MILLER DWAN FOUNDATION: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MILLER DWAN FOUNDATION (EIN 23-7396466)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-06-27
- IRS object ID
- 201921789349300022
- Schema version
- 2018v3.1
- 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 D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-06-27T12:03:51-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST FIRST STREET SUITE 700 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 558021926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237396466 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILLER-DWAN FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MILL | BusinessNameControlTxt |
| Phone | 2187862823 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 EAST SECOND STREET | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACI MARCINIAK | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2187862823 | PhoneNum |
| Signature | 2019-06-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE BOYER | PreparerPersonNm |
| PTIN | P01278549 | PTIN |
| Phone | 2187275025 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.129 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-06-20 | IPDt |
| IP Tm | 15:05:04 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 930171E15D686EC555C78A932CEAB980F20E2170 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRACI MARCINIAK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 EAST SECOND STREET | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,124,979 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MILLERDWANFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SUPPORT TO HISTORIC MILLER-DWAN MEDICAL CENTER SPECIALTY HEALTHCARE PROGRAMS AND SERVICES AND FOR INNOVATIVE PROGRAMMING THROUGHOUT THE REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,400 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,228,392 | PYContributionsGrantsAmt |
| CY Contributions Grants | $796,577 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,859,008 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,281,674 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,036 | PYOtherRevenueAmt |
| CY Other Revenue | $25,044 | CYOtherRevenueAmt |
| PY Total Revenue | $3,119,436 | PYTotalRevenueAmt |
| CY Total Revenue | $2,103,295 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $966,137 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,007,767 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $103,559 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,295,618 | PYOtherExpensesAmt |
| CY Other Expenses | $1,318,392 | CYOtherExpensesAmt |
| PY Total Expenses | $2,261,755 | PYTotalExpensesAmt |
| CY Total Expenses | $2,326,159 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $857,681 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$222,864 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,208,515 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,462,298 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $961,857 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $877,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,246,658 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,585,054 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MILLER-DWAN FOUNDATION IMPROVES THE HEALTH OF THE PEOPLE OF OUR REGION THROUGH THE CREATION OF IMPACTFUL COMMUNITY SOLUTIONS THAT OVERCOME BARRIERS. WE SUPPORT THE FUTURE AND THE LEGACY OF MILLER-DWAN MEDICAL CENTER, POLINSKY MEDICAL REHABILITATION CENTER, SOLVAY HOSPICE HOUSE, AMBERWING - CENTER FOR YOUTH & FAMILY WELL-BEING AND OTHER INITIATIVES FOR OUR REGION'S HEALTH. BY COMING TOGETHER WITH OTHERS WHO SHARE OUR VISION AND PASSION, WE ARE ABLE TO MAKE A DIFFERENCE IN THE LIVES OF PEOPLE EVERY DAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $207,062 | ExpenseAmt |
| Revenue | $48 | RevenueAmt |
| Desc | THE MILLER-DWAN FOUNDATION IS COMMITTED TO RAISING AWARENESS OF IMPORTANT HEALTH CARE ISSUES BY PROVIDING PEOPLE WITH KNOWLEDGE AND TOOLS TO MOVE TOWARDS GREATER WELLNESS, TO MANAGE THEIR ILLNESS, AND TO UNDERSTAND OPTIONS AVAILABLE THROUGHOUT THE COURSE OF THEIR ILLNESS. IN 2018, SPECIAL ATTENTION WAS FOCUSED ON PROVIDER AND COMMUNITY EDUCATION RELATED TO END-OF-LIFE ISSUES, MENTAL HEALTH, AND SUICIDE PREVENTION. EACH YEAR THE FOUNDATION CREATES PUBLICATIONS AND RESOURCES WHICH ARE WIDELY DISTRIBUTED, HAS AN ONLINE PRESENCE AND ENGAGES THE MEDIA IN SHARING OUR MESSAGE. TOPIC AREAS INCLUDE, BUT ARE NOT LIMITED TO, HOSPICE AND END-OF-LIFE, MENTAL HEALTH, CANCER CARE AND SURVIVORSHIP, PHYSICAL REHABILITATION, AND BURN TREATMENT. THE FOUNDATION AWARDS GRANTS WITHIN THE MEDICAL MILIEU AND TO COMMUNITY ORGANIZATIONS SPECIFICALLY FOR THE PROVISION OF EDUCATION. EDUCATION GRANTS ARE FOCUSED ON PATIENT CARE, AS WELL AS PREVENTION AND SUPPORT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $359,784 | ExpenseAmt |
| Desc | AMBERWING - CENTER FOR YOUTH AND FAMILY WELL-BEING IS OWNED BY THE MILLER-DWAN FOUNDATION, WHO HAS CONTINUED RESPONSIBILITY FOR THE STEWARDSHIP OF THE HOME AND TREATMENT PROGRAM. AMBERWING CARES FOR PATIENTS FROM BIRTH TO 25, AND ENGAGES THE FAMILY THROUGHOUT THE TREATMENT PROCESS (APPROX. 1,200 PATIENTS). THE MILLER-DWAN FOUNDATION AND AMBERWING CONTINUE TO IDENTIFY AND IMPLEMENT WAYS TO OFFER SKILLS AND EDUCATION TO CHILDREN BEYOND THOSE ADMITTED TO THE AMBERWING PROGRAM. IN 2018, WE RAMPED UP THE TRAINING OF REGIONAL SCHOOL DISTRICT PERSONNEL TO USE DIALECTICAL BEHAVIOR THERAPY (DBT) SKILLS IN THE CLASSROOM. THREE REGIONAL SCHOOL DISTRICTS COMPLETED THE TRAINING PROGRAM AND ARE USING THE SKILLS WITH STUDENTS. TWO SCHOOLS HAVE COMPLETED A PORTION OF THE PROGRAM AND WILL BE FINISHED IN 2019. SINCE DBT SKILLS ARE EMOTION REGULATION AND MINDFULNESS SKILLS, THEY WILL BENEFIT THE ENTIRE STUDENT POPULATION, REGARDLESS IF A STUDENT HAS BEEN DIAGNOSED WITH A MENTAL ILLNESS OR BEEN THROUGH A TREATMENT PROGRAM.AMBERWING ALSO HOUSES A FAMILY RESOURCE CENTER THAT PROVIDES SUPPORT AND INFORMATION FOR PEOPLE THROUGHOUT THE COMMUNITY (896 PHONE CALLS REQUESTING SERVICES OR MENTAL HEALTH INFORMATION, 39 WALK-INS LOOKING FOR REQUESTING SERVICES OF LOOKING FOR MENTAL HEALTH RESOURCES, CONDUCTED 43 TOURS, AND PARTICIPATED IN 43 COMMUNITY EVENTS TO PROVIDE RESOURCES AND RAISE AWARENESS. IN ADDITION, 101 PARENTS, GUARDIANS, BEHAVIORAL HEALTH PROFESSIONALS, AND INTERESTED COMMUNITY MEMBERS ATTENDED THE "FAMILY AND FRIENDS" DBT EDUCATION CLASSES. AMBERWING REPRESENTATIVES SERVE ON THE BOARDS OF DIRECTORS OF FIVE DIFFERENT ORGANIZATIONS FOCUSED ON MENTAL HEALTH CARE AND STIGMA REDUCTION.) (FY18 STATISTICS)AMBERWING IS OWNED BY THE MILLER-DWAN FOUNDATION AND ESSENTIA HEALTH PROVIDES THE MEDICAL CARE WITHIN. MILLER-DWAN FOUNDATION DOES NOT CHARGE RENT TO ESSENTIA HEALTH FOR USE OF THE FACILITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,080,984 | ExpenseAmt |
| Grant | $1,007,767 | GrantAmt |
| Desc | THE FOUNDATION SUPPORTS MEANINGFUL HEALTHCARE PROGRAMS ON THE MEDICAL CAMPUS AND IN THE COMMUNITY. GRANTS ARE MADE THROUGHOUT THE YEAR TO IMPROVE HEALTHCARE IN OUR REGION AND ARE PRIMARILY FOCUSED ON ADULT AND ADOLESCENT MENTAL HEALTH, HOSPICE, PHYSICAL REHABILITATION, CANCER CARE, BURN CARE, SURGICAL SERVICES, AND END-OF-LIFE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $338,580 | ExpenseAmt |
| Desc | 1) SOLVAY HOSPICE HOUSE (EXPENSES: $206,814)IN 2003, THE MILLER-DWAN FOUNDATION TOOK ON THE ROLE OF COMMUNITY ORGANIZER, FUNDRAISER, AND DEVELOPER TO COMPLETE A $4 MILLION CAPITAL CAMPAIGN TO CREATE SOLVAY HOSPICE HOUSE, WHICH OPENED IN 2007. SOLVAY WAS DESIGNED TO BE A COMFORTABLE HOME FOR THOSE FACING THE END OF LIFE AND THEIR FAMILIES. IN 2018, 235 PATIENTS WERE ADMITTED AS RESPITE OR RESIDENTIAL PATIENTS AND CARED FOR AT SOLVAY. MOST PATIENTS ADMITTED TO SOLVAY QUALIFIED FOR FINANCIAL ASSISTANCE THROUGH THE MILLER-DWAN FOUNDATION'S COMPASSIONATE CARE FUNDA FUND DEVELOPED TO ENSURE PATIENTS WHO WOULD BENEFIT FROM CARE AT SOLVAY WOULD BE ABLE TO, REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCE. SOLVAY IS OWNED BY THE MILLER-DWAN FOUNDATION AND ESSENTIA HEALTH PROVIDES THE MEDICAL CARE WITHIN. MILLER-DWAN FOUNDATION DOES NOT CHARGE RENT TO ESSENTIA HEALTH FOR USE OF THE FACILITY.2) NEW PROGRAMS (EXPENSES: $39,213)WHEN A NEW HEALTH CARE NEED IS IDENTIFIED IN THE REGION OR ON THE MEDICAL CAMPUS, THE FOUNDATION WILL FOCUS ATTENTION AND RESOURCES TO HELP MEET THAT NEED. SOME OF THESE NEEDS CAN BE MET IN THE SHORT TERM AND CAN CHANGE FROM YEAR TO YEAR. RESPONSE TO THESE NEEDS CAN TAKE A VARIETY OF FORMS. IN 2018, THE FOUNDATION CONTINUED ITS EFFORTS TO RAISE AWARENESS OF ADVANCE CARE PLANNING AND ENCOURAGE PEOPLE TO FILL OUT THEIR HEALTHCARE DIRECTIVE. THE FOUNDATION ALSO STARTED FOCUSING ITS ATTENTION ON MENTAL HEALTH NEEDS IN SUPERIOR, WISCONSIN.3) DEVELOPMENT (EXPENSES: $92,553)BUILDING AND SUSTAINING RELATIONSHIPS WITH SUPPORTERS IS OF PARAMOUNT IMPORTANCE TO OUR ORGANIZATION, AS THEY ARE TRULY THE CATALYST IN IMPROVING HEALTH CARE. STAFF KEEP IN FREQUENT CONTACT WITH SUPPORTERS AND USE SOPHISTICATED SOFTWARE TO ENSURE SUPPORTERS GIFTS ARE RECORDED, DIRECTED, AND RECOGNIZED CORRECTLY AND APPROPRIATELY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $338,580 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $1,986,410 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (1) | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRACI MARCINIAK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2187862823 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 E 2ND ST | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| ROGER ANDERSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER CAREY | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RYAN EDMUNDS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN GOLDFINE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BOB HEIMBACH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFF HOLMES | ||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SHANE JOHNSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JILL KAISER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANGEL KOSKI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMIE LANGENBRUNNER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE MOTLEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN SKYTTA | ||||||
| VICE-CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TANYA NICHOLS | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR ELENA METCALF | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR DAVID WORLEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TRACI MARCINIAK | ||||||
| PRESIDENT | 40.00 | $138,011 | $0 | $24,627 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $138,011 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $24,627 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMDC MEDICAL CENTER | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 E 2ND ST | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT SERVICES | ServicesDesc |
| Compensation | $426,682 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $215,337 | FundraisingAmt |
| All Other Contributions | $581,240 | AllOtherContributionsAmt |
| Noncash Contributions | $86,930 | NoncashContributionsAmt |
| Total Contributions | $796,577 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $675,235 | TotalRevenueColumnAmt |
| Exclusion | $675,235 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $98,902 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $98,902 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,902 | TotalRevenueColumnAmt |
| Exclusion | $98,902 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,530,822 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,924,383 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $606,439 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $606,439 | TotalRevenueColumnAmt |
| Exclusion | $606,439 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,395 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $215,337 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $97,301 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$73,906 | TotalRevenueColumnAmt |
| Exclusion | -$73,906 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $48 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $48 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,103,295 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,306,670 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,767 | TotalAmt |
| Program Services | $1,007,767 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,182 | TotalAmt |
| Program Services | $360,627 | ProgramServicesAmt |
| Management And General | $65,555 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,904 | TotalAmt |
| Management And General | $5,904 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,969 | TotalAmt |
| Management And General | $21,969 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,714 | TotalAmt |
| Management And General | $103,714 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,042 | TotalAmt |
| Program Services | $35,516 | ProgramServicesAmt |
| Management And General | $967 | ManagementAndGeneralAmt |
| Fundraising | $83,559 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,147 | TotalAmt |
| Program Services | $14,236 | ProgramServicesAmt |
| Management And General | $12,911 | ManagementAndGeneralAmt |
| Fundraising | $20,000 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,182 | TotalAmt |
| Program Services | $3,012 | ProgramServicesAmt |
| Management And General | $170 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,618 | TotalAmt |
| Program Services | $13,369 | ProgramServicesAmt |
| Management And General | $1,249 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,188 | TotalAmt |
| Program Services | $447,684 | ProgramServicesAmt |
| Management And General | $1,504 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EDUCATION | $67,142 | $67,142 | |
| MAINTENANCE | $32,737 | $27,208 | $5,529 |
| DUES & MEMBERSHIPS | $7,472 | $1,588 | $5,884 |
| OTHER EXPENSES | $6,705 | $1,689 | $5,016 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,390 | TotalAmt |
| Program Services | $6,572 | ProgramServicesAmt |
| Management And General | $5,818 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,326,159 | TotalAmt |
| Program Services | $1,986,410 | ProgramServicesAmt |
| Management And General | $236,190 | ManagementAndGeneralAmt |
| Fundraising | $103,559 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,443 | BOYAmt |
| EOY | $90,242 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,498 | BOYAmt |
| EOY | $960,573 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,291 | BOYAmt |
| EOY | $157,195 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,610 | BOYAmt |
| EOY | $20,108 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,215,678 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,466,678 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,198,188 | BOYAmt |
| EOY | $5,749,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,253,094 | BOYAmt |
| EOY | $9,544,103 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,809,075 | BOYAmt |
| EOY | $8,307,720 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,115,316 | BOYAmt |
| EOY | $3,633,357 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,208,515 | BOYAmt |
| EOY | $28,462,298 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,649 | BOYAmt |
| EOY | $89,553 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $843,208 | BOYAmt |
| EOY | $787,691 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $961,857 | BOYAmt |
| EOY | $877,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,783,541 | BOYAmt |
| EOY | $12,975,791 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,347,801 | BOYAmt |
| EOY | $10,975,906 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,115,316 | BOYAmt |
| EOY | $3,633,357 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,246,658 | BOYAmt |
| EOY | $27,585,054 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,208,515 | BOYAmt |
| EOY | $28,462,298 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$222,864 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,956,781 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$481,959 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $786,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $960,306 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $824,857 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,228,392 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $796,577 | CurrentTaxYearAmt |
| Total | $4,596,831 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $786,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $960,306 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $824,857 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,228,392 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $796,577 | CurrentTaxYearAmt |
| Total | $4,596,831 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $242,990 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,353,841 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $603,003 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $536,453 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $522,054 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $527,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $774,137 | CurrentTaxYearAmt |
| Total | $2,963,472 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,560,303 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $31,272 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.57590 | PublicSupportCY170Pct |
| Public Support PY170 | 0.55640 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,463,117 | BeginningYearBalanceAmt |
| Contributions | $654,488 | ContributionsAmt |
| Investment Earnings Or Losses | -$467,485 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $710,117 | GrantsOrScholarshipsAmt |
| Other Expenditures | $241,588 | OtherExpendituresAmt |
| Administrative Expenses | $89,152 | AdministrativeExpensesAmt |
| End Year Balance | $14,609,263 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,767,217 | BeginningYearBalanceAmt |
| Contributions | $1,090,613 | ContributionsAmt |
| Investment Earnings Or Losses | $1,525,659 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $541,319 | GrantsOrScholarshipsAmt |
| Other Expenditures | $299,841 | OtherExpendituresAmt |
| Administrative Expenses | $79,212 | AdministrativeExpensesAmt |
| End Year Balance | $15,463,117 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,274,591 | BeginningYearBalanceAmt |
| Contributions | $694,402 | ContributionsAmt |
| Investment Earnings Or Losses | $457,606 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $311,831 | GrantsOrScholarshipsAmt |
| Other Expenditures | $271,555 | OtherExpendituresAmt |
| Administrative Expenses | $75,996 | AdministrativeExpensesAmt |
| End Year Balance | $13,767,217 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,226,981 | BeginningYearBalanceAmt |
| Contributions | $773,787 | ContributionsAmt |
| Investment Earnings Or Losses | -$179,389 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $242,435 | GrantsOrScholarshipsAmt |
| Other Expenditures | $224,457 | OtherExpendituresAmt |
| Administrative Expenses | $79,896 | AdministrativeExpensesAmt |
| End Year Balance | $13,274,591 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,992,953 | BeginningYearBalanceAmt |
| Contributions | $669,926 | ContributionsAmt |
| Investment Earnings Or Losses | $439,807 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $274,768 | GrantsOrScholarshipsAmt |
| Other Expenditures | $536,737 | OtherExpendituresAmt |
| Administrative Expenses | $64,200 | AdministrativeExpensesAmt |
| End Year Balance | $13,226,981 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.75130 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.24870 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $531,930 | OtherCostOrOtherBasisAmt |
| Book Value | $531,930 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,077,482 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,393,666 | DepreciationAmt |
| Book Value | $4,683,816 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $970,881 | OtherCostOrOtherBasisAmt |
| Depreciation | $735,624 | DepreciationAmt |
| Book Value | $235,257 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,635,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,337,388 | DepreciationAmt |
| Book Value | $297,997 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,749,000 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ALTERNATIVE INVESTMENTS | $2,849,655 | F |
| EXCHANGE TRADED FUNDS | $3,123,523 | F |
| CORPORATE, FIXED INCOME | $2,334,542 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $8,307,720 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PERPETUAL TRUST | Desc |
| Book Value | $3,633,357 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,633,357 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | -$439,159 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,956,781 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$585,673 | OtherRevenueAmt |
| Revenue Not Reported | -$2,542,454 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,103,295 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,103,295 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,222,445 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,222,445 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $103,714 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $103,714 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,326,159 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | DONOR DESIGNATED FUND - FOR PROGRAM SERVICES AND FOR ACQUISITION OF LONG-LIVED ASSETS. VAN GORDON FUND: FUNDS ARE USED TO: 1. ASSIST THE PEDIATRIC REHABILITATION DEPARTMENT 2. FINANCE PROGRAMS, RESEARCH AND NEW EQUIPMENT 3. PROVIDE EDUCATIONAL OPPORTUNITIES TO REHABILITATION PATIENTS, FAMILY MEMBERS AND PRACTITIONERS 4. SUPPORT AND PROMOTE NEW AND INNOVATIVE PROGRAMS OF REHABILITATION SERVICES, RESEARCH AND EDUCATION FOR TAX-EXEMPT INSTITUTIONS IN NORTHERN MINNESOTA, NORTHERN WISCONSIN AND UPPER PENINSULA OF MICHIGAN |
| PART X, LINE 2: | THE FOUNDATION AND ITS SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND FROM STATE INCOME TAXES UNDER A SIMILAR STATE CODE SECTION. NOT-FOR-PROFIT ORGANIZATIONS MAY BECOME SUBJECT TO INCOME TAXES IF QUALIFICATION AS A TAX-EXEMPT ENTITY CHANGES, IF UNRELATED BUSINESS INCOME IS GENERATED, AND IN CERTAIN OTHER INSTANCES. NOT-FOR-PROFIT ORGANIZATIONS ARE REQUIRED TO ASSESS THE CERTAINTY OF THEIR TAX POSITIONS RELATED TO THESE MATTERS AND, IN SOME CASES, RECORD LIABILITIES FOR POTENTIAL TAXES, INTEREST AND PENALTIES ACCOMPANIED BY FOOTNOTE DISCLOSURES. THE FOUNDATION HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE THE ACCRUAL OF AN INCOME TAX PROVISION. GENERALLY, THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -481,959. INVESTMENT EXPENSES NETTED WITH INVESTMENT INCOME -103,714. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT EXPENSES NETTED WITH INVESTMENT INCOME 103,714. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ARTCETERA | Event1Nm |
| Gross Receipts Event1 | $238,732 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $215,337 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,395 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $28,000 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $800 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $68,501 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $238,732 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $215,337 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,395 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $28,000 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $800 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $68,501 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $97,301 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$73,906 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ESSENTIA HEALTH | |||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 200360007 | 501(C)(3) | $574,375 | MENTAL HEALTH, PHYSICAL REHABILITATION, BURN AND WOUND SERVICES, SURGERY, CANCER CARE, GENERAL HEALTH CARE AND HOSPICE CARE |
| MILLER-DWAN FOUNDATION HOSPICE HOUSEAMBERWING LLC | |||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 203644274 | 501(C)(3) | $77,883 | HOSPICE CARE AND MENTAL HEALTH |
| LIFE HOUSE | |||||||
| 102 W 1ST ST | DULUTH | MN | 55802 | 411704840 | 501(C)(3) | $25,000 | MENTAL HEALTH |
| DULUTH AREA FAMILY YMCA | |||||||
| 302 WEST FIRST STREET | DULUTH | MN | 55802 | 410693931 | 501(C)(3) | $15,119 | PHYSICAL REHABILITATION AND CANCER CARE |
| ARROWHEAD HEALTH ALLIANCE | |||||||
| 1927 WEST SUPERIOR STREET | DULUTH | MN | 55802 | 411617672 | 501(C)(3) | $20,000 | MENTAL HEALTH |
| ASPIRUS IRON RIVER HOSPITAL & CLINICS | |||||||
| 1400 W ICE LAKE ROAD | IRON RIVER | MI | 49935 | 383236977 | 501(C)(3) | $20,000 | CANCER CARE |
| BENEDICTINE LIVING COMMUNITY OF DULUTH | |||||||
| 935 KENWOOD AVE | DULUTH | MN | 55811 | 411381401 | 501(C)(3) | $6,611 | PHYSICAL REHABILITATION |
| COLLEGE OF ST SCHOLASTICA | |||||||
| 2100 KENWOOD AVE | DULUTH | MN | 55811 | 410698301 | 501(C)(3) | $26,010 | GENERAL HEALTH CARE |
| COURAGE KENNY | |||||||
| 3915 GOLDEN VALLEY RD | MINNEAPOLIS | MN | 55422 | 411952989 | 501(C)(3) | $15,000 | PHYSICAL REHABILITATION |
| DAMIANO CENTER | |||||||
| 206 W 4TH ST | DULUTH | MN | 55806 | 411453521 | 501(C)(3) | $10,000 | MENTAL HEALTH |
| DULUTH PUBLIC SCHOOLS | |||||||
| 215 NORTH 1ST AVE EAST | DULUTH | MN | 55802 | 416003776 | GOVERNMENTAL | $20,000 | MENTAL HEALTH |
| FAITH UNITED METHODIST CHURCH | |||||||
| 1531 HUGHITT AVE | SUPERIOR | WI | 54880 | 391840533 | 501(C)(3) | $8,000 | MENTAL HEALTH |
| LIGHTHOUSE CENTER FOR VISION LOSS | |||||||
| 4505 WEST SUPERIOR ST | DULUTH | MN | 55807 | 410706140 | 501(C)(3) | $16,585 | PHYSICAL REHABILITATION |
| NORTH LAKES COMMUNITY CLINIC | |||||||
| 7665 US HIGHWAY 2 | IRON RIVER | WI | 54847 | 352297925 | 501(C)(3) | $39,379 | PHYSICAL REHABILITATION |
| SCOTTISH RITE FOUNDATION | |||||||
| 24 WEST 2ND ST | DULUTH | MN | 55802 | 411420162 | 501(C)(3) | $19,518 | MENTAL HEALTH |
| ST ANN'S RESIDENCE | |||||||
| 330 EAST 3RD STREET | DULUTH | MN | 55805 | 410696491 | 501(C)(3) | $60,691 | GENERAL HEALTH CARE |
| NORTHLAND CHILDREN'S MENTAL HEALTH COLLABORATIVE | |||||||
| 4321 ALLENDALE AVE | DULUTH | MN | 55803 | $5,900 | MENTAL HEALTH | ||
| PAVSA | |||||||
| 32 EAST 1ST STREET SUITE 200 | DULUTH | MN | 55802 | 411350021 | 501(C)(3) | $25,000 | MENTAL HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | A FINAL GRANT REPORT MUST BE PROVIDED WITHIN TWO MONTHS OF PROJECT OR PROGRAM COMPLETION. FUTURE PROPOSALS WILL NOT BE ELIGIBLE FOR REVIEW UNTIL ALL OUTSTANDING REPORTS ON COMPLETED PROJECTS ARE SUBMITTED. THE FOLLOWING INFORMATION IS REQUIRED: - PROVIDE A HEADING FOR THE REPORT INCLUDING PROJECT NAME, GRANT NUMBER, ADDRESS, PHONE NUMBER AND THE NAME OF THE INDIVIDUAL RESPONSIBLE FOR COORDINATING THE PROJECT. - DESCRIBE THE GRANT-SUPPORTED ACTIVITIES OR EVENTS THAT OCCURRED BECAUSE OF FOUNDATION SUPPORT. - DESCRIBE ANY CHANGES THAT OCCURRED IN THE PROJECT FROM THE ORIGINAL CONCEPT AS PRESENTED IN YOUR PROPOSAL, WHY SUCH CHANGES WERE NECESSARY AND ANY PROBLEMS YOU ENCOUNTERED. - DESCRIBE THE RESULTS OF THIS PROJECT. INCLUDE SUMMARIES OF ANY OUTCOME MEASURES YOU USED ONLY IF THEY PROVIDE INFORMATION RELATED TO THE EFFECTIVENESS OF THE PROJECT. COMMENT ON YOUR SATISFACTION/DISSATISFACTION WITH THESE RESULTS AND ANY MODIFICATIONS YOU BELIEVE WOULD HAVE PRODUCED MORE DESIRABLE OUTCOMES. PROVIDE A STORY THAT EXEMPLIFIES YOUR RESULTS. - DISCUSS FUTURE IMPLICATIONS OF THE PROJECT (E.G. ALLOWED STARTUP OF A PROGRAM THAT WILL CONTINUE TO PROVIDE SERVICES, RESULTING IN BETTER PATIENT OUTCOMES). - PROVIDE A FINANCIAL REPORT DETAILING THE EXPENDITURES OF MILLER-DWAN FOUNDATION FUNDS AS WELL AS TOTAL PROJECT REVENUE AND EXPENSE. IN THE EVENT OF EQUIPMENT PURCHASE, PROVIDE VERIFICATION OF PURCHASE. - ATTACH COPIES OF PROJECT PUBLICITY, NEWSPAPER ARTICLES, PROGRAM BROCHURES, SCHEDULE OF EVENTS, NEWSLETTERS AND OTHER INFORMATION PUBLICLY ACKNOWLEDGING THE RECEIPT OF FUNDS AND/OR INFORMING THE PUBLIC OF GRANT ACTIVITIES. ANY DEVIATIONS FROM THE ORIGINAL GRANT MUST BE REPORTED TO AND REVIEWED BY THE MILLER-DWAN FOUNDATION GRANTS SPECIALIST. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACI MARCINIAK | PersonNm |
| Title | PRESIDENT | TitleTxt |
| Base Compensation Filing Org | $138,011 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $2,872 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $21,755 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $162,638 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1B | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS UNANIMOUSLY APPROVED THE MEMBERSHIP TO A LOCAL SOCIAL CLUB. THE CLUB IS FREQUENTED BY DONOR AND PROSPECTS OF THE FOUNDATION. THE CLUB OFFERS A VARIETY OF MEETING ROOMS WHICH ARE USED TO HOST DONOR AND PROSPECT MEETINGS, AS WELL AS OCCASIONAL ORGANIZATION MEETINGS. USE OF THE CLUB IS FOR BUSINESS PURPOSES ONLY. CHARGES FROM THE CLUB ARE INCLUDED ON THE CHECK REGISTER THAT IS REVIEWED BY THE FINANCE CHAIR AND FINANCE COMMITTEE ON A MONTHLY BASIS. |
| SCHEDULE J, PART II | ESSENTIA HEALTH IS THE UNRELATED ORGANIZATION THAT IS COMPENSATING TRACI MARCINIAK-HILINSKI. MILLER-DWAN FOUNDATION REIMBURSES ESSENTIA HEALTH FOR THE COMPENSATION. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 17 | ContributionCnt |
| Noncash Contributions Rpt F990 | $10,965 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV - PROVIDED BY DONOR | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $75,965 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MEDIAN PRICE AT TRANSFER | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 5 | MILLER-DWAN FOUNDATION HAS 5 EMPLOYEES. THESE EMPLOYEES ARE COMPENSATED BY ESSENTIA HEALTH, AN UNRELATED ORGANIZATION. MILLER-DWAN FOUNDATION REIMBURSES ESSENTIA HEALTH FOR THE COMPENSATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PRESIDENT AND ACCOUNTANT OF THE FOUNDATION REVIEW THE 990 FOR ACCURACY AND COMPLETENESS OF INFORMATION. THE FINAL COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD POLICY REGARDING CONFLICTS OF INTEREST AND DUALITY OF INVOLVEMENT IS AS FOLLOWS: A. DURING THE CONSIDERATION OF A PROPOSED ALLOCATION GRANT OR OTHER MATTER AFFECTING THE MILLER-DWAN FOUNDATION, ANY BOARD/COMMITTEE MEMBER WHO HAS OR IS AWARE OF A POTENTIAL CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT, SHALL FULLY DISCLOSE SUCH CONFLICT TO THE BOARD PRIOR TO THE GRANTS DISCUSSION. B. ANY PERSON DEEMED BY HIMSELF/HERSELF OR BY THE CHAIR TO HAVE A CONFLICT OF INTEREST/DUALITY OF INTEREST, EXCLUDING THOSE ASSOCIATED WITH VAN GORDEN RELATED GRANT DISCUSSIONS (SEE PARAGRAPH 2, LINE 9 ABOVE), SHALL NOT PARTICIPATE IN ANY CONSIDERATION OF THE GRANT REQUEST AND MAY CHOSE TO LEAVE THE ROOM DURING THE DISCUSSION AND VOTING. C. BOARD/COMMITTEE MEMBERS SHALL NOT USE THEIR PERSONAL INFLUENCE IN THE DISCUSSION OF THE GRANT OR MATTER, HOWEVER, WHEN THE MEMBER'S KNOWLEDGE WILL ASSIST THE BOARD OR COMMITTEE AND WHEN THE BOARD OR COMMITTEE REQUESTS SUCH INFORMATION, A PERSON WITH A CONFLICT OR DUALITY OF INTEREST MAY RESPOND TO PERTINENT QUESTIONS. D. NO ORGANIZATION SHALL RECEIVE SPECIAL MILLER-DWAN FOUNDATION CONSIDERATION BASED ON A BOARD, COMMITTEE, OR FAMILY MEMBER OR FINANCIAL RELATIONSHIP. E. NO BOARD/COMMITTEE MEMBER SHALL USE HIS OR HER POSITION, OR THE KNOWLEDGE GAINED THERE FROM, IN SUCH A MANNER THAT A CONFLICT BETWEEN THE INTEREST OF THE MILLER-DWAN FOUNDATION OR ANY OF ITS ASSOCIATED AGENCIES OR ORGANIZATIONS AND HIS OR HER INTERESTED PERSONS, ARISES. F. A CONTRACT OR OTHER TRANSACTION BETWEEN THE MILLER-DWAN FOUNDATION AND A BOARD/COMMITTEE MEMBER IS NOT VOID OR VIOLABLE BECAUSE THE BOARD/COMMITTEE MEMBER IS A PARTY TO THE CONTRACT OR BECAUSE THE BOARD/COMMITTEE MEMBER IS PRESENT AT THE MEETING AT WHICH THE CONTRACT OR TRANSACTION IS AUTHORIZED, APPROVED OR RATIFIED, SO LONG AS THE FOLLOWING CONDITIONS ARE SATISFIED: A. THE MATERIAL FACTORS CONCERNING THE CONTRACT OR TRANSACTION AS THEY RELATE TO THE BOARD/ COMMITTEE MEMBER'S CONFLICT OF INTEREST MUST BE FULLY DISCLOSED, OR MUST BE KNOWN TO THE BOARD OR COMMITTEE AUTHORIZING, APPROVING OR RATIFYING THE CONTRACT OR TRANSACTION; AND B. THE BOARD OR COMMITTEE AUTHORIZING, APPROVING, OR RATIFYING THE CONTRACT OR TRANSACTION MUST DO SO IN GOOD FAITH BY A MAJORITY, NOT COUNTING ANY VOTE THAT THE INTERESTED BOARD/ COMMITTEE MEMBER MIGHT OTHERWISE HAVE, AND NOT COUNTING THE BOARD/COMMITTEE MEMBER IN DETERMINING THE PRESENCE OF A QUORUM. G. THESE CONDITIONS APPLY TO ANY CONTRACTS OR OTHER TRANSACTIONS BETWEEN MILLER-DWAN FOUNDATION AND A BOARD/COMMITTEE FAMILY MEMBER OR AN ORGANIZATION IN OR OF WHICH THE BOARD/COMMITTEE MEMBER OR A MEMBER OF THE BOARD/COMMITTEE MEMBER'S FAMILY IS A DIRECTOR, OFFICER OR LEGAL REPRESENTATIVE OR HAS A MATERIAL FINANCIAL INTEREST. H. BOARD/COMMITTEE MEMBERS HAVE A DUTY TO PLACE THE INTERESTS OF THE ORGANIZATION FOREMOST IN ANY DEALING WITH THE ORGANIZATION AND HAVE A CONTINUING RESPONSIBILITY TO COMPLY WITH THE REQUIREMENTS OF THIS POLICY. FOR THE PURPOSE OF CARRYING OUT THIS POLICY, THE MILLER-DWAN FOUNDATION PROVIDES A DISCLOSURE STATEMENT TO ALL BOARD MEMBERS REGARDING ORGANIZATIONS WITH WHICH EACH PERSON AND/OR FAMILY MEMBERS IS, OR HAS BEEN WITHIN THE PRIOR TWO YEARS, A TRUSTEE, DIRECTOR, SIGNIFICANT FINANCIAL SUPPORTER, ACTIVE VOLUNTEER, CURRENT CONSUMER OF ITS SERVICES OR STAFF MEMBER. ON THE BASIS OF THIS DISCLOSURE, STAFF WILL IDENTIFY ANY CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT WHENEVER SUCH ORGANIZATIONS ARE CONSIDERED FOR A POSSIBLE ALLOCATION GRANT OR OTHER MATTER. THIS, HOWEVER, DOES NOT RELEASE A BOARD/COMMITTEE MEMBER OF THE RESPONSIBILITY TO INFORM THE PRESIDENT AND CHAIR OF ANY CONFLICTING ROLES OR DUAL ROLES THEY MAY HAVE IF NOT OTHERWISE DISCLOSED. DISCLOSURE STATEMENTS WILL BE DISTRIBUTED PERIODICALLY FOR THE PURPOSES OF UPDATING. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED, REVIEWED, AND SIGNED BY BOARD MEMBERS ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ANNUAL REPORT IS AVAILABLE ON THE FOUNDATION'S WEBSITE AND IN PERSON AT THE FOUNDATION'S OFFICE. ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, OTHER POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE FOUNDATION OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN THE SECTION 6104(D). |
| FORM 990, PART XI, LINE 9: | DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -481,959. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|
| MILLER-DWAN FOUNDATION HOSPICE HOUSE LLC | |||||||||
| 502 EAST SECOND STREET | DULUTH | MN | 55805 | 203644274 | OWNERSHIP OF HOSPICE PROPERTY | MN | $0 | $1,526,008 | N/A |
| MILLER-DWAN FOUNDATION AMBERWING LLC | |||||||||
| 502 EAST SECOND STREET | DULUTH | MN | 55805 | OWNERSHIP OF AMBERWING PROPERTY | MN | $0 | $4,156,534 | N/A | |