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Nonprofiteer
← GRAND ITASCA CLINIC AND HOSPITAL

Form 990 for tax year 2024

Filed by GRAND ITASCA CLINIC AND HOSPITAL.

Totals

Total revenue
$140,219,254
Total expenses
$132,878,872
Contributions and grants received
$1,959,177
Grants paid
$0
Program services expenses (Part IX)
$118,764,124
Management and general expenses
$14,114,748
Fundraising expenses
$0
Program service expenses (Part III)
$118,764,123

Program services were 89.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Jeoff Will

    Officer, new 1-2024

    Total calculated
    $1,650,134
    From this org
    $0
    From related orgs
    $1,422,135
    Other
    $227,999
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,045,338 related
    Bonus
    $0 + $328,858 related
    Other
    $0 + $47,939 related
    Deferred
    $0 + $203,643 related
    Nontaxable benefits
    $0 + $24,356 related
    Filer's total
    $0 + $1,650,134 related
  • Becky Adams

    Director, new 1-2024

    Total calculated
    $0
    Hours/week
    1
  • Brian Amdahl

    Director

    Total calculated
    $575,674
    From this org
    $0
    From related orgs
    $543,864
    Other
    $31,810
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $471,549 related
    Bonus
    $0 + $68,907 related
    Other
    $0 + $3,408 related
    Deferred
    $0 + $13,800 related
    Nontaxable benefits
    $0 + $18,010 related
    Filer's total
    $0 + $575,674 related
  • Cindy Feyer

    Director

    Total calculated
    $0
    Hours/week
    1
  • Connie Ross-Henderschott

    Director

    Total calculated
    $0
    Hours/week
    1
  • Dale Adams

    Chair, end 12/2024

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dale Furman

    Director, end 12-2024

    Total calculated
    $0
    Hours/week
    1
  • Keith Murphy MD

    Director

    Total calculated
    $538,440
    From this org
    $504,574
    From related orgs
    $0
    Other
    $33,866
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $483,814
    Bonus
    $20,000
    Other
    $760
    Deferred
    $20,486
    Nontaxable benefits
    $13,380
    Filer's total
    $538,440
  • Kimberly DeRoche MD

    Director

    Total calculated
    $867,099
    From this org
    $0
    From related orgs
    $720,627
    Other
    $146,472
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $515,160 related
    Bonus
    $0 + $162,954 related
    Other
    $0 + $42,513 related
    Deferred
    $0 + $122,384 related
    Nontaxable benefits
    $0 + $24,088 related
    Filer's total
    $0 + $867,099 related
  • Malissa Bahr

    Director, new 1-2024

    Total calculated
    $0
    Hours/week
    1
  • Mike Miskovich DDS

    Secretary

    Total calculated
    $0
    Hours/week
    1
  • Mindy Nuhring

    Vice Chair

    Total calculated
    $0
    Hours/week
    1
  • Nick Rothstein

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Simon Lick MD

    Treasurer

    Total calculated
    $441,660
    From this org
    $388,671
    From related orgs
    $0
    Other
    $52,989
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $367,431
    Bonus
    $21,000
    Other
    $240
    Deferred
    $20,631
    Nontaxable benefits
    $32,358
    Filer's total
    $441,660
  • Tom McBride

    Director

    Total calculated
    $0
    Hours/week
    1
  • Daniel Soular

    CMO

    Total calculated
    $551,255
    From this org
    $509,270
    From related orgs
    $0
    Other
    $41,985
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $416,732
    Bonus
    $86,548
    Other
    $5,990
    Deferred
    $19,360
    Nontaxable benefits
    $22,625
    Filer's total
    $551,255
  • Jean MacDonell

    President & CEO

    Total calculated
    $658,456
    From this org
    $0
    From related orgs
    $568,690
    Other
    $89,766
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $411,164 related
    Bonus
    $0 + $126,585 related
    Other
    $0 + $30,941 related
    Deferred
    $0 + $88,249 related
    Nontaxable benefits
    $0 + $1,517 related
    Filer's total
    $0 + $658,456 related
  • Jon Pederson

    VP Operations

    Total calculated
    $345,676
    From this org
    $296,367
    From related orgs
    $0
    Other
    $49,309
    Hours/week
    36 + 4 related

    Schedule J breakdown matched by us

    Base
    $256,540
    Bonus
    $38,841
    Other
    $986
    Deferred
    $17,573
    Nontaxable benefits
    $31,736
    Filer's total
    $345,676
  • Mitchell Vincent

    VP Operations

    Total calculated
    $323,844
    From this org
    $0
    From related orgs
    $290,724
    Other
    $33,120
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,658 related
    Bonus
    $0 + $32,353 related
    Other
    $0 + $5,713 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $33,120 related
    Filer's total
    $0 + $323,844 related
  • Todd Christensen

    VP Finance

    Total calculated
    $327,767
    From this org
    $287,939
    From related orgs
    $0
    Other
    $39,828
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $249,739
    Bonus
    $37,347
    Other
    $853
    Deferred
    $17,619
    Nontaxable benefits
    $22,209
    Filer's total
    $327,767
  • Brent Schotl MD

    Physician

    Total calculated
    $620,895
    From this org
    $578,010
    From related orgs
    $0
    Other
    $42,885
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $479,064
    Bonus
    $12,000
    Other
    $86,946
    Deferred
    $20,423
    Nontaxable benefits
    $22,462
    Filer's total
    $620,895
  • Darin Skaudis MD

    Physician

    Total calculated
    $700,200
    From this org
    $646,337
    From related orgs
    $0
    Other
    $53,863
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $612,697
    Bonus
    $23,000
    Other
    $10,640
    Deferred
    $33,232
    Nontaxable benefits
    $20,631
    Filer's total
    $700,200
  • David Anderson MD

    Physician

    Total calculated
    $646,494
    From this org
    $591,236
    From related orgs
    $0
    Other
    $55,258
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $569,334
    Bonus
    $10,870
    Other
    $11,032
    Deferred
    $20,631
    Nontaxable benefits
    $34,627
    Filer's total
    $646,494
  • Heidi Malling MD

    Physician

    Total calculated
    $558,322
    From this org
    $523,698
    From related orgs
    $0
    Other
    $34,624
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $469,266
    Bonus
    $53,000
    Other
    $1,432
    Deferred
    $19,532
    Nontaxable benefits
    $15,092
    Filer's total
    $558,322
  • Wallace Curry Jr MD

    Physician

    Total calculated
    $695,679
    From this org
    $650,043
    From related orgs
    $0
    Other
    $45,636
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $542,736
    Bonus
    $104,208
    Other
    $3,099
    Deferred
    $20,631
    Nontaxable benefits
    $25,005
    Filer's total
    $695,679
  • Laura Reed

    Former Officer

    Total calculated
    $2,973,699
    From this org
    $0
    From related orgs
    $2,902,634
    Other
    $71,065
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $43,717 related
    Bonus
    $0 + $872,344 related
    Other
    $0 + $1,986,573 related
    Deferred
    $0 + $69,760 related
    Nontaxable benefits
    $0 + $1,305 related
    Filer's total
    $0 + $2,973,699 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 — 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 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 4a Severance or change-of-control payment
Severance Terms and Conditions: Severance benefit payments will commence on the first regularly scheduled pay date that occurs at least five (5) days after the expiration of the rescission period. Payment of severance benefits is contingent upon (i) having first signed and not rescinded the Service Agreement and Release Agreement and (ii) the return of Fairview's property. Severance payments made during the tax year: Laura Reed $1,441,830
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: JAMES HEREFORD, LAURA REED, JEAN MACDONELL, KIMBERLEY DEROCHE MD DUE TO A VESTING EVENT, THE FOLLOWING INDIVIDUALS HAD INCOME IN PART VII AND SCHEDULE J RELATED TO A NONQUALIFIED RETIREMENT PLAN: JAMES HEREFORD $731,606 LAURA REED $536,871 JEOFF WILL $45,110 KIMBERLY DeROCHE $146,473 Jean MacDonell $29,940
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.
Schedule J, Part I, Line 4a
Severance benefit payments will commence on the first regularly scheduled pay date that occurs at least five (5) days after the expiration of the rescission period. Payment of severance benefits is contingent upon (i) my having first signed and not rescinded my Service Agreement and Release Agreement and (ii) the return of Fairview's property.
Schedule J, Part I, Line 4b
The nonqualified plan (the 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. Participants may not elect to defer compensation. Contributions will be made in the form of a credit to the participant's account. Within 60 days after a participant becomes vested in a contribution, the Plan shall pay to the participant an amount equal to the amount the Participant is required to pay Federal, state, local, and foreign income taxes and employment taxes due to the vesting. The remaining amount in the participant's account shall not be paid until the separation from service payment date. A participant's account shall be distributed in cash. The plan complies with section 457(f) of the Code.

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

No itemized grants to organizations 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.

Provenance

Return type
form_990
Tax year
2024
Filed
10 November 2025
IRS schema version
2024v5.1
Source object
202523149349300427

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