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CHOSEN VALLEY CARE CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHOSEN VALLEY CARE CENTER INC (EIN 41-1272572)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-06-20
IRS object ID
202341719349301454
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-06-20T14:17:11-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12689 COMMERCE DRIVE NW SUITE 201AddressLine1Txt
CityROCHESTERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411272572EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHOSEN VALLEY CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHOSBusinessNameControlTxt
Phone5078674220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 LIBERTY STREET SEAddressLine1Txt
CityCHATFIELDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55923ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN KELLYPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone5078674220PhoneNum
Signature2023-05-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastKELLYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHERINE LUTZKE CPAPreparerPersonNm
PTINP01760889PTIN
Phone5072802300PhoneNum
Preparation2023-05-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN KELLYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 LIBERTY STREET SEAddressLine1Txt
CityCHATFIELDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55923ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,112,661GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHOSENVALLEYSENIORLIVING.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionCHOSEN VALLEY CARE CENTER, INC. PROVIDES HOUSING AND NURSING CARE TO THE ELDERLY AND DISABLED.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee183TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,156,100PYContributionsGrantsAmt
CY Contributions Grants$448,844CYContributionsGrantsAmt
PY Program Service Revenue$8,141,939PYProgramServiceRevenueAmt
CY Program Service Revenue$9,632,405CYProgramServiceRevenueAmt
PY Investment Income$8,431PYInvestmentIncomeAmt
CY Investment Income$9,283CYInvestmentIncomeAmt
PY Other Revenue$25,002PYOtherRevenueAmt
CY Other Revenue$22,129CYOtherRevenueAmt
PY Total Revenue$9,331,472PYTotalRevenueAmt
CY Total Revenue$10,112,661CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,126,374PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,801,541CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,294,525PYOtherExpensesAmt
CY Other Expenses$4,001,626CYOtherExpensesAmt
PY Total Expenses$8,420,899PYTotalExpensesAmt
CY Total Expenses$9,803,167CYTotalExpensesAmt
PY Revenues Less Expenses$910,573PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$309,494CYRevenuesLessExpensesAmt
Total Assets BOY$21,385,464TotalAssetsBOYAmt
Total Assets EOY$21,153,002TotalAssetsEOYAmt
Total Liabilities BOY$14,637,060TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,095,100TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,748,404NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,057,902NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CHOSEN VALLEY CARE CENTER AND APARTMENTS EXISTS TO EXPAND AND ENRICH THE LIVES OF OUR RESIDENTS THROUGH CHOICES IN RESIDENTIAL OPTIONS AND SUPPORTIVE SERVICES. THE ORGANIZATION CONSISTS OF A 78-BED SKILLED NURSING HOME, A 20-UNIT ASSISTED LIVING APARTMENT BUILDING AND A 15-UNIT INDEPENDENT LIVING APARTMENT BUILDING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,127,796ExpenseAmt
Grant$0GrantAmt
Revenue$9,632,405RevenueAmt
DescCHOSEN VALLEY CARE CENTER, INC. (THE CARE CENTER) IS A NONPROFIT CORPORATION WHICH OWNS AND OPERATES A 78-BED LICENSED NURSING FACILITY, A 15-UNIT RETIREMENT APARTMENT RESIDENCE, AND A 20-UNIT ASSISTED LIVING FACILITY LOCATED IN CHATFIELD, MINNESOTA.Desc
Total Program Service Expenses$8,127,796TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee183EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN MCCLIMONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5078674220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11102 LIBERTY ST SEAddressLine1Txt
CityCHATFIELDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55923ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GARY BREN
PRESIDENT0.50Yes (X)Yes (X)$0$0$0
MIKE THIEKE
VICE PRESIDENT0.50Yes (X)Yes (X)$0$0$0
DAN HOLLERMANN
TREASURER0.50Yes (X)Yes (X)$0$0$0
ANGIE BICKNESE
SECRETARY0.50Yes (X)Yes (X)$0$0$0
MARY L ALLEN
DIRECTOR0.50Yes (X)$0$0$0
SHERYL BENNETT
DIRECTOR0.50Yes (X)$0$0$0
PAM HOLTE
DIRECTOR0.50Yes (X)$0$0$0
MIKE MULLEN
DIRECTOR0.50Yes (X)$0$0$0
MARY PATTEN
DIRECTOR0.50Yes (X)$0$0$0
MAUREEN RUSKELL
DIRECTOR0.50Yes (X)$0$0$0
LORI MAKKE
DIRECTOR0.50Yes (X)$0$0$0
TOM KEEFE
DIRECTOR0.50Yes (X)$0$0$0
CRAIG BACKEN
ADMINISTRATOR - PART YEAR40.00Yes (X)$49,318$0$6,528
JOHN KELLY
ADMINISTRATOR40.00Yes (X)$0$0$0
LISA VICKERMAN
DIRECTOR OF CLINIC AND RESIDENT SERVICES40.00$121,843$0$7,966Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$171,161TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$14,494TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AEGIS THERAPIES INC
2601 NETWORK BLVD STE 102FRISCOTX75034THERAPY SERVICES$584,860
CASSIA
7171 OHMS LNEDINAMN55439BUSINESS SERVICES$163,036
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$445,474GovernmentGrantsAmt
All Other Contributions$3,370AllOtherContributionsAmt
Total Contributions$448,844TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT REVENUE623000$4,606,913$4,606,913
MEDICARE/MEDICAID PAYMENTS623000$4,513,416$4,513,416
ASSISTED LIVING REVENUE623000$512,076$512,076
FieldValueIRS element (for citing)
Total Program Service Revenue$9,632,405TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,283TotalRevenueColumnAmt
Exclusion$9,283ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEAL REVENUE623000$12,666$12,666
MISCELLANEOUS INCOME900099$9,463$9,463
FieldValueIRS element (for citing)
Other Revenue Total$22,129OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,112,661TotalRevenueColumnAmt
Related Or Exempt Func Income$9,632,405RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$31,412ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$144,150TotalAmt
Management And General$144,150ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,683,409TotalAmt
Program Services$4,254,479ProgramServicesAmt
Management And General$428,930ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$53,730TotalAmt
Program Services$34,133ProgramServicesAmt
Management And General$19,597ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$560,432TotalAmt
Program Services$356,023ProgramServicesAmt
Management And General$204,409ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$359,820TotalAmt
Program Services$228,581ProgramServicesAmt
Management And General$131,239ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$326,764TotalAmt
Program Services$323,919ProgramServicesAmt
Management And General$2,845ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,908TotalAmt
Program Services$4,684ProgramServicesAmt
Management And General$6,224ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$816,736TotalAmt
Program Services$757,579ProgramServicesAmt
Management And General$59,157ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$267,034TotalAmt
Program Services$265,856ProgramServicesAmt
Management And General$1,178ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,935TotalAmt
Program Services$2,020ProgramServicesAmt
Management And General$1,915ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,927TotalAmt
Program Services$22,643ProgramServicesAmt
Management And General$2,284ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$547,987TotalAmt
Program Services$45,187ProgramServicesAmt
Management And General$502,800ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$688,540TotalAmt
Program Services$688,540ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$78,282TotalAmt
Program Services$6,162ProgramServicesAmt
Management And General$72,120ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
THERAPY EXPENSE$555,032$555,032
FOOD COSTS$304,598$304,598
LICENSES & PERMITS$230,760$228,721$2,039
MISCELLANEOUS EXPENSE$81,813$40,922$40,891

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$64,310TotalAmt
Program Services$8,717ProgramServicesAmt
Management And General$55,593ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,803,167TotalAmt
Program Services$8,127,796ProgramServicesAmt
Management And General$1,675,371ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,915,811BOYAmt
EOY$3,942,358EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$520,428BOYAmt
EOY$422,144EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,015,468BOYAmt
EOY$1,308,968EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,419BOYAmt
EOY$36,845EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,843,089LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,334,389LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,813,045BOYAmt
EOY$14,508,700EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,081,293BOYAmt
EOY$933,987EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,385,464BOYAmt
EOY$21,153,002EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,407,185BOYAmt
EOY$1,017,890EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,169,959BOYAmt
EOY$13,011,799EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$59,916BOYAmt
EOY$65,411EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,637,060BOYAmt
EOY$14,095,100EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,748,404BOYAmt
EOY$7,057,902EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,748,404BOYAmt
EOY$7,057,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,385,464BOYAmt
EOY$21,153,002EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$309,494ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,451CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,572CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,156,100CurrentTaxYearMinus1YearAmt
Current Tax Year$448,844CurrentTaxYearAmt
Total$1,637,627TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,516,108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,679,582CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,567,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,141,939CurrentTaxYearMinus1YearAmt
Current Tax Year$9,632,405CurrentTaxYearAmt
Total$40,537,996TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,527,559CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,680,242CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,588,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,298,039CurrentTaxYearMinus1YearAmt
Current Tax Year$10,081,249CurrentTaxYearAmt
Total$42,175,623TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$1,903,590CurrentTaxYearAmt
Total$1,903,590TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$1,903,590CurrentTaxYearAmt
Total$1,903,590TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,272,033PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,196CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,431CurrentTaxYearMinus1YearAmt
Current Tax Year$9,283CurrentTaxYearAmt
Total$49,156TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,196CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,977CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,431CurrentTaxYearMinus1YearAmt
Current Tax Year$9,283CurrentTaxYearAmt
Total$49,156TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,479CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,410CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$70,613CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,002CurrentTaxYearMinus1YearAmt
Current Tax Year$22,129CurrentTaxYearAmt
Total$6,407TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,554,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,704,921CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,527,898CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,331,472CurrentTaxYearMinus1YearAmt
Current Tax Year$10,112,661CurrentTaxYearAmt
Total$42,231,186TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95360PublicSupportCY509Pct
Public Support PY5090.99870PublicSupportPY509Pct
Investment Income CY0.00120InvestmentIncomeCYPct
Investment Income PY0.00120InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,078OtherCostOrOtherBasisAmt
Book Value$24,078BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,243,766OtherCostOrOtherBasisAmt
Depreciation$5,624,426DepreciationAmt
Book Value$13,619,340BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$645,635OtherCostOrOtherBasisAmt
Depreciation$273,982DepreciationAmt
Book Value$371,653BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,929,610OtherCostOrOtherBasisAmt
Depreciation$1,435,981DepreciationAmt
Book Value$493,629BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,508,700TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,112,661TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,112,661RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,112,661TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,803,163TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,803,163ExpensesSubtotalAmt
Other Expenses Not Included$4OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,803,167TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:RESIDENT TRUST FUNDS AND RESIDENT SECURTITY DEPOSITS.
PART X, LINE 2:THE CARE CENTER HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE CARE CENTER FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE CARE CENTER AS A RESULT OF THIS STANDARD. THE CARE CENTER FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ROUNDING 4.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF CHATFIELDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005045BondIssuerEIN
Bond Issued2019-10-23BondIssuedDt
Issue Price$13,916,722IssuePriceAmt
PurposeCONSTRUCTION/EXPANSION, REFUND PRIOR NOTE, FUND A DEBT SERVICE RESERVE FUNDPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$430,000RetiredAmt
Total Proceeds$13,916,722TotalProceedsAmt
In Reserve Fund$808,200InReserveFundAmt
Capitalized Interest$917,614CapitalizedInterestAmt
Refunding Escrow$2,190,383RefundingEscrowAmt
Issuance Costs From Proceeds$267,000IssuanceCostsFromProceedsAmt
Capital Expenditures$9,733,525CapitalExpendituresAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec Maint0AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS COMPRISED OF NATURAL PERSONS OF LEGAL AGE WHO RESIDE IN THE CHATFIELD, MINNESOTA, SCHOOL DISTRICT AND HAVE RESIDED THEREIN CONTINUOUSLY FOR (1) YEAR PRECEDING THEIR QUALIFICATIONS FOR MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7AAT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS, THE MEMBERS SHALL ELECT, BY MAJORITY VOTE, THE DIRECTOR'S WHO ARE TO SERVE ON THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS SHALL ELECT THE OFFICERS OF THE CORPORATION IN THE MANNER HEREIN AFTER PROVIDED.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD PRESIDENT WILL REVIEW AND PROVIDE THEIR SIGNATURE ON THE DOCUMENT AFTER COMPLETION BEFORE BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS DESIGNED TO HELP DIRECTORS, OFFICERS, AND EMPLOYEES OF CHOSEN VALLEY CARE CENTER IDENTIFY SITUATIONS THAT PRESENT POTENTIAL CONFLICTS OF INTEREST AND TO PROVIDE CHOSEN VALLEY CARE CENTER WITH A PROCEDURE THAT, IF OBSERVED, WILL ALLOW A TRANSACTION TO BE TREATED AS VALID AND BINDING EVEN THOUGH A DIRECTOR, OFFICER, OR EMPLOYEE HAS OR MAY HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE TRANSACTION. IN THE EVENT THERE IS AN INCONSISTENCY BETWEEN THE REQUIREMENTS AND PROCEDURES PRESCRIBED HEREIN AND THOSE IN FEDERAL OR STATE LAW, THE LAW SHALL CONTROL. THE CONFLICT OF INTEREST IS DEFINED AS A CONTRACT OR TRANSACTION BETWEEN CHOSEN VALLEY CARE CENTER AND AN ENTITY IN WHICH A RESPONSIBLE PERSON OR FAMILY MEMBER HAS A MATERIAL FINANCIAL INTEREST OR OF WHICH SUCH PERSON IS A DIRECTOR, OFFICER, AGENT, PARTNER, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE. EACH BOARD MEMBER AND KEY PERSONNEL ARE PROVIDED A CONFLICT OF INTEREST POLICY DOCUMENT ON AN ANNUAL BASIS , IN WHICH ANY POTENTIAL CONFLICTS ARE REPORTED. BEFORE THE BOARD OR COMMITTEE TAKE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OF COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST, AND SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. EACH RESPONSIBLE PERSON SHALL EXERCISE CARE NOT TO DISCLOSE CONFIDENTIAL INFORMATION ACQUIRED IN CONNECTION WITH SUCH STATUS OR INFORMATION THE DISCLOSURE OF WHICH MIGHT BE ADVERSE TO THE INTERESTS OF CHOSEN VALLEY CARE CENTER. FURTHERMORE, A RESPONSIBLE PERSON SHALL NOT DISCLOSE OR USE INFORMATION RELATING TO THE BUSINESS OF CHOSEN VALLEY CARE CENTER FOR THE PERSONAL PROFIT OR ADVANTAGE OF THE RESPONSIBLE PERSON OR FAMILY MEMBER.
FORM 990, PART VI, SECTION B, LINE 15ATHE ADMINISTRATOR'S SALARY IS DETERMINED BY REVIEW, DISCUSSION, AND APPROVAL BY THE BOARD OF DIRECTORS, AND IS VOTED UPON. THE BOARD OF DIRECTORS, WHEN DOING COMPARABILITY ON WAGES FOR THE ADMINISTRATOR, USES CLIFTON LARSON ALLEN AS THEIR SOURCE TO DETERMINE THE BEST AMOUNT NEEDED FOR THE LEVEL OF EDUCATION AND/OR EXPERIENCE FOR THE POSITION. A NEW ADMINISTRATOR WAS HIRED IN NOVEMBER OF 2021, AND STARTED JANUARY 3, 2022. THE PROCESS OF HIRING A NEW ADMINISTRATOR OCCURRED DURING THE MONTHS OF MAY 2021 UNTIL NOVEMBER OF 2021, WHEN THE ADMINISTRATOR ACCEPTED THE TERMS OF HIS CONTRACT. THE BOARD OF DIRECTORS MET ON MULTIPLE OCCASIONS TO DISCUSS THE TERMS AND WAGES OF THIS POSITION, AND WAS VOTED ON. THIS DISCUSSION IS REFLECTED IN THE BOARD OF DIRECTORS MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING 4.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.