GRAND ITASCA CLINIC AND HOSPITAL: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- GRAND ITASCA CLINIC AND HOSPITAL (EIN 41-1865874)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-26
- IRS object ID
- 202302999349301245
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-26T18:05:46+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411865874 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grand Itasca Clinic and Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAN | BusinessNameControlTxt |
| Phone | 2183265000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 Golf Course Road | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55744 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jean MacDonell | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2023-10-26 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jean | PersonFirstNm |
| Person Last | MacDonell | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jean MacDonell | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 Golf Course Road | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55744 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $117,018,711 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GRANDITASCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | Provide quality, accessible, and valuable health care services via a hospital, home health agency, and clinic to the surrounding rural community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 872 | TotalEmployeeCnt |
| Total Volunteers | 63 | TotalVolunteersCnt |
| Total Gross UBI | $571,609 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $182,257 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,413,522 | PYContributionsGrantsAmt |
| CY Contributions Grants | $131,551 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $113,265,452 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $115,040,426 | CYProgramServiceRevenueAmt |
| PY Investment Income | $928,263 | PYInvestmentIncomeAmt |
| CY Investment Income | $416,865 | CYInvestmentIncomeAmt |
| PY Other Revenue | $309,243 | PYOtherRevenueAmt |
| CY Other Revenue | $903,385 | CYOtherRevenueAmt |
| PY Total Revenue | $122,916,480 | PYTotalRevenueAmt |
| CY Total Revenue | $116,492,227 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $66,465,684 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,607,159 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,274,769 | PYOtherExpensesAmt |
| CY Other Expenses | $41,478,287 | CYOtherExpensesAmt |
| PY Total Expenses | $107,740,453 | PYTotalExpensesAmt |
| CY Total Expenses | $108,085,446 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,176,027 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,406,781 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $85,810,257 | TotalAssetsBOYAmt |
| Total Assets EOY | $84,488,316 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,473,388 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,231,475 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $65,336,869 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $74,256,841 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Provide quality, accessible, and valuable health care services via a hospital, home health agency, and clinic to the surrounding rural community. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $98,519,206 | ExpenseAmt |
| Revenue | $115,372,202 | RevenueAmt |
| Desc | Grand Itasca Clinic & Hospital is an integrated multi-specialty clinic and hospital. The facility is licensed for 45 beds. In addition to providing traditional hospital services, the facility has a surgery center, full complement of imaging services, a 24-hour emergency department, outpatient rehabilitation services, and outpatient clinic services. The facility employs over 700 people, including over 60 healthcare providers. The organization has over 250,000 patient encounters each year, including emergency visits, surgeries, births, home health and clinic visits. Grand Itasca serves the patient regardless of the person's ability to pay. During the calendar year, the system provided $1,635,916 of charity care, $1,211,251 of discounts to the uninsured and absorbed $15,058,028 of unpaid Medicare and Medicaid costs. Grand Itasca also paid $1,946,894 in payments for Minnesota Care Tax and Medicaid Surcharges, which were used to fund care for the indigent and underinsured. Grand Itasca Clinic and Hospital is part of Fairview Health Services. Fairview Health Services is an industry-leading, award-winning, nonprofit, integrated health system providing exceptional health care across the full spectrum of health care services. Founded in 1906, Fairview serves the twelve-county Minneapolis/St. Paul Metro Area, as well as communities throughout greater Minnesota and portions of Northern Iowa and Western Wisconsin and is one of the most comprehensive and geographically accessible systems in Minnesota. Fairview, the University of Minnesota and the University of Minnesota Physicians approved an agreement which became effective in late 2018 (the "M Health Fairview Agreement"). While the parties maintain their separate governance, the M Health Fairview Agreement further integrated operations across the clinical delivery system and enhances research and education by creating a joint clinical enterprise among the parties. The M Health Fairview Agreement brings together not only UMMC and its related service lines, but also Fairview's other hospitals, primary care clinics, and other services. All are part of a shared care delivery system that is led by a single structure that includes academic physician leadership. The goal of the joint clinical enterprise is to create a nationally renowned academic health system. This care system was united under a single brand, M Health Fairview, which is inclusive of the Fairview Hospitals and Clinics Fairview owns and operates the following hospitals: UMMC, M Health Fairview Southdale Hospital, M Health Fairview Ridges Hospital, M Health Fairview Lakes Medical Center, M Health Fairview Northland Medical Center, Fairview University Medical Center - Mesabi ("Range"), Grand Itasca Clinic and Hospital, M Health Fairview St. John's Hospital, M Health Fairview Woodwinds Hospital and M Health Fairview Bethesda Hospital. As of December 31, 2022, the Fairview System Hospitals had a total of 3,529licensed beds and 1,824 staffed beds. Fairview operates their more than 80 primary and specialty care clinics throughout the Metro Area, greater Minnesota and western Wisconsin. These clinics offer services in over 70 medical specialties, including family medicine, pediatrics, obstetrics, gynecology, heart care, cancer care, otolaryngology, transplant care, and orthopedics. As of December 30, 2022, Fairview owned all or a portion of seven ambulatory surgery centers located in the Metro Area. Through its mission and its role as an anchor institution, Fairview is in a unique position to be a catalyst for progress and change. Fairview continues to invest heavily in the health and wellness of its communities in which it operates. This commitment includes education, training, community programs and research, as well as significant investments in care delivery. The COVID-19 pandemic exposed persistent health inequities for communities of color and has exacerbated racial disparities. Communities of color experienced statistically higher rates of COVID-19, including higher rates of hospitalization and death. To reduce the impact on Black, Indigenous, or people of color ("BIPOC"), vaccinations must be accessible, free and provided within a trusted space with appropriate language and cultural considerations. Fairview has led a multi-cultural mobile vaccination program for the past 15 years, which excels at reaching BIPOC communities facing barriers to immunization. Based on this established and successful model, Fairview was able to quickly adapt and partner with public health agencies for its COVID-19 response, including testing and vaccination clinics. Further, Fairview's longstanding relationship with local public health agencies and community partners has allowed Fairview to provide staffing, coordination, and outreach for a remarkable program called the Minnesota Immunization Network Initiative (MINI). MINI is a collaboration led by Fairview and supported by over 150 community partners, works to reduce barriers to vaccinations for communities experiencing health disparities. MINI provides flu, COVID, Mpox and other immunizations free of charge to community members aged six months and older. More than 110,000 influenza and almost 60,000 COVID vaccines have been administered. The MINI clinics are hosted in community-based locations such as local churches, mosques, temples, schools, community centers, public high rises, libraries, food pantries, and homeless shelters. The clinics are hosted by the local partner who provides the space, promotion, and serves as a trusted messenger for community members. Fairview provides the vaccine and clinical team - including interpreters and support staff - and information about other local community resources. Vaccinations are provided at no charge to participants, ages six months and older. The past several years, MINI clinics have expanded their reach to include other services such as blood pressure screening and cardiovascular health education, free dental varnish treatments, oral health education and opioid overdose prevention education. Services are often provided in conjunction with MINI vaccination clinics or on their own. During the COVID-19 pandemic, the MINI program leveraged over 15 years of experience providing mobile clinical services in diverse settings to respond to the urgent public health crisis. MINI launched a large scale, low barrier testing initiative in partnership with Saint Paul Ramsey County Public Health and the Minnesota Department of Health. This collaboration enabled thousands of community members to receive a free COVID-19 test in convenient, trusted community spaces. In total, MINI supported 47 testing events and administered almost 20,000 tests. Once the COVID-19 vaccine became available, MINI immediately pivoted to providing COVID-19 vaccinations. To date, MINI has provided 1,250 community based COVID vaccination clinics and given over 59,000 vaccinations. MINI is also supporting Mpox outreach response efforts and launched a Mpox vaccination effort in October of 2022. | Desc |
| Total Program Service Expenses | $98,519,206 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 872 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Todd Christenson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2189991703 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 Golf Course Road | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55744 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Laura Reed | ||||||||||
| Officer | 1.0 | 40.0 | Yes (X) | Yes (X) | $0 | $1,544,185 | $191,815 | |||
| Brian Amdahl | ||||||||||
| Director | 1.0 | 40.0 | Yes (X) | $0 | $477,659 | $34,259 | ||||
| Cindy Feyer | ||||||||||
| Director, New 1-2022 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Connie Ross-Henderschott | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Cory Jackson | ||||||||||
| Director, end 2021 | 0.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dale Adams | ||||||||||
| Chair | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dale Furman | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dennis Roy | ||||||||||
| Secretary | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Josh Skelton | ||||||||||
| Fin Com Chair, end 2021 | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Keith Murphy MD | ||||||||||
| Director | 40.0 | 0.0 | Yes (X) | $361,975 | $0 | $31,155 | ||||
| Kent Koerbitz | ||||||||||
| Director, end 2021 | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Kimberly DeRoche MD | ||||||||||
| Director | 1.0 | 40.0 | Yes (X) | $0 | $601,139 | $106,593 | ||||
| Mike Ives | ||||||||||
| Vice Chair | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mike Miskovich DDS | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mindy Nuhring | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Nick Rothstein | ||||||||||
| Director, New 2022 | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Simon Lick MD | ||||||||||
| Finance Chair | 40.0 | 0.0 | Yes (X) | $357,951 | $0 | $47,937 | ||||
| Steve Burggraf | ||||||||||
| Director, end 2021 | 0.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Tom McBride | ||||||||||
| Director, New 2022 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| James Hereford | ||||||||||
| Officer | 2.0 | 40.0 | Yes (X) | $0 | $3,370,758 | $116,860 | ||||
| Jean MacDonell | ||||||||||
| President & CEO | 20.0 | 20.0 | Yes (X) | $0 | $515,552 | $71,098 | ||||
| Jon Pederson | ||||||||||
| VP Operations | 40.0 | 0.0 | Yes (X) | $232,418 | $0 | $43,031 | ||||
| Todd Christensen | ||||||||||
| VP Finance | 20.0 | 20.0 | Yes (X) | $216,190 | $0 | $34,081 | ||||
| Daniel Soular | ||||||||||
| CMO | 40.0 | 0.0 | $378,843 | $0 | $41,424 | Yes (X) | ||||
| Brent Schotl MD | ||||||||||
| Physician | 40.0 | 0.0 | $461,007 | $0 | $39,752 | Yes (X) | ||||
| Darin Skaudis MD | ||||||||||
| Physician | 40.0 | 0.0 | $577,302 | $0 | $51,034 | Yes (X) | ||||
| David Anderson MD | ||||||||||
| Physician | 40.0 | 0.0 | $513,600 | $0 | $46,012 | Yes (X) | ||||
| Ryan Novak MD | ||||||||||
| Physician | 40.0 | 0.0 | $566,394 | $0 | $51,058 | Yes (X) | ||||
| WIlfred Gould MD | ||||||||||
| Physician | 40.0 | 0.0 | $528,778 | $0 | $49,466 | Yes (X) | ||||
| Kevin Nelson | ||||||||||
| Former Director | 0.0 | 0.0 | $0 | $61,576 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,194,458 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,570,869 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $955,576 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 113 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $126,385 | RelatedOrganizationsAmt |
| Government Grants | $5,166 | GovernmentGrantsAmt |
| Total Contributions | $131,551 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient services | 621110 | $109,609,574 | $109,609,574 |
| Pharmacy | 446110 | $4,185,168 | $4,185,168 |
| Joint Venture- Imaging Center | 621990 | $1,245,684 | $1,245,684 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $115,040,426 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,973 | TotalRevenueColumnAmt |
| Exclusion | $37,973 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $218,095 | SecuritiesAmt |
| Other | $160,797 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $218,095 | SecuritiesAmt |
| Other | $160,797 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $378,892 | TotalRevenueColumnAmt |
| Exclusion | $378,892 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,098,093 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $526,484 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $571,609 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $571,609 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria & Other Revenue | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $331,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $331,776 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $331,776 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,492,227 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $115,372,202 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $571,609 | UnrelatedBusinessRevenueAmt |
| Exclusion | $416,865 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,745,005 | TotalAmt |
| Program Services | $799,018 | ProgramServicesAmt |
| Management And General | $945,987 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,179,717 | TotalAmt |
| Program Services | $49,720,620 | ProgramServicesAmt |
| Management And General | $3,459,097 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,509,975 | TotalAmt |
| Program Services | $2,158,842 | ProgramServicesAmt |
| Management And General | $351,133 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,647,407 | TotalAmt |
| Program Services | $4,883,211 | ProgramServicesAmt |
| Management And General | $764,196 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,525,055 | TotalAmt |
| Program Services | $3,146,337 | ProgramServicesAmt |
| Management And General | $378,718 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,078,513 | TotalAmt |
| Program Services | $1,023,906 | ProgramServicesAmt |
| Management And General | $54,607 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,622 | TotalAmt |
| Management And General | $10,622 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,909 | TotalAmt |
| Management And General | $10,909 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,632 | TotalAmt |
| Management And General | $5,632 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,235,792 | TotalAmt |
| Program Services | $7,732,463 | ProgramServicesAmt |
| Management And General | $1,503,329 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,694 | TotalAmt |
| Program Services | $54,903 | ProgramServicesAmt |
| Management And General | $174,791 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,191,187 | TotalAmt |
| Program Services | $1,901,950 | ProgramServicesAmt |
| Management And General | $289,237 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,685,277 | TotalAmt |
| Program Services | $1,678,686 | ProgramServicesAmt |
| Management And General | $6,591 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104 | TotalAmt |
| Program Services | $100 | ProgramServicesAmt |
| Management And General | $4 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,562 | TotalAmt |
| Program Services | $64,404 | ProgramServicesAmt |
| Management And General | $10,158 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,071,722 | TotalAmt |
| Program Services | $1,071,722 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,251,246 | TotalAmt |
| Program Services | $1,025,653 | ProgramServicesAmt |
| Management And General | $1,225,593 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,743 | TotalAmt |
| Program Services | $54,743 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $19,876,193 | $19,811,568 | $64,625 |
| Taxes - MNCare & Medical Surcharge | $1,946,894 | $1,946,894 | |
| Supplies - Other | $783,029 | $624,881 | $158,148 |
| Repair & Maintenance | $664,301 | $639,974 | $24,327 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,867 | TotalAmt |
| Program Services | $179,331 | ProgramServicesAmt |
| Management And General | $128,536 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,085,446 | TotalAmt |
| Program Services | $98,519,206 | ProgramServicesAmt |
| Management And General | $9,566,240 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,561,948 | BOYAmt |
| EOY | $2,291,066 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,422,539 | BOYAmt |
| EOY | $8,707,662 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,693,939 | BOYAmt |
| EOY | $1,893,810 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,139 | BOYAmt |
| EOY | $655,693 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,752,271 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,726,511 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,642,033 | BOYAmt |
| EOY | $32,025,760 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,391,678 | BOYAmt |
| EOY | $6,350,963 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,645,116 | BOYAmt |
| EOY | $3,585,904 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,072,865 | BOYAmt |
| EOY | $28,977,458 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,810,257 | BOYAmt |
| EOY | $84,488,316 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,352,424 | BOYAmt |
| EOY | $4,926,856 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,587,299 | BOYAmt |
| EOY | $21,158 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,533,665 | BOYAmt |
| EOY | $5,283,461 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,473,388 | BOYAmt |
| EOY | $10,231,475 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,258,879 | BOYAmt |
| EOY | $71,052,467 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,077,990 | BOYAmt |
| EOY | $3,204,374 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,336,869 | BOYAmt |
| EOY | $74,256,841 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,810,257 | BOYAmt |
| EOY | $84,488,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,406,781 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,386,880 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,900,071 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $5,632 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,632 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Grand Itasca Clinic and Hospital pays dues to American Hospital Association and Minnesota Hospital Association (MHA). A portion of these annual dues are determined to be used for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,194,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,194,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,584,920 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,563,192 | DepreciationAmt |
| Book Value | $25,021,728 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,909,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,859,571 | DepreciationAmt |
| Book Value | $5,050,076 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,063,704 | OtherCostOrOtherBasisAmt |
| Depreciation | $303,748 | DepreciationAmt |
| Book Value | $759,956 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,025,760 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Limited to Use | $194,912 |
| Other Long-Term Assets | $2,932,187 |
| Investment in Joint Venture | $30,069 |
| Intercompany Receivable | $25,820,290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $28,977,458 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation Obligations | $2,921,320 |
| Work Comp Reserve | $478,353 |
| Other Long-Term Debt | $1,883,788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,283,461 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Grand Itasca Clinic and Hospital is part of Fairview Health Services. Fairview 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 $8,400,000 and $14,540,000 uncertain tax positions recorded on the consolidated balance sheets as of December 31, 2022 and 2021, respectively. 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,546,893 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $445,675 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,101,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0102 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,870,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,315,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,554,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0421 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $20,417,232 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,761,272 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,655,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0523 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $284,068 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $284,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0026 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $682,938 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $682,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0063 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,742 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $990,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $990,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0092 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $21,407,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,761,272 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,646,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0615 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,953,254 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $39,065 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $36,294,076 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,747,176 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,453,100 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CDI Grand Rapids LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Provide MRI, Diagnostic Injection and Pa | PrimaryActivitiesTxt |
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Supplemental Information SupplementalInformationGrp (10 entries)
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| Schedule H, Part V, Section B, Line 3E | Fairview is committed to transparency and accountability in all we do, including our efforts to assess - and respond to - our community's most pressing health needs. The community benefit work that we do across Fairview must reflect our community's actual needs, not our assumptions about what those needs might or should be. Because we understand that change cannot happen when we work in silos, and it cannot happen in a single year, we grounded our 2021 CHNA process in alignment with our 2018 CHNA needs, existing data, and the voices of community members and community partners. Once we had collected, analyzed, and synthesized the information we received from both primary and secondary data sources, we established a prioritization process through which we could identify the community health needs that, if effectively addressed, would have the greatest positive impact on our communities and particularly on our priority populations. Having a consistent, defined process helps reduce the skewing effect of conscious and unconscious biases and enables us to define priority need areas that reflect our community's top health needs rather than our perception of those needs. We evaluated areas of need based on four broad criteria: -Has this need been voiced by the community? Has this need been vetted by the community? -Does this need align with Fairview's strategies and priorities? -Does this need align with existing public health strategies and community health assessments? -Does this need build upon Fairview's 2018 CHNA priority needs? Our process resulted in the identification of three priority need areas. They are: -Navigating and accessing care and resources -Healing, connectedness, and mental health -Addressing structural racism and barriers to achieving health equity. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Grand Itasca Clinic and hospital. The assessment process and data collection methods we used during this CHNA cycle were different than ever before due to the COVID-19 pandemic. COVID- 19 caused delays in data collection among local, state, and national organizations. As a result of these delays, the U.S. Census Bureau had not yet released finalized data from the 2020 U.S. Census by the time we began the CHNA process. As a result, we used 2015-2019 American Community Survey data. Local public health agencies also were not able to provide updated data as they have in the past. We acknowledge that, due to these setbacks, the data we used is less recent than desired. Additionally, COVID-19 required us to add new safety precautions to our method of gathering community voice data. For example, all conversations and interviews, which had previously been in-person meetings, took place in a virtual format instead. We collected additional community voice data by convening a broad array of stakeholders, with special focus on the priority populations. The process included discussions with community benefit and assessment committees, our community advisory council, the HOPE Commission listening and learning sessions, and key stakeholder interviews. Throughout this process, community members, local business leaders, government representatives, nonprofit and community organizations, and content experts shared their voices and perspectives about their community's health needs. Each hospital within Fairview has a community committee that is involved in the CHNA process throughout the three-year cycle. Each committee is comprised of local community and organizational leaders and is staffed by the Grand Itasca Community Relations department and the Fairview Community Advancement department. Community health steering committees met four times between April and October in 2021, three of which were individual committee meetings and one of which was a system-wide Community Impact Summit that brought all the committees together. Each committee meeting consisted of facilitated discussions through which our team gathered input about top community needs. The Fairview Community Advisory Council, composed of key community leaders and staffed by Community Advancement, reviews the CHNA report and written implementation strategy and recommends it to the Patient Care and Experience Committee of the Fairview Board of Directors for review and adoption. Each member represents the member's respective community, and members represent a broad range of sectors, among them community organizations serving cultural communities, higher education organizations, banks, and a nonprofit electric company. The Community Advisory Council met from May through November 2021 to participate in the CHNA process, give feedback, and ultimately recommend the CHNA and implementation strategy for adoption. The HOPE Commission is a multi-year transformational change effort of M Health Fairview to drive more equitable outcomes and inclusive environments and experiences for our patients, employees, and communities. The Commission conducted a series of listening and learning sessions in 2020 and 2021. The objective was to hold a mirror to Fairview to assess where we are now and how we can make lasting change. Part of being an anti-racist health system is developing a candid understanding of our shortcomings. We particularly sought to hear perspectives and ideas from the most impacted populations: BIPOC employees and patients, front-line workers who care for underserved and marginalized patients, and those patients themselves. A survey was also made available each year to gather insights and suggestions from employees and patients who could not directly participate in a listening and learning session. In 2020, the commission convened 32 virtual listening and learning sessions and two town halls involving more than 1,500 participants across Fairview sites. The sessions focused on employees but included patients and community members as well. In September 2021, the HOPE Commission continued the listening and learning sessions following the same model. In this iteration, however, the focus was primarily on gathering input from patients (and employees as patients). In both 2020 and 2021's listening and learning sessions, the facilitators and note takers reflected the community represented by the session's group to the greatest degree possible. In August and September 2021, Fairview's Community Advancement team conducted a series of interviews with staff members who work with communities. Each conversation followed a consistent interview protocol developed for this purpose, and each interview was captured by means of detailed notes. The goal of these interviews was to draw on staff expertise to gain a deeper understanding of our priority needs and to determine whether there are any emerging needs that we should be considering. Between Aug. 31 and Sept.17, 2021, we conducted 17 interviews. In August 2021, we held two focus groups in partnership with other organizations. We convened the first focus group in partnership with HealthPartners and Allina Health, and the participants were faith community nurses. We convened the second focus group in partnership with the organizations that are a part of the East Side Health and Well-being Collaborative. This meeting's focus was on accessing care and resources for different cultural communities. Fairview also participated in two large surveys. KRC Research conducted a survey around health and health care needs in St. Paul between June 8 and July 7, 2021, and administered it to community members, Fairview employees, patients, and community partners. Responses were received from 294 residents, more than 1,000 employees, 221 patients, and 20 partners. The survey was offered online and by phone and in five languages: English, Spanish, Hmong, Somali, and Karen. Fairview also supported and was a partner organization in Bridge to Health, a survey that assesses the health needs of northern Minnesota residents. The Bridge to Health survey was administered between Aug. 28 and Oct. 23, 2020. The geographic areas that were sampled included Aitkin, Carlton, Cook, Itasca, Koochiching, Lake, St. Louis, and Pine counties in Minnesota, as well as Douglas County in Wisconsin. As a foundational part of program planning and evaluation, Community Advancement staff are continuously soliciting feedback from community partners and program participants. We capture this information on an ongoing basis and use it to provide valuable context and drive insights into the needs of the communities we serve. Fairview staff developed standardized tools, processes, instructions, and facilitator, interviewer, and note-taker protocols and training. All primary data was compiled, cleaned, and analyzed. Community conversations lasted various lengths from 30-120 minutes. All community input was captured by a note-taker. The Fairview team contracted with the following groups to support our assessment process: -Loren Blinde, PhD of Writing Power, a copywriter and content strategist, on the writing of the report. -Kristi Fordyce, an independent contractor, for analysis support. -Weber Shandwick, for data collection and analysis of focus groups and stakeholder interviews focused on St. Paul. -KRC Research for the administration and analysis of the St. Paul Community Survey |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Grand Itasca Clinic and hospital. The Community Health Needs Assessment Report for Grand Itasca Clinic and Hospital are located at: https://stcr-prd-cd.fairview.org/-/media/Files/Local-Health-Needs/Read-full-reports/2021-CHNA-Report-Grand-Itasca-Clinic-and-Hospital2125.pdf?_ga=2.XXX-XX-XXXX.1916792193.1654267916-XXX-XX-XXXX.1594916074 The Community Health Needs Assessment Implementation Strategy Report for Grand Itasca Clinic and Hospital are located at: https://stcr-prd-cd.fairview.org/-/media/Files/Local-Health-Needs/CHNA-Implementation-Strategy-Report-20222024-GICH-1.pdf?_ga=2.XXX-XX-XXXX.1916792193.1654267916-XXX-XX-XXXX.1594916074 |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Grand Itasca Clinic and Hospital. Our triennial community health needs assessment (CHNA) process provides an important opportunity to engage with and understand our community, analyze what has changed-for better or worse-since the last assessment, and prioritize together with the community the issues we must urgently address in order to improve wellbeing and resilience. As part of the 2021 CHNA process, we reexamined and built upon the extensive community insights shared during our 2018 CHNA, while also surveying the community for current and emerging needs. Our 2021 CHNA used social determinants of health as a lens through which we frame our understanding of our community's most significant health needs. A social determinants of health lens enable us to identify inequitable distribution of resources and access that negatively impacts health. Through this lens we looked at both qualitative and quantitative data. Quantitative data included data points related demographics, physical environment, socioeconomic factors, health care and health outcomes. We collected additional community voice data by convening a broad array of stakeholders, with special focus on the priority populations. Grand Itasca Clinic & Hospital has a community advisory committee (CAC) that is involved in the CHNA process. The committee is comprised of local community and organizational leaders, such as local public health, social services organizations, school districts, and local businesses. In 2022 the charter was reviewed and updated, and the membership is being evaluated to assure diverse representation and in particular membership from the two identified priority populations. Throughout this process, community members, local business leaders, government representatives, nonprofit and community organizations, and content experts shared their voices and perspectives about their community's health needs. Bringing together both the qualitative and quantitative data we established a prioritization process through which we could identify the community health needs that, if effectively addressed, would have the greatest positive impact on our communities and particularly on our priority populations. We prioritized areas of need based on four broad criteria: 1) Has this need been voiced by the community? Has this need been vetted by the community? 2) Does this need align with Grand Itasca's strategies and priorities? 3) Does this need align with existing public health strategies and community health assessments? 4) Does this need build upon Grand Itasca's 2018 CHNA priority needs? Grand Itasca Clinic & Hospital identified three system-wide priority need areas, and will collaborate with other Fairview hospitals, medical centers, and shared services to address these priorities. Specific response varies by hospital based on the ways in which the priority needs manifest across a given community as well as the partnerships, both ongoing and new, that we have developed to address those needs. 1) Navigating and accessing care and resources, 2) Healing, connectedness, and mental health, and 3) addressing structural racism and barriers to equity. Each priority has a set of anticipated impacts, described in more detail below, and can be found in the Grand Itasca Clinic & Hospital CHNA Implementation Strategy Report through this link: https://www.fairview.org/our-community-commitment/local-health-needs We also identified two priority populations, across the lifespan, rural to urban, racial or ethnic populations experiencing health disparities, and people experiencing poverty. Grand Itasca Clinic & Hospital CHNA Implementation Strategy Report (2022-2024): https://www.fairview.org/our-community-commitment/local-health-needs In 2022 Fairview created brief explainer videos on our CHNA process in 5 languages, English, Spanish, Somali, Hmong, and Karen, to increase accessibility and awareness of our process. To view these videos, please visit the following link: https://www.fairview.org/our-community-commitment/local-health-needs For more details about our priority needs and the priority populations as they relate to Grand Itasca Clinic & Hospital, please see the following link: https://www.fairview.org/our-community-commitment/local-health-needs Development of Implementation Strategies. Over the past 10 years of responding to our communities' biggest needs we have learned important lessons which have guided us in the development of our Fairview Health Services 2022-2024 implementation strategies. 1. Despite best efforts, health needs and health inequities continue to grow and deepen. 2. Collective action is critical. 3. Transformational change requires sustained and focused commitment. In response to our 2021 community health needs assessment and our lessons learned, all Fairview hospitals and medical centers will work collaboratively amongst each other, as well as in partnership with local and statewide organizations to address communities' most pressing needs. To rise to the challenge, we put forth a 10-year vision of increased community health equity and a set of 3 strategies which will help to address the priority need areas in distinct ways while collectively moving us closer to our vision of increased community health equity. The three strategies are: Strategy 1: Addressing SDOH - Addressing the social determinants of health (SDOH) as well as individual social risks and social needs through the creation and expansion of programs; initiatives; collaborations; research; and policy, system, and environmental work. Strategy 2: Community engagement infrastructure - Creating community engagement infrastructure that builds trusting partnerships and enables community voice to inform and influence the institution. Strategy 3: Inclusive institution - Transforming internal structures to create an antiracist and inclusive environment and to build community health by building wealth. For this three-year cycle, we are implementing our strategies to work toward distinct anticipated impacts for each priority need and ultimately our 10-year vision of increased community health equity. For more information, Grand Itasca CHNA-Implementation-Strategy-Report-2022-2024 outlines the major strategies and actions we will deploy throughout the 2022-2024 assessment cycle as well as the ties between Grand Itasca Clinic & Hospital CHNA implementation strategies, anticipated impacts, objectives, and key responses. Grand Itasca Clinic & Hospital Community Health Needs Assessments Implementation Strategy Reports (2022-2024): https://www.fairview.org/our-community-commitment/local-health-needs Relationship with our partners. Fairview has a long partnership with the University of Minnesota and University of Minnesota Physicians, now represented in the M Health Fairview brand. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. Policy, systems, and environmental change initiatives are implemented across the system (hospitals, clinics, etc.) and in some instances across the M Health Fairview partners to create sustainable and lasting change to advance health equity and community wellbeing. Where indicated, community responses as a part of strategy 2 (Community engagement infrastructure) and strategy 3 (Inclusive institution) represent the work of Fairview in collaboration with the other M Health Fairview partners. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - Grand Itasca Clinic and Hospital - Continued. Community action plan. Grand Itasca Clinic & Hospital has an annual action plan that supports our vision of increased community health equity, rolls up to our system CHNA implementation strategies, and addresses priority needs. The Fairview Health Services Community Action Plan details the specific and measurable steps the system will take during the year to drive change. Program lists by hospital can be found in the appendix. The System Community Action Plan is updated annually and includes impacts from the previous years. This report is shared with the Grand Itasca Community Advisory Committee, the Board of Directors, and is publicly available on the website. Fairview Health System Community Action Plan: https://www.fairview.org/our-community-commitment/local-health-needs Grand Itasca Clinic & Hospital Action Plan: https://www.fairview.org/our-community-commitment/local-health-needs Evaluation of Impact. To best evaluate our impact and track progress towards our anticipated impacts, we used a multi-tiered and tailored evaluation approach. We ground our work in understanding core information about our communities. This includes identifying and understanding the community need being addressed, the population or community being impacted, and current and/or potential partners to work with to address the need, and the impacts we anticipate. Community needs are determined in several ways. In addition to being determined through our formal CHNA process, we also respond to emerging needs brought to us by a community partner, public health, or through patient or community data showing significant health disparities. We have standardized several key measures to assess that we are meeting the needs of the CHNA priority populations, focusing our efforts on equity, and satisfying participants. These measures are monitored and reviewed quarterly. A subset of established programs and initiatives are set up and supported for deeper evaluation. We are guided by the Centers for Disease Control and Prevention (CDC) model for program evaluation to establish primary outcomes, process measures, and demographics. We evaluate program impact and success from a variety of approaches using both qualitative and quantitative data. For many of the programs we talk about here we are reporting out our reach or outputs through counts on a variety of levels. We offer a variety of programs that vary the spectrum of low touch and high count or high touch and lower count, or more generally put, the effort and impacts of the programs are not the same. This is a purposeful approach as we want a variety of programs and to "right-size" programs to address the needs. We provide outcomes for programs here when we are able, acknowledging not all programs run on a calendar year and analysis may not be complete for some of the programs we do deeper evaluation on. We are currently in the process of building an evaluative approach and capacity for our ten-year vision, increased community health equity, and three social determinants of health initiatives: Housing is Health, Food is Medicine, and Connection is Cure. Grand Itasca Clinic & Hospital 2022 Implementation Strategy Progress Highlights . The following highlights our implementation strategy work for each of our three priority needs. For a more comprehensive view of what we are doing as a system to impact community needs please see our Fairview Health Services Community Action Plan and for a view of Grand Itasca Clinic & Hospital's list of programs see the GICH-CAC-System-Action-Plan-2023 (granditasca.org). Fairview Health System Community Action Plan: https://www.fairview.org/our-community-commitment/local-health-needs Grand Itasca Clinic & Hospital Action Plan: https://www.fairview.org/our-community-commitment/local-health-needs The primary way we are directly addressing the three priority needs is through strategy 1 (Addressing SDOH). Through this strategy we create programs and partner with community organizations to address social risk factors, social needs, and social determinants of health. Strategy 2 (Engagement Infrastructure) and strategy 3 (Inclusive Institution) focus on building infrastructure and creating system changes so that we can more effectively respond to these priority needs in the future, as well as any emerging needs. Fairview's mission and vision extend beyond traditional healthcare settings, driving a healthier future for the communities we serve. One of the approaches we take is policy, system and environmental change initiatives which are implemented across the system (hospitals, clinics, etc.) to create sustainable and lasting change to advance health equity and community well-being. These initiatives are in service to addressing our priority needs. We are currently in the process of developing a plan towards the Social Determinants of Health Initiative "Food is Medicine", which is a Health Initiative to address food insecurity and hunger, for all Grand Itasca patients and community members. Grand Itasca Clinic & Hospital Highlight from the 2022 Action Plans: Priority Need: Navigating and accessing care and resources. Grand Itasca Clinic & Hospital has a variety of programs that work as a part of strategy 1 (Addressing SDOH) to address barriers related to navigating and accessing care and resources. Through this strategy, the Grand Itasca Clinic & Hospital Action Plan lists programs that work towards the anticipated impact to address this priority need: "Increased awareness of, knowledge about, and access to healthcare and community-based resources that support opportunities for health and wellbeing". Following is more information on a selection of programs from the Grand Itasca Clinic & Hospital Action Plan that are working to meet this anticipated impact. Grand Itasca Clinic & Hospital Key Initiative Highlights. A partnership with Second Harvest North Central Food Bank (SHNCFB) has developed into several different programs during the past few years. Initially, the partnership began as a volunteer opportunity for Grand Itasca employees. Each month, a leader or manager assembles a team to volunteer at Second Harvest North Central Food Bank. This allows Grand Itasca to consistently support the work done at SHNCFB. In 2022, Grand Itasca donated 104 hours through employee volunteering. This partnership developed into a closer look at food insecurity within our own facility. In 2021, Grand Itasca began screening all patients during their clinic visit for food insecurity. This led to referrals to Hunger Solutions, a St. Paul based organization that works with food banks and food shelves throughout the state to end hunger in Minnesota. 170 referrals were sent to Hunger Solutions during the 1-year pilot. When that pilot ended in 2022, it was determined that local resources could fill that need. Patients that screen positive for food insecurity are now provided information about local resources. |
| Schedule H, Part V, Section B, Line 11 Facility , 3 | Facility , 3 - Grand Itasca Clinic and Hospital - Continued. Through our close partnership, Second Harvest knew that Grand Itasca was screening its patients for food insecurity and reached out to help even further. SHNCFB now provides emergency food bags that are kept onsite in the clinic and are available to patients that indicate food insecurity. On average, 12 bags of emergency food are given to patients each month and the numbers continue to grow. Grand Itasca and SHNCF are expanding this partnership further in 2023. Plans are in process to add an onsite food shelf at Grand Itasca. The food shelf will be available to the community and will provide another access point for those experiencing food insecurity. Grand Itasca continues to look at new ways to expand their role to positively impact food insecurity in its community. Grand Itasca offers classes, with the goal for the community to live healthier lives. Classes include the Living Well series for Diabetes, Chronic Conditions, and Chronic Pain. Walk With Ease, curriculum developed by the Arthritis Foundation, is also offered to encourage community members to continue to stay active. In 2022, 9 participants completed a Living Well class and 9 completed the Walk With Ease class. All classes offered are evidence-informed trainings and free to participants. Grand Itasca partnered with the YMCA to bring a health fair to the community in 2022. At the health fair, UMD Pharmacy students provided free screenings for cholesterol, glucose, and blood pressure. Grand Itasca had Home Care staff to provide balance and grip assessments, as well as information about breast health, acupuncture, and chiropractic services. Other services at the health fair included memory tests, mental health resources, and programming for older adults. 31 community members participated in the free health screenings provided by the pharmacy students. Grand Itasca again offered free sports physicals for high school and college age students. This service is promoted to organizations working with families that may experience barriers accessing healthcare before it is shared publicly, as there are a limited number of appointments available. 67 students were able to obtain a free sports physical in 2022. For more information about the action plan programs that are addressing the priority need Navigating and Accessing Care and Resources please see our Grand Itasca Clinic & Hospital Community Action Plan. https://www.fairview.org/our-community-commitment/local-health-needs Priority Need: Addressing Structural Racism and Barriers to Equity. Grand Itasca Clinic & Hospital as a part of strategy 1 (Addressing SDoH), has a variety of programs, events, and education as a part of the Community Action Plan that work toward the anticipated impact: Develop, grow, and sustain programs, educational offerings, partnerships, and initiatives, to address structural racism and barriers to equity. Grand Itasca Clinic & Hospital Key Initiative Highlights. Grand Itasca is looking at ways to address structural racism and barriers to equity by first looking internally at our organization. The documentary Colored Lines: Diversity in Itasca has been used as a tool to further understand the effects of racism in Itasca County. Through the film, people in our community share their personal stories and barriers they have experienced because of the color of their skin. 40 employees in leadership roles at Grand Itasca have viewed the documentary and participated in facilitated discussion. We are in the process to expand viewing of this film with facilitated discussion to more of our staff. Welcoming Communities of Itasca County is a multi-year transformation change effort to make Itasca County a more welcoming community. Dedicated community members are working to drive more equitable outcomes, inclusive environments, and experiences for community members. Data is currently being gathered through a community survey and several town hall forums to learn more about lived experiences as a BIPOC person in Itasca County. Grand Itasca staff are part of this initiative. Grand Itasca continues to look at ways to develop our local workforce. Job descriptions, qualifications, and postings have been reviewed for bias and inclusivity. Wage audits have been completed and needed changes have been addressed. They continue to set goals and strategies to close gaps in areas of underrepresentation. Another social determinant of health initiatives for Fairview, the Housing is Health initiative, is also in response to the priority need Structural Racism and Barriers to Equity. Grand Itasca has begun to look at ways to impact their community in this realm as well. "Housing is Health" supports health and affordable housing for all as a foundation for healthy, vibrant communities and inclusive growth. Fairview approaches this initiative with clinically connected programs, supporting community partnerships, contributing time and expertise to collaboratives, and work to impact policy. Grand Itasca has recently partnered with Itasca County Habitat for Humanity to find ways to support their work. Grand Itasca provided lunches for the week when workers were building a new Habitat home. The partnership went so well that Grand Itasca assembled their own work team and assisted with a build this past spring. We look forward to seeing how this partnership will grow in the future. For more information about the action plan programs that are addressing the priority need Structural Racism and Barriers to Equity please see our Grand Itasca Clinic & Hospital Action Plan. Grand Itasca Clinic & Hospital Action Plan: https://www.fairview.org/our-community-commitment/local-health-needs Priority Need: Healing, connectedness, and mental health. Grand Itasca Clinic & Hospital through strategy 1, (Addressing SDoH), have a variety of programs, events, and education as a part of the Community Action Plan that work toward the anticipated impact: Develop, grow, and sustain programs, educational offerings, partnerships, and initiatives, address barriers to healing, connectedness and mental health. |
| Schedule H, Part V, Section B, Line 11 Facility , 4 | Facility , 4 - Grand Itasca Clinic and Hospital - Continued. In response to the priority need, healing, connectedness, and mental health, we are working on ways to address social isolation, improve community mental health and well-being, and build trust, by strengthening the connection between Grand Itasca, its patients, community members, and employees. Code Lavender was implemented for our employees in 2022. With the stress of the Covid pandemic, staff shortages, and the day-to-day demands of their jobs, Grand Itasca wanted to show appreciation to employees and encourage self-care. We implemented Code Lavender with Oshibori (warm towels), essential oils, chair stretches, and M Tech hand massage. The employees take 10 minutes out of their workday to experience Code Lavender and learn techniques of self-care. In 2022, 143 employees (almost 15%) participated in a Code Lavender event. With the overwhelmingly positive response, more Code Lavender events are being planned for 2023. Grand Itasca works closely with NAMI (National Alliance on Mental Illness). Grand Itasca's Community Health Coordinator is part of their education committee, and they brought several educational presentations to our community in 2022. Events included a mix of virtual and in-person presentations including the topics Psychiatric Health Directives, Peer Support Specialist Providers, Eating Disorders, Mindy Greiling, former state legislator, presented about her son's struggle with Schizophrenia and her legislative work around mental health, a Sheriff's Forum on Mental Health, 988 Crisis Lifeline, Dan Willis spoke on his book, Bulletproof Spirit, and the importance of self-care for front-line staff, and the Veteran Crisis Response team shared about their services. All events were free and open to the public. Psychological First Aid is an evidence-informed training for all community members and professionals. Trainees will learn how to support healthy recovery in individuals following a traumatic event, public health emergency, natural disaster, or personal crisis. The curriculum integrates public health, community health and individual psychology by drawing upon skills the trainees probably already have. PFA is a two-hour training. In 2022 in the Grand Itasca Clinic & Hospital community there were 2 classes offered with 36 participants attending. Refresh and Reset your Resiliency: promotes resiliency skills, offers wellness-care tools for mind, body, and spirit, and encourages the development of a personal plan for self-care. In 2022, Grand Itasca Clinic & Hospital offered one class to its employees with 7 participants attending. For more information about the action plan programs that are addressing the priority need Structural Racism and Barriers to Equity please see our Grand Itasca Clinic & Hospital Action Plan. https://www.fairview.org/our-community-commitment/local-health-needs In addition to strategy 1 (Addressing SDOH) and the programmatic work included on our Action Plans, we are striving to reduce health disparities and increase community health equity through two additional system strategies. Whiles strategy 1 (Addressing SDOH) allows us to directly respond to the three prioritized needs from our community health needs assessment, strategy 2 (Engagement Infrastructure) and strategy 3 (Inclusive institution) focus on building the structures and systems for us do the work better. In order to address our three priority needs and respond to emerging needs we need to have infrastructure that supports building and sustaining strong community partnerships and allows for ongoing, trusting exchanges between Fairview and community members. Strategy 2 (Engagement Infrastructure): Creating community engagement infrastructure that builds trusting partnerships and enables community voice to inform and influence the institution. Anticipated Impacts for this strategy are 1. Build and expand feedback systems for patients and community members; embed process improvement in the health system's response to community voice. 2. Create sustainable structures to convene and engage community voice around addressing social determinants of health. The M Health Fairview Center for Community Health Equity (the Center), was launched in August 2022. As a part of the Center, we are taking steps to build upon our existing community engagement to creating community engagement infrastructure that builds trusting partnerships and enables community voice to inform and influence the institution. Additionally, we laid the groundwork to develop a Center for Community Health Equity Model of Community Engagement. The model will share our approach to community engagement, community voice, and community partnerships to advance community health equity. The center is also building standard practices for community voice to influence our social determents of health initiatives. For example, as a part of Food is Medicine, in 2022 planning began to pilot hosting community meal conversations in all hospital and medical center communities to ensure that our food is medicine approach had a system approach, but also one that responds to local and unique community needs and assets. Enabling community voice, particularly the voices of priority populations, to influence and inform the health system, is integral to strategy 2 (Engagement infrastructure). A few examples of how this was accomplished in 2022 are as follows. In September 2022, an Indigenous Land Acknowledgment ceremony honored the past, present, and future while recognizing the work our health system must continue to do to address the health equity issues affecting local communities. This ceremony was the first with additional ones planned in each hospital and medical center across the system, including Grand Itasca. Finally, core to this strategy is building and sustaining trusting partnerships. We continue to support and build on existing structures and support existing collaboratives. Our Grand Itasca Clinic & Hospital Community Advisory Committee has updated its charter and expanded the focus. Additionally, work to intentionally recruit participants to expand representation on the committees started and continues. These structures, strong partnerships, and built trust allow us to work closely with community to develop responses to the priority needs but also respond to emerging needs. Grand Itasca listened to community and responded to an emerging need around food insecurity in 2021. By screening for food insecurity at each clinic appointment, we can identify patients at risk and connect them to the appropriate resources. Taking that a step further, we are in the process of adding an onsite food shelf at the clinic for easy access to community members experiencing food insecurity. S |
| Schedule H, Part V, Section B, Line 11 Facility , 5 | Facility , 5 - Grand Itasca Clinic and Hospital - Continued. Strategy 3: Transforming internal structures to create an antiracist and inclusive environment and to build community health by building wealth. Our anticipated impacts that are tied to strategy 3 (Inclusive Institution) are: 1) Build internal and external processes and structures to provide spaces that are safe and welcoming to all, responsive to community needs, and based on a culture of inclusion. 2) Using an antiracist approach, work to identify and eliminate racism by changing systems, organizational structures, policies, practices, and attitudes. 3) Leverage everyday business practices to build community wealth, promoting economic and racial equity and justice. This strategy is partially operationalized through the M Health Fairview HOPE Commission, a multi-year transformational change effort of M Health Fairview to drive more equitable outcomes and inclusive environments and experiences for our patients, employees, and communities. The work of the HOPE Commission has been to identify foundational and transformational opportunities for our organizations to advance health equity (HE) and promote diversity, equity, and inclusion (DEI). To learn more about the goals, strategies and successes of the HOPE commission please see the 2022 HOPE Commission Report. https://mhealthfairview.org/About-Us/health-equity/hope-commission A few key achievements of the HOPE Commission in 2022 include 1) Creating new roles and offices to further imbed DEI into daily work 2) New and innovative reporting data infrastructure to better capture information equitably 3) Presented the HOPE Commission model at national conferences to educate and influence other healthcare organizational leaders. Additional Successes from 2022 include continued expansion of the Employee Resource Groups (ERG). As of 2022, there are now 8 ERGs with participation across our system. The newest ERG is Comunidades Latinas for Engagement, Advancement, and Development (LEAD). Significant needs not addressed. Prioritizing needs that are the root causes of almost all health disparities allows us to develop upstream strategies that will have a large and lasting impact in our communities. The significant needs we have identified will ultimately be positively impacted by addressing the root causes we have identified as our priority needs. The following needs were not directly addressed because this issue is beyond what Grand Itasca resources can support at this time: Cost of care, insurance and medications, childcare and employment benefits. The following needs were directly not addressed because this issue will be addressed as part of patient care but falls outside of the scope of the CHNA Implementation Strategy: Clinic/hospital hours, limited time spent with provider, limited specialty care. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - Grand Itasca Clinic and Hospital. The Minnesota Attorney General agreement was used in the determination of the eligibility for financial assistance. |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - Grand Itasca Clinic and hospital. A summary of the Financial Assistance Policy is posted in various locations in the hospital. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Grand Itasca Professional Building | ||||
| 111 SE 3rd Street | Grand Rapids | MN | 55744 | Outpatient Clinic |
| Grand Itasca Clinic and Hospital Home Care | ||||
| 111 Southeast 3rd Street | Grand Rapids | MN | 557443663 | Outpatient Clinic |
| Grand Itasca YMCA Clinic | ||||
| 400 River Road | Grand Rapids | MN | 557443663 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Other Income Based Criteria for Free or Discounted Care | Patients that are eligible for the organization's Community Care Program or other Charity Care Plans may receive a reduction on amounts owed or up to 100% of total charges. The organization informs patients about the Community Care Program prior to delivery of services if feasible and as appropriate and during the billing process. Uninsured patients with household income up to 200% of the federal poverty level qualify for a 100% discount of the total charges. Uninsured patients who are residents of Minnesota or Wisconsin with a household income greater than 300% of the federal poverty level and equal to or below $125,000 AND RECEIVE MEDICALLY NECESSARY HOSPITAL OR HOSPITAL BASED SERVICES are charged a discount rate equal to the rate from the hospital's highest volume private payor contract. |
| Schedule H, Part I, Line 7f Exclusions from Percent of Total Expense | There is no bad debt expense included in Form 990 Part IX as an expense. Due to the adoption of new GAAP reporting, the bad debt expense has been included with "discounts" netted against patient service revenue on Part VIII of Form 990. |
| Schedule H, Part I, Line 7g Subsidized Health Services | THERE ARE NO COSTS ASSOCIATED WITH PHYSICIAN CLINICS INCLUDED IN LINE 7G. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A THROUGH 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E THROUGH 7J ARE REPORTED AT CHARGES AS RECORDED BY THE ORGANIZATION. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in healthcare coverage, and other collection indicators. There is no bad debt expense included in Form 990 Part IX as an expense. Due to the adoption of new GAAP reporting, the bad debt expense has been included with "discounts" netted against patient service revenue on Part VIII of Form 990. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The bad debt expense attributable to patients that may be eligible for financial assistance is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in healthcare coverage, and other collection indicators. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to patient service revenue in the period of the change. For the years ended December 31, 2022 and 2021, changes in Fairview's estimates of implicit price concessions, discounts, contractual adjustment, or other reductions to expected payments for performance obligations satisfied in prior periods were not significant. Portfolio collection estimates are updated monthly based on collection trends. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay (determined on a portfolio basis when applicable) are recorded as bad debt expense. Bad debt expense for the years ended December 31, 2022 and 2021, was not significant. See page 22 of the audited financial statements for additional information. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | It is part of the organization's mission that community benefit activity is carried out by staff/leadership at each facility based on the health care needs in that service area. The Medicare cost to charge ratio reporting is calculated service line by service line. Other expenses are calculated using the overall cost to charge ratio. Uncompensated costs resulting from Medicare, Medicaid and state and local indigent care programs are considered a community benefit because of the significant differences between actual costs and reimbursement. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | After our patients have received services, it is the policy of the organization to bill patients and their applicable payors on a timely and accurate basis. During this billing and collection process, staff is committed to providing quality customer service and timely follow up on all outstanding accounts. Billing: It is the goal of the organization to bill all claims accurately and on a timely basis. Although dependent on information and communications from patients and payors, the organization will provide sufficient follow up service to ensure that patients receive accurate account and billing information and have the opportunity to make payment and/or apply for community care. The organization has agreed to certain billing and collection practices by an agreement with the Minnesota Attorney General's office. There are financial counselors at every entity Monday through Friday who interact with the patients in person and over the phone to inform of programs available to them as well as assist them in applying for the programs. The information about needing assistance with paying the bill is posted on signs in the hospitals and materials are distributed to self-pay patients by registration staff. The statements sent out after the visit provide this information as well. If a patient/family member calls the Central Business Office customer service staff to ask for assistance with paying their bill, they are informed about options at that time. The organization provides an interpreter service that interprets conversations over the phone. This service can be used either as a three-way phone call or the Financial Counselor, in a room with the patient or family can place the call together to the interpreter phone service. The interpreter services line accommodates close to 200 languages. The billing process will be assisted by the following guidelines: 1) For all insured patients, the organization will bill all third party payor information (as provided by or verified by the patient) on a timely and accurate basis. 2) For all uninsured patients with Minnesota residency receiving hospital based services deemed medically necessary. The organization will apply an uninsured discount equal to the discount provider to our largest contracted non-government payor, any remaining balance will be billed to the patient in a timely and manner. 3) All billed patients have the opportunity to contact the organization regarding financial assistance for their accounts. Financial assistance may include Community Care, payment arrangements, medical assistance or other applicable programs. 4) If a patient contacts the organization regarding Community Care before the account is referred to a collection agency or attorney, an application and required documentation is requested (income verification etc.), the account will then be processed based on the outcome of the Community Care determination. 5) The organization takes reasonable measures to avoid referring an account to collection unless there are no responses from the patient. If a patient contacts the organization regarding Community Care after their account has been referred to a collection agency or attorney, the organization will send an application to the patient provided the account meets the Community Care requirements. If the completed application along with required documentation (income verification, etc.) is submitted, all collection action will be suspended until the patient is notified of the organization's determination. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Grand Itasca Clinic and Hospital: Line 16a URL: https://www.fairview.org/billing/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Grand Itasca Clinic and Hospital: Line 16b URL: http://www.fvfiles.com/2266.pdf; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Grand Itasca Clinic and Hospital: Line 16c URL: https://www.fairview.org/billing/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | Our triennial community health needs assessment process provides an important opportunity to engage with and understand our community, analyze what has changed-for better or worse-since the last assessment, and prioritize together with the community the issues we must urgently address in order to improve wellbeing and resilience. Fairview's 2021 Community Health Needs Assessment (CHNA) builds upon previous assessments and was developed in partnership with community members and organizations, local public health agencies, and other hospitals and health systems. It serves as a tool for guiding policy, advocacy, and program planning. It also fulfills Internal Revenue Service (IRS) requirements for CHNA pursuant to the Affordable Care Act of 2010, which requires 501(c)(3) nonprofit hospitals to conduct an assessment at least every three years and provide an annual evaluation of the previous implementation strategy's impact. Through this process, we aim to: -Intentionally engage with community members and organizations, public health agencies, and other hospitals and health systems to identify and understand significant health needs in the community. -Understand the needs of the community it serves by analyzing current demographics and social determinants of health indicators, as well as by collecting direct input from community members and organizations. -Inform the CHNA implementation strategy and action plan development. As part of the 2021 CHNA process, we reexamined and built upon the extensive community insights shared during our 2018 CHNA, while also surveying the community for current and emerging needs. We have identified three system-wide priority need areas, and we will collaborate with our hospitals and shared services to address these priorities. Our specific response will vary by hospital based on the ways in which the priority needs manifest across a given community as well as the partnerships, both ongoing and new, that we have developed to address those needs. Our community commitment - creating a healthier future and Improving the health and wellbeing of our communities. The healthcare people receive in a hospital or clinic is only a small part of a person's overall health. That's why our commitment to advancing health equity goes beyond the walls of our facilities and reaches out into the community. We collaborate with community partners to improve health and wellbeing and advance health equity. Our priorities include: * Bringing clinical services into neighborhoods to expand access * Advancing our anchor mission initiatives - local hiring, local purchasing, local investing, and leading and serving locally * Addressing social risk factors through food access and housing programs and community education and outreach. Why is this a priority for our healthcare system? Nearly 80 percent of health is influenced by factors outside of clinical care. These factors, called the social determinants of health, are our health behaviors and the economic and social conditions in which we live. To help address the social determinants of health, we are creating a health and wellness hub in downtown St. Paul that will focus on health, housing, and supportive services for the community. All this work is closely tied to our HOPE Commission's health equity and anti-racism efforts. It's designed to be culturally appropriate and to meet the specific needs of the community. We seek to do "with not "to" the communities we belong to and are proud to contribute to our community in so many ways. Fairview Health Services is committed to the health and wellbeing of our communities. For generations we have served the people of Minnesota, cared for our patients, and invested in the people and partnerships that make us stronger, together. As a nonprofit health system and an anchor institution-an organization rooted in our communities-we have a commitment to intentionally apply our long-term, place-based economic power and human capital in partnership with community to mutually benefit the long-term wellbeing of both. We recognize that this commitment begins in and with our communities. This work cannot be done alone, we must collaborate with community-based organizations, local public health departments, and other health systems. Our efforts, resources, and commitments are investments in the health and wellbeing of our communities where we live, work, learn, play, and worship. Our community benefit programs and activities focus on our mission to heal, discover, and educate for longer, healthier lives and must meet at least one of these objectives: * Improve access to health care services. * Enhance the health of the community. * Advance medical or health care knowledge. * Relieve the burden of government to improve health. Fairview Health Services, is committed to providing exceptional care, delivering breakthrough research and innovation to healthcare, improving health and wellbeing, and promoting health equity. As anchor institutions rooted in the hearts of the communities we serve, this commitment goes beyond our walls and into the community. THERE ARE DIFFERENT WAYS OUR HEALTH SYSTEM FULFILLS THIS PROMISE INCLUDING: * Allocating resources to benefit the community. The process is guided by our community health needs assessments, developed collaboratively with the communities we serve, and implemented in partnership with local organizations and leaders. - The priority needs identified in our 2021 assessment are: healing, connectedness, and mental health; addressing structural racism and barriers to achieving health equity; and navigating and accessing care and resources. Our efforts will center on people experiencing poverty as well as racial or ethnic populations experiencing health disparities. * Bringing clinical services into neighborhoods to expand access. These free healthcare services are offered in diverse and/or under-resourced neighborhoods. * Addressing social risk factors, known as the social determinants of health, through food access and housing programs, and community education and outreach. The goal is to improve community health and wellbeing. * Advancing our HOPE (Healing, Opportunity, People, and Equity) Commission's - health equity and anti-racism efforts to drive more equitable outcomes and inclusive environments and experiences for our patients, employees, and communities. Success stories include: improving patient sociodemographic data to better understand the populations we serve and more accurately assess for disparities, and increasing the representation of diverse populations in clinical trials. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Grand Itasca has financial advocates working with uninsured patients to assist them in completing application for various programs that may provide them coverage for medical services. |
| Schedule H, Part VI, Line 4 Community information | The CHNA community of each hospital and medical center is defined as a subset of zip codes within the Fairview service area, where 90 percent of its patients live. Each of the hospitals and medical centers were attributed unique zip codes and geographies. The Grand Itasca Clinic and Hospital is comprised of 11 zip codes. Our definition of communities includes all community members, including those who are patients and employees who live, work, and play in our service areas. |
| Schedule H, Part VI, Line 5 Promotion of community health | Grand Itasca promotes health in the community by supporting the local free clinic, through the provision of medical supplies, basic lab test and basic x-rays to the patients of this clinic at no charge. Grand Itasca also works with a community coalition to determine the health needs of the community served by Grand Itasca Clinic & Hospital. |
| Schedule H, Part VI, Line 6 Affiliated health care system | GRAND ITASCA CLINIC AND HOSPITAL IS A COMMUNITY-FOCUSED, NON-PROFIT HEALTH CARE ORGANIZATION THAT IS PART OF FAIRVIEW HEALTH SERVICES. GRAND ITASCA CLINIC AND HOSPITAL PROVIDES INNOVATIVE TECHNOLOGY, COMPASSIONATE CARE, AND A FULL SPECTRUM OF FAMILY HEALTH SERVICES. FAIRVIEW HEALTH SERVICES IS A MINNEAPOLIS-BASED NONPROFIT HEALTH SYSTEM DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. FOUNDED IN 1906, FAIRVIEW PROVIDES EXCEPTIONAL CARE TO PATIENTS AND COMMUNITIES AS ONE OF THE MOST COMPREHENSIVE AND GEOGRAPHICALLY ACCESSIBLE SYSTEMS IN MINNESOTA, SERVING THE GREATER TWIN CITIES METRO AREA AND NORTH-CENTRAL MINNESOTA. THROUGH A CLOSE RELATIONSHIP WITH THE UNIVERSITY OF MINNESOTA, FAIRVIEW OFFERS ACCESS TO BREAKTHROUGH MEDICAL RESEARCH AND SPECIALTY EXPERTISE AS PART OF A CONTINUUM OF CARE THAT REACHES ALL AGES AND HEALTH NEEDS. OUR MISSION: FAIRVIEW IS DRIVEN TO HEAL, DISCOVER, AND EDUCATE FOR LONGER, HEALTHIER LIVES. THE FAIRVIEW SYSTEM CONSISTS OF 11 HOSPITALS, IT CONTROLS AND OPERATES UNIVERSITY OF MINNESOTA MEDICAL CENTER, THE ADULT AND PEDIATRIC TEACHING HOSPITAL OF THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, HAS 10 COMMUNITY BASED GENERAL ACUTE CARE HOSPITALS AND 1 LONG-TERM ACUTE CARE HOSPITAL; OVER 80 PRIMARY AND SPECIALTY CARE CLINICS; OFFERS OVER 100 SPECIALTY CARE SERVICES; URGENT CARE CLINICS; OCCUPATIONAL HEALTH CLINICS; 36 RETAIL AND SPECIALTY PHARMACIES; PHARMACY BENEFIT MANAGEMENT SERVICES; REHABILITATION CENTERS; COUNSELING; HOSPICE SERVICES; 90+ OWNED AND MANAGED SENIOR CARE FACILITIES AND LONG-TERM CARE HOUSING FACILITIES (THROUGH EBENEZER SOCIETY, A FAIRVIEW SUBSIDIARY); AND EMERGENCY MEDICAL TRANSPORTATION. FAIRVIEW'S 34,000+ EMPLOYEES AND NETWORK OF 5,000+ SYSTEM PROVIDERS EMBRACE INNOVATION AND NEW THINKING TO DRIVE A HEALTHIER FUTURE THROUGH HEALING, DISCOVERY AND EDUCATION. FAIRVIEW HOSPITALS AND MEDICAL CENTERS INCLUDED: BETHESDA HOSPITAL (ST. PAUL) FAIRVIEW LAKES MEDICAL CENTER (WYOMING) FAIRVIEW NORTHLAND MEDICAL CENTER (PRINCETON) FAIRVIEW RANGE MEDICAL CENTER (HIBBING) FAIRVIEW RIDGES HOSPITAL (BURNSVILLE) FAIRVIEW SOUTHDALE HOSPITAL (EDINA) GRAND ITASCA CLINIC & HOSPITAL (GRAND RAPIDS) ST. JOHN'S HOSPITAL (MAPLEWOOD) ST. JOSEPH'S HOSPITAL (ST. PAUL) UNIVERSITY OF MINNESOTA MEDICAL CENTER AND UNIVERSITY OF MINNESOTA MASONIC CHILDREN'S HOSPITAL (MINNEAPOLIS) WOODWINDS HEALTH CAMPUS (WOODBURY) |
| Schedule H, Part VI, Line 7 State filing of community benefit report | MN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Laura Reed | ||||||||||||||
| Officer | $0 | $989,718 | $0 | $469,914 | $0 | $84,553 | $0 | $175,641 | $0 | $16,174 | $0 | $1,736,000 | $0 | $76,997 |
| Kevin Nelson | ||||||||||||||
| Former Director | $0 | $0 | $0 | $0 | $0 | $61,576 | $0 | $0 | $0 | $0 | $0 | $61,576 | $0 | $6,818 |
| Brian Amdahl | ||||||||||||||
| Director | $0 | $422,092 | $0 | $52,530 | $0 | $3,037 | $0 | $18,300 | $0 | $15,959 | $0 | $511,918 | $0 | $0 |
| Kimberly DeRoche MD | ||||||||||||||
| Director | $0 | $467,287 | $0 | $129,405 | $0 | $4,446 | $0 | $85,490 | $0 | $21,103 | $0 | $707,732 | $0 | $0 |
| Simon Lick MD | ||||||||||||||
| Finance Chair | $345,525 | $0 | $9,850 | $0 | $2,576 | $0 | $17,523 | $0 | $30,414 | $0 | $405,888 | $0 | $0 | $0 |
| Keith Murphy MD | ||||||||||||||
| Director | $349,552 | $0 | $12,183 | $0 | $240 | $0 | $18,112 | $0 | $13,043 | $0 | $393,130 | $0 | $0 | $0 |
| James Hereford | ||||||||||||||
| Officer | $0 | $1,753,793 | $0 | $1,399,311 | $0 | $217,654 | $0 | $100,535 | $0 | $16,325 | $0 | $3,487,618 | $0 | $208,150 |
| Jean MacDonell | ||||||||||||||
| President & CEO | $0 | $372,868 | $0 | $142,100 | $0 | $584 | $0 | $69,797 | $0 | $1,302 | $0 | $586,650 | $0 | $0 |
| Todd Christensen | ||||||||||||||
| VP Finance | $190,824 | $0 | $24,600 | $0 | $766 | $0 | $13,318 | $0 | $20,763 | $0 | $250,271 | $0 | $0 | $0 |
| Jon Pederson | ||||||||||||||
| VP Operations | $203,072 | $0 | $26,850 | $0 | $2,496 | $0 | $13,727 | $0 | $29,304 | $0 | $275,449 | $0 | $0 | $0 |
| Daniel Soular | ||||||||||||||
| CMO | $352,675 | $0 | $17,183 | $0 | $8,985 | $0 | $17,111 | $0 | $24,313 | $0 | $420,267 | $0 | $0 | $0 |
| WIlfred Gould MD | ||||||||||||||
| Physician | $522,645 | $0 | $4,350 | $0 | $1,783 | $0 | $18,239 | $0 | $31,227 | $0 | $578,244 | $0 | $0 | $0 |
| Ryan Novak MD | ||||||||||||||
| Physician | $520,654 | $0 | $44,850 | $0 | $890 | $0 | $18,239 | $0 | $32,819 | $0 | $617,452 | $0 | $0 | $0 |
| David Anderson MD | ||||||||||||||
| Physician | $481,419 | $0 | $23,151 | $0 | $9,030 | $0 | $18,239 | $0 | $27,773 | $0 | $559,612 | $0 | $0 | $0 |
| Brent Schotl MD | ||||||||||||||
| Physician | $337,740 | $0 | $67,497 | $0 | $55,770 | $0 | $18,239 | $0 | $21,513 | $0 | $500,759 | $0 | $0 | $0 |
| Darin Skaudis MD | ||||||||||||||
| Physician | $551,922 | $0 | $15,183 | $0 | $10,197 | $0 | $18,239 | $0 | $32,795 | $0 | $628,336 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a Severance or change-of-control payment | SEVERANCE PAYMENTS MADE TO INDIVIDUALS: KEVIN NELSON $54,758 |
| 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 $208,150 LAURA REED $76,998 KEVIN NELSON $6,818 |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a Line 1a, Section B: Independent Contractors | All Form 1099's were filed by a related organization Fairview Health Services, a 501(c)(3) non-profit, tax-exempt organization. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Tax Department conducts a detailed review of the completed return. The Form 990 is then reviewed by the Grand Itasca Director of Finance and a copy is provided to the finance committee and board of directors for approval prior to filing the return with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Board members sign the conflict of interest policy annually. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | Compensation is determined by assessing the market through the use of surveys and studies and determining pay rates and ranges from the results of the assessment. The CEO compensation package is summarized in an employment agreement that is approved by the board. The compensation package is based upon market for the position. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | Compensation is determined by assessing the market through the use of surveys and studies and determining pay rates and ranges from the results of the assessment. The CEO compensation package is summarized in an employment agreement that is approved by the board. The compensation package is based upon market for the position. |
| Form 990, Part VI, Line 19 Required documents available to the public | 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). |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Change in Investment Activity - 1900071; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ebenezer Society | |||||||||||
| 7505 Metro Blvd | Suite 100 | Edina | MN | 55439 | 410706141 | Nursing | MN | 501(c)(3) | 10 | Fairview Health Services | false |
| Fairview Foundation | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411573810 | Fundraising | MN | 501(c)(3) | 1 | Fairview Health Services | false | |
| Fairview Health Services | |||||||||||
| 2450 Riverside Avenue | Minneapolis | MN | 55454 | 410991680 | Hospital | MN | 501(c)(3) | 3 | NA | false | |
| Fairview Home Care and Hospice | |||||||||||
| 2450 26th Avenue South | Minneapolis | MN | 55454 | 411434246 | Home Health | MN | 501(c)(3) | 10 | Fairview Health Services | false | |
| Fairview Physician Associates Netwo | |||||||||||
| 3400 West 66th Street | Minneapolis | MN | 55435 | 411753325 | Clinical | MN | 501(c)(3) | 10 | Fairview Health Services | false | |
| Grand Itasca Foundation | |||||||||||
| 1601 Golf Course Road | Grand Rapids | MN | 55744 | 411560554 | Foundation | MN | 501(c)(3) | Type I | Grand Itasca Clinic and Hospital | false | |
| Fairview Bethesda Hospital | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 363517697 | Hospital | MN | 501(c)(3) | 3 | Fairview Health Services | false | |
| HealthEast Medical Research Institute | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411765832 | Med Resear | MN | 501(c)(3) | 4 | Fairview Health Services | false | |
| HealthEast Professional Services | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 261226617 | Physician | MN | 501(c)(3) | 11 | Fairview Health Services | false | |
| HealthEast St John's Hospital | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411456897 | Hospital | MN | 501(c)(3) | 3 | Fairview Health Services | false | |
| HealthEast St Joseph's Hospital | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 410693880 | Hospital | MN | 501(c)(3) | 3 | Fairview Health Services | false | |
| HealthEast Woodwinds Hospital | |||||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411592761 | Hospital | MN | 501(c)(3) | 3 | Fairview Health Services | false | |
| PreferredOne Community Health Plan | |||||||||||
| 6105 Golden Hills Drive | Golden Valley | MN | 55416 | 411796007 | Insurance | MN | 501(c)(4) | Fairview Health Services | false | ||
| Range Regional Health Services | |||||||||||
| 750 East 34th Street | Hibbing | MN | 55746 | 411293970 | Hospital | MN | 501(c)(3) | 3 | Fairview Health Services | false | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CDI Grand Rapids LLC | |||||||||||||
| 1601 Golf Course Road | Grand Itasca | MN | 55744 | 453783014 | Imaging Services | MN | Grand Itasca Clinic and Hospital | Related | $1,245,684 | $330,714 | false | false | 0.55 |
| Ridges Surgery Center LLC | |||||||||||||
| 14101 Fairview Drive Ste 400 | Burnsville | MN | 55337 | 462441825 | Surg Cntr | MN | Fairview Health Services | N/A | |||||
| SouthHealth ASC LLC | |||||||||||||
| 4200 Dahlberg Drive Suite 300 | Golden Valley | MN | 55422 | 822364607 | Surgery Center | MN | Fairview Health Services | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Fairview Clinics | |||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411761760 | Physician | MN | Fairview Health Services | C Corporation | false |
| Fairview Physician and Clinic Services | |||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411544996 | Physician | MN | Fairview Health Services | C Corporation | false |
| Fairview Development Company | |||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411568579 | Leasehold | MN | Fairview Health Services | C Corporation | false |
| Fairview Express Care | |||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 205996177 | Physician | MN | Fairview Health Services | C Corporation | false |
| FHS Assurance Limited | |||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 980417513 | Self insur | MN | Fairview Health Services | C Corporation | false |
| HealthEast Diversified Services Inc | |||||||||
| 2450 Riverside Avenue South | Minneapolis | MN | 55454 | 411388583 | Lab & Real | MN | Fairview Health Services | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grand Itasca Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $126,385 | InvolvedAmt |
| Method Of Amount Determination | Cost | MethodOfAmountDeterminationTxt |
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