MAPLE LAWN NURSING HOME INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MAPLE LAWN NURSING HOME INC (EIN 41-0870856)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-07
IRS object ID
201912199349300711
Schema version
2017v2.3
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)
Return2019-08-07T14:24:05-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

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 Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

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 STREET NEAddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARLAN SWANSONPersonNm
Person TitleADMINISTRATOR/CEOPersonTitleTxt
Phone5074252571PhoneNum
Signature2019-07-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILY SCHEEVELPreparerPersonNm
PTINP01814921PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-30IPDt
IP Tm13:04:26IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id00BE1F513142CA66DA2C367DB88293381486700FAtSubmissionCreationDeviceId
At Submission Filing Device IdA6AD3476A9076C5B724E5E12CCE393A62F1B66BAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 7TH STREET NEAddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,261,708GrossReceiptsAmt
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 Employee143TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,076PYContributionsGrantsAmt
CY Contributions Grants$5,025CYContributionsGrantsAmt
PY Program Service Revenue$4,997,307PYProgramServiceRevenueAmt
CY Program Service Revenue$5,182,602CYProgramServiceRevenueAmt
PY Investment Income$12,161PYInvestmentIncomeAmt
CY Investment Income$13,314CYInvestmentIncomeAmt
PY Other Revenue$67,759PYOtherRevenueAmt
CY Other Revenue$60,767CYOtherRevenueAmt
PY Total Revenue$5,086,303PYTotalRevenueAmt
CY Total Revenue$5,261,708CYTotalRevenueAmt
PY Grants And Similar Paid$13,645PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,710CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,248,944PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,313,292CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,756,751PYOtherExpensesAmt
CY Other Expenses$1,912,198CYOtherExpensesAmt
PY Total Expenses$5,019,340PYTotalExpensesAmt
CY Total Expenses$5,240,200CYTotalExpensesAmt
PY Revenues Less Expenses$66,963PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,508CYRevenuesLessExpensesAmt
Total Assets BOY$3,758,858TotalAssetsBOYAmt
Total Assets EOY$3,638,080TotalAssetsEOYAmt
Total Liabilities BOY$1,663,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,526,526TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,095,466NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,111,554NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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$4,922,024ExpenseAmt
Grant$14,710GrantAmt
Revenue$5,182,602RevenueAmt
DescMAPLE LAWN NURSING HOME IS A CAMPUS OF LONG TERM CARE SERVICES THAT INCLUDE:MAPLEVIEW ESTATES - 24 APARTMENTS FOR SENIORS WHO NEED LIGHT ASSISTANCE ALLOWING THEM TO MAINTAIN REASONABLY INDEPENDENT LIVES. THESE SERVICES INCLUDE A HIGH-QUALITY NOON MEAL AND ASSISTANCE FOR HOUSEKEEPING AND OTHER LIGHT TASKS. MAPLEWOOD COURT ASSISTED LIVING - 15 APARTMENTS FOR SENIORS WHO NEED ASSISTANCE WITH ALL MEALS AND MEDICATIONS, BUT MAINTAIN INDEPENDENCE IN MANY OTHER CARE AREAS. MAPLE LAWN NURSING HOME - 54 MEDICARE-CERTIFIED SKILLED NURSING BEDS THAT PROVIDE CARE FOR A BROAD SPECTRUM OF RESIDENTS WITH NEEDS FROM POST-ACUTE REHAB THERAPY TO MEMORY CARE. THE CAMPUS PROVIDES CARE FOR OVER 100 LOCAL INDIVIDUALS AT ANY POINT IN TIME, IN THIS RURAL COMMUNITY OF 1,300. APPROXIMATELY 180 DIFFERENT PERSONS ARE SERVED DURING EACH YEAR. MANY WOULD NOT BE ABLE TO FIND CARE ANYWHERE ELSE. THE ORGANIZATION HAS STEADILY GROWN AND IMPROVED DURING ITS 55 YEARS OF SERVICE TO THIS COMMUNITY - FILLING THIS COMMUNITY'S NEED FOR FINE QUALITY HOUSING AND HEALTH CARE SERVICES AND PROVIDING THEM IN AN INDIVIDUALIZED AND HOMELIKE MANNER.Desc
Total Program Service Expenses$4,922,024TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee143EmployeeCnt
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
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 CommitteesYes (1)MinutesOfCommitteesInd
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 Line1ARLAN SWANSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5074252571PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 NE SEVENTH STREETAddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RON JANSSEN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JERRILD STEINER
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
MARCINE ELDER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
SHERRI BOEHNKE
DIRECTOR1.00Yes (X)$0$0$0
BILL FUERSTENBERG
DIRECTOR1.00Yes (X)$0$0$0
ELDEN GETTING
DIRECTOR1.00Yes (X)$0$0$0
LOUISE JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
SHERRI LUNDEEN
DIRECTOR1.00Yes (X)$0$0$0
LINDA CLAUSEN
DIRECTOR1.00Yes (X)$0$0$0
DEAN MCNEAL
DIRECTOR THRU 01/30/20181.00Yes (X)$0$0$0
ARLAN SWANSON
ADMINISTRATOR/CEO45.00Yes (X)$102,909$0$12,436
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,909TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$12,436TotalOtherCompensationAmt
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 SERVICES LLCBusinessNameLine1Txt

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$264,902CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,025AllOtherContributionsAmt
Total Contributions$5,025TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$4,280,772$4,280,772
APARTMENT RENTAL623000$901,830$901,830
FieldValueIRS element (for citing)
Total Program Service Revenue$5,182,602TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,314TotalRevenueColumnAmt
Exclusion$13,314ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
ANCILLARY SERVICES623000$32,005$32,005
MISCELLANEOUS INCOME900099$19,517$19,517
GARAGE REVENUE623000$4,784$4,784

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,461TotalRevenueColumnAmt
Exclusion$4,461ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$60,767OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,261,708TotalRevenueColumnAmt
Related Or Exempt Func Income$5,182,602RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$74,081ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$685TotalAmt
Program Services$685ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$14,025TotalAmt
Program Services$14,025ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,346TotalAmt
Program Services$11,535ProgramServicesAmt
Management And General$103,811ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,615,128TotalAmt
Program Services$2,608,277ProgramServicesAmt
Management And General$6,851ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$28,641TotalAmt
Program Services$28,556ProgramServicesAmt
Management And General$85ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$376,014TotalAmt
Program Services$375,012ProgramServicesAmt
Management And General$1,002ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$178,163TotalAmt
Program Services$177,698ProgramServicesAmt
Management And General$465ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,232TotalAmt
Management And General$2,232ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,990TotalAmt
Management And General$33,990ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$500,628TotalAmt
Program Services$500,387ProgramServicesAmt
Management And General$241ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,391TotalAmt
Management And General$10,391ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,839TotalAmt
Management And General$19,839ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,978TotalAmt
Management And General$40,978ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$178,649TotalAmt
Program Services$172,398ProgramServicesAmt
Management And General$6,251ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,540TotalAmt
Management And General$1,540ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,873TotalAmt
Management And General$1,873ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$42,799TotalAmt
Program Services$40,985ProgramServicesAmt
Management And General$1,814ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$266,601TotalAmt
Program Services$255,302ProgramServicesAmt
Management And General$11,299ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,482TotalAmt
Program Services$38,766ProgramServicesAmt
Management And General$1,716ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$223,981$223,981
MISCELLANEOUS$200,769$129,329$71,440
MEDICAL SUPPLIES$189,066$186,725$2,341
LICENSE SURCHARGE$158,380$158,363$17

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,240,200TotalAmt
Program Services$4,922,024ProgramServicesAmt
Management And General$318,176ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$85,420BOYAmt
EOY$157,333EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$491,779BOYAmt
EOY$499,059EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$250,569BOYAmt
EOY$234,357EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$54,523BOYAmt
EOY$56,238EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,463,763LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,790,709LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,856,631BOYAmt
EOY$2,673,054EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,936BOYAmt
EOY$18,039EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,758,858BOYAmt
EOY$3,638,080EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$362,255BOYAmt
EOY$367,498EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,225,719BOYAmt
EOY$1,082,733EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$19,936BOYAmt
EOY$18,039EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,482BOYAmt
EOY$58,256EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,663,392BOYAmt
EOY$1,526,526EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,079,466BOYAmt
EOY$2,096,554EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,000BOYAmt
EOY$15,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,095,466BOYAmt
EOY$2,111,554EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,758,858BOYAmt
EOY$3,638,080EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$21,508ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,420NetUnrlzdGainsLossesInvstAmt
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$27,797CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,906CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,076CurrentTaxYearMinus1YearAmt
Current Tax Year$5,025CurrentTaxYearAmt
Total$242,953TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,156,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,348,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,592,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,997,307CurrentTaxYearMinus1YearAmt
Current Tax Year$5,182,602CurrentTaxYearAmt
Total$23,277,637TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,405CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,135CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,715CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,873CurrentTaxYearMinus1YearAmt
Current Tax Year$41,250CurrentTaxYearAmt
Total$122,378TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,191,836CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,552,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,623,398CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,046,256CurrentTaxYearMinus1YearAmt
Current Tax Year$5,228,877CurrentTaxYearAmt
Total$23,642,968TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$528,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$294,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$501,472CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$519,963CurrentTaxYearMinus1YearAmt
Current Tax Year$660,653CurrentTaxYearAmt
Total$2,504,964TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$528,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$294,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$501,472CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$519,963CurrentTaxYearMinus1YearAmt
Current Tax Year$660,653CurrentTaxYearAmt
Total$2,504,964TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,138,004PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,874CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,161CurrentTaxYearMinus1YearAmt
Current Tax Year$13,314CurrentTaxYearAmt
Total$58,247TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,874CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,161CurrentTaxYearMinus1YearAmt
Current Tax Year$13,314CurrentTaxYearAmt
Total$58,247TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,844CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$40,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$119,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,886CurrentTaxYearMinus1YearAmt
Current Tax Year$19,517CurrentTaxYearAmt
Total$228,855TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,219,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,607,018CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,755,906CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,086,303CurrentTaxYearMinus1YearAmt
Current Tax Year$5,261,708CurrentTaxYearAmt
Total$23,930,070TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88330PublicSupportCY509Pct
Public Support PY5090.89460PublicSupportPY509Pct
Investment Income CY0.00240InvestmentIncomeCYPct
Investment Income PY0.00220InvestmentIncomePYPct
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 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$5,726,180OtherCostOrOtherBasisAmt
Depreciation$3,389,898DepreciationAmt
Book Value$2,336,282BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,602OtherCostOrOtherBasisAmt
Depreciation$122,503DepreciationAmt
Book Value$158,099BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,456,981OtherCostOrOtherBasisAmt
Depreciation$1,278,308DepreciationAmt
Book Value$178,673BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,673,054TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONDesc
Amt$58,256Amt
FieldValueIRS element (for citing)
Total Liability$58,256TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,256,288TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$5,420NetUnrealizedGainsInvstAmt
Revenue Not Reported-$5,420RevenueNotReportedAmt
Revenue Subtotal$5,261,708RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,261,708TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,240,200TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,240,200ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,240,200TotalExpensesPerForm990Amt

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
Recipient4RecipientCnt
Cash Grant$11,300CashGrantAmt

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$859,036RetiredAmt
Total Proceeds$1,955,150TotalProceedsAmt
Other Spent Proceeds$1,955,150OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
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 (8 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 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 DECEMBER 2017 AND IS EFFECTIVE JANUARY 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.
PART XII, LINE 2CTHE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT.

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