FURP.ORG / PUBLIC DATA EXPLORER

COKATO CHARITABLE TRUST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COKATO CHARITABLE TRUST (EIN 41-1456124)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-04
IRS object ID
201112169349300006
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-04T07:45:57-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15601 Green Valley Drive Ste 700AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code554371145ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411456124EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Cokato Charitable Trust co Cokato ManorBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOKANameControl
Phone3202862158Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1182 Sunset AvenueAddressLine1
CityCokatoCity
StateMNState
ZIP Code55321ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNancy StratmanName
TitleAdministratorTitle
Phone3202862158Phone
Date Signed2011-07-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKim Hunwardsen CPAName
Phone9529446166Phone
Date Prepared2011-08-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNancy StratmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1182 Sunset AvenueAddressLine1
CityCokatoCity
StateMNState
ZIP Code55321ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6716642GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.COKATO-SENIOR-CARE.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1983YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTo provide elderly persons with housing facilities and services designed to meet their physical, social, and psychological needs.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees235TotalNbrEmployees
Total Nbr Volunteers144TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11831ContributionsGrantsPriorYear
Contributions Grants Current Year44344ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6438978ProgramServiceRevenuePriorYear
Program Service Revenue CY6487109ProgramServiceRevenueCY
Investment Income Prior Year2468InvestmentIncomePriorYear
Investment Income Current Year26607InvestmentIncomeCurrentYear
Other Revenue Prior Year3966OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6457243TotalRevenuePriorYear
Total Revenue Current Year6558060TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY700GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3496180SalariesEtcPriorYear
Salaries Etc Current Year3326341SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2616047OtherExpensePriorYear
Other Expenses Current Year2711408OtherExpensesCurrentYear
Total Expenses Prior Year6113227TotalExpensesPriorYear
Total Expenses Current Year6038449TotalExpensesCurrentYear
Revenues Less Expenses Prior Year344016RevenuesLessExpensesPriorYear
Revenues Less Expenses CY519611RevenuesLessExpensesCY
Total Assets BOY10068955TotalAssetsBOY
Total Assets EOY10300800TotalAssetsEOY
Total Liabilities BOY10360045TotalLiabilitiesBOY
Total Liabilities EOY10080805TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-291090NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY219995NetAssetsOrFundBalancesEOY
Mission DescriptionThe purpose of Cokato Charitable Trust division is to provide quality health and housing services that enhance the quality of life and maintains a maximum level of functioning for our customers.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3683927Expense
Revenue4504832Revenue
DescriptionCokato Manor provides nursing care for older adults who need health care and support services including physical, occupational and speech therapy. Cokato Manor is Medicare and Medicaid Certified. Cokato Manor offers long-term, short-term, adult day care and home health care.Cokato Manor provides living space for 56 residents in double and private rooms. Cokato Manor is committed to providing services in a caring environment that enhances the quality of life and maintains the maximum level of functioning. Cokato Manor is a restraint-free facility and has a reputation for its excellence in quality of care.Cokato Manor exists to effectively meet the needs of the resident in a caring manner and offers the following services: -Nursing -Dietary -Social Service -Activities -Laundry -Housekeeping -Religious Services -Maintenance -Rehabilitation services including Physical Therapy, Occupational Therapy and Speech TherapyDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense563515Expense
Revenue699912Revenue
DescriptionBrookridge is an assisted living residence that holds the key to comfortable and affordable senior housing with a health care touch. At Brookridge, our goal is to provide residents with all the possiblities so they remain vital and active. Our staff strives to help residents achieve the highest possible level of good health, self-care and independence. As a member of the Brookridge community, their neighbors are their friends. Residents experience the sense of family that truly encourages them to feel right at home.Brookridge offers the following services to its residents:-Paid utilities (telephone not included) -Free cable television -Three meals a day, including snacks -24-hour emergency response system -Staffing around-the-clock and an RN available 24-hours a day -Full laundry services, including linens -Housekeeping including refuse removal -Non-emergency scheduled transportation -Fireplace lounge for gatherings, companionship and entertaining -Central air conditioniong -Direct access to Chapel -Sprinklers and alarms for fire safety. -Convenient, indoor mail drop -Centrally-located elevator -Apartment-sized refrigerator and microwave provided -Barber/beauty shop -Exciting activities program -Off-street parking for you and your guests -Handicap-accessible showers -Daily checking on tenants -Local professional managementDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense428921Expense
Revenue768186Revenue
DescriptionCokato Manor Home Health (CMHH) is another component of the continuum of care with an office at Edgewood Gables to provide the community with comprehensive and compassionate care whereby health, social and supportive services are provided to the individuals in their own home.Our goal in home health is to maximize the level of independence, while minimizing the effects of disabilities and illness.CMHH is Class A licensed by the Minnesota Department of Health and is Medicare Certified and is a contracted provider of most private insurance.Cokato Manor Home Health provides the following services:SKILLED NURSING- Physical assessments (ordered by physicians) - Post-hospitalization care - Wound evaluation with dressing changes - Cardiac and respiratory assessments- Medication instruction and follow-up - At-home therapy - Restorative nursing - Physical therapy - Occupational therapy - Speech therapy HOME HEALTH AIDE- Personal care assistance under the supervision of a RN; bathing, dressing, nutrition assistance - Light housekeeping tasks and meal preparation - Assistance with maintaining safety and independence in the homeDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense795892Expense
Grants700Grants
Revenue514179Revenue
DescriptionCokato Charitable Trust operates and manages Cokato Manor, a 56-bed skilled nursing facility; Heritage Place, a 10-unit housing project for individuals with Alzheimers and related disorders; Edgewood Gables, a 30-unit independent living apartment for the elderly; Brookridge, a 16-unit assisted living facility; and Cokato Manor Home Health, a home health care service agency for the elderly.In addition to operating and managing those facilities, Cokato Charitable Trust offers Senior Day Services, Meals on Wheels, Congregate Dining, Rehab Services and Child Day Care.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp795892TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt700TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev514179TotalOfOtherProgramServiceRev
Total Program Service Expense5472255TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees235NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Nancy StratmanBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3202862158TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1182 Sunset AvenueAddressLine1
CityCokatoCity
StateMNState
ZIP Code55321ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Steven Hanson
Chair0.30XX000
Jim Nelson
Vice Chair0.30XX000
Peggy Carlson
Secretary/Treasurer0.30XX000
Allan Anderson
Trustee0.30X000
Suzanne Kaczmarek
Trustee0.30X000
Lyle Severson
Trustee0.30X000
RC Ortquist
Trustee0.30X000
Nancy Stratman
Administrator40.00X7890206832
FieldValueIRS element (for citing)
Total Reportable Comp From Org78902TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6832TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Rehab Care Group IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 503534AddressLine1
CitySt LouisCity
StateMOState
ZIP Code63150ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapyDescriptionOfServices
Compensation309881Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions44344AllOtherContributions
Total Contributions44344TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Resident Service R62300063094216309421
Senior Day Services6241006472364723
day care program6241004161641616
Meal revenue9000993888138881
Nutrition Program9000991501215012

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column17456TotalRevenueColumn
Related Or Exempt Function Income17456RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6487109TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31635TotalRevenueColumn
Exclusion$31,635ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other153554Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other158582Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-5028Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5028TotalRevenueColumn
Exclusion-$5,028ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6558060TotalRevenueColumn
Related Or Exempt Function Income6487109RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$26,607ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total700Total
Program Services700ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total112020Total
Management And General112020ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2789325Total
Program Services2524276ProgramServices
Management And General265049ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total195651Total
Program Services176068ProgramServices
Management And General19583ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total229345Total
Program Services199971ProgramServices
Management And General29374ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1512Total
Management And General1512ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20135Total
Management And General20135ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total543221Total
Program Services520580ProgramServices
Management And General22641ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total19554Total
Program Services19554ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total578041Total
Program Services529484ProgramServices
Management And General48557ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total235834Total
Program Services235834ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total45601Total
Program Services45601ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16952Total
Program Services8088ProgramServices
Management And General8864ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total508489Total
Program Services508489ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total453898Total
Program Services453898ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total60812Total
Program Services60812ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical surcharge157640157640
Miscellaneous Expenses461313126014871
Dues & Subscriptions2358823588

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6038449Total
Program Services5472255ProgramServices
Management And General566194ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY755610BOY
EOY983590EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY610563BOY
EOY864910EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28520BOY
EOY22355EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22087BOY
EOY4920EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11015570LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4842545LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6470206BOY
EOY6173025EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1927590BOY
EOY2013700EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY254379BOY
EOY238300EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10068955BOY
EOY10300800EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY549276BOY
EOY524694EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9780000BOY
EOY9520000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
EOY12411EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21545BOY
EOY16940EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9224BOY
EOY6760EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10360045BOY
EOY10080805EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-293787BOY
EOY216957EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2697BOY
EOY3038EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-291090BOY
EOY219995EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10068955BOY
EOY10300800EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5207CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32537CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11831CurrentTaxYearMinus1Year
Current Tax Year43581CurrentTaxYear
Total112239Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5694693CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5572970CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5783300CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6438978CurrentTaxYearMinus1Year
Current Tax Year6442275CurrentTaxYear
Total29932216Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5713776CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5578177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5815837CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6450809CurrentTaxYearMinus1Year
Current Tax Year6485856CurrentTaxYear
Total30044455Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63205CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years139201CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125603CurrentTaxYearMinus1Year
Current Tax Year198611CurrentTaxYear
Total568331Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63205CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years139201CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year125603CurrentTaxYearMinus1Year
Current Tax Year198611CurrentTaxYear
Total568331Total
FieldValueIRS element (for citing)
Public Support Total50929476124PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82786CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119868CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years85834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56893CurrentTaxYearMinus1Year
Current Tax Year77232CurrentTaxYear
Total422613Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82786CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119868CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years85834CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56893CurrentTaxYearMinus1Year
Current Tax Year77232CurrentTaxYear
Total422613Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5796562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5698045CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5901671CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6507702CurrentTaxYearMinus1Year
Current Tax Year6563088CurrentTaxYear
Total30467068Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96750PublicSupportPercentage509
Prior Year Support Percentage0.97100PriorYearSupportPercentage
Investment Income Percentage0.01390InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01350PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis190625OtherCostOrOtherBasis
Book Value190625BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9225090OtherCostOrOtherBasis
Depreciation3846790Depreciation
Book Value5378300BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis109481OtherCostOrOtherBasis
Depreciation67394Depreciation
Book Value42087BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1375039OtherCostOrOtherBasis
Depreciation854850Depreciation
Book Value520189BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis115335OtherCostOrOtherBasis
Depreciation73511Depreciation
Book Value41824BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6173025TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEstimated Third-Party Payor SettlementsDescription
Amount$6,760Amount
FieldValueIRS element (for citing)
Total Of Amounts6760TotalOfAmounts
Total Revenue6558060TotalRevenue
Total Expenses6038449TotalExpenses
Excess Or Deficit For Year519611ExcessOrDeficitForYear
Net Unrealized GL On Investments-8526NetUnrealizedGLOnInvestments
Total Adjustments-8526TotalAdjustments
Excess Or Deficit Per FS511085ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6557719TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal6557719RevenueSubtotal
Other Revenues Not Included341OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt341RevenueNotRptdOnFinStmt
Total Revenue Per Form9906558060TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6038449TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6038449ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906038449TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:The Trust acts as custodian for the funds of the residents.
Part X:During 2010, the Trust adopted the provisions of Accounting Standards Codification (ASC) 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes). The Trust undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination with relevant taxing authorities. The implementation of this standard had no material impact on the financial statements. As of both the date of adoption and as of September 30, 2010, no amounts were recorded as a result of the analysis.Description of Uncertain Tax Positions Under FIN 48:
Part XII, Line 4b - Other Adjustments:Contributions recorded in fund balance for financial statements: 3038. Net Assets Released from Restrictions Included in Revenue for Financial Stmt: -2697.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
City of Cokato
416005063172634Bl62004-04-295172615Refinance00
City of Cokato
416005063192834CC52006-11-015077872Refinance & renovations to nursing facility00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpenditures
5172615204057486510510345320040111
5077872387828239224310155720081011962442100000

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged0BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 8bThere are no committees with the authority to act on behalf of the board.
Form 990, Part VI, Section B, line 11The Administrator reviews the Form 990, addressing any comments or changes before the return is filed. A copy is provided to the board.
Form 990, Part VI, Section B, line 15aThe board of directors used an executive search firm in hiring the current Administrator. Both the board and the firm used comparative salary information in determining compensation. This was last done at 2-23-09.
Form 990, Part VI, Section C, line 19The organization does not make these documents available to the general public.