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← FAIRVIEW PHYSICIAN ASSOCIATES NETWORK

Form 990 for tax year 2024

Filed by FAIRVIEW PHYSICIAN ASSOCIATES NETWORK.

Totals

Total revenue
$11,190,868
Total expenses
$12,596,051
Contributions and grants received
$0
Grants paid
$243,370
Program services expenses (Part IX)
$8,913,424
Management and general expenses
$3,682,627
Fundraising expenses
$0
Program service expenses (Part III)
$8,913,424

Program services were 70.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Brad Wallin

    Chair

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • James Hereford

    President & CEO

    Total calculated
    $5,659,485
    From this org
    $0
    From related orgs
    $4,854,478
    Other
    $805,007
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,948,464 related
    Bonus
    $0 + $2,156,120 related
    Other
    $0 + $749,894 related
    Deferred
    $0 + $786,517 related
    Nontaxable benefits
    $0 + $18,490 related
    Filer's total
    $0 + $5,659,485 related

  • Julie Causey

    Chair

    Total calculated
    $25,000
    From this org
    $0
    From related orgs
    $25,000
    Other
    $0
    Hours/week
    2 + 2 related

  • Michael Connly

    Vice Chair, end 12-2024

    Total calculated
    $25,000
    From this org
    $0
    From related orgs
    $25,000
    Other
    $0
    Hours/week
    2 + 2 related

  • Scott Garavet

    VP & Secretary, Termed 5-2024

    Total calculated
    $141,527
    From this org
    $131,297
    From related orgs
    $0
    Other
    $10,230
    Hours/week
    40

  • Barclay Berdan

    Director

    Total calculated
    $20,000
    From this org
    $0
    From related orgs
    $20,000
    Other
    $0
    Hours/week
    2 + 2 related

  • Jodi Richard

    Director

    Total calculated
    $25,000
    From this org
    $0
    From related orgs
    $25,000
    Other
    $0
    Hours/week
    2

  • John Heinmiller

    Director

    Total calculated
    $25,000
    From this org
    $0
    From related orgs
    $25,000
    Other
    $0
    Hours/week
    2 + 2 related

  • Myron Frans

    Director

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Nissim Khabie

    Ex-Officio

    Total calculated
    $0
    Hours/week
    2

  • RIch Ostlund

    Director, end 12-2024

    Total calculated
    $35,000
    From this org
    $0
    From related orgs
    $35,000
    Other
    $0
    Hours/week
    2 + 2 related

  • Srijoy Mahapatra

    Director

    Total calculated
    $5,000
    From this org
    $0
    From related orgs
    $5,000
    Other
    $0
    Hours/week
    2

  • Tami Reller

    Director

    Total calculated
    $10,000
    From this org
    $0
    From related orgs
    $10,000
    Other
    $0
    Hours/week
    2 + 2 related

  • John Kvasnicka MD

    FPAN President & Phy Chf Spec Svcs

    Total calculated
    $853,407
    From this org
    $0
    From related orgs
    $786,009
    Other
    $67,398
    Hours/week
    12 + 28 related

    Schedule J breakdown matched by us

    Base
    $0 + $512,868 related
    Bonus
    $0 + $162,177 related
    Other
    $0 + $110,964 related
    Deferred
    $0 + $49,252 related
    Nontaxable benefits
    $0 + $18,146 related
    Filer's total
    $0 + $853,407 related

  • Joseph Gaylord

    CFO

    Total calculated
    $2,087,366
    From this org
    $0
    From related orgs
    $1,862,040
    Other
    $225,326
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,039,753 related
    Bonus
    $0 + $817,091 related
    Other
    $0 + $5,196 related
    Deferred
    $0 + $201,036 related
    Nontaxable benefits
    $0 + $24,290 related
    Filer's total
    $0 + $2,087,366 related

  • Regina Morgan

    Interim VP, Operations & Strategy

    Total calculated
    $169,283
    From this org
    $153,513
    From related orgs
    $0
    Other
    $15,770
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,817
    Bonus
    $0
    Other
    $2,696
    Deferred
    $6,183
    Nontaxable benefits
    $9,587
    Filer's total
    $169,283

  • Ashley Nguyen

    Principal Analytics Consultant

    Total calculated
    $177,186
    From this org
    $147,940
    From related orgs
    $0
    Other
    $29,246
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,566
    Bonus
    $0
    Other
    $6,374
    Deferred
    $6,247
    Nontaxable benefits
    $22,999
    Filer's total
    $177,186

  • Britta Hovey

    Dir Network Ops & Develop

    Total calculated
    $185,312
    From this org
    $179,769
    From related orgs
    $0
    Other
    $5,543
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $43,668
    Bonus
    $16,043
    Other
    $120,058
    Deferred
    $1,824
    Nontaxable benefits
    $3,719
    Filer's total
    $185,312

  • Donald Phibbs

    Finance Mgr/Contract

    Total calculated
    $178,259
    From this org
    $148,206
    From related orgs
    $0
    Other
    $30,053
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,306
    Bonus
    $0
    Other
    $900
    Deferred
    $6,067
    Nontaxable benefits
    $23,986
    Filer's total
    $178,259

  • Krystle Dodd

    Operations Manager

    Total calculated
    $147,308
    From this org
    $118,006
    From related orgs
    $0
    Other
    $29,302
    Hours/week
    40

  • Tyler Starr

    Operations Manager

    Total calculated
    $135,524
    From this org
    $107,074
    From related orgs
    $0
    Other
    $28,450
    Hours/week
    40

  • Jeoff Will

    Former Officer

    Total calculated
    $1,650,134
    From this org
    $0
    From related orgs
    $1,422,135
    Other
    $227,999
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,045,338 related
    Bonus
    $0 + $328,858 related
    Other
    $0 + $47,939 related
    Deferred
    $0 + $203,643 related
    Nontaxable benefits
    $0 + $24,356 related
    Filer's total
    $0 + $1,650,134 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 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 4a Severance or change-of-control payment
Brenda Hovey received severance pay of $117,716 during the organization's tax year. Severance benefit payments will commence on the first regularly scheduled pay date that occurs at lease five (5) days after the expiration of the rescission period. Payment of severance benefits is contingent upon (I) having first signed and not rescinded the service agreement and release agreement and (II) the return of Fairview's property.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: JAMES HEREFORD, Jeoff WIll, John Kvasnicka DUE TO A VESTING EVENT, THE FOLLOWING INDIVIDUALS HAD INCOME IN PART VII AND SCHEDULE J RELATED TO A NONQUALIFIED RETIREMENT PLAN: JAMES HEREFORD $731,606 JOHN KVASNICKA, MD $105,807 JEOFF WILL $45,110
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 Establish Compensation
FAIRVIEW PHYSICIAN ASSOCIATES NETWORK 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 III Other 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, withing 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.

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

  • SOUTHDALE PEDIATRIC ASSOC LTD

    $43,750

    The organization was awarded two grants. One for reducing pain during vaccine injections and the other for instrument-based vision screening for young children. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purpose. Use of the funds will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care management programs, which reduce the cost of delivery of care.

  • RICHFIELD MEDICAL GROUP

    $37,400

    The organization was awarded a grant for IPad integration with EPIC. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purposes. Such a system will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care.

  • PREMIER OBGYN OF MINNESOTA

    $35,000

    The organization was awarded a grant for Patient Electronic Check in/ Appointments Scheduling Platform. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purposes. Such a system will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care.

  • C-SUITE RESOURCES

    $35,000

    The organization was awarded a grant for their Learning to Lead Program. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purpose. Use of the funds will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care management programs, which reduce the cost of delivery of care.

  • SOUTH LAKE CLINIC PA

    $34,956

    The organization was awarded a grant for Behavioral Health Care Management. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purpose. Use of the funds will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care management programs, which reduce the cost of delivery of care.

  • TRUCARE CLINIC

    $34,462

    The organization was awarded a grant for Brighter Futures in HEDIS Performance Measurements. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purpose. Use of the funds will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care management programs, which reduce the cost of delivery of care.

  • INFINITE HEALTH COLLABORATIVE PA

    $12,802

    The organization was awarded a grant for Patient Electronic Check in. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purposes. Such a system will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care management programs, which reduce the cost of delivery of care.

  • HEALTHEAST WOODWINDS HOSPTIAL

    $10,000

    The organization was awarded a grant for GENDER CARE. Resources will assist in providing care and advancing the health of the community in furtherance of FPAN's tax exempt purpose. Use of the funds will result in clinical and quality improvement protocols and procedures, which lead to better care for the populations served, and care management programs, which reduce the cost of delivery of care.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
7 November 2025
IRS schema version
2024v5.1
Source object
202533119349302793

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