Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 7,281,807 | 6,676,564 | 6,865,117 | 6,320,143 | 6,203,720 | 33,347,351 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 7,281,807 | 6,676,564 | 6,865,117 | 6,320,143 | 6,203,720 | 33,347,351 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 33,347,351 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 7,281,807 | 6,676,564 | 6,865,117 | 6,320,143 | 6,203,720 | 33,347,351 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 13,813 | 41,959 | 58,490 | 59,708 | 40,276 | 214,246 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 33,561,597 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | RESIDENTIAL PROGRAMS: COKATO: "REACHED THE LEVEL OF BEING FULLY STAFFED TOWARDS THE END OF 2022. AN INCREASE IN STARTING WAGE HELPED ATTRACT MORE APPLICANTS. "CONTINUED TO OPERATE A TWO (2) PROGRAM MANAGERS SYSTEM AND HIRED A TRAINING AND DEVELOPMENT COORDINATOR TO WORK DIRECTLY WITH STAFF. "PARTICIPATED IN MANY COMMUNITY SERVICE PROJECTS IN COKATO AND SURROUNDING COMMUNITIES. PROJECTS CONSISTED OF WINSTOCK SET UP AND CLEAN UP, BLOOD MOBILE, CHURCH/BIBLE STUDY, ASSISTED INDIVIDUALS WITH YARD WORK AND OTHER HOUSEHOLD CHORES, CLEARWATER RODEO, COKATO CORN CARNIVAL, AND SET UP MOVIE IN THE PARK FOR THE CITY OF COKATO. "AVERAGED 30.06 RESIDENTS PER MONTH OUT OF 34. "REFERRALS HAVE BEEN CONSISTENT BUT CHALLENGING WITH MENTAL HEALTH AND BEHAVIORAL NEEDS. ANNANDALE: "IMPLEMENTED A THERAPIST-RUN MODEL WITH THE THERAPIST MANAGING THE CLIENT STAFFINGS AND THERAPY AND A PROGRAM COORDINATOR MANAGING THE GIRLS RESIDENTIAL PROGRAMMING. THIS DID NOT WORK OUT AS THERE WAS A DIVIDE BETWEEN THE TWO. RESULTED IN GOING BACK TO A PROGRAM MANAGER MODEL. "STAFF CONSISTENCY IN THE PROGRAM. ANNANDALE MAINTAINED A CORE GROUP OF STAFF FOR 2022 HOWEVER WE RAN SHORT STAFFED THE FIRST HALF OF THE YEAR. TOWARDS THE END OF THE YEAR, WE BECAME FULLY STAFFED. "SERVICED A TOTAL OF 28 CLIENTS. "COMMUNITY SERVICE PROJECT WITH THE ANNANDALE FOOD SHELF. FAMILY FOCUS PROGRAM: "BETWEEN COKATO AND ANNANDALE FAMILY FOCUSED SERVICED A TOTAL OF 21 CLIENTS IN 2022. FAMILY FOCUS STARTED TO REBOUND AFTER COVID 19. "86% SUCCESS RATE FOR COMPLETING FAMILY FOCUS. "FAMILIES RESPONDED WELL TO THE FAMILY FOCUS SUPPORT. HUTCHINSON: "VILLAGE RANCH HIRED A NEW PROGRAM MANAGER IN FEBRUARY 2022. HE HAS BEEN IN DIFFERENT ROLES WITHIN THE COMPANY FOR 9 YEARS. "VILLAGE RANCH TRANSITIONED THE PROGRAM MANAGER IN ROCHESTER TO THE DIRECTOR ROLE FOR HUTCHINSON AND ROCHESTER. "HUTCHINSON CONTINUES USING THE VIRTUES CURRICULUM, HOSTING GROUPS SEVERAL NIGHTS A WEEK. "HUTCHINSON IMPLEMENTED A MENTOR PROGRAM TO ASSIST IN FURTHER DEVELOPING THE INDEPENDENT LIVING SKILLS CURRICULUM. "HUTCHINSON CONTINUES TO MAINTAIN A GOOD RELATIONSHIP WITH NEIGHBORS, SCHOOL, AND COMMUNITY. "HUTCHINSON CONTINUED TO BE INVOLVED IN THE COMMUNITY. THEY ASSISTED NEIGHBORS WITH VARIOUS TASKS, INCLUDING LAWN CARE. RESIDENTS WERE ABLE TO CONNECT WITH THE CITY OF HUTCHINSON AND WORK ON SOME PAINTING PROJECTS. RESIDENTS ALSO VOLUNTEERED TO ASSIST WITH VARIOUS CHURCH ACTIVITIES, CLEAN UP DURING THE CIVIC CENTER RENOVATION, AND ASSISTED DURING VARIOUS LOCAL FESTIVALS. "HUTCHINSON SERVICED A TOTAL OF 28 RESIDENTS IN 2022. THIS WAS AN INCREASE OVER 23 IN 2021. "HUTCHINSON HOUSE EXPERIENCED NO RESTRICTIVE PROCEDURES IN 2022. ROCHESTER: "ROCHESTER SERVED 31 RESIDENTS IN 2022. THIS WAS AN INCREASE OF 3 RESIDENTS OVER 2021. "ROCHESTER HAS MAINTAINED GOOD OCCUPANCY WITH A CONTINUED FLOW OF REFERRALS, PRIMARILY FROM CENTRAL TO SOUTHERN MINNESOTA. "ROCHESTER HIRED A NEW FULL-TIME OVERNIGHT POSITION DURING 2022. "ROCHESTER CONTINUES TO HAVE CONSISTENT THERAPY SERVICES PROVIDED BY FERNBROOK. "ROCHESTER CONTINUES TO EXPAND ON INDEPENDENT LIVING SKILLS AND HAS WORKED CLOSELY WITH THE SCHOOL IN ASSISTING RESIDENTS IN WORK STUDY PROGRAMS THAT PROVIDE THE OPPORTUNITY FOR PAID INTERNSHIPS. "ROCHESTER PROGRAM "ADOPTED" COOK PARK IN ROCHESTER AND ARE RESPONSIBLE FOR PARK CLEANUP TWICE A MONTH. IN ADDITION TO THIS, RESIDENTS CONTINUE TO PROVIDE LAWN CARE AND SNOW REMOVAL FOR LOCAL NEIGHBORS. RESIDENTS ALSO PARTICIPATED IN THE EMPTY BOWLS FUND RAISER FOR CHANNEL ONE FOOD BANK. "ROCHESTER EXPERIENCED 14 SUCCESSFUL DISCHARGES. THIS WAS UP ONE (1) COMPARED TO THE PREVIOUS YEAR. THESE DISCHARGES INCLUDED RESIDENTS TRANSITIONING TO THEIR OWN APARTMENT, ADULT GROUP HOMES, HOME, AND THE MILITARY. "ROCHESTER HAD ZERO RESTRICTIVE PROCEDURES IN 2022. |
| FORM 990, PAGE 2, PART III, LINE 4B | FOSTER CARE PROGRAM: "A TOTAL OF 104 YOUTH SERVED IN THE FOSTER CARE PROGRAM. THIS TOTAL INCLUDES LONG-TERM PLACEMENTS, SHORT-TERM, RESPITE, EMERGENCY, AND SHELTER PLACEMENTS. "A TOTAL OF 12,531 ADMINISTRATIVE DAYS WERE BILLED. "THERE WERE 9 ADOPTIONS, 3 RELATIVE TRANSFERS OF CUSTODY. "LICENSED EIGHT (8) NEW HOMES IN 2022. "EIGHT (8) HOMES WERE CLOSED IN 2022. REASONS FOR CLOSING: -RELATIVE LICENSES THAT CLOSED AFTER THE TRANSFER OF CUSTODY (3) -CLOSED AFTER FINALIZING ADOPTIONS (2) -CLOSED TO FOCUS ON THEIR OWN TEEN DAUGHTER WITH MENTAL HEALTH CONCERNS (1) -CLOSED TO RETIRE FROM FOSTER CARE (2) "WORD OF MOUTH SEEMS TO BE THE BEST RECRUITMENT TOOL CURRENTLY. THERE ARE SOME FACEBOOK SUPPORT GROUPS OUT THERE AND SOME ARE CONTACTING THE AGENCY AFTER LEARNING ABOUT VILLAGE RANCH THROUGH THIS PLATFORM. "TOTAL LICENSED HOMES CURRENTLY: 30. THREE (3) NEW LICENSES IN PROCESS, TWO (2) OTHER INQUIRIES. "MONTHLY FOSTER CARE SUPPORT GROUP/TRAINING CONTINUES AND IS WELL RECEIVED BY FOSTER PARENTS. A YEARLY SCHEDULE WAS DEVELOPED WITH TIM FOR A TOTAL OF NINE (9) TRAINING COURSES THROUGHOUT THE YEAR. "COMPLETED THE DHS REVIEW WITH POSITIVE FEEDBACK FROM DHS AND MINOR CORRECTIONS. "THE FOSTER CARE TEAM IS FULLY STAFFED HIRED NORA AND MIKAELA, WITH NORA STARTING IN NOVEMBER AND MIKAELA IN JANUARY. "WE HAVE SOME GREAT FAMILIES DOING AN INCREDIBLE JOB OF SUPPORTING CHILDREN IN THEIR HOME. WE ARE BLESSED AS A PROGRAM TO CONTINUE TO HAVE FAMILIES DO THE HARD WORK, DAY IN AND DAY OUT AND WE ARE FOREVER GRATEFUL FOR THEM |
| FORM 990, PAGE 6, PART VI, LINE 2 | PETER FORSMAN GARY FORSMAN MEMBER MEMBER FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 11B | COPIES OF THE RETURN AND RELATED FINANCIAL STATEMENTS ARE PROVIDED TO THE BOARD AT A REGULAR BOARD MEETING AFTER THE AUDIT IS COMPLETED. THE PREPARER IS PRESENT TO EXPLAIN THE REPORTS AND ANSWER ANY QUESTIONS. ONE OF THE BOARD MEMBERS SIGNS THE RETURN SO IT CAN BE FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL EMPLOYEES ARE SUBJECT TO THE POLICY. THE BOARD OF DIRECTORS IS THE ENFORCING AGENCY AND THEY REVIEW PENDING CONFLICTS OF INTEREST ON AN ONGOING BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS SETS THE SALARY AND BONUS AMOUNTS FOR THE EXECUTIVE DIRECTOR. THEY EVALUATE JOB PERFORMANCE AND THE FINANCIAL POSITION OF THE ENTITY TO DETERMINE THE AMOUNT OF COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD OF DIRECTORS USES THE SAME PROCESS DESCRIBED IN LINE 15A TO SET SALARY AND BONUS AMOUNTS FOR THE PROGRAM DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | RENT EXPENSES - PART VIII, LINE 6B 19,089 RENT EXPENSES - PART VIII, LINE 6B -19,089 |
| Software ID: | |
| Software Version: |