Skip to content
Nonprofiteer
← GRAND ITASCA FOUNDATION

Form 990 for tax year 2022

Filed by GRAND ITASCA FOUNDATION.

Totals

Total revenue
$237,361
Total expenses
$234,208
Contributions and grants received
$213,712
Grants paid
$196,815
Program service revenue
$1,793
Investment income
$0
Other revenue
$21,856
Total assets, end of year
$1,724,500
Total liabilities, end of year
$262,140
Net assets or fund balances, end of year
$1,462,360
Program services expenses (Part IX)
$234,208
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$234,208

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $86,988

  • 1f · All other contributions, gifts and grants

    $126,724

  • 2a · Program service revenue

    total $1,793 · excluded $1,793

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: gross income

    $61,311

  • 8a · Fundraising events: contributions included on line 1c

    $86,988

  • 8b · Fundraising events: direct expenses

    $39,455

  • 8c · Net income from fundraising events

    total $21,856 · excluded $21,856

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $126,385 · program services $126,385

  • 2 · Grants to domestic individuals

    total $70,430 · program services $70,430

  • 11g · Fees: other

    total $33,707 · program services $33,707 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $3,686 · program services $3,686

  • 24a · Other expenses: Subscription fees

  • 24b · Other expenses: Printing

  • 24c · Other expenses: Bank Fees

  • 24d · Other expenses: Miscellaneous

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,440,678 · end of year $1,401,609

  • 3 · Pledges and grants receivable

    beginning of year $2,205 · end of year $1,863

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $283,881 · end of year $321,028

  • 17 · Accounts payable and accrued expenses

    beginning of year $571 · end of year $228

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $261,886 · end of year $261,912

  • 27 · Net assets without donor restrictions

    beginning of year -$152,958 · end of year -$270,574

  • 28 · Net assets with donor restrictions

    beginning of year $1,617,265 · end of year $1,732,934

Mission and programs · 2022

Mission

To build philanthropic partnerships to support the mission of Grand Itasca Clinic and Hospital.

  • Grand Itasca Foundation enhances and helps to guarantee the delivery of contributions and provide financial support to Grand Itasca Clinic and Hospital. In 2022 Grand Itasca Foundation awarded $196,123 in total grant funding to organizations and individuals. This includes $172,793 to Grand Itasca Clinic and Hospital for patient focused projects, six individual scholarship awards totaling $12,500 and care to share grants to 22 recipients for a total of $10,830.

    Expenses $234,208 · Grants $196,815

As filed on the 2022 return.

Listed in Part VII

  • Elizabeth Miskovich

    Co-Chair

    Total calculated
    $0
    Hours/week
    1

  • Rose Villenueve

    Co-Chair

    Total calculated
    $162,229
    From this org
    $0
    From related orgs
    $125,671
    Other
    $36,558
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $110,201 related
    Bonus
    $0 + $15,367 related
    Other
    $0 + $103 related
    Deferred
    $0 + $7,809 related
    Nontaxable benefits
    $0 + $28,749 related
    Filer's total
    $0 + $162,229 related

  • Amber Burggraf

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • Charity Branstad RN

    Director

    Total calculated
    $98,018
    From this org
    $0
    From related orgs
    $92,436
    Other
    $5,582
    Hours/week
    1

  • Cory Jackson

    Vice Chair, end 12-31-22

    Total calculated
    $0
    Hours/week
    1

  • Dale Adams

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Joe Cargill

    Chair, ended 12-31-22

    Total calculated
    $0
    Hours/week
    1

  • Katie Troumbly

    Director

    Total calculated
    $134,353
    From this org
    $0
    From related orgs
    $124,853
    Other
    $9,500
    Hours/week
    1 + 40 related

  • Kirk Gilbertson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Kristi Kane

    Director

    Total calculated
    $0
    Hours/week
    1

  • Mike Aultman

    Director, New 2022

    Total calculated
    $0
    Hours/week
    1

  • Nick Rothstein

    Treasurer

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Scott Gerling

    Director

    Total calculated
    $0
    Hours/week
    1

  • Spencer Buchert

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sue Mattson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Brianne Wagner

    Foundation Director

    Total calculated
    $154,078
    From this org
    $0
    From related orgs
    $116,243
    Other
    $37,835
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $104,654 related
    Bonus
    $0 + $9,175 related
    Other
    $0 + $2,414 related
    Deferred
    $0 + $7,474 related
    Nontaxable benefits
    $0 + $30,361 related
    Filer's total
    $0 + $154,078 related

  • James Hereford

    Officer

    Total calculated
    $3,487,618
    From this org
    $0
    From related orgs
    $3,370,758
    Other
    $116,860
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,753,793 related
    Bonus
    $0 + $1,399,311 related
    Other
    $0 + $217,654 related
    Deferred
    $0 + $100,535 related
    Nontaxable benefits
    $0 + $16,325 related
    Filer's total
    $0 + $3,487,618 related

  • Jean MacDonell

    Officer

    Total calculated
    $586,650
    From this org
    $0
    From related orgs
    $515,552
    Other
    $71,098
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $372,868 related
    Bonus
    $0 + $142,100 related
    Other
    $0 + $584 related
    Deferred
    $0 + $69,797 related
    Nontaxable benefits
    $0 + $1,302 related
    Filer's total
    $0 + $586,650 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: JAMES HEREFORD, JEAN MACDONELL, DUE TO A VESTING EVENT, THE FOLLOWING INDIVIDUALS HAD INCOME IN PART VII AND SCHEDULE J RELATED TO A NONQUALIFIED RETIREMENT PLAN: JAMES HEREFORD $208,150
Schedule J, Part I, Line 7 Non-fixed payments
Fairview Health Services provides lump sum financial awards based on system-wide, business unit and/or departments financial and quality measures. Annual goals, specifically tied to productivity and quality indicators, are set for the year and an incentive paid out annually if key goals and measures are achieved.
Schedule J, Part I, Line 3 Related Org to establish compensation
THE ORGANIZATION IS PART OF THE FAIRVIEW HEALTH SERVICES SYSTEM AND FAIRVIEW HEALTH SERVICES HUMAN RESOURCES USES COMPARABLES TO ESTABLISH COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR ACCORDING TO MARKET STANDARDS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CDI Grand Rapids LLC

    N/A · MRI-DTI · MN

    Directly controlled by Grand Itasca Clinic and Hospital

Provenance

Return type
form_990
Tax year
2022
Filed
26 October 2023
IRS schema version
2022v5.0
Source object
202312999349301901

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.