2013-11-14T16:12:22-06:00 2012-12-31 420714325 MCGLADREY LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2012-01-01 411560554 GRAND ITASCA FOUNDATION GRAN 2183267763 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 BARB ARBOUR 2183267763 2013-11-01 1 TODD A JACKSON P00092672 6123324300 2012 2016-02-24 21:20:13Z BARB ARBOUR 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 76298 0 X N/A X 1986 MN TO ENHANCE THE AVAILABILITY OF QUALITY HEALTH CARE TO THE REGION SERVED BY GRAND ITASCA CLINIC & HOSPITAL. 16 14 0 120 0 0 46596 10747 0 0 21798 65551 0 0 68394 76298 16070 16058 0 0 0 0 0 0 6670 30172 21037 46242 37095 22152 39203 533103 507896 0 11054 533103 496842 TO BENEFIT GRAND ITASCA CLINIC AND HOSPITAL 0 0 22270 16058 10747 ENHANCE AND HELP TO GUARANTEE THE DELIVERY OF QUALITY MEDICAL SERVICES THROUGH EDUCATION, MANAGEMENT OR CHARITABLE CONTRIBUTIONS AND PROVIDE FINANCIAL SUPPORT TO GRAND ITASCA CLINIC & HOSPITAL. 22270 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X SARAH GUSTAFSON 2183265000 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 BARB ARBOUR 1.00 X X 0 0 0 DALE ADAMS 1.00 X X 0 0 0 DIANE WEBER 1.00 X X 0 0 0 SANDRA HARLING 1.00 X X 0 40984 18650 GWYNNE BOBICH 1.00 X 0 0 0 PATRICIA CARLIN-JANSSEN 1.00 X 0 259009 37101 KATHY FAUTH 1.00 X 0 0 0 CRICKET GUYER 1.00 X 0 0 0 RON JOHNSON MD 1.00 X 0 0 0 HANS KALDAHL DVM 1.00 X 0 0 0 TINA KANE 1.00 X 0 0 0 DONNA KELLY 1.00 X 0 0 0 TARA MAKINEN 1.00 X 0 0 0 JUDY PITTACK 1.00 X 0 0 0 STEVE WRIGHT 1.00 X 0 0 0 ANDY SHERMOEN 1.00 X 0 0 0 KELLY KIRWIN 40.00 X 0 47982 3334 0 347975 59085 0 0 1 0 0 10747 10747 65551 65551 76298 0 0 65551 10058 10058 6000 6000 7827 7827 238 238 1114 80 1034 90 90 FUNDRAISING PROJECTS 5636 5636 PUBLIC RELATIONS 2811 2811 POSTAGE 1988 1988 SPONSORSHIPS 1005 1005 328 328 37095 22270 8155 6670 329249 373473 197041 125685 6813 8738 533103 507896 11054 0 11054 X 194211 277288 316920 197582 21972 21972 533103 496842 533103 507896 X 39203 -75464 X 0 1 X 1 0 X X 0 0 0 GRAND ITASCA CLINIC AND HOSPITAL 411865874 3 1 1 1 44199 1 44199 0 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CORPORATION AND THE FOUNDATION HAVE REVIEWED THEIR TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAVE CONCLUDED THAT NO MATERIAL LIABILITIES EXIST AS OF DECEMBER 31, 2012. GENERALLY, THE CORPORATION AND THE FOUNDATION ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO THE FISCAL YEAR ENDED JUNE 30, 2007. 1 SCHOLARSHIPS 5 6000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANT REQUESTS ARE APPROVED OR DENIED BY THE FOUNDATION BOARD PRIOR TO APPROVAL AND/OR PAYMENT. 0 0 0 0 0 0 0 0 0 PATRICIA CARLIN-JANSSEN 0 259009 0 0 0 0 0 19180 0 17921 0 296110 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND THE FOUNDATION DIRECTOR PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICIES ARE REVIEWED ANNUALLY. CONFLICT OF INTEREST FORMS ARE SIGNED ANNUALLY BY ALL BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PROPERTY & EQUIPMENT -130,085. EQUITY TRANSFER FROM GRAND ITASCA CLINIC & HOSPITAL 54,621. FORM 990, PART VI, SECTION B, LINE 15: CURRENTLY THE FOUNDATION DOES NOT DIRECTLY EMPLOY ANYONE. ALL COMPENSATION IS PAID BY GRAND ITASCA CLINIC AND HOSPITAL. GRAND ITASCA CLINIC AND HOSPITAL 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 411865874 HOSPITAL MN 501(C)(3) LINE 3 N/A 0 CDI GRAND RAPIDS LLC 1601 GOLF COURSE ROAD GRAND RAPIDS MN 55744 453783014 PROVIDE IN-HOUSE MRI AND DTI SERVICES MN GRAND ITASCA CLINIC & HOSPITAL RELATED 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0