities. Add lines 17 through 25.........	1,488,229,548	26	1,494,095,886
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,216,069,219	27	1,496,924,911
28	Temporarily restricted net assets ...........	65,814,889	28	46,087,940
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,281,884,108	33	1,543,012,851
34	Total liabilities and net assets/fund balances ........	2,770,113,656	34	3,037,108,737

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of 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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

FAIRVIEW HEALTH SERVICES

Employer identification number

41-0991680

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization FAIRVIEW HEALTH SERVICES

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization FAIRVIEW HEALTH SERVICES

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

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
that total 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

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose 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

(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

(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

(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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 35c (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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

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)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Yes

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

542,314

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

542,314

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1	DURING 2013 FAIRVIEW HEALTH SERVICES (FAIRVIEW) OFFICIALS HAD MEETINGS AND CONTACTS WITH BOTH FEDERAL AND STATE GOVERNMENT OFFICIALS, CONGRESSIONAL STAFF AND REPRESENTATIVES TO DISCUSS VARIOUS HEALTH CARE REFORM AND MEDICARE PROPOSALS AND PROPOSED LEGISLATION. FAIRVIEW ALSO HAS REPRESENTATION ON THE HEALTHCARE LEADERSHIP COUNCIL WHICH HAS ADVOCATED HEALTH CARE REFORM PROPOSALS. IN ADDITION, FAIRVIEW HAS CORRESPONDED WITH REPRESENTATIVES, STAFF AND GOVERNMENT OFFICIALS OUTLINING OUR CONCERNS AND RECOMMENDATIONS REGARDING HEALTH CARE REFORM. THE PRIMARY FOCUS OF ALL THESE INTERACTIONS WAS TO DISCUSS PRINCIPLES FOR HEALTH CARE REFORM RATHER THAN TRYING TO INFLUENCE THE PASSAGE OF ANY SPECIFIC LEGISLATION. THE MAJORITY OF THESE ACTIVITIES WERE CONDUCTED BY EMPLOYEES OF FAIRVIEW AND THE EXPENDITURES FOR THIS ACTIVITY TOTALED APPROXIMATELY 146,599. ADDITIONALLY, FAIRVIEW PAID APPROXIMATELY 395,715 TO OUTSIDE LOBBYISTS IN 2013. THIS AMOUNT INCLUDES AN AMOUNT OF MINNESOTA HOSPITAL ASSOCIATION DUES THAT WAS DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. FAIRVIEW ALSO PROVIDED INFORMATION AND/OR EXPRESSED ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2013, FAIRVIEW REPRESENTATIVES HAD MEETINGS WITH MEMBERS OF THE LEGISLATIVE/EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. FAIRVIEW MAY ALSO MEET WITH MEMBERS OF GOVERNMENT TO DISCUSS ISSUES DEALING WITH FAIRVIEW'S TAX EXEMPT STATUS AND HEALTH CARE ISSUES INCLUDING SALES TAX EXEMPTION, STATE HEALTH CARE REFORM, REAL ESTATE TAX ISSUES, PHYSICIAN LICENSING, MEDICAID , ETC. FAIRVIEW BELIEVES THESE INFORMATIONAL MEETINGS ARE ESSENTIAL TO SUPPORT OUR CHARITABLE PURPOSE AND DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION AS CONTEMPLATED BY THESE QUESTIONS.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1

DURING 2013 FAIRVIEW HEALTH SERVICES (FAIRVIEW) OFFICIALS HAD MEETINGS AND CONTACTS WITH BOTH FEDERAL AND STATE GOVERNMENT OFFICIALS, CONGRESSIONAL STAFF AND REPRESENTATIVES TO DISCUSS VARIOUS HEALTH CARE REFORM AND MEDICARE PROPOSALS AND PROPOSED LEGISLATION. FAIRVIEW ALSO HAS REPRESENTATION ON THE HEALTHCARE LEADERSHIP COUNCIL WHICH HAS ADVOCATED HEALTH CARE REFORM PROPOSALS. IN ADDITION, FAIRVIEW HAS CORRESPONDED WITH REPRESENTATIVES, STAFF AND GOVERNMENT OFFICIALS OUTLINING OUR CONCERNS AND RECOMMENDATIONS REGARDING HEALTH CARE REFORM. THE PRIMARY FOCUS OF ALL THESE INTERACTIONS WAS TO DISCUSS PRINCIPLES FOR HEALTH CARE REFORM RATHER THAN TRYING TO INFLUENCE THE PASSAGE OF ANY SPECIFIC LEGISLATION. THE MAJORITY OF THESE ACTIVITIES WERE CONDUCTED BY EMPLOYEES OF FAIRVIEW AND THE EXPENDITURES FOR THIS ACTIVITY TOTALED APPROXIMATELY 146,599. ADDITIONALLY, FAIRVIEW PAID APPROXIMATELY 395,715 TO OUTSIDE LOBBYISTS IN 2013. THIS AMOUNT INCLUDES AN AMOUNT OF MINNESOTA HOSPITAL ASSOCIATION DUES THAT WAS DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. FAIRVIEW ALSO PROVIDED INFORMATION AND/OR EXPRESSED ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2013, FAIRVIEW REPRESENTATIVES HAD MEETINGS WITH MEMBERS OF THE LEGISLATIVE/EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. FAIRVIEW MAY ALSO MEET WITH MEMBERS OF GOVERNMENT TO DISCUSS ISSUES DEALING WITH FAIRVIEW'S TAX EXEMPT STATUS AND HEALTH CARE ISSUES INCLUDING SALES TAX EXEMPTION, STATE HEALTH CARE REFORM, REAL ESTATE TAX ISSUES, PHYSICIAN LICENSING, MEDICAID , ETC. FAIRVIEW BELIEVES THESE INFORMATIONAL MEETINGS ARE ESSENTIAL TO SUPPORT OUR CHARITABLE PURPOSE AND DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION AS CONTEMPLATED BY THESE QUESTIONS.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 ........

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	1,354,699	1,316,703	1,273,345	1,242,544	1,203,453
b	Contributions ........		20,825	48,469	17,356	15,648
c	Net investment earnings, gains, and losses	20,534	17,171	49,974	23,235	23,443
d	Grants or scholarships .....			55,085	9,790
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....	-122
g	End of year balance ......	1,375,110	1,354,699	1,316,703	1,273,345	1,242,544

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

13.000 %

Temporarily restricted endowment SchDMd Bullet

87.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	16,445,738		16,445,738
b	Buildings ................	1,150,098,209	509,261,012	640,837,197
c	Leasehold improvements ............	21,224,391	11,622,261	9,602,130
d	Equipment ................	557,670,833	392,774,701	164,896,132
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				831,781,197

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) INVESTMENTS IN AFFILIATES	297,259,574	C








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	297,259,574

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEFERRED PREMIUMS & INS. RECOVERIES				63,643,675
(2) DEBT SERVICE RESERVE FUND				35,358,222
(3) GOODWILL & INTANGIBLE ASSETS				32,231,434
(4) DEFERRED DEBT ACQUISITION COSTS				11,218,962
(5) INSURANCE RECOVERIES				10,069,807




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				152,522,100

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
OTHER LIABILITIES & RELATED ORG		265,111,576
WORK COMP RESERVE		39,465,044
DERIVATIVE FINL INSTRUMENTS		35,570,969
INS SUB CLAIMS RESERVE		12,769,219
POST RETIREMENT		3,025,019
LT PENSION		2,845,844



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		358,787,671
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PAGE 2, PART V, LINE 4	SCHOLARSHIPS AND AWARDS GIVEN DURING 2013 WERE AWARDED THROUGH THE FAIRVIEW FOUNDATION. THE CLINICAL PASTORAL ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE A CLINICAL PASTORAL EDUCATION SCHOLARSHIP AWARD FOR ELCA PASTORS WHO ARE INTERESTED IN BECOMING ACQUAINTED WITH THE FIELD FOR SPECIALIZED MINISTRY. THE SCHOLAR- SHIP ENABLES A RECIPIENT TO ATTEND ONE OF THE THREE-MONTH CPE TRAINING COURCES OFFERED BY ANY OF THE FAIRVIEW HOSPITALS. THE APPLICANT SHALL HAVE FINISHED THE UNIT OF TRAINING PRIOR TO RECEIPT OF THE SCHOLARSHIP MONEY. SCHOLARSHIP MONEY IS PAID FROM ANNUAL INVESTMENT INCOME. THE SERVICE AWARD ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT A NURSE VOLUNTEER WORKING IN A SHORT-TERM MISSION ASSIGNMENT. THE AWARD IS PAID ANNUALLY FROM INVESTMENT REVENUES EARNED BY THE ENDOWMENT. THE PURPOSE OF THE PEDIATRIC CARDIOLOGY FUND IS TO PROVIDE FUNDING FOR PEDIATRIC CARDIOLOGY IN THE AREAS OF PREVENTION, TREATMENT, AND RESEARCH. DOMESTIC VIOLENCE FUND EARNINGS SHOULD BE USED TO FUND THE TRAINING RECOGNITION AND/OR RECRUITMENT OF VOLUNTEERS FOR PROGRAMS SUPPORTING VICTIMS OF DOMESTIC VIOLENCE.
SCHEDULE D, PAGE 3, PART X	DURING 2007, FAIRVIEW HEALTH SERVICES AND SUBSIDIARIES ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. IN ACCORDANCE WITH FIN 48, A TAX POSITION IS A POSITION IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES. TAX POSITIONS SHALL BE RECOGNIZED ONLY WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%), BASED ON TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. UNDER FIN 48, THE FINANCIAL STATEMENT IMPACT OF AN UNCERTAIN INCOME TAX POSITION THAT WAS TAKEN OR IS EXPECTED TO BE TAKEN ON THE INCOME TAX RETURN AND THAT MEETS THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE RECOGNIZED AND MEASURED USING A PROBABILITY WEIGHTED APPROACH AT THE LARGEST AMOUNT THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON AUDIT BY THE RELEVANT TAXING AUTHORITY. THERE ARE NO MATERIAL CHANGES IN FAIRVIEW HEALTH SERVICES UNRECOGNIZED INCOME TAX POSITION AT DECEMBER 31, 2013. FAIRVIEW RECOGNIZED ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. FAIRVIEW HAS NET OPERATING LOSS CARRY FORWARDS FOR FEDERAL INCOME TAX PURPOSES. A VALUATION ALLOWANCE HAS BEEN RECORDED FOR THE FULL AMOUNT OF THE DEFERRED TAX ASSET RELATED TO THE NET OPERATING LOSS CARRY FORWARDS DUE TO THE UNCERTAINTY REGARDING THEIR USE. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEET FOR THE YEARS ENDED DECEMBER 31, 2013, 2012, AND 2011.

Return Reference

Explanation

SCHEDULE D, PAGE 2, PART V, LINE 4

SCHOLARSHIPS AND AWARDS GIVEN DURING 2013 WERE AWARDED THROUGH THE FAIRVIEW FOUNDATION. THE CLINICAL PASTORAL ENDOWMENT FUND WAS ESTABLISHED TO PROVIDE A CLINICAL PASTORAL EDUCATION SCHOLARSHIP AWARD FOR ELCA PASTORS WHO ARE INTERESTED IN BECOMING ACQUAINTED WITH THE FIELD FOR SPECIALIZED MINISTRY. THE SCHOLAR- SHIP ENABLES A RECIPIENT TO ATTEND ONE OF THE THREE-MONTH CPE TRAINING COURCES OFFERED BY ANY OF THE FAIRVIEW HOSPITALS. THE APPLICANT SHALL HAVE FINISHED THE UNIT OF TRAINING PRIOR TO RECEIPT OF THE SCHOLARSHIP MONEY. SCHOLARSHIP MONEY IS PAID FROM ANNUAL INVESTMENT INCOME. THE SERVICE AWARD ENDOWMENT FUND WAS ESTABLISHED TO SUPPORT A NURSE VOLUNTEER WORKING IN A SHORT-TERM MISSION ASSIGNMENT. THE AWARD IS PAID ANNUALLY FROM INVESTMENT REVENUES EARNED BY THE ENDOWMENT. THE PURPOSE OF THE PEDIATRIC CARDIOLOGY FUND IS TO PROVIDE FUNDING FOR PEDIATRIC CARDIOLOGY IN THE AREAS OF PREVENTION, TREATMENT, AND RESEARCH. DOMESTIC VIOLENCE FUND EARNINGS SHOULD BE USED TO FUND THE TRAINING RECOGNITION AND/OR RECRUITMENT OF VOLUNTEERS FOR PROGRAMS SUPPORTING VICTIMS OF DOMESTIC VIOLENCE.

SCHEDULE D, PAGE 3, PART X

DURING 2007, FAIRVIEW HEALTH SERVICES AND SUBSIDIARIES ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. IN ACCORDANCE WITH FIN 48, A TAX POSITION IS A POSITION IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES. TAX POSITIONS SHALL BE RECOGNIZED ONLY WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%), BASED ON TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. UNDER FIN 48, THE FINANCIAL STATEMENT IMPACT OF AN UNCERTAIN INCOME TAX POSITION THAT WAS TAKEN OR IS EXPECTED TO BE TAKEN ON THE INCOME TAX RETURN AND THAT MEETS THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE RECOGNIZED AND MEASURED USING A PROBABILITY WEIGHTED APPROACH AT THE LARGEST AMOUNT THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON AUDIT BY THE RELEVANT TAXING AUTHORITY. THERE ARE NO MATERIAL CHANGES IN FAIRVIEW HEALTH SERVICES UNRECOGNIZED INCOME TAX POSITION AT DECEMBER 31, 2013. FAIRVIEW RECOGNIZED ALL TAX POSITIONS, INCLUDING THOSE POSITIONS IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES, WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%) THAT, BASED ON TECHNICAL MERITS, THE POSITION WILL BE SUSTAINED UPON EXAMINATION. FAIRVIEW HAS NET OPERATING LOSS CARRY FORWARDS FOR FEDERAL INCOME TAX PURPOSES. A VALUATION ALLOWANCE HAS BEEN RECORDED FOR THE FULL AMOUNT OF THE DEFERRED TAX ASSET RELATED TO THE NET OPERATING LOSS CARRY FORWARDS DUE TO THE UNCERTAINTY REGARDING THEIR USE. THERE ARE NO UNCERTAIN TAX POSITIONS RECORDED IN THE CONSOLIDATED BALANCE SHEET FOR THE YEARS ENDED DECEMBER 31, 2013, 2012, AND 2011.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(c) Number of employees, agents, and independent contractors in region	(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 and investments in region
	CENTRAL AMERICA AND THE CARIBBEAN	1	PROGRAM SERVICES	SELF INSURANCE	3,290,818
	CENTRAL AMERICA AND THE CARIBBEAN		INVESTMENT		92,660,298















3a	Sub-total .....	1			95,951,116
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1			95,951,116

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

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. Part II can be duplicated 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 non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 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.

Part III can be duplicated 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) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PAGE 1, PART I, LINE 2	FAIRVIEW HEALTH SERVICES SOLICITS GRANT FUNDING ONLY FOR PURPOSES THAT QUALIFY AS CHARITABLE, RESEARCH OR EDUCATION PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FAIRVIEW'S PROCESSES AND PROCEDURES ADHERE TO FEDERAL GUIDELINES AND ARE SUBJECT TO AUDIT. THE SAME PROCESSES AND PROCEDURES ARE APPLIED FOR FEDERAL AS WELL AS PRIVATE GRANTS AND SERVICE AGREEMENTS. THE GRANT APPLICATION PROCESS IS MONITORED BY THE RESEARCH ADMINISTRATION GROUP AND THE APPLICATION OF GRANT FUNDS ARE MONITORED BY THE RESEARCH AND EDUCATION ACCOUNTING GROUP. THESE TWO GROUPS MEET MONTHLY TO ENSURE ALL GRANTS ARE BEING ADMINISTERED PROPERLY.
SCHEDULE F, PAGE 1, PART I, LINE 3	CENTRAL AMERICA AND THE CARIBBEAN 3,290,818 0 CENTRAL AMERICA AND THE CARIBBEAN 0 92,660,298
SCHEDULE F, PAGE 5, PART V	FAIRVIEW HEALTH SERVICES (FHS) IS THE SOLE OWNER OF ASSOCIATED MEDICAL ASSURANCE (AMA), A SEPARATE LEGAL ENTITY, DOMICILED IN AND ORGANIZED UNDER THE LAWS OF BERMUDA. AMA IS A CAPTIVE INSURANCE COMPANY WHICH PROVIDES CERTAIN INSURANCE LIABILITY COVERAGE (INCLUDING GENERAL AND PROFESSIONAL) TO FHS AND ITS SUBSIDIARIES UNDER A REIMBURSEMENT POLICY. PREMIUMS PAID UNDER THE POLICY ARE BASED ON AN INDEPENDENT ACTUARIAL STUDY. THE METHOD USED TO ACCOUNT FOR EXPENDITURES IS BASED ON THE US DOLLAR.

Schedule F (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

FAIRVIEW HEALTH SERVICES

Employer identification number

41-0991680

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 275.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 275.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	30,387,006	41,143	30,345,863	1.020 %
b	Medicaid (from Worksheet 3, column a) ....	416,598,947	261,521,259	155,077,688	5.210 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	446,985,953	261,562,402	185,423,551	6.230 %
Other Benefits		2,423,222		2,423,222	0.080 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,423,222		2,423,222	0.080 %
f	Health professions education (from Worksheet 5) ..	100,326,615	11,617,606	88,709,009	2.980 %
g	Subsidized health services (from Worksheet 6) ..	2,437,321	1,435,386	1,001,935	0.030 %
h	Research (from Worksheet 7)	6,368,851	3,778,894	2,589,957	0.090 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	448,693		448,693	0.020 %
j	Total. Other Benefits ..	112,004,702	16,831,886	95,172,816	3.200 %
k	Total. Add lines 7d and 7j .	558,990,655	278,394,288	280,596,367	9.430 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development	811	811
3	Community support	2,896	2,896
4	Environmental improvements
5	Leadership development and training for community members	736	736
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	4,443	4,443

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

30,698,531

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

613,971

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

396,022,817

Enter Medicare allowable costs of care relating to payments on line 5.....

446,759,577

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-50,736,760

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(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) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?5 Name, address, primary website address, and state license number
1	FAIRVIEW LAKES REGIONAL MEDICAL CTR 5200 FAIRVIEW BLVD WYOMING,MN550928013 WWW.FAIRVIEW.ORG 365838	X	X				X
2	FAIRVIEW NORTHLAND REGIONAL HOSP 911 NORTHLAND DR PRINCETON,MN553712172 WWW.FAIRVIEW.ORG 365842	X	X				X
3	FAIRVIEW RIDGES HOSPITAL 201 E NICOLLET BLVD BURNSVILLE,MN553375714 WWW.FAIRVIEW.ORG 365864	X	X				X
4	FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVENUE S EDINA,MN554352104 WWW.FAIRVIEW.ORG 366381	X	X				X
5	UNIVERSITY OF MINNESOTA MEDICAL CTR 2450 RIVERSIDE AVENUE S MINNEAPOLIS,MN554541450 WWW.FAIRVIEW.ORG 366425	X	X	X	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FAIRVIEW LAKES REGIONAL MEDICAL CTR
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.FAIRVIEW.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FAIRVIEW NORTHLAND REGIONAL HOSP
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.FAIRVIEW.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FAIRVIEW RIDGES HOSPITAL
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.FAIRVIEW.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FAIRVIEW SOUTHDALE HOSPITAL
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.FAIRVIEW.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	UNIVERSITY OF MINNESOTA MEDICAL CTR
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.FAIRVIEW.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 275.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	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	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 3	FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH ALONG WITH FAIRVIEW COMMUNITY HEALTH STAFF PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW LAKES CHNA. FAIRVIEW LAKES REACHED OUT TO MEMBERS OF OUR COMMUNITIES IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF STAKEHOLDERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: TERESA BENGE, RN, DIABETES EDUCATOR JILL BRIGGS, CHISAGO COUNTY PUBLIC HEALTH KATHY BYSTROM ASSISTANT MANAGER, FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH KRIS CLEMENTSON, RN, PATIENT CARE SUPERVISOR PINE CITY, RUSH CITY, NORTH BRANCH & JOB CARE THERESE DURKIN, M.D. ANN ELLISON, DIRECTOR, FAIRVIEW COMMUNITY HEALTH DEBBY FEIST, COMMUNITY MEMBER, FORMER FAIRVIEW LAKES BOARD MEMBER SUE HEDLUND, WASHINGTON COUNTY PUBLIC HEALTH AND ENVIRONMENT ROSEMARY HOOLIHAN, FAIRVIEW LAKES BOARD MEMBER STEVE HOUSH, PRESIDENT, FAIRVIEW LAKES MEDICAL CENTER KELLIE KERSHISNIK, M.D. FAIRVIEW LAKES BOARD MEMBER CARLA NORELIUS, MANAGER, FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE INDIVIDUALS)
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: ABDOMINAL PAIN, AFFORDABILITY, EDUCATION/INFORMATION, SAFE, YEAR ROUND EXERCISE OPTIONS AND WORK/LIFE BALANCE WERE NOT ADDRESSED. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH THE PROVISION OF CHARITY CARE, MEDICAID SERVICES, AND HEALTH PROFESSIONAL EDUCATION PROGRAMS. IN ADDITION, COMMUNITY HEALTH OUTREACH STAFF PROVIDES LEADERSHIP IN NUMEROUS COLLABORATIONS, INCLUDING: SHIP (STATEWIDE HEALTH IMPROVEMENT PROGRAM), THE FOREST LAKE AREA PARTNERSHIP FOR FAMILIES, INC., CHISAGO COUNTY MENTAL WELLNESS INITIATIVE, COMMUNITY PARTNERSHIP FOR YOUTH AND FAMILIES AND THE FRIENDS MAKE A DIFFERENCE MENTORING PROGRAM. THESE EXISTING PARTNERSHIPS HAVE BEEN IDENTIFIED AS VALUABLE ASSETS AND WILL BE CONSIDERED IN THE HOSPITALS IMPLEMENTATION PLANNING. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE OBESITY AND BEHAVIORAL HEALTH.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEWS COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENT'S ELIGIBILITY.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 20D	PATIENTS WITH AN INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 3	FAIRVIEW NORTHLAND ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW NORTHLAND COMMUNITY HEALTH NEEDS ASSESSMENT. FAIRVIEW NORTHLAND REACHED OUT TO MEMBERS OF OUR COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: FR. KEVIN ANDERSON, PASTOR, CHRIST OUR LIGHT CATHOLIC PARISH ANN ELLISON, FAIRVIEW COMMUNITY HEALTH CARIE FUHRMAN, COMMUNITY DEVELOPMENT DIRECTOR, CITY OF PRINCETON MARNI GUSTAFSON, EXECUTIVE DIRECTOR, STERLING POINT SENIOR COMMUNITY SUE HERM, FAIRVIEW NORTHLAND BOARD MEMBER AND FACULTY ST. CLOUD STATE UNIVERSITY JOHN HERMAN, PRESIDENT, FAIRVIEW NORTHLAND MEDICAL CENTER PETE JENSEN, M.D MARIE MASLOWSKI, MANAGER, COMMUNITY HEALTH OUTREACH ALLISON MILLER, PATIENT EDUCATOR, RUM RIVER HEALTH SERVICES BRIAN PAYNE, CHIEF OF POLICE, CITY OF PRINCETON PAM PRINGLE, DIRECTOR OF PATIENT CARE PRACTICE AND COMMUNITY MEMBER JANELLE SCHROEDER, COMMUNITY HEALTH SUPERVISOR, MILLE LACS COUNTY DAWN SIEVERT, DISTRICT NURSE, PRINCETON SCHOOLS. THE QUALITATIVE DATA INCLUDES: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE INDIVIDUALS) WEB SURVEYS WITH CHAMBER OF COMMERCE MEMBERS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF LOCAL PUBLIC HEALTH DEPARTMENTS.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: FAIRVIEW NORTHLAND MEDICAL CENTER IS NOT DIRECTLY INVOLVED WITH THE MENTAL HEALTH PRIORITY BECAUSE RESOURCES ARE SCARCE AND A LACK OF CLARITY ABOUT A COMMUNITY-BASED FOCUS AREA FOR MENTAL HEALTH. THIS WILL BE EXPLORED MORE FULLY WITH COMMUNITY MEMBERS AND PARTNERS TO MORE CLEARLY UNDERSTAND THE NEED. MEANWHILE, FAIRVIEW NORTHLAND IS IN THE PROCESS OF INITIATING A DIAGNOSTIC EVALUATION CENTER (DEC) ON SITE. DECS ARE LOCATED IN EMERGENCY DEPARTMENTS AROUND THE METRO AREA AND PROVIDE DIAGNOSTIC ASSESSMENTS BY LICENSED CLINICIANS TO DETERMINE THE APPROPRIATE LEVEL OF CARE FOR PATIENTS EXPERIENCING A BEHAVIORAL CRISIS. THE DEC IS AN INNOVATIVE CARE MODEL THAT HAS CREATED IMMEDIATE ACCESS TO APPROPRIATE CARE AND PROMOTES COORDINATION OF INFORMATION WITH ALL PROVIDERS INVOLVED IN THE PATIENT'S CARE. INFORMATION GATHERED THROUGH DEC WILL INFORM FUTURE PLANNING FOR COMMUNITY-BASED MENTAL HEALTH PROGRAMMING. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE: HEALTHCARE INFORMATION AND EDUCATION, ACCESS TO AFFORDABLE HEALTHCARE AND AN AFFORDABLE PLACE TO EXERCISE. FAIRVIEW NORTHLAND'S REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, IMPACT CONCUSSION TESTING, MEALS ALA CAR, THE ANNUAL BE HEALTHY BE SAFE: SAFETY FAIR AND BIKE RODEO, MEMBERSHIP ON REACH, ANNUAL COMMUNITY BASED FLU SHOT CLINICS AND MEDICAL EXPLORERS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTERS IMPLEMENTATION STRATEGY.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENTS AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEWS' COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENT'S ELIGIBILITY.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 20D	PATIENTS WITH INCOMES UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 3	FAIRVIEW RIDGES ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW RIDGES COMMUNITY HEALTH NEEDS ASSESSMENT. FAIRVIEW RIDGES REACHED OUT TO MEMBERS OF THE COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: BONNIE BRUESHOFF, DAKOTA COUNTY PUBLIC HEALTH JENNIFER DESCHAINE, SCOTT COUNTY PUBLIC HEALTH DOUG DIRKS, FAIRVIEW RIDGES BOARD MEMBER, COMMUNITY MEMBER ANN ELLISON, FAIRVIEW COMMUNITY HEALTH BETH KREHBEIL, PRESIDENT FAIRVIEW RIDGES HOSPITAL CHARLES LI M.D. REV. JEFF MARIAN, PASTOR, PRINCE OF PEACE LUTHERAN CHURCH, COMMUNITY MEMBER JANET MOHR, FAIRVIEW RIDGES BOARD MEMBER, ASSOCIATE PROFESSOR, MINNESOTA STATE UNIVERSITY MOORHEAD, COMMUNITY MEMBER STACY MONTGOMERY, FAIRVIEW RIDGES COMMUNITY HEALTH, COMMUNITY MEMBER SHARI PREST, FAIRVIEW RIDGES BOARD MEMBER, COMMUNITY MEMBER MURT SHEREK, FAIRVIEW RIDGES BOARD MEMBER, RETIRED RN, COMMUNITY MEMBER PETER TOENSING MD, FAIRVIEW RIDGES CHIEF OF STAFF THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: EDUCATION AND INFORMATION WAS NOT ADDRESSED HOWEVER, EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. ACCESS TO DENTAL CARE WAS NOT ADDRESSED HOWEVER, FAIRVIEW RIDGES HOSPITAL WILL WORK WITH COMMUNITY BASED DENTAL PROVIDERS TO PROVIDE EDUCATION TO THE COMMUNITY ABOUT AVAILABLE SERVICES. ACCESS TO CARE/WORKING MOTHERS WAS ANOTHER ISSUE. AFTER FURTHER CONSIDERATION, IT WAS DETERMINED THAT THE ISSUE OF ACCESS TO CARE/WORKING MOTHERS WAS RELATED MORE TO ACCESS TO CARE FOR FAMILIES IN THE PRIMARY CARE CLINIC. FOR THIS REASON, THE ISSUE WAS BROUGHT TO THE ATTENTION OF THE FAIRVIEW MEDICAL GROUP WHO ARE DEVELOPING ACTION STEPS TO EXPAND SERVICES HOURS IN THIS COMMUNITY. TO FURTHER ADDRESS THIS NEED,FAIRVIEW RIDGES HOSPITAL WILL CONTINUE TO BE A FUNDING PARTNER TO PORTICO HEALTHNET, A LOCAL COMMUNITY NON-PROFIT THAT HELPS UNINSURED COMMUNITY MEMBERS ACCESS AFFORDABLE HEALTH COVERAGE AND CARE. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND OBESITY AND DIABETES. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, PARTICIPATION IN SEVERAL COMMUNITY BASED EDUCATION EFFORTS SUCH AS LAKEVILLE HEART RESTART, AIMED AT IMPROVING THE SURVIVAL RATE OF PEOPLE IN SUDDEN CARDIAC ARREST, A PARTNERSHIP WITH THE BURNSVILLE FIRE DEPARTMENT TO DISTRIBUTE BIKE HELMETS AND EDUCATE ABOUT BIKE SAFETY, AND SAFE, A SUPPORT AND EDUCATION PROGRAM FOR VICTIMS OF SEXUAL ASSAULT. THESE ACTIVITIES WERE DETERMINED TO BE ADDITIONAL PRIORITIES FOR THE HOSPITAL'S IMPLEMENTATION STRATEGY.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 20D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 3	FAIRVIEW SOUTHDALE ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW SOUTHDALE HOSPITAL CHNA. FAIRVIEW SOUTHDALE HOSPITAL REACHED OUT TO MEMBERS OF OUR COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: BRAD BEARD, PRESIDENT, FAIRVIEW SOUTHDALE HOSPITAL STEVE DEVICH, MANAGER, CITY OF RICHFIELD ANN ELLISON, FAIRVIEW COMMUNITY HEALTH ROBB GRUMAN, VICE PRESIDENT, FACILITIES AND SUPPORT SERVICES, FAIRVIEW SOUTHDALE HOSPITAL AMY GUMESTAD, DIRECTOR, ADMISSIONS AND MARKETING, MINNESOTA LIFE COLLEGE DAVID HOLM, RETIRED PASTOR, FAIRVIEW SOUTHDALE HOSPITAL BOARD MEMBER BJ LARSON, DIRECTOR OF SPIRITUAL HEALTH, FAIRVIEW SOUTHDALE AND RIDGES HOSPITALS ALISSA LEROUX SMITH, MANAGER, COMMUNITY HEALTH AND VOLUNTEER SERVICES, FAIRVIEW SOUTHDALE HOSPITAL RICHARD STURGEON, M.D., INTERIM VICE PRESIDENT OF MEDICAL AFFAIRS, FAIRVIEW SOUTHDALE HOSPITAL LORI SYVERSON, PRESIDENT, EDINA CHAMBER OF COMMERCE CATHY UTNE, DIRECTOR, PATIENT AND GUEST SERVICES, FAIRVIEW SOUTHDALE HOSPITAL RAYMOND YU, PRINCIPAL, OAKGROVE ELEMENTARY SCHOOL KAREN ZELEZNAK, PUBLIC HEALTH ADMINISTRATOR, BLOOMINGTON HEALTH DIVISION THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: ACCESS TO DENTAL CARE WAS IDENTIFIED AS A TOP COMMUNITY NEED; HOWEVER, THE STEERING COMMITTEE DETERMINED THAT DENTAL CARE WAS BEYOND THE SCOPE OF FAIRVIEW SOUTHDALE HOSPITALS EXPERTISE AT THIS TIME. WHILE NOT IDENTIFIED AS ONE OF THE COMMUNITIES TOP TWO HEALTH NEEDS, HEALTH INFORMATION AND EDUCATION IS SOMETHING THAT FAIRVIEW SOUTHDALE VIEWS AS A PRIORITY. THE CHNA DATA RELATED TO HEALTH INFORMATION AND EDUCATION WILL BE COMMUNICATED ACROSS THE ORGANIZATION. EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE HEALTHLY LIFESTYLES AND SOCIAL AND EMOTIONAL WELL-BEING. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, ON THE JOB TRAINING PROGRAMS, COMMUNITY HEALTH FAIRS, TELECARE, A TELEPHONE CHECK-IN PROGRAM, FUNDING FOR TRANSPORTATION FOR LOW-INCOME INDIVIDUALS, FINANCIAL SUPPORT FOR PROGRAMS AT NORMANDALE CENTER FOR HEALING AND WHOLENESS AND EDUCATIONAL PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE HOSPITALS IMPLEMENTATION STRATEGY.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 20D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 3	UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW, ALONG WITH FAIRVIEW COMMUNITY HEALTH, PROVIDED LEADERSHIP FOR THE 2012 CHNA. THE MEDICAL CENTER REACHED OUT TO MEMBERS OF THE COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: TOM CLANCY, UNIVERSITY OF MINNESOTA SCHOOL OF NURSING DIANE CROSS, BOARD MEMBER, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW CONNIE DELANEY, UNIVERSITY OF MINNESOTA SCHOOL OF NURSING, AND BOARD MEMBER, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW SANDRA ELIASON, M.D. FAIRVIEW CLINICS ANN ELLISON, DIRECTOR, FAIRVIEW COMMUNITY HEALTH MOHAMMED HASSAN, M.D. UNIVERSITY OF MINNESOTA PHYSICIANS CARRIE LINK, MD UNIVERSITY OF MINNESOTA DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH DONNA MCALPINE, UNIVERSITY OF MINNESOTA SCHOOL OF PUBLIC HEALTH GRETCHEN MUSICANT, COMMISSIONER, MINNEAPOLIS DEPARTMENT OF HEALTH AND FAMILY SUPPORT SAHRA NOOR, DIRECTOR, DEPARTMENT OF COMMUNITY HEALTH, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW MARGE PAGE, VICE PRESIDENT, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW HIBA SHARIF, DEPARTMENT OF COMMUNITY HEALTH, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW CAROLYN WILSON, PRESIDENT, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: HEALTH INFORMATION AND EDUCATION WERE NOT IDENTIFIED AS ONE OF THE COMMUNITIES TOP HEALTH NEEDS. EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND HEART DISEASE. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE MEDICAL CENTER IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, AS WELL AS PARTICIPATION IN THE HEALTH COMMONS, THE HEALTHY KIDS & COMMUNITIES INITIATIVE AND NUMEROUS COMMUNITY EDUCATION AND HEALTH EVENTS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTER'S IMPLEMENTATION STRATEGY.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 20D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?101
Name and address		Type of Facility (describe)
1	CLINICS - WYOMING 5200 FAIRVIEW BLVD WYOMING,MN55092	FREE STANDING CLINIC
2	CLINICS - FRIDLEY 6341 UNIVERSITY AVE NE FRIDLEY,MN55432	FREE STANDING CLINIC
3	CLINICS - ANDOVER 13819 HANSON BLVD NW ANDOVER,MN55304	FREE STANDING CLINIC
4	CLINICS - BROOKLYN PARK 1000 ZANE AVE NE BROOKLYN PARK,MN55443	FREE STANDING CLINIC
5	CLINICS - PRINCETON 919 NORTHLAND DRIVE PRINCETON,MN55371	FREE STANDING CLINIC
6	CVC - SOUTHDALE 6405 FRANCE AVE S STE W200 EDINA,MN55435	SPECIALTY CLINIC
7	CLINICS - BLAINE 10961 CLUB WEST PARKWAY NE BLAINE,MN55449	FREE STANDING CLINIC
8	GPO ADMIN 2450 RIVERSIDE AVE MINNEAPOLIS,MN55454	FREE STANDING CLINIC
9	CLINICS - ELK RIVER 290 MAIN ST NW STE 100 ELK RIVER,MN55330	FREE STANDING CLINIC
10	CLINICS - WYOMING PRIMARY CARE 5200 FAIRVIEW BLVD WYOMING,MN55092	FREE STANDING CLINIC
11	ORTHO LABS - FHME 2200 UNIVERSITY AVE W ST PAUL,MN55114	PT CLINIC
12	CVC - UMMC 2525 UNIVERSITY AVENUE SE MINNEAPOLIS,MN55414	SPECIALTY CLINIC
13	CLINICS - COLUMBIA HEIGHTS 4000 CENTRAL AVE NE COLUMBIA HEIGHTS,MN55421	FREE STANDING CLINIC
14	ONCOLOGY - UMMC 2525 UNIVERSITY AVENUE SE MINNEAPOLIS,MN55414	SPECIALTY CLINIC
15	SCPA - SOUTHDALE 6405 FRANCE AVE S EDINA,MN55435	SPECIALTY CLINIC
16	LAKES - HOMECARING & HOSPICE 5200 FAIRVIEW BLVD WYOMING,MN55092	SPECIALTY CLINIC
17	CLINICS - LINO LAKES 7455 VILLAGE DRIVE LINO LAKES,MN55014	FREE STANDING CLINIC
18	CLINICS - MAPLE GROVE 14500 99TH AVENUE N MAPLE GROVE,MN55369	FREE STANDING CLINIC
19	CLINICS - NORTH BRANCH 6413 OAK STREET NORTH BRANCH,MN55056	FREE STANDING CLINIC
20	CLINICS - CHISAGO 11725 STINSON AVE CHISAGO CITY,MN55013	FREE STANDING CLINIC
21	CLINICS - BLOOMINGTON LK XERXES 7901 XERXES AVENUE SOUTH BLOOMINGTON,MN55431	FREE STANDING CLINIC
22	SCPA - RIDGES 305 NICOLLET BLVD STE 372 BURNSVILLE,MN55337	SPECIALTY CLINIC
23	CLINICS - ZIMMERMAN 25945 GATEWAY DRIVE ZIMMERMAN,MN55398	FREE STANDING CLINIC
24	HAND CENTER - ORTHO 2512 7TH ST S STE R102 MINNEAPOLIS,MN55454	PT CLINIC
25	CLINICS - MILACA 150 10TH STREET NW MILACA,MN56353	FREE STANDING CLINIC
26	CLINICS - HUGO 14663 MERCANTILE DRIVE HUGO,MN55038	FREE STANDING CLINIC
27	CLINICS - RUSH CITY 760 W FOURTH STREET RUSH CITY,MN55069	FREE STANDING CLINIC
28	SCPA - VEIN SOLUTIONS 6405 FRANCE AVE S EDINA,MN55435	SPECIALTY CLINIC
29	CLINICS - BROOKLYN PARK UC 1000 ZANE AVE NE BROOKLYN PARK,MN55443	FREE STANDING CLINIC
30	CVC - RIDGES 305 NICOLLET BLVD STE 372 BURNSVILLE,MN55337	SPECIALTY CLINIC
31	CLINICS - HOSPITAL 1000 ZANE AVE NE BROOKLYN PARK,MN55443	FREE STANDING CLINIC
32	FV CLINICS - FSOC WYOMING 5200 FAIRVIEW BLVD WYOMING,MN55092	PT CLINIC
33	IAM - EDINA 6363 FRANCE AVE STE 100 EDINA,MN55435	PT CLINIC
34	SR SVCCS & OTHER CONTINUM SVCS 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454	FREE STANDING CLINIC
35	CLINICS - BLOOMINGTON LK MPLS 1527 E LAKE STREET MINNEAPOLIS,MN55407	FREE STANDING CLINIC
36	IAM - BURNSVILLE 675 E NICOLLET BLVD 135 BURNSVILLE,MN55337	PT CLINIC
37	FV LINICS - FS OC OAK RIDGE 675 E NICOLLET BLVD STE 250 BURNSVILLE,MN55337	PT CLINIC
38	IAM - EDEN PRAIRIE 775 PRAIRIE CENTER DRIVE 250 EDEN PRAIRIE,MN55344	PT CLINIC
39	FV CLINIC - SAVAGE 5725 LOFTUS LANE SAVAGE,MN55378	FREE STANDING CLINIC
40	ORTHO LABS - RIVERSIDE 606 24TH AVE S STE 301 MINNEAPOLIS,MN55454	PT CLINIC
41	ORTHO LABS - BURNSVILLE 501 NICOLLET BLVD STE LL50 BURNSVILLE,MN55337	PT CLINIC
42	IAM - WEST HEALTH 2805 CAMPUS DRIVE 115 PLYMOUTH,MN55441	PT CLINIC
43	BROOKLYN PARK SLEEP LAB 10000 ZANE AVE NE BROOKLYN PARK,MN55443	SPECIALTY CLINIC
44	IAM - EAGAN 1440 DUCKWOOD DRIVE EAGAN,MN55122	PT CLINIC
45	IAM - TRAINERS 4080 W BROADWAY 300 ROBBINSDALE,MN55422	PT CLINIC
46	IAM - HIGHLAND PARK 2155 FORD PARKWAY ST PAUL,MN55116	PT CLINIC
47	IAM - ARBOR LAKES 12000 ELM CREEK BLVD STE 120 MAPLE GROVE,MN55369	PT CLINIC
48	ORTHO LABS - ST PAUL 2200 UNIVERSITY AVE S STE 114 ST PAUL,MN55114	PT CLINIC
49	FV BLAINE PHYSICAL THERAPY 10961 CLUB WEST PARKWAY NE BLAINE,MN55449	PT CLINIC
50	CLINICS - INTEGRATED PRIMARY 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454	FREE STANDING CLINIC
51	IAM - UNIVERSITY 2525 UNIVERSITY AVENUE SE MINNEAPOLIS,MN55414	PT CLINIC
52	IAM - BLOOMINGTON 600 W 98TH ST 390 BLOOMINGTON,MN55420	PT CLINIC
53	IAM - APPLE VALLEY 15650 CEDAR AVE 160 APPLE VALLEY,MN55124	PT CLINIC
54	IAM - BLAINE 1750 105TH AVE NE BLAINE,MN55449	PT CLINIC
55	IAM - ROSEMOUNT 15075 CIMARRON AVE 20 ROSEMOUNT,MN55068	PT CLINIC
56	IAM - PLYMOUTH 9750 ROCKFORD RD PLYMOUTH,MN55442	PT CLINIC
57	IAM - UPTOWN 3033 EXCELSIOR BLVD 225 MINNEAPOLIS,MN55416	PT CLINIC
58	CLINICS - ANDOVER UC 13819 HANSON BLVD NW ANDOVER,MN55304	FREE STANDING CLINIC
59	IAM - ST ANTHONY 2600 39TH AVE NE 220 ST ANTHONY,MN55421	PT CLINIC
60	IAM - MAPLE GROVE FV 14500 99TH AVE N STE 1-210 MAPLE GROVE,MN55369	PT CLINIC
61	IAM - ELK RIVER 800 FREEPORT AVE N 200 ELK RIVER,MN55330	PT CLINIC
62	ORTHO LABS - EDINA 6363 FRANCE AVE S STE 110 EDINA,MN55435	PT CLINIC
63	ORTHO LABS - ADMIN 2200 UNIVERSITY AVE W STE 114 ST PAUL,MN55114	PT CLINIC
64	IAM - BROOKLYN PARK 8559 EDINBROOK PKWY 104 BROOKLYN PARK,MN55443	PT CLINIC
65	IAM - ROBBINSDALE 4080 W BROADWAY 300 ROBBINSDALE,MN55422	PT CLINIC
66	IAM - LAKEVILLE 18592 JOPLIN AVE LAKEVILLE,MN55044	PT CLINIC
67	FV FRIDLEY PHYSICAL THERAPY 6341 UNIVERSITY AVE NE FRIDLEY,MN55432	PT CLINIC
68	IAM - LINO LAKES 7455 VILLAGE DR LINE LAKES,MN55014	PT CLINIC
69	CLINICS - CHISAGO SLEEP LAB 11725 STINSON AVE CHISAGO CITY,MN55013	SPECIALTY CLINIC
70	IAM - ROSEVILLE 1955 WEST COUNTY RD B2 ROSEVILLE,MN55113	PT CLINIC
71	FV BROOKLYN PARK 10000 ZANE AVE N BROOKLYN PARK,MN55443	FREE STANDING CLINIC
72	HAND CENTER - BURNSVILLE 675 E NICOLLET BLVD 225 BURNSVILLE,MN55337	PT CLINIC
73	HAND CENTER - EDINA 6363 FRANCE AVE S 105 EDINA,MN55435	PT CLINIC
74	IAM - HUGO 14712 VICTOR HUGO BOULEVARD HUGO,MN55038	PT CLINIC
75	ORTHO LABS - EDINA DME 6545 FRANCE AVE S SUITE 471 EDINA,MN55435	PT CLINIC
76	CLINICS - COMPLEX CARE 2450 RIVERSIDE AVE MINNEAPOLIS,MN55454	SPECIALTY CLINIC
77	ORTHO LABS - BLAINE 10961 CLUB WEST PARKWAY NE BLAINE,MN55449	PT CLINIC
78	FV COLUMBIA PARK 4000 CENTRAL AVE NE COLUMBIA HEIGHTS,MN55421	FREE STANDING CLINIC
79	IAM - MAPLEWOOD 1650 BEAM AVE LOWER LEVEL MAPLEWOOD,MN55109	PT CLINIC
80	IAM - WOODBURY 7616 CURRELL AVE 270 WOODBURY,MN55125	PT CLINIC
81	CVC - LAKES 5200 FAIRVIEW BLVD WYOMING,MN55092	SPECIALTY CLINIC
82	FV CLINICS - SKIN CARE CTR SUITE 310 300 WEST 98TH ST BLOOMINGTON,MN55420	SPECIALTY CLINIC
83	IAM - SAVAGE 5725 LOFTUS LANE SAVAGE,MN55378	PT CLINIC
84	IOR - NORTHEAST ST 650 TAFT ST NE 400 MINNEAPOLIS,MN55413	PT CLINIC
85	IAM - GOLDEN VALLEY 8301 GOLDEN VALLEY RD ST 202 GOLDEN VALLEY,MN55427	PT CLINIC
86	HAND CENTER - FSOC BLAINE 10961 CLUB WEST PARKWAY NE STE 200 BLAINE,MN55449	PT CLINIC
87	HAND CENTER - MAPLE GROVE 14500 99TH AVENUE SOUTH MAPLE GROVE,MN55369	PT CLINIC
88	ORTHO LABS - WYOMING 6363 FRANCE AVE S STE 110 EDINA,MN55435	PT CLINIC
89	ORTHO LABS - U OF M 500 HARVARD ST MINNEAPOLIS,MN55455	PT CLINIC
90	PHYSICIAN - PAIN CLINIC BLAINE 10961 CLUB WEST PARKWAY NE BLAINE,MN55449	SPECIALTY CLINIC
91	FSOC - OAK RIDGE 675 NICOLLET BLVD E BURNSVILLE,MN55337	PT CLINIC
92	HAND CENTER - ELK RIVER 800 FREEPORT AVE N 200 ELK RIVER,MN55330	PT CLINIC
93	FV PAIN CLINIC - COLUMBIA HEIGHTS 4000 CENTRAL AVE NE COLUMBIA HEIGHTS,MN55421	SPECIALTY CLINIC
94	FV GERIATRICS - BLUESTONE VISTA 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454	SPECIALTY CLINIC
95	HAND CENTER - WEST HEALTH 2805 CAMPUS DRIVE STE 115 PLYMOUTH,MN55441	PT CLINIC
96	PHYSICIANS - LIFE STYLE MED 6401 FRANCE AVE S EDINA,MN55435	SPECIALTY CLINIC
97	CLINICS - FPOB 4000 CENTRAL AVE NE COLUMBIA HEIGHTS,MN55421	PT CLINIC
98	IOR OTHER 701 25TH AVENUE SOUTH STE 500 MINNEAPOLIS,MN55454	PT CLINIC
99	LIFESTYLE MEDICINE - WYOMING 5200 FAIRVIEW BLVD WYOMING,MN55092	SPECIALTY CLINIC
100	ONCOLOGY CLINIC 424 HARVARD STREET SE MINNEAPOLIS,MN55455	SPECIALTY CLINIC
101	CLINICS - PINE CITY 510 2ND STREET SE PINE CITY,MN55063	FREE STANDING CLINIC

Schedule H (Form 990) 2013

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 3	FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH ALONG WITH FAIRVIEW COMMUNITY HEALTH STAFF PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW LAKES CHNA. FAIRVIEW LAKES REACHED OUT TO MEMBERS OF OUR COMMUNITIES IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF STAKEHOLDERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: TERESA BENGE, RN, DIABETES EDUCATOR JILL BRIGGS, CHISAGO COUNTY PUBLIC HEALTH KATHY BYSTROM ASSISTANT MANAGER, FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH KRIS CLEMENTSON, RN, PATIENT CARE SUPERVISOR PINE CITY, RUSH CITY, NORTH BRANCH & JOB CARE THERESE DURKIN, M.D. ANN ELLISON, DIRECTOR, FAIRVIEW COMMUNITY HEALTH DEBBY FEIST, COMMUNITY MEMBER, FORMER FAIRVIEW LAKES BOARD MEMBER SUE HEDLUND, WASHINGTON COUNTY PUBLIC HEALTH AND ENVIRONMENT ROSEMARY HOOLIHAN, FAIRVIEW LAKES BOARD MEMBER STEVE HOUSH, PRESIDENT, FAIRVIEW LAKES MEDICAL CENTER KELLIE KERSHISNIK, M.D. FAIRVIEW LAKES BOARD MEMBER CARLA NORELIUS, MANAGER, FAIRVIEW LAKES COMMUNITY HEALTH OUTREACH THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE INDIVIDUALS)
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: ABDOMINAL PAIN, AFFORDABILITY, EDUCATION/INFORMATION, SAFE, YEAR ROUND EXERCISE OPTIONS AND WORK/LIFE BALANCE WERE NOT ADDRESSED. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH THE PROVISION OF CHARITY CARE, MEDICAID SERVICES, AND HEALTH PROFESSIONAL EDUCATION PROGRAMS. IN ADDITION, COMMUNITY HEALTH OUTREACH STAFF PROVIDES LEADERSHIP IN NUMEROUS COLLABORATIONS, INCLUDING: SHIP (STATEWIDE HEALTH IMPROVEMENT PROGRAM), THE FOREST LAKE AREA PARTNERSHIP FOR FAMILIES, INC., CHISAGO COUNTY MENTAL WELLNESS INITIATIVE, COMMUNITY PARTNERSHIP FOR YOUTH AND FAMILIES AND THE FRIENDS MAKE A DIFFERENCE MENTORING PROGRAM. THESE EXISTING PARTNERSHIPS HAVE BEEN IDENTIFIED AS VALUABLE ASSETS AND WILL BE CONSIDERED IN THE HOSPITALS IMPLEMENTATION PLANNING. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE OBESITY AND BEHAVIORAL HEALTH.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEWS COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENT'S ELIGIBILITY.
FACILITY 1, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 20D	PATIENTS WITH AN INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 3	FAIRVIEW NORTHLAND ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW NORTHLAND COMMUNITY HEALTH NEEDS ASSESSMENT. FAIRVIEW NORTHLAND REACHED OUT TO MEMBERS OF OUR COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: FR. KEVIN ANDERSON, PASTOR, CHRIST OUR LIGHT CATHOLIC PARISH ANN ELLISON, FAIRVIEW COMMUNITY HEALTH CARIE FUHRMAN, COMMUNITY DEVELOPMENT DIRECTOR, CITY OF PRINCETON MARNI GUSTAFSON, EXECUTIVE DIRECTOR, STERLING POINT SENIOR COMMUNITY SUE HERM, FAIRVIEW NORTHLAND BOARD MEMBER AND FACULTY ST. CLOUD STATE UNIVERSITY JOHN HERMAN, PRESIDENT, FAIRVIEW NORTHLAND MEDICAL CENTER PETE JENSEN, M.D MARIE MASLOWSKI, MANAGER, COMMUNITY HEALTH OUTREACH ALLISON MILLER, PATIENT EDUCATOR, RUM RIVER HEALTH SERVICES BRIAN PAYNE, CHIEF OF POLICE, CITY OF PRINCETON PAM PRINGLE, DIRECTOR OF PATIENT CARE PRACTICE AND COMMUNITY MEMBER JANELLE SCHROEDER, COMMUNITY HEALTH SUPERVISOR, MILLE LACS COUNTY DAWN SIEVERT, DISTRICT NURSE, PRINCETON SCHOOLS. THE QUALITATIVE DATA INCLUDES: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE INDIVIDUALS) WEB SURVEYS WITH CHAMBER OF COMMERCE MEMBERS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF LOCAL PUBLIC HEALTH DEPARTMENTS.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: FAIRVIEW NORTHLAND MEDICAL CENTER IS NOT DIRECTLY INVOLVED WITH THE MENTAL HEALTH PRIORITY BECAUSE RESOURCES ARE SCARCE AND A LACK OF CLARITY ABOUT A COMMUNITY-BASED FOCUS AREA FOR MENTAL HEALTH. THIS WILL BE EXPLORED MORE FULLY WITH COMMUNITY MEMBERS AND PARTNERS TO MORE CLEARLY UNDERSTAND THE NEED. MEANWHILE, FAIRVIEW NORTHLAND IS IN THE PROCESS OF INITIATING A DIAGNOSTIC EVALUATION CENTER (DEC) ON SITE. DECS ARE LOCATED IN EMERGENCY DEPARTMENTS AROUND THE METRO AREA AND PROVIDE DIAGNOSTIC ASSESSMENTS BY LICENSED CLINICIANS TO DETERMINE THE APPROPRIATE LEVEL OF CARE FOR PATIENTS EXPERIENCING A BEHAVIORAL CRISIS. THE DEC IS AN INNOVATIVE CARE MODEL THAT HAS CREATED IMMEDIATE ACCESS TO APPROPRIATE CARE AND PROMOTES COORDINATION OF INFORMATION WITH ALL PROVIDERS INVOLVED IN THE PATIENT'S CARE. INFORMATION GATHERED THROUGH DEC WILL INFORM FUTURE PLANNING FOR COMMUNITY-BASED MENTAL HEALTH PROGRAMMING. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE: HEALTHCARE INFORMATION AND EDUCATION, ACCESS TO AFFORDABLE HEALTHCARE AND AN AFFORDABLE PLACE TO EXERCISE. FAIRVIEW NORTHLAND'S REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, IMPACT CONCUSSION TESTING, MEALS ALA CAR, THE ANNUAL BE HEALTHY BE SAFE: SAFETY FAIR AND BIKE RODEO, MEMBERSHIP ON REACH, ANNUAL COMMUNITY BASED FLU SHOT CLINICS AND MEDICAL EXPLORERS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTERS IMPLEMENTATION STRATEGY.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENTS AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEWS' COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENT'S ELIGIBILITY.
FACILITY 2, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 20D	PATIENTS WITH INCOMES UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 3	FAIRVIEW RIDGES ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW RIDGES COMMUNITY HEALTH NEEDS ASSESSMENT. FAIRVIEW RIDGES REACHED OUT TO MEMBERS OF THE COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: BONNIE BRUESHOFF, DAKOTA COUNTY PUBLIC HEALTH JENNIFER DESCHAINE, SCOTT COUNTY PUBLIC HEALTH DOUG DIRKS, FAIRVIEW RIDGES BOARD MEMBER, COMMUNITY MEMBER ANN ELLISON, FAIRVIEW COMMUNITY HEALTH BETH KREHBEIL, PRESIDENT FAIRVIEW RIDGES HOSPITAL CHARLES LI M.D. REV. JEFF MARIAN, PASTOR, PRINCE OF PEACE LUTHERAN CHURCH, COMMUNITY MEMBER JANET MOHR, FAIRVIEW RIDGES BOARD MEMBER, ASSOCIATE PROFESSOR, MINNESOTA STATE UNIVERSITY MOORHEAD, COMMUNITY MEMBER STACY MONTGOMERY, FAIRVIEW RIDGES COMMUNITY HEALTH, COMMUNITY MEMBER SHARI PREST, FAIRVIEW RIDGES BOARD MEMBER, COMMUNITY MEMBER MURT SHEREK, FAIRVIEW RIDGES BOARD MEMBER, RETIRED RN, COMMUNITY MEMBER PETER TOENSING MD, FAIRVIEW RIDGES CHIEF OF STAFF THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: EDUCATION AND INFORMATION WAS NOT ADDRESSED HOWEVER, EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. ACCESS TO DENTAL CARE WAS NOT ADDRESSED HOWEVER, FAIRVIEW RIDGES HOSPITAL WILL WORK WITH COMMUNITY BASED DENTAL PROVIDERS TO PROVIDE EDUCATION TO THE COMMUNITY ABOUT AVAILABLE SERVICES. ACCESS TO CARE/WORKING MOTHERS WAS ANOTHER ISSUE. AFTER FURTHER CONSIDERATION, IT WAS DETERMINED THAT THE ISSUE OF ACCESS TO CARE/WORKING MOTHERS WAS RELATED MORE TO ACCESS TO CARE FOR FAMILIES IN THE PRIMARY CARE CLINIC. FOR THIS REASON, THE ISSUE WAS BROUGHT TO THE ATTENTION OF THE FAIRVIEW MEDICAL GROUP WHO ARE DEVELOPING ACTION STEPS TO EXPAND SERVICES HOURS IN THIS COMMUNITY. TO FURTHER ADDRESS THIS NEED,FAIRVIEW RIDGES HOSPITAL WILL CONTINUE TO BE A FUNDING PARTNER TO PORTICO HEALTHNET, A LOCAL COMMUNITY NON-PROFIT THAT HELPS UNINSURED COMMUNITY MEMBERS ACCESS AFFORDABLE HEALTH COVERAGE AND CARE. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND OBESITY AND DIABETES. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, PARTICIPATION IN SEVERAL COMMUNITY BASED EDUCATION EFFORTS SUCH AS LAKEVILLE HEART RESTART, AIMED AT IMPROVING THE SURVIVAL RATE OF PEOPLE IN SUDDEN CARDIAC ARREST, A PARTNERSHIP WITH THE BURNSVILLE FIRE DEPARTMENT TO DISTRIBUTE BIKE HELMETS AND EDUCATE ABOUT BIKE SAFETY, AND SAFE, A SUPPORT AND EDUCATION PROGRAM FOR VICTIMS OF SEXUAL ASSAULT. THESE ACTIVITIES WERE DETERMINED TO BE ADDITIONAL PRIORITIES FOR THE HOSPITAL'S IMPLEMENTATION STRATEGY.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 20D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 3	FAIRVIEW SOUTHDALE ALONG WITH FAIRVIEW COMMUNITY HEALTH PROVIDED LEADERSHIP FOR THE 2012 FAIRVIEW SOUTHDALE HOSPITAL CHNA. FAIRVIEW SOUTHDALE HOSPITAL REACHED OUT TO MEMBERS OF OUR COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: BRAD BEARD, PRESIDENT, FAIRVIEW SOUTHDALE HOSPITAL STEVE DEVICH, MANAGER, CITY OF RICHFIELD ANN ELLISON, FAIRVIEW COMMUNITY HEALTH ROBB GRUMAN, VICE PRESIDENT, FACILITIES AND SUPPORT SERVICES, FAIRVIEW SOUTHDALE HOSPITAL AMY GUMESTAD, DIRECTOR, ADMISSIONS AND MARKETING, MINNESOTA LIFE COLLEGE DAVID HOLM, RETIRED PASTOR, FAIRVIEW SOUTHDALE HOSPITAL BOARD MEMBER BJ LARSON, DIRECTOR OF SPIRITUAL HEALTH, FAIRVIEW SOUTHDALE AND RIDGES HOSPITALS ALISSA LEROUX SMITH, MANAGER, COMMUNITY HEALTH AND VOLUNTEER SERVICES, FAIRVIEW SOUTHDALE HOSPITAL RICHARD STURGEON, M.D., INTERIM VICE PRESIDENT OF MEDICAL AFFAIRS, FAIRVIEW SOUTHDALE HOSPITAL LORI SYVERSON, PRESIDENT, EDINA CHAMBER OF COMMERCE CATHY UTNE, DIRECTOR, PATIENT AND GUEST SERVICES, FAIRVIEW SOUTHDALE HOSPITAL RAYMOND YU, PRINCIPAL, OAKGROVE ELEMENTARY SCHOOL KAREN ZELEZNAK, PUBLIC HEALTH ADMINISTRATOR, BLOOMINGTON HEALTH DIVISION THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: ACCESS TO DENTAL CARE WAS IDENTIFIED AS A TOP COMMUNITY NEED; HOWEVER, THE STEERING COMMITTEE DETERMINED THAT DENTAL CARE WAS BEYOND THE SCOPE OF FAIRVIEW SOUTHDALE HOSPITALS EXPERTISE AT THIS TIME. WHILE NOT IDENTIFIED AS ONE OF THE COMMUNITIES TOP TWO HEALTH NEEDS, HEALTH INFORMATION AND EDUCATION IS SOMETHING THAT FAIRVIEW SOUTHDALE VIEWS AS A PRIORITY. THE CHNA DATA RELATED TO HEALTH INFORMATION AND EDUCATION WILL BE COMMUNICATED ACROSS THE ORGANIZATION. EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE HEALTHLY LIFESTYLES AND SOCIAL AND EMOTIONAL WELL-BEING. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, ON THE JOB TRAINING PROGRAMS, COMMUNITY HEALTH FAIRS, TELECARE, A TELEPHONE CHECK-IN PROGRAM, FUNDING FOR TRANSPORTATION FOR LOW-INCOME INDIVIDUALS, FINANCIAL SUPPORT FOR PROGRAMS AT NORMANDALE CENTER FOR HEALING AND WHOLENESS AND EDUCATIONAL PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE HOSPITALS IMPLEMENTATION STRATEGY.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY.
FACILITY 4, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 20D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 3	UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW, ALONG WITH FAIRVIEW COMMUNITY HEALTH, PROVIDED LEADERSHIP FOR THE 2012 CHNA. THE MEDICAL CENTER REACHED OUT TO MEMBERS OF THE COMMUNITY IN THE FOURTH QUARTER OF 2011, ASKING A DIVERSE GROUP OF COMMUNITY LEADERS TO REPRESENT THE COMMUNITY BY BECOMING A MEMBER OF THE CHNA STEERING COMMITTEE. THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: TOM CLANCY, UNIVERSITY OF MINNESOTA SCHOOL OF NURSING DIANE CROSS, BOARD MEMBER, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW CONNIE DELANEY, UNIVERSITY OF MINNESOTA SCHOOL OF NURSING, AND BOARD MEMBER, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW SANDRA ELIASON, M.D. FAIRVIEW CLINICS ANN ELLISON, DIRECTOR, FAIRVIEW COMMUNITY HEALTH MOHAMMED HASSAN, M.D. UNIVERSITY OF MINNESOTA PHYSICIANS CARRIE LINK, MD UNIVERSITY OF MINNESOTA DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH DONNA MCALPINE, UNIVERSITY OF MINNESOTA SCHOOL OF PUBLIC HEALTH GRETCHEN MUSICANT, COMMISSIONER, MINNEAPOLIS DEPARTMENT OF HEALTH AND FAMILY SUPPORT SAHRA NOOR, DIRECTOR, DEPARTMENT OF COMMUNITY HEALTH, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW MARGE PAGE, VICE PRESIDENT, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW HIBA SHARIF, DEPARTMENT OF COMMUNITY HEALTH, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW CAROLYN WILSON, PRESIDENT, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW THE QUALITATIVE DATA INCLUDED: FOCUS GROUPS OF THREE POPULATIONS (MOTHERS, SENIORS, VULNERABLE) WEB SURVEYS KEY STAKEHOLDER INTERVIEWS WITH ELECTED OFFICIALS, COMMUNITY LEADERS, PHYSICIANS AND MEMBERS OF COMMUNITY-BASED AGENCIES.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 5C	THE LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT IS LOCATED AT HTTP://WWW.FAIRVIEW.ORG/FV/GROUPS/INTERNET/DOCUMENTS/WEB_CONTENT/S_093141.P DF. THE IMPLEMENTATION STRATEGY IS MADE AVAILABLE THROUGH THE CHNA.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 7	PRIORITY NEEDS NOT BEING ADDRESSED AND THE REASONS: HEALTH INFORMATION AND EDUCATION WERE NOT IDENTIFIED AS ONE OF THE COMMUNITIES TOP HEALTH NEEDS. EFFORTS WILL BE MADE TO INCREASE AND IMPROVE ALL ASPECTS OF HEALTH INFORMATION AND EDUCATION THAT IS PROVIDED BROADLY TO THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE PRIORITY AREAS WERE SELECTED WHERE THE MEDICAL CENTER CAN HAVE THE GREATEST IMPACT DUE TO OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND HEART DISEASE. A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE MEDICAL CENTER IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, AS WELL AS PARTICIPATION IN THE HEALTH COMMONS, THE HEALTHY KIDS & COMMUNITIES INITIATIVE AND NUMEROUS COMMUNITY EDUCATION AND HEALTH EVENTS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTER'S IMPLEMENTATION STRATEGY.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 14G	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 16E	IT IS THE GOAL OF FAIRVIEW TO MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ABOUT THE AVAILABILITY AND ELIGIBILITY OF FAIRVIEW'S COMMUNITY CARE PROGRAM TO PATIENTS BEFORE SERVICES ARE PERFORMED OR IMMEDIATELY AFTER EMERGENCY SERVICES ARE PROVIDED. IN ADDITION, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICES TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND OR APPLY FOR COMMUNITY CARE AFTER SERVICES ARE PERFORMED. IF A PATIENT FEELS HE/SHE MAY BE ELIGIBLE TO PARTICIPATE IN FAIRVIEW'S COMMUNITY CARE PROGRAM ONCE THE BILLING PROCESS HAS BEGUN, HE/SHE CAN INFORM FAIRVIEW AND COLLECTION PROCESSES WILL BE SUSPENDED UNTIL A DETERMINATION CAN BE MADE REGARDING THE PATIENTS ELIGIBILITY.
FACILITY 5, UNIVERSITY OF MINNESOTA MEDICAL CTR - PART V, LINE 20D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Schedule H (Form 990) 2013

Additional Data

Software ID:
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- TIN:

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
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
FAIRVIEW HEALTH SERVICES

Employer identification number
41-0991680

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454	41-1573810	501C3	6,597,842	HOSPITAL SUPPORT
(2) REGENTS OF UNIVERSITY OF MINNESOTA P O BOX 1450 NW 5960 MINNEAPOLIS,MN55485	41-6007513	115	654,383	CHILD HOSP SUPPORT
(3) UMP RESEARCH 420 DELAWARE STREET SE MINNEAPOLIS,MN55455	41-6007513	501C3	260,000	PROVIDE CLINICAL CAR

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

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.
Part III can be duplicated 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

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

SCHEDULE I, PAGE 1, PART I, LINE 2

FAIRVIEW HEALTH SERVICES SOLICITS GRANT FUNDING ONLY FOR PURPOSES THAT QUALIFY AS CHARITABLE, RESEARCH OR EDUCATION PURPOSES AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. FAIRVIEW'S PROCESSES AND PROCEDURES ADHERE TO FEDERAL GUIDELINES AND ARE SUBJECT TO AUDIT. THE SAME PROCESSES AND PROCEDURES ARE APPLIED FOR FEDERAL AS WELL AS PRIVATE GRANTS AND SERVICE AGREEMENTS. THE GRANT APPLICATION PROCESS IS MONITORED BY THE RESEARCH ADMINISTRATION GROUP AND THE APPLICATION OF GRANT FUNDS ARE MONITORED BY THE RESEARCH AND EDUCATION ACCOUNTING GROUP. THESE TWO GROUPS MEET MONTHLY TO ENSURE ALL GRANTS ARE BEING ADMINISTERED PROPERLY.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

FAIRVIEW HEALTH SERVICES

Employer identification number

41-0991680

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)CHARLES MOOTYINTERIM CEO/DIRECTOR	(i) (ii)	838,951			14,850	16,012	869,813
(2)RULON STACEYPRESIDENT CEO 11-13	(i) (ii)	163,715					163,715
(3)CAROLYN WILSONPRESIDENT OF UMMC	(i) (ii)	725,712	358,173		198,651	22,388	1,304,924
(4)DANIEL K ANDERSONPRESIDENT, FAIRVIEW	(i) (ii)	563,005	275,803	14,051	73,515	24,168	950,542
(5)BRENT ASPLINPRESIDENT, FAIRVIEW	(i) (ii)	517,036	270,306			22,005	809,347
(6)DANIEL M FROMMCHIEF FINANCIAL OFCR	(i) (ii)	514,570	264,031		52,092	35,894	866,587
(7)MARK HANSBERRYVP STRATEGIC PLANNIN	(i) (ii)	373,080	189,285		46,591	30,934	639,890
(8)TERRY CARROLLSR. VP, TRANSFORMATI	(i) (ii)	283,164	223,652	19,547		7,511	533,874
(9)MARK THOMASPRES. & CEO OF EBENE	(i) (ii)	312,975	181,088	8,565	58,254	16,384	577,266
(10)JOHN DOHERTYSR. OPERATING EXEC.	(i) (ii)	339,997	156,987	3,328	37,876	37,665	575,853
(11)PAULA PHILLIPPECHIEF OF HUMAN RESOU	(i) (ii)	261,655	223,214	728		17,307	502,904
(12)STEVE HOUSCHPRESIDENT FAIRVIEW L	(i) (ii)	259,526	106,119		29,292	26,770	421,707
(13)TRUDI TRYSLASR. VP & GENERAL COU	(i) (ii)	238,380	66,673		17,850	31,808	354,711
(14)ALLEN VICKERSVP-CHIEF AUDIT EXEC	(i) (ii)	217,605	86,684		86,926	24,965	416,180
(15)TODD SHERRILLVICE PRESIDENT OF FI	(i) (ii)	218,975	49,346		17,850	16,413	302,584
(16)CAROLYN JACOBSONINTERIM CHIEF HR	(i) (ii)	222,826	30,257		17,850	8,332	279,265
(17)DAVID LEACHVICE PRESIDENT & TRE	(i) (ii)	185,505	42,590		16,548	26,608	271,251
(18)ROBERT BEACHERPRESIDENT, FAIRVIEW	(i) (ii)	438,462	229,491		76,588	32,998	777,539
(19)BRADLEY BEARDPRESIDENT, SOUTHDALE	(i) (ii)	431,546	196,275	10,161	56,668	29,750	724,400
(20)STEVEN HILLCHIEF OPERATING OFFI	(i) (ii)	40,506	509,108	343	21,194	22	571,173
(21)KATHLEEN TARANTOSR. VP PATIENT CARE	(i) (ii)	331,782	138,747	426	43,565	19,096	532,402	1,214
(22)BETH KREHBIELPRESIDENT, RIDGES HO	(i) (ii)	330,122	140,342		38,714	27,526	536,704
(23)JOHN HERMANPRESIDENT OF NORTHLA	(i) (ii)	296,348	139,329	2,332	31,810	15,526	485,345
(24)TERRY MARTINSONEXECUTIVE REGIONAL M	(i) (ii)	298,646	128,634	2,693	39,454	17,850	487,277
(25)DEBRA BOARDMANPRESIDENT,RANGE HOSP	(i) (ii)	270,832	92,746	2,440	28,711	8,343	403,072
(26)JOHN SWEET MDPHYSICIAN	(i) (ii)	689,635	260,921	12,411	17,850	14,877	995,694
(27)MICHAEL CAMPOLI MDSURGEON	(i) (ii)	902,734	12,604	34,373	17,850	34,189	1,001,750
(28)ASA KIM MDSURGEON	(i) (ii)	667,275	10,503	2,138	17,850	20,276	718,042
(29)WILLIAM OMLIE MDSURGEON	(i) (ii)	587,487	45,000	44,308	17,850	20,780	715,425
(30)HOWARD SAYLOR IIIPHYSICIAN	(i) (ii)	486,186	35,000	100,291	86,700	25,337	733,514
(31)MARK WERNERFORMER CCI	(i) (ii)		238,297	420,597			658,894
(32)MARK EUSTISFORMER PRES.& CEO	(i) (ii)		393,251				393,251
(33)SCOTT WORDELMANFORMEPRES.& CEO-R W	(i) (ii)			286,603	7,723		294,326
(34)JAMES FOXFORMER CFO	(i) (ii)			145,359			145,359	104,178
(35)MARK DIXONFORMER PRES.OF SOUTH	(i) (ii)			100,983			100,983	72,972

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PAGE 1, PART I, LINE 1A	SOCIAL CLUB DUES ARE PAID ONLY ON BEHALF OF THE CEO, PRIMARILY TO PROVIDE OFFSITE MEETING SPACES. IF USED FOR PERSONAL PURPOSES, A RATED PORTION OF THE DUES IS REPORTED ON THE RESPECTIVE W2.
SCHEDULE J, PAGE 1, PART I, LINE 4	KATHLEEN TARANTO 0 1,214 0 MARK WERNER 420,597 0 0 SCOTT WORDELMAN 286,603 0 0 JAMES FOX 41,181 117,809 0 MARK DIXON 28,011 72,972 0
SCHEDULE J, PART III	THE PLAN IS OPEN ONLY TO A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES. THE PLAN CONTRIBUTES THE DIFFERENCE OF WHAT 403(B) EMPLOYER CONTRIBUTIONS WERE MISSED FOR PARTICIPANTS WHO EARN MORE THAN THE IRS LIMIT ON ELIGIBLE COMPENSATION FOR QUALIFIED RETIREMENT PLANS (IN 2013 THAT WAS 255,000). THE CONTRIBUTION IS UNFUNDED. THE PLAN COMPLIES WITH SECTION 457(F) OF THE CODE. THOSE PARTICIPATING IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THAT IS A 457(F)PLAN INCLUDES THE FOLLOWING TOP LEVEL EXECUTIVES: DANIEL ANDERSON 55,665, BRADLEY BEARD 38,836, GEORGE CHRESAND 17,951, JOHN DOHERTY 20,026, DANIEL FROMM 34,242 MARK HANSBERRY 28,741, BETH KREHBIEL 20,864, MARK THOMAS 40,404, TERRY MARTINSON 21,604, ALLAN VICKERS 226, PATRICK HERSON 10,396, JOHN HERMAN 13,960, ROBERT BEACHER 58,738, KATHY TARANTO 25,715 RICHARD HOWARD 10,960, DEBORAH BOARDMAN 10,861, CAROLYN WILSON 23,702 AND SCOTT WORDELMAN 7,723.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF MINNEAPOLIS	41-6005375	60374VCE1	05-10-2005	75,567,679	HOSPITAL EXPANSION OF PRINCETON HOSPITAL & RIDGES HOSPITAL		X		X		X
B	CITY OF MINNEAPOLIS FAIRVIEW HEALTH SERVICES	41-6005375	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 . . . . . . . . . . . . . .	9,520,000		9,520,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	78,679,343		729,602,999
4 Gross proceeds in reserve funds . . . . . . . . . . . .	30,447,712		30,447,712
5 Capitalized interest from proceeds . . . . . . . . . . .	14,697,472		14,697,472
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	475,355		8,640,253
8 Credit enhancement from proceeds . . . . . . . . . . .	2,070,299		3,957,639
9 Working capital expenditures from proceeds . . . . . . . . .	15,341,000		15,341,000
10 Capital expenditures from proceeds . . . . . . . . . . .	76,133,689		209,408,419
11 Other spent proceeds . . . . . . . . . . . . . .	447,110,504		447,110,504
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2007		2011
	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

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 of bond-financed property? . . . . . . . . . . . .	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 . .
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 . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X
b Exception to rebate? . . . . . . . .	X			X
c No rebate due? . . . . . . . .		X	X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION	CITY OF MINNEAPOLIS DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) OF SCHEDULE K ARE DUE TO INVESTMENT EARNINGS. CITY OF MINNEAPOLIS THE DIFFERENCES BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS ARE DUE TO INVESTMENT EARNINGS.
SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	CITY OF MINNEAPOLIS 07/26/12
SCHEDULE K - ADDITIONAL INFORMATION	CITY OF MINNEAPOLIS HOSPITAL EXPANSION OF PRINCETON HOSPITAL & RIDGES HOSPITAL CITY OF MINNEAPOLIS REFUND 2004A 5-13-2004, 2005A 5-10-2005, B&C CHILDREN'S HOSPITAL & EXPAN.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

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 assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) UNIVERSITY OF MINNESOTA PHYSICIANS	BOARD MEMBER	208,526,885	MEDICAL SERVICES		No
(2) UNIVERSITY OF MINNESOTA	BOARD MEMBER	49,998,883	MEDICAL SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash 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 ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MEDICAL EQUIPME )	X	1	3,895,324	REPLACEMENT COST
26 Other ( )
27 Other ( )
28 Other ( )

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 ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2013)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation

Schedule M (Form 990) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

FAIRVIEW HEALTH SERVICES

Employer identification number

41-0991680

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE.
FORM 990, PAGE 1, PART I, LINE 6	OUR VOLUNTEERS ARE VALUED MEMBERS OF THE HEALTH CARE TEAM, ENHANCING THE PATIENT AND FAMILY EXPERIENCE BY MEETING OUR PATIENTS' NEEDS. SOME OF THE SERVICES PROVIDED INCLUDE WAYFINDING FOR PATIENTS, FAMILIES AND VISITORS. THEY PROVIDE HOSPITALITY FOR PATIENTS, FAMILIES AND VISITORS AND PROVIDE ASSISTANCE WITH SPECIAL ONSITE AND COMMUNITY EVENTS AND ACTIVITIES.
FORM 990, PAGE 2, PART III, LINE 4A	PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION IN 2012 AND 2013. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS IS ONE OF THE MOST RESPECTED ACADEMIC MEDICAL CENTERS IN THE NATION. IN 2013, BECKER'S HOSPITAL REVIEW NAMED THE MEDICAL CENTER AMONG THE 100 GREAT HOSPITALS IN AMERICA. THE 1,700-BED MEDICAL CENTER IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES AND INCLUDES THE AMPLATZ CHILDRENS HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS COLLABORATE TO PROVIDE PATIENTS ACCESS TO GROUNDBREAKING TREATMENTS AND TECHNOLOGY. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S 2013 HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG.
FORM 990, PAGE 2, PART III, LINE 4B	INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 304,818,710. THE COST OF THE MEDICAID SURCHARGE MINNESOTA CARE TAX TO THE HOSPITALS WAS 21,910,659. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2013, FAIRVIEW PAID 31,450,710 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2013 TOTALED 4,657,875 AND THE SALES AND INCOME TAXES TOTALED 1,985,806. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 50,736,760 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 629,179,558.
FORM 990, PAGE 2, PART III, LINE 4C	FAIRVIEW HEALTH SERVICES INCREASED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2013 . THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 153 SCHOOLS AND COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY.
FORM 990, PART V, LINE 4B	BERMUDA, CAYMAN ISLANDS
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD HAS THREE CATEGORIES OF DIRECTORS: 1) 3 EX OFFICIO WHO ARE FAIRVIEW'S CEO AND THE UNIVERSITY'S VICE PRESIDENT OF MEDICAL SCHOOL AND A SENIOR LEADER OF THE UNIVERSITY MEDICAL SCHOOL OR OF THE UNIVERSITY APPOINTED, FROM TIME TO TIME, BY THE VICE PRESIDENT 2) 10 ELECTED DIRECTORS WHO ARE 1 DIRECTOR ELECTED BY THE REGENTS OF THE UNIVERSITY OF MINNESOTA AND 9 ELECTED BY THE BOARD AFTER NOMINATION FROM CERTAIN COMPONENTS OF THE FAIRVIEW SYSTEM; AND 3) BETWEEN 3 TO 8 AT-LARGE DIRECTORS ELECTED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 7B	THE REGENTS OF THE UNIVERSITY OF MINNESOTA HAVE THE RIGHT TO APPROVE PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IF THE AMENDMENT WOULD ADVERSELY AFFECT THEIR RIGHTS AND CERTAIN SALES OF SUBSTANTIALLY ALL OF FAIRVIEW'S ASSETS. AN ASSOCIATION OF APPROXIMATELY 70 LUTHERAN CHURCHES ELECTS MOST OF THE FAIRVIEW SOUTHDALE HOSPITAL, FAIRVIEW RIDGES HOSPITAL AND PART OF THE UMMC BOARDS OF TRUSTEES, AS WELL AS THE FPA COMMUNITY DIRECTORS AND THE EBENEZER SOCIETY BOARD OF DIRECTORS AND HAS THE RIGHT TO APPROVE CERTAIN FAIRVIEW BYLAW AMENDMENTS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY FAIRVIEW'S GENERAL COUNSEL, FAIRVIEW'S CHIEF FINANCIAL OFFICER AND CONTROLLER AND THEN BY AN INDEPENDENT TAX CONSULTANT. THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW OF CONTENT. THE FORM 990 IS SUBSEQUENTLY PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C	MANAGERS, DIRECTORS AND SENIOR MANAGEMENT OF FAIRVIEW ARE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTERESTS BY BOARD MEMBERS AND SENIOR MANAGEMENT ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEEOF THE BOARD, ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR SPECIFIC REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS AND KEY EMPLOYEES IS ALSO PRESENTED TO THE CONFLICT OF INTEREST REVIEW COMMITTEE FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONFLICTS, AS NECESSARY, DURING THE YEAR.
FORM 990, PAGE 6, PART VI, LINE 15A	THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. THE FULL BOARD APPROVES EXECUTIVE COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	THE DETERMINATION OF OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19	FAIRVIEW HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT.
FORM 990, PART IX, LINE 11G	OTHER HOSPITAL SERVICE FEES 11,516,637 163,985,546 0 OTHER CORPORATE SERVICE FEES 160,388,584 0 0
FORM 990, PART XI, LINE 9	0 RELATED ORG 7,263,536 CT EQUITY DISTRIBUTION 9,180,000 UMF FUNDS RELEASED 20,722,986

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 (if applicable) 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 S	MN	559,860,214	57,666,682	NA
(2) FAIRVIEW MAPLE GROVE SURGERY CENTER 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 20-8335586	MEDICAL SU	MN	5,922,779	1,801,587	NA

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 entity?
(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	Yes	No
(1) FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 41-1573810	FUNDRAISIN	MN	501C3	7	NA	Yes
(2) FAIRVIEW HOME CARE AND HOSPICE 2450 26TH AVENUE SOUTH MINNEAPOLIS,MN55406 41-1434246	HOME HEALT	MN	501C3	9	NA	Yes
(3) RMC PROPERTIES INC 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 41-1482417	LAND LEASE	MN	501C2	9	NA	Yes
(4) FAIRVIEW PHYSICIAN ASSOCIATES NETWO 3400 WEST 66TH STREET MINNEAPOLIS,MN55435 41-1753325	CLINICAL I	MN	501C3	9	NA	Yes
(5) RANGE REGIONAL HEALTH SERVICES & SU 750 EAST 34TH STREET HIBBING,MN55746 41-1293970	PATIENT HE	MN	501C3	3	NA	Yes
(6) EBENEZER SOCIETY 2722 PARK AVENUE SOUTH MINNEAPOLIS,MN55407 41-0706141	HEALTH CAR	MN	501C3	9	N/A	Yes
(7) FAIRVIEW AUXILIARY 6401 FRANCE AVENUE SOUTH MINNEAPOLIS,MN55435 41-1414831	SUPPORT	MN	501C3	11C	N/A	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) EXCELERX 711 KASOTA AVENUE MINNEAPOLIS,MN55414 45-2665537	MANAGEMENT	MN	FAIRVIEW P	EXCLUDED	3,157,924	210,632		No		Yes		51.000 %

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) FAIRVIEW CLINICS 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 41-1761760	PHYSICIAN	MN	N/A				Yes
(2) FAIRVIEW PHYSICIAN AND CLINIC SERVI 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 41-1544996	PHYSICIAN	MN	N/A				Yes
(3) FAIRVIEW DEVELOPMENT COMPANY 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 41-1568579	LEASEHOLD	MN	N/A				Yes
(4) FAIRVIEW EXPRESS CARE 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 20-5996177	PHYSICIAN	MN	N/A				Yes
(5) BEHAVIORAL HEALTHCARE PROVIDERS 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454 41-1805759	MENTAL HEA	MN	N/A				Yes
(6) ASSOCIATED MEDICAL ASSURANCE 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454	SELF INSUR		N/A					No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) FAIRVIEW CLINICS	M	559,386	FAIR MARKET VALUE
(2) FAIRVIEW CLINICS	K	2,614,293	FAIR MARKET VALUE
(3) BEHAVIORAL HEALTHCARE PROVIDERS	M	102,955	FAIR MARKET VALUE
(4) FAIRVIEW CLINICS	Q	6,580,683	FAIR MARKET VALUE
(5) RANGE REGIONAL HEALTH SERVICES	R	7,188,350	FAIR MARKET VALUE
(6) FAIRVIEW CLINICS	R	22,745,604	FAIR MARKET VALUE
(7) BEHAVIORAL HEALTHCARE PROVIDERS	R	328,664	FAIR MARKET VALUE
(8) RANGE REGIONAL HEALTH SERVICES	M	28,259	FAIR MARKET VALUE
(9) RANGE REGIONAL HEALTH SERVICES	Q	2,282	FAIR MARKET VALUE
(10) FAIRVIEW FOUNDATION	L	4,930	FAIR MARKET VALUE
(11) FAIRVIEW FOUNDATION	B	2,671,963	FAIR MARKET VALUE
(12) FAIRVIEW FOUNDATION	C	6,636,059	FAIR MARKET VALUE
(13) FAIRVIEW DEVELOPMENT COMPANY	M	10,161	FAIR MARKET VALUE
(14) FAIRVIEW DEVELOPMENT COMPANY	R	37,186	FAIR MARKET VALUE
(15) EXPRESS CARE	M	845,128	FAIR MARKET VALUE
(16) EXPRESS CARE	Q	35,883	FAIR MARKET VALUE
(17) EXPRESS CARE	R	1,248,213	FAIR MARKET VALUE
(18) FAIRVIEW HOMECARE & HOSPICE	M	55,624	FAIR MARKET VALUE
(19) FAIRVIEW HOMECARE & HOSPICE	Q	624,747	FAIR MARKET VALUE
(20) FAIRVIEW HOMECARE & HOSPICE	S	182,505,319	FAIR MARKET VALUE
(21) FAIRVIEW HOMECARE & HOSPICE	K	62,417	FAIR MARKET VALUE
(22) FAIRVIEW PHYSICIAN ASSOCIATES NETWO	M	61,240	FAIR MARKET VALUE
(23) FAIRVIEW PHYSICIAN ASSOCIATES NETWO	P	630	FAIR MARKET VALUE
(24) FAIRVIEW PHYSICIAN ASSOCIATES NETWO	S	235,922	FAIR MARKET VALUE
(25) EBENEZER SOCIETY	M	185,549	FAIR MARKET VALUE
(26) EBENEZER SOCIETY	Q	247,623	FAIR MARKET VALUE
(27) EBENEZER SOCIETY	R	202,430	FAIR MARKET VALUE
(28) EBENEZER SOCIETY	R	388,711	FAIR MARKET VALUE
(29) EBENEZER RIDGES	R	291,915	FAIR MARKET VALUE
(30) EBENEZER SOCIETY FOUNDATION	R	14,838	FAIR MARKET VALUE
(31) FAIRVIEW FOUNDATION	R	1,417,385	FAIR MARKET VALUE
(32) ASSOCIATED MEDICAL ASSURANCE	R	5,441,076	FAIR MARKET VALUE

Schedule R (Form 990) 2013

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)	(e) Are all partners section 501(c)(3) organizations?		(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FAIRVIEW'S MISSION IS: TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. WE COMMIT OUR SKILLS AND RESOURCES TO THE BENEFIT OF THE WHOLE PERSON BY PROVIDING THE FINEST IN HEALTHCARE, WHILE ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF INDIVIDUALS AND THEIR FAMILIES. WE FURTHER PLEDGE TO SUPPORT THE RESEARCH AND EDUCATION EFFORTS OF OUR PARTNER, THE UNIVERSITY OF MINNESOTA, AND ITS TRADITION OF EXCELLENCE. FAIRVIEW'S VISION: TO BE THE BEST HEALTH CARE DELIVERY SYSTEM FOR AMERICA, IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA. FAIRVIEW'S MOST SIGNIFICANT ACTIVITIES: FAIRVIEW HEALTH SERVICES PROVIDES A FULL CONTINUUM OF HEALTH CARE SERVICES THROUGHOUT ITS SERVICE AREA WHICH INCLUDES MINNEAPOLIS-ST. PAUL, AS WELL AS COMMUNITIES THROUGHOUT GREATER MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW STAFF AND PROVIDERS ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE-EXCEPTIONAL PATIENT CARE AND EXPERIENCE AT A LOWER TOTAL COST OF CARE.
2	Check this box
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 2013 (Part V, line 2a) ......	5	19,785
6	Total number of volunteers (estimate if necessary) .............	6	4,452
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	346,978,431
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-14,105,990

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,478,314	7,899,846
9	Program service revenue (Part VIII, line 2g) .........	2,891,984,448	3,121,442,790
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	67,018,697	104,236,077
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,596,238	12,399,616
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,975,077,697	3,245,978,329
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,472,735	7,512,225
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,352,834,366	1,411,332,665
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,447,110,322	1,556,998,017
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,802,417,423	2,975,842,907
19	Revenue less expenses. Subtract line 18 from line 12.......	172,660,274	270,135,422
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,770,113,656	3,037,108,737
21	Total liabilities (Part X, line 26).............	1,488,229,548	1,494,095,886
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,281,884,108	1,543,012,851

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,301,737,961 including grants of $ 7,512,225 ) (Revenue $ 2,180,341,646 )
	PROVIDING MEDICAL SERVICES: FAIRVIEW HEALTH SERVICES IS AN INTEGRATED, ACADEMIC HEALTH SYSTEM BASED IN MINNEAPOLIS, MINNESOTA. THE FAIRVIEW SYSTEM IS COMMITTED TO PROVIDING EXCEPTIONAL CLINICAL CARE AND AN EXCEPTIONAL PATIENT AND FAMILY EXPERIENCE. THROUGH ITS NETWORK OF HOSPITALS, CLINICS AND AMBULATORY CARE PROGRAMS, AND ITS AFFILIATION WITH THE ACADEMIC HEALTH CENTER OF THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS (THE UNIVERSITY FACULTY PRACTICE), FAIRVIEW PROVIDES HEALTH CARE SERVICES ACROSS THE ENTIRE CONTINUUM IN A COORDINATED AND COST-EFFECTIVE MANNER TO BOTH URBAN AND RURAL COMMUNITIES. FAIRVIEW'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. IN ADDITION TO THE 5,865,622 PATIENT CARE ENCOUNTERS IN 2013, FAIRVIEW PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION IN 2012 AND 2013. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS IS ONE OF THE MOST RESPECTED ACADEMIC MEDICAL CENTERS IN THE NATION. IN 2013, BECKER'S HOSPITAL REVIEW NAMED THE MEDICAL CENTER AMONG THE 100 GREAT HOSPITALS IN AMERICA. THE 1,700-BED MEDICAL CENTER IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES AND INCLUDES THE AMPLATZ CHILDRENS HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS COLLABORATE TO PROVIDE PATIENTS ACCESS TO GROUNDBREAKING TREATMENTS AND TECHNOLOGY. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S 2013 HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG.

4b	(Code: ) (Expenses $ 1,019,309,958 including grants of $ ) (Revenue $ 927,230,777 )
	COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: FAIRVIEW IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF MEMBERS OF ITS COMMUNITY. TO SUPPORT FULL ACCESS TO SERVICES, FAIRVIEW PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS FOR SERVICES RENDERED, GENERALLY FALLS BELOW THE COST OF PROVIDING THE CARE. TO COMPENSATE FOR THE UNDER FUNDING BY GOVERNMENT PROGRAMS, FAIRVIEW MAKES A SIGNIFICANT FINANCIAL INVESTMENT TO OFFSET THESE LOSSES. IN 2013, FAIRVIEW INCURRED 60,005,050 OF TAXES AND SURCHARGE COSTS IN HEALTH CARE SERVICES THAT EXCEEDED THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS, SURCHARGE, TAXES AND FEES RELATED TO THESE PROGRAMS AND NOT INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 304,818,710. THE COST OF THE MEDICAID SURCHARGE MINNESOTA CARE TAX TO THE HOSPITALS WAS 21,910,659. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2013, FAIRVIEW PAID 31,450,710 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2013 TOTALED 4,657,875 AND THE SALES AND INCOME TAXES TOTALED 1,985,806. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 50,736,760 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 629,179,558.

4c	(Code: ) (Expenses $ 105,328,091 including grants of $ ) (Revenue $ 13,870,367 )
	THE PRIMARY PURPOSE OF OUR EDUCATIONAL AND RESEARCH PROGRAMS IS TO BENEFIT PATIENTS AND THE COMMUNITY AT LARGE BY EDUCATING HEALTH PROFESSIONALS BOTH WITHIN FAIRVIEW AND IN THE BROADER COMMUNITY, AND BY FOSTERING ADVANCES IN KNOWLEDGE AND EVIDENCE-BASED IMPROVEMENTS TO CLINICAL TREATMENTS AND APPROACHES TO HEALTH CARE DELIVERY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA ACADEMIC HEALTH CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS, FAIRVIEW HAS A STRONG AND ABIDING COMMITMENT TO RESEARCH AND EDUCATION. TOGETHER, WE VIEW RESEARCH AS AN INTEGRAL AND CRITICAL COMPONENT IN PROVIDING EXCEPTIONAL CARE TO PATIENTS AND THE COMMUNITY. WE SEEK TO BE A NATIONAL LEADER IN CLINICAL RESEARCH AND A REGIONAL CENTER FOR CLINICAL RESEARCH ACTIVITIES. FAIRVIEW HEALTH SERVICES INCREASED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2013 . THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 153 SCHOOLS AND COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,426,376,010

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	18,314,371	1,801,192

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		6,636,059
e	Government grants (contributions)1e		1,263,787

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$		3,895,324
h	Total. Add lines 1a-1f.......			7,899,846
			Business Code
2a	PATIENT CARE		624100	956,338,877	956,338,877
b	MEDICARE-MEDICAID		624100	927,230,777	927,230,777
c	LABORATORY		621500	518,739,135	518,739,135
d	PHARMACY		446110	336,756,870		336,756,870
e	PHARMACY		446110	258,256,472	258,256,472
f	All other program service revenue .			124,120,659	113,658,138	10,221,561	240,960
g	Total. Add lines 2a–2f........			3,121,442,790
3	Investment income (including dividends, interest, and other similar amounts).......			40,400,732			40,400,732
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	13,083,635
b	Less: rental expenses	684,019
c	Rental income or (loss)	12,399,616
d	Net rental income or (loss).......			12,399,616			12,399,616
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	126,838,451
b	Less: cost or other basis and sales expenses	62,530,592	472,514
c	Gain or (loss)	64,307,859	-472,514
d	Net gain or (loss)..........			63,835,345	-472,514		64,307,859
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..
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...
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..
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			3,245,978,329	2,773,750,885	346,978,431	117,349,167


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			811,875	1	1,218,610
2	Savings and temporary cash investments .........			159,970,532	2	175,543,498
3	Pledges and grants receivable, net ...........			45,816,479	3	41,599,141
4	Accounts receivable, net .............			352,265,040	4	368,846,909
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			52,440,942	8	60,612,347
9	Prepaid expenses and deferred charges ..........			16,141,170	9	29,881,777
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,745,439,171
b	Less: accumulated depreciation .....	10b	913,657,974	820,566,189	10c	831,781,197
11	Investments—publicly traded securities ..........			752,780,806	11	985,183,286
12	Investments—other securities. See Part IV, line 11 .....			83,144,508	12	92,660,298
13	Investments—program-related. See Part IV, line 11 .....			331,829,373	13	297,259,574
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			154,346,742	15	152,522,100
16	Total assets. Add lines 1 through 15 (must equal line 34)......			2,770,113,656	16	3,037,108,737
17	Accounts payable and accrued expenses .........			191,844,121	17	265,939,603
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			828,509,414	20	820,642,062
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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 ..			47,824,031	23	48,726,550
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			420,051,982	25	358,787,671
26	Total liabilities. Add lines 17 through 25.........			1,488,229,548	26	1,494,095,886
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,216,069,219	27	1,496,924,911
28	Temporarily restricted net assets ...........			65,814,889	28	46,087,940
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........			1,281,884,108	33	1,543,012,851
34	Total liabilities and net assets/fund balances ........			2,770,113,656	34	3,037,108,737

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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
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, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
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)..............................	Yes	No
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, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
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)....................................	Yes	No
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)................................................	Yes	No