Form 990 for tax year 2023

Totals

Total revenue

$50,847,192

Total expenses

$48,660,649

Contributions and grants received

$36,000

Grants paid

$0

Program service revenue

$45,647,776

Investment income

$5,163,416

Other revenue

$0

Total assets, end of year

$42,171,240

Total liabilities, end of year

$188,308,984

Net assets or fund balances, end of year

-$146,137,744

Program services expenses (Part IX)

$42,346,985

Management and general expenses

$6,313,664

Fundraising expenses

$0

Program service expenses (Part III)

$42,346,985

Program services were 87.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• Fairview Bethesda Hospital is part of the Fairview Health Services system and provides post-acute care to patients following a catastrophic illness or injury. These patients have clinical needs justifying a hospital stay beyond 20 days, require a daily physician visit, and need interdisciplinary support and multiple therapy disciplines. Fairview Bethesda Hospital is part of Fairview Health Services. Fairview Health Services is an integrated academic health system located in Minneapolis, Minnesota, and, along with its affiliates and subsidiaries, is one of the leading health care providers in Minnesota with $7.3 billion in operating revenue for 2023. Fairview offers a broad continuum of health care services through its hospitals, clinics, and other health care related operations and is a Minnesota nonprofit corporation that is exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code. The most recent community health needs assessment (CHNA) identified 3 key areas as the greatest needs in our community - navigating and accessing care and resources; healing, connectedness, and mental health; structural racism and barriers to equity. Fairview Health Services is meeting the needs of the community by focusing on racial and ethnic populations experiencing health disparities and people experiencing poverty through partnering with the community to build solutions, removing barriers to create and expand relevant programs and focused services. Please see Schedule H for a description of additional services, community benefit activities, and the full spectrum of charity care that Fairview Bethesda Hospital provides to the community. Fairview serves the entire twelve-county Minneapolis/St. Paul Metro Area, as well as communities throughout greater Minnesota and portions of Northern Iowa and Western Wisconsin and is one of the most comprehensive and geographically accessible systems in Minnesota. The Fairview System consists of ten hospitals, including M Health Fairview University of Minnesota Medical Center and M Health Fairview Masonic Children's Hospital (collectively, "UMMC"), which is the adult and pediatric teaching hospital of the University of Minnesota. UMMC and seven of Fairview's other hospitals are in the Metro Area. Fairview's other two hospitals are located in northern Minnesota. Fairview operates over 80 primary and specialty care clinics, seven ambulatory care centers, 37 retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, physician network, senior care housing and long- term care facilities and medical transportation. Fairview, through its integrated care model, aims to deliver the benefits of academic medicine to more patients and families by expanding care, research, and education by offering access to a greater pool of physicians and patients, while seeking to reduce the total cost of care for patients. Fairview, the University of Minnesota and the University of Minnesota Physicians approved an agreement which became effective in late 2018 (the "M Health Fairview Agreement"). While the parties maintain their separate governance, the M Health Fairview Agreement further integrated operations across the clinical delivery system and enhances research and education by creating a joint clinical enterprise among the parties. The M Health Fairview Agreement brings together UMMC and its related service lines, Fairview's community hospitals and primary care clinics, and other services. All are part of a shared care delivery system that is led by a single structure that includes academic physician leadership. The goal of the joint clinical enterprise is to create a nationally-renowned academic health system. This care system was united in 2020 under a single brand, M Health Fairview, which is inclusive of Fairview's ten hospitals and its clinics. Fairview owns and operates the following hospitals: UMMC, M Health Fairview Southdale Hospital, M Health Fairview Ridges Hospital, M Health Fairview Lakes Medical Center, M Health Fairview Northland Medical Center, Fairview University Medical Center - Mesabi ("Range"), Grand Itasca Clinic and Hospital, M Health Fairview St. John's Hospital, M Health Fairview Woodwinds Hospital and M Health Fairview Bethesda Long Term Acute Hospital. As of December 31, 2023, the Fairview System Hospitals had a total of 3,529 licensed beds and 1,824 staffed beds. Fairview operates their more than 80 primary and specialty care clinics throughout the Metro Area, greater Minnesota and western Wisconsin. These clinics offer services in over 70 medical specialties, including family medicine, pediatrics, obstetrics, gynecology, heart care, cancer care, otolaryngology, transplant care, and orthopedics. As of December 31, 2023, Fairview owned all or a portion of six ambulatory surgery centers located in the Metro Area. Fairview and Fairview Pharmacy Services own and operate pharmacies at 37 locations, including a network of retail pharmacies, oncology pharmacies, two home infusion pharmacies (Minneapolis and Duluth, Minnesota), and a specialty pharmacy. M Health Fairview Rehabilitation Services ("MHFRS") provides a full continuum of inpatient and outpatient rehabilitation services for pediatric and adult patients as well as an inpatient rehabilitation facility, a hospital based skilled nursing facility and an adult day program. In addition to providing inpatient services in nine hospitals, MHFRS has 58 outpatient hospital based and free-standing clinics that serve pediatric and adult patients. Specialty services include rehabilitation in the following areas: Cardiac and Pulmonary rehabilitation, Audiology, Orthopedic, Sports related injuries, Neurological, Vestibular, and Cancer Rehab. Hand therapy services are also provided in seven locations. MHFRS serves about 750,000 patient visits/year. M Health Fairview Emergency Medical Services offers emergency medical services and scheduled transportation across the Metro Area and supports the community by responding to more than 60,000 calls annually. Ebenezer, a non-profit subsidiary of Fairview, provides long-term senior care facilities, senior housing, adult care services. Ebenezer's goal is to provide a supportive environment where older adults can pursue longer, healthier, and more meaningful lives.

  Expenses $35,565,287 · Revenue $36,682,520

• As indicated in Part III, Line 2, HealthEast Transportation activity was moved out of this entity, Fairview Bethesda Hospital and moved to the parent organization, Fairview Health Services, a 501(c)3 tax-exempt organization, effective 4/1/2023. Fairview Bethesda Hospital provided emergency medical services through HealthEast Medical Transportation (HEMT) which offers emergency medical services and scheduled transportation across the Metro Area and supports the community by responding to more than 50,000 calls annually. HealthEast Medical Transportation continues to be a Twin Cities leader in emergency and scheduled transportation services. Services provided to meet the needs of the community are: * Ground Ambulance Services (Advanced and Basic Life Support and Critical Care) * Emergency Communications Services * Fleet Maintenance Services * Emergency Vehicle Conversion Services * Training and Education through EMS Academy * Special Event Medical Standbys * Programs including Community Paramedicine, Community CPR and Care Seat Checks. * Wheelchair Transportation Services (MedKab) * HealthEast Care System Inter-facility Courier Services * Tactical Emergency Medical Services (TEMS) for High-Risk Situations HealthEast Medical Transportation has been serving the Twin Cities for more than 100 years under different company names. Our service began in 1910 as Olsen Ambulance. In 1986, we became HealthEast Medical Transportation when Fairview Bethesda Hospital was formed. Today we provide wheelchair transport, and basic, advanced, and critical care life support transportation throughout the Twin Cities. We are also proud to provide 9-1-1 advanced life support for northern Dakota County. Revenues include payments from the Medicare and Medicaid programs. All of these services relate directly to the exempt purpose of caring for sick, infirm, aged and injured persons regardless of their race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, membership or activity in a local commission, disability, sexual orientation, gender identity or expression, age or genetic information. HealthEast seeks to be a welcoming and inclusive provider of care providing optimal health and well-being for our patients, our communities and ourselves. This organization provides emergency and medically necessary non-emergency services regardless of ability to pay.

  Expenses $6,781,698 · Revenue $8,965,256

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

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, and on a Form 990-PF Part VIII's — 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

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

No itemized grants to organizations on this return.

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.

• Ebenezer Society

  501(c)(3) · Nursing · MN

  Directly controlled by Fairview Health Services

• Fairview Foundation

  501(c)(3) · Fundraising · MN

  Directly controlled by Fairview Health Services

• Fairview Health Services

  501(c)(3) · Hospital · MN

  Directly controlled by NA

• Fairview Home Care and Hospice

  501(c)(3) · Home Health · MN

  Directly controlled by Fairview Health Services

• Fairview Physician Associates Netwo

  501(c)(3) · Clinical · MN

  Directly controlled by Fairview Health Services

• Grand Itasca Clinic and Hosptial

  501(c)(3) · Hospital · MN

  Directly controlled by Fairview Health Services

• HealthEast Medical Research Institute

  501(c)(3) · Med Resear · MN

  Directly controlled by Fairview Health Services

• HealthEast Professional Services

  501(c)(3) · Physician · MN

  Directly controlled by Fairview Health Services

• HealthEast St John's Hospital

  501(c)(3) · Hospital · MN

  Directly controlled by Fairview Health Services

• HealthEast Woodwinds Hospital

  501(c)(3) · Hospital · MN

  Directly controlled by Fairview Health Services

• Range Regional Health Services

  501(c)(3) · Hospital · MN

  Directly controlled by Fairview Health Services

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2023

Filed

11 November 2024

IRS schema version

2023v5.1

Source object

202433169349304008

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