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)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 6,676,564 | 6,865,117 | 6,320,143 | 6,203,720 | 6,645,258 | 32,710,802 |
| 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 | 6,676,564 | 6,865,117 | 6,320,143 | 6,203,720 | 6,645,258 | 32,710,802 |
| 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. | 32,710,802 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,676,564 | 6,865,117 | 6,320,143 | 6,203,720 | 6,645,258 | 32,710,802 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 41,959 | 58,490 | 59,708 | 40,276 | 170,613 | 371,046 |
| 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 | 33,081,848 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PAGE 2, PART III, LINE 4A | RESIDENTIAL PROGRAMS: COKATO: "COKATO AVERAGED A MONTHLY AVERAGE OF 28.9 OUT OF 34 RESIDENTS. THIS WAS DUE TO STAFF SHORTAGES AND DECREASED LENGTH OF STAY. WE CAN HOPEFULLY DO BETTER IN 2024. "SERVICED 80 CLIENTS FOR 2023. SUCCESS RATE WAS CALCULATED TO BE 71%. "HIRED TWO RETIRED DC TEACHERS TO IMPLEMENT AND RUN A VOCATIONAL GROUP FOR RESIDENTS THAT CONSISTED OF TWO NIGHTS PER WEEK WORKING ON WOODWORKING PROJECTS AND ROBOTICS USING MINDSET MATTERS CURRICULUM. "RESTRICTIVE PROCEDURES CONSISTED OF 22 RESTRAINTS FOR THE YEAR 2023 (UP 2 FROM THE PAST YEAR). "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, RAISED HEADSTONES FOR THE DASSEL CEMETERY, DASSEL COKATO SAINTS FIELD WORK, AND SET UP MOVIE IN THE PARK FOR THE CITY OF COKATO. "REFERRALS CONTINUE TO BE CONSISTENT BUT CHALLENGING WITH MENTAL HEALTH AND BEHAVIORAL NEEDS. "WE CONTINUED TO EXPERIENCE THE TURNOVER OF STAFF AND DIFFICULTY IN RECRUITMENT OF QUALITY STAFF. IN AN EFFORT TO RETAIN AND ADEQUATELY TRAIN STAFF, WE ESTABLISHED A MENTORSHIP PROGRAM. ANNANDALE: "ANNANDALE AVERAGED A MONTHLY AVERAGE OF 11.98 OUT OF 16 RESIDENTS. "SERVICED A TOTAL OF 35 RESIDENTS IN 2023. THIS IS AN INCREASE FROM 2022 WHERE ANNANDALE SERVICED A TOTAL OF 28 RESIDENTS. SUCCESS RATE CALCULATED TO BE 52%. "AVERAGE LENGTH OF STAY WAS 4.0 MONTHS. "HIRED A NEW THERAPIST FOR ANNANDALE TO WORK DIRECTLY WITH OUR POPULATION. "HIRED A RESIDENTIAL SERVICES MANAGER. "COMMUNITY SERVICE PROJECT WITH THE ANNANDALE FOOD SHELF. FAMILY FOCUS: "BETWEEN COKATO AND ANNANDALE, FAMILY FOCUSED SERVICED A TOTAL OF 29 CLIENTS IN 2023. THIS IS UP FROM LAST YEAR (21). "88% SUCCESS RATE FOR COKATO AND 91% SUCCESS RATE FOR ANNANDALE. "FAMILY FOCUS FAMILIES RESPOND WELL TO THE PROGRAM AND ENJOY THE SUPPORT. HUTCHINSON: "THE PROGRAM MANAGER AT HUTCHINSON CONTINUES TO DO WELL. HE IS MEETING JOB EXPECTATIONS AND MAKING CHANGES TOWARD IMPROVING THE PROGRAM IN THE SHORT TERM AND LONG TERM. "HUTCHINSON DEVELOPED A SCHEDULE THAT NOW INCORPORATES CONSISTENCY WITH VIRTUES GROUP AND SKILLS SESSIONS, AS WELL AS INDIVIDUAL THERAPY. "RESIDENTS IN HUTCHINSON CONTINUE TO BE INVOLVED WITH THE CHURCH FOR SERVICES, YOUTH GROUPS, AND VOLUNTEER OPPORTUNITIES. "RESIDENTS HAVE BEEN VOLUNTEERING AT THE LOCAL ANIMAL SHELTER THIS YEAR. "HUTCHINSON HAS SEEN STEADY GROWTH FOR RESIDENTS SUCCESSFULLY GAINING EMPLOYMENT AND MEETING FINANCIAL GOALS TOWARDS A SUCCESSFUL DISCHARGE. "NO RESTRICTIVE PROCEDURES WERE UTILIZED DURING THE REVIEW PERIOD. "THE SUCCESS RATE WAS UP SLIGHTLY IN HUTCHINSON IN 2023 AS WELL AS THE AVERAGE LENGTH OF STAY. "HUTCHINSON PROVIDED SERVICES TO 28 CLIENTS IN 2023. ROCHESTER: "ROCHESTER HAD 14 SUCCESSFUL DISCHARGES IN 2023. "THE SUCCESS RATE FOR COMPLETING THE PROGRAM WAS AT 70%. THIS WAS AN INCREASE OVER 2022. "THE AVERAGE LENGTH OF STAY WAS SLIGHTLY INCREASED AS WELL. "ROCHESTER REMAINED CONSISTENT WITH THERAPY, SKILLS, ILS SERVICES, AND VIRTUES GROUPS. "ROCHESTER TEAMED UP WITH LUTHERAN SOCIAL SERVICES AND RESIDENTS WERE ABLE TO COMPLETE AN ADDITIONAL 10-WEEK, COMMUNITY BASED, ILS CURRICULUM (LINK PROGRAM). "ROCHESTER HOUSE "ADOPTED" A PARK AND RESIDENTS CONTINUE TO VOLUNTEER KEEPING THE PARK CLEAN A FEW TIMES A MONTH. "ROCHESTER HAS SEEN AN INCREASE IN RESIDENTS GAINING AND MAINTAINING EMPLOYMENT DURING PROGRAMMING. "NO RESTRICTIVE PROCEDURES OCCURRED IN 2023. "ROCHESTER ALSO PROVIDED SERVICES TO 28 CLIENTS IN 2023. |
| FORM 990, PAGE 2, PART III, LINE 4B | FOSTER CARE PROGRAM: "A TOTAL OF 85 YOUTH WAS SERVED IN THE FOSTER CARE PROGRAM. THIS INCLUDES LONG TERM, SHORT TERM, RESPITE, EMERGENCY, AND SHELTER PLACEMENTS. "ROUGHLY 10, 300 ADMINISTRATIVE DAYS BILLED. "4 ADOPTIONS FINALIZED, 1 TRANSFER OF CUSTODY. "CLOSED 4 FOSTER HOMES IN 2023. REASON FOR CLOSING: 1 CLOSED AFTER A FINALIZATION OF ADOPTION, 2 CLOSED RETIRING FROM FOSTER CARE, 1 CLOSED AFTER ONE PLACEMENT AND THE AGENCY HAD TO ADDRESS CONCERNS WITH THE FOSTER FAMILY IN FOLLOWING THE CASE PLAN, ETC. "ZERO DISRUPTED PLACEMENTS IN 2023, ALL DISCHARGES WERE PLANNED AND SCHEDULED. "NEW LICENSES IN 2023: 10 "WORD OF MOUTH APPEARS TO BE THE BEST RECRUITMENT EFFORT, CURRENTLY LOOKING AT ADDITIONAL WAYS TO RECRUIT FOSTER HOMES. "FOSTER CARE SCHEDULED A MONTHLY TRAINING/SUPPORT GROUP VIA ZOOM. TRAINING TOPICS ARE ESTABLISHED YEARLY, AND TIM WRIGHT PROVIDES THE TRAINING. WE DO A TOTAL OF 8 A YEAR. THE FOSTER CARE PROGRAM SENDS TRAINING RESOURCES TO FAMILIES ON THE OFF MONTHS. "NORA HAS BEEN WITH THE AGENCY FOR 1 YEAR IN NOVEMBER 2023 AND MIKAELA HAS BEEN WITH THE AGENCY FOR 1 YEAR IN JANUARY 2024. BOTH ARE DOING GREAT IN THEIR POSITIONS. THEY ARE OPEN TO LEARNING, TAKING ON NEW TASKS, HAVE PROVIDED CONSISTENT SUPPORT TO THEIR FAMILIES AND CONTINUE TO BE AN ASSET TO THE AGENCY. "TOTAL LICENSED HOMES CURRENTLY- 35 FOSTER CARE IS FOREVER GRATEFUL FOR THE FAMILIES THAT CONTINUE TO SUPPORT YOUTH BY OPENING THEIR HOMES AND LIVES. WE HAVE AMAZING FAMILIES THAT CONTINUE TO SHOW UP EVERY DAY TO THE DIFFICULT, CHALLENGING AND REWARDING WORK WITH YOUTH. |
| 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 | BOOK VS TAX GAIN -1,338 |
| Software ID: | |
| Software Version: |