Totals
- Total revenue
- $1,113,450
- Total expenses
- $3,611,407
- Contributions and grants received
- $363,492
- Grants paid
- $3,551,197
- Program services expenses (Part IX)
- $3,551,197
- Management and general expenses
- $26,784
- Fundraising expenses
- $33,426
- Program service expenses (Part III)
- $3,551,197
Program services were 98.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Andrea Mokros
Secretary
- Total calculated
- $931,088
- From this org
- $0
- From related orgs
- $875,398
- Other
- $55,690
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $535,452 related
- Bonus
- $0 + $339,061 related
- Other
- $0 + $885 related
- Deferred
- $0 + $45,544 related
- Nontaxable benefits
- $0 + $10,146 related
- Filer's total
- $0 + $931,088 related
-
John Swanholm
Pres & Treasurer
- Total calculated
- $528,436
- From this org
- $0
- From related orgs
- $489,044
- Other
- $39,392
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $386,591 related
- Bonus
- $0 + $58,830 related
- Other
- $0 + $43,623 related
- Deferred
- $0 + $16,467 related
- Nontaxable benefits
- $0 + $22,925 related
- Filer's total
- $0 + $528,436 related
-
Mai Moua
Chair
- Total calculated
- $0
- Hours/week
- 2
-
Roland Hayes
Vice Chair
- Total calculated
- $0
- Hours/week
- 2
-
Taqee Khaled
Director
- Total calculated
- $0
- Hours/week
- 2
-
Thomas Fee
Director
- Total calculated
- $0
- Hours/week
- 2
-
Tiffany Blank
Sr Dir Community Impact
- Total calculated
- $227,357
- From this org
- $0
- From related orgs
- $194,462
- Other
- $32,895
- Hours/week
- 8 + 32 related
Schedule J breakdown matched by us
- Base
- $0 + $176,734 related
- Bonus
- $0 + $16,983 related
- Other
- $0 + $745 related
- Deferred
- $0 + $8,371 related
- Nontaxable benefits
- $0 + $24,524 related
- Filer's total
- $0 + $227,357 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
- THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: JOHN SWANHOLM, ANDREA MOKROS DUE TO A VESTING EVENT, THE FOLLOWING INDIVIDUALS HAD INCOME IN PART VII AND SCHEDULE J RELATED TO A NONQUALIFIED RETIREMENT PLAN: JOHN SWANHOLM, $41,477
- Schedule J, Part I, Line 7 Non-fixed payments
- Fairview Health Services provides lump sum financial awards based on system-wide, business unit and/or departments financial and quality measures. Annual goals, specifically tied to productivity and quality indicators, are set for the year and an incentive paid out annually if key goals and measures are achieved.
- Schedule J, Part I, Line 3 Related Org to establish compensation
- FAIRVIEW FOUNDATION IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND FAIRVIEW HEALTH SERVICES HUMAN RESOURCES USES COMPARABLES TO ESTABLISH COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR ACCORDING TO MARKET STANDARDS.
- Schedule J, Part I, Line 4b Additional Information
- The non-qualified plan (the plan) is only open to a select group of highly compensated employees. The plan contributes the difference of what 403(b) employer contributions were missed for participants who earn more than the IRS limit on eligible compensation for qualitied retirement plans. Participants may not elect to defer compensation. Contributions will be made in the form of a credit to the participant's account, within 60 days after a participant becomes vested in a contribution. The plan shall pay to the participant an amount equal to the amount the participant is required to pay federal, state, local and foreign income taxes and employment taxes due to the vesting. The remaining amount in the participant's account shall not be paid until the separation from services payment date. A participant's account shall be distributed in cash. The plan complies with Section 457(f) of the IRS code.
- Schedule J, Part III Other Additional Information
- The nonqualified 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.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$2,794,094
Hospital Program Services, see Part IV for additional information.
-
Patient Program Services
-
$25,469
Hospital Program Services
-
$12,882
Hospital Program Services
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(c)(3) · Hospital · MN
Directly controlled by NA
-
Fairview Home Care and Hospice
501(c)(3) · Home Healt · MN
Directly controlled by Fairview Health Services
-
Fairview Physician Associates Network
501(c)(3) · Specialty · MN
Directly controlled by Fairview Health Services
-
Range Regional Health Services
501(c)(3) · Hospital P · MN
Directly controlled by Fairview Health Services
-
501(c)(3) · Nursing an · MN
Directly controlled by Fairview Health Services
-
501(c)(3) · Hospital · MN
Directly controlled by Fairview Health Services
-
501(c)(3) · Hospital · MN
Directly controlled by Fairview Health Services
-
501(c)(3) · Hospital · MN
Directly controlled by Fairview Health Services
-
HealthEast Medical Research Institute
501(c)(3) · Medical Research · MN
Directly controlled by Fairview Health Services
-
Grand Itasca Clinic and Hospital
501(c)(3) · Hospital · MN
Directly controlled by Fairview Health Services
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 7 November 2025
- IRS schema version
- 2024v5.1
- Source object
- 202503119349302790
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