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Nonprofiteer
← GRAND ITASCA FOUNDATION

Form 990 for tax year 2023

Filed by GRAND ITASCA FOUNDATION.

Totals

Total revenue
$229,153
Total expenses
$203,446
Contributions and grants received
$135,041
Grants paid
$186,196
Program service revenue
$0
Investment income
$1,415
Other revenue
$92,697
Total assets, end of year
$1,750,233
Total liabilities, end of year
$262,166
Net assets or fund balances, end of year
$1,488,067
Program services expenses (Part IX)
$186,196
Management and general expenses
$17,250
Fundraising expenses
$0
Program service expenses (Part III)
$186,196

Program services were 91.5% 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

    $20,533

  • 1f · All other contributions, gifts and grants

    $114,508

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,415 · excluded $1,415

  • 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

    $137,366

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

    $20,533

  • 8b · Fundraising events: direct expenses

    $44,669

  • 8c · Net income from fundraising events

    total $92,697 · excluded $92,697

  • 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 $134,931 · program services $134,931

  • 2 · Grants to domestic individuals

    total $51,265 · program services $51,265

  • 11g · Fees: other

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

  • 13 · Office expenses

    total $13,929 · management and general $13,929

  • 24a · Other expenses: Bank Fees

    total $2,239 · management and general $2,239

  • 24b · Other expenses: Subscription fees

    total $832 · management and general $832

  • 24c · Other expenses: Miscellaneous

    total $250 · management and general $250

  • 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 $1,401,609 · end of year $1,394,737

  • 3 · Pledges and grants receivable

    beginning of year $1,863 · 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 $321,028 · end of year $353,633

  • 17 · Accounts payable and accrued expenses

    beginning of year $228 · end of year $229

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $261,912 · end of year $261,937

  • 27 · Net assets without donor restrictions

    beginning of year -$270,574 · end of year -$329,431

  • 28 · Net assets with donor restrictions

    beginning of year $1,732,934 · end of year $1,817,498

Mission and programs · 2023

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 $187,395 in total grant funding to organizations and individuals. This includes $162,278 to Grand Itasca Clinic and Hospital for patient focused projects, six individual scholarship awards totaling $15,000 and care to share grants to 21 recipients for a total of $10,117.

    Expenses $186,196 · Grants $186,196

As filed on the 2023 return.

Listed in Part VII

  • Elizabeth Miskovich

    Co-Chair

    Total calculated
    $0
    Hours/week
    1

  • Rose Villenueve

    Co-Chair

    Total calculated
    $182,522
    From this org
    $0
    From related orgs
    $143,988
    Other
    $38,534
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $111,314 related
    Bonus
    $0 + $32,566 related
    Other
    $0 + $108 related
    Deferred
    $0 + $8,851 related
    Nontaxable benefits
    $0 + $29,683 related
    Filer's total
    $0 + $182,522 related

  • Amber Burggraf

    Secretary, ended 12-31-23

    Total calculated
    $0
    Hours/week
    1

  • Bryaan Sergot

    Director, new 1-1-2023

    Total calculated
    $0
    Hours/week
    1

  • Charity Branstad RN

    Director, Ended 12-31-23

    Total calculated
    $102,466
    From this org
    $0
    From related orgs
    $96,633
    Other
    $5,833
    Hours/week
    1 + 40 related

  • Dajana Condos DC

    Director, new 1-1-2023

    Total calculated
    $0
    Hours/week
    1

  • Katie Troumbly

    Secretary

    Total calculated
    $136,863
    From this org
    $0
    From related orgs
    $127,174
    Other
    $9,689
    Hours/week
    1 + 40 related

  • Kirk Gilbertson

    Director, ended 12-31-23

    Total calculated
    $0
    Hours/week
    1

  • Kristi Kane

    Director, end 2022

    Total calculated
    $0
    Hours/week
    1

  • Mike Aultman

    Director

    Total calculated
    $0
    Hours/week
    1

  • Mike Johnson

    Director, new 1-1-2023

    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

  • Shane Skelly

    Director, new 1-1-2023

    Total calculated
    $0
    Hours/week
    1

  • Spencer Buchert

    Director

    Total calculated
    $0
    Hours/week
    1

  • Sue Mattson

    Director, end 2022

    Total calculated
    $0
    Hours/week
    1

  • Wendy Roy

    Director, new 1-1-2023

    Total calculated
    $0
    Hours/week
    1

  • Brianne Wagner

    Foundation Director

    Total calculated
    $172,829
    From this org
    $0
    From related orgs
    $133,005
    Other
    $39,824
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $124,078 related
    Bonus
    $0 + $8,248 related
    Other
    $0 + $679 related
    Deferred
    $0 + $8,490 related
    Nontaxable benefits
    $0 + $31,334 related
    Filer's total
    $0 + $172,829 related

  • James Hereford

    Officer

    Total calculated
    $5,246,751
    From this org
    $0
    From related orgs
    $5,208,444
    Other
    $38,307
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,888,932 related
    Bonus
    $0 + $1,260,653 related
    Other
    $0 + $2,058,859 related
    Deferred
    $0 + $21,097 related
    Nontaxable benefits
    $0 + $17,210 related
    Filer's total
    $0 + $5,246,751 related

  • Jean MacDonell

    Officer

    Total calculated
    $573,096
    From this org
    $0
    From related orgs
    $492,874
    Other
    $80,222
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,328 related
    Bonus
    $0 + $97,925 related
    Other
    $0 + $621 related
    Deferred
    $0 + $78,769 related
    Nontaxable benefits
    $0 + $1,453 related
    Filer's total
    $0 + $573,096 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 $2,049,355
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.

Provenance

Return type
form_990
Tax year
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202413169349304706

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