MAPLE LAWN NURSING HOME INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MAPLE LAWN NURSING HOME INC (EIN 41-0870856)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-05-16
IRS object ID: 201111369349302801
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule D
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T10:26:17-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LARSONALLEN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 SOUTH SIXTH STREET SUITE 300	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	410870856	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAPLE LAWN NURSING HOME INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MAPL	NameControl
Phone	5074252571	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 7th St NE	AddressLine1
City	FULDA	City
State	MN	State
ZIP Code	56131	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Arlan Swanson Administrator	Name
Title	Administrator	Title
Phone	5074252571	Phone
Date Signed	2011-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Gordon J Vetsch	Name
Phone	6123764500	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Arlan Swanson	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 7th St NE	AddressLine1
City	FULDA	City
State	MN	State
ZIP Code	56131	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4291420	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.maplelawn.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1962	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE FINE QUALITY HEALTHCARE, HOUSING AND SUPPORT SERVICES FOR AREA SENIORS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	138	TotalNbrEmployees
Total Nbr Volunteers	115	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3926	ContributionsGrantsPriorYear
Contributions Grants Current Year	6020	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4322019	ProgramServiceRevenuePriorYear
Program Service Revenue CY	4242701	ProgramServiceRevenueCY
Investment Income Prior Year	6771	InvestmentIncomePriorYear
Investment Income Current Year	16546	InvestmentIncomeCurrentYear
Other Revenue Prior Year	30385	OtherRevenuePriorYear
Other Revenue Current Year	26153	OtherRevenueCurrentYear
Total Revenue Prior Year	4363101	TotalRevenuePriorYear
Total Revenue Current Year	4291420	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2430701	SalariesEtcPriorYear
Salaries Etc Current Year	2509946	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1678339	OtherExpensePriorYear
Other Expenses Current Year	1602320	OtherExpensesCurrentYear
Total Expenses Prior Year	4109040	TotalExpensesPriorYear
Total Expenses Current Year	4112266	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	254061	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	179154	RevenuesLessExpensesCY
Total Assets BOY	4183701	TotalAssetsBOY
Total Assets EOY	4241694	TotalAssetsEOY
Total Liabilities BOY	2721052	TotalLiabilitiesBOY
Total Liabilities EOY	2599891	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1462649	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1641803	NetAssetsOrFundBalancesEOY
Mission Description	To provide fine quality healthcare, housing and support services for area seniors in an individualized, dignified and homelike manner.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3876434	Expense
Revenue	4242701	Revenue
Description	Maple Lawn Nursing Home, a campus of long term care services:Campus services 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-62 Medicare Certified Skilled Nursing Beds which provide care for a broad spectrum of residents with needs from post-acute rehab therapy to memory care. The campus provided care for over 100 local individuals in this rural community of 1,300. Normally approximately 150 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.	Description
Total Program Service Expense	3876434	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	14	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	138	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Arlan Swanson	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5074252571	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 7th St NE	AddressLine1
City	FULDA	City
State	MN	State
ZIP Code	56131	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
jerrild STEINER
president	1.00	X	X	0	0	0
JEFF ZINS
vice president	1.00	X	X	0	0	0
MARCINE ELDER
SECRETARY	1.00	X	X	0	0	0
Dean VANOORT
dIRECTOR	1.00	X		0	0	0
DELL GOEDTKE
DIRECTOR	1.00	X		0	0	0
dean mcneal
DIRECTOR	1.00	X		0	0	0
mary fran busch
director	1.00	X		0	0	0
shirley buschena
dIRECTOR	1.00	X		0	0	0
elden getting
dIRECTOR	1.00	X		0	0	0
ARLAN SWANSON
ADMINISTRATOR	40.00		X	81552	0	1811

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	81552	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1811	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	PRAIRIE REHABILITATION SERVICES LLC	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1720 S Cliff Avenue	AddressLine1
City	Sioux Falls	City
State	SD	State
ZIP Code	57103	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	contracted therapy	DescriptionOfServices
Compensation	257651	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
All Other Contributions	6020	AllOtherContributions
Total Contributions	6020	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES	623000	3399892	3399892
APARTMENT RENTAL	623000	842809	842809

Field	Value	IRS element (for citing)
Total Program Service Revenue	4242701	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	16546	TotalRevenueColumn
Exclusion	$16,546	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	other income	Description
Business Code	623000	BusinessCode
Total Revenue Column	26153	TotalRevenueColumn
Exclusion	$26,153	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	26153	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4291420	TotalRevenueColumn
Related Or Exempt Function Income	4242701	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$42,699	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	83363	Total
Management And General	83363	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1951258	Total
Program Services	1945295	ProgramServices
Management And General	5963	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	20709	Total
Program Services	20648	ProgramServices
Management And General	61	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	329501	Total
Program Services	328535	ProgramServices
Management And General	966	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	125115	Total
Program Services	124748	ProgramServices
Management And General	367	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	31911	Total
Management And General	31911	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	295459	Total
Program Services	294783	ProgramServices
Management And General	676	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	264490	Total
Program Services	234968	ProgramServices
Management And General	29522	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	146003	Total
Program Services	140858	ProgramServices
Management And General	5145	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	8708	Total
Management And General	8708	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	104424	Total
Program Services	99998	ProgramServices
Management And General	4426	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	208415	Total
Program Services	199582	ProgramServices
Management And General	8833	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	58014	Total
Program Services	55555	ProgramServices
Management And General	2459	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
food	224589	224589
License surcharge	175804	175804
miscellaneous expense	49555	7058	42497
Repairs and Maintenance	21974	11039	10935
pre-admission screening	12974	12974

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4112266	Total
Program Services	3876434	ProgramServices
Management And General	235832	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	327340	BOY
EOY	231732	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	367578	BOY
EOY	751894	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	462677	BOY
EOY	354272	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	61703	BOY
EOY	59633	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5864805	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3074904	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2910406	BOY
EOY	2789901	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	42424	BOY
EOY	39400	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11573	BOY
EOY	14862	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4183701	BOY
EOY	4241694	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	328060	BOY
EOY	331120	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	2352499	BOY
EOY	2229617	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	17681	BOY
EOY	15136	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	22812	BOY
EOY	24018	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2721052	BOY
EOY	2599891	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1462649	BOY
EOY	1641803	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1462649	BOY
EOY	1641803	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4183701	BOY
EOY	4241694	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14224	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7778	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6300	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3926	CurrentTaxYearMinus1Year
Current Tax Year	6020	CurrentTaxYear
Total	38248	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3776746	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3979734	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4121994	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4322019	CurrentTaxYearMinus1Year
Current Tax Year	4242701	CurrentTaxYear
Total	20443194	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3790970	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3987512	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4128294	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4325945	CurrentTaxYearMinus1Year
Current Tax Year	4248721	CurrentTaxYear
Total	20481442	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	45627	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	122225	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	132885	CurrentTaxYearMinus1Year
Current Tax Year	80415	CurrentTaxYear
Total	381152	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	45627	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	122225	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	132885	CurrentTaxYearMinus1Year
Current Tax Year	80415	CurrentTaxYear
Total	381152	Total

Field	Value	IRS element (for citing)
Public Support Total509	20100290	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13613	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16480	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11943	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6771	CurrentTaxYearMinus1Year
Current Tax Year	16546	CurrentTaxYear
Total	65353	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13613	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	16480	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	11943	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6771	CurrentTaxYearMinus1Year
Current Tax Year	16546	CurrentTaxYear
Total	65353	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5643	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10181	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	26443	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	30385	CurrentTaxYearMinus1Year
Current Tax Year	26153	CurrentTaxYear
Total	98805	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3810226	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4014173	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4166680	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4363101	CurrentTaxYearMinus1Year
Current Tax Year	4291420	CurrentTaxYear
Total	20645600	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97360	PublicSupportPercentage509
Prior Year Support Percentage	0.99310	PriorYearSupportPercentage
Investment Income Percentage	0.00320	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00290	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	Schedule A, Part II, Line 12, Explanation of Other Income: MISCELLANEOUS REVENUES	GeneralExplanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4656781	OtherCostOrOtherBasis
Depreciation	2129557	Depreciation
Book Value	2527224	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	243178	OtherCostOrOtherBasis
Depreciation	60074	Depreciation
Book Value	183104	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	964846	OtherCostOrOtherBasis
Depreciation	885273	Depreciation
Book Value	79573	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2789901	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	asset retirement obligation	Description
Amount	$24,018	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	24018	TotalOfAmounts
Total Revenue	4291420	TotalRevenue
Total Expenses	4112266	TotalExpenses
Excess Or Deficit For Year	179154	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	179154	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	4291420	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	4291420	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	4291420	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4112266	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	4112266	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	4112266	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part IV, Line 2b:	Identifier
Explanation	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.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	City of Fulda minnesota	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	416005177	IssuerEIN
Date Issued	2003-09-24	DateIssued
Issue Price	2865000	IssuePrice
Description Of Purpose	refund prior issue bonds and fund new construction	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	2865000	TotalProceeds
Issuance Costs From Proceeds	57000	IssuanceCostsFromProceeds
Capital Expenditures	1543000	CapitalExpenditures
Year Of Subst Completion	2004	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	1	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	0	BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 6	THE 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 7a	The Organization's members elect the board of directors.
Form 990, Part VI, Section B, line 11	Management provided information for preparation of the Form 990. A copy of the Form 990 is electronically provided to the Board of Directors and approved prior to being filed with the IRS.
Form 990, Part VI, Section B, line 12c	The 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 C, line 19	The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.