GRAND ITASCA CLINIC AND HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: GRAND ITASCA CLINIC AND HOSPITAL (EIN 41-1865874)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-04
IRS object ID: 202113089349301956
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-04T10:49:22-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410991680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FAIRVIEW HEALTH SVCS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2450 RIVERSIDE AVE S DEPT C-207 LE	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554541450	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	411865874	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ITASCA CLINIC AND HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAN	BusinessNameControlTxt
Phone	2183265000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1601 GOLF COURSE ROAD	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55744	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEAN MACDONELL	PersonNm
Person Title	PRESIDENT & COO-GICH	PersonTitleTxt
Phone	2183265000	PhoneNum
Signature	2021-11-04	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JEAN	PersonFirstNm
Person Last	MACDONELL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparation	2021-11-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JEAN MACDONELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1680 GOLF COURSE ROAD	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55744	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$103,475,683	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRANDITASCA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY, ACCESSIBLE, AND VALUABLE HEALTH CARE SERVICES VIA A HOSPITAL, HOME HEALTH AGENCY, AND CLINIC TO THE SURROUNDING RURAL COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	816	TotalEmployeeCnt
Total Volunteers	82	TotalVolunteersCnt
Total Gross UBI	$37,803	TotalGrossUBIAmt
PY Contributions Grants	$496,160	PYContributionsGrantsAmt
CY Contributions Grants	$5,619,077	CYContributionsGrantsAmt
PY Program Service Revenue	$95,958,026	PYProgramServiceRevenueAmt
CY Program Service Revenue	$96,504,009	CYProgramServiceRevenueAmt
PY Investment Income	$518,024	PYInvestmentIncomeAmt
CY Investment Income	$773,754	CYInvestmentIncomeAmt
PY Other Revenue	$76,279	PYOtherRevenueAmt
CY Other Revenue	$221,940	CYOtherRevenueAmt
PY Total Revenue	$97,048,489	PYTotalRevenueAmt
CY Total Revenue	$103,118,780	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$58,221,467	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$61,250,728	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,988,874	PYOtherExpensesAmt
CY Other Expenses	$35,554,974	CYOtherExpensesAmt
PY Total Expenses	$94,210,341	PYTotalExpensesAmt
CY Total Expenses	$96,805,702	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,838,148	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,313,078	CYRevenuesLessExpensesAmt
Total Assets BOY	$60,436,620	TotalAssetsBOYAmt
Total Assets EOY	$71,663,098	TotalAssetsEOYAmt
Total Liabilities BOY	$24,466,992	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,235,604	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$35,969,628	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$42,427,494	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PROVIDE QUALITY, ACCESSIBLE, AND VALUABLE HEALTH CARE SERVICES VIA A HOSPITAL, HOME HEALTH AGENCY, AND CLINIC TO THE SURROUNDING RURAL COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$86,707,797	ExpenseAmt
Revenue	$94,727,336	RevenueAmt
Desc	GRAND ITASCA CLINIC AND HOSPITAL IS AN INTEGRATED MULTI-SPECIALTY CLINIC AND ACUTE-SURGICAL HOSPITAL. THE FACILITY IS LICENSED FOR 64 BEDS WHICH ARE COMPRISED OF 48 MEDICAL BEDS, 10 INTENSIVE CARE BEDS AND 6 OB BEDS. IN ADDITION TO PROVIDING TRADITIONAL HOSPITAL SERVICES, THE FACILITY HAS FOUR SURGERY SITES, A 24-HOUR EMERGENCY DEPARTMENT, OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT REHABILITATION SERVICES, AND OUTPATIENT CLINIC SERVICES. THE FACILITY EMPLOYS OVER 750 PEOPLE INCLUDING OVER 60 HEALTHCARE PROVIDERS. THE FACILITY SERVED OVER 1,700 INPATIENTS AND OVER 230,000 OUTPATIENT ENCOUNTERS INCLUDING CLINIC, EMERGENCY ROOM, OUTPATIENT IMAGING AND OUTPATIENT SURGICAL PROCEDURE. GRAND ITASCA SERVES THE PATIENT REGARDLESS OF THE PERSON'S ABILITY TO PAY. DURING THE CALENDAR YEAR, THE FACILITY PROVIDED 1,121,590 OF CHARITY CARE, 789,689 OF DISCOUNTS TO THE UNINSURED AND ABSORBED 12,285,485 OF UNPAID MEDICARE AND MEDICAID COSTS. GRAND ITASCA ALSO PAID 1,696,583 IN PAYMENTS FOR MINNESOTA CARE TAX AND MEDICAID SURCHARGES, WHICH WERE USED TO FUND CARE FOR THE INDIGENT AND UNDERINSURED. GRAND ITASCA CLINIC AND HOSPITAL IS PART OF FAIRVIEW HEALTH SERVICES WHICH IS AN INDUSTRY-LEADING, AWARD-WINNING, NONPROFIT, INTEGRATED HEALTH SYSTEM PROVIDING EXCEPTIONAL HEALTH CARE ACROSS THE FULL SPECTRUM OF HEALTH CARE SERVICES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA. FAIRVIEW IS PART OF M HEALTH FAIRVIEW, A JOINT CLINICAL ENTERPRISE. M HEALTH FAIRVIEW IS AN EXPANDED COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, COMBINING THE BEST OF ACADEMIC AND COMMUNITY MEDICINE AND EXPANDING ACCESS TO WORLD-CLASS, BREAKTHROUGH CARE FOR OUR COMMUNITIES. IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE CORONAVIRUS DISEASE 2019 ("COVID-19") OUTBREAK A PANDEMIC. THE PANDEMIC HAS HAD A SIGNIFICANT NEGATIVE EFFECT ON THE ECONOMY AND THE HEALTHCARE INDUSTRY. FAIRVIEW CONTINUES TO FOLLOW GUIDANCE FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION ("CDC") AND THE MINNESOTA DEPARTMENT OF HEALTH AND CONTINUES COORDINATING ITS ACTIVITIES WITH STATE AND LOCAL GOVERNMENTS AS WELL AS OTHER HEALTH SYSTEMS IN THE STATE AND REGION. FIRST AND FOREMOST, OUR FOCUS IS ON CARING FOR OUR PATIENTS DURING THIS ONGOING PANDEMIC. IN MARCH 2020, MINNESOTA GOVERNOR TIM WALZ ISSUED EMERGENCY EXECUTIVE ORDER 20-09 DIRECTING DELAY OF ALL NON-ESSENTIAL OR ELECTIVE SURGERIES, PROCEDURES, AND CLINIC VISITS. IN ACCORDANCE WITH THE GOVERNOR'S ORDER, FAIRVIEW SUSPENDED ELECTIVE SURGERIES AND ELECTIVE PRIMARY AND SPECIALTY CARE VISITS TO PRESERVE ORGANIZATIONAL CAPACITY AND SUPPLIES TO MANAGE THE EXPECTED PATIENT VOLUMES FROM THE VIRUS. FAIRVIEW WAS ABLE TO START RAMPING UP ITS SURGICAL AND CLINIC VISITS IN MAY 2020, WHILE ENSURING ORGANIZATION CAPACITY AND SUPPLIES WERE APPROPRIATE FOR COVID-19 PATIENTS. FAIRVIEW EVOLVED ITS CARE MODELS TO TRANSITION OUR PATIENTS TO VIRTUAL CARE WHEREVER POSSIBLE VIA ONCARE. FAIRVIEW HAS BEEN ABLE TO ADAPT AND INNOVATE TO DELIVER CARE TO OUR PATIENTS IN OTHER WAYS AS WELL, FIRST CREATING DRIVE-UP COVID-19 TESTING AND THEN PIVOTING THAT CONCEPT TO LAUNCH CURBSIDE CARE AT SEVERAL OF OUR CLINICS, A NEW INITIATIVE DESIGNED TO PROVIDE HIGH- QUALITY, ACCESSIBLE CARE FOR PATIENTS WHILE REDUCING POTENTIAL EXPOSURE TO COVID-19. THIS INNOVATION OFFERED A CONVENIENT WAY FOR PATIENTS TO RECEIVE MUCH-NEEDED PREVENTIVE CARE, NORMALLY PROVIDED IN A CLINIC SETTING, WITHOUT LEAVING THEIR CAR. THROUGH ITS PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW ALSO CONTINUED TO FIND INNOVATIVE WAYS TO DELIVER CARE THROUGHOUT THIS CRISIS, INCLUDING THE DEVELOPMENT OF A LOW-COST VENTILATOR, THAT WAS APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION, AND A PROTECTIVE DEVICE FOR HEALTHCARE WORKERS AGAINST COVID-19 EXPOSURE. COVID-19 VACCINE DISTRIBUTION IS LED BY THE STATE OF MINNESOTA. AS M HEALTH FAIRVIEW RECEIVED THEIR SUPPLY OF THE VACCINES, THEY WERE COMMITTED TO DISTRIBUTING THE DOSES AS FAST AS THEY WERE RECEIVED. FAIRVIEW DISTRIBUTED VACCINATIONS THROUGH SEVERAL OUTPATIENT CLINICS, AND THROUGH MASS VACCINATION EVENTS. IN 2020 FAIRVIEW PLAYED A CRITICAL ROLE IN MINNESOTA'S RESPONSE TO THE COVID-19 PANDEMIC. BEYOND CARING FOR CRITICALLY ILL AND HOSPITALIZED PATIENTS, FAIRVIEW PLAYED A KEY ROLE IN PROVIDING COVID-19 TESTING FOR THOUSANDS OF PATIENTS AND COMMUNITY MEMBERS OVER THE COURSE OF THE YEAR, CONDUCTING TARGETED OUTREACH FOR UNDERSERVED COMMUNITIES TOGETHER WITH LOCAL PARTNERS. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOME CARE AND HOSPICE SERVICES; 90+ OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); EMERGENCY MEDICAL TRANSPORTATION; AN INTEGRATED PROVIDER NETWORK; AND HEALTH INSURER PREFERREDONE WITH OVER 360,000 HEALTH PLAN MEMBERS. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY, AND QUATERNARY CARE; HOSPITAL AND PHYSICIAN SERVICES; SENIOR SERVICES; ASSISTED LIVING; LONG-TERM CARE; URGENT CARE AND EMERGENCY SERVICES; PHARMACY; CARE OF MOTHERS AND CHILDREN; PHYSICAL THERAPY/SPORTS MEDICINE; REHABILITATION SERVICES; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. OUR VIRTUAL CARE OFFERINGS GREW DURING 2020. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT, AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES.	Desc
Total Program Service Expenses	$86,707,797	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	3	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	816	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TODD CHRISTENSON	PersonNm
Phone	2189991703	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1601 GOLF COURSE ROAD	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55744	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES HEREFORD
PRES/CEO FAI	0.00	40.00	Yes (X)	$0	$1,905,996	$715,433
LAURA REED RN
COO-FAIRIVEW	1.00	40.00	Yes (X)	$0	$844,330	$204,477	Yes (X)
LIZBETH THOMAS MD
DIRECTOR-END	40.00	0.00		$638,559	$0	$176,722	Yes (X)
RYAN NOVAK MD
PHYSICIAN	40.00	0.00		$636,994	$0	$43,479		Yes (X)
DARIN SKAUDIS MD
PHYSICIAN	40.00			$415,005	$0	$43,215		Yes (X)
JONATHAN GERMSCHEID MD
PHYSICIAN	40.00	0.00		$406,207	$0	$43,309		Yes (X)
SHAWN OLSON MD
PHYSICIAN	40.00	0.00		$414,236	$0	$34,854		Yes (X)
JOHN KOLE MD
PHYSICIAN	40.00	0.00		$403,611	$0	$43,493		Yes (X)
KEVIN NELSON MD
DIRECTOR	1.00	40.00		$0	$343,505	$101,049	Yes (X)
BRIAN AMDAHL MD
DIRECTOR-NEW	1.00	40.00		$0	$375,214	$65,880	Yes (X)
DANIEL SOULAR
CMO-GICH	40.00	0.00	Yes (X)	$369,910	$0	$32,817
KEITH MURPHY MD
DIRECTOR- NE	40.00	0.00		$330,025	$0	$23,968	Yes (X)
SIMON LICK MD
DIRECTOR- NE	40.00	0.00		$296,927	$0	$44,975	Yes (X)
DR JAMISON HARKER
DIRECTOR-END	40.00	0.00		$293,510	$0	$44,975	Yes (X)
JEAN MACDONELL
PRESIDENT &	40.00	0.00	Yes (X)	$0	$276,197	$43,956
JANICE ROURK MD
DIRECTOR-END	40.00	0.00		$198,573	$0	$29,867	Yes (X)
DALE ADAMS
CHAIR	1.00	0.00		$0	$0	$0	Yes (X)
STEVE BURGGRAF
DIRECTOR	1.00	0.00		$0	$0	$0	Yes (X)
MIKE MISKOVICH DDS
DIRECTOR- NE	1.00	0.00		$0	$0	$0	Yes (X)
DALE FUHRMAN
DIRECTOR-NEW	1.00	0.00		$0	$0	$0	Yes (X)
MIKE IVES
VICE CHAIR	1.00	0.00		$0	$0	$0	Yes (X)
CORY JACKSON
DIRECTOR	1.00	0.00		$0	$0	$0	Yes (X)
KENT KOERBITZ
DIRECTOR	1.00	0.00		$0	$0	$0	Yes (X)
ELIZABETH MISKOVICH
DIRECTOR-END	1.00	0.00		$0	$0	$0	Yes (X)
COLLEEN NARDONE
CHAIR - END	1.00	0.00		$0	$0	$0	Yes (X)
DENNIS ROY
SECRETARY	1.00	0.00		$0	$0	$0	Yes (X)
JOSH SKELTON
FINANCE COMM	1.00	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,403,557	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,745,242	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,692,469	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ORTHOPEDIC ASSOC OF DULUTH PA
1000 E 1ST STREET SUITE 404	DULUTH	MN	55805	MEDICAL SVCS	$1,033,084
PREMIER STAFFING INC
243 WINKLER TRAIL	COLOGNE	MN	55322	STAFFING	$487,982
INFOR US INC
380 SAINT PETER ST	ST PAUL	MN	55102	SUPPORT/MAINTEN	$298,847
SHARED MEDICAL SERVCIES INC
209 LIMESTONE PASS	COTTAGE GROVE	WI	53527	MEDICAL SVCS	$210,750
MEDICAL SOLUTIONS LLC
9101 WESTERN AVE	OMAHA	NE	68114	STAFFING	$178,663

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$417,865	RelatedOrganizationsAmt
Government Grants	$5,201,212	GovernmentGrantsAmt
Total Contributions	$5,619,077	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621110	$90,989,921	$90,989,921
PHARMACY	446110	$3,553,278	$3,553,278
JOINT VENTURE- SURGERY CENTER	621400	$1,960,810	$1,960,810

Field	Value	IRS element (for citing)
Total Program Service Revenue	$96,504,009	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$396,921	TotalRevenueColumnAmt
Exclusion	$396,921	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$376,833	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$376,833	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$376,833	TotalRevenueColumnAmt
Exclusion	$376,833	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$394,706	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$356,903	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,803	TotalRevenueColumnAmt
Unrelated Business Revenue	$37,803	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA & OTHER REVENUE	Desc
Business	722514	BusinessCd
Total Revenue Column	$184,137	TotalRevenueColumnAmt
Related Or Exempt Func Income	$184,137	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$184,137	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$103,118,780	TotalRevenueColumnAmt
Related Or Exempt Func Income	$96,688,146	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$37,803	UnrelatedBusinessRevenueAmt
Exclusion	$773,754	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$996,862	TotalAmt
Program Services	$626,952	ProgramServicesAmt
Management And General	$369,910	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$49,084,875	TotalAmt
Program Services	$44,922,562	ProgramServicesAmt
Management And General	$4,162,313	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,048,881	TotalAmt
Program Services	$1,793,937	ProgramServicesAmt
Management And General	$254,944	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,121,138	TotalAmt
Program Services	$4,870,866	ProgramServicesAmt
Management And General	$1,250,272	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,998,972	TotalAmt
Program Services	$2,669,206	ProgramServicesAmt
Management And General	$329,766	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$229,732	TotalAmt
Program Services	$173,208	ProgramServicesAmt
Management And General	$56,524	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,754	TotalAmt
Management And General	$3,754	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,944,292	TotalAmt
Program Services	$4,425,162	ProgramServicesAmt
Management And General	$1,519,130	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$178,366	TotalAmt
Program Services	$915	ProgramServicesAmt
Management And General	$177,451	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,467,711	TotalAmt
Program Services	$2,158,968	ProgramServicesAmt
Management And General	$308,743	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,304,034	TotalAmt
Program Services	$1,302,933	ProgramServicesAmt
Management And General	$1,101	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$66,074	TotalAmt
Program Services	$58,969	ProgramServicesAmt
Management And General	$7,105	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$227,163	TotalAmt
Program Services	$214,598	ProgramServicesAmt
Management And General	$12,565	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,141,219	TotalAmt
Program Services	$1,141,219	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,330,044	TotalAmt
Program Services	$1,157,813	ProgramServicesAmt
Management And General	$1,172,231	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$30,908	TotalAmt
Program Services	$30,908	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$18,270,648	$17,895,283	$375,365
MEDICARE & MEDICAID	$1,696,583	$1,696,583
SUPPLIES - OTHER	$744,036	$744,036
REPAIR & MAINTENANCE	$638,057	$634,395	$3,662

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$282,353	TotalAmt
Program Services	$189,284	ProgramServicesAmt
Management And General	$93,069	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$96,805,702	TotalAmt
Program Services	$86,707,797	ProgramServicesAmt
Management And General	$10,097,905	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,292,792	BOYAmt
EOY	$23,182,881	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,657,779	BOYAmt
EOY	$10,581,169	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$233,094	BOYAmt
EOY	$36,708	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$95,866	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,271,579	BOYAmt
EOY	$1,785,838	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$371,869	BOYAmt
EOY	$327,928	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$40,422,400	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$8,190,437	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$32,976,013	BOYAmt
EOY	$32,231,963	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,398,958	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,138,670	BOYAmt
EOY	$3,516,611	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$60,436,620	BOYAmt
EOY	$71,663,098	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,569,843	BOYAmt
EOY	$9,136,680	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$70,350	BOYAmt
EOY	$10,519,822	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$14,476,754	BOYAmt
EOY	$5,938,734	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,350,045	BOYAmt
EOY	$3,640,368	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,466,992	BOYAmt
EOY	$29,235,604	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$33,838,786	BOYAmt
EOY	$39,800,492	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,130,842	BOYAmt
EOY	$2,627,002	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$35,969,628	BOYAmt
EOY	$42,427,494	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$60,436,620	BOYAmt
EOY	$71,663,098	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,313,078	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$143,759	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,029	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,754	OtherActivitiesAmt
Total Lobbying Expenditures	$3,754	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	GRAND ITASCA CLINIC AND HOSPITAL PAYS DUES TO AMERICAN HOSPITAL ASSOCIATION AND MINNESOTA HOSPITAL ASSOCIATION (MHA). A PORTION OF THESE ANNUAL DUES ARE DETERMINED TO BE USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,194,000	OtherCostOrOtherBasisAmt
Book Value	$1,194,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,896,379	OtherCostOrOtherBasisAmt
Depreciation	$3,562,724	DepreciationAmt
Book Value	$26,333,655	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$517,460	OtherCostOrOtherBasisAmt
Depreciation	$201,134	DepreciationAmt
Book Value	$316,326	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,466,685	OtherCostOrOtherBasisAmt
Depreciation	$4,426,579	DepreciationAmt
Book Value	$4,040,106	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$347,876	OtherCostOrOtherBasisAmt
Book Value	$347,876	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,231,963	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION OBLIGATIONS	$2,921,320
WORK COMP RESERVE	$719,048

Field	Value	IRS element (for citing)
Total Liability	$3,640,368	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	GRAND ITASCA CLINIC AND HOSPITAL 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,281,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,281,576	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,555,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,331,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,223,200	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,836,653	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,331,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,504,776	NetCommunityBenefitExpnsAmt
Total Expense	0.07750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$456,961	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$456,961	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$174,975	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,396	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,599	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,181	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$732,512	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$525,137	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,569,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,539,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,029,913	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,436,993	BadDebtExpenseAmt
Bad Debt Expense Attributable	$28,740	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$37,718,345	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,325,916	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,607,571	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	CDI GRAND RAPIDS LL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PROVIDE MRI, DIAGNOSTIC INJECTION AND PA	PrimaryActivitiesTxt
Org Profit Or Ownership	0.55000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ITASCA CLINIC AND HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ITASCA CLINIC AND HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GRANDITASCA.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C, LINE 7D	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C, LINE 16J	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C, LINE 16J	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C, LINE 16J	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 3E	IN ORDER TO DETERMINE THE TOP HEALTH NEEDS IN THE COMMUNITY INDICATORS FROM SECONDARY DATA; DATA FROM WILDER RESEARCH ON THE LEADING CAUSES OF DEATH AND PREMATURE DEATH, AND THE SOCIAL DETERMINANTS OF HEALTH; AND PRIMARY DATA THAT MET TWO PIECES OF CRITERIA: (1) A NEED AND/OR BARRIER THAT WAS SAID MORE THAN ONE TIME, AND (2) A NEED AND/OR BARRIER THAT WAS REPEATED IN AT LEAST TWO OF THE GROUPS (E.G. BOTH A STAKEHOLDER INTERVIEW AND A COMMUNITY CONVERSATION) WERE USED. GRAND ITASCA'S COMMUNITY HEALTH STEERING COMMITTEE REVIEWED AND VALIDATED FINDINGS FROM THE PRIMARY AND SECONDARY DATA AND RECOMMENDED THREE HEALTH NEEDS TO BE ADOPTED FOR THE CLINIC AND HOSPITAL. THE THREE HEALTH NEEDS ARE CONSISTENT ACROSS ALL 11 FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS. WEIGHTED CRITERIA WERE USED TO PRIORITIZE HEALTH NEEDS. HIGHEST WEIGHT WAS GIVEN TO THE TWO CRITERION DEEMED MOST IMPORTANT BY THE STEERING COMMITTEE - CONTINUING WORK IN PREVIOUS CHNA PRIORITY AREAS AND ENSURING FUTURE PRIORITIES ALIGNED WITH WHAT THE COMMUNITY IDENTIFIED AS TOP NEEDS. THE PRIORITIZATION CRITERIA WAS APPLIED TO THE TOP 25 HEALTH NEEDS IDENTIFIED IN THE GRAND ITASCA COMMUNITY. THE TOP 10 HEALTH NEEDS INCLUDE: 1.MENTAL HEALTH 2.ADOLESCENT MENTAL HEALTH 3.ADVERSE CHILDHOOD EXPERIENCES (ACES) 4.ACCESS TO HEALTHY FOODS 5.CANCER 6.HEART DISEASE 7.STIGMA - MENTAL HEALTH 8.WORKFORCE SHORTAGE 9.SUICIDE 10.TIED FOR TENTH (1) TRANSPORTATION (2) GROWING SENIOR POPULATION THROUGH A VOTING PROCESS, THE GRAND ITASCA CLINIC & HOSPITAL COMMUNITY HEALTH STEERING COMMITTEE VALIDATED THE FOLLOWING HEALTH NEEDS: -MENTAL HEALTH AND WELL-BEING -HEALTHY LIFESTYLES -ACCESS TO CARE AND RESOURCES THESE THREE PRIORITIES ARE CONSISTENT ACROSS ALL 11 FAIRVIEW HOSPITALS AND MEDICAL CENTERS AND ARE INTENTIONALLY BROAD TO ALLOW FOR LOCAL VARIATION DURING THE IMPLEMENTATION PLANNING PROCESS.
FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 3J	GRAND ITASCA CLINIC AND HOSPITAL IS PART OF M HEALTH FAIRVIEW, A COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, IS COMMITTED TO PROVIDING BREAKTHROUGH CARE AND PROMOTING HEALTH EQUITY THROUGH ACADEMIC AND COMMUNITY MEDICINE. AS AN ANCHOR INSTITUTION, AN ORGANIZATION ROOTED IN OUR COMMUNITY, THIS COMMITMENT REACHES OUT INTO THE COMMUNITY. IN 2020, OUR PLANNED COMMUNITY OUTREACH AND EDUCATION EFFORTS TO IMPROVE HEALTH AND WELLBEING WERE DISRUPTED BY THE COVID-19 PANDEMIC AND CIVIL UNREST. OUR TEAMS WORKED CLOSELY WITH LOCAL COMMUNITY PARTNERS TO RE- PRIORITIZE IN ORDER TO MEET THE EMERGING NEEDS OF OUR NEIGHBORS. THE FOCUS OF OUR HEALTH AND WELLBEING WORK EACH YEAR IS GUIDED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENTS AND IS CO-DESIGNED WITH THE COMMUNITIES WE SERVE. IN 2020, TO UNDERSTAND THE EMERGENT COMMUNITY HEALTH NEEDS AND ASSETS, WE LISTENED AND ENGAGED WITH COMMUNITY MEMBERS AND COLLABORATED WITH COMMUNITY-BASED ORGANIZATIONS, LOCAL PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH SYSTEMS. THIS PROCESS HELPED US, IN ALIGNMENT WITH OUR PARTNERS, DIRECT OUR INVESTMENTS TO MAKE THE BIGGEST IMPACT. WE SWIFTLY ADAPTED OUR COMMUNITY BENEFIT ACTIVITIESCOMMUNITY-BASED PROGRAMS AND SERVICES, FINANCIAL ASSISTANCE, RESEARCH, AND HEALTH PROFESSIONS EDUCATIONTO MEET THE EVOLVING NEEDS OF OUR COMMUNITY. TOGETHER WITH OUR PARTNERS, WE FOUND NEW AND CREATIVE WAYS TO CONTINUE OUR EFFORTS TO IMPROVE HEALTH AND WELLBEING AND TO PROVIDE EQUITABLE CARE DURING A TIME WHEN INEQUITIES WERE EXACERBATED BY THE COVID-19 PANDEMIC. WE ALSO PARTNERED WITH ST. PAUL - RAMSEY COUNTY PUBLIC HEALTH AND THE MINNESOTA DEPARTMENT OF HEALTH TO PROVIDE STAFFING, COORDINATION, AND OUTREACH FOR MOBILE COVID-19 TESTING SITES AND IN 2021 VACCINATION CLINICS. ALTHOUGH OUR PLANNED ACTIVITIES CHANGED DUE TO COVID-19, THEY REMAINED IN ALIGNMENT WITH THE PRIORITY HEALTH NEEDS OF THE COMMUNITY, AS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE PRIORITY HEALTH NEEDS ARE MENTAL HEALTH AND WELLBEING, HEALTHY LIFESTYLES, AND ACCESS TO CARE AND RESOURCES. OUR EFFORTS TARGETED THE AGING POPULATION, PEOPLE OF COLOR AND INDIGENOUS PEOPLE, AND PEOPLE EXPERIENCING POVERTY. SOME EXAMPLES OF M HEALTH FAIRVIEWS POSITIVE IMPACT ON THE COMMUNITY IN 2020. LOW-BARRIER COVID-19 TESTING WE HOSTED 48 FREE COVID-19 TESTING CLINICS FOR UNDERSERVED COMMUNITIES IN PARTNERSHIP WITH CULTURAL GROUPS AND COMMUNITY PARTNER ORGANIZATIONS, INCLUDING ST. PAUL - RAMSEY COUNTY PUBLIC HEALTH AND THE MINNESOTA DEPARTMENT OF HEALTH. THE CLINICS SUPPORTED BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) COMMUNITIES AND PROVIDED 19,377 FREE, LOW-BARRIER TESTS IN COMMUNITY SETTINGS. FREE INFLUENZA VACCINE CLINICS INFLUENZA VACCINE CLINICS CONTINUED AS PLANNED IN 2020. OUR TEAMS GOT CREATIVE AND MOVED CLINICS OUTSIDE OR TO LARGER SPACES TO ALLOW FOR SOCIAL DISTANCING. DURING THE 2020-21 SEASON, 6,662 COMMUNITY MEMBERS WERE VACCINATED AT 105 CLINICS; 89 PERCENT OF VACCINE RECIPIENTS IDENTIFIED AS BIPOC. COVID-19 EDUCATION AND SUPPORT TO MINORITY COMMUNITIES CULTURAL BROKER SERVICES SHIFTED TO MEET THE EMERGENT NEEDS OF THE COMMUNITY, INCLUDING PROVIDING COVID-19 EDUCATION, SUPPORTING FAMILIES WITH RESOURCES TO REMAIN SHELTERED IN PLACE, DEBUNKING VACCINE MYTHS, CONNECTING INDIVIDUALS TO UNEMPLOYMENT RESOURCES, ASSISTING PEOPLE WITH RESOURCE NAVIGATION AND ADVOCACY, PROVIDING FOLLOW-UP AFTER COVID-19 PATIENTS ARE DISCHARGED, AND SEEKING OUT SOCIALLY ISOLATED INDIVIDUALS AND FAMILIES. THE CULTURAL BROKERS SERVED 1,573 COMMUNITY MEMBERS ON ST. PAULS EAST SIDE. EXPANDED ACCESS TO HEALTHCARE DESPITE COVID-19, WE MOVED FORWARD WITH EXPANSION PLANS AT HEALTH COMMONS CEDAR RIVERSIDE. OUR GOAL IS TO IMPROVE ACCESS FOR THE DIVERSE AND UNDERSERVED NEIGHBORHOOD BY PROVIDING FREE HEALTHCARE SERVICES THROUGH A FULL-TIME REGISTERED NURSE WHO REFLECTS THE COMMUNITY SHE IS SERVING. THERE WERE 5,926 VIRTUAL OR OUTDOOR VISITS TO HEALTH COMMONS CEDAR RIVERSIDE AND HEALTH COMMONS THE LIVING ROOM IN NORTH MINNEAPOLIS. FUNDING FOR COMMUNITY-BASED PARTNERS IMPACTED BY COVID-19 WE RESPONDED TO THE NEEDS OF OUR COMMUNITY-BASED PARTNER ORGANIZATIONS EXPERIENCING A SURGE IN DEMAND FOR THEIR SERVICES. THE FAIRVIEW FOUNDATION ESTABLISHED A COVID-19 COMMUNITY RESPONSE FUND AND DISTRIBUTED GRANTS TOTALING 290,000 TO 29 PARTNER ORGANIZATIONS. THE GRANTS DIRECTLY SUPPORTED OUR MOST VULNERABLE NEIGHBORS. FOOD FOR FRONTLINE HEALTHCARE WORKERS TO HELP OUR HEALTHCARE WORKERS CARING FOR PATIENTS ON THE FRONTLINE OF THE PANDEMIC, WE ESTABLISHED THE FEEDING THE FRONTLINES MINNESOTA FUND. THE FUND HELPED US DISTRIBUTE NUTRIENTDENSE, HEALTHY FOODS TO HEALTHCARE WORKERS DURING THEIR SHIFTS. WE WERE ABLE TO PROVIDE MORE THAN 20,000 MEALS AND NEARLY 9,600 SNACKS TO FRONTLINE HEALTHCARE WORKERS. VIRTUAL CLASSES TO SUPPORT HEALTH AND WELLBEING OUR HEALTH AND WELLBEING CLASSES QUICKLY MOVED TO A VIRTUAL FORMAT AND INCORPORATED COVID-19 EDUCATION. THE CLASSES INCLUDED MENTAL HEALTH AND STRESS RESILIENCE RESOURCES AND GRIEF SUPPORT SERVICES. OUR COMMUNITY PARTNERS WERE ESPECIALLY EXCITED TO OFFER THESE TO THEIR COMMUNITIES. 1,034 INDIVIDUALS ATTENDED HEALTH AND WELLBEING CLASSES AND 428 INDIVIDUALS RECEIVED TRAUMA INFORMED TRAINING OR MENTAL HEALTH FIRST AID. CARE NAVIGATION SUPPORT FOR UNDERSERVED COMMUNITIES OUR CULTURAL BROKERS PROVIDED CARE NAVIGATION SUPPORT TO HIGHER-RISK COVID-19 PATIENTS FROM OUR KAREN AND HMONG COMMUNITIES FOLLOWING HOSPITAL DISCHARGE.
FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 5	GRAND ITASCA CLINIC & HOSPITAL HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) SINCE 2013 TO SYSTEMATICALLY IDENTIFY, ANALYZE, AND PRIORITIZE THE CRITICAL NEEDS OF THE COMMUNITY AND ADDRESS THOSE NEEDS. THE 2018 CHNA BUILDS UPON PREVIOUS ASSESSMENTS AND WAS DEVELOPED IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS, LOCAL PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. IT SERVES AS A TOOL FOR GUIDING POLICY, ADVOCACY, AND PROGRAM PLANNING. IT ALSO FULFILLS IRS REQUIREMENTS FOR CHNA AND IMPLEMENTATION STRATEGIES PURSUANT TO THE AFFORDABLE CARE ACT OF 2010, WHICH REQUIRES 501(C)(3) NONPROFIT HOSPITALS TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS AND PROVIDE AN ANNUAL EVALUATION OF IMPACT OF THE PREVIOUS IMPLEMENTATION STRATEGY. FOR ADDITIONAL DETAIL, SEE SECTION TITLED, EVALUATION OF IMPACT, 2017-2018 CHNA IMPLEMENTATION STRATEGY. THROUGH THIS PROCESS, GRAND ITASCA AIMS TO: -UNDERSTAND THE HEALTH STATUS AND NEEDS OF THE COMMUNITY IT SERVES BY ANALYZING CURRENT DEMOGRAPHICS, HEALTH DATA, AND BY COLLECTING DIRECT INPUT FROM COMMUNITY MEMBERS AND ORGANIZATIONS. -IDENTIFY THE STRENGTHS, ASSETS, AND RESOURCES AVAILABLE IN THE COMMUNITY TO SUPPORT HEALTH AND WELL-BEING. -ADDRESS SIGNIFICANT HEALTH NEEDS THROUGH PARTNERSHIPS WITH COMMUNITY MEMBERS AND ORGANIZATIONS, PUBLIC HEALTH AGENCIES, AND OTHER HOSPITALS AND HEALTH SYSTEMS. -CREATE A STRATEGIC IMPLEMENTATION PLAN REFLECTIVE OF THE DATA COLLECTED THROUGH THE CHNA PROCESS. -INFORM GRAND ITASCA'S COMMUNITY BENEFIT ACTIVITIES. GRAND ITASCA CLINIC & HOSPITAL COMMUNITY HEALTH STEERING COMMITTEE -BETSY JOHNSON, HEALTH AND NUTRITION EDUCATOR, UNIVERSITY OF MINNESOTA EXTENSION -CASSI CHRZANOWSKI, MARKETING AND COMMUNICATIONS MANAGER, GRAND ITASCA CLINIC & HOSPITAL -DAN SOULAR, MD, VPMA AND FAMILY MEDICINE PHYSICIAN, GRAND ITASCA CLINIC & HOSPITAL -JACI DAVID, PUBLIC POLICY PROGRAM OFFICER, BLANDIN FOUNDATION -JEAN MACDONELL, VP, CLINIC SERVICES AND COMPLIANCE, GRAND ITASCA CLINIC & HOSPITAL -JONI OLSON, SUPERINTENDENT, INDEPENDENT SCHOOL DISTRICT 318 -KELLY CHANDLER, PUBLIC HEALTH DIVISION MANAGER, ITASCA COUNTY PUBLIC HEALTH -KELLY KIRWIN, COMMUNITY RELATIONS AND FOUNDATION DIRECTOR, GRAND ITASCA CLINIC & HOSPITAL -KRIS BOLIN, DIRECTOR OF HEALTHY LIVING, ITASCA COUNTY FAMILY YMCA -MELANIE DEBAY, COMMUNITY EDUCATION DIRECTOR, INDEPENDENT SCHOOL DISTRICT 318 -MICHELLE INGLE, EDUCATION DIRECTOR, KOOTASCA COMMUNITY ACTION -MOLLY MCCANN, SHIP COORDINATOR, ITASCA COUNTY PUBLIC HEALTH AND GET FIT ITASCA -RENEE BYMARK, EXECUTIVE DIRECTOR, ELDERCIRCLE -SARA CITRINE, COMMUNITY HEALTH WORKER, KIESLER WELLNESS CENTER -SARAH BRUBAKER, COMMUNITY HEALTH WORKER, KIESLER WELLNESS CENTER -STEVE LONEY, DIRECTOR, KIESLER WELLNESS CENTER -TONI YOUNGDAHL, MD, FAMILY MEDICINE PHYSICIAN, GRAND ITASCA CLINIC & HOSPITAL
FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 7D	SCHEDULE H, PART V, LINE 7A & LINE 10A: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE LOCATED AT: HTTPS://PRD- CD.GRANDITASCA.ORG/-/MEDIA/MHEALTHFAIRVIEW/PROJECT/GRANDITASCAORG/GICH_CHNA -_-CHIP.ASHX
FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 11	COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) WERE CONDUCTED IN 2018. AN ESSENTIAL PART OF THE CHNA PROCESS WAS THE IDENTIFICATION OF PRIORITY NEEDS IN THE LOCAL COMMUNITY. THE HOSPITALS AND/OR MEDICAL CENTERS IDENTIFIED THE FOLLOWING PRIORITY NEEDS FOR GRAND ITASCA CLINIC & HOSPITAL: MENTAL HEALTH AND WELL-BEING, HEALTHY LIFESTYLES, ACCESS TO CARE AND SERVICES. EACH HOSPITAL AND/OR MEDICAL CENTER DEVELOPED A HOSPITAL SPECIFIC IMPLEMENTATION PLAN AROUND ITS PRIORITY HEALTH ISSUES ALONG WITH A SYSTEM FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE TO ADDRESS THEIR IDENTIFIED PRIORITY NEEDS. EACH PROGRAM IS EVALUATED ON AN ANNUAL BASIS AGAINST PROGRAM SPECIFIC ANTICIPATED IMPACTS. AS PART OF THE EVALUATION PROCESS EACH PROGRAM INDICATOR IS ASSIGNED A VALUE OF "GREEN", "YELLOW- OR "RED" BASED UPON THE CRITERIA THAT FOLLOWS. A RATING OF "GREEN" MEANS THAT THE PROGRAM (A) MET, OR EXCEEDED, 2020 HOSPITAL GOAL/S AS WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) IT HAS COUNT DATA TIED TO BOTH GOAL/S AND ANTICIPATED IMPACT/S (C) THERE IS AN EVALUATION TOOL WITH MEASURE TIED TO ANTICIPATED IMPACT/S. A RATING OF "YELLOW" MEANS THAT THE PROGRAM (A) HAD PARTIAL COMPLETION OF 2020 HOSPITAL GOAL/S AS WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) IT HAS COUNT DATA TIED TO EITHER GOAL/S OR ANTICIPATED IMPACT/S BUT NOT BOTH (C)THERE IS AN EVALUATION TOOL WITHOUT MEASURE TIED TO ANTICIPATED IMPACT/S. A RATING OF "RED" MEANS THAT THE PROGRAM (A) DID NOT COMPLETE THE 2020 HOSPITAL GOAL/S WRITTEN IN HOSPITAL IMPLEMENTATION PLAN (B) THERE WAS NO COUNT DATA (C) THERE WAS NO EVALUATION TOOL/S. POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE INITIATIVES OFTEN TAKE MULTIPLE YEARS TO PLAN AND IMPLEMENT. USING A CDC EVALUATION FRAMEWORK EACH PSE INITIATIVE IS MONITORED AND EVALUATED ANNUALLY AGAINST ANTICIPATED ACTIVITIES AND MILESTONES LINKED TO THE SIX CONNECTED PSE EVALUATION STEPS. THE SIX CONNECTED STEPS OF PSE CHANGE WE TRACKED FOR MONITORING AND EVALUATION PURPOSES ARE (1) ENGAGE STAKEHOLDERS, (2) DESCRIBE THE PROGRAM, (3) FOCUS THE EVALUATION DESIGN, (4) GATHER CREDIBLE EVIDENCE, (5) JUSTIFY CONCLUSIONS, AND (6) ENSURE USE AND SHARE LESSONS LEARNED. OUR 2020 EVALUATION OF THE PSE INITIATIVES NOTE THE SPECIFIC PSE STEP/S FOR THAT INITIATIVES BASED ON THE ACTIVITIES. IN 2020 WE ARE IDENTIFYING PSE INITIATIVE SPECIFIC METRICS RELATED TO EACH STEP TO DEEPEN OUR EVALUATION OF OUTCOMES IN FUTURE YEARS. ANY PROGRAMMATIC ANTICIPATED IMPACT THAT RECEIVED A RATING OF "YELLOW- OR "RED" HAS A CORRESPONDING BRIEF EXPLANATION AND 2020 ACTION PLAN. IN 2020 WE WILL CONTINUE REFINING THE RATING SYSTEM AND CORRESPONDING PROGRAMMATIC AND PSE EVALUATION AS PART OF OUR COMMITMENT TO CONTINUOUS PROCESS IMPROVEMENT. DETAILED RESULTS AND ACTION PLANS ON PROGRAM AND PSE INITIATIVES ARE AVAILABLE UPON REQUEST. PRIORITY: MENTAL HEALTH AND WELLBEING: GRAND ITASCA CLINIC & HOSPITAL OFFERED THE EVIDENCE-BASED MENTAL HEALTH FIRST AID PROGRAM. THE PROGRAM INTRODUCES RISK FACTORS AND WARNING SIGNS OF COMMON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, BUILDS UNDERSTANDING OF THEIR IMPACT, AND REVIEWS SUPPORT OPTIONS. THE INTERACTIVE COURSE TEACHES PARTICIPANTS HOW TO OFFER INITIAL HELP TO AN INDIVIDUAL WHO MAY BE EXPERIENCING A MENTAL HEALTH CONCERN OR CRISIS AND CONNECT THEM TO THE APPROPRIATE RESOURCES. YOUTH MENTAL HEALTH FIRST AID IS THE SECOND CORE PROGRAM WHICH FOCUSES ON MENTAL HEALTH CONCERNS AMONG YOUTH AGES 12-18. THE 2020 ANTICIPATED IMPACT FOR THE MENTAL HEALTH FIRST AID PROGRAMS WAS AN INCREASE IN PARTICIPANTS' ABILITY TO RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: 44% INCREASE FROM PRE-SURVEY (53%) TO POST- SURVEY (97%) IN RESPONSE TO THE FOLLOWING: I STRONGLY AGREE OR AGREE THAT I CAN RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH, SUBSTANCE USE AND MENTAL ILLNESS AS I ENCOUNTER THEM. EVALUATION OF SURVEY RESULTS WAS ADJUSTED IN 2020, TO REFLECT A CHANGE, AS IN 2019 OUTCOMES WERE BASED ON POST-SURVEY ONLY. PRIORITY: HEALTHY LIFESTYLES: GRAND ITASCA CLINIC & HOSPITAL OFFERED THE EVIDENCE-BASED LIVING WELL SUITE WHICH INCLUDED THREE PROGRAMS THAT WERE DEVELOPED BY STANFORD UNIVERSITY'S PATIENT EDUCATION RESEARCH CENTER. (1) CHRONIC DISEASE SELF-MANAGEMENT IS A WORKSHOP GIVEN 2.5 HOURS ONCE A WEEK, FOR SIX WEEKS OFFERED TO INDIVIDUALS AND THEIR CAREGIVERS WHO ARE LIVING WITH CHRONIC CONDITIONS. SUBJECTS ADDRESSED INCLUDE MEDICATION USE, COMMUNICATION WITH DOCTORS AND CAREGIVERS, NUTRITION, AND FITNESS- WITH PRACTICAL EXERCISES AND ADVICE DESIGNED TO MEET PARTICIPANTS' NEEDS. (2) CHRONIC PAIN SELF-MANAGEMENT IS A WORKSHOP GIVEN 2 HOURS ONCE A WEEK, FOR SIX WEEKS, IN COMMUNITY SETTINGS. THE WORKSHOP HELPS PARTICIPANTS, AND THEIR SUPPORT PERSON, DEAL WITH THE ONGOING ISSUES ASSOCIATED WITH CHRONIC PAIN. (3) DIABETES SELF-MANAGEMENT IS A 6 WEEK ONCE A WEEK PROGRAM DEVELOPED TO HELPS THOSE LIVING WITH DIABETES OR PRE-DIABETES TO IMPROVE THEIR GENERAL HEALTH. THE 2020 ANTICIPATED IMPACT FOR THE LIVING WELL SUITE WAS AN INCREASE PARTICIPANTS' PERCEPTION OF POSITIVE LIFESTYLE CHANGES. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: 80% OF PARTICIPANTS THAT RESPONDED TO THE POST PROGRAM SURVEY INDICATED THAT THEY STRONGLY AGREE OR AGREE WITH THE FOLLOWING STATEMENT: THE PROGRAM HAS HELPED THEM MANAGE CHRONIC CONDITION (S). PRIORITY: ACCESS TO CARE AND RESOURCES GRAND ITASCA CLINIC & HOSPITAL OFFERED THE EVIDENCE-BASED LIVING WELL SUITE WHICH INCLUDED THREE PROGRAMS THAT WERE DEVELOPED BY STANFORD UNIVERSITY'S PATIENT EDUCATION RESEARCH CENTER. (1) CHRONIC DISEASE SELF-MANAGEMENT IS A WORKSHOP GIVEN 2.5 HOURS ONCE A WEEK, FOR SIX WEEKS OFFERED TO INDIVIDUALS AND THEIR CAREGIVERS WHO ARE LIVING WITH CHRONIC CONDITIONS. SUBJECTS ADDRESSED INCLUDE MEDICATION USE, COMMUNICATION WITH DOCTORS AND CAREGIVERS, NUTRITION, AND FITNESS- WITH PRACTICAL EXERCISES AND ADVICE DESIGNED TO MEET PARTICIPANTS' NEEDS. (2) CHRONIC PAIN SELF-MANAGEMENT IS A WORKSHOP GIVEN 2 HOURS ONCE A WEEK, FOR SIX WEEKS, IN COMMUNITY SETTINGS. THE WORKSHOP HELPS PARTICIPANTS, AND THEIR SUPPORT PERSON, DEAL WITH THE ONGOING ISSUES ASSOCIATED WITH CHRONIC PAIN. (3) DIABETES SELF-MANAGEMENT IS A 6 WEEK ONCE A WEEK PROGRAM DEVELOPED TO HELPS THOSE LIVING WITH DIABETES OR PRE-DIABETES TO IMPROVE THEIR GENERAL HEALTH. THE 2020 ANTICIPATED IMPACT FOR THE LIVING WELL SUITE WAS AN INCREASE IN PARTICIPANTS WHO AGREE THAT THE PROGRAM HELPS THEM WORK WITH THEIR HEALTH CARE PROVIDERS. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: 47% OF PARTICIPANTS THAT RESPONDED TO THE POST PROGRAM SURVEY INDICATED THAT THEY STRONGLY AGREE OR AGREE WITH THE FOLLOWING STATEMENT: THE PROGRAM HAS HELPED THEM WORK WITH HEALTHCARE PROFESSIONALS. GRAND ITASCA CLINIC & HOSPITAL OFFERED THE EVIDENCE-BASED MENTAL HEALTH FIRST AID PROGRAM. THE PROGRAM INTRODUCES RISK FACTORS AND WARNING SIGNS OF COMMON MENTAL HEALTH AND SUBSTANCE USE DISORDERS, BUILDS UNDERSTANDING OF THEIR IMPACT, AND REVIEWS SUPPORT OPTIONS. THE INTERACTIVE COURSE TEACHES PARTICIPANTS HOW TO OFFER INITIAL HELP TO AN INDIVIDUAL WHO MAY BE EXPERIENCING A MENTAL HEALTH CONCERN OR CRISIS AND CONNECT THEM TO THE APPROPRIATE RESOURCES. YOUTH MENTAL HEALTH FIRST AID IS THE SECOND CORE PROGRAM WHICH FOCUSES ON MENTAL HEALTH CONCERNS AMONG YOUTH AGES 12-18. THE 2020 ANTICIPATED IMPACT FOR THE MENTAL HEALTH FIRST AID PROGRAMS WAS INCREASE PARTICIPANTS' CONFIDENCE IN ASSISTING SOMEONE TO CONNECT WITH PROFESSIONAL RESOURCES. THE ANTICIPATED IMPACT WAS ASSIGNED A VALUE OF "GREEN". 2020 IMPACT: GREEN - OUTCOME: 34% INCREASE FROM PRE-SURVEY (63%) TO POST- SURVEY (97%) IN RESPONSE TO THE FOLLOWING: I STRONGLY AGREE OR AGREE THAT I CAN ASSIST SOMEONE WHO MAY BE DEALING WITH A MENTAL HEALTH PROBLEM, SUBSTANCE USE CHALLENGE OR CRISIS IN SEEKING PROFESSIONAL HELP. EVALUATION OF SURVEY RESULTS WAS ADJUSTED IN 2020, TO REFLECT A CHANGE, AS IN 2019 OUTCOMES WERE BASED ON POST-SURVEY ONLY. NEEDS IDENTIFIED BUT NOT ADDRESSED ALTHOUGH THE FOLLOWING HEALTH NEEDS WERE NOT SELECTED AS PRIORITY NEEDS, GRAND ITASCA CLINIC & HOSPITAL WILL CONTINUE TO SUPPORT WORK ALIGNED WITH ADDRESSING THESE NEEDS AS APPROPRIATE PARTICULARLY WHEN DOING SO WOULD ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND/OR THE LEADING CAUSES OF PREMATURE DEATH. AFFORDABLE, HEALTHY, AND SAFE HOUSING: THIS ISSUE IS BEYOND WHAT GRAND ITASCA CLINIC & HOSPITAL RESOURCES CAN SUPPORT AT THIS TIME. ASTHMA: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. CHRONIC LOWER RESPIRATORY DISEASE: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. CLINIC HOURS: THIS ISSUE WILL BE ADDRESSED AS PART OF PATIENT CARE BUT FALLS OUTSIDE THE SCOPE OF THE COMMUNITY-BASED CHNA IMPLEMENTATION STRATEGY. COS
FACILITY 1, GRAND ITASCA CLINIC AND HOSPITAL - PART V, LINE 16J	A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN VARIOUS LOCATIONS IN THE HOSPITAL. PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/FINANCIAL- ASSISTANCE-POLICY-2020-FINAL-VERSION_EN.ASHX?LA=EN PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/BILLING/FAIRVIEW-CHARITY-CARE HTTP://WWW.FVFILES.COM/2266.PDF PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.FAIRVIEW.ORG/~/MEDIA/FAIRVIEW/PDFS/BILLING/4454EN-FINANCIAL- ASSISTANCE-PLS-2020.ASHX?LA=EN

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ITASCA PROFESSIONAL BUILDING	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 SE 3RD STREET	AddressLine1Txt
City	GRAND RAPIDS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55744	ZIPCd

Field	Value	IRS element (for citing)
Facility	VARIOUS OUTPATIENT & BUSINESS SERVICES	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	PATIENTS THAT ARE ELIGIBLE FOR THE ORGANIZATION'S COMMUNITY CARE PROGRAM OR OTHER CHARITY CARE PLANS MAY RECEIVE A REDUCTION ON AMOUNTS OWED OR UP TO 100% OF TOTAL CHARGES. THE ORGANIZATION INFORMS PATIENTS ABOUT THE COMMUNITY CARE PROGRAM PRIOR TO DELIVERY OF SERVICES IF FEASIBLE AND AS APPROPRIATE AND DURING THE BILLING PROCESS. UNINSURED PATIENTS WITH HOUSEHOLD INCOME UP TO 150% OF THE FEDERAL POVERTY LEVEL QUALIFY FOR A 100% DISCOUNT OF THE TOTAL CHARGES. UNINSURED PATIENTS WITH A HOUSEHOLD INCOME GREATER THAN 300% OF THE FEDERAL POVERTY LEVEL AND BELOW 125,000 ARE CHARGED A DISCOUNT RATE EQUAL TO THE RATE FROM HOSPITAL'S HIGHEST VOLUME PRIVATE PAYOR CONTRACT.
SCHEDULE H, PART I, LINE 7G	THERE ARE NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS INCLUDED IN LINE 7G.
SCHEDULE H, PART I, LINE 7, COLUMN (F)	THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990.
SCHEDULE H, PART I, LINE 7	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A THROUGH 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. THE CALCULATION WAS UPDATED FOR TAX YEAR 2019 AS IT WAS DISCOVERED THAT COMMUNITY BENEFIT COSTS FOR FINANCIAL ASSISTANCE AND MEDICAID WERE OVERSTATED IN PRIOR YEARS. THE OVERSTATEMENT WAS RELATED TO THE ALLOCATION OF PROVIDER TAXES AND MISTREATMENT OF OFFSETTING REVENUE FROM THE UNCOMPENSATED POOL. FOR TAX YEAR 2019 THIS RESULTED IN THE PERCENT OF TOTAL EXPENSE TO CHANGE FROM 15.91% TO 9.05%. THE ORGANIZATION WILL USE THIS CALCULATION IN FUTURE YEARS. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION.
SCHEDULE H, PART II	GRAND ITASCA'S COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES BY PROVIDING INNOVATIVE AND ADVANCED MEDICAL SERVICES, WITH HIGH-QUALITY, SEAMLESS PATIENT CARE IN MIND. GRAND ITASCA'S INTERPRETATION AND ED PATIENT TAXI CAB SERVICES ALLOW FOR THE CARE OF EACH AND EVERY PATIENT, NO MATTER THE INITIAL BARRIERS OR HARDSHIPS THAT MAY EXIST. THE NURSE ON-LINE PROGRAM, BY PROVIDING A 24 HOUR MEDICAL ADVICE HOTLINE, EMPOWERS PATIENTS TO MAKE EDUCATED DECISIONS ABOUT THEIR MEDICAL TREATMENT. TRIAGE CAN BE COMPLETED PRIOR TO A PATIENT'S ARRIVAL, ALLOWING MEDICAL RESOURCES TO BE ALLOCATED MORE EFFICIENTLY AND EFFECTIVELY.
SCHEDULE H, PART III, LINE 2	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THERE IS NO BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX AS AN EXPENSE. DUE TO THE ADOPTION OF NEW GAAP REPORTING, THE BAD DEBT EXPENSE HAS BEEN INCLUDED WITH "DISCOUNTS" NETTED AGAINST PATIENT SERVICE REVENUE ON PART VIII OF FORM 990.
SCHEDULE H, PART III, LINE 3	THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS THAT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
SCHEDULE H, PART III, LINE 4	CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. SEE NOTE 6 OF THE AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION.
SCHEDULE H, PART III, LINE 8	IT IS PART OF THE ORGANIZATION'S MISSION THAT COMMUNITY BENEFIT ACTIVITY IS CARRIED OUT BY STAFF/LEADERSHIP AT EACH FACILITY BASED ON THE HEALTH CARE NEEDS IN THAT SERVICE AREA. THE MEDICARE COST TO CHARGE RATIO REPORTING IS CALCULATED SERVICE LINE BY SERVICE LINE. OTHER EXPENSES ARE CALCULATED USING THE OVERALL COST TO CHARGE RATIO. UNCOMPENSATED COSTS RESULTING FROM MEDICARE, MEDICAID AND STATE AND LOCAL INDIGENT CARE PROGRAMS ARE CONSIDERED A COMMUNITY BENEFIT BECAUSE OF THE SIGNIFICANT DIFFERENCES BETWEEN ACTUAL COSTS AND REIMBURSEMENT.
SCHEDULE H, PART III, LINE 9B	AFTER OUR PATIENTS HAVE RECEIVED SERVICES, IT IS THE POLICY OF THE ORGANIZATION TO BILL PATIENTS AND THEIR APPLICABLE PAYORS ON A TIMELY AND ACCURATE BASIS. DURING THIS BILLING AND COLLECTION PROCESS, STAFF IS COMMITTED TO PROVIDING QUALITY CUSTOMER SERVICE AND TIMELY FOLLOW UP ON ALL OUTSTANDING ACCOUNTS. BILLING: IT IS THE GOAL OF THE ORGANIZATION TO BILL ALL CLAIMS ACCURATELY AND ON A TIMELY BASIS. ALTHOUGH DEPENDENT ON INFORMATION AND COMMUNICATIONS FROM PATIENTS AND PAYORS, THE ORGANIZATION WILL PROVIDE SUFFICIENT FOLLOW UP SERVICE TO ENSURE THAT PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION AND HAVE THE OPPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR COMMUNITY CARE. THE ORGANIZATION HAS AGREED TO CERTAIN BILLING AND COLLECTION PRACTICES BY AN AGREEMENT WITH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. THERE ARE FINANCIAL COUNSELORS AT EVERY ENTITY MONDAY THROUGH FRIDAY WHO INTERACT WITH THE PATIENTS IN PERSON AND OVER THE PHONE TO INFORM OF PROGRAMS AVAILABLE TO THEM AS WELL AS ASSIST THEM IN APPLYING FOR THE PROGRAMS. THE INFORMATION ABOUT NEEDING ASSISTANCE WITH PAYING THE BILL IS POSTED ON SIGNS IN THE HOSPITALS AND MATERIALS ARE DISTRIBUTED TO SELF-PAY PATIENTS BY REGISTRATION STAFF. THE STATEMENTS SENT OUT AFTER THE VISIT PROVIDE THIS INFORMATION AS WELL. IF A PATIENT/FAMILY MEMBER CALLS THE CENTRAL BUSINESS OFFICE CUSTOMER SERVICE STAFF TO ASK FOR ASSISTANCE WITH PAYING THEIR BILL, THEY ARE INFORMED ABOUT OPTIONS AT THAT TIME. THE ORGANIZATION PROVIDES AN INTERPRETER SERVICE THAT INTERPRETS CONVERSATIONS OVER THE PHONE. THIS SERVICE CAN BE USED EITHER AS A THREE-WAY PHONE CALL OR THE FINANCIAL COUNSELOR, IN A ROOM WITH THE PATIENT OR FAMILY CAN PLACE THE CALL TOGETHER TO THE INTERPRETER PHONE SERVICE. THE INTERPRETER SERVICES LINE ACCOMMODATES CLOSE TO 200 LANGUAGES. THE BILLING PROCESS WILL BE ASSISTED BY THE FOLLOWING GUIDELINES: 1) FOR ALL INSURED PATIENTS, THE ORGANIZATION WILL BILL ALL THIRD PARTY PAYOR INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY AND ACCURATE BASIS. 2) FOR ALL UNINSURED PATIENTS WITH MINNESOTA RESIDENCY RECEIVING HOSPITAL BASED SERVICES DEEMED MEDICALLY NECESSARY. THE ORGANIZATION WILL APPLY AN UNINSURED DISCOUNT EQUAL TO THE DISCOUNT PROVIDER TO OUR LARGEST CONTRACTED NON-GOVERNMENT PAYOR, ANY REMAINING BALANCE WILL BE BILLED TO THE PATIENT IN A TIMELY AND MANNER. 3) ALL BILLED PATIENTS HAVE THE OPPORTUNITY TO CONTACT THE ORGANIZATION REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. FINANCIAL ASSISTANCE MAY INCLUDE COMMUNITY CARE, PAYMENT ARRANGEMENTS, MEDICAL ASSISTANCE OR OTHER APPLICABLE PROGRAMS. 4) IF A PATIENT CONTACTS THE ORGANIZATION REGARDING COMMUNITY CARE BEFORE THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY OR ATTORNEY, AN APPLICATION AND REQUIRED DOCUMENTATION IS REQUESTED (INCOME VERIFICATION ETC.), THE ACCOUNT WILL THEN BE PROCESSED BASED ON THE OUTCOME OF THE COMMUNITY CARE DETERMINATION. 5) THE ORGANIZATION TAKES REASONABLE MEASURES TO AVOID REFERRING AN ACCOUNT TO COLLECTION UNLESS THERE ARE NO RESPONSES FROM THE PATIENT. IF A PATIENT CONTACTS THE ORGANIZATION REGARDING COMMUNITY CARE AFTER THEIR ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY OR ATTORNEY, THE ORGANIZATION WILL SEND AN APPLICATION TO THE PATIENT PROVIDED THE ACCOUNT MEETS THE COMMUNITY CARE REQUIREMENTS. IF THE COMPLETED APPLICATION ALONG WITH REQUIRED DOCUMENTATION (INCOME VERIFICATION, ETC.) IS SUBMITTED, ALL COLLECTION ACTION WILL BE SUSPENDED UNTIL THE PATIENT IS NOTIFIED OF THE ORGANIZATION'S DETERMINATION.
SCHEDULE H, PART VI, LINE 2	GRAND ITASCA REVIEWS APPLICABLE STATE AND COUNTY SURVEYS PERFORMED BY OTHER AGENCIES TO ASSESS THE NEEDS OF THE COMMUNITY. GRAND ITASCA WORKS WITH THESE AGENCIES TO PROVIDE THESE SERVICES WITHIN THE SCOPE OF THE MEDICAL FACILITY.
SCHEDULE H, PART VI, LINE 3	GRAND ITASCA HAS FINANCIAL ADVOCATES WORKING WITH UNINSURED PATIENTS TO ASSIST THEM IN COMPLETING APPLICATION FOR VARIOUS PROGRAMS THAT MAY PROVIDE THEM COVERAGE FOR MEDICAL SERVICES.
SCHEDULE H, PART VI, LINE 4	GRAND ITASCA SERVES THE PEOPLE OF GRAND RAPIDS AND THE SURROUNDING COMMUNITIES THROUGHOUT ITASCA COUNTY. THE COMMUNITY INCLUDES 15 ZIP CODES WHERE APPROXIMATELY 80 PERCENT OF ITS PATIENTS LIVE, THE CITY WHERE THE HOSPITAL RESIDES, GRAND RAPIDS, MN, AND THE COUNTY WHERE THE HOSPITAL RESIDES, ITASCA COUNTY. NINETY-FOUR PERCENT OF GRAND ITASCA EMPLOYEES LIVE WITHIN THE DEFINED COMMUNITY.
SCHEDULE H, PART VI, LINE 5	GRAND ITASCA PROMOTES HEALTH IN THE COMMUNITY BY SUPPORTING THE LOCAL FREE CLINIC, THROUGH THE PROVISION OF MEDICAL SUPPLIES, BASIC LAB TEST AND BASIC X-RAYS TO THE PATIENTS OF THIS CLINIC AT NO CHARGE. GRAND ITASCA ALSO WORKS WITH A COMMUNITY COALITION TO DETERMINE THE HEALTH NEEDS OF THE COMMUNITY SERVED BY GRAND ITASCA CLINIC & HOSPITAL.
SCHEDULE H, PART VI, LINE 6	GRAND ITASCA CLINIC AND HOSPITAL IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE ORGANIZATION THAT IS PART OF FAIRVIEW HEALTH SERVICES. GRAND ITASCA CLINIC AND HOSPITAL PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE, AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. ABOUT FAIRVIEW HEALTH SERVICES: FAIRVIEW HEALTH SERVICES (FAIRVIEW.ORG) IS A MINNEAPOLIS-BASED NONPROFIT HEALTH SYSTEM DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA, SERVING THE GREATER TWIN CITIES METRO AREA AND NORTH-CENTRAL MINNESOTA. THROUGH A CLOSE RELATIONSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW OFFERS ACCESS TO BREAKTHROUGH MEDICAL RESEARCH AND SPECIALTY EXPERTISE AS PART OF A CONTINUUM OF CARE THAT REACHES ALL AGES AND HEALTH NEEDS. OUR MISSION: FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FAIRVIEW AT A GLANCE: 33,000+ EMPLOYEES 5,000+ SYSTEM PROVIDERS 11 HOSPITALS AND MEDICAL CENTERS 2,177 STAFFED BEDS 56+ PRIMARY CARE CLINICS 55+ SPECIALTY CLINICS 70+ SENIOR HOUSING LOCATIONS 40+ RETAIL AND SPECIALTY PHARMACIES FAIRVIEW HAS THE FOLLOWING HOSPITALS AND MEDICAL CENTERS: BETHESDA HOSPITAL (ST. PAUL) FAIRVIEW LAKES MEDICAL CENTER (WYOMING) FAIRVIEW NORTHLAND MEDICAL CENTER (PRINCETON) FAIRVIEW RANGE MEDICAL CENTER (HIBBING) FAIRVIEW RIDGES HOSPITAL (BURNSVILLE) FAIRVIEW SOUTHDALE HOSPITAL (EDINA) GRAND ITASCA CLINIC & HOSPITAL (GRAND RAPIDS) ST. JOHN'S HOSPITAL (MAPLEWOOD) ST. JOSEPH'S HOSPITAL (ST. PAUL) UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL (MINNEAPOLIS) WOODWINDS HEALTH CAMPUS (WOODBURY)
SCHEDULE H, PART VI, LINE 7	MINNESOTA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
JAMES HEREFORD
PRES/CEO FAIRVIEW	$1,655,996	$250,000	$675,788	$39,645	$2,621,429
LAURA REED RN
COO-FAIRIVEW	$844,330		$160,422	$44,055	$1,048,807
LIZBETH THOMAS MD
DIRECTOR-END 12-2020						$115,433	$523,126	$99,018	$77,704	$815,281
RYAN NOVAK MD
PHYSICIAN						$636,994		$12,768	$30,711	$680,473
DARIN SKAUDIS MD
PHYSICIAN						$415,005		$12,768	$30,447	$458,220
JONATHAN GERMSCHEID MD
PHYSICIAN						$406,207		$12,768	$30,541	$449,516
SHAWN OLSON MD
PHYSICIAN						$414,236		$12,768	$22,086	$449,090
JOHN KOLE MD
PHYSICIAN						$403,611		$12,768	$30,725	$447,104
KEVIN NELSON MD
DIRECTOR	$343,505		$65,055	$35,994	$444,554
BRIAN AMDAHL MD
DIRECTOR-NEW 2-2020	$375,214		$26,000	$39,880	$441,094
DANIEL SOULAR
CMO-GICH						$369,910		$12,768	$20,049	$402,727
KEITH MURPHY MD
DIRECTOR- NEW1-2020						$330,025		$12,768	$11,200	$353,993
SIMON LICK MD
DIRECTOR- NEW1-2020						$296,927		$12,768	$32,207	$341,902
DR JAMISON HARKER
DIRECTOR-END 12-2020						$293,510		$12,768	$32,207	$338,485
JEAN MACDONELL
PRESIDENT & COO-GICH	$275,787		$19,305	$24,651	$320,153						$410
JANICE ROURK MD
DIRECTOR-END 12-2020						$198,573		$8,863	$21,004	$228,440

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	JAMES HEREFORD 0 630,288 0 LAURA REED, RN 0 114,922 0 LIZBETH THOMAS, MD 350,381 56,118 0 KEVIN NELSON, MD 0 44,119 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (6 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
LUKE SCHUMACHER
EMPLOYEE	COMPENSATION PACKAGE	Yes (X)	$20,000	$12,629	false	Yes (true)	Yes (true)
DANIELLE SMESTAD
EMPLOYEE	COMPENSATION PACKAGE	Yes (X)	$10,000	$9,665	false	Yes (true)	Yes (true)
TIFFANY AXTMAN
EMPLOYEE	COMPENSATION PACKAGE	Yes (X)	$10,000	$6,649	false	Yes (true)	Yes (true)
DAVID KELLERMAN
EMPLOYEE	COMPENSATION PACKAGE	Yes (X)	$10,000	$3,501	false	Yes (true)	Yes (true)
PATTI HOOPMAN
EMPLOYEE	COMPENSATION PACKAGE	Yes (X)	$5,000	$2,263	false	Yes (true)	Yes (true)
PATRICK NELSON
EMPLOYEE	COMPENSATION PACKAGE	Yes (X)	$10,000	$2,001	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$36,708	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DR SHANNON R HARKER	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	WIFE OF DIRECTO	RelationshipDescriptionTxt
Transaction	$211,279	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4A	GRAND ITASCA CLINIC AND HOSPITAL IS AN INTEGRATED MULTI-SPECIALTY CLINIC AND ACUTE-SURGICAL HOSPITAL. THE FACILITY IS LICENSED FOR 64 BEDS WHICH ARE COMPRISED OF 48 MEDICAL BEDS, 10 INTENSIVE CARE BEDS AND 6 OB BEDS. IN ADDITION TO PROVIDING TRADITIONAL HOSPITAL SERVICES, THE FACILITY HAS FOUR SURGERY SITES, A 24-HOUR EMERGENCY DEPARTMENT, OUTPATIENT MENTAL HEALTH SERVICES, OUTPATIENT REHABILITATION SERVICES, AND OUTPATIENT CLINIC SERVICES. THE FACILITY EMPLOYS OVER 750 PEOPLE INCLUDING OVER 60 HEALTHCARE PROVIDERS. THE FACILITY SERVED OVER 1,700 INPATIENTS AND OVER 230,000 OUTPATIENT ENCOUNTERS INCLUDING CLINIC, EMERGENCY ROOM, OUTPATIENT IMAGING AND OUTPATIENT SURGICAL PROCEDURE. GRAND ITASCA SERVES THE PATIENT REGARDLESS OF THE PERSON'S ABILITY TO PAY. DURING THE CALENDAR YEAR, THE FACILITY PROVIDED 1,121,590 OF CHARITY CARE, 789,689 OF DISCOUNTS TO THE UNINSURED AND ABSORBED 12,285,485 OF UNPAID MEDICARE AND MEDICAID COSTS. GRAND ITASCA ALSO PAID 1,696,583 IN PAYMENTS FOR MINNESOTA CARE TAX AND MEDICAID SURCHARGES, WHICH WERE USED TO FUND CARE FOR THE INDIGENT AND UNDERINSURED. GRAND ITASCA CLINIC AND HOSPITAL IS PART OF FAIRVIEW HEALTH SERVICES WHICH IS AN INDUSTRY-LEADING, AWARD-WINNING, NONPROFIT, INTEGRATED HEALTH SYSTEM PROVIDING EXCEPTIONAL HEALTH CARE ACROSS THE FULL SPECTRUM OF HEALTH CARE SERVICES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA. FAIRVIEW IS PART OF M HEALTH FAIRVIEW, A JOINT CLINICAL ENTERPRISE. M HEALTH FAIRVIEW IS AN EXPANDED COLLABORATION AMONG THE UNIVERSITY OF MINNESOTA, UNIVERSITY OF MINNESOTA PHYSICIANS, AND FAIRVIEW HEALTH SERVICES, COMBINING THE BEST OF ACADEMIC AND COMMUNITY MEDICINE AND EXPANDING ACCESS TO WORLD-CLASS, BREAKTHROUGH CARE FOR OUR COMMUNITIES. IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE CORONAVIRUS DISEASE 2019 ("COVID-19") OUTBREAK A PANDEMIC. THE PANDEMIC HAS HAD A SIGNIFICANT NEGATIVE EFFECT ON THE ECONOMY AND THE HEALTHCARE INDUSTRY. FAIRVIEW CONTINUES TO FOLLOW GUIDANCE FROM THE CENTER FOR DISEASE CONTROL AND PREVENTION ("CDC") AND THE MINNESOTA DEPARTMENT OF HEALTH AND CONTINUES COORDINATING ITS ACTIVITIES WITH STATE AND LOCAL GOVERNMENTS AS WELL AS OTHER HEALTH SYSTEMS IN THE STATE AND REGION. FIRST AND FOREMOST, OUR FOCUS IS ON CARING FOR OUR PATIENTS DURING THIS ONGOING PANDEMIC. IN MARCH 2020, MINNESOTA GOVERNOR TIM WALZ ISSUED EMERGENCY EXECUTIVE ORDER 20-09 DIRECTING DELAY OF ALL NON-ESSENTIAL OR ELECTIVE SURGERIES, PROCEDURES, AND CLINIC VISITS. IN ACCORDANCE WITH THE GOVERNOR'S ORDER, FAIRVIEW SUSPENDED ELECTIVE SURGERIES AND ELECTIVE PRIMARY AND SPECIALTY CARE VISITS TO PRESERVE ORGANIZATIONAL CAPACITY AND SUPPLIES TO MANAGE THE EXPECTED PATIENT VOLUMES FROM THE VIRUS. FAIRVIEW WAS ABLE TO START RAMPING UP ITS SURGICAL AND CLINIC VISITS IN MAY 2020, WHILE ENSURING ORGANIZATION CAPACITY AND SUPPLIES WERE APPROPRIATE FOR COVID-19 PATIENTS. FAIRVIEW EVOLVED ITS CARE MODELS TO TRANSITION OUR PATIENTS TO VIRTUAL CARE WHEREVER POSSIBLE VIA ONCARE. FAIRVIEW HAS BEEN ABLE TO ADAPT AND INNOVATE TO DELIVER CARE TO OUR PATIENTS IN OTHER WAYS AS WELL, FIRST CREATING DRIVE-UP COVID-19 TESTING AND THEN PIVOTING THAT CONCEPT TO LAUNCH CURBSIDE CARE AT SEVERAL OF OUR CLINICS, A NEW INITIATIVE DESIGNED TO PROVIDE HIGH- QUALITY, ACCESSIBLE CARE FOR PATIENTS WHILE REDUCING POTENTIAL EXPOSURE TO COVID-19. THIS INNOVATION OFFERED A CONVENIENT WAY FOR PATIENTS TO RECEIVE MUCH-NEEDED PREVENTIVE CARE, NORMALLY PROVIDED IN A CLINIC SETTING, WITHOUT LEAVING THEIR CAR. THROUGH ITS PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW ALSO CONTINUED TO FIND INNOVATIVE WAYS TO DELIVER CARE THROUGHOUT THIS CRISIS, INCLUDING THE DEVELOPMENT OF A LOW-COST VENTILATOR, THAT WAS APPROVED BY THE U.S. FOOD AND DRUG ADMINISTRATION, AND A PROTECTIVE DEVICE FOR HEALTHCARE WORKERS AGAINST COVID-19 EXPOSURE. COVID-19 VACCINE DISTRIBUTION IS LED BY THE STATE OF MINNESOTA. AS M HEALTH FAIRVIEW RECEIVED THEIR SUPPLY OF THE VACCINES, THEY WERE COMMITTED TO DISTRIBUTING THE DOSES AS FAST AS THEY WERE RECEIVED. FAIRVIEW DISTRIBUTED VACCINATIONS THROUGH SEVERAL OUTPATIENT CLINICS, AND THROUGH MASS VACCINATION EVENTS. IN 2020 FAIRVIEW PLAYED A CRITICAL ROLE IN MINNESOTA'S RESPONSE TO THE COVID-19 PANDEMIC. BEYOND CARING FOR CRITICALLY ILL AND HOSPITALIZED PATIENTS, FAIRVIEW PLAYED A KEY ROLE IN PROVIDING COVID-19 TESTING FOR THOUSANDS OF PATIENTS AND COMMUNITY MEMBERS OVER THE COURSE OF THE YEAR, CONDUCTING TARGETED OUTREACH FOR UNDERSERVED COMMUNITIES TOGETHER WITH LOCAL PARTNERS. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY- BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; 56 PRIMARY CARE CLINICS; OVER 100 SPECIALTY CARE SERVICES; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOME CARE AND HOSPICE SERVICES; 90+ OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); EMERGENCY MEDICAL TRANSPORTATION; AN INTEGRATED PROVIDER NETWORK; AND HEALTH INSURER PREFERREDONE WITH OVER 360,000 HEALTH PLAN MEMBERS. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. THE HEALTH CARE AND MEDICAL SERVICES WHICH FAIRVIEW PROVIDES TO THE COMMUNITY INCLUDE, BUT ARE NOT LIMITED TO: PRIMARY, SPECIALTY, TERTIARY, AND QUATERNARY CARE; HOSPITAL AND PHYSICIAN SERVICES; SENIOR SERVICES; ASSISTED LIVING; LONG-TERM CARE; URGENT CARE AND EMERGENCY SERVICES; PHARMACY; CARE OF MOTHERS AND CHILDREN; PHYSICAL THERAPY/SPORTS MEDICINE; REHABILITATION SERVICES; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE AND CHEMICAL DEPENDENCY SERVICES. OUR VIRTUAL CARE OFFERINGS GREW DURING 2020. FAIRVIEW PROVIDES SPECIALIZED CARE FOR THE TREATMENT OF CANCER, HEART DISEASE, DIABETES, WOUND CARE, CHRONIC CONDITIONS, SOLID ORGAN TRANSPLANT, BLOOD AND MARROW TRANSPLANT, AND MANY OTHER SPECIALTIES. FAIRVIEW ALSO OFFERS SOCIAL WORK SERVICES, HEALTH EDUCATION AND SUPPORT GROUPS AND SERVICES FOR VARIOUS HEALTH ISSUES.
FORM 990, PART V	LINES 1A AND 2A: SECTION B: INDEPENDENT CONTRACTORS ALL FORM 1099'S AND FORM W-2'S WERE FILED BY A RELATED ORGANIZATION FAIRVIEW HEALTH SERVICES, A 501(C)(3) NON-PROFIT, TAX-EXEMPT ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 11B	THE TAX DEPARTMENT CONDUCTS A DETAILED REVIEW OF THE COMPLETED RETURN. THE FORM 990 IS THEN REVIEWED BY THE GRAND ITASCA DIRECTOR OF FINANCE AND A COPY IS PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C	BOARD MEMBERS SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 15A	COMPENSATION IS DETERMINED BY ASSESSING THE MARKET THROUGH THE USE OF SURVEYS AND STUDIES AND DETERMINING PAY RATES AND RANGES FROM THE RESULTS OF THE ASSESSMENT. THE CEO COMPENSATION PACKAGE IS SUMMARIZED IN AN EMPLOYMENT AGREEMENT THAT IS APPROVED BY THE BOARD. THE COMPENSATION PACKAGE IS BASED UPON MARKET FOR THE POSITION.
FORM 990, PAGE 6, PART VI, LINE 15B	COMPENSATION IS DETERMINED BY ASSESSING THE MARKET THROUGH THE USE OF SURVEYS AND STUDIES AND DETERMINING PAY RATES AND RANGES FROM THE RESULTS OF THE ASSESSMENT. THE CEO COMPENSATION PACKAGE IS SUMMARIZED IN AN EMPLOYMENT AGREEMENT THAT IS APPROVED BY THE BOARD. THE COMPENSATION PACKAGE IS BASED UPON MARKET FOR THE POSITION.
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	OTHER FUND BALANCE ADJUSTMENTS 1,029

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt
FAIRVIEW HEALTH SERVICES
2450 RIVERSIDE AVENUE	MINNEAPOLIS	MN	55454	410991680	HOSPITAL	MN	501C3	3	N/A	false
GRAND ITASCA FOUNDATION
1601 GOLF COURSE ROAD	GRAND RAPIDS	MN	55744	411560554	FOUNDATION	MN	501C3	12A		Yes (true)	GICH	GRAND ITASCA CLINIC & HOSPITSL

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CDI GRAND RAPIDS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1601 GOLF COURSE ROAD	AddressLine1Txt
City	GRAND ITASCA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55744	ZIPCd

Field	Value	IRS element (for citing)
EIN	453783014	EIN
Primary Activities	IMAGING SE	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$1,962,103	ShareOfTotalIncomeAmt
Share Of EOY Assets	$929,803	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.55000	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GRAND ITASCA FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$417,617	InvolvedAmt
Method Of Amount Determination	COST	MethodOfAmountDeterminationTxt