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Minnesota · Nonprofit

Grand Itasca Clinic and Hospital

Grand Itasca Clinic and Hospital (Minnesota) receives grants from 3 organizations whose IRS filings report $373,919 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($335,587). 1 of them have funded it in more than one year.

Revenue FY2024
$140M
Funders on record
3
Grants received
$374k
Net assets
$79M
1/3 repeat funderspeak grant-dependency 0%
01What it does

What Grand Itasca Clinic and Hospital does

Mission

Provide quality, accessible, and valuable health care services via a hospital, home health agency, and clinic to the surrounding rural community.

As stated on its FY2024 Form 990.

Program

  1. 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 almost 700 people. The organization cares for over 111,000 patients 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 $1,894,966 of charity care, $2,366,271 of discounts to the uninsured and absorbed $22,965,128 of unpaid Medicare and Medicaid costs. Grand Itasca also paid $2,094,954 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 integrated academic health system located in Minneapolis, Minnesota, and, along with its affiliates and subsidiaries, is one of the leading health care…

    $118,764,123 spent$136,016,325 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $118,764,123.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($221M) Expenses 100 ($83M) Net assets 100 ($26M)2018 Revenue 41 ($91M) Expenses 107 ($89M) Net assets 122 ($32M)2019 Revenue 44 ($97M) Expenses 113 ($94M) Net assets 138 ($36M)2020 Revenue 47 ($103M) Expenses 117 ($97M) Net assets 163 ($42M)2021 Revenue 56 ($123M) Expenses 130 ($108M) Net assets 220 ($57M)2022 Revenue 53 ($116M) Expenses 130 ($108M) Net assets 285 ($74M)2023 Revenue 55 ($122M) Expenses 142 ($118M) Net assets 272 ($71M)2024 Revenue 63 ($140M) Expenses 160 ($133M) Net assets 305 ($79M)
'17'18'19'20'21'22'23'24
Revenue (63)Expenses (160)Net assets (305)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2017 to 2018, from $59M to $79M (+34%).

$59M
$79M
$60M
$72M
$78M
$84M
$99M
$105M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 0% · 2020 5% · 2021 7% · 2022 0% · 2023 0% · 2024 0%. Grants only. Government contracts and fees sit inside program revenue.

1% of Grand Itasca Clinic and Hospital’s revenue is contributions — more donation-reliant than the typical peer (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 8 reported years ran a deficit.

$138M
’17
$2.2M
’18
$2.8M
’19
$6.3M
’20
$15M
’21
$8.4M
’22
$4.7M
’23
$7.3M
’24
2.2
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Jean MacDonell

President & CEO

Board chair

Dale Adams

Chair, end 12/2024

As listed on its FY2024 Form 990.

20172018201920202024
Listed2224232726
Joined·+10+4+5·
No longer listed·851·
03Who funds it

Who funds it, year by year

2019 → 2023: the base broadened from 1 funder to 2 funders, grant income rose $4k → $341k.

Left out of every figure on this page: $3.3M from 5 payers (the payer shares this organization's board, largest Grand Itasca Foundation). These are real filings, and they are not money Grand Itasca Clinic and Hospital raised.

From the IRS filings of Grand Itasca Clinic and Hospital’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Grand Itasca Clinic and Hospital leans on a few funders — its largest provides 90% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

90%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2019 100% · 2020 100% · 2021 57% · 2022 100% · 2023 98% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

Grand Itasca Clinic and Hospital draws 99% of its grant income from funders outside Minnesota, across 3 states in all.

MN
NY
MO

In-state vs out-of-state, by year

’19
’20
’21
’22
’23
Minnesota out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Grand Itasca Clinic and Hospital holds deeper cash reserves than three-quarters of the 2,075 health nonprofits its size.

Operating margin5% · above the median
Months of reserve2.2mo · top quartile
Revenue growth (annualized)−6% · bottom quartile

this organization peer median middle 50% of peers· 2,075 health nonprofits over $100M, FY2024

Organizations like Grand Itasca Clinic and Hospital

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Minnesota

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

89% of spending goes to programs.

Program 89%Management 11%Fundraising 0%

Governance

15
board members
67%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 1 state

MN

Part of a family of 22 related entities

  • Ebenezer Society · exempt
  • Fairview Foundation · exempt
  • Fairview Health Services · exempt
  • Fairview Home Care and Hospice · exempt
  • Fairview Physician Associates Netwo · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Grand Itasca Clinic and Hospital: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Grand Itasca Clinic and Hospital?
Grand Itasca Clinic and Hospital (Minnesota) receives grants from 3 organizations whose IRS filings report $373,919 to it, the largest being THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST ($335,587). 1 of them have funded it in more than one year.
How many funders does Grand Itasca Clinic and Hospital have?
IRS filings report 3 organizations giving $373,919 in grants to Grand Itasca Clinic and Hospital, 1 of which have funded it in more than one year.
Who is the largest funder of Grand Itasca Clinic and Hospital?
THE LEONA M AND HARRY B HELMSLEY CHARITABLE TRUST is the largest funder on record, with $335,587 in grants. The full list of funders is on this page.
How can an organization like Grand Itasca Clinic and Hospital find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Minnesota. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Grand Itasca Clinic and Hospital →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing