2025-11-07T13:30:58+00:00 2024-12-31 990 2024-01-01 411753325 Fairview Physician Associates Network FAIR 6166726893 7505 Metro Blvd Suite 315 Edina MN 554393020 John Kvasnicka MD President 6126727272 2025-11-07 true 2024 2025-03-06 01:10:19Z John Kvasnicka MD 7505 Metro Blvd Suite 315 Edina MN 554393020 11190868 false X www.fpanetwork.org X 1993 MN The primary exempt purpose of Fairview Physician Associates Network is to advance the health of the community by continuously improving the quality of health care services delivered to individuals. 8 7 13 0 0 0 29864141 8967797 984225 2223071 0 30848366 11190868 170264 243370 0 2062037 5542717 0 0 24372155 6809964 26604456 12596051 4243910 -1405183 66199922 65793742 26432869 27121375 39767053 38672367 Fairview Physician Associates (FPA) is an integrated practice network of more than 4,000 providers. As a physician-and clinic administrator - led nonprofit, we work to provide personalized care that improves health outcomes of individuals in our defined community, while providing quality care, exceptional patient satisfaction and reducing total cost of care. false false 8913424 243370 8967797 Fairview Physician Associates Network (FPA) currently is accountable for providing a broad array of healthcare services for over 525,000 individuals through our contracts with purchasers and payers. The network assumes risk for over 438,000 member lives in shared savings incentives, including 120,000 member lives in defined network products. Although many of FPA's health improvement and population management initiatives have been developed to increase quality, improve the patient experience, and decrease cost to the individuals served through our shared savings care system contracts, many of the benefits accrue to the entire population served through FPA affiliated clinics and Fairview hospitals (clinical integration). The organization provided $243,370 in grants to various health care organizations (see Schedule I). These funds were used to distribute 1.2 million meals through 20 food pantries and mobile food banks. Approximately 15,000 families were served monthly during 2024. Another use of the funds as for the Learning to Lead program offered by C-Suite Resources which is designed for physicians to cultivate their leadership skills and promote professional growth. Finally, grants funds were used to implement and integrate eCW Behavioral Health Care Management modules to organize patient and care team information in a centralized location, enhance data analytic and reporting capabilities, reduce staff time in managing registries and provide organizational tools for patient management. 8913424 true false false false false false false false false false false true false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false false false true false false false false true X 0 0 13 true false false false false false false false false false false false false X 8 7 false false false false true true true true true false false false true true true true true true true true false false MN X DAWN KSEPKA 6126724986 1700 University Avenue W St Paul MN 55104 Brad Wallin Chair 2.0 2.0 X X 0 0 0 James Hereford President & CEO 1.0 40.0 X X 0 4854478 805007 Julie Causey Chair 2.0 2.0 X X 0 25000 0 Michael Connly Vice Chair, end 12-2024 2.0 2.0 X X 0 25000 0 Scott Garavet VP & Secretary, Termed 5-2024 40.0 0.0 X X 131297 0 10230 Barclay Berdan Director 2.0 2.0 X 0 20000 0 Jodi Richard Director 2.0 0.0 X 0 25000 0 John Heinmiller Director 2.0 2.0 X 0 25000 0 Myron Frans Director 2.0 2.0 X 0 0 0 Nissim Khabie Ex-Officio 2.0 0.0 X 0 0 0 RIch Ostlund Director, end 12-2024 2.0 2.0 X 0 35000 0 Srijoy Mahapatra Director 2.0 0.0 X 0 5000 0 Tami Reller Director 2.0 2.0 X 0 10000 0 John Kvasnicka MD FPAN President & Phy Chf Spec Svcs 12.0 28.0 X 0 786009 67398 Joseph Gaylord CFO 2.0 40.0 X 0 1862040 225326 Regina Morgan Interim VP, Operations & Strategy 40.0 0.0 X 153513 0 15770 Ashley Nguyen Principal Analytics Consultant 40.0 0.0 X 147940 0 29246 Britta Hovey Dir Network Ops & Develop 40.0 0.0 X 179769 0 5543 Donald Phibbs Finance Mgr/Contract 40.0 0.0 X 148206 0 30053 Krystle Dodd Operations Manager 40.0 0.0 X 118006 0 29302 Tyler Starr Operations Manager 40.0 0.0 X 107074 0 28450 Jeoff Will Former Officer 0.0 40.0 X 0 1422135 227999 985805 9094662 1474324 7 true true false 0 0 Program Service Revenue 621110 8967797 8967797 0 0 0 0 8967797 1276556 1276556 0 0 946515 946515 0 946515 946515 0 0 0 0 0 0 11190868 8967797 0 2223071 X 243370 243370 310809 218732 92077 4106932 2890254 1216678 156789 110340 46449 649778 457281 192497 318409 224080 94329 2042224 1437215 605009 4231154 2977675 1253479 0 14121 9938 4183 429067 301956 127111 6957 4896 2061 6130 4314 1816 1883 1325 558 Taxes 39310 27664 11646 Investment Bank Service Charges 32889 32889 Supplies 3833 2698 1135 Memberships/License 2396 1686 710 0 0 0 0 12596051 8913424 3682627 0 9005044 11085451 7630956 19267614 28830454 13031229 0 0 0 0 0 0 0 0 12518444 13403257 7807332 8645012 0 407692 361179 66199922 65793742 552332 1682080 22546946 25019079 0 0 3333591 420216 26432869 27121375 39767053 38672367 39767053 38672367 66199922 65793742 -1405183 310497 0 X false true true false X 0 4776352 7192782 7297014 29864141 8967797 58098086 0 0 0 4776352 7192782 7297014 29864141 8967797 58098086 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58098086 385222 431779 506039 639740 1276556 3239336 0 385222 431779 506039 639740 1276556 3239336 0 0 0 0 0 0 0 5161574 7624561 7803053 30503881 10244353 61337422 0.94719 0.96072 0.05 0.04 X Closely-held equity interests Financial derivatives Hedge Funds 4332120 Private Capital 921686 Fixed Income 1108410 LT Equity 2282796 8645012 Federal Income Taxes ST/LT Lease Liability 420216 Accrued Distribution 0 420216 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Fairview Physician Associates Network is part of Fairview Health Services. Fairview recognizes all tax positions, including those positions in a previously filed tax return or a position expected to be taken in a future tax filing that is reflected in measuring current or deferred income tax assets and liabilities, when it is more likely than not (likelihood of greater than 50%) that, based on technical merits, the position will be sustained upon examination. There are $8,300,000 and $6,800,000 uncertain tax positions recorded on the consolidated balance sheets as of December 31, 2024 and 2023, respectively. Fairview has made reasonable estimates of the provision for income taxes and on existing deferred tax balances based on accounting guidance included in ASC 740, Income Taxes. Fairview does not expect that there will be a significant change in the total amount of unrecognized tax benefits within the next 12 months. true SOUTHDALE PEDIATRIC ASSOC LTD 501 E Nicollet Blvd Suite 200 Burnsville MN 55337 410962307 43750 CASH 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 6440 NICOLLET AVE RICHFIELD MN 55423 410979714 37400 CASH 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 2945 HAZELWOOD STREET SUITE 210 MAPLEWOOD MN 55109 411236623 35000 CASH 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 13570 Grove Drive 369 MAPLE GROVE MN 55311 411756246 35000 CASH 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 17705 HUTCHINS DRIVE MINNETONKA MN 55345 411240834 34956 CASH 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 1527 East Lake Street Suite 1 MINNEAPOLIS MN 55407 882302614 34462 CASH 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 1000 W 140th St Suite 100 BURNSVILLE MN 55337 411861374 12802 CASH 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 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 411592761 501C3 10000 CASH 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. 1 7 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Procedures for Monitoring Requirements: Project to be completed within 1 year of award date. Mandatory reporting at 6 months and at project completion. Shared learning via required storyboard within 30 days of project end. Clinic must be willing to field calls from others interested in more detail regarding their project. true true false false false false false true false James Hereford President & CEO 0 1948464 0 2156120 0 749894 0 786517 0 18490 0 5659485 0 731606 Jeoff Will Former Officer 0 1045338 0 328858 0 47939 0 203643 0 24356 0 1650134 0 45110 Joseph Gaylord CFO 0 1039753 0 817091 0 5196 0 201036 0 24290 0 2087366 0 0 John Kvasnicka MD FPAN President & Phy Chf Spec Svcs 0 512868 0 162177 0 110964 0 49252 0 18146 0 853407 0 105807 Regina Morgan Interim VP, Operations & Strategy 150817 0 0 0 2696 0 6183 0 9587 0 169283 0 0 0 Britta Hovey Dir Network Ops & Develop 43668 0 16043 0 120058 0 1824 0 3719 0 185312 0 0 0 Donald Phibbs Finance Mgr/Contract 147306 0 0 0 900 0 6067 0 23986 0 178259 0 0 0 Ashley Nguyen Principal Analytics Consultant 141566 0 0 0 6374 0 6247 0 22999 0 177186 0 0 0 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. Form 990, Part V, Line 1a Part V, Lines 1a and 1b All Form 1099's were filed by a related organization Fairview Health Services, a 501(c)(3) non-profit, tax-exempt organization. Form 990, Part V, Line 15 Section 4960 Tax FAIRVIEW HEALTH SERVICES, A RELATED 501(C)3 TAX-EXEMPT ORGANIZATION, FILES AND REMITS ALL RELATED SECTION 4960 EXCISE TAX ON FORM 4720 FOR THE SYSTEM. Form 990, Part VI, Line 6 Classes of members or stockholders Fairview Health Services is the sole member. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The members vote to approve physician directors who serve on the Fairview Physician Associates Board. The physician members elect the physician directors and Fairview Association elects the community directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Fairview Health Services has reserve powers. Form 990, Part VI, Line 11b Review of form 990 by governing body The Tax Department conducts a detailed review of the completed return. The return is also reviewed by the Officers of the organization. The Form 990 is then provided to the Fairview Physician Associates Network Board of Directors prior to its filing. Form 990, Part VI, Line 12c Conflict of interest policy Managers, directors, and senior management of Fairview Physician Associates Network are required to complete Fairview Health Services's Duty of Loyalty and Conflict of Interest statement in compliance with Fairview Health Services' Duty of Loyalty and Conflict of Interest policy. Form 990, Part VI, Line 15a Process to establish compensation of top management official Fairview Physician Associates Network is part of the Fairview Health Services system and Fairview Health Services Human Resources uses comparables to set compensation according to market standards. Form 990, Part VI, Line 15b Process to establish compensation of other employees Fairview Physician Associates Network is part of the Fairview Health Services system and Fairview Health Services Human Resources uses comparables to set compensation according to market standards. Form 990, Part VI, Line 19 Required documents available to the public Fairview Physician Associates Network makes its governing documents conflict of interest policy, and financial statements available to the public upon request and inspection of the documents is available at the Corporate Finance Department. Form 990, Part VII, Section B, Line 1 Additional Information Form 1099's were filed by a related organization Fairview Health Services, a 501(c)(3) non-profit, tax-exempt organizations. Fairview Health Services reports the five highest compensated independent contractors for the system. Form 990, Part IX, Line 11g Other Fees Risk Sharing Expense - Total Expense: 1591775, Program Service Expense: 1120212, Management and General Expenses: 471563, Fundraising Expenses: ; Purchased Services - Total Expense: 184276, Program Service Expense: 129684, Management and General Expenses: 54592, Fundraising Expenses: ; Printing Costs - Total Expense: 70, Program Service Expense: 49, Management and General Expenses: 21, Fundraising Expenses: ; Waste Management Fees - Total Expense: 1591, Program Service Expense: 1120, Management and General Expenses: 471, Fundraising Expenses: ; Medication Therapy Management - Total Expense: 2420887, Program Service Expense: 1703699, Management and General Expenses: 717188, Fundraising Expenses: ; Counseling and Referral Services - Total Expense: 32555, Program Service Expense: 22911, Management and General Expenses: 9644, Fundraising Expenses: ; Fairview Foundation 2450 Riverside Avenue South Minneapolis MN 55454 411573810 Fundraising MN 501(c)(3) Type I Fairview Health Services false Fairview Home Care and Hospice 2450 26th Avenue South Minneapolis MN 55406 411434246 Home Health MN 501(c)(3) 10 Fairview Health Services false Fairview Health Services 2450 Riverside Avenue Minneapolis MN 55454 410991680 Hospital MN 501(c)(3) 3 NA false Range Regional Health Services & Su 750 East 34th Street Hibbing MN 55746 411293970 Hospital MN 501(c)(3) 3 Fairview Health Services false Ebenezer Society 7505 Metro Boulevard Suite 100 Edina MN 55439 410706141 Nursing MN 501(c)(3) 10 Fairview Health Services false Fairview Bethesda Hospital 2450 Riverside Avenue South Minneapolis MN 55454 363617697 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast St John's Hospital 2450 Riverside Avenue South Minneapolis MN 55454 141456897 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast Woodwinds Hospital 2450 Riverside Avenue South Minneapolis MN 55454 411592761 Hospital MN 501(c)(3) 3 Fairview Health Services false HealthEast Medical Research Institute 2450 Riverside Avenue South Minneapolis MN 55454 411765832 Med Resear MN 501(c)(3) 4 Fairview Health Services false Grand Itasca Clinic and Hosptial 1601 Golf Course Road Grand Rapids MN 55744 411865874 Hospital MN 501(c)(3) 3 Fairview Health Services false Ridges Surgery Center LLC 14101 Fairview Drive Ste 400 Burnsville MN 55337 462441825 Surgery Center MN Fairview Health Services N/A SouthHealth ASC LLC 4200 Dahlberg Drive Suite 300 Golden Valley MN 55422 822364607 Surgery Center MN Fairview Health Services N/A North Memorial Health Care Home Infusion 719 Kasota Ave SE Minneapolis MN 55414 814469761 Home Infusion MN Fairview Pharmacy Services LLC N/A Fairview Clinics 2450 Riverside Avenue South Minneapolis MN 55454 411761760 Physician MN Fairview Health Services C Corporation false Fairview Physician and Clinic Services 2450 Riverside Avenue South Minneapolis MN 55454 411544996 Physician MN Fairview Health Services C Corporation false Fairview Development Company 2450 Riverside Avenue South Minneapolis MN 55454 411568579 Leasehold MN Fairview Health Services C Corporation false Fairview Express Care 2450 Riverside Avenue South Minneapolis MN 55454 205996177 Physician MN Fairview Health Services C Corporation false FHS Assurance Limited 2450 Riverside Avenue South Minneapolis MN 55454 980417513 Self insur MN Fairview Health Services C Corporation false HealthEast Diversified Services Inc 2450 Riverside Avenue South Minneapolis MN 55454 411388583 Lab & Real MN Fairview Health Services C Corporation false Fairview Pharmacy Solutions LLC 711 Kasota Ave W Minneapolis MN 55414 994792745 Pharmacy Consulting Services DE Fairview Pharmacy Services LLC C Corporation false false true false false false false false false false false false false true true true true false false true