MAPLE LAWN NURSING HOME INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MAPLE LAWN NURSING HOME INC (EIN 41-0870856)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-12
IRS object ID
201631339349301043
Schema version
2014v6.0
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)
Return2016-05-12T08:47:20-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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 NE SEVENTH STREET BOX 278AddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARLAN SWANSONPersonNm
Person TitleADMINISTRATOR/CEOPersonTitleTxt
Phone5074252571PhoneNum
Signature2016-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILY SCHEEVELPreparerPersonNm
PTINP01814921PTIN
Phone6123764500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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 NE SEVENTH STREET BOX 278AddressLine1Txt
CityFULDACityNm
State AbbreviationMNStateAbbreviationCd
ZIP56131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,607,018GrossReceiptsAmt
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 Employee152TotalEmployeeCnt
Total Volunteers85TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$27,797PYContributionsGrantsAmt
CY Contributions Grants$194,906CYContributionsGrantsAmt
PY Program Service Revenue$4,156,634PYProgramServiceRevenueAmt
CY Program Service Revenue$4,348,560CYProgramServiceRevenueAmt
PY Investment Income$4,797PYInvestmentIncomeAmt
CY Investment Income$13,443CYInvestmentIncomeAmt
PY Other Revenue$28,249PYOtherRevenueAmt
CY Other Revenue$50,109CYOtherRevenueAmt
PY Total Revenue$4,217,477PYTotalRevenueAmt
CY Total Revenue$4,607,018CYTotalRevenueAmt
PY Grants And Similar Paid$5,756PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,822CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,622,310PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,734,053CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,746,374PYOtherExpensesAmt
CY Other Expenses$1,752,801CYOtherExpensesAmt
PY Total Expenses$4,374,440PYTotalExpensesAmt
CY Total Expenses$4,492,676CYTotalExpensesAmt
PY Revenues Less Expenses-$156,963PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$114,342CYRevenuesLessExpensesAmt
Total Assets BOY$4,196,253TotalAssetsBOYAmt
Total Assets EOY$4,332,574TotalAssetsEOYAmt
Total Liabilities BOY$2,051,227TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,096,278TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,145,026NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,236,296NetAssetsOrFundBalancesEOYAmt
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$4,204,532ExpenseAmt
Grant$5,822GrantAmt
Revenue$4,348,560RevenueAmt
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 - 58 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 48 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$4,204,532TotalProgramServiceExpensesAmt
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
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 Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee152EmployeeCnt
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
DEAN MCNEAL
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
MARY FRAN BUSCH
DIRECTOR1.00Yes (X)$0$0$0
SHIRLEY BUSCHENA
DIRECTOR (PASSED AWAY JAN 2015)1.00Yes (X)$0$0$0
ELDEN GETTING
DIRECTOR1.00Yes (X)$0$0$0
RON JANSSEN
DIRECTOR1.00Yes (X)$0$0$0
LOUISE JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
JEFF ZINS
DIRECTOR (ROTATED OFF JAN 2015)1.00Yes (X)$0$0$0
ARLAN SWANSON
ADMINISTRATOR/CEO50.00Yes (X)$89,471$0$2,333
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,471TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,333TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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$253,683CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$194,906AllOtherContributionsAmt
Total Contributions$194,906TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$3,450,761$3,450,761
APARTMENT RENTAL623000$897,799$897,799
FieldValueIRS element (for citing)
Total Program Service Revenue$4,348,560TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,443TotalRevenueColumnAmt
Exclusion$13,443ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$40,974$40,974
GARAGE REVENUE623000$4,085$4,085
ANCILLARY SERVICES623000$2,789$2,789

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,261TotalRevenueColumnAmt
Exclusion$2,261ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$50,109OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,607,018TotalRevenueColumnAmt
Related Or Exempt Func Income$4,348,560RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$63,552ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$322TotalAmt
Program Services$322ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$5,500TotalAmt
Program Services$5,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$91,804TotalAmt
Program Services$9,180ProgramServicesAmt
Management And General$82,624ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,269,749TotalAmt
Program Services$2,262,982ProgramServicesAmt
Management And General$6,767ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,697TotalAmt
Program Services$16,642ProgramServicesAmt
Management And General$55ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$205,961TotalAmt
Program Services$205,837ProgramServicesAmt
Management And General$124ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$149,842TotalAmt
Program Services$149,397ProgramServicesAmt
Management And General$445ManagementAndGeneralAmt

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$28,254TotalAmt
Management And General$28,254ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$385,831TotalAmt
Program Services$385,831ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,575TotalAmt
Management And General$12,575ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,146TotalAmt
Management And General$22,146ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$25,617TotalAmt
Management And General$25,617ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$148,831TotalAmt
Program Services$143,330ProgramServicesAmt
Management And General$5,501ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$400TotalAmt
Management And General$400ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,960TotalAmt
Management And General$1,960ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$58,464TotalAmt
Program Services$55,986ProgramServicesAmt
Management And General$2,478ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$212,279TotalAmt
Program Services$203,282ProgramServicesAmt
Management And General$8,997ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,413TotalAmt
Program Services$29,124ProgramServicesAmt
Management And General$1,289ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$256,492$256,492
MEDICAL SUPPLIES$210,936$208,956$1,980
LICENSE SURCHARGE$177,271$177,243$28
MISCELLANEOUS$101,438$65,132$36,306

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$77,662TotalAmt
Program Services$29,296ProgramServicesAmt
Management And General$48,366ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,492,676TotalAmt
Program Services$4,204,532ProgramServicesAmt
Management And General$288,144ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$477,919BOYAmt
EOY$735,630EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$977,464BOYAmt
EOY$971,349EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$225,599BOYAmt
EOY$256,549EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$48,484BOYAmt
EOY$21,642EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,381,296LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,079,019LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,424,723BOYAmt
EOY$2,302,277EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$22,302BOYAmt
EOY$20,072EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,762BOYAmt
EOY$25,055EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,196,253BOYAmt
EOY$4,332,574EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$298,476BOYAmt
EOY$487,263EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,805BOYAmt
EOY$6,005EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,695,787BOYAmt
EOY$1,554,098EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$15,965BOYAmt
EOY$18,258EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,194BOYAmt
EOY$30,654EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,051,227BOYAmt
EOY$2,096,278EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,126,026BOYAmt
EOY$2,218,296EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,000BOYAmt
EOY$18,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,145,026BOYAmt
EOY$2,236,296EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,196,253BOYAmt
EOY$4,332,574EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$114,342ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$23,072NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$7,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,628CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,797CurrentTaxYearMinus1YearAmt
Current Tax Year$194,906CurrentTaxYearAmt
Total$258,642TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,358,488CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,546,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,403,279CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,156,634CurrentTaxYearMinus1YearAmt
Current Tax Year$4,348,560CurrentTaxYearAmt
Total$21,813,715TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$9,403CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,405CurrentTaxYearMinus1YearAmt
Current Tax Year$9,135CurrentTaxYearAmt
Total$25,943TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,366,038CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,565,515CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,422,310CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,191,836CurrentTaxYearMinus1YearAmt
Current Tax Year$4,552,601CurrentTaxYearAmt
Total$22,098,300TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$183,248CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$315,376CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$528,492CurrentTaxYearMinus1YearAmt
Current Tax Year$294,384CurrentTaxYearAmt
Total$1,414,955TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93,455CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$183,248CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$315,376CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$528,492CurrentTaxYearMinus1YearAmt
Current Tax Year$294,384CurrentTaxYearAmt
Total$1,414,955TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$20,683,345PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,308CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,690CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,569CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,455CurrentTaxYearMinus1YearAmt
Current Tax Year$13,443CurrentTaxYearAmt
Total$45,465TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,308CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,690CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,569CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,455CurrentTaxYearMinus1YearAmt
Current Tax Year$13,443CurrentTaxYearAmt
Total$45,465TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,764CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,844CurrentTaxYearMinus1YearAmt
Current Tax Year$40,974CurrentTaxYearAmt
Total$118,532TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,397,110CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,593,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,445,052CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,219,135CurrentTaxYearMinus1YearAmt
Current Tax Year$4,607,018CurrentTaxYearAmt
Total$22,262,297TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92910PublicSupportCY509Pct
Public Support PY5090.93760PublicSupportPY509Pct
Investment Income CY0.00200InvestmentIncomeCYPct
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 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$4,839,738OtherCostOrOtherBasisAmt
Depreciation$2,879,533DepreciationAmt
Book Value$1,960,205BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,602OtherCostOrOtherBasisAmt
Depreciation$97,557DepreciationAmt
Book Value$183,045BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,242,156OtherCostOrOtherBasisAmt
Depreciation$1,101,929DepreciationAmt
Book Value$140,227BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,800OtherCostOrOtherBasisAmt
Book Value$18,800BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,302,277TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescASSET RETIREMENT OBLIGATIONDesc
Amt$30,654Amt
FieldValueIRS element (for citing)
Total Liability$30,654TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,583,946TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$23,072NetUnrealizedGainsInvstAmt
Revenue Not Reported-$23,072RevenueNotReportedAmt
Revenue Subtotal$4,607,018RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,607,018TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,492,676TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,492,676ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,492,676TotalExpensesPerForm990Amt

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
Recipient3RecipientCnt
Cash Grant$5,500CashGrantAmt

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$401,052RetiredAmt
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 YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
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 (7 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 11A 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 2012.
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.

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