2020-11-10T12:54:32-06:00 2019-12-31 FAIRVIEW HEALTH SVCS 2450 RIVERSIDE AVE S DEPT C-207 LE MINNEAPOLIS MN 554541450 990 2019-01-01 411560554 GRAND ITASCA FOUNDATION GRAN 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 JEAN MACDONELL PRESIDENT & CEO-GICH 2020-10-29 2020-11-10 162.96.9.40 2020-11-10 12:54:32 CS P 9A7795162CD8FED1DB572D6341B886463E8B285F 9A7795162CD8FED1DB572D6341B886463E8B285F 2019 2021-01-29 14:40:06Z JEAN MACDONELL 1680 GOLF COURSE ROAD GRAND RAPIDS MN 55744 770660 false X X 1986 MN TO BUILD PHILANTHROPIC PARTNERSHIPS TO SUPPORT THE MISSION OF GRAND ITASCA CLINIC AND HOSPITAL. 15 12 0 98 0 402198 750634 0 1033 1587 13891 -16806 417122 735415 1415926 647058 0 0 0 0 30860 10896 1446786 657954 -1029664 77461 1433229 1086497 557700 133507 875529 952990 TO BUILD PHILANTHROPIC PARTNERSHIPS TO SUPPORT THE MISSION OF GRAND ITASCA CLINIC AND HOSPITAL. false false 647058 647058 GRAND ITASCA FOUNDATION ENHANCES AND HELPS TO GUARANTEE THE DELIVERY OF CONTRIBUTIONS AND PROVIDE FINANCIAL SUPPORT TO GRAND ITASCA CLINIC AND HOSPITAL. IN 2019 GRAND ITASCA FOUNDATION AWARDED 647,058 IN GRANT FUNDING TO ORGANIZATIONS AND INDIVIDUALS. THIS INCLUDES 620,658 TO GRAND ITASCA CLINIC AND HOSPITAL FOR PATIENT FOCUSED PROJECTS, 7 INDIVIDUAL SCHOLARSHIP AWARDS TOTALING 20,000 AND CARE TO SHARE GRANTS TO 14 RECIPENTS FOR A TOTAL OF 6,400 647058 true true false false false false false false false false false false false false true true false true false false false false false false true false false true true true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false true true false false false false false false false false X 15 12 false false false false true true true true true false false false true true true true true false false false MN X TODD CHRISTENSEN 2189991702 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 JAMES HEREFORD PRESIDENT/CE 1.00 40.00 X 0 3290078 266908 PATTY CARLIN-JANSSEN MD DIRECTOR 1.00 40.00 X 0 277483 35568 MICHAEL YOUSO FORMER OFFIC 1.00 40.00 X 0 188455 84895 JEAN MACDONELL PRESIDENT & 1.00 40.00 X 0 231796 24200 KELLY KIRWIN FOUNDATION D 1.00 40.00 X 0 89652 25173 KATIE TROUMBLY DIRECTOR, NE 40.00 0.00 X 0 104320 6609 CHARITY BRANSTAD RN DIRECTOR 1.00 40.00 X 0 84964 3806 DALE ADAMS DIRECTOR 1.00 0.00 X 0 0 0 AMBER BURGGRAF DIRECTOR 1.00 0.00 X 0 0 0 JOE CARGILL CHAIR 1.00 0.00 X 0 0 0 SCOTT GERLING DIRECTOR, NE 1.00 0.00 X 0 0 0 KIRK GILBERTSON DIRECTOR, NE 1.00 0.00 X 0 0 0 CRICKET GUYER DIRECTOR, EN 0.00 0.00 X 0 0 0 CORY JACKSON VICE CHAIR 1.00 0.00 X 0 0 0 JERRY KLEVEN DIRECTOR 1.00 0.00 X 0 0 0 MARY KOSAK DIRECTOR, EN 1.00 0.00 X 0 0 0 RON JOHNSON MD DIRECTOR, EN 0.00 0.00 X 0 0 0 TARA MAKINEN SECRETARY 1.00 0.00 X 0 0 0 SUE MATTSON DIRECTOR 1.00 0.00 X 0 0 0 AMANDA OKECH BOARD CHAIR, 1.00 0.00 X 0 0 0 NICK ROTHSTEIN DIRECTOR, NE 1.00 0.00 X 0 0 0 ANDY SHERMOEN TREASURER 1.00 0.00 X 0 0 0 STEVE WRIGHT DIRECTOR, EN 0.00 0.00 X 0 0 0 4266748 447159 true true false 104908 250000 395726 750634 1587 1587 18439 104908 35245 -16806 -16806 735415 -15219 620658 620658 26400 26400 181 181 PRINTING 8075 8075 MISCELLANEOUS 2640 2640 657954 647058 10896 0 555492 777589 857153 296459 20584 11246 1203 1433229 1086497 23222 10604 534478 122903 557700 133507 X 84371 38230 791158 914760 875529 952990 1433229 1086497 77461 X false true X true false X X 1 GRAND ITASCA CLINIC AND HOSITAL GRAND ITASCA CLINIC AND HOSPITAL 411865874 3 true 620658 0 1 620658 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED INTERCOMPANY PAYABLE 122903 122903 X SCHEDULE D, PAGE 3, PART X GRAND ITASCA FOUNDATION AS PART OF FAIRVIEW HEALTH SERVICES 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 IN THE CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 2019 OR 2018. 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. CARING FOR KIDS 123347 104908 18439 4900 16094 11850 2401 123347 104908 18439 4900 16094 11850 2401 35245 -16806 true GRAND ITASCA CLINIC & HOSPITAL 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 411865874 501(C) 620658 PROGRAM SUPPORT 1 SCHOLARSHIPS 7 20000 CARE TO SHARE 13 6400 SCHEDULE I, PAGE 1, PART I, LINE 2 ALL GRANT REQUESTS ARE APPROVED OR DENIED BY THE FOUNDATION BOARD PRIOR TO APPROVAL AND/OR PAYMENT AND MUST BE IN LINE WITH THE FOUNDATION'S MISSION OF HELPING TO SUPPORT THE INTERNAL NEEDS OF GRAND ITASCA CLINIC & HOSPITAL, PROMOTING A HEALTHY COMMUNITY, AND RAISING AWARENESS OF THE IMPACT AND VALUE OF GRAND ITASCA CLINIC & HOSPITAL. SCHOLARSHIP FUNDS ARE SENT DIRECTLY TO THE SCHOOL ON BEHALF OF THE RECIPIENT. IF A STUDENT HAS ANY CHANGES (TRANSFERS, ETC.) WE RECEIVE FUNDS BACK FOR UNUSED DOLLARS, BUT THE FOUNDATION DOES NOT FOLLOW-UP WITH STUDENTS/RECIPIENTS SPECIFICALLY ABOUT THEIR SCHOLARSHIP FUNDS. false true false false false false false false false JAMES HEREFORD PRESIDENT/CEO-FHS 1503003 1648436 138639 223823 43085 3556986 PATTY CARLIN-JANSSEN MD DIRECTOR 277483 12544 23024 313051 MICHAEL YOUSO FORMER OFFICER 97168 91287 60840 24055 273350 JEAN MACDONELL PRESIDENT & CEO-GICH 231308 488 12810 11390 255996 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES HEREFORD 0 179,826 0 MICHAEL YOUSO 0 28,358 0 FORM 990, PAGE 6, PART VI, LINE 6 GRAND ITASCA CLINIC & HOSPITAL, A MINNESOTA NONPROFIT CORPORATION, IS THE SOLE MEMBER OF GRAND ITASCA FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 7A GRAND ITASCA CLINIC & HOSPITAL, AS THE ONLY VOTING MEMBER OF GRAND ITASCA FOUNDATION, HAS THE AUTHORITY TO ELECT AND REMOVE THE DIRECTORS OF GRAND ITASCA FOUNDATION WITH OR WITHOUT CAUSE, AT ANY TIME. FORM 990, PAGE 6, PART VI, LINE 7B VARIOUS POWERS, AS STATED IN SECTION 4.4 OF GRAND ITASCA FOUNDATION'S BYLAWS, ARE RESERVED FOR GRAND ITASCA CLINIC & HOSPITAL, THE ONE VOTING MEMBER OF GRAND ITASCA FOUNDATION. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND THE FOUNDATION DIRECTOR PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST POLICIES ARE REVIEWED ANNUALLY. CONFLICT OF INTEREST FORMS ARE SIGNED ANNUALLY BY ALL BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). GRAND ITASCA CLINIC AND HOSPITAL 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 411865874 HOSPITAL MN 501C3 3 FAIRVIEW true FAIRVIEW HEALTH SERVICES 2450 RIVERSIDE AVENUE MINNEAPOLIS MN 55454 410991680 HOSPITAL MN 501C3 3 NA false CDI GRAND RAPIDS LLC 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 453783014 MRI-DTI MN N/A false false false true true false false false false false false false false false false true true false false false false FAIRVIEW HEALTH SERVICES C 250000 CASH