2024-09-09T15:16:11-05:00 2023-12-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2023-01-01 237396466 MILLER-DWAN FOUNDATION MILL 2187862823 225 W SUPERIOR ST HOLIDAY CTR 110 DULUTH MN 55802 TRACI MARCINIAK PRESIDENT 2187862823 2024-09-09 1 0 JULIE BOYER P01278549 2187275025 2024-09-09 2023 2024-08-08 14:25:15Z X TRACI MARCINIAK 225 W SUPERIOR ST HOLIDAY CTR 110 DULUTH MN 55802 12440462 0 X WWW.MILLERDWANFOUNDATION.ORG X 1973 MN TO PROVIDE SUPPORT TO HISTORIC MILLER-DWAN MEDICAL CENTER AND POLINSKY MEDICAL REHABILITATION SPECIALTY HEALTHCARE PROGRAMS AND SERVICES AND FOR INNOVATIVE PROGRAMMING THROUGHOUT THE REGION. 13 13 11 60 0 0 1211209 1728684 0 34098 1470089 574196 -114716 -195803 2566582 2141175 1262047 1139821 0 0 569401 852326 0 0 2108 1067727 1033404 2899175 3025551 -332593 -884376 31065709 33362303 554928 520104 30510781 32842199 X 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. 1 0 1238270 1139821 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 AND SURGICAL SERVICES. 398856 HOPEXPM+ - IN 2023, THE MILLER-DWAN FOUNDATION PARTNERED WITH GEORGE WASHINGTON UNIVERSITY AND THE NEW SCHOOL FOR SOCIAL RESEARCH TO BEGIN IMPLEMENTING PROBLEM MANAGEMENT PLUS (PM+). PM+, DEVELOPED BY THE WORLD HEALTH ORGANIZATION, TRAINS NON-CREDENTIALED HELPERS TO PROVIDE A HIGHLY MANUALIZED MENTAL HEALTH INTERVENTION THAT CAN HELP PEOPLE STAY WELL AND OUT OF THE HOSPITAL. ALL WORK HAPPENS UNDER LICENSED SUPERVISION. PM+ INVOLVES COMMUNITY-BASED ORGANIZATIONS (CBO'S) IN A WAY THAT SIGNIFICANTLY EXPANDS THE WORKFORCE. THE FOUNDATION AWARDS COMMUNITY GRANTS IN SUPPORT OF ITS PM+ MENTAL HEALTH EFFORTS AS WELL AS IN SUPPORT OF MENTAL HEALTH SERVICES ON THE MEDICAL CAMPUS. DOUGLAS COUNTY - WORK CONTINUES IN COLLABORATION WITH DOUGLAS COUNTY COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT 9 PRIORITY AREAS FOR IMPROVEMENT OF MENTAL HEALTH WITH AN EMPHASIS ON MENTAL HEALTH TRAINING, OPPORTUNITIES FOR RESIDENTS TO CONNECT, PROVIDER RECRUITMENT AND RETENTION INCLUDING PM+. 309370 PUBLIC EDUCATION - 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, CANCER CARE AND SURVIVORSHIP, BURN TREATMENT AND OF COURSE, MENTAL HEALTH AND PHYSICAL REHABILITATION. IN 2023, A SPECIAL EMPHASIS WAS PLACED ON BURN CARE STAFF RECEIVING ADVANCED BURN LIFE SUPPORT EDUCATION. IN 2023, THE FOUNDATION ALSO LAUNCHED "THE FORCE FOR GOOD" PODCAST, WITH A FOCUS ON EDUCATING LISTENERS ABOUT MENTAL HEALTH CARE IN GENERAL AND IN OUR REGION. 273340 19526 AMBERWING - CENTER FOR YOUTH & FAMILY WELL-BEING - THE MILLER-DWAN FOUNDATION OWNS AMBERWING AND HAS CONTINUED RESPONSIBILITY FOR ITS STEWARDSHIP AND ITS TREATMENT PROGRAM. AMBERWING CARES FOR PATIENTS FROM BIRTH TO 18 AND ENGAGES THE FAMILY THROUGHOUT THE TREATMENT PROCESS. APPROXIMATELY 1,200 KIDS ANNUALLY PRESENT AT AMBERWING SEEKING CARE. AFTER AN ASSESSMENT, THE MAJORITY OF THE KIDS ENTER THE AMBERWING PARTIAL HOSPITALIZATION PROGRAM. IF NEEDED, CHILDREN AND FAMILIES ARE REFERRED TO OTHER ORGANIZATIONS PROVIDING THE TYPE OR LEVEL OF CARE APPROPRIATE FOR THAT SPECIFIC INDIVIDUAL. AMBERWING FAMILY RESOURCE CENTER - THE AMBERWING FAMILY RESOURCE CENTER IN AMBERWING PROVIDES SUPPORT AND INFORMATION FOR PEOPLE FROM THROUGHOUT THE COMMUNITY. THE RESOURCE CENTER IS OFTEN FILLED WITH FAMILY MEMBERS WHO ARE SEEKING INFORMATION TO DETERMINE IF THEIR CHILD MAY NEED ADDITIONAL SUPPORT OR WHOSE CHILD IS IN THE AMBERWING PROGRAM. IN 2023, THE RESOURCE CENTER MANAGER, AN EMPLOYEE OF THE MILLER-DWAN FOUNDATION, FIELDED AN EXTENSIVE NUMBER OF PHONE CALLS AND WALK-IN VISITORS. IN ADDITION, THEY SERVED ON 6 LOCAL COMMITTEES, ATTENDED 12 REGIONAL EVENTS, AND PARTICIPATED IN 5 WEEKLY ON-SITE DIALECTICAL BEHAVIOR THERAPY (DBT) SKILLS REFRESHER GROUPS AND 9 WEEKLY SUBSTANCE USE EDUCATION GROUPS AS AN AMBERWING/MILLER-DWAN REPRESENTATIVE. THE AMBERWING SUBSTANCE-USE DISORDER (SUD) PROGRAM - IMPLEMENTED IN 2021, THE AMBERWING SUD PROGRAM CONTINUED FOR ITS THIRD YEAR WITH ALL AMBERWING YOUTH ASSESSED AND TRACKED FOR SUD OR SUD RISK. A FULL AND COMPLETE EVALUATION OF THE SUD PROGRAM IS NEARING COMPLETION. DIALECTICAL BEHAVIOR THERAPY (DBT) - 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-BOTH IN-PERSON AND VIRTUAL. IN 2023 SKILLS AND EDUCATION TRAINING FOR FAMILY AND COMMUNITY MEMBERS EXCEEDED 100 SESSIONS IN 2022, REACHING MORE THAN 1,000 INDIVIDUALS. IN ADDITION, DIALECTICAL BEHAVIOR THERAPY (DBT) TRAINING WAS PROVIDED TO THREE REGIONAL SCHOOL DISTRICTS (27-HOUR TRAINING FOR EACH OF 30+ STAFF) AND ONE COLLEGE. AN ONGOING DBT CONSULTATION GROUP WAS FORMED FOR THE BENEFIT OF STAFF AT THE SUPERIOR HIGH SCHOOL IN SUPERIOR WISCONSIN. THE MILLER-DWAN FOUNDATION PROVIDED FUNDING THAT WILL ALLOW FOR FULL DBT CREDENTIALLING OF THE FACILITY.AMBERWING IS OWNED BY THE MILLER-DWAN FOUNDATION, AND CONTRACTS WITH ESSENTIA HEALTH TO PROVIDE MEDICAL CARE. MILLER-DWAN FOUNDATION DOES NOT CHARGE RENT TO ESSENTIA HEALTH FOR USE OF THE FACILITY. 168731 14572 NORTHLAND ADAPTIVE RECREATION - TO EXPAND THE PHYSICAL REHABILITATION CONTINUUM OF SERVICES, THE MILLER-DWAN FOUNDATION ACQUIRED THE FORMER COURAGE KENNY FROM THE ALLINA HEALTH CARE SYSTEM IN MINNEAPOLIS. NOW CALLED NORTHLAND ADAPTIVE RECREATION (NAR), THE ORGANIZATION AND ITS PROGRAMS PROVIDE ADAPTIVE RECREATION SERVICES AND EDUCATION IN BOTH NORTHWESTERN WISCONSIN AND NORTHEASTERN MINNESOTA. MEDICAL PHYSICAL REHABILITATION SUPPORT AND EDUCATION - IN 2023, THE MILLER-DWAN FOUNDATION CONTINUED TO PROVIDE GRANT DOLLARS IN SUPPORT OF DIRECT CARE FOR THOSE WITH MEDICAL PHYSICAL DISABILITIES. FOUNDATION FUNDING SUPPORTS MEDICAL REHABILITATION ON CAMPUS (535 PATIENTS), AT THE POLINSKY MEDICAL REHABILITATION CENTER (4,636 PATIENTS) AND IN THE COMMUNITY WITH EDUCATION GRANTS GIVEN TO PROMOTE PREVENTION AND TO MAINTAIN AND IMPROVE PATIENT CARE AND AFTERCARE FOR LONG-TERM SUCCESS. 151622 SOLVAY HOSPICE HOUSE - THE MILLER-DWAN FOUNDATION CONTINUES TO OWN SOLVAY HOSPICE HOUSE, A 12-BED MEDICARE CERTIFIED HOSPICE HOME. THE HOME, WHICH OPENED IN 2007, WAS DESIGNED TO BE A WARM AND WELCOMING ENVIRONMENT COUPLED WITH EXQUISITE CARE FOR THOSE FACING THE END OF LIFE AND THEIR FAMILIES. IN FY 2023, 229 WERE ADMITTED AND CARED FOR AT SOLVAY. OF THOSE, 76 WERE RESPITE PATIENTS, WHO RETURNED HOME AFTER THEIR LOVED ONES ENJOYED A FIVE-DAY BREAK FROM THEIR CAREGIVING DUTIES. ON AVERAGE, PATIENTS ARE AT SOLVAY 7.9 DAYS BEFORE PASSING AWAY OR DISCHARGED TO HOME OR ANOTHER FACILITY. MOST PATIENTS ADMITTED TO SOLVAY QUALIFIED FOR FINANCIAL ASSISTANCE THROUGH THE MILLER-DWAN FOUNDATION'S COMPASSIONATE CARE FUND - A FUND DEVELOPED TO ENSURE PATIENTS WHO WOULD BENEFIT FROM CARE AT SOLVAY WOULD BE ABLE TO, REGARDLESS OF THEIR FINANCIAL CIRCUMSTANCE.THE MILLER-DWAN FOUNDATION CONTRACTS WITH ESSENTIA HEALTH TO PROVIDE MEDICAL CARE. MILLER-DWAN FOUNDATION DOES NOT CHARGE RENT TO ESSENTIA HEALTH FOR USE OF THE FACILITY. 113478 ONGOING DEVELOPMENT - 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. 48123 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." 755294 34098 2701790 1 1 0 0 0 0 0 0 1 1 1 1 0 1 0 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 11 0 1 11 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN WI FL AZ X TRACI MARCINIAK 2187862823 225 W SUPERIOR ST HOLIDAY CTR 110 DULUTH MN 55802 RYAN BOMAN DIRECTOR 1.00 X 0 0 0 MARK EMMEL DIRECTOR 1.00 X 0 0 0 TIM MCSHANE DIRECTOR 1.00 X 0 0 0 TRICIA BUNTEN DIRECTOR UNTIL 08/30/2023 1.00 X 0 0 0 JANICE SCHADE DIRECTOR 1.00 X 0 0 0 JENNY PETERSON DIRECTOR 1.00 X 0 0 0 JEFF HOLMES DIRECTOR 1.00 X 0 0 0 CARL CRAWFORD DIRECTOR 1.00 X 0 0 0 DR BRAD DAVIS DIRECTOR 1.00 X 0 0 0 MELISSA MEIERHOFF DIRECTOR 1.00 X 0 0 0 JENNIFER CAREY DIRECTOR 1.00 X 0 0 0 TANYA NICHOLS CHAIR 1.00 X X 0 0 0 MARY KAY BERARDUCCI VICE-CHAIR UNTILL 10/17/2023 1.00 X X 0 0 0 DR ELENA METCALF SECRETARY 1.00 X X 0 0 0 MIKE SEYFER TREASURER 1.00 X X 0 0 0 TRACI MARCINIAK PRESIDENT 40.00 X 163506 0 29440 RICHARD GERTSEMA SENIOR MENTAL HEALTH ADVISOR 40.00 X 118252 0 29291 281758 0 58731 2 0 1 0 HAILEY SAULT 394 S LAKE AVE SUITE 700 DULUTH MN 55802 MARKETING AND DESIGN 146943 1 319964 146456 1262264 158879 1728684 DBT TRAINING 900099 19526 19526 NORTHLAND ADAPTIVE RECREATION 900099 14572 14572 34098 507290 507290 10079197 10012291 66906 66906 66906 53943 319964 258081 -204138 -204138 37250 28915 8335 8335 2141175 34098 0 378393 1109002 1109002 30819 30819 192946 154357 38589 515363 472260 43103 31427 27818 3609 112590 102745 9845 24135 24135 32750 32750 138139 138139 21198 13864 7334 240657 237673 876 2108 38145 28364 9781 5851 5851 28037 28037 10108 8026 2082 305252 300028 5224 EDUCATION 112132 112132 MAINTENANCE 46561 46561 NORTHLAND ADAPTIVE RECR 16688 16688 DUES AND MEMBERSHIP 7331 1445 5886 6420 6120 300 3025551 2701790 321653 2108 236688 613635 367712 411385 153382 68911 52779 62272 9828250 6110719 3950482 3717531 12358487 14047948 10291749 10461346 3654430 3979275 31065709 33362303 131567 275714 143455 89261 279906 155129 554928 520104 X 13345764 13809920 17165017 19032279 30510781 32842199 31065709 33362303 X -884376 2890949 324845 X 0 1 X 1 0 X 1157343 1279082 1193097 1211209 1765934 6606665 1157343 1279082 1193097 1211209 1765934 6606665 1147930 5458735 636592 432994 591755 458947 507290 2627578 1513 1513 9235756 69482 0.59100 0.54580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 17165017 4138927 2099347 933164 214556 103596 22151975 19485271 736726 -1656423 996914 286249 117394 17165017 17806632 655927 2045630 650754 275359 96805 19485271 16392533 1028305 1530733 788242 263697 93000 17806632 14609263 965799 1775349 660594 202178 95106 16392533 0.14083 0.17964 0.67953 0 1 1 486930 486930 7537093 4407272 3129821 562532 461752 100780 1241695 1241695 0 3717531 ALTERNATIVE INVESTMENTS 5551565 F EXCHANGE TRADED FUNDS 1827721 F CORPORATE, FIXED INCOME 2321030 F US GOVERNMENT AGENCY DEBT SECURITIES 761030 F 10461346 PERPETUAL TRUST 3979275 3979275 X 5278042 2890949 245918 3136867 2141175 0 2141175 2946624 59212 59212 2887412 138139 138139 3025551 PART IV, LINE 2B: THE FOUNDATION RECEIVES ASSETS TRANSFERRED FROM UNAFFILIATED ENTITIES AND ACTS AS AN AGENT FOR THOSE ENTITIES. THE TRANSFER OF ASSETS IS NOT CONSIDERED A CONTRIBUTION RECEIVED BY THE FOUNDATION. THE FOUNDATION RECOGNIZES A LIABILITY CONCURRENT WITH THE RECOGNITION OF THE ASSETS RECEIVED. PART V, LINE 4: MARY C. DWAN LEGACY FUND: THE FUND CONSISTS OF BOARD DESIGNATED ADDITIONS AND DONOR-RESTRICTED CONTRIBUTIONS FOR THE SUPPORT OF THE PROGRAMS AND INITIATIVES IDENTIFIED BY MARY C. DWAN IN HER LETTER TO MILLER-DWAN HOSPITAL AND MEDICAL CENTER IN 1971. DONOR-DESIGNATED FUND: THE FUND CONSISTS OF DONOR-RESTRICTED CONTRIBUTIONS AND GRANTS FOR PROGRAM SERVICES AND FOR ACQUISITION OF LONG-LIVED ASSETS. VAN GORDEN FUND: THE FUND INCLUDES AMOUNTS RECEIVED FROM THE VAN GORDEN FOUNDATION OF PRC. THE VAN GORDEN FUND ADVISORY COMMITTEE MAKES RECOMMENDATIONS TO THE MILLER-DWAN FOUNDATION BOARD ON THE MANAGEMENT, INVESTMENT ALLOCATION AND DISBURSEMENT OF THE VAN GORDEN FUND. THE VAN GORDEN FUND CONSISTS OF THE FOLLOWING: ALBERT J. GONSKA MEMORIAL FUND: THE PURPOSE OF THIS FUND IS TO ASSIST THE PEDIATRIC REHABILITATION DEPARTMENT HISTORICALLY MAINTAINED BY POLINSKY, OR ITS SUCCESSOR, IN THE FINANCING OF PROGRAMS, RESEARCH AND NEW EQUIPMENT. SARA M. YOUNG EDUCATION FUND: THE PURPOSE OF THIS FUND IS TO PROVIDE EDUCATIONAL OPPORTUNITIES TO REHABILITATION PATIENTS, FAMILY MEMBERS AND PRACTITIONERS. VAN GORDEN NEW INITIATIVES FUND: THE PURPOSE OF THIS FUND IS TO SUPPORT AND PROMOTE NEW AND INNOVATIVE PROGRAMS OF REHABILITATION SERVICES, RESEARCH AND EDUCATION FOR TAX-EXEMPT INSTITUTIONS IN NORTHERN MINNESOTA, NORTHERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. - POLINSKY SUB FUND: THIS SUB FUND OF THE VAN GORDEN NEW INITIATIVES FUND IS DESIGNATED FOR POLINSKY AND POLINSKY CORPORATE AFFILIATES. ONE-HALF OF THE DISTRIBUTIONS FROM THE EDWARD S. AND JOSEPHINE WENDORF FOUNDATION THAT WERE PREVIOUSLY DESIGNATED FOR THE VAN GORDEN FUND OF PRC GO TO THIS SUB FUND. - OUTREACH SUB FUND: THIS SUB FUND OF THE VAN GORDEN NEW INITIATIVES FUND IS WITHOUT RESTRICTION AS TO AFFILIATION. ONE-HALF OF THE DISTRIBUTIONS FROM THE EDWARD S. AND JOSEPHINE WENDORF FOUNDATION THAT WERE PREVIOUSLY DESIGNATED FOR THE VAN GORDEN FUND OF PRC GO TO THIS SUB FUND. 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. NONPROFIT 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. NONPROFIT 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 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 324,845. INVESTMENT EXPENSES NETTED WITH INVESTMENT INCOME -138,139. NAR FUNDRAISING EXPENSE 59,212. PART XII, LINE 2D - OTHER ADJUSTMENTS: NAR FUNDRAISING EXPENSE 59,212. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED WITH INVESTMENT INCOME 138,139. ARTCETERA 233328 184635 48693 19598 29407 26580 96906 SHOOT FOR FUN 140579 135329 5250 20091 65499 373907 319964 53943 19598 20091 29407 26580 162405 258081 -204138 37250 28915 1 0.10000 37250 28915 28915 8335 MN 1 0 1 0 0.00000 1.00000 DEBRA CARL 225 W SUPERIOR ST HOLIDAY CTR STE 1 DULUTH MN 55802 0 ERIC LARSON 1938 MANAGE EVENT WITH OVERSIGHT OF TICKET SALES, TRACKING COMMUNICATION AND MARKETING. X 0 1 ESSENTIA HEALTH 400 E 3RD ST DULUTH MN 55805 200360007 501(C)(3) 749886 0 MEDICAL EQUIPMENT, PATIENT PROGRAMS, AMBERWING SALARY REGENTS OF THE UNIVERSITY OF MN NW5957 PO BOX 1450 MINNEAPOLIS MN 55485 416007513 501(C)(3) 30000 0 BALLET FOR INDIVIDUALS WITH DISABILITIES PAVSA 32 EAST 1ST STREET SUITE 200 DULUTH MN 55802 411350021 501(C)(3) 15000 0 PM+ MENTAL TRAINING STIPEND AICHO 202 W 2ND ST DULUTH MN 55802 411782394 501(C)(3) 15000 0 PM+ MENTAL TRAINING STIPEND ST LOUIS COUNTY PUBLIC HEALTH & HUMAN SERVICES 300 W 2ND ST DULUTH MN 55802 416005890 GOVERNMENTAL 15000 0 PM+ MENTAL TRAINING STIPEND INDIGO 2911 TOWER AVE STE 9 SUPERIOR WI 54880 900676269 501(C)(3) 15000 0 PM+ MENTAL TRAINING STIPEND YMCA PO BOX 3678 DULUTH MN 55803 410693931 501(C)(3) 15000 0 PM+ MENTAL TRAINING STIPEND VICTORY CHORUS - VICTORY FUND 130 W SUPERIOR ST STE 700 DULUTH MN 55802 410635532 501(C)(3) 15000 0 CHOIR SUPPORT FOR THOSE WITH DEMENTIA MINNESOTA BALLET 506 WEST MICHIGAN STREET DULUTH MN 55802 416055588 501(C)(3) 6900 0 BALLET FOR INDIVIDUALS WITH DISABILITIES 9 0 DOUGLAS COUNTY PROJECT FACILITATION 1 30819 PART I, LINE 2: 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. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 TRACI MARCINIAK PRESIDENT 163506 0 0 0 0 0 3403 0 26037 0 192946 0 0 0 PART I, LINE 1A THE MILLER-DWAN FOUNDATION SUPPORTS THE COST OF MEMBERSHIP TO LOCAL SOCIAL CLUBS AS THEY ARE DESIGNED TO OFFER PRIVATE MEETING SPACE IN A HOSPITALITY SETTING. LOCAL SOCIAL CLUBS ARE VENUES AT WHICH PROSPECTS, DONORS, AND BUSINESS ASSOCIATES GATHER ON A FREQUENT BASIS. THE MILLER-DWAN FOUNDATION PRESIDENT SHALL BE AUTHORIZED TO UTILIZE SOCIAL CLUBS TO FURTHER THE MISSION OF THE ORGANIZATION. THE PRESIDENT'S USE OF THE CLUB IS FOR BUSINESS PURPOSES ONLY. THIS BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB BILLING STATEMENTS WILL BE SENT TO THE MILLER-DWAN FOUNDATION ACCOUNTANT WHO WILL COMPARE WITH SUBMITTED RECEIPTS, CODE APPROPRIATELY AND PROCESS. ALL OF THE PRESIDENT'S DONOR/PROSPECT MEETINGS ARE VISIBLE ON HER OUTLOOK CALENDAR FOR THE MILLER-DWAN FOUNDATION TEAM TO SEE. BASED ON WHO THE DONOR IS, INFORMATION IS INCLUDED IN THE DONOR DATABASE (RE) REGARDING ANY CULTIVATION/SOLICITATIONS IN PROCESS, AS WELL AS THE RELATIONSHIP AS IT RELATES TO GENERAL BUSINESS MATTERS. X 6 3095 FMV - PROVIDED BY DONORS X 2 53236 MEDIAN PRICE AT TRANSFER X EVENT DONATIONS 36 55293 FMV X AUCTION ITEMS 44 47255 FMV 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION REPORTED THE NUMBER OF ITEMS CONTRIBUTED FOR ART - WORKS OF ART, EVENT DONATIONS, AND AUCTION ITEMS. THE ORGANIZATION REPORTS THE NUMBER OF CONTRIBUTIONS FOR SECURITIES - PUBLICLY TRADED. FORM 990, PART I, LINE 5 MILLER-DWAN FOUNDATION HAS 11 EMPLOYEES. THESE EMPLOYEES ARE COMPENSATED BY ESSENTIA HEALTH, AN UNRELATED ORGANIZATION. MILLER-DWAN FOUNDATION REIMBURSES ESSENTIA HEALTH FOR THE COMPENSATION. FORM 990, PART III, LINE 2 IN 2023, THE MILLER-DWAN FOUNDATION ACQUIRED THE FORMER COURAGE KENNY, NOW NORTHLAND ADAPTIVE RECREATION (NAR). NAR NOW OPERATES AS AN LLC UNDER THE MILLER-DWAN FOUNDATION. BECAUSE NAR BELIEVES THAT INDIVIDUALS OF ALL ABILITIES SHOULD HAVE ACCESS TO ADAPTIVE EQUIPMENT AND 1:1 INSTRUCTORS WHO ARE TRAINED TO WORK WITH INDIVIDUALS WITH DISABILITIES, THEY PROVIDE PERSON-CENTERED ADAPTIVE RECREATION OPPORTUNITIES FOR PEOPLE WITH DISABILITIES AND CHRONIC HEALTH CONDITIONS. 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 AND APPROVAL AT A BOARD MEETING. 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, 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 B, LINE 15A THE MILLER-DWAN FOUNDATION EXECUTIVE COMMITTEE/OFFICERS REVIEW THE 990S OF OTHER COMPARABLE ORGANIZATIONS IN THE COMMUNITY TO DETERMINE CEO SALARIES, AS WELL AS NATIONAL NONPROFIT AND FOUNDATION SALARY AND BENEFITS SURVEY DATA TO DETERMINE THE APPROPRIATE SALARY. THAT GROUP THEN DISCUSSES AND DETERMINES SALARY FOR THE POSITION AS WELL AS ANY INCREASES OR OTHER CHANGES. 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: INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 324,845. 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