MAPLE LAWN NURSING HOME INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MAPLE LAWN NURSING HOME INC (EIN 41-0870856)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-03-21
IRS object ID
202230809349300708
Schema version
2020v4.2
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)
Return2022-03-21T15:33:11-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

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 Line1201 N RIVERFRONT DR SUITE 300AddressLine1Txt
CityMANKATOCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410870856EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAPLE LAWN NURSING HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAPLBusinessNameControlTxt
Phone5074252571PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 7TH ST NEAddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARLAN SWANSONPersonNm
Person TitleADMINISTRATOR/CEOPersonTitleTxt
Phone5074252571PhoneNum
Signature2022-03-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstARLANPersonFirstNm
Person LastSWANSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSH SHERBURNEPreparerPersonNm
PTINP02039400PTIN
Phone5073868800PhoneNum
Preparation2022-03-04PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MAPLE LAWN SENIOR CARE MAPLEWOODBusinessNameLine1Txt
Business Name Line2COURT MAPLEVIEW ESTATESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Principal OfficerARLAN SWANSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 7TH ST NEAddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,247,997GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MAPLELAWN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1962FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE FINE QUALITY HEALTHCARE, HOUSING AND SUPPORT SERVICES FOR AREA SENIORS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee136TotalEmployeeCnt
Total Volunteers55TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,795PYContributionsGrantsAmt
CY Contributions Grants$857,735CYContributionsGrantsAmt
PY Program Service Revenue$5,553,617PYProgramServiceRevenueAmt
CY Program Service Revenue$5,296,560CYProgramServiceRevenueAmt
PY Investment Income$11,462PYInvestmentIncomeAmt
CY Investment Income$8,804CYInvestmentIncomeAmt
PY Other Revenue$49,296PYOtherRevenueAmt
CY Other Revenue$84,898CYOtherRevenueAmt
PY Total Revenue$5,616,170PYTotalRevenueAmt
CY Total Revenue$6,247,997CYTotalRevenueAmt
PY Grants And Similar Paid$2,718PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,149CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,601,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,950,865CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,106,703PYOtherExpensesAmt
CY Other Expenses$1,969,579CYOtherExpensesAmt
PY Total Expenses$5,711,072PYTotalExpensesAmt
CY Total Expenses$5,933,593CYTotalExpensesAmt
PY Revenues Less Expenses-$94,902PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$314,404CYRevenuesLessExpensesAmt
Total Assets BOY$4,244,498TotalAssetsBOYAmt
Total Assets EOY$3,848,153TotalAssetsEOYAmt
Total Liabilities BOY$2,220,111TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,452,143TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,024,387NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,396,010NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FINE QUALITY HEALTHCARE, HOUSING AND SUPPORT SERVICES FOR AREA SENIORS IN AN INDIVIDUALIZED, DIGNIFIED, AND HOMELIKE MANNER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,533,594ExpenseAmt
Grant$13,149GrantAmt
Revenue$5,296,560RevenueAmt
DescMAPLE LAWN NURSING HOME, INC DBA MAPLE LAWN SENIOR CARE, IS A CAMPUS PROVIDING LONG TERM CARE SERVICES AT: MAPLE LAWN SENIOR CARE A 54 BED SKILLED NURSING FACILITY, MAPLEVIEW ESTATES A 24 ASSISTED LIVING APARTMENT FACILITY FOR SENIORS WHO NEED LIGHT ASSISTANCE TO MAINTAIN REASONABLY INDEPENDENT LIVES, AND MAPLEWOOD COURT ASSISTED LIVING A 15 APARTMENT FACILITY FOR SENIORS WHO NEED ASSISTANCE WITH ALL MEALS AND MEDICATIONS, BUT MAINTAIN INDEPENDENCE IN MANY OTHER CARE AREAS.Desc
Total Program Service Expenses$5,533,594TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 IndividualsYes (1)GrantsToIndividualsInd
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 Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee136EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1SHELBY JASSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5074252571PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 7TH STREET NEAddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ARLAN SWANSON
ADMINISTRATOR/CEO40.00Yes (X)$125,382$0$10,627
LINDA CLAUSON
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
RICK GOEDTKE
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JERRILD STEINER
SECRETARY1.00Yes (X)$0$0$0Yes (X)
MIKE CROWLEY
DIRECTOR1.00$0$0$0Yes (X)
JOE GRANDGEORGE
DIRECTOR1.00$0$0$0Yes (X)
LOUISE JOHNSON
DIRECTOR1.00$0$0$0Yes (X)
SUSAN ZINS
DIRECTOR1.00$0$0$0Yes (X)
JAMES ELSING
DIRECTOR1.00$0$0$0Yes (X)
SHERRI LUNDEEN
DIRECTOR1.00$0$0$0Yes (X)
SHERRI BOEHNKE
DIRECTOR (THROUGH 04/2021)1.00$0$0$0Yes (X)
MARCINE ELDER
DIRECTOR (THROUGH 01/2021)1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$125,382TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,627TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE REHABILITATION SERVICESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11720 S CLIFF AVEAddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57105ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACTED THERAPYServicesDesc
Compensation$182,239CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$849,810GovernmentGrantsAmt
All Other Contributions$7,925AllOtherContributionsAmt
Total Contributions$857,735TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$4,281,369$4,281,369
APARTMENT RENTAL623000$1,015,191$1,015,191
FieldValueIRS element (for citing)
Total Program Service Revenue$5,296,560TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,804TotalRevenueColumnAmt
Exclusion$8,804ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$44,419$44,419
ANCILLARY SERVICES623000$36,014$36,014
GARAGE REVENUE623000$4,406$4,406

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$59TotalRevenueColumnAmt
Exclusion$59ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$84,898OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,247,997TotalRevenueColumnAmt
Related Or Exempt Func Income$5,296,560RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$93,702ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$950TotalAmt
Program Services$950ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,199TotalAmt
Program Services$12,199ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$136,211TotalAmt
Program Services$136,211ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,119,580TotalAmt
Program Services$3,093,869ProgramServicesAmt
Management And General$25,711ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,982TotalAmt
Program Services$31,747ProgramServicesAmt
Management And General$235ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$491,944TotalAmt
Program Services$488,246ProgramServicesAmt
Management And General$3,698ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$171,148TotalAmt
Program Services$169,893ProgramServicesAmt
Management And General$1,255ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$462TotalAmt
Management And General$462ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,735TotalAmt
Management And General$36,735ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$435,854TotalAmt
Program Services$406,966ProgramServicesAmt
Management And General$28,888ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,403TotalAmt
Management And General$6,403ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$139,611TotalAmt
Program Services$105,990ProgramServicesAmt
Management And General$33,621ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$110,199TotalAmt
Management And General$110,199ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$205,110TotalAmt
Program Services$173,982ProgramServicesAmt
Management And General$31,128ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,393TotalAmt
Program Services$8,335ProgramServicesAmt
Management And General$42,058ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,655TotalAmt
Program Services$7,557ProgramServicesAmt
Management And General$2,098ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,884TotalAmt
Program Services$25,745ProgramServicesAmt
Management And General$1,139ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$253,378TotalAmt
Program Services$242,639ProgramServicesAmt
Management And General$10,739ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$53,700TotalAmt
Program Services$51,424ProgramServicesAmt
Management And General$2,276ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$238,589$238,589
MEDICAL SUPPLIES$170,518$170,518
LICENSE SURCHARGE$152,010$152,010
OTHER MISC EXPENSES$28,958$28,958

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$51,120TotalAmt
Program Services$16,724ProgramServicesAmt
Management And General$34,396ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,933,593TotalAmt
Program Services$5,533,594ProgramServicesAmt
Management And General$399,999ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,060,534BOYAmt
EOY$602,887EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$492,262BOYAmt
EOY$716,908EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$256,230BOYAmt
EOY$231,803EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$48,734BOYAmt
EOY$89,808EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,765,040LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,575,103LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,371,433BOYAmt
EOY$2,189,937EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,305BOYAmt
EOY$16,810EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,244,498BOYAmt
EOY$3,848,153EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$450,329BOYAmt
EOY$436,917EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$358,010BOYAmt
EOY$352,600EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,332,240BOYAmt
EOY$577,980EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$15,305BOYAmt
EOY$17,207EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,227BOYAmt
EOY$67,439EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,220,111BOYAmt
EOY$1,452,143EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,011,387BOYAmt
EOY$2,384,010EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,000BOYAmt
EOY$12,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,024,387BOYAmt
EOY$2,396,010EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,244,498BOYAmt
EOY$3,848,153EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$314,404ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$57,219NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$9,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,795CurrentTaxYearMinus1YearAmt
Current Tax Year$857,735CurrentTaxYearAmt
Total$884,341TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,997,307CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,182,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,251,862CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,553,617CurrentTaxYearMinus1YearAmt
Current Tax Year$5,296,560CurrentTaxYearAmt
Total$26,281,948TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,250CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,464CurrentTaxYearMinus1YearAmt
Current Tax Year$48,825CurrentTaxYearAmt
Total$196,887TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,046,256CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,228,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,298,047CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,586,876CurrentTaxYearMinus1YearAmt
Current Tax Year$6,203,120CurrentTaxYearAmt
Total$27,363,176TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$519,963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$660,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$542,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$771,358CurrentTaxYearMinus1YearAmt
Current Tax Year$485,522CurrentTaxYearAmt
Total$2,980,364TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$519,963CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$660,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$542,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$771,358CurrentTaxYearMinus1YearAmt
Current Tax Year$485,522CurrentTaxYearAmt
Total$2,980,364TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$24,382,812PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,161CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,314CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,462CurrentTaxYearMinus1YearAmt
Current Tax Year$5,562CurrentTaxYearAmt
Total$62,097TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,161CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,314CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,462CurrentTaxYearMinus1YearAmt
Current Tax Year$5,562CurrentTaxYearAmt
Total$62,097TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,886CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,517CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,669CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,689CurrentTaxYearMinus1YearAmt
Current Tax Year$36,073CurrentTaxYearAmt
Total$140,834TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,086,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,261,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,348,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,625,027CurrentTaxYearMinus1YearAmt
Current Tax Year$6,244,755CurrentTaxYearAmt
Total$27,566,107TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88450PublicSupportCY509Pct
Public Support PY5090.87600PublicSupportPY509Pct
Investment Income CY0.00230InvestmentIncomeCYPct
Investment Income PY0.00270InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS REVENUESExplanationTxt

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,828,409OtherCostOrOtherBasisAmt
Depreciation$3,956,417DepreciationAmt
Book Value$1,871,992BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$328,705OtherCostOrOtherBasisAmt
Depreciation$149,473DepreciationAmt
Book Value$179,232BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,607,926OtherCostOrOtherBasisAmt
Depreciation$1,469,213DepreciationAmt
Book Value$138,713BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,189,937TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONDesc
Amt$67,439Amt
FieldValueIRS element (for citing)
Total Liability$67,439TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,305,216TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$57,219NetUnrealizedGainsInvstAmt
Revenue Not Reported$57,219RevenueNotReportedAmt
Revenue Subtotal$6,247,997RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,247,997TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,933,593TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,933,593ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,933,593TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:RESIDENTS MAKE A SECURITY DEPOSIT WHEN THEY MOVE INTO THE FACILITIES. EACH RESIDENT RECEIVES THEIR SECURITY DEPOSIT, WITH INTEREST, WHEN THEY LEAVE THE FACILITIES. RESIDENT TRUSTS ARE SMALL AMOUNTS THAT RESIDENTS HOLD WITH MAPLE LAWN FOR MINOR EXPENSES AND FOR USE IN RESIDENT OUTINGS.
PART X, LINE 2:THE CORPORATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. THE CORPORATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE CORPORATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. THE CORPORATION'S ANNUAL TAX FILINGS ARE SUBJECT TO REVIEW BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OTHER TAXES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient5RecipientCnt
Cash Grant$12,199CashGrantAmt
Non Cash AssistanceNURSING SCHOLARSHIPSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSCHOLARSHIP PAYMENTS ARE MADE DIRECTLY TO THE SCHOLARSHIP RECIPIENT'S COLLEGE TO ENSURE APPROPRIATE USE OF FUNDS.ExplanationTxt

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 FULDA MINNESOTABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN416005177BondIssuerEIN
Bond Issued2012-10-01BondIssuedDt
Issue Price$1,955,150IssuePriceAmt
PurposeREFUND SERIES 2003 BONDS (NURSING HOME PROJECT)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$176,390RetiredAmt
Total Proceeds$1,955,150TotalProceedsAmt
Other Spent Proceeds$1,955,150OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

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 Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF ANY PERSON (AGE 21 OR OLDER) OR ORGANIZATION DONATING $100 OR MORE FOR THE PURPOSE OF MEMBERSHIP TO THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S MEMBERS HAVE THE POWER TO AMEND THE ARTICLES AND BYLAWS AND TO TERMINATE MEMBERSHIPS.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS AT A BOARD MEETING AND APPROVED PRIOR TO BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE POLICY IS ANNUALLY REVIEWED AND SIGNED BY THE BOARD MEMBERS AND KEY STAFF MEMBERS. BOARD MEMBERS ARE REQUIRED TO SELF-DISCLOSE POTENTIAL OR REAL CONFLICTS OF INTEREST TO THE BOARD. IF A CONFLICT EXISTS THE INDIVIDUAL WILL NOT BE ALLOWED TO VOTE ON THE RELATED ISSUE. CONFLICTS ARE HANDLED ON A CASE BY CASE BASIS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD USES COMPARATIVE DATA FROM THE LONG TERM CARE IMPERATIVE COMPENSATION REPORT AND COMPARATIVE INFORMATION FROM A MAJOR ACCOUNTING FIRM WHEN DETERMINING THE ADMINISTRATOR'S SALARY. INFORMATION IS REVIEWED BY THE FULL BOARD AND DOCUMENTED IN THE MINUTES. THIS WAS LAST COMPLETED IN 2018.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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