TY 2015 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) DAVID MURPHY...................................................................... INTERIM CEO	40.00 .................	X	X	402,770	3
(2) LEVI DOWNS M D...................................................................... DIRECTOR	5.00 .................	X		0	0
(3) JOANELL DYRSTAD...................................................................... SECRETARY	5.00 .................	X		0	0
(4) MICHAEL FAY...................................................................... DIRECTOR	5.00 .................	X		0	0
(5) BROOKS JACKSON MD...................................................................... DIRECTOR	5.00 .................	X		0	0
(6) KAREN GRABOW...................................................................... DIRECTOR	5.00 .................	X		0	0
(7) ANN HENGEL...................................................................... DIRECTOR	5.00 .................	X		0	0
(8) CAROL LEY MD...................................................................... DIRECTOR	5.00 .................	X		0	0
(9) ANN LOWRY MD...................................................................... DIRECTOR	5.00 .................	X		0	0
(10) CHRISTOPHER P NELSON REV...................................................................... DIRECTOR	5.00 .................	X		0	0
(11) KEVIN NELSON MD...................................................................... DIRECTOR	5.00 .................	X		0	0
(12) MARK PALLER MD...................................................................... DIRECTOR	5.00 .................	X		0	0
(13) RICHARD OSTLUND...................................................................... DIRECTOR	5.00 .................	X		0	0
(14) CHARLES MOOTY...................................................................... DIRECTOR	5.00 .................	X		0	0
(15) LINDA MADSEN...................................................................... DIRECTOR	5.00 .................	X		0	0
(16) BRADFORD WALLIN...................................................................... DIRECTOR	5.00 .................	X		0	0
(17) BETSY WERGIN...................................................................... 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) PEGGY JOHNSON........................................................................ DIRECTOR	5.00 .......................	X					0	0	0
(19) CAROLYN WILSON........................................................................ PRESIDENT OF	40.00 .......................		X				1,455,642	0	143,844
(20) DANIEL M FROMM........................................................................ CHIEF FINANC	40.00 .......................		X				1,000,797	0	128,934
(21) DANIEL K ANDERSON........................................................................ PRESIDENT, F	40.00 .......................		X				836,490	0	77,207
(22) PATRICK HERSON........................................................................ PRESIDENT OF	40.00 .......................		X				705,125	0	62,248
(23) TRUDI TRYSLA........................................................................ SR. VP & GEN	40.00 .......................		X				595,226	0	85,645
(24) JOHN DOHERTY........................................................................ SR. OPERATIN	40.00 .......................		X				567,238	0	80,193
(25) MARK THOMAS........................................................................ PRES. & CEO	40.00 .......................		X				564,064	0	59,023
(26) ALISTAIR JACQUES........................................................................ CHF INFORM.T	40.00 .......................		X				515,368	0	24,196
(27) CAROLYN JACOBSON........................................................................ CHIEF HR OFF	40.00 .......................		X				500,640	0	38,641
(28) TODD SHERRILL........................................................................ VP OF FINANC	40.00 .......................		X				261,190	0	37,333
(29) ROBERT BEACHER........................................................................ PRESIDENT, F	40.00 .......................			X			763,440	0	94,202
(30) BRADLEY BEARD........................................................................ PRESIDENT, S	40.00 .......................			X			714,257	0	81,142
(31) DEBRA BOARDMAN........................................................................ PRESIDENT,RA	40.00 .......................			X			593,595	0	47,910
(32) JOHN HERMAN........................................................................ PRESIDENT OF	40.00 .......................			X			509,923	0	51,066
(33) JOHN BJORKLUND........................................................................ SR. VP PATIE	25.00 .......................15.00			X			239,221	197,354	40,175
(34) KATHY TARANTO........................................................................ PRESIDENT EN	40.00 .......................			X			156,760	0	1,951
(35) FREDERICK HARRIS........................................................................ NEURO SURGEO	40.00 .......................				X		1,497,646	0	30,623
(36) MICHAEL CAMPOLI MD........................................................................ SURGEON	40.00 .......................				X		1,303,976	0	53,999
(37) WILLIAM OMLIE MD........................................................................ SURGEON	40.00 .......................				X		777,488	0	41,338
(38) DAVID LINDGREN M D........................................................................ SURGEON	40.00 .......................				X		730,389	0	49,853
(39) JAMES LORGE M D........................................................................ SURGEON	40.00 .......................				X		664,260	0	44,559
(40) RULON STACEY........................................................................ PRES. CEO EN	0.00 .......................					X	1,779,830	0	4,848
(41) MARK HANSBERRY........................................................................ VP STRATEGIC	0.00 .......................					X	502,958	0	0
(42) BETH KREHBIEL........................................................................ PRESIDENT, R	0.00 .......................					X	457,609	0	12,907
(43) TERRY MARTINSON........................................................................ MEDICAL DIRE	0.00 .......................					X	263,456	0	20,162

(A) Name and business address	(B) Description of services	(C) Compensation
UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE ST NE MINNEAPOLIS,MN55455	MEDICAL/PHYSICI	217,801,655
UNIVERSITY OF MINNESOTA - REGENTS 420 DELAWARE ST NE MINNEAPOLIS,MN55455	EDUCATION	49,793,150
LIFESOURCE 2550 UNIVERSITY AVE W SUITE 315 SOUTH ST PAUL,MN55114	MEDICAL SUPPLY	13,995,485
RIGHTSOURCING INC PRO UNLIMITED MPS INC 999 STEWART AVE STE 100 BETHANY,NY11714	EMPLOYMENT SERV	10,637,078
HEALTH SYSTEMS COOP LAUNDRY 740 EAST 7TH ST 2ND FLOOR ST PAUL,MN55106	LAUNDRY SERVICE	5,559,963
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 849

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization FAIRVIEW HEALTH SERVICES		Employer identification number 41-0991680

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization FAIRVIEW HEALTH SERVICES			Employer identification number 41-0991680
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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? .............................................................................

Yes

48,733

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

816,754

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

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

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

865,487

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, lines 1 and 2 (see instructions), 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 2015 FAIRVIEW HEALTH SERVICES (FAIRVIEW) OFFICIALS HAD MEETINGS AND CONTACTS WITH BOTH FEDERAL AND STATE GOVERNMENT OFFICIALS, CONGRESSIONAL STAFF AND REPRESENTATIVES TO DISCUSS VARIOUS HEALTH CARE REFORM AND MEDICARE PROPOSALS AND PROPOSED LEGISLATION. FAIRVIEW HAS CORRESPONDED WITH REPRESENTATIVES, STAFF AND GOVERNMENT OFFICIALS OUTLINING OUR CONCERNS AND RECOMMENDATIONS REGARDING HEALTH CARE REFORM AND OTHER HEALTH CARE RELATED TOPICS. MANY OF THESE ACTIVITIES WERE CONDUCTED BY EMPLOYEES OF FAIRVIEW AND THE EXPENDITURES FOR THIS ACTIVITY TOTALED APPROXIMATELY 154,512. ADDITIONALLY, FAIRVIEW PAID APPROXIMATELY 710,975 TO OUTSIDE LOBBYISTS IN 2015. THIS AMOUNT INCLUDES AN AMOUNT OF MINNESOTA HOSPITAL ASSOCIATION DUES THAT WAS DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. FAIRVIEW ALSO PROVIDED INFORMATION AND/OR EXPRESSED ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2015, FAIRVIEW REPRESENTATIVES HAD MEETINGS WITH MEMBERS OF THE LEGISLATIVE/EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. FAIRVIEW MAY ALSO MEET WITH MEMBERS OF GOVERNMENT TO DISCUSS ISSUES DEALING WITH FAIRVIEW'S TAX EXEMPT STATUS AND HEALTH CARE ISSUES INCLUDING SALES TAX EXEMPTION, STATE HEALTH CARE REFORM, REAL ESTATE TAX ISSUES, MEDICAID, PHYSICIAN LICENSING, ETC. FAIRVIEW BELIEVES THESE INFORMATIONAL MEETINGS ARE ESSENTIAL TO SUPPORT OUR CHARITABLE PURPOSE AND DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1

DURING 2015 FAIRVIEW HEALTH SERVICES (FAIRVIEW) OFFICIALS HAD MEETINGS AND CONTACTS WITH BOTH FEDERAL AND STATE GOVERNMENT OFFICIALS, CONGRESSIONAL STAFF AND REPRESENTATIVES TO DISCUSS VARIOUS HEALTH CARE REFORM AND MEDICARE PROPOSALS AND PROPOSED LEGISLATION. FAIRVIEW HAS CORRESPONDED WITH REPRESENTATIVES, STAFF AND GOVERNMENT OFFICIALS OUTLINING OUR CONCERNS AND RECOMMENDATIONS REGARDING HEALTH CARE REFORM AND OTHER HEALTH CARE RELATED TOPICS. MANY OF THESE ACTIVITIES WERE CONDUCTED BY EMPLOYEES OF FAIRVIEW AND THE EXPENDITURES FOR THIS ACTIVITY TOTALED APPROXIMATELY 154,512. ADDITIONALLY, FAIRVIEW PAID APPROXIMATELY 710,975 TO OUTSIDE LOBBYISTS IN 2015. THIS AMOUNT INCLUDES AN AMOUNT OF MINNESOTA HOSPITAL ASSOCIATION DUES THAT WAS DETERMINED TO BE USED FOR LOBBYING ACTIVITIES. FAIRVIEW ALSO PROVIDED INFORMATION AND/OR EXPRESSED ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. SUCH ACTIVITY IS NORMALLY AT THE REQUEST OF A LEGISLATIVE BODY, COMMITTEE OR MEMBER. IN 2015, FAIRVIEW REPRESENTATIVES HAD MEETINGS WITH MEMBERS OF THE LEGISLATIVE/EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. FAIRVIEW MAY ALSO MEET WITH MEMBERS OF GOVERNMENT TO DISCUSS ISSUES DEALING WITH FAIRVIEW'S TAX EXEMPT STATUS AND HEALTH CARE ISSUES INCLUDING SALES TAX EXEMPTION, STATE HEALTH CARE REFORM, REAL ESTATE TAX ISSUES, MEDICAID, PHYSICIAN LICENSING, ETC. FAIRVIEW BELIEVES THESE INFORMATIONAL MEETINGS ARE ESSENTIAL TO SUPPORT OUR CHARITABLE PURPOSE AND DO NOT CONSTITUTE ATTEMPTS TO INFLUENCE SPECIFIC LEGISLATION.

Schedule C (Form 990 or 990EZ) 2015

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	1,459,085	1,395,623	1,354,699	1,316,703	1,273,345
b	Contributions ...	10,368	68,592	1,279	20,825	48,469
c	Net investment earnings, gains, and losses	-6,485	12,345	20,534	17,171	49,974
d	Grants or scholarships ...					55,085
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....		-17,475	-122
g	End of year balance ......	1,459,459	1,459,085	1,375,110	1,354,699	1,316,703

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 on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	16,445,738		16,445,738
b	Buildings	1,232,607,461	577,046,518	655,560,943
c	Leasehold improvements	56,727,691	25,540,866	31,186,825
d	Equipment ...	652,725,853	495,662,558	157,063,295
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				860,256,801

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1) INVESTMENT IN AFFILIATES				257,446,588
(2) GOODWILL & INTANGIBLE ASSETS				34,234,760
(3) DEFERRED PREMIUMS & INS. RECOVERIES				31,146,961
(4) NOTES RECEIVABLE				18,057,702
(5) INSURANCE RECOVERIES				11,317,292
(6) DEFERRED DEBT ACQUISITION COSTS				8,251,979
(7) RESTRICTED FUND INVESTMENTS				4,969,669
(8) OTHER LONG TERM				34,829
(9) DEBT SERVICE RESERVE FUND				1
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				365,459,781

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
OTHER LIABILITIES & RELATED ORG	245,417,551
WORK COMP RESERVE	37,326,490
DERIVATIVE FINL INSTRUMENTS	26,159,187
INS SUB CLAIMS RESERVE	14,387,045
OTHER LT LIABILITIES	7,459,194
DEFERRED RENT	7,424,254
LT PENSION	6,065,433
POST RETIREMENT	3,123,258
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	347,362,412
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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

THE INTENDED USES FOR THE ENDOWMENT FUNDS IS FOR EDUCATIONAL GRANTS AND AWARDS THAT ARE GIVEN THROUGH THE FAIRVIEW FOUNDATION.

SCHEDULE D, PAGE 3, PART X

DURING 2007, FAIRVIEW HEALTH SERVICES AND SUBSIDIARIES ADOPTED FASB INTERPRETATION NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48), WHICH CLARIFIES FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. IN ACCORDANCE WITH FIN 48, A TAX POSITION IS A PROPOSITION IN A PREVIOUSLY FILED TAX RETURN OR A POSITION EXPECTED TO BE TAKEN IN A FUTURE TAX FILING THAT IS REFLECTED IN MEASURING CURRENT OR DEFERRED INCOME TAX ASSETS AND LIABILITIES. TAX POSITIONS SHALL BE RECOGNIZED ONLY WHEN IT IS MORE LIKELY THAN NOT (LIKELIHOOD OF GREATER THAN 50%), BASED ON TECHNICAL MERITS, THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. UNDER FIN 48, THE FINANCIAL STATEMENT IMPACT OF AN UNCERTAIN INCOME TAX POSITION THAT WAS TAKEN OR IS EXPECTED TO BE TAKEN ON THE INCOME TAX RETURN AND THAT MEETS THE MORE- LIKELY-THAN-NOT THRESHOLD MUST BE RECOGNIZED AND MEASURED USING A PROBABILITY WEIGHTED APPROACH AT THE LARGEST AMOUNT THAT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON AUDIT BY THE RELEVANT TAXING AUTHORITY. THE ADOPTION OF FIN 48 DID NOT HAVE A MATERIAL IMPACT ON FAIRVIEW'S CONSOLIDATED FINANCIAL POSITION, LIABILITY FOR UNRECOGNIZED INCOME TAX BENEFITS, (DEFICIT) EXCESS OF REVENUE OVER EXPENSES, OR CASH FLOWS. THERE ARE NO MATERIAL CHANGES IN FAIRVIEW'S UNRECOGNIZED INCOME TAX POSITION AT DECEMBER 31, 2015. FAIRVIEW HEALTH SERVICES AND ITS SUBSIDIARIES DO NOT EXPECT THAT THERE WILL BE A SIGNIFICANT CHANGE IN THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS WITHIN THE NEXT 12 MONTHS.

Schedule D (Form 990) 2015

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

2015

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	3,420,639
	CENTRAL AMERICA AND THE CARIBBEAN		INVESTMENT		115,744,436















3a	Sub-total .....	1			119,165,075
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1			119,165,075

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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)	(a)(c) Region	(b)(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)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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 3,420,639 0 CENTRAL AMERICA AND THE CARIBBEAN 0 115,744,436
SCHEDULE F, PAGE 5, PART V	FAIRVIEW HEALTH SERVICES (FHS) IS THE SOLE OWNER OF ASSOCIATED MEDICAL ASSURANCE (AMA), A SEPARATE LEGAL ENTITY, DOMICILED IN AND ORGANIZED UNDER THE LAWS OF BERMUDA. AMA IS A CAPTIVE INSURANCE COMPANY WHICH PROVIDES CERTAIN INSURANCE LIABILITY COVERAGE (INCLUDING GENERAL AND PROFESSIONAL) TO FHS AND ITS SUBSIDIARIES UNDER A REIMBURSEMENT POLICY. PREMIUMS PAID UNDER THE POLICY ARE BASED ON AN INDEPENDENT ACTUARIAL STUDY. THE METHOD USED TO ACCOUNT FOR EXPENDITURES IS BASED ON THE US DOLLAR.

Schedule F (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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 criteria used 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? . . . . . .

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

Yes

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) . . .	55,828,554	8,146,748	47,681,806	1.350 %
b	Medicaid (from Worksheet 3, column a) . . . . .	505,742,680	294,552,064	211,190,616	5.960 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	561,571,234	302,698,812	258,872,422	7.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,259,124		3,259,124	0.090 %
f	Health professions education (from Worksheet 5) . . .	97,449,467	14,825,968	82,623,499	2.330 %
g	Subsidized health services (from Worksheet 6) . . . .	14,124,377	12,518,308	1,606,069	0.050 %
h	Research (from Worksheet 7) .	5,267,048	2,494,059	2,772,989	0.080 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	239,582		239,582	0.010 %
j	Total. Other Benefits . .	120,339,598	29,838,335	90,501,263	2.560 %
k	Total. Add lines 7d and 7j .	681,910,832	332,537,147	349,373,685	9.860 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	582	582
3	Community support	8,183	8,183
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	8,765	8,765

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. ......

40,863,346

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. ......

817,267

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).....

439,563,506

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

522,695,183

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

-83,131,677

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) 2015

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	UNIVERSITY OF MINNESOTA MEDICAL CEN 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN554541450 WWW.FAIRVIEW.ORG 366425	X	X	X	X	X	X
2	FAIRVIEW SOUTHDALE HOSPITAL 6401 FRANCE AVENUE S EDINA,MN554352104 WWW.FAIRVIEW.ORG 366381	X	X				X
3	FAIRVIEW RIDGES HOSPITAL 201 E NICOLLET BLVD BURNSVILLE,MN553375714 WWW.FAIRVIEW.ORG 365864	X	X				X
4	FAIRVIEW LAKES REGIONAL MEDICAL CTR 5200 FAIRVIEW BLVD WYOMING,MN550928013 WWW.FAIRVIEW.ORG 365838	X	X				X
5	FAIRVIEW NORTHLAND REGIONAL HOSP 911 NORTHLAND DR PRINCETON,MN553712172 WWW.FAIRVIEW.ORG 365842	X	X				X

Schedule H (Form 990) 2015

Page 4

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 CEN
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FAIRVIEW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	UNIVERSITY OF MINNESOTA MEDICAL CEN
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 275.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP application form was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

A plain language summary of the FAP was widely available on a website (list url):
WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	UNIVERSITY OF MINNESOTA MEDICAL CEN
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FAIRVIEW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FAIRVIEW SOUTHDALE HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 275.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP application form was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

A plain language summary of the FAP was widely available on a website (list url):
WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	FAIRVIEW SOUTHDALE HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FAIRVIEW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FAIRVIEW RIDGES HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 275.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP application form was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

A plain language summary of the FAP was widely available on a website (list url):
WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	FAIRVIEW RIDGES HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FAIRVIEW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 275.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP application form was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

A plain language summary of the FAP was widely available on a website (list url):
WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

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

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.FAIRVIEW.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 275.000000000000% and FPG family income limit for eligibility for discounted care of 275.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP application form was widely available on a website (list url):

WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

A plain language summary of the FAP was widely available on a website (list url):
WWWFAIRVIEWORGABOUTOURCOMMUNITYCOM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

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 Section C)

Other (describe in Section C)

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 Section C)

If "Yes," explain in Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 5	FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT THE UNIVERSITY OF MINNESOTA MEDICAL CENTER AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISE THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE THE UNIVERSITY OF MINNESOTA MEDICAL CENTER'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: SUZANNE BURKE-LEHMAN, RN, DEPARTMENT OF NURSING, SAINT CATHERINE UNIVERSITY DEBRA CATHCART, CHIEF NURSING EXECUTIVE, UNIVERSITY OF MINNESOTA MEDICAL CENTER DUSTIN CHAPMAN, BEHAVIORAL SERVICES LIAISON, UNIVERSITY OF MINNESOTA MEDICAL CENTER KELLY CHATMAN, SENIOR PASTOR, REDEEMER LUTHERAN CHURCH DIANE CROSS, BOARD CHAIR, UNIVERSITY OF MINNESOTA MEDICAL CENTER CAROLINE DUNN O'BRIEN, PHD, PUBLIC HEALTH EPIDEMIOLOGIST, INDEPENDENT CONSULTANT ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH AND CHURCH RELATIONS, FAIRVIEW HEALTH SERVICES ZAHRA HASSAN, COMMUNITY HEALTH OUTREACH COORDINATOR, UNIVERSITY OF MINNESOTA MEDICAL CENTER LAUREN JOHNSON, DIRECTOR OF PATIENT AND FAMILY SUPPORT SERVICES, UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL SHARIF MOHAMED, IMAM AND CHAPLAIN, UNIVERSITY OF MINNESOTA MEDICAL CENTER JENNIFER MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES LILIANA TOBON-GOMEZ, PRINCIPAL HEALTH PROMOTION SPECIALIST, HENNEPIN COUNTY HUMAN SERVICES AND PUBLIC HEALTH DEPARTMENT DR. STEVE VINCENT, PHYSICIAN, PEOPLE'S CENTER HEALTH SERVICES PA CHIA VUE, COMMUNITY HEALTH PROJECT MANAGER, UNIVERSITY OF MINNESOTA MEDICAL CENTER
FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM.
FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 11	A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE MEDICAL CENTER IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, AS WELL AS PARTICIPATION IN THE HEALTH COMMONS, THE HEALTHY KIDS & COMMUNITIES INITIATIVE AND NUMEROUS COMMUNITY EDUCATION AND HEALTH EVENTS. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE MENTAL HEALTH AND WELL-BEING AND CHRONIC DISEASE PREVENTION AND MANAGEMENT WITH A FOCUS ON HEALTHY LIVING. 1. MENTAL HEALTH AND WELL-BEING. IN 2015, UNIVERSITY OF MINNESOTA MEDICAL CENTER HOSTED 3 MINI-CONFERENCES FOCUSED ON IMMIGRANT MENTAL HEALTH TITLED "EXPLORING SOLUTIONS, REDUCING STIGMA" FOR HEALTHCARE PROFESSIONALS. THE PLANNING COMMITTEE CONSISTED OF THE COMMUNITY MENTAL HEALTH WORK GROUP ESTABLISHED IN THE PRIOR YEAR. A TOTAL OF 240 PEOPLE ATTENDED ALL 3 CONFERENCES. 300 ANTI-STIGMA POSTERS ON DEPRESSION AND SUBSTANCE ABUSE WERE DISTRIBUTED TO THE SOMALI COMMUNITY AND NEIGHBORHOOD ORGANIZATIONS, BUSINESSES, HEALTH FAIRS AND LOCAL EVENTS. 9 TRAININGS ON MENTAL HEALTH TOPICS WERE CONTINUED FOR 9 IMAMS. MENTAL HEALTH TOPICS INCLUDED: COGNITIVE BEHAVIORAL THERAPY, DEPRESSION, ANXIETY, BIPOLAR, SCHIZOPHRENIA, MEDICATIONS, SUBSTANCE ABUSE, CHILDHOOD DISORDERS, FAMILY HEALTH, AND SPIRITUAL HEALTH. 2. HEALTHY LIVING. CHRONIC DISEASE PREVENTION AND MANAGEMENT WITH A FOCUS ON HEALTHY LIVING. THERE IS A STRONG CORRELATION BETWEEN CHRONIC DISEASE CONDITIONS AND MENTAL HEALTH. FREE HEALTH CONSULTATIONS AND EDUCATION, BLOOD PRESSURE CHECKS, HEALING TOUCH, MASSAGE THERAPY, COMMUNITY GARDENING, YOGA, ZUMBA, BASKETBALL AND SWIMMING CLASSES, NUTRITION CLASSES, AND PROVIDING RESOURCES AND REFERRALS WERE OFFERED SERVICES. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT IS ONE OF THE MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT WILL BE THE FOCUS OF THE UNIVERSITY OF MINNESOTA MEDICAL CENTER'S COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 UNIVERSITY OF MINNESOTA MEDICAL CENTER (UMMC) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS - STROKE, SOCIAL DETERMINANTS OF HEALTH AND HOUSING FOR VULNERABLE POPULATIONS. STROKE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. SOCIAL DETERMINANTS OF HEALTH: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HOUSING FOR VULNERABLE POPULATIONS: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS.
FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 16I	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 1, UNIVERSITY OF MINNESOTA MEDICAL CEN - PART V, LINE 22D	PATIENTS WITH AN INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 5	FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW SOUTHDALE HOSPITAL AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICES LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE THE FAIRVIEW SOUTHDALE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: ROB ANDERSON, DOCTOR OF OSTEOPATHIC MEDICINE, EMERGENCY PHYSICIAN PROFESSIONAL ASSOCIATION ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH, FAIRVIEW HEALTH SERVICES REV. FRED HANSON, SENIOR PASTOR, WOODLAKE LUTHERAN CHURCH ROSA HERRERA, FAMILY & STUDENT SUPPORT SERVICES COORDINATOR, PARTNERSHIP ACADEMY BRITTA HOVEY, INTEGRATED VASCULAR SERVICES DIRECTOR, FAIRVIEW SOUTHDALE HOSPITAL SCOTT HVIZDOS, PROGRAM DIRECTOR, VOLUNTEERS ENLISTED TO ASSIST PEOPLE (VEAP) RICHARD KARULF, MD, VICE PRESIDENT, MEDICAL AFFAIRS, FAIRVIEW SOUTHDALE HOSPITAL BRIAN KNAPP, VICE PRESIDENT, HOSPITAL OPERATIONS, SOUTH REGION, FAIRVIEW HEALTH SERVICES ALISSA LEROUX SMITH, COMMUNITY HEALTH AND VOLUNTEER SERVICES MANAGER, FAIRVIEW SOUTHDALE HOSPITAL JENNIFER MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES BONNIE PAULSEN, PUBLIC HEALTH ADMINISTRATOR, CITY OF BLOOMINGTON PUBLIC HEALTH DIVISION FRANCISCO RAMIREZ, COMMUNITY HEALTH WORKER, FAIRVIEW SOUTHDALE HOSPITAL JOANNA ROBERSON, NURSE MANAGER, ADULT MENTAL HEALTH, FAIRVIEW SOUTHDALE HOSPITAL CATHY UTNE, DIRECTOR, PATIENT AND GUEST SERVICES, FAIRVIEW SOUTHDALE HOSPITAL HERIBERTO VARGAS, SPANISH COMMUNICATION SPECIALIST/LIAISON, EDEN PRAIRIE SCHOOLS
FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT: HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM
FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 11	A REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS FOUND THAT THE HOSPITAL IS MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, ON THE JOB TRAINING PROGRAMS, COMMUNITY HEALTH FAIRS, TELECARE, A TELEPHONE CHECK-IN PROGRAM, FUNDING FOR TRANSPORTATION FOR LOW-INCOME INDIVIDUALS, FINANCIAL SUPPORT FOR PROGRAMS AT NORMANDALE CENTER FOR HEALING AND WHOLENESS AND EDUCATIONAL PROGRAMS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE HOSPITALS IMPLEMENTATION STRATEGY. 1. OBESITY FAIRVIEW FINANCIALLY SUPPORTED THE CONSTRUCTION OF THREE EDIBLE GARDENS IN 2015 AT A CHURCH, AN ELEMENTARY SCHOOL AND A PUBLIC PARK, WHICH PROVIDED THE COMMUNITY WITH AN OPPORTUNITY TO LEARN ABOUT HEALTHY EATING IN ADDITION TO GROWING THEIR OWN PRODUCE. 2. MENTAL HEALTH IN 2015, FAIRVIEW SOUTHDALE MENTAL HEALTH FIRST AID INSTRUCTORS CONDUCTED FOUR MHFA CLASSES IN WHICH 178 PEOPLE ATTENDED AND WERE CERTIFIED IN MENTAL HEALTH FIRST AID. IN PARTNERSHIP WITH MINNESOTA LIFE COLLEGE - A LOCAL NOT-FOR-PROFIT VOCATIONAL AND LIFE SKILLS TRAINING PROGRAM FOR YOUNG ADULTS WITH LEARNING DIFFERENCES AND AUTISM SPECTRUM DISORDERS - PROVIDED VOLUNTEER EXPERIENCES FOR 6 STUDENTS AT THE HOSPITAL. THE TELECARE PROGRAM WAS UTILIZED TO PROVIDE OUTREACH TO 18 PEOPLE. IN ADDITION, FAIRVIEW PROVIDED DAILY WELLNESS CHECK-IN PHONE CALLS TO 22 SENIORS WHO LIVE ALONE THROUGH THE HOSPITAL TELECARE VOLUNTEER PROGRAM. PRIORITY NEEDS NOT BEING ADDRESSED AND ACCOMPAYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER IS ONE OF MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THIS REPORT WILL BE THE FOCUS OF FAIRVIEW SOUTHDALE'S HOSPITAL'S CENTERS COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW SOUTHDALE HOSPITAL (FSH) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS - STROKE, SOCIAL DETERMINANTS OF HEALTH AND HOUSING FOR VULNERABLE POPULATIONS. STROKE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. SOCIAL DETERMINANTS OF HEALTH: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HOUSING FOR VULNERABLE POPULATIONS: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS.
FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 16I	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 2, FAIRVIEW SOUTHDALE HOSPITAL - PART V, LINE 22D	PATIENTS WITH INCOMES UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 5	FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW RIDGES HOSPITAL AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE FAIRVIEW RIDGES HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: PAT BELLAND, PRESIDENT, FAIRVIEW RIDGES HOSPITAL ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH, FAIRVIEW HEALTH SERVICES TODD KIHNE, MD, CHIEF OF STAFF, SUBURBAN RADIOLOGIC CONSULTANTS BRIAN KNAPP, VICE PRESIDENT OF OPERATIONS, SOUTH REGION, FAIRVIEW HEALTH SERVICES BJ LARSON, DIRECTOR, SPIRITUAL HEALTH, FAIRVIEW HEALTH SERVICES REV. JEFF MARIAN, LEAD PASTOR, PRINCE OF PEACE LUTHERAN CHURCH JANET MOHR, LQ/CHSC CHAIR, MN DEPARTMENT OF EDUCATION SAL MONDELLI, PRESIDENT & CEO, 360 COMMUNITIES STACY MONTGOMERY, DIRECTOR OF PATIENT RELATIONS AND VOLUNTEER SERVICES, FAIRVIEW RIDGES HOSPITAL JENNY MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES ERIC NELSON, DIRECTOR OF CLINICAL QUALITY, FAIRVIEW RIDGES HOSPITAL JULIE SETHNEY, RN, DIRECTOR OF PATIENT CARE, FAIRVIEW RIDGES HOSPITAL LISA SNYDER, PHD, SUPERINTENDENT, LAKEVILLE AREA PUBLIC SCHOOLS JOHN STOLTENBERG, MD, INTERIM VICE PRESIDENT OF MEDICAL AFFAIRS, FAIRVIEW RIDGES HOSPITAL JESSICA VANDERSCOFF, MD, PHYSICIAN, PRIOR LAKE FAIRVIEW CLINICS ROBERT VOGEL, BOARD CHAIR, NEW MARKET BANK JEOFF WILL, VICE PRESIDENT OF OPERATIONS, FAIRVIEW RIDGES HOSPITAL
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 11	THE MOST CRITICAL NEEDS IDENTIFIED AND SELECTED WERE MENTAL HEALTH AND OBESITY. 1. MENTAL HEALTH FAIRVIEW RIDGES MEDICAL CENTER PARTNERED WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO OFFER CONTINUED OPPORTUNITIES FOR COMMUNITY MEMBERS TO ATTEND THE EVIDENCE-BASED YOUTH AND ADULT MENTAL HEALTH FIRST AID TRAINING. 24 COMMUNITY MEMBERS WERE CERTIFIED IN EITHER YOUTH OR ADULT MENTAL HEALTH FIRST AID IN 2014 AND BY 2015, 69 COMMUNITY MEMBERS AND FAIRVIEW EMPLOYEES WERE TRAINED AND CERTIFIED. IN 2015, FAIRVIEW HELD A GRIEF SUPPORT CAMP FOR CHILDREN AGES 6-17. IN 2015, FAIRVEW HOSTED FOUR "LUNCH AND LEARN" PROGRAMS DURING MENTAL HEALTH MONTH PROVIDING 54 INDIVIDUALS WITH EDUCATION AND RESOURCES AROUND COMMON MENTAL HEALTH CHALLENGES AND MENTAL HEALTH STIGMA. 2. CHRONIC DISEASE GOAL 1: EXCLUSIVE BREAST FEEDING PROGRAM FOR AT RISK FAMILIES FAIRVIEW RIDGES HOSPITAL AND DAKOTA COUNTY PUBLIC HEALTH'S METRO ALLIANCE FOR HEALTHY FAMILIES PARTNERSHIP CONTINUED AND GREW IN 2015. THE PROGRAM IDENTIFIES AT-RISK FAMILIES AND PROVIDES HEALTHY EATING AND NUTRITION EDUCATION FOCUSED ON "EXCLUSIVE BREASTFEEDING." FAIRVIEW RIDGES HOSPITAL HAS 100% COMPLIANCE ON STAFF TRAINED IN BABY FRIENDLY PHILOSOPHY/EXCLUSIVE BREAST FEEDING, THIS TRAINING WAS ALSO INCORPORATED INTO THE ORIENTATION FOR ALL NEW HIRES BY THE END OF 2015. IN 2015, NUTRITION SERVICES ADDED HEALTHY (INCLUDING VEGETARIAN) OPTIONS TO THEIR MENU, REMOVED FRIED FOODS FROM THEIR MENU AND ADDED VENDING MACHINES WITH HEALTHY CHOICE OPTIONS. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT BY FAIRVIEW RIDGES HOSPITAL IS ONE OF THE MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THIS ASSESSMENT REPORT WILL BE THE FOCUS OF FAIRVIEW RIDGES HOSPITALS COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW RIDGES HOSPITAL (FRH) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS - STROKE, SOCIAL DETERMINANTS OF HEALTH, AND HOUSING FOR VULNERABLE POPULATIONS. STROKE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. SOCIAL DETERMINANTS OF HEALTH: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HOUSING FOR VULNERABLE POPULATIONS: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 16I	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 3, FAIRVIEW RIDGES HOSPITAL - PART V, LINE 22D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 5	FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW LAKES MEDICAL CENTER AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. FAIRVIEW LAKES MEDICAL CENTER FOLLOWED CATHOLIC HEALTH ASSOCIATION'S 2013 ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS GUIDE PROCESS RECOMMENDATIONS IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT AND NEEDS PRIORITIZATION PROCESS. THROUGHOUT THE ASSESSMENT PROCESS, FAIRVIEW LAKES MEDICAL CENTER WORKED CLOSELY WITH COMMUNITY ORGANIZATIONS AND COALITIONS TO ENSURE THE FINAL PRODUCT WAS AN ACCURATE ASSESSMENT THAT REPRESENTED THE COMMUNITY HEALTH NEEDS, WITH A PARTICULAR FOCUS ON PERSONS WHO ARE UNINSURED AND/OR LOW- INCOME. FAIRVIEW LAKES MEDICAL CENTER RELIED UPON ITS ESTABLISHED COMMUNITY HEALTH STEERING COMMITTEE FOLLOWING A FAIRVIEW HEALTH SERVICES STANDARD CHARTER. FAIRVIEW LAKES MEDICAL CENTER'S COMMUNITY HEALTH STEERING COMMITTEE HAS 18 MEMBERS INCLUDING THE FOLLOWING ROLES: SOCIAL SERVICE AGENCY REPRESENTATIVE(S) REPRESENTATIVE FROM UNDERSERVED COMMUNITIES PUBLIC HEALTH REPRESENTATIVE(S) A HOSPITAL BOARD MEMBER A HOSPITAL SENIOR EXECUTIVE FAIRVIEW COMMUNITY HEALTH STAFF PHYSICIAN OR PRIMARY CARE REPRESENTATIVE THE FOLLOWING ARE MEMBERS OF THAT STEERING COMMITTEE: JANET BRAINARD, PARISH NURSE, ST. PAUL LUTHERAN CHURCH - WYOMING SHARNA BRAUCKS, EXECUTIVE DIRECTOR, YMCA - FOREST LAKE & LINO LAKES KATHY BYSTROM, NORTH REGION MANAGER, COMMUNITY HEALTH, FAIRVIEW LAKES MEDICAL CENTER KRIS CLEMENTSON, CLINIC ADMINISTRATOR, PINE, RUSH & NORTH BRANCH CLINICS, ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH, FAIRVIEW HEALTH SERVICES KATHY FILBERT, COMMUNITY HEALTH SERVICE ADMINISTRATOR, CHISAGO COUNTY PUBLIC HEALTH BRYAN GAFFY, VICE PRESIDENT OF OPERATIONS, FAIRVIEW LAKES MEDICAL CENTER TOMMI GODWIN, PLANNER II, WASHINGTON COUNTY PUBLIC HEALTH DEB HENTON, SUPERINTENDENT, NORTH BRANCH AREA SCHOOLS ROSEMARY HOOLIHAN, FORMER FAIRVIEW LAKES MEDICAL CENTER BOARD & CHSC MEMBER DR. KELLIE KERSHISHNIK, PHYSICIAN, FAIRVIEW MEDICAL GROUP JENNY MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES HEALTH SERVICES ANN NORGAARD, COMMUNITY HEALTH EDUCATOR/PUBLIC HEALTH PLANNER, CHISAGO COUNTY PUBLIC HEALTH JOANNE PLOETZ, BOARD MEMBER, FAIRVIEW LAKES MEDICAL CENTER BOARD OF DIRECTORS JENIFER RANCOUR, COMMUNITY HEALTH PLANNER, KANABEC-PINE PUBLIC HEALTH DR. PAULA REHDER, PHYSICIAN, FAIRVIEW MEDICAL GROUP JULIE SCHROEDER, TRAUMA MANAGER, FAIRVIEW LAKES MEDICAL CENTER RICH SMITH, EXECUTIVE DIRECTOR, FAMILY PATHWAYS
FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM.
FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 11	FAIRVIEW'S COMMUNITY HEALTH DEPARTMENT PROVIDED OVERSIGHT, STANDARDIZED TOOLS, PROCESSES AND INSTRUCTIONS AND ALSO DID THE GATHERING, CLEANING, FIRST LEVEL ANALYSIS AND PRESENTATION OF QUANTITATIVE AND QUALITATIVE DATA. FAIRVIEW LAKES MEDICAL CENTER'S LOCAL HOSPITAL TEAM AND COMMUNITY HEALTH STEERING COMMITTEE DATA SUBCOMMITTEE ALSO PARTICIPATED IN LIMITED DATA GATHERING FOR AREAS OF NEED IDENTIFIED BY THE FULL COMMITTEE AS POTENTIAL PRIORITY AREAS. THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE AREAS OF PRIORITY WERE BASED UPON WHERE THE MEDICAL CENTER WILL HAVE THE GREATEST IMPACT WITH OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS THAT WERE IDENTIFIED AND SELECTED ARE OBESITY AND BEHAVIORAL HEALTH. 1. OBESITY BEGINNING IN 2014 THE HEALTH UP FOREST LAKE HEALTHY COMMUNITY INITIATIVE WORKED IN FOUR AREAS - INFRASTRUCTURE (CONDUCTING ASSET MAPPING OF PHYSICAL ACTIVITY, HEALTHY FOODS AND SOCIAL SUPPORT RESOURCES AND CREATING AN INTERACTIVE WEBSITE ; INCREASING ACCESS TO AND PROVIDING OPPORTUNITIES FOR PHYSICAL EXPAND THEIR WALKING CLUBS, AND HIGHLIGHTING EXISTING PARKS AND TRAILS WITHIN THE AREA; INCREASING ACCESS AND CONSUMPTION OF HEALTHY FOODS BYPARTNERING WITH LOCAL RESTAURANTS TO DEVELOP HEALTHY MENU OPTIONS AND BRINGING ACCESS TO LOCAL FARMERS AND MARKETS; AND INCREASING SOCIAL SUPPORT INCLUDING MENTAL HEALTH PROMOTION AND THE DEVELOPMENT OF A PARTNERSHIP WITH MENTAL HEALTH PROVIDERS AND CHURCHES TO INCREASE SOCIAL SUPPORTS AMONG CLIENTS AND THE SENIOR POPULATION. LONG TERM GOALS, BEYOND 2015, INCLUDE MORE TARGETED INTERVENTIONS, CLINICAL-COMMUNITY LINKAGES TO IMPROVE HEALTH, AN ACTIVE RECESS PILOT IN PARTNERSHIP WITH SCHOOLS, EVALUATION MODELS AND TRACKING MECHANISMS TO BETTER MEASURE HEALTH IMPROVEMENT. 2. MENTAL HEALTH BEGINNING IN 2014, FAIRVIEW LAKES MEDICAL CENTER PARTNERED WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) TO OFFER TWO OPPORTUNITIES FOR COMMUNITY MEMBERS TO ATTEND THE EVIDENCE-BASED ADULT MENTAL HEALTH FIRST AID TRAINING, 46 PEOPLE WERE CERTIFIED. TRAINING IN MENTAL HEALTH FIRST AID IN MULTIPLE SCHOOLS CONTINUED IN 2015. LIFELINES SUICIDE PREVENTION PROGRAM CURRICULUM WAS PRESENTED IN THEIR HEALTH CLASSES. IN 2015, 170 SCHOOL STAFF FROM EAST CENTRAL, HINKLEY- FINLAYSON, PINE CITY, RUSH CITY, NORTH BRANCH, CHISAGO LAKES, FOREST LAKE, AND NORTH LAKES ACADEMY CHARTER WERE TRAINED. THIS TRAINING ALSO INCLUDED COMMUNITY MEMBERS AND PARTNERS IDENTIFIED BY SCHOOLS. 3. SUBSTANCE USE FOCUS ON YOUTH DRUG AND ALCOHOL PREVENTION IN THIS COMMUNITY HAS CENTERED ON EVIDENCE BASED STRATEGIES THAT LEVERAGE POSITIVE NORMS AMONG YOUTH (E.G. CREATING POSITIVE SOCIAL NORMS). FOREST LAKE BEGAN DELIVERING MESSAGES TO FOREST LAKE AREA JUNIOR HIGH YOUTH IN THE FALL OF 2015. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT BY FAIRVIEW LAKES MEDICAL CENTER IS ONE OF MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THIS REPORT WILL BE THE FOCUS OF FAIRVIEW LAKES MEDICAL CENTER'S COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW LAKES MEDICAL CENTER (FLMC) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS STROKES, ACCESS TO CARE, POVERTY/HOUSING AND TEEN PREGNANCY. STROKES - DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. POVERTY/HOUSING - DETERMINATION THAT INTERVENTIONS ON BEHALF OF THE HOSPITAL WERE NOT FEASIBLE NOR DID THE HOSPITAL HAVE AVAILABLE EXISTING RESOURCES TO ADDRESS. TEEN PREGNANCY - DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY PUBLIC HEALTH DEPARTMENTS AND LOCAL SCHOOLS. ACCESS TO CARE - DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS.
FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 16I	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 4, FAIRVIEW LAKES REGIONAL MEDICAL CTR - PART V, LINE 22D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.
FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 5	FAIRVIEW'S HOSPITALS HAVE WORKED COLLABORATIVELY TOGETHER AND IN CONSULTATION WITH THE BROADER COMMUNITY TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS SINCE 1995. THE RESULTS OF THESE ASSESSMENTS HAVE BEEN USED TO INFORM FAIRVIEW'S COMMUNITY BENEFIT EFFORTS, ENSURING THAT OUR PROGRAMS AND SERVICES ARE SERVING THOSE WITH THE GREATEST NEEDS. THIS REPORT REPRESENTS MONTHS OF WORK BY SEVERAL INDIVIDUALS THROUGHOUT FAIRVIEW NORTHLAND MEDICAL CENTER AND OUR COMMUNITY. BOARD MEMBERS, PASTORS, PHYSICIANS, NURSES, EDUCATORS, PUBLIC HEALTH EXPERTS, SOCIAL SERVICE LEADERS AND OTHERS, COMPRISED THIS GROUP THAT GAVE OF THEIR TIME, ENERGY, INSIGHT AND EXPERTISE TO BENEFIT THIS PROJECT. IN CONDUCTING OUR 2015 COMMUNITY HEALTH NEEDS ASSESSMENT, WE WERE GUIDED BY THE FOLLOWING OBJECTIVES: 1.IDENTIFY THE UNMET HEALTH NEEDS OF COMMUNITY RESIDENTS IN EACH HOSPITAL'S COMMUNITY. 2.UNDERSTAND THE CHALLENGES THESE POPULATIONS FACE WHEN TRYING TO MAINTAIN AND/OR IMPROVE THEIR HEALTH. 3.UNDERSTAND WHERE UNDERSERVED POPULATIONS TURN TO FOR SERVICES NEEDED TO MAINTAIN OR IMPROVE THEIR HEALTH. ASSESSING THE UNMET HEALTH NEEDS OF OUR COMMUNITY IS CRITICALLY IMPORTANT TO CARRYING OUT FAIRVIEW'S MISSION OF HEALING, DISCOVERY AND EDUCATION FOR LONGER, HEALTHIER LIVES. THE INSIGHT GATHERED THROUGH THIS PROCESS WILL HELP TO IMPROVE FAIRVIEW NORTHLAND MEDICAL CENTER'S COMMUNITY BENEFIT ACTIVITIES IN THE YEARS AHEAD. THE FOLLOWING LIST OF INDIVIDUALS ARE MEMBERS OF THAT STEERING COMMITTEE: KATHY BYSTROM, NORTH REGION MANAGER, COMMUNITY HEALTH, FAIRVIEW NORTHLAND MEDICAL CENTER ANN ELLISON, DIRECTOR OF COMMUNITY HEALTH AND CHURCH RELATIONS, FAIRVIEW HEALTH SERVICES LORI ENGBLOM, MANAGER, RESOURCE CHEMICAL & MENTAL HEALTH JULIA ESPE, SUPERINTENDENT, PRINCETON PUBLIC SCHOOLS BRYAN GAFFY, VICE PRESIDENT OF OPERATIONS, FAIRVIEW LAKES MEDICAL CENTER MOLLY HANSON, EXECUTIVE DIRECTOR, YMCA ELK RIVER SUE HERM, BOARD MEMBER AND EXECUTIVE COMMITTEE MEMBER, FAIRVIEW NORTHLAND MEDICAL CENTER BOARD OF DIRECTORS JENNIFER MORMAN, COMMUNITY BENEFIT PROGRAM MANAGER, FAIRVIEW HEALTH SERVICES KAY NASTROM, COMMUNITY HEALTH SERVICES SUPERVISOR AND ADMINISTRATOR, MILLE LACS COUNTY PUBLIC HEALTH JEREMY PETERSON, MD, PHYSICIAN, FAIRVIEW MEDICAL GROUP JENIFER RANCOUR, COMMUNITY HEALTH PLANNER, KANABEC-PINE PUBLIC HEALTH JULIE SCHROEDER, TRAUMA MANAGER, FAIRVIEW NORTHLAND MEDICAL CENTER ALISHA VOIGT, SHIP COORDINATOR/HEALTH EDUCATOR, MILLE LACS COUNTY PUBLIC HEALTH KARA ZOLLER, HEALTH PROMOTION SUPERVISOR, SHERBURNE COUNTY HEALTH AND HUMAN SERVICES
FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT HTTP://WWW.FAIRVIEW.ORG/ABOUT/OURCOMMUNITYCOMMITMENT/LOCALHEALTHNEEDS/INDEX .HTM.
FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 11	THE NEEDS OF OUR COMMUNITY ARE MANY AND DIVERSE. TO PROVIDE FOCUS, THE AREAS OF PRIORITY WERE SELECTED BASED UPON WHERE THE MEDICAL CENTER WILL HAVE THE GREATEST IMPACT WITH OUR PARTICULAR STRENGTHS AND EXPERTISE. THE MOST CRITICAL NEEDS IDENTIFIED AND SELECTED WERE: MENTAL HEALTH AND OBESITY. FAIRVIEW NORTHLAND'S REVIEW OF CURRENT COMMUNITY BENEFIT PROGRAMS DISCOVERD THAT THE HOSPITAL IS CURRENTLY MEETING EXISTING COMMUNITY NEEDS THROUGH PROVISION OF CHARITY CARE, MEDICAID SERVICES, HEALTH PROFESSIONAL EDUCATION PROGRAMS, IMPACT CONCUSSION TESTING, MEALS ALA CAR, THE ANNUAL BE HEALTHY BE SAFE: SAFETY FAIR AND BIKE RODEO, MEMBERSHIP ON REACH, ANNUAL COMMUNITY BASED FLU SHOT CLINICS AND MEDICAL EXPLORERS. THESE ACTIVITIES WERE DETERMINED TO BE VALUABLE PRIORITIES FOR THE MEDICAL CENTERS IMPLEMENTATION STRATEGY. 1. MENTAL HEALTH TRAININGS IN MENTAL HEALTH FIRST AID WERE OFFERED TO COMMUNITY MEMBERS AND STAFF IN 2015. A TOTAL OF 17 PEOPLE WERE CERTIFIED IN MENTAL HEALTH FIRST AID. 2. OBESITY FAIRVIEW NORTHLAND MEDICAL CENTER CONTINUES TO SERVE THE COMMUNITY VIA THE MEALS ALA CAR PROGRAM. OVER 800 HOURS OF PAID STAFF DIETICIAN TIME HAVE BEEN CONTRIBUTED TO MEAL PLANNING, MEAL PREPARATION AND PLANNING MEETINGS. PRIORITY NEEDS NOT BEING ADDRESSED AND THE ACCOMPANYING REASONS: AS A NON-PROFIT HEALTH SYSTEM, FAIRVIEW HEALTH SERVICES IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES. THIS REPORT IS ONE OF MANY WAYS WE PARTNER WITH THE COMMUNITIES WE SERVE IN CARRYING OUT OUR MISSION. THE HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT REPORT WILL BE THE FOCUS OF UNIVERSITY OF MINNESOTA MEDICAL CENTERS COMMUNITY BENEFIT WORK IN 2016-2018 AS DETAILED IN A SPECIFIC IMPLEMENTATION PLAN TO BE FINALIZED IN THE SPRING OF 2016. THE 2015 FAIRVIEW NORTHLAND MEDICAL CENTER (FNMC) COMMUNITY HEALTH STEERING COMMITTEE (CHSC) CHOOSE NOT TO ADDRESS THE FOLLOWING IDENTIFIED NEEDS STROKE, TEEN PREGNANCY, SUBSTANCE USE AND ABUSE, ALCOHOL, TOBACCO AND OTHER DRUGS, HEALTH CARE AFFORDABILITY, SOCIAL DETERMINANTS OF HEALTH, HEALTH EQUITY AND ACCESS TO CARE. STROKES: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE NOT FEASIBLE GIVEN EXISTING HOSPITAL RESOURCES. TEEN PREGNANCY: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY PUBLIC HEALTH DEPARTMENTS AND LOCAL SCHOOLS. SUBSTANCE USE AND ABUSE: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY LOCAL COMMUNITY ORGANIZATIONS AND LOCAL SCHOOLS. ALCOHOL/TOBACCO AND OTHER DRUGS: DETERMINATION THAT COMMUNITY-BASED PRIMARY PREVENTION ACTIVITIES WERE ALREADY BEING IMPLEMENTED BY LOCAL COMMUNITY ORGANIZATIONS AND LOCAL SCHOOLS. HEALTH CARE AFFORDABILITY; DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. SOCIAL DETERMINANTS OF HEALTH: DETERMINA TION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. HEALTH EQUITY: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS. ACCESS TO CARE: DETERMINATION THAT THIS NEED FELL OUTSIDE OF THE HOSPITAL'S ABILITY TO DEMONSTRABLY IMPACT WITHIN THREE YEARS.
FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 16I	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL.
FACILITY 5, FAIRVIEW NORTHLAND REGIONAL HOSP - PART V, LINE 22D	PATIENTS WITH AN INCOME OF UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT ON TOTAL CHARGES. THEREFORE, NO DETERMINATION HAS TO BE MADE ON THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE.

Schedule H (Form 990) 2015

Page 8

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 CLINICS - 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 LINO 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) 2015

Page 9

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
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	PATIENTS THAT ARE ELIGIBLE FOR THE FAIRVIEW COMMUNITY CARE PROGRAM OR OTHER CHARITY CARE PLANS MAY RECEIVE A REDUCTION ON AMOUNTS OWED OR UP TO 100% OF TOTAL CHARGES. FAIRVIEW INFORMS PATIENTS ABOUT THE COMMUNITY CARE PROGRAM PRIOR TO DELIVERY OF SERVICES IF FEASIBLE AND AS APPROPRIATE AND DURING THE BILLING PROCESS. UNINSURED PATIENTS WITH HOUSEHOLD INCOME UP TO 275% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT OF THE TOTAL CHARGES. UNINSURED PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 275% OF THE FEDERAL POVERTY LEVEL AND BELOW 125,000 ARE CHARGED A DISCOUNT RATE EQUAL TO THE RATE FROM FAIRVIEW'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT.
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	SUBSIDIZED HEALTH SERVICES PROVIDED BY FAIRVIEW INCLUDES ADDICTION RECOVERY AND INPATIENT PSYCHIATRIC UNITS AND AMBULATORY PROGRAMS THAT SERVE LOW-INCOME COMMUNITIES AND HOME HEALTH PROGRAMS. THE FOLLOWING ARE AREAS OF NEED WHICH HAVE BEEN IDENTIFIED: SAFETY BASED ON A RECENT UPSWING OF VIOLENT CRIME, ADOLESCENT HEALTH BASED ON ASSESSMENT OF DIET, NUTRITION AND EXERCISE, AS WELL AS ASSETS AND RISK BEHAVIORS SUCH AS SUBSTANCE USE. THESE SUBSIDIZED SERVICES ARE SERVICES OFFERED BY THE HOSPITALS.
PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	FAIRVIEW USES THE DIRECT COSTING METHOD FOR DETERMINING EXPENSES. THE MEDICARE COST REPORTING CALCULATES SERVICES LINE BY LINE WHERE OTHER EXPENSES ARE CALCULATED AT THE OVERALL COST TO CHARGE RATIO. THE RATIO OF COST TO CHARGES (RCC) IS A PERCENTAGE OF ADJUSTED TOTAL EXPENSE TO GROSS PATIENT REVENUE. THE EXPENSE IS CALCULATED USING GENERAL ASSISTANCE MEDICAL CARE (GAMC) GROSS REVENUE PORTION, BASED ON OUR PAYER MIX RATIO, MULTIPLIED BY A RATIO OF COST TO CHARGES. THE ADJUSTED EXPENSE IS THE TOTAL EXPENSE LESS TAXES, DIRECTLY ASSIGNED COMMUNITY BENEFIT COST, AND TOTAL OTHER OPERATING REVENUE LESS OUTREACH LAB SUBACCOUNTS. ONE COMPONENT OF THE COSTING METHOD USED IS THE OTHER MEANS TESTED GOVERNMENT PROGRAM. MINNESOTAS GENERAL ASSISTANCE MEDICAL CARE PROGRAM (GAMC) MEETS THIS CRITERIA. GAMC IS A STATE FUNDED PROGRAM FOR LOW INCOME ADULTS, AGES 21-64, WHO HAVE NO DEPENDENT CHILDREN LIVING WITH THEM AND WHO DO NOT QUALIFY FOR FEDERALLY FUNDED HEALTH CARE PROGRAMS. ELIGIBLE RECIPIENTS MUST ALSO MEET INCOME AND ASSET TESTS.
PART II - COMMUNITY BUILDING ACTIVITIES	FAIRVIEW HEALTH SERVICES IS AN INTEGRATED ACADEMIC HEALTH CARE SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINN. COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT EACH FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. THE FAIRVIEW CORPORATE COMMUNITY HEALTH DEPARTMENT SUPPORTS THE LOCAL WORK BY SHARING BEST PRACTICES, FINDING EFFICIENCIES AMONG HOSPITAL COMMUNITY HEALTH PROGRAMS AND STAFFING AS APPROPRIATE, COORDINATING THE COMMUNITY NEEDS ASSESSMENTS AND MORE. ACTIVITIES INCLUDE A COMMUNITY HOUSING INITIATIVE, ECONOMIC DEVELOPMENT COLLABORATIVE, LEADERSHIP DEVELOPMENT AND COALITION BUILDING. IN 2015 FAIRVIEW LED A PARTNERSHIP-SPONSORED SCRUBS CAMP. THE CAMP WAS A WEEK-LONG RESIDENTIAL EXPERIENCE FOR NEIGHBORHOOD AND OTHER CITY YOUTH TO DO HANDS-ON EXPLORATION OF MEDICAL CAREERS. FAIRVIEW MAKES INVESTMENTS EACH YEAR IN COMMUNITY HEALTH PROGRAMMING. A REMARKABLE PROGRAM CALLED THE MINNESOTA IMMUNIZATION NETWORK INITIATIVE (MINI) PROVIDES FLU IMMUNIZATIONS FREE OF CHARGE TO LOW-INCOME AND UNINSURED INDIVIDUALS, LARGELY FROM DIVERSE MINORITY GROUPS. EACH FLU SEASON, MINI PROVIDES MORE THAN 6,000 IMMUNIZATIONS TO PREVENT INFLUENZA.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
PART III, LINE 8 - MEDICARE EXPLANATION	THE MEDICARE COST TO CHARGE RATIO REPORTING IS CALCULATED SERVICE LINE BY SERVICE LINE. OTHER EXPENSES ARE CALCULATED USING THE OVERALL COST TO CHARGE RATIO.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	AFTER OUR PATIENTS HAVE RECEIVED SERVICES, IT IS THE POLICY OF FAIRVIEW HEALTH SERVICES TO BILL PATIENTS AND THEIR APPLICABLE PAYORS ON A TIMELY AND ACCURATE BASIS. DURING THIS BILLING AND COLLECTION PROCESS, FAIRVIEW STAFF COMMITTED TO PROVIDING QUALITY CUSTOMER SERVICE AND TIMELY FOLLOW UP ON ALL OUTSTANDING ACCOUNTS. BILLING: IT IS THE GOAL OF FAIRVIEW TO BILL ALL CLAIMS ACCURATELY AND ON A TIMELY BASIS. ALTHOUGH DEPENDENT ON INFORMATION AND COMMUNICATIONS FROM PATIENTS AND PAYORS, FAIRVIEW WILL PROVIDE SUFFICIENT FOLLOW UP SERVICE TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR COMMUNITY CARE. FAIRVIEW HAS AGREED TO CERTAIN BILLING AND COLLECTION PRACTICES BY AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THERE ARE FINANCIAL COUNSELORS AT EVERY ENTITY MONDAY THROUGH FRIDAY WHO INTERACT WITH THE PATIENTS IN PERSON AND OVER THE PHONE TO INFORM OF PROGRAMS AVAILABLE TO THEM AS WELL AS ASSIST THEM IN APPLYING FOR THE PROGRAMS. THE INFORMATION ABOUT NEEDING ASSISTANCE WITH PAYING THE BILL IS POSTED ON SIGNS IN THE HOSPITALS AND MATERIALS ARE DISTRIBUTED TO SELF-PAY PATIENTS BY REGISTRATION STAFF. THE STATEMENTS SENT OUT AFTER THE VISIT PROVIDE THIS INFORMATION AS WELL. IF A PATIENT/FAMILY MEMBER CALLS THE CENTRAL BUSINESS OFFICE CUSTOMER SERVICE STAFF TO ASK FOR ASSISTANCE WITH PAYING THEIR BILL, THEY ARE INFORMED ABOUT OPTIONS AT THAT TIME. FAIRVIEW PROVIDES AN INTERPRETER SERVICE THAT INTERPRETS CONVERSATIONS OVER THE PHONE. THIS SERVICE CAN BE USED EITHER AS A THREE WAY PHONE CALL OR THE FINANCIAL COUNSELOR, IN A ROOM WITH THE PATIENT OR FAMILY CAN PLACE THE CALL TOGETHER TO THE INTERPRETER PHONE SERVICE. THE INTERPRETER SERVICES LINE ACCOMMODATES CLOSE TO 200 LANGUAGES. THE BILLING PROCESS WILL BE ASSISTED BY THE FOLLOWING GUIDELINES: 1) FOR ALL INSURED PATIENTS, FAIRVIEW WILL BILL ALL THIRD PARTY PAYOR INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY AND ACCURATE BASIS. 2) FOR ALL UNINSURED PATIENTS WITH MINNESOTA RESIDENCY RECEIVING HOSPITAL BASED SERVICES DEEMED MEDICALLY NECESSARY. FAIRVIEW WILL APPLY AN UNINSURED DISCOUNT EQUAL TO THE DISCOUNT PROVIDER TO OUR LARGEST CONTRACTED NON-GOVERNMENT PAYOR, ANY REMAINING BALANCE WILL BE BILLED TO THE PATIENT IN A TIMELY AND MANNER. 3) ALL BILLED PATIENTS HAVE THE OPPORTUNITY TO CONTACT FAIRVIEW REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. FINANCIAL ASSISTANCE MAY INCLUDE COMMUNITY CARE, PAYMENT ARRANGEMENTS, MEDICAL ASSISTANCE OR OTHER APPLICABLE PROGRAMS. 4) IF A PATIENT CONTACTS FAIRVIEW REGARDING COMMUNITY CARE BEFORE THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY OR ATTORNEY, AN APPLICATION AND REQUIRED DOCUMENTATION IS REQUESTED (INCOME VERIFICATION ETC.), THE ACCOUNT WILL THEN BE PROCESSED BASED ON THE OUTCOME OF THE COMMUNITY CARE DETERMINATION. 5) FAIRVIEW TAKES REASONABLE MEASURES TO AVOID REFERRING AN ACCOUNT TO COLLECTION UNLESS THERE ARE NO RESPONSES FROM THE PATIENT. IF A PATIENT CONTACTS FAIRVIEW REGARDING COMMUNITY CARE AFTER THEIR ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY OR ATTORNEY, FAIRVIEW WILL SEND AN APPLICATION TO THE PATIENT PROVIDED THE ACCOUNT MEETS THE COMMUNITY CARE REQUIREMENTS. IF THE COMPLETED APPLICATION ALONG WITH REQUIRED DOCUMENTATION (INCOME VERIFICATION, ETC.) IS SUBMITTED, ALL COLLECTION ACTION WILL BE SUSPENDED UNTIL THE PATIENT IS NOTIFIED OF FAIRVIEW'S DETERMINATION.
PART VI, LINE 2 - NEEDS ASSESSMENT	COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) WERE CONDUCTED FOR ALL FAIRVIEW HOSPITALS AND MEDICAL CENTERS IN 2015. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY HEALTH NEEDS IN THE LOCAL COMMUNITY. ALTHOUGH EACH FAIRVIEW HOSPITAL AND/OR MEDICAL CENTER WORKED FROM QUALITATIVE AND QUANTITATIVE DATA SPECIFIC TO THEIR COMMUNITY, THERE WERE LARGE OVERLAPS IN THE IDENTIFIED COMMUNITY NEEDS. IN ADDITION TO IDENTIFYING HEALTH PRIORITIES BY HOSPITAL COMMUNITY, FAIRVIEW HEALTH SERVICES BEGAN PLANNING FOR A SYSTEM-WIDE STRATEGY FOR MEETING THE MENTAL HEALTH NEEDS PREVALENT IN ALL OF OUR COMMUNITIES. THE HOSPITALS AND/OR MEDICAL CENTERS PRIORITIES ARE AS FOLLOWS: FAIRVIEW LAKES MEDICAL CENTER: OBESITY, MENTAL HEALTH AND SUBSTANCE USE FAIRVIEW NORTHLAND MEDICAL CENTER: MENTAL HEALTH AND OBESITY FAIRVIEW RIDGES HOSPITAL: MENTAL HEALTH AND CHRONIC DISEASE. FAIRVIEW SOUTHDALE HOSPITAL: OBESITY AND MENTAL HEALTH UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL: MENTAL HEALTH AND WELL-BEING, CHRONIC DISEASE PREVENTION AND MANAGEMENT WITH A FOCUS ON HEALTH LIVING. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND ITS PRIORITY HEALTH ISSUES. MUCH OF THE 2015 WORK IS REPORTABLE PROCESS METRICS AS WE FOCUSED ON IDENTIFYING INTERNAL AND EXTERNAL PARTNERS, SECURING FUNDING AND DEVELOPING PROGRAMS. FAIRVIEW LAKES MEDICAL CENTER'S 2015 ACTIVITIES AND HIGHLIGHTS: 1.OBESITY COMMUNITY HEALTH STAFF DEVELOPED A HEALTHY LIVING COMMUNITY INITIATIVE CALLED HEALTH UP IN PARTNERSHIP WITH THE CITY OF FOREST LAKE, WASHINGTON DEPARTMENT OF PUBLIC HEALTH, FOREST LAKE AREA SCHOOLS AND OTHER KEY COMMUNITY PARTNERS. HEALTH UP IS ORGANIZED AROUND FOUR THEMES: EAT, MOVE, PLAY AND CONNECT. 2.MENTAL HEALTH IN 2015, FAIRVIEW LAKES HOSTED NUMEROUS COMMUNITY PRESENTATIONS TO EDUCATE AND REDUCE MENTAL HEALTH STIGMA AND HOSTED A LIFELINES SUICIDE PREVENTION PROGRAM TRAINING IN PARTNERSHIP WITH HAZELDEN. 170 SCHOOL STAFF FROM EAST CENTRAL, HINCKLEY-FINLAYSON, PINE CITY, RUSH CITY, NORTH BRANCH, CHISAGO LAKES, FOREST LAKE, AND NORTH LAKES ACADEMY CHARTER WERE TRAINED. THIS TRAINING ALSO INCLUDED COMMUNITY MEMBERS/PARTNERS IDENTIFIED BY SCHOOLS. 3. SUBSTANCE USE MOST FL DRUG FREE COMMUNITIES COALITION BEGAN DELIVERING TOBACCO MESSAGES TO FOREST LAKE AREA JUNIOR HIGH YOUTH IN THE FALL OF 2015. FAIRVIEW NORTHLAND MEDICAL CENTER 2015 ACTIVITIES AND HIGHLIGHTS: 1. MENTAL HEALTH IN 2015, FAIRVIEW NORTHLAND MEDICAL CENTER CONDUCTED TRAININGS TO COMMUNITY MEMBERS AND STAFF. TWO CLASSES WERE HELD IN IN CONJUNCTION WITH COMMUNITY PARTNERS AND A TOTAL OF 17 PEOPLE WERE CERTIFIED IN MENTAL HEALTH FIRST AID. 2.OBESITY IN 2015 OVER 800 HOURS OF PAID STAFF DIETICIAN TIME WAS CONTRIBUTED TO MEAL PLANNING, MEAL PREPARATION AND PLANNING MEETINGS. FAIRVIEW NORTHLAND MEDICAL CENTER WROTE AND RECEIVED A GRANT TO BUILD A ONE-MILE WALKING TRAIL ON CAMPUS. COMMUNITY WALKING MAPS ARE AVAILABLE IN THE MEDICAL CENTER. FAIRVIEW RIDGES MEDICAL CENTER 2015 ACTIVITIES AND HIGHLIGHTS: 1.MENTAL HEALTH IN 2015 FAIRVIEW HOSTED FOUR "LUNCH AND LEARN" PROGRAMS DURING MENTAL HEALTH MONTH, PROVIDING 54 INDIVIDUALS WITH EDUCATION AND RESOURCES AROUND COMMON MENTAL HEALTH CHALLENGES AND MENTAL HEALTH STIGMA. 2. CHRONIC DIEASE FORTY-THREE FAMILIES WERE IDENTIFIED AS AT-RISK AND PROVIDED WITH INTENSIVE HOME VISITATIONS THROUGH THE METRO ALLIANCE FOR HEALTHY FAMILIES. FAIRVIEW SOUTHDALE HOSPITAL 2015 ACTIVITIES AND HIGHLIGHTS: 1.OBESITY 2.MENTAL HEALTH IN 2015 FAIRVIEW PROVIDED DAILY WELLNESS CHECK-IN PHONE CALLS TO 22 SENIORS WHO LIVE ALONE THROUGH THE HOSPITAL TELECARE VOLUNTEER PROGRAM. UNIVERSITY OF MINNESOTA MEDICAL CENTER 2014 ACTIVITIES AND HIGHLIGHTS: 1.MENTAL HEALTH AND WELL BEING EXTENSIVE AND ONGOING TRAINING WAS PROVIDED FOR 10 IMAMS ON MENTAL HEALTH TOPICS AND RESOURCES. UNIVERSITY OF MINNESOTA MEDICAL CENTER ORGANIZED THREE IMMIGRANT MENTAL HEALTH HALF-DAY CONFERENCES FOR HEALTH CARE PROFESSIONALS TO PROVIDE A PLATFORM FOR NETWORKING, DISCUSSION AND INFORMATION AND RESOURCE EXCHANGE ON BEST PRACTICES WITH THE HOPES OF COLLECTIVELY IMPROVING THE MENTAL HEALTH OF THE STATE'S IMMIGRANT POPULATIONS. 2.CHRONIC DISEASE PRVENTION AND MANAGEMENT WITH A FOCUS ON HEALTHY LIVING
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FAIRVIEW MAKES INFORMATION ABOUT ITS CHARITY CARE PROGRAMS AVAILABLE ON ITS WEBSITE (WWW.FAIRVIEW.ORG). AT THE TIME OF REGISTRATION FOR SERVICES AND THROUGH WRITTEN MATERIALS IN LOBBIES AND WAITING ROOMS. FOR PATIENTS IDENTIFIED AS SELF-PAY (WHETHER THAT OCCURS BEFORE SERVICES ARE DELIVERED OR DURING THE BILLING CYCLE), FAIRVIEW UTILIZES A STANDARD PROCESS TO ASSIST PATIENTS LEARN ABOUT AND ACCESS ASSISTANCE FROM GOVERNMENT PROGRAMS OR FAIRVIEW'S CHARITY CARE PROGRAM. FOR UNINSURED PATIENTS SEEN IN A FAIRVIEW HOSPITAL, FAIRVIEW PARTNERS WITH AN EXTERNAL VENDOR WHO MEETS WITH SELF-PAY PATIENTS TO ASSIST THEM DETERMINE ELIGIBILITY FOR GOVERNMENT PROGRAMS OF FAIRVIEW'S CHARITY CARE PROGRAM. THE VENDOR WILL ALSO ASSIST PATIENTS WITH COMPLETING THE NECESSARY PAPERWORK TO ACCESS THESE RESOURCES. STAFF IN FAIRVIEW'S CENTRAL BUSINESS OFFICE HAVE A SELF-PAY TEAM, WHICH DIRECTS PATIENTS TO THE APPROPRIATE RESOURCES. THERE IS ALSO A COMMUNITY CARE COORDINATOR WHO ASSISTS IN GETTING PATIENTS CONNECTED TO ADDITIONAL RESOURCES FOR WHICH THEY MAY QUALIFY.
PART VI, LINE 4 - COMMUNITY INFORMATION	FAIRVIEW HEALTH SERVICES IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINNESOTA. FAIRVIEW IS COMPRISED OF FIVE HOSPITALS AND ONE MEDICAL CENTER: 1) FAIRVIEW LAKES MEDICAL CENTER IN WYOMING, MN, 2) FAIRVIEW NORTHLAND MEDICAL CENTER IN PRINCETON, MN, 3) FAIRVIEW RIDGES HOSPITAL IN BURNSVILLE, MN, 4) FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, 5) UNIVERSITY OF MINNESOTA MEDICAL CENTER, MINNEAPOLIS, MN 6) FAIRVIEW MAPLE GROVE MEDICAL CENTER IN MAPLE GROVE, MN, A RELATED ENTITY FAIRVIEW ALSO HAS A FULL CONTINUUM OF HEALTH CARE SERVICES. SEE PART III PAGE 2 , LINES 4A, 4B AND 4C. FAIRVIEW LAKES MEDICAL CENTER HAS A PRIMARY SERVICE AREA OF 142,000 INDIVIDUALS RESIDING IN ANOKA, CHISAGO, ISANTI, PINE AND WASHINGTON COUNTIES IN MINNESOTA. ANOKA AND WASHINGTON ARE MORE URBAN AS THE TWIN CITIES METROPOLITAN AREA CONTINUES TO GROW INTO THESE COUNTIES. PINE, CHISAGO AND ISANTI COUNTIES ARE STILL RELATIVELY RURAL AREAS. IN THE NEXT THREE YEARS, A GROWTH RATE IF 11 PERCENT IS PROJECTED IN FAIRVIEW LAKES PRIMARY SERVICE AREA. FAIRVIEW LAKES MEDICAL CENTER IS THE ONLY HOSPITAL IN THE PRIMARY SERVICES AREA. WITHIN THE SECONDARY SERVICES AREAS, THERE ARE THREE OTHER HOSPITALS ON THE SOUTH EDGES OF THE SERVICE AREA. FAIRVIEW LAKES PROVIDES A FULL CONTINUUM OF SERVICES, FROM PRIMARY CARE SERVICES AT THE CLINIC TO HOME CARE SERVICES TO LONG-TERM CARE. OF ALL THE PATIENTS SERVED BY THE MEDICAL CENTER IN 2015. FAIRVIEW MAPLE GROVE MEDICAL CENTER, A RELATED ENTITY, SERVES APPROXIMATELY 360,000 INDIVIDUALS IN A PRIMARY SERVICE AREA WITHIN SHERBURNE, WRIGHT, HENNEPIN AND ANOKA COUNTIES IN MINNESOTA. MEDIAN HOUSEHOLD INCOME IN THESE COUNTIES IS ABOVE THE STATE AVERAGE. HOWEVER, DUE TO THE SIZE AND DIVERSITY OF HENNEPIN COUNTY, A HIGHER THAN AVERAGE PERCENTAGE (11 PERCENT) OF COUNTY RESIDENTS LIVE BELOW THE FEDERAL POVERTY LINE. SHERBURNE, WRIGHT AND ANOKA HAVE LARGE CHILDREN POPULATIONS; MORE THAN 100,000 CHILDREN UNDER THE AGE OF 18 LIVE IN THE MEDICAL CENTER PRIMARY SERVICE AREA. FAIRVIEW MAPLE GROVE IS AN AMBULATORY MEDICAL CENTER, WORKING IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS. FAIRVIEW NORTHLAND MEDICAL CENTER HAS A PRIMARY SERVICE AREA OF 79,000 INDIVIDUALS RESIDING IN SHERBURNE, BENTON, KANABEC, MILLE LACS AND ISANTI COUNTIES IN MINNESOTA. THREE OF THE FIVE COUNTIES IN THE PRIMARY SERVICE AREA HAVE MEDIAN HOUSEHOLD INCOMES LOWER THAN THE STATE AVERAGE. THE THREE COUNTIES ALSO HAVE A HIGHER THAN AVERAGE PERCENTAGE OF THEIR RESIDENTS LIVING BELOW THE FEDERAL POVERTY LINE. FAIRVIEW NORTHLAND IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA. WITHIN THE SECONDARY SERVICE AREA, THERE ARE FOUR OTHER HOSPITALS. FAIRVIEW NORTHLAND PROVIDES A FULL CONTINUUM OF SERVICES, FROM PRIMARY CARE SERVICES TO HOME CARE. FAIRVIEW RIDGES HOSPITAL IN BURNSVILLE, MN HAS A PRIMARY SERVICE AREA OF 336,000 INDIVIDUALS IN SCOTT AND DAKOTA COUNTIES. LOCATED IN THE SOUTHERN PART OF THE GREATER MINNEAPOLIS-ST. PAUL METROPOLITAN AREA, BOTH COUNTIES HAVE HIGHER THAN AVERAGE PERCENTAGES OF CHILDREN UNDER THE AGE OF 18. BY INCOME, INDIVIDUALS IN SCOTT AND DAKOTA COUNTIES HAVE A HIGHER HOUSEHOLD INCOME THAN THE STATE AVERAGE. FAIRVIEW RIDGES HOSPITAL IS A MULTI-SPECIALTY MEDICAL CENTER AND THE ONLY HOSPITAL SERVING THE PRIMARY SERVICE AREA. FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN HAS A PRIMARY SERVICE AREA OF OVER 497,207 INDIVIDUALS RESIDING IN HENNEPIN AND CARVER COUNTIES. CARVER COUNTY IS A SOUTHWEST SUBURB IN THE GREATER MINNEAPOLIS-ST. PAUL METROPOLITAN AREA. INDIVIDUALS SPEAKING A LANGUAGE OTHER THAN ENGLISH IN THE HOME IN CARVER COUNTY IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE, WHILE IT IS SIGNIFICANTLY GREATER THAN THE AVERAGE IN HENNEPIN COUNTY. TWENTY-FIVE PERCENT OF HENNEPIN COUNTY RESIDENTS ARE ETHNIC MINORITIES. FAIRVIEW SOUTHDALE HOSPITAL IS ONE OF TWO HOSPITALS SERVING THE PRIMARY SERVICE AREA. IN THE LARGER AREA OF HENNEPIN AND CARVER COUNTIES, THERE ARE NINE HOSPITALS OR MEDICAL CENTERS SERVING THE COMMUNITY. FAIRVIEW SOUTHDALE IS A MULTI-SPECIALTY MEDICAL CENTER RATED BY HEALTHGRADES AS THE NUMBER ONE HOSPITAL IN MINNESOTA FOR HEART AND STROKE CARE. UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW (UMMC), LOCATED IN MINNEAPOLIS, IS A TERTIARY ACADEMIC MEDICAL CENTER DRAWING PATIENTS FROM ACROSS THE TWIN CITIES REGION, THE STATE AND THE COUNTRY. UMMC IS A PARTNER WITH THE UNIVERSITY OF MINNESOTA AND UNIVERSITY OF MINNESOTA PHYSICIANS. THE MEDICAL CENTER IS LOCATED IN THE CEDAR-RIVERSIDE NEIGHBORHOOD OF MINNEAPOLIS. CEDAR-RIVERSIDE IS A DIVERSE COMMUNITY LOCATED JUST OUTSIDE OF DOWNTOWN MINNEAPOLIS THAT IS HOME TO MORE THAN 7,500 INDIVIDUALS. CEDAR-RIVERSIDE IS HOME TO A LARGE GROUP OF RECENT IMMIGRANTS FROM SOMALIA AND OTHER AFRICAN COUNTRIES. ACCORDING TO THE MOST RECENT CENSUS DATA, FORTY ONE PERCENT OF RESIDENTS ARE WHITE, WHILE 32 PERCENT ARE BLACK AND 16 PERCENT ARE ASIAN. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW IS THE ONLY MEDICAL CENTER IN THE CEDAR-RIVERSIDE NEIGHBORHOOD.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	AS A NONPROFIT HEALTH SYSTEM, FAIRVIEW REINVESTS ANY EXCESS REVENUES INTO THE CORE OPERATIONS OF THE ORGANIZATION. RESEARCH AND EDUCATION ARE AT THE VERY HEART OF THE MISSION. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW INVESTS MILLIONS OF DOLLARS EACH YEAR INTO GROUND-BREAKING RESEARCH AND EDUCATION OF OUR NEXT GENERATION OF HEALTHCARE WORKFORCE. FAIRVIEW ALSO PARTNERS WITH A MYRIAD OF HIGHER EDUCATIONAL INSTITUTIONS TO PROVIDE CLINICAL HANDS-ON TRAINING FOR FUTURE NURSES, PHARMACISTS, LABORATORY PROFESSIONALS AND MORE. FAIRVIEW SERVES AS A TRAINING SITE FOR RESIDENTS IN VARIOUS SPECIALITIES AND IS THE CORE TEACHING SITE FOR THE UNIVERSITY OF MINNESOTA RESIDENTS. SENIOR RESIDENTS AND FELLOWS PROVIDE FAIRVIEW SOME DEGREE OF CLINICAL SERVICE THAT WE WOULD OTHERWISE NOT RECEIVE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	FAIRVIEW HEALTH SERVICES IS AN INTEGRATED ACADEMIC HEALTH CARE SYSTEM HEADQUARTERED IN MINNEAPOLIS, MINN. IT OPERATES FIVE COMMUNITY HOSPITALS, ONE ACADEMIC MEDICAL CENTER AND ONE AMBULATORY MEDICAL CENTER COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT THAT FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. FAIRVIEW'S CORPORATE COMMUNITY HEALTH DEPARTMENT SUPPORTS THESE LOCAL EFFORTS BY SHARING BEST PRACTICES, FINDING EFFICIENCIES AMONG HOSPITAL COMMUNITY HEALTH LEADERS AS APPROPRIATE, COORDINATING THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND MORE.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MINNESOTA

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- 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," on 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

2015

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) FAIRVIEW FOUNDATION 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS,MN55454	41-1573810	501C3	2,720,951	HOSPITAL SUPPORT
(2) REGENTS OF UNIVERSITY OF MINNESOTA P O BOX 1450 NW 5960 MINNEAPOLIS,MN55485	41-6007513	115	366,980	CHILD HOSP SUPPORT
(3) UMP RESEARCH 420 DELAWARE STREET SE MINNEAPOLIS,MN55455	41-1843943	501C3	200,000	CLINICAL CARE

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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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) 2015

Additional Data

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- 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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on 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 .........

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? ..

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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1DAVID MURPHYINTERIM CEO	(i) (ii)	402,770 -------------	-------------	-------------	-------------	3 -------------	402,773 -------------	-------------
2CAROLYN WILSONPRESIDENT OF UMMC	(i) (ii)	878,532 -------------	577,110 -------------	-------------	122,347 -------------	21,497 -------------	1,599,486 -------------	-------------
3DANIEL M FROMMCHIEF FINANCIAL OFCR	(i) (ii)	609,091 -------------	391,706 -------------	-------------	91,480 -------------	37,454 -------------	1,129,731 -------------	-------------
4DANIEL K ANDERSONPRESIDENT, FAIRVIEW	(i) (ii)	59,765 -------------	222,590 -------------	554,135 -------------	77,115 -------------	92 -------------	913,697 -------------	-------------
5PATRICK HERSONPRESIDENT OF NORTH	(i) (ii)	502,339 -------------	196,284 -------------	6,502 -------------	57,834 -------------	4,414 -------------	767,373 -------------	-------------
6TRUDI TRYSLASR. VP & GENERAL COU	(i) (ii)	421,042 -------------	174,184 -------------	-------------	58,446 -------------	27,199 -------------	680,871 -------------	-------------
7JOHN DOHERTYSR. OPERATING EXEC.	(i) (ii)	401,483 -------------	157,594 -------------	8,161 -------------	45,425 -------------	34,768 -------------	647,431 -------------	-------------
8MARK THOMASPRES. & CEO OF EBENE	(i) (ii)	327,774 -------------	167,197 -------------	69,093 -------------	35,898 -------------	23,125 -------------	623,087 -------------	-------------
9ALISTAIR JACQUESCHF INFORM.TECH.8-14	(i) (ii)	438,125 -------------	77,243 -------------	-------------	-------------	24,196 -------------	539,564 -------------	-------------
10CAROLYN JACOBSONCHIEF HR OFFICER	(i) (ii)	352,248 -------------	148,392 -------------	-------------	18,550 -------------	20,091 -------------	539,281 -------------	-------------
11TODD SHERRILLVP OF FINANCE	(i) (ii)	228,337 -------------	32,853 -------------	-------------	18,550 -------------	18,783 -------------	298,523 -------------	-------------
12ROBERT BEACHERPRESIDENT, FAIRVIEW	(i) (ii)	465,075 -------------	270,087 -------------	28,278 -------------	64,581 -------------	29,621 -------------	857,642 -------------	-------------
13BRADLEY BEARDPRESIDENT, SOUTHDALE	(i) (ii)	527,995 -------------	169,637 -------------	16,625 -------------	52,584 -------------	28,558 -------------	795,399 -------------	-------------
14DEBRA BOARDMANPRESIDENT,RANGE HOSP	(i) (ii)	457,216 -------------	127,451 -------------	8,928 -------------	39,677 -------------	8,233 -------------	641,505 -------------	-------------
15JOHN HERMANPRESIDENT OF NORTHLA	(i) (ii)	344,062 -------------	128,287 -------------	37,574 -------------	35,518 -------------	15,548 -------------	560,989 -------------	-------------
16JOHN BJORKLUNDSR. VP PATIENT CARE	(i) (ii)	239,221 ------------- 104,334	------------- 87,722	------------- 5,298	5,364 ------------- 13,186	14,786 ------------- 6,839	259,371 ------------- 217,379	-------------
17KATHY TARANTOPRESIDENT END 4-15	(i) (ii)	41,596 -------------	89,376 -------------	25,788 -------------	1,951 -------------	-------------	158,711 -------------	-------------
18FREDERICK HARRISNEURO SURGEON	(i) (ii)	1,203,235 -------------	288,014 -------------	6,397 -------------	-------------	30,623 -------------	1,528,269 -------------	-------------
19MICHAEL CAMPOLI MDSURGEON	(i) (ii)	1,290,649 -------------	13,327 -------------	-------------	18,550 -------------	35,449 -------------	1,357,975 -------------	-------------
20WILLIAM OMLIE MDSURGEON	(i) (ii)	740,966 -------------	33,413 -------------	3,109 -------------	18,550 -------------	22,788 -------------	818,826 -------------	-------------
21DAVID LINDGREN M DSURGEON	(i) (ii)	654,014 -------------	76,375 -------------	-------------	18,550 -------------	31,303 -------------	780,242 -------------	-------------
22JAMES LORGE M DSURGEON	(i) (ii)	557,544 -------------	52,727 -------------	53,989 -------------	18,550 -------------	26,009 -------------	708,819 -------------	-------------
23RULON STACEYPRES. CEO END 7-14	(i) (ii)	230,772 -------------	434,000 -------------	1,115,058 -------------	-------------	4,848 -------------	1,784,678 -------------	-------------
24MARK HANSBERRYVP STRATEGIC PLANNIN	(i) (ii)	-------------	112,958 -------------	390,000 -------------	-------------	-------------	502,958 -------------	-------------
25BETH KREHBIELPRESIDENT, RIDGES HO	(i) (ii)	-------------	91,009 -------------	366,600 -------------	12,907 -------------	-------------	470,516 -------------	-------------
26TERRY MARTINSONMEDICAL DIRECTOR	(i) (ii)	-------------	22,242 -------------	241,214 -------------	20,162 -------------	-------------	283,618 -------------	-------------

Schedule J (Form 990) 2015

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 4	DANIEL K. ANDERSON 554,227 0 0 PATRICK HERSON 0 5,612 0 JOHN DOHERTY 0 15,979 0 MARK THOMAS 0 71,297 0 ROBERT BEACHER 0 29,973 0 BRADLEY BEARD 0 21,190 0 DEBRA BOARDMAN 0 4,988 0 JOHN HERMAN 0 36,170 0 RULON STACEY 560,769 270,000 0 MARK HANSBERRY 390,000 0 0 BETH KREHBIEL 366,600 0 0 TERRY MARTINSON 241,214 0 0
SCHEDULE J, PART III	THE PLAN IS ONLY OPEN TO A SELECT GROUP OF HIGHLY COMPENSATED EMPLOYEES. THE PLAN CONTRIBUTES THE DIFFERENCE OF WHAT 403(B) EMPLOYER CONTRIBUTIONS WERE MISSED FOR PARTICIPANTS WHO EARN MORE THAN THE IRS LIMIT ON ELIGIBLE COMPENSATION FOR QUALIFIED RETIREMENT PLANS. THE CONTRIBUTION IS UNFUNDED. THE PLAN COMPLIES WITH SECTION 457(F) OF THE CODE.

Schedule J (Form 990) 2015

Additional Data

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- 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

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

OMB No. 1545-0047

2015

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 FAIRVIEW HEALTH SERVICES	41-6005375	60374VDV2	09-02-2015	122,972,746	REFUNDED 1997, 2000,2002 & 2005 UPGRADE AND EXPANSION OF FAIRVIEW SOUTHDALE		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
C	CITY OF MINNEAPOLIS FAIRVIEW HEALTH SERVICES	41-6005375	60374VCY7	10-06-2010	222,218,750	REFUND 2008C, 2008D, 2008E		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			322,583,022
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	122,972,746		729,602,999		222,218,750
4 Gross proceeds in reserve funds .............			30,447,712
5 Capitalized interest from proceeds .............			14,697,472
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,409,724		8,640,253
8 Credit enhancement from proceeds .............			3,957,639
9 Working capital expenditures from proceeds .............			15,341,000
10 Capital expenditures from proceeds .............	31,000,000		209,408,419
11 Other spent proceeds .............	90,563,022		447,110,504		222,218,750
12 Other unspent proceeds .............
13 Year of substantial completion .............			2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X	X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

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		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		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X	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
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 ....	0.190 %		1.280 %		0.120 %
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 .........	0.020 %		0.140 %
6 Total of lines 4 and 5 .............	0.210 %		1.420 %		0.120 %
7 Does the bond issue meet the private security or payment test? ...		X		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		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		X

Part IV

Arbitrage

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

Schedule K (Form 990) 2015

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		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		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		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?	X		X		X

Part VI

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

Return Reference	Explanation
SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION	CITY OF MINNEAPOLIS EMERGENCY ROOM
SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	CITY OF MINNEAPOLIS 10/26/12
SCHEDULE K - ADDITIONAL INFORMATION	CITY OF MINNEAPOLIS DIFFERENCES BETWEEN THE ISSUE PRICE (PART 1) AND TOTAL PROCEEDS (PART II, LINE 3) OF SCHEDULE K ARE DUE TO INVESTMENT EARNINGS. CITY OF MINNEAPOLIS DIFFERENCES BETWEEN THE ISSUE PRICE (PART 1) AND TOTAL PROCEEDS (PART II, LINE 3) OF SCHEDULE K ARE DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2015

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

2015

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	29	739,185	FAIR MARKET VALUE
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) (2015)

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) (2015)

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 990-EZ 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

2015

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 AND ESCORTS AND WHEELCHAIR TRANSPORTS FOR PATIENTS AND FAMILY MEMBERS. OUR VOLUNTEERS PROVIDE HOSPITALITY FOR PATIENTS, FAMILIES AND VISITORS AND PROVIDE ASSISTANCE WITH SPECIAL ONSITE AND COMMUNITY EVENTS AND ACTIVITIES.
FORM 990, PAGE 2, PART III, LINE 4A	HOUSING FACILITIES THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY. FAIRVIEW'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. IN ADDITION TO THE 6,590,210 PATIENT CARE ENCOUNTERS IN 2015, FAIRVIEW PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS 1,700-BED HOSPITAL IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE HOSPITAL INCLUDES THE UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. IN 2015, US NEWS AND WORLD REPORT NAMED FIVE PEDIATRIC SPECIALTIES IN NATIONAL RANKINGS. THE NEONATOLOGY RANKING WAS HIGHEST AMOUNG HEALTCARE PROVIDERS IN MINNESOTA. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG.
FORM 990, PAGE 2, PART III, LINE 4B	INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 23,661,926. THE COST OF THE MEDICAL CARE SURCHARGE TO THE HOSPITALS WAS 29,945,836. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2015, FAIRVIEW PAID 31,672,567 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2015 TOTALED 4,9570,825 AND THE SALES AND INCOME TAXES TOTALED 637,656. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 137,190,132 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 1,035,390,946.
FORM 990, PAGE 2, PART III, LINE 4C	FAIRVIEW HEALTH SERVICES CONTINUED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2015. THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 179 SCHOOLS, 255 FAITH COMMUNITIES AND 50 COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY.
FORM 990, PART V, LINE 4B	BERMUDA, CAYMAN ISLANDS
FORM 990, PAGE 6, PART VI, LINE 2	MARK HANSBERRY AND DANIEL FROMM HAS A BUSINESS RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION ARE THE INDIVIDUALS WHO CONSTITUTE THE DIRECTORS OF THIS CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD HAS THREE CATEGORIES OF DIRECTORS: 1) 3 EX OFFICIO WHO ARE FAIRVIEW'S CEO AND THE UNIVERSITY'S VICE PRESIDENT OF MEDICAL SCHOOL AND A SENIOR LEADER OF THE UNIVERSITY MEDICAL SCHOOL OR OF THE UNIVERSITY APPOINTED, FROM TIME TO TIME, BY THE VICE PRESIDENT 2) 10 ELECTED DIRECTORS WHO ARE 1 DIRECTOR ELECTED BY THE REGENTS OF THE UNIVERSITY OF MINNESOTA AND 9 ELECTED BY THE BOARD AFTER NOMINATION FROM CERTAIN COMPONENTS OF THE FAIRVIEW SYSTEM; AND 3) BETWEEN 3 TO 8 AT-LARGE DIRECTORS ELECTED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 7B	THE REGENTS OF THE UNIVERSITY OF MINNESOTA HAVE THE RIGHT TO APPROVE PROPOSED AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IF THE AMENDMENT WOULD ADVERSELY AFFECT THEIR RIGHTS AND CERTAIN SALES OF SUBSTANTIALLY ALL OF FAIRVIEW'S ASSETS. AN ASSOCIATION OF APPROXIMATELY 70 LUTHERAN CHURCHES ELECTS MOST OF THE FAIRVIEW SOUTHDALE HOSPITAL, FAIRVIEW RIDGES HOSPITAL AND PART OF THE UMMC BOARDS OF TRUSTEES, AS WELL AS THE FPA COMMUNITY DIRECTORS AND THE EBENEZER SOCIETY BOARD OF DIRECTORS AND HAS THE RIGHT TO APPROVE CERTAIN FAIRVIEW BYLAW AMENDMENTS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE RETURN IS ALSO REVIEWED BY FAIRVIEW'S GENERAL COUNSEL, FAIRVIEW'S CHIEF FINANCIAL OFFICER AND CONTROLLER AND THEN BY AN INDEPENDENT TAX CONSULTANT. THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW OF CONTENT. THE FORM 990 IS SUBSEQUENTLY PROVIDED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. UPON APPROVAL FROM THE BOARD OF DIRECTORS, THE FORM 990 IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12C	MANAGERS, DIRECTORS AND SENIOR MANAGEMENT OF FAIRVIEW ARE REQUIRED TO ANNUALLY COMPLETE FAIRVIEW'S DUTY OF LOYALTY AND CONFLICT OF INTEREST STATEMENT IN COMPLIANCE WITH FAIRVIEW'S CONFLICT OF INTEREST POLICY. DISCLOSURES ARE REVIEWED BY THE COMPLIANCE DEPARTMENT. CONFLICTS OF INTERESTS BY BOARD MEMBERS AND SENIOR MANAGEMENT ARE BROUGHT TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, ALONG WITH ADDITIONAL DETAILED INFORMATION, FOR SPECIFIC REVIEW. IN ADDITION, THE COMPLIANCE OFFICER COMPILES A SCHEDULE SHOWING REPORTED CONFLICTS OF INTEREST BY MANAGERS AND KEY EMPLOYEES IS ALSO PRESENTED TO THE CONFLICT OF INTEREST REVIEW COMMITTEE FOR REVIEW AND DISCUSSION. ANY PROBLEMATIC ISSUES ARISING FROM THESE DISCLOSURES ARE DISCUSSED AND RESOLVED BY THE COMMITTEE. BOARD MEMBERS AND MANAGEMENT EMPLOYEES ARE EXPECTED TO UPDATE THEIR CONFLICTS, AS NECESSARY, DURING THE YEAR.
FORM 990, PAGE 6, PART VI, LINE 15A	THE DETERMINATION OF EXECUTIVE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS. THE FULL BOARD APPROVES EXECUTIVE COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	THE DETERMINATION OF OFFICER AND KEY EMPLOYEE COMPENSATION OF THE ORGANIZATION IS PROCESSED BY THE BOARD'S HUMAN RESOURCES COMMITTEE AND INCLUDES A REVIEW OF COMPARABILITY DATA, REVIEW BY INDEPENDENT EXPERTS AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19	FAIRVIEW HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. INSPECTION OF THE DOCUMENTS IS AVAILABLE AT THE CORPORATE FINANCE DEPARTMENT.
FORM 990, PART XI, LINE 9	RELATED ORGS 24,085,479 DEFINED PLAN VALUATION -4,935,121 EQUITY DISTRIBUTION -12,576,456 HUD SURPLUS -187,562 PHARMACY OTHER -51,543,202 TOTAL -45,156,862

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

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

OMB No. 1545-0047

2015

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	952,152,880	91,342,374	NA
(2) FAIRVIEW MAPLE GROVE SURGERY CENTER 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 20-8335586	MEDICAL SU	MN	6,835,329	1,987,085	NA
(3) RMC PROPERTIES INC 2450 RIVERSIDE AVENUE MINNEAPOLIS,MN55454 41-1482417	PROPERTY	MN			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)FAIRVIEW PHYSICIAN ASSOCIATES NETWO 3400 WEST 66TH STREET MINNEAPOLIS,MN55435 41-1753325	CLINICAL I	MN	501C3	9	NA	Yes
(4)RANGE REGIONAL HEALTH SERVICES & SU 750 EAST 34TH STREET HIBBING,MN55746 41-1293970	PATIENT HE	MN	501C3	3	NA	Yes
(5)EBENEZER SOCIETY 2722 PARK AVENUE SOUTH MINNEAPOLIS,MN55407 41-0706141	HEALTH CAR	MN	501C3	9	N/A	Yes
(6)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) 2015

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	(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 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

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 BD	SELF INSUR	BD	N/A				Yes

Schedule R (Form 990) 2015

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	L	702,080	FAIR MARKET VALUE
(2) FAIRVIEW CLINICS	J	2,918,687	FAIR MARKET VALUE
(3) BEHAVIORAL HEALTHCARE PROVIDERS	L	109,897	FAIR MARKET VALUE
(4) FAIRVIEW CLINICS	P	8,405,198	FAIR MARKET VALUE
(5) RANGE REGIONAL HEALTH SERVICES	S	4,650,123	FAIR MARKET VALUE
(6) FAIRVIEW CLINICS	S	18,764,705	FAIR MARKET VALUE
(7) BEHAVIORAL HEALTHCARE PROVIDERS	S	309,941	FAIR MARKET VALUE
(8) RANGE REGIONAL HEALTH SERVICES	M	134,910	FAIR MARKET VALUE
(9) RANGE REGIONAL HEALTH SERVICES	P	17,000	FAIR MARKET VALUE
(10) FAIRVIEW FOUNDATION	M	29,454	FAIR MARKET VALUE
(11) FAIRVIEW FOUNDATION	B	2,720,951	FAIR MARKET VALUE
(12) FAIRVIEW FOUNDATION	C	3,866,868	FAIR MARKET VALUE
(13) FAIRVIEW DEVELOPMENT COMPANY	L	11,372	FAIR MARKET VALUE
(14) FAIRVIEW DEVELOPMENT COMPANY	S	32,574	FAIR MARKET VALUE
(15) EXPRESS CARE	L	881,460	FAIR MARKET VALUE
(16) EXPRESS CARE	Q	21,707	FAIR MARKET VALUE
(17) EXPRESS CARE	S	1,073,111	FAIR MARKET VALUE
(18) FAIRVIEW HOMECARE & HOSPICE	L	310,588	FAIR MARKET VALUE
(19) FAIRVIEW HOMECARE & HOSPICE	P	624,027	FAIR MARKET VALUE
(20) FAIRVIEW HOMECARE & HOSPICE	S	3,047,800	FAIR MARKET VALUE
(21) FAIRVIEW HOMECARE & HOSPICE	J	74,177	FAIR MARKET VALUE
(22) FAIRVIEW PHYSICIAN ASSOCIATES NETWO	L	126,610	FAIR MARKET VALUE
(23) FAIRVIEW PHYSICIAN ASSOCIATES NETWO	Q	232	FAIR MARKET VALUE
(24) FAIRVIEW PHYSICIAN ASSOCIATES NETWO	S	2,264,796	FAIR MARKET VALUE
(25) EBENEZER SOCIETY	L	112,462	FAIR MARKET VALUE
(26) EBENEZER SOCIETY	P	743,617	FAIR MARKET VALUE
(27) EBENEZER SOCIETY	S	7,627,220	FAIR MARKET VALUE
(28) FAIRVIEW FOUNDATION	R	1,243,897	FAIR MARKET VALUE
(29) MAPLE GROVE SURGERY CENTER	S	1,035,310	FAIR MARKET VALUE
(30) ASSOCIATED MEDICAL ASSURANCE	S	40,274	FAIR MARKET VALUE
(31) EBENEZER SOCIETY FOUNDATION	Q	220,620	FAIRVIEW MARKET VALUE

Schedule R (Form 990) 2015

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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: FAIRVIEW IS DRIVEN TO HEAL, DISCOVER AND EDUCATE FOR LONGER, HEALTHIER LIVES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	20,401
6	Total number of volunteers (estimate if necessary) .............	6	4,380
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	647,334,699
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-13,481,769

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	12,283,467	6,077,131
9	Program service revenue (Part VIII, line 2g) .........	3,300,573,524	3,599,689,925
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	37,218,402	129,336,168
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	12,464,108	12,177,060
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	3,362,539,501	3,747,280,284
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,448,790	3,287,931
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)	1,459,567,432	1,522,851,417
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)....	1,692,822,671	2,015,672,428
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,155,838,893	3,541,811,776
19	Revenue less expenses. Subtract line 18 from line 12.......	206,700,608	205,468,508
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,259,852,257	3,394,576,929
21	Total liabilities (Part X, line 26).............	1,555,761,335	1,616,309,904
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,704,090,922	1,778,267,025

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,793,871,884 including grants of $ 3,287,931 ) (Revenue $ 2,680,550,019 )
	PROVIDING MEDICAL SERVICES: FAIRVIEW HEALTH SERVICES IS AN INTEGRATED, ACADEMIC HEALTH SYSTEM BASED IN MINNEAPOLIS, MINNESOTA. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW PROVIDERS AND STAFF ARE REDESIGNING CARE DELIVERY AND PAYMENT TO PROVIDE GREATER VALUE - EXCEPTIONAL PATIENT CARE AND EXPERIENCES AT A LOWER TOTAL COST OF CARE TO THE COMMUNITY WE SERVE. THE FAIRVIEW SYSTEM CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL; FIVE COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS; OVER 40 PRIMARY CARE CLINICS; OVER 55 SPECIALTY CARE CLINICS; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; AND 11 OWNED AND 48 MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY. FAIRVIEW'S MISSION IS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. IN ADDITION TO THE 6,590,210 PATIENT CARE ENCOUNTERS IN 2015, FAIRVIEW PERSONNEL HAD MORE THAN 500,000 ENCOUNTERS WITH THE COMMUNITY AT LARGE, INCLUDING LOW-INCOME POPULATIONS AS WELL AS EDUCATION AND MEDIA ENCOUNTERS FOR SPECIAL NEEDS GROUPS AND OTHER COMMUNITY MEMBERS. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY AND QUATERNARY CARE, HOSPITAL AND PHYSICIAN SERVICES, SENIOR SERVICES, ASSISTED LIVING, HOME CARE AND HOSPICE, LONG-TERM CARE, URGENT CARE AND EMERGENCY SERVICES, PHARMACY, CARE OF MOTHERS AND CHILDREN, PHYSICAL THERAPY/SPORTS MEDICINE, REHABILITATION SERVICES, AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES. FAIRVIEW PROVIDES CARE AT THESE HOSPITALS AND MEDICAL CENTERS (LISTED ALPHABETICALLY): FAIRVIEW LAKES MEDICAL CENTER: LOCATED IN WYOMING, MN, FAIRVIEW LAKES MEDICAL CENTER IS A 61-BED HOSPITAL WITH A BROAD RANGE OF MEDICAL SERVICES THAT INCLUDE A 24-HOUR EMERGENCY DEPARTMENT (A LEVEL III TRAUMA CENTER), LABOR AND DELIVERY AND 10 ONSITE MULTI-SPECIALTY CLINICS FOR HEART, CANCER AND ORTHOPEDIC CARE AS WELL AS GENERAL SURGERY, FAMILY MEDICINE, OBSTETRICS, PEDIATRICS AND MORE. FAIRVIEW LAKES IS A THREE-TIME NATIONAL PREMIER QUALITY AWARD WINNER FOR CARDIAC CARE. FAIRVIEW NORTHLAND MEDICAL CENTER: THIS 54-BED HOSPITAL, LOCATED IN PRINCETON, MN, OFFERS A WIDE RANGE OF MEDICAL SERVICES TO AREA RESIDENTS. SERVICES INCLUDE LABOR AND DELIVERY, A 24-HOUR EMERGENCY DEPARTMENT, AND SPECIALIZED SERVICES INCLUDING CANCER AND HEART CARE, ORTHOPEDIC MEDICINE/SURGERY AND GENERAL SURGERY. IT WAS RECOGNIZED WITH A TOP PERFORMER AWARD BY THE JOINT COMMISSION. FAIRVIEW RIDGES HOSPITAL: THIS 150-BED HOSPITAL IN BURNSVILLE, MN, OFFERS A COMPLETE RANGE OF SERVICES, INCLUDING 24-HOUR EMERGENCY AND LEVEL III TRAUMA CARE; HEART CARE; AN ACCREDITED CANCER PROGRAM; SPORTS MEDICINE, ORTHOPEDIC AND REHABILITATION SERVICES; LABOR AND DELIVERY; A LEVEL III NEONATAL INTENSIVE CARE UNIT FOR NEWBORNS; AND GENERAL AND SPECIALTY SURGICAL SERVICES. FAIRVIEW SOUTHDALE HOSPITAL: KNOWN FOR OUTSTANDING HEART, STROKE, ORTHOPEDIC AND CANCER CARE, FAIRVIEW SOUTHDALE HOSPITAL IN EDINA, MN, IS A MULTISPECIALTY HOSPITAL THAT TREATS ALL KINDS OF ILLNESSES AND INJURIES. THE 390-BED HOSPITAL IS A NATIONALLY CERTIFIED PRIMARY STROKE CENTER, A RECIPIENT OF THE COMMISSION ON CANCER'S OUTSTANDING ACHIEVEMENT AWARD AND THE TWIN CITIES' FIRST LEVEL III TRAUMA CENTER. THE HOSPITAL IS RECOGNIZED FOR PROVIDING SOME OF THE FASTEST TIMES IN THE NATION FOR UNBLOCKING HEART PROBLEMS. IT ALSO OFFERS SPECIALIZED SERVICES IN VASCULAR MEDICINE, SPINE CARE, OBSTETRICS AND GYNECOLOGY AND OTHER SPECIALTIES. THE UNIVERSITY OF MINNESOTA MEDICAL CENTER: THIS 1,700-BED HOSPITAL IS LOCATED IN MINNEAPOLIS ON TWO CAMPUSES. COMPREHENSIVE SERVICES RANGE FROM PRIMARY CARE, EMERGENCY CARE AND THE DELIVERY OF THOUSANDS OF BABIES EACH YEAR, AS WELL AS CARE OF PATIENTS WITH THE MOST COMPLEX MEDICAL CONDITIONS. IT HAS WORLD-RENOWNED EXPERTISE IN SOLID ORGAN TRANSPLANTATION AND BLOOD AND MARROW TRANSPLANTATION AND IS RECOGNIZED FOR ITS CANCER AND HEART CARE, SURGICAL SPECIALTIES, CARE OF MOTHERS AND CHILDREN, AND BEHAVIORAL HEALTH SERVICES. THE HOSPITAL INCLUDES THE UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL WITH MORE THAN 50 PEDIATRIC AND MATERNAL PROGRAMS AND SERVICES, INCLUDING MINNESOTA'S ONLY CHILDREN'S BEHAVIORAL INPATIENT UNIT WITH PROGRAMMING EXCLUSIVELY DEVOTED TO CHILDREN AGES 12 AND YOUNGER. IN 2015, US NEWS AND WORLD REPORT NAMED FIVE PEDIATRIC SPECIALTIES IN NATIONAL RANKINGS. THE NEONATOLOGY RANKING WAS HIGHEST AMOUNG HEALTCARE PROVIDERS IN MINNESOTA. THE MEDICAL CENTER IS THE CORE TEACHING HOSPITAL OF UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, WITH ITS MISSION OF RESEARCH AND EDUCATION. FAIRVIEW MEDICAL GROUP- WHICH INCLUDES FAIRVIEW CLINICS' 40+ PRIMARY CARE CLINICS AT LOCATIONS ACROSS THE GREATER METRO AREA-RANKED AMONG THE TOP FIVE MEDICAL GROUPS IN THE STATE FOR PROVIDING HIGH-QUALITY CARE, ACCORDING TO MN COMMUNITY MEASUREMENT'S HEALTH CARE QUALITY REPORT. THE REPORT WAS BASED ON RESULTS ON 18 CLINICAL QUALITY MEASURES. FAIRVIEW, IN PARTNERSHIP WITH UNIVERSITY OF MINNESOTA PHYSICIANS, PROVIDES EXCEPTIONAL SPECIALTY CARE AT THE MORE THAN 55 SPECIALTY CARE CLINICS. OTHER CONTINUUM SERVICES THROUGH RELATED ENTITIES THAT FAIRVIEW OFFERS INCLUDE FAIRVIEW HOME CARE AND HOSPICE, FAIRVIEW HOME MEDICAL EQUIPMENT, FAIRVIEW PHARMACY, INSTITUTE FOR ATHLETIC MEDICINE, FAIRVIEW REHABILITATION SERVICES, FAIRVIEW MS ACHIEVEMENT CENTER, FAIRVIEW PARTNERS, FAIRVIEW COUNSELING SERVICES, FAIRVIEW CARE MANAGEMENT AND COORDINATION, AND SUBSIDIZED HEALTH SERVICES. FOR MORE INFORMATION, VISIT WWW.FAIRVIEW.ORG.

4b	(Code: ) (Expenses $ 1,043,537,695 including grants of $ ) (Revenue $ 901,819,879 )
	COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: FAIRVIEW IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF MEMBERS OF ITS COMMUNITY. TO SUPPORT FULL ACCESS TO SERVICES, FAIRVIEW PARTICIPATES IN THE FOLLOWING PUBLIC HEALTH CARE PROGRAMS: MEDICARE, MEDICAID, AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS FOR SERVICES RENDERED, GENERALLY FALLS BELOW THE COST OF PROVIDING THE CARE. TO COMPENSATE FOR THE UNDER FUNDING BY GOVERNMENT PROGRAMS, FAIRVIEW MAKES A SIGNIFICANT FINANCIAL INVESTMENT TO OFFSET THESE LOSSES. IN 2015, FAIRVIEW INCURRED 60,942,973 OF TAXES AND SURCHARGE COSTS IN HEALTH CARE SERVICES THAT EXCEEDED THE REIMBURSEMENT RECEIVED BY PUBLIC PROGRAMS, SURCHARGE, TAXES AND FEES RELATED TO THESE PROGRAMS AND NOT INCLUDING MEDICARE. THE FOLLOWING IS A BREAKDOWN ON COSTS RELATED TO THE COST OF PARTICIPATING IN GOVERNMENT PROGRAMS: COSTS EXCEED MEDICAID REIMBURSEMENT: FAIRVIEW IS SERVING THOUSANDS OF LOW-INCOME INDIVIDUALS COVERED BY MEDICAL ASSISTANCE AND MINNESOTACARE. REIMBURSEMENT FROM THESE PROGRAMS IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THESE PATIENTS. TOTAL MEDICAID COSTS RELATED TO HOSPITALS, PHARMACIES, AND SURGICAL CENTERS WAS 23,661,926. THE COST OF THE MEDICAL CARE SURCHARGE TO THE HOSPITALS WAS 29,945,836. MINNESOTACARE TAX: THE STATE OF MINNESOTA LEVIES A 2 PERCENT TAX ON CERTAIN HEALTHCARE PROVIDER REVENUES. MONEY GENERATED FROM THIS TAX HELPS TO DEFRAY THE COSTS INCURRED FROM MINNESOTACARE AND OTHER PROGRAMS/SERVICES FOR UNINSURED INDIVIDUALS. IN 2015, FAIRVIEW PAID 31,672,567 IN MINNESOTACARE TAXES. TAXES AND FEES: FAIRVIEW DOES PAY SOME PROPERTY TAX TO LOCAL AND STATE GOVERNMENT. THIS HELPS TO FUND CIVIL AND EDUCATIONAL SERVICES IN THE COMMUNITY. THE REAL ESTATE COSTS FOR 2015 TOTALED 4,9570,825 AND THE SALES AND INCOME TAXES TOTALED 637,656. COSTS EXCEEDING MEDICARE REIMBURSEMENT: FAIRVIEW CARES FOR THOUSANDS OF INDIVIDUALS AGES 65 AND OLDER WHO ARE COVERED BY MEDICARE. FAIRVIEW INCURRED 137,190,132 OF MEDICARE REIMBURSEMENT SHORTFALLS. REIMBURSEMENT FROM MEDICARE IS LESS THAN FAIRVIEW'S COST OF PROVIDING CARE TO THE PATIENT. THE TOTAL COST OF PROVIDING THESE BENEFITS WAS 1,035,390,946.

4c	(Code: ) (Expenses $ 102,707,220 including grants of $ ) (Revenue $ 17,320,027 )
	THE PRIMARY PURPOSE OF OUR EDUCATIONAL AND RESEARCH PROGRAMS IS TO BENEFIT PATIENTS AND THE COMMUNITY AT LARGE BY EDUCATING HEALTH PROFESSIONALS BOTH WITHIN FAIRVIEW AND IN THE BROADER COMMUNITY, AND BY FOSTERING ADVANCES IN KNOWLEDGE AND EVIDENCE-BASED IMPROVEMENTS TO CLINICAL TREATMENTS AND APPROACHES TO HEALTH CARE DELIVERY. IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA ACADEMIC HEALTH CENTER AND UNIVERSITY OF MINNESOTA PHYSICIANS, FAIRVIEW HAS A STRONG AND ABIDING COMMITMENT TO RESEARCH AND EDUCATION. TOGETHER, WE VIEW RESEARCH AS AN INTEGRAL AND CRITICAL COMPONENT IN PROVIDING EXCEPTIONAL CARE TO PATIENTS AND THE COMMUNITY. WE SEEK TO BE A NATIONAL LEADER IN CLINICAL RESEARCH AND A REGIONAL CENTER FOR CLINICAL RESEARCH ACTIVITIES. FAIRVIEW HEALTH SERVICES CONTINUED ITS FOCUS ON AND SUPPORT OF RESEARCH AND EDUCATION IN 2015. THIS COMMITMENT INCLUDED PROVIDING THE RESOURCES OF TIME, MONEY AND TALENT WHILE ENSURING THE FACILITIES, SUPPORTING INFRASTRUCTURES, AND PROCESSES WERE AVAILABLE TO FACILITATE AND ENCOURAGE THE CREATION OF NEW KNOWLEDGE. FAIRVIEW HAS MORE THAN 350 ACTIVE MEDICAL RESEARCH PROJECTS UNDER WAY ACROSS THE HEALTH CARE SYSTEM. RESEARCH RANGES FROM CUTTING EDGE THERAPIES TO A KNITTING STUDY FOR KIDS WITH PROLONGED HOSPITAL STAYS. FAIRVIEW OFFERS NUMEROUS SPONSORSHIPS AND TRAINING PROGRAMS, INTERNSHIPS AND SCHOLARSHIPS TO EMPLOYEES AND THEIR DEPENDENTS-AS WELL AS TO STUDENTS IN OUR COMMUNITIES. FAIRVIEW PARTNERS WITH MORE THAN 179 SCHOOLS, 255 FAITH COMMUNITIES AND 50 COMMUNITY GROUPS. FAIRVIEW HAS EDUCATIONAL PARTNERSHIPS WITH THE UNIVERSITY OF MINNESOTA AND ST. CATHERINE UNIVERSITY AND AFFILIATIONS WITH MANY OTHER INSTITUTIONS, INCLUDING AUGSBURG COLLEGE AND MINNESOTA STATE COLLEGES AND UNIVERSITIES. FAIRVIEW ALSO OFFERS ITS OWN SPECIALIZED TRAINING PROGRAMS IN PERIOPERATIVE NURSING AND DIETETICS. EACH YEAR, ABOUT 7,000 COLLEGE AND GRADUATE STUDENTS PREPARING FOR CAREERS IN A WIDE RANGE OF MEDICAL FIELDS DO CLINICAL TRAINING, INTERNSHIPS AND JOB SHADOWING AT FAIRVIEW HOSPITALS AND CLINICS. THROUGH FAIRVIEW'S CLOSE PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, EACH YEAR, ROUGHLY 1,000 MEDICAL STUDENTS, RESIDENTS AND FELLOWS TAKE COURSES AND DO ROTATIONS OF VARIOUS LENGTHS AT UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA CHILDREN'S HOSPITAL. ABOUT 200 MEDICAL STUDENTS DO ROTATIONS IN OTHER FAIRVIEW SETTINGS, INCLUDING FAIRVIEW'S PRIMARY CARE CLINICS. FAIRVIEW ALSO PROVIDES NUMEROUS CONTINUING EDUCATION OPPORTUNITIES TO ITS EMPLOYEES TO ENABLE THEM TO ENSURE THEY ARE KNOWLEDGEABLE ABOUT THE LATEST INNOVATIONS IN HEALTH CARE DELIVERY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,940,116,799

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	18,359,358	197,354	1,312,002

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	5,204,084
e	Government grants (contributions)		1e	824,035

f	All other contributions, gifts, grants, and similar amounts not included above		1f	49,012

g	Noncash contributions included in lines 1a-1f:$ 739,185
h Total.Add lines 1a-1f.......		6,077,131

		Business Code
2a	PATIENT CARE	624100	1,141,609,882	1,141,609,882
b	MEDICARE-MEDICAID	624100	901,819,879	901,819,879
c	PHARMACY	446110	638,184,147		638,184,147
d	LABORATORY	621500	566,649,166	566,649,166
e	PHARMACY	446110	318,239,608	318,239,608
f	All other program service revenue.			33,187,243	23,835,767	9,150,552	200,924
g Total.Add lines 2a–2f.....			3,599,689,925

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			81,755,979			81,755,979
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		13,082,993
b	Less: rental expenses		905,933
c	Rental income or (loss)		12,177,060
d	Net rental income or (loss)......			12,177,060			12,177,060
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		48,799,360
b	Less: cost or other basis and sales expenses	1,058,025	161,146
c	Gain or (loss)	-1,058,025	48,638,214
d	Net gain or (loss).....			47,580,189			47,580,189
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..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			3,747,280,284	2,952,154,302	647,334,699	141,714,152

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	3,287,931	3,287,931
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 ....	9,500,143		9,500,143
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	3,003,853		3,003,853
7	Other salaries and wages	1,210,362,966	1,007,275,989	203,086,977
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	67,705,493	56,938,617	10,766,876
9	Other employee benefits .......	154,937,245	129,513,875	25,423,370
10	Payroll taxes ...........	77,341,717	62,729,689	14,612,028
11	Fees for services (non-employees):
a	Management ......	128,276,783	68,643,182	59,633,601
b	Legal .........	2,100,043	129,321	1,970,722
c	Accounting ...........	759,895		759,895
d	Lobbying ...........	865,487		865,487
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	3,720,778		3,720,778
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	293,214,201	144,871,005	148,343,196
12	Advertising and promotion ....	677,262	57,049	620,213
13	Office expenses .......	52,458,658	31,418,658	21,040,000
14	Information technology ......	12,155,489		12,155,489
15	Royalties ..	8,707	8,707
16	Occupancy ...........	65,207,369	49,146,312	16,061,057
17	Travel ............	3,598,564	2,450,997	1,147,567
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,556,796	2,988,581	568,215
20	Interest ...........	103,033,829	100,999,280	2,034,549
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	114,082,891	89,036,014	25,046,877
23	Insurance ...	8,014,115	2,333,892	5,680,223
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	1,110,796,219	1,101,351,980	9,444,239
b	TAXES	66,858,049	63,832,934	3,025,115
c	UTILITIES, REPAIRS, MAINT	28,629,092	14,076,978	14,552,114
d	SMALL ITEMS	17,658,201	9,025,808	8,632,393
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	3,541,811,776	2,940,116,799	601,694,977	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).

1	Cash–non-interest-bearing ........			1,198,965	1	1,150,729
2	Savings and temporary cash investments .........			298,370,690	2	458,359,661
3	Pledges and grants receivable, net ......			34,197,771	3	28,552,686
4	Accounts receivable, net .............			388,735,569	4	408,219,087
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 ........			70,353,999	8	76,539,587
9	Prepaid expenses and deferred charges ......			18,737,005	9	19,033,220
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,958,506,743
b	Less: accumulated depreciation	10b	1,098,249,942	868,521,515	10c	860,256,801
11	Investments—publicly traded securities .			1,002,711,636	11	1,005,220,535
12	Investments—other securities. See Part IV, line 11 .....			112,437,270	12	115,744,436
13	Investments—program-related. See Part IV, line 11 ..			153,563,058	13	56,040,406
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			311,024,779	15	365,459,781
16	Total assets. Add lines 1 through 15 (must equal line 34)...			3,259,852,257	16	3,394,576,929

17	Accounts payable and accrued expenses .....	401,049,694	17	256,295,099
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	812,314,860	20	510,920,000
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 ..	48,251,336	23	501,732,393
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	294,145,445	25	347,362,412
26	Total liabilities. Add lines 17 through 25..	1,555,761,335	26	1,616,309,904

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,654,771,989	27	1,734,896,980
28	Temporarily restricted net assets ...........	49,318,933	28	43,370,045
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 ...........	1,704,090,922	33	1,778,267,025
34	Total liabilities and net assets/fund balances ........	3,259,852,257	34	3,394,576,929

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 separately 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No