2021-11-04T10:49:22-05:00 2020-12-31 410991680 FAIRVIEW HEALTH SVCS 2450 RIVERSIDE AVE S DEPT C-207 LE MINNEAPOLIS MN 554541450 990 2020-01-01 411560554 GRAND ITASCA FOUNDATION GRAN 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 JEAN MACDONELL PRESIDENT & CEO-GICH 2021-11-04 JEAN MACDONELL 999009999 2021-11-04 2020 2022-09-23 18:48:47Z JEAN MACDONELL 1680 GOLF COURSE ROAD GRAND RAPIDS MN 55744 482819 false X HTTPS://WWW.GRANDITASCA.ORG/FOUNDATION X 1986 MN TO BUILD PHILANTHROPIC PARTNERSHIPS TO SUPPORT THE MISSION OF GRAND ITASCA CLINIC AND HOSPITAL. 15 12 0 0 750634 481513 0 1587 1306 -16806 0 735415 482819 647058 497355 0 0 0 0 10896 21154 657954 518509 77461 -35690 1086497 1302928 133507 262003 952990 1040925 TO BUILD PHILANTHROPIC PARTNERSHIPS TO SUPPORT THE MISSION OF GRAND ITASCA CLINIC AND HOSPITAL. false false 497355 497355 481513 GRAND ITASCA FOUNDATION ENHANCES AND HELPS TO GUARANTEE THE DELIVERY OF CONTRIBUTIONS AND PROVIDE FINANCIAL SUPPORT TO GRAND ITASCA CLINIC AND HOSPITAL. IN 2020 GRAND ITASCA FOUNDATION AWARDED 497,355 IN TOTAL GRANT FUNDING TO ORGANIZATIONS AND INDIVIDUALS. THIS INCLUDES 346,654 TO GRAND ITASCA CLINIC AND HOSPITAL FOR PATIENT FOCUSED PROJECTS, 100,125 TO THE GRAND ITASCA AREA COMMUNITY FUND, 7 INDIVIDUAL SCHOLARSHIP AWARDS TOTALING 24,000 AND CARE TO SHARE GRANTS TO 53 RECIPENTS FOR A TOTAL OF 26,576. 497355 true true false false false false false false false false false false false false true true false true false false false false false false false false false true true true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 15 12 false false false false true true true true true false false false true true true true true false false false MN X TODD CHRISTENSEN 2189991702 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 JAMES HEREFORD PRESIDENT/CE 1.00 40.00 X 0 1905996 715433 JEAN MACDONELL PRESIDENT & 1.00 40.00 X 0 276197 43956 ROSE VILLENEUVE GNP DIRECTOR, NE 1.00 40.00 X 0 122927 35970 KELLY KIRWIN FOUNDATION D 1.00 40.00 X 0 100376 34092 KATIE TROUMBLY DIRECTOR 1.00 40.00 X 0 107744 7012 CHARITY BRANSTAD RN DIRECTOR 1.00 40.00 X 0 88163 3950 DALE ADAMS DIRECTOR 1.00 0.00 X 0 0 0 MIKE AULTMAN DIRECTOR 1.00 0.00 X 0 0 0 AMBER BURGGRAF SECRETARY 1.00 0.00 X 0 0 0 JOE CARGILL CHAIR 1.00 0.00 X 0 0 0 SCOTT GERLING DIRECTOR 1.00 0.00 X 0 0 0 KIRK GILBERTSON DIRECTOR 1.00 0.00 X 0 0 0 CORY JACKSON VICE CHAIR 1.00 0.00 X 0 0 0 JERRY KLEVEN DIRECTOR, EN 1.00 0.00 X 0 0 0 SUE MATTSON DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH MISKOVICH DIRECTOR, NE 1.00 0.00 X 0 0 0 NICK ROTHSTEIN DIRECTOR 1.00 0.00 X 0 0 0 ANDY SHERMOEN TREASURER 1.00 0.00 X 0 0 0 2601403 840413 false true false 250000 10000 221513 481513 1306 1306 482819 1306 446779 446779 50576 50576 8700 8700 9086 9086 SUBSCRIPTION FEES 2693 2693 PRINTING 512 512 BANK FEES 94 94 MISCELLANEOUS 69 69 518509 497355 21154 0 777589 1069416 296459 231649 11246 1863 1203 1086497 1302928 10604 233 122903 261770 133507 262003 X 38230 -118371 914760 1159296 952990 1040925 1086497 1302928 X -35690 123625 X false true X true false X X 1 GRAND ITASCA CLINIC AND HOSITAL GRAND ITASCA CLINIC AND HOSPITAL 411865874 3 true 346654 0 1 346654 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED INTERCOMPANY PAYABLE 261770 261770 X SCHEDULE D, PAGE 3, PART X GRAND ITASCA FOUNDATION AS PART OF 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 NO UNCERTAIN TAX POSITIONS RECORDED ON THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2020 OR 2019. 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 GRAND ITASCA CLINIC & HOSPITAL 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 411865874 501(C) 346654 PROGRAM SUPPORT GRAND RAPIDS AREA COMMUNITY FOUNDAT 350 NW 1ST AVENUE SUITE E GRAND RAPIDS MN 55744 411761590 501(C) 100125 PROGRAM SUPPORT 2 SCHOLARSHIPS 7 24000 CARE TO SHARE 53 26576 SCHEDULE I, PAGE 1, PART I, LINE 2 ALL GRANT REQUESTS ARE APPROVED OR DENIED BY THE FOUNDATION BOARD PRIOR TO APPROVAL AND/OR PAYMENT AND MUST BE IN LINE WITH THE FOUNDATION'S MISSION OF HELPING TO SUPPORT THE INTERNAL NEEDS OF GRAND ITASCA CLINIC & HOSPITAL, PROMOTING A HEALTHY COMMUNITY, AND RAISING AWARENESS OF THE IMPACT AND VALUE OF GRAND ITASCA CLINIC & HOSPITAL. SCHOLARSHIP FUNDS ARE SENT DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT. IF A STUDENT HAS ANY CHANGES (TRANSFERS, ETC.) WE RECEIVE FUNDS BACK FOR UNUSED DOLLARS, BUT THE FOUNDATION DOES NOT FOLLOW-UP WITH STUDENTS/RECIPIENTS SPECIFICALLY ABOUT THEIR SCHOLARSHIP FUNDS. false true false false false false false true false JAMES HEREFORD PRESIDENT/CEO-FHS 1655996 250000 675788 39645 2621429 JEAN MACDONELL PRESIDENT & CEO-GICH 275787 410 19305 24651 320153 ROSE VILLENEUVE GNP DIRECTOR, NEW 1-2020 122927 5502 30468 158897 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES HEREFORD 0 630,288 0 SCHEDULE J, PAGE 1, PART I, LINE 7 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 III 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. FORM 990, PAGE 6, PART VI, LINE 6 GRAND ITASCA CLINIC & HOSPITAL, A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF GRAND ITASCA FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 7A GRAND ITASCA CLINIC & HOSPITAL, AS THE ONLY VOTING MEMBER OF GRAND ITASCA FOUNDATION, HAS THE AUTHORITY TO ELECT AND REMOVE THE DIRECTORS OF GRAND ITASCA FOUNDATION WITH OR WITHOUT CAUSE, AT ANY TIME. FORM 990, PAGE 6, PART VI, LINE 7B VARIOUS POWERS, AS STATED IN SECTION 4.4 OF GRAND ITASCA FOUNDATION'S BYLAWS, ARE RESERVED FOR GRAND ITASCA CLINIC & HOSPITAL, THE ONE VOTING MEMBER OF GRAND ITASCA FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND THE FOUNDATION DIRECTOR PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST POLICIES ARE REVIEWED ANNUALLY. CONFLICT OF INTEREST FORMS ARE SIGNED ANNUALLY BY ALL BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9 PRIOR PERIOD ADJUSTMENT 123,625 GRAND ITASCA CLINIC AND HOSPITAL 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 411865874 HOSPITAL MN 501C3 3 FAIRVIEW true FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 HOSPITAL MN 501C3 3 NA false CDI GRAND RAPIDS LLC 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 453783014 MRI-DTI MN N/A false false false true true false false false false false false false false false false true true false false false false FAIRVIEW HEALTH SERVICES C 250000 CASH