MILLER DWAN FOUNDATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MILLER DWAN FOUNDATION (EIN 23-7396466)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-07-13
- IRS object ID
- 201631959349301368
- Schema version
- 2015v2.1
- 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 F
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-07-13T15:46:03-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 W FIRST ST STE 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 | 2015-01-01 | 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 | 2016-06-30 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | 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 | $5,391,018 | 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 | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $786,699 | PYContributionsGrantsAmt |
| CY Contributions Grants | $960,306 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,438 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $497,305 | PYInvestmentIncomeAmt |
| CY Investment Income | $363,887 | CYInvestmentIncomeAmt |
| PY Other Revenue | $48,574 | PYOtherRevenueAmt |
| CY Other Revenue | -$11,113 | CYOtherRevenueAmt |
| PY Total Revenue | $1,353,016 | PYTotalRevenueAmt |
| CY Total Revenue | $1,313,080 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $301,607 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $503,543 | 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 | $220,621 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,154,197 | PYOtherExpensesAmt |
| CY Other Expenses | $1,255,941 | CYOtherExpensesAmt |
| PY Total Expenses | $1,455,804 | PYTotalExpensesAmt |
| CY Total Expenses | $1,759,484 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$102,788 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$446,404 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,477,065 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,367,584 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $598,744 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $640,728 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,878,321 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,726,856 | 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 | $297,489 | ExpenseAmt |
| Grant | $83,614 | GrantAmt |
| Revenue | $1,647 | RevenueAmt |
| Desc | THE MILLER-DWAN FOUNDATION IS COMMITTED TO RAISING AWARENESS OF IMPORTANT HEALTH CARE ISSUES AND PROVIDING PEOPLE WITH KNOWLEDGE AND TOOLS TO MANAGE THEIR ILLNESS AND MOVE TOWARDS GREATER HEALTH AND WELLNESS. EACH YEAR THE FOUNDATION OFFERS EDUCATION AND TRAINING SESSIONS FOR COMMUNITY MEMBERS, 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 ALSO AWARDS GRANTS SPECIFICALLY FOR THE PROVISION OF EDUCATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $814,516 | ExpenseAmt |
| Grant | $193,122 | GrantAmt |
| Desc | IN 2012, AFTER AN INTENSIVE VISIONING PROCESS TO IDENTIFY UNMET HEALTH NEEDS AND A SUCCESSFUL $6 MILLION FUNDRAISING CAMPAIGN, THE MILLER-DWAN FOUNDATION OPENED AMBERWING - CENTER FOR YOUTH & FAMILY-WELL-BEING, WITH ESSENTIA HEALTH PROVIDING THE CARE. AMBERWING CARES FOR PATIENTS FROM BIRTH TO 25, AND ENGAGES THE FAMILY THROUGHOUT THE TREATMENT PROCESS (APPROX. 1200 PATIENTS). AMBERWING ALSO HOUSES A FAMILY RESOURCE CENTER THAT PROVIDES SUPPORT AND INFORMATION FOR PEOPLE THROUGHOUT THE COMMUNITY (375 PHONE CALLS, 40 WALK-INS, AND APPROX. 3 EMAILS PER WEEK). IT ALSO PROVIDES SKILL-BUILDING EDUCATION TO FAMILY MEMBERS AND THE GREATER COMMUNITY TO HELP THEM ASSIST THEIR LOVED ONES AND FRIENDS IN OVERCOMING THEIR MENTAL ILLNESS (185 PARTICIPANTS). 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. THE MILLER-DWAN FOUNDATION OWNS SOLVAY HOSPICE HOUSE, AND ESSENTIA HEALTH HOSPICE PROVIDES THE CARE. SOLVAY WAS DESIGNED TO BE A COMFORTABLE HOME FOR THOSE FACING THE END OF LIFE AND THEIR FAMILIES. IN 2015, MORE THAN 400 PATIENTS (ESTIMATE) WERE CARED FOR AT SOLVAY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $308,328 | ExpenseAmt |
| Grant | $226,808 | GrantAmt |
| Desc | IN 2015, WE TOOK ON AN INITIATIVE TO TRANSFORM AND EXPAND THE ADULT INPATIENT BEHAVIORAL HEALTH UNIT LOCATED IN THE MILLER-DWAN BUILDING-THE LARGEST INPATIENT UNIT IN OUR REGION SERVING MORE THAN 1,000 PATIENTS ANNUALLY. COMPLETION OF THE TRANSFORMATION IS PLANNED FOR MID-2017. IN ADDITION, THE FOUNDATION CONTINUES TO SUPPORT MEANINGFUL HEALTHCARE PROGRAMS ON THE MEDICAL CAMPUS AND IN THE COMMUNITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,420,333 | 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 | Yes (1) | 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| SONJA BAERTSCH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY KAY BERARDUCCI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER CAREY | ||||||
| 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 | |
| MARSHA HYSTEAD | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SHANE JOHNSON | ||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JEFF HOLMES | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JILL KAISER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMIE LANGENBRUNNER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MELINDA MACHONES | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DON MONACO | ||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PAT MULLEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BOB RYAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN SKYTTA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LISA STARR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR STEVE SUTHERLAND | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TRACI MARCINIAK | ||||||
| PRESIDENT | 40.00 | $111,620 | $0 | $18,961 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $111,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $18,961 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | 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 | $371,543 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $267,426 | FundraisingAmt |
| All Other Contributions | $692,880 | AllOtherContributionsAmt |
| Noncash Contributions | $99,691 | NoncashContributionsAmt |
| Total Contributions | $960,306 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $438,077 | TotalRevenueColumnAmt |
| Exclusion | $438,077 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $98,376 | 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 | $98,376 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,376 | TotalRevenueColumnAmt |
| Exclusion | $98,376 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,879,362 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,953,552 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$74,190 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$74,190 | TotalRevenueColumnAmt |
| Exclusion | -$74,190 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $13,250 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $267,426 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $124,386 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$111,136 | TotalRevenueColumnAmt |
| Exclusion | -$111,136 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,647 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,647 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,647 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,313,080 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,647 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $351,127 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,543 | TotalAmt |
| Program Services | $463,543 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,000 | TotalAmt |
| Program Services | $40,000 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,636 | TotalAmt |
| Program Services | $245,854 | ProgramServicesAmt |
| Management And General | $72,213 | ManagementAndGeneralAmt |
| Fundraising | $53,569 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,215 | TotalAmt |
| Program Services | $672 | ProgramServicesAmt |
| Management And General | $2,543 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276 | TotalAmt |
| Management And General | $276 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,365 | TotalAmt |
| Management And General | $6,365 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,241 | TotalAmt |
| Management And General | $1,241 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,296 | TotalAmt |
| Program Services | $6,238 | ProgramServicesAmt |
| Management And General | $15,861 | ManagementAndGeneralAmt |
| Fundraising | $17,197 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,406 | TotalAmt |
| Program Services | $1,376 | ProgramServicesAmt |
| Management And General | $30 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,278 | TotalAmt |
| Program Services | $3,777 | ProgramServicesAmt |
| Management And General | $501 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,122 | TotalAmt |
| Program Services | $534,211 | ProgramServicesAmt |
| Management And General | $2,911 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| FUNDRAISING | $142,283 | $142,283 | ||
| GENERAL PUBLIC INFORMAT | $90,776 | $90,776 | ||
| MAINTENANCE | $37,395 | $7,493 | $27,593 | $2,309 |
| MISCELLANEOUS | $7,630 | $7,630 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,022 | TotalAmt |
| Program Services | $6,293 | ProgramServicesAmt |
| Management And General | $6,650 | ManagementAndGeneralAmt |
| Fundraising | $79 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,759,484 | TotalAmt |
| Program Services | $1,420,333 | ProgramServicesAmt |
| Management And General | $118,530 | ManagementAndGeneralAmt |
| Fundraising | $220,621 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $554,188 | BOYAmt |
| EOY | $699,697 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,344 | BOYAmt |
| EOY | $143,263 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,552 | BOYAmt |
| EOY | $9,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,208,319 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,951,135 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,794,306 | BOYAmt |
| EOY | $7,257,184 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,784,189 | BOYAmt |
| EOY | $5,665,955 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,188,661 | BOYAmt |
| EOY | $10,882,406 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,072,825 | BOYAmt |
| EOY | $3,709,665 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,477,065 | BOYAmt |
| EOY | $28,367,584 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,356 | BOYAmt |
| EOY | $47,762 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,388 | BOYAmt |
| EOY | $592,966 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $598,744 | BOYAmt |
| EOY | $640,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,653,137 | BOYAmt |
| EOY | $14,454,059 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,152,359 | BOYAmt |
| EOY | $9,563,132 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,072,825 | BOYAmt |
| EOY | $3,709,665 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,878,321 | BOYAmt |
| EOY | $27,726,856 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,477,065 | BOYAmt |
| EOY | $28,367,584 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$446,404 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$341,901 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$363,160 | 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 | $2,243,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,055,572 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $836,245 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $786,699 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $960,306 | CurrentTaxYearAmt |
| Total | $5,882,019 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,243,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,055,572 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $836,245 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $786,699 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $960,306 | CurrentTaxYearAmt |
| Total | $5,882,019 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,316,372 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,565,647 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $676,933 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $666,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $640,153 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $603,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $536,453 | CurrentTaxYearAmt |
| Total | $3,123,232 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $109,378 | CurrentTaxYearMinus4YearsAmt |
| Total | $109,378 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,114,629 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $100,479 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.50090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.49340 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,806,729 | BeginningYearBalanceAmt |
| Contributions | $730,679 | ContributionsAmt |
| Investment Earnings Or Losses | $1,159,217 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $387,052 | GrantsOrScholarshipsAmt |
| Other Expenditures | $257,411 | OtherExpendituresAmt |
| Administrative Expenses | $59,209 | AdministrativeExpensesAmt |
| End Year Balance | $12,992,953 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,077,645 | BeginningYearBalanceAmt |
| Contributions | $833,618 | ContributionsAmt |
| Investment Earnings Or Losses | $1,257,601 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $513,904 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,770,901 | OtherExpendituresAmt |
| Administrative Expenses | $66,330 | AdministrativeExpensesAmt |
| End Year Balance | $11,806,729 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,614,896 | BeginningYearBalanceAmt |
| Contributions | $2,411,535 | ContributionsAmt |
| Investment Earnings Or Losses | -$292,687 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $754,525 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,836,020 | OtherExpendituresAmt |
| Administrative Expenses | $65,554 | AdministrativeExpensesAmt |
| End Year Balance | $14,077,645 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.72040 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.27960 | 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 | $531,931 | OtherCostOrOtherBasisAmt |
| Book Value | $531,931 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,077,482 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,379,547 | DepreciationAmt |
| Book Value | $5,697,935 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $963,522 | OtherCostOrOtherBasisAmt |
| Depreciation | $553,635 | DepreciationAmt |
| Book Value | $409,887 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,635,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,017,953 | DepreciationAmt |
| Book Value | $617,431 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,257,184 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MUTUAL FUNDS | $4,198,403 | F |
| HEDGE FUNDS | $2,479,116 | F |
| MONEY MARKET FUNDS | $383,404 | F |
| EXCHANGE TRADED & CLOSED END FUNDS | $3,037,067 | F |
| CORPORATE, FIXED INCOME | $784,416 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,882,406 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PERPETUAL TRUST | Desc |
| Book Value | $3,709,665 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,709,665 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $608,019 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$341,901 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$363,160 | OtherRevenueAmt |
| Revenue Not Reported | -$705,061 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,313,080 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,313,080 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,759,484 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,759,484 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,759,484 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 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, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2012. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -363,160. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | NORTH AMERICA | RegionTxt |
| Purpose Of Grant | ASSISTANCE | PurposeOfGrantTxt |
| Cash Grant | $40,000 | CashGrantAmt |
| Manner Of Cash Disbursement | CHECK | MannerOfCashDisbursementTxt |
| Valuation Method Used | CASH | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MILLER-DWAN FOUNDATION GRANTEES, WHEN APPROVED FOR GRANT AWARDS, ENTER INTO A FORMAL GRANT AGREEMENT THAT DIRECTLY REFLECTS THE PROJECT OR SERVICES FOR WHICH THEY REQUESTED FUNDING. ALL FINAL GRANTING DECISIONS WILL BE MADE BY THE MILLER-DWAN FOUNDATION BOARD OF DIRECTORS. NOTIFICATION OF GRANTING DECISIONS WILL BE MADE WITHIN 5 DAYS FOLLOWING A GRANT REVIEW. UPON APPROVAL, THE FOLLOWING DOCUMENTS ARE PREPARED AND MAILED TO THE GRANTEE FOR SIGNATURES: - AWARD LETTER - AGREEMENT OF GRANTEE - MEDIA INFORMATION - FINAL REPORT FORM APPLICANTS DECLINED FOR APPROVAL RECEIVE A LETTER SIGNIFYING THE BOARD'S DECISION. FOR GRANTS AWARDED OUTSIDE OF THE HEALTH SYSTEM, A CHECK REQUEST IS FORWARDED TO THE FOUNDATION ACCOUNTANT TO INITIATE PAYMENT WITH FOUNDATION GRANT FUNDS AFTER SIGNED PAPERWORK IS RETURNED. COPIES OF ALL ASSOCIATED PAPERWORK INCLUDING CHECK REQUESTS, CHECK COPIES AND GRANTEE CORRESPONDENCE ARE FILED IN THE ORIGINAL GRANT FILE. ALL GRANTEES ARE REQUIRED TO PROVIDE A REPORT DETAILING THE OUTCOMES OF THEIR PROJECT WITHIN ONE YEAR OF ACCEPTING THE GRANT. REPORTS INCLUDE INFORMATION SUCH AS PROPOSED VERSUS ACTUAL BUDGET, NUMBERS SERVED, LONG-TERM IMPACTS, ETC. REPORT DETAILS AND OUTCOMES ARE SHARED WITH THE MILLER-DWAN FOUNDATION BOARD, AS WELL AS BEING FEATURED IN VARIOUS PUBLICATIONS AND ONLINE. LACK OF REPORTING OR MISMANAGEMENT OF FUNDS ON THE PART OF AN ORGANIZATION CAN RESULT IN THE INABILITY TO APPLY FOR FUTURE GRANTS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ARTCETERA | Event1Nm |
| Gross Receipts Event1 | $266,493 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $253,243 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $13,250 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $34,791 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $33,169 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $48,209 | OtherDirectExpensesEvent1Amt |
| Event2 | COLOR DASH | Event2Nm |
| Gross Receipts Event2 | $14,183 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $14,183 | CharitableContriEvent2Amt |
| Rent Facility Costs Event2 | $4,523 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $3,694 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $280,676 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $267,426 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $13,250 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,523 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $34,791 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $33,169 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $51,903 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $124,386 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$111,136 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| ESSENTIA HEALTH | |||||||||
| 502 E 2ND ST | DULUTH | MN | 55805 | 200360007 | 501(C)(3) | $364,482 | CASH | ASSISTANCE | |
| DULUTH TYPE & BUSINESS FURNITURE | |||||||||
| 30 N 3RD AVE W PO BOX 156 | DULUTH | MN | 55801 | 410888076 | $8,906 | CASH | ASSISTANCE | ||
| KITCHEE GAMMI DESIGN CO | |||||||||
| 732 E SUPERIOR ST | DULUTH | MN | 55802 | 262405568 | $40,562 | CASH | ASSISTANCE | ||
| RANGE MENTAL HEALTH CENTER | |||||||||
| C/O BRIAN ENSIGN PO BOX 1188 | VIRGINIA | MN | 55792 | 410849301 | 501(C)(3) | $35,000 | CASH | ASSISTANCE | |
| ARROWHEAD PARISH NURSE ASSOCIATION | |||||||||
| C/O PAM FRANKLIN PO BOX 16328 | DULUTH | MN | 55816 | 461527679 | 501(C)(3) | $6,000 | CASH | ASSISTANCE | |
| COLLEGE OF ST SCHOLASTICA | |||||||||
| ATTN ANDRINE LEMIEUX 1200 KENWOOD | DULUTH | MN | 55811 | 410698301 | 501(C)(3) | $39,581 | CASH | ASSISTANCE | AVE |
| COURAGE KENNY NORTHLAND | |||||||||
| ATTN ERIC LARSON 200 ORDEAN BLDG | DULUTH | MN | 55802 | 411952983 | 501(C)(3) | $10,000 | CASH | ASSISTANCE | |
| HARBOR HOUSE CRISIS SHELTER | |||||||||
| C/O REVEREND BARBARA CERTA-WERNER | SUPERIOR | WI | 54880 | 391840533 | 501(C)(3) | $5,000 | CASH | ASSSITANCE | 1531 HUGHITT AVE |
| WELLNESS IN THE WOODS | |||||||||
| 25362 230TH ST | VERNDALE | WI | 56481 | 462785877 | 501(C)(3) | $6,000 | CASH | ASSISTANCE | |
| LIFE HOUSE | |||||||||
| 102 W 1ST ST | DULUTH | MN | 55802 | 411704840 | 501(C)(3) | $15,000 | CASH | ASSISTANCE | |
| LUTHERAN SOCIAL SERVICE | |||||||||
| C/O CATHY BERGH 104 W 1ST ST | DULUTH | MN | 55802 | 410872993 | 501(C)(3) | $25,000 | CASH | ASSISTANCE | |
| PRICELESS4PURPOSE | |||||||||
| PO BOX 423 | PEQUOT LAKES | MN | 56472 | 452602288 | 501(C)(3) | $5,000 | CASH | ASSISTANCE | |
| PROGRAM FOR AID TO VICTIMS OF SEXUAL ASSAULT | |||||||||
| 32 E 1ST ST | DULUTH | MN | 55802 | 411350021 | 501(C)(3) | $25,000 | CASH | ASSISTANCE | |
| TRUE NORTH ADAPTIVE YOGA | |||||||||
| C/O TERI SANDERS 2900 PIEDMONT AVE | DULUTH | MN | 55811 | 411527956 | 501(C)(3) | $8,000 | CASH | ASSISTANCE | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | MILLER-DWAN FOUNDATION GRANTEES, WHEN APPROVED FOR GRANT AWARDS, ENTER INTO A FORMAL GRANT AGREEMENT THAT DIRECTLY REFLECTS THE PROJECT OR SERVICES FOR WHICH THEY REQUESTED FUNDING. ALL FINAL GRANTING DECISIONS WILL BE MADE BY THE MILLER-DWAN FOUNDATION BOARD OF DIRECTORS. NOTIFICATION OF GRANTING DECISIONS WILL BE MADE WITHIN 5 DAYS FOLLOWING A GRANT REVIEW. UPON APPROVAL, THE FOLLOWING DOCUMENTS ARE PREPARED AND MAILED TO THE GRANTEE FOR SIGNATURES: - AWARD LETTER - AGREEMENT OF GRANTEE - MEDIA INFORMATION - FINAL REPORT FORM APPLICANTS DECLINED FOR APPROVAL RECEIVE A LETTER SIGNIFYING THE BOARD'S DECISION. FOR GRANTS AWARDED OUTSIDE OF THE HEALTH SYSTEM, A CHECK REQUEST IS FORWARDED TO THE FOUNDATION ACCOUNTANT TO INITIATE PAYMENT WITH FOUNDATION GRANT FUNDS AFTER SIGNED PAPERWORK IS RETURNED. FOR INTERNAL GRANTS, NOTIFICATION OF AWARD WILL BE DISTRIBUTED TO DESIGNATED ESSENTIA ACCOUNTANTS. THE MILLER-DWAN FOUNDATION WILL BE BILLED BY ACCOUNTING FOR GRANT-RELATED EXPENDITURES. A COPY OF THE FOUNDATION AWARD LETTER MUST ACCOMPANY EACH PURCHASE REQUISITION. THE PURCHASE REQUISITION MUST INDICATE THAT THE PURCHASE IS FOUNDATION RELATED. GRANT FUNDS WILL BE SPENT USING ESSENTIA'S APPROVED PURCHASING PROCESS. MILLER-DWAN FOUNDATION IS UNABLE TO DIRECTLY REIMBURSE INDIVIDUALS OR DEPARTMENTS FOR GRANT EXPENDITURES NOT MADE USING THE APPROVED PURCHASING PROCESS. IF THERE ARE EXTENUATING CIRCUMSTANCES, APPROVAL FOR DIRECT REIMBURSEMENT MUST BE OBTAINED FROM MILLER-DWAN FOUNDATION IN ADVANCE OF ANY PURCHASES. COPIES OF ALL ASSOCIATED PAPERWORK INCLUDING CHECK REQUESTS, CHECK COPIES AND GRANTEE CORRESPONDENCE ARE FILED IN THE ORIGINAL GRANT FILE. ALL GRANTEES ARE REQUIRED TO PROVIDE A REPORT DETAILING THE OUTCOMES OF THEIR PROJECT WITHIN ONE YEAR OF ACCEPTING THE GRANT. REPORTS INCLUDE INFORMATION SUCH AS PROPOSED VERSUS ACTUAL BUDGET, NUMBERS SERVED, LONG-TERM IMPACTS, ETC. REPORT DETAILS AND OUTCOMES ARE SHARED WITH THE MILLER-DWAN FOUNDATION BOARD, AS WELL AS BEING FEATURED IN VARIOUS PUBLICATIONS AND ONLINE. LACK OF REPORTING OR MISMANAGEMENT OF FUNDS ON THE PART OF AN ORGANIZATION CAN RESULT IN THE INABILITY TO APPLY FOR FUTURE GRANTS. | 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 | $111,620 | 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 | $5,016 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $13,945 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $130,581 | 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 | 35 | ContributionCnt |
| Noncash Contributions Rpt F990 | $22,753 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV - PROVIDED BY DONOR | MethodOfDeterminingRevenuesTxt |
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $24,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MSR PRICE | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $52,938 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STOCK PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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 | MEMBERS ARE GIVEN CONFLICT OF INTEREST FORM TO SIGN AT THE START OF THEIR TERM. PERIODICALLY THEY WILL SIGN ANOTHER COPY IF A DISCUSSION OR GRANT ROUND IS APPLICABLE. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST AT THE FOUNDATION'S OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN THE SECTION 6104(D). |
| 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 -363,160. |
| 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. |
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 | -$225,750 | $2,118,301 | N/A |
| MILLER-DWAN FOUNDATION AMBERWING LLC | |||||||||
| 502 EAST SECOND STREET | DULUTH | MN | 55805 | OWNERSHIP OF AMBERWING PROPERTY | MN | -$308,460 | $5,290,459 | N/A | |