MAPLE LAWN NURSING HOME INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MAPLE LAWN NURSING HOME INC (EIN 41-0870856)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-10
IRS object ID: 202602229349300715
Schema version: 2024v5.5
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 B
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-10T08:37:09-05:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2689 COMMERCE DRIVE NW SUITE 201	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55901	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410870856	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAPLE LAWN NURSING HOME INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MAPL	BusinessNameControlTxt
Phone	5074252571	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 7TH ST NE	AddressLine1Txt
City	FULDA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56131	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	SHELBY JASS	PersonNm
Person Title	ADMINISTRATOR/CEO	PersonTitleTxt
Phone	5074252571	PhoneNum
Signature	2026-08-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KATHERINE LUTZKE CPA	PreparerPersonNm
PTIN	P01760889	PTIN
Phone	5072802300	PhoneNum
Preparation	2026-08-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MAPLE LAWN SENIOR CARE MAPLEWOOD	BusinessNameLine1Txt
Business Name Line2	COURT MAPLEVIEW ESTATES	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Principal Officer	SHELBY JASS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 7TH ST NE	AddressLine1Txt
City	FULDA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56131	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,106,774	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MAPLELAWN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1962	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FINE QUALITY HEALTHCARE, HOUSING AND SUPPORT SERVICES FOR AREA SENIORS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	127	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$249,746	PYContributionsGrantsAmt
CY Contributions Grants	$323,001	CYContributionsGrantsAmt
PY Program Service Revenue	$6,466,342	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,642,618	CYProgramServiceRevenueAmt
PY Investment Income	$19,722	PYInvestmentIncomeAmt
CY Investment Income	$38,833	CYInvestmentIncomeAmt
PY Other Revenue	$65,199	PYOtherRevenueAmt
CY Other Revenue	$102,322	CYOtherRevenueAmt
PY Total Revenue	$6,801,009	PYTotalRevenueAmt
CY Total Revenue	$6,106,774	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,104	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$6,895	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,554,916	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,333,355	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,605,050	PYOtherExpensesAmt
CY Other Expenses	$2,567,083	CYOtherExpensesAmt
PY Total Expenses	$6,163,070	PYTotalExpensesAmt
CY Total Expenses	$5,907,333	CYTotalExpensesAmt
PY Revenues Less Expenses	$637,939	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$199,441	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,733,756	TotalAssetsBOYAmt
Total Assets EOY	$4,456,122	TotalAssetsEOYAmt
Total Liabilities BOY	$1,100,929	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$575,072	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,632,827	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,881,050	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE FINE QUALITY HEALTHCARE, HOUSING AND SUPPORT SERVICES FOR AREA SENIORS IN AN INDIVIDUALIZED, DIGNIFIED, AND HOMELIKE MANNER.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$5,353,044	ExpenseAmt
Grant	$6,895	GrantAmt
Revenue	$5,642,618	RevenueAmt
Desc	MAPLE LAWN NURSING HOME, INC DBA MAPLE LAWN SENIOR CARE, IS A CAMPUS PROVIDING LONG TERM CARE SERVICES AT: MAPLE LAWN SENIOR CARE A 46 BED SKILLED NURSING FACILITY, MAPLEVIEW ESTATES A 24 ASSISTED LIVING APARTMENT FACILITY FOR SENIORS WHO NEED LIGHT ASSISTANCE TO MAINTAIN REASONABLY INDEPENDENT LIVES, AND MAPLEWOOD COURT ASSISTED LIVING A 15 APARTMENT FACILITY FOR SENIORS WHO NEED ASSISTANCE WITH ALL MEALS AND MEDICATIONS, BUT MAINTAIN INDEPENDENCE IN MANY OTHER CARE AREAS. AS OF JANUARY 1, 2022 THE NURSING FACILITY DELICENSED 4 BEDS ON LAYAWAY, DECREASING THE LICENSED BEDS FROM 54 TO 46.	Desc
Total Program Service Expenses	$5,353,044	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	31	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	127	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHELBY JASS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5074252571	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 7TH ST NE	AddressLine1Txt
City	FULDA	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	56131	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DON OLSEM
BOARD PRESIDENT	0.50	Yes (X)	Yes (X)	$490	$0	$0
SHANNON HENNING
VICE PRESIDENT	0.50	Yes (X)	Yes (X)	$294	$0	$0
JERRILD STEINER
SECRETARY/TREASURER	0.50	Yes (X)	Yes (X)	$588	$0	$0
LINDA CLAUSON
DIRECTOR	0.50	Yes (X)		$539	$0	$0
JIM ELSING
DIRECTOR	0.50	Yes (X)		$196	$0	$0
LOUISE JOHNSON
DIRECTOR	0.50	Yes (X)		$490	$0	$0
MELISSA GEHL
DIRECTOR	0.50	Yes (X)		$539	$0	$0
DEAN VANOORT
DIRECTOR	0.50	Yes (X)		$490	$0	$0
SUE ZINS
DIRECTOR	0.50	Yes (X)		$343	$0	$0
SHELBY JASS
ADMINISTRATOR/CEO	40.00		Yes (X)	$103,000	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$106,969	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRIME TIME HEALTHCARE LLC
PO BOX 3544	OMAHA	NE	68103	TRAVEL STAFF AGENCY	$241,969
GRAPETREE MEDICAL STAFFING
PO BOX 5340	SIOUX FALLS	SD	57117	TRAVEL STAFF AGENCY	$208,573
MULTIPLE CONCEPTS INTERIORS INC
26 1ST AVE NORTH	WAITE PARK	MN	56387	CAPITAL PROJECT	$200,000
ONESTAFF MEIDCAL LLC
PO BOX 3544	OMAHA	NE	68103	TRAVEL STAFF AGENCY	$181,381
PRAIRIE REHABILITATION SERVICES
1720 S CLIFF AVE	SIOUX FALLS	SD	57105	THERAPY SERVICES	$120,686

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$319,700	GovernmentGrantsAmt
All Other Contributions	$3,301	AllOtherContributionsAmt
Total Contributions	$323,001	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES	623000	$4,467,917	$4,467,917
APARTMENT RENTAL	623000	$1,065,138	$1,065,138
ANCILLARY SERVICES	623000	$109,563	$109,563

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,642,618	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,833	TotalRevenueColumnAmt
Exclusion	$38,833	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER REVENUES	623000	$49,654	$49,654
MISCELLANEOUS INCOME	900099	$49,269	$49,269
GARAGE REVENUE	623000	$3,399	$3,399

Field	Value	IRS element (for citing)
Other Revenue Total	$102,322	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,106,774	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,642,618	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$141,155	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,330	TotalAmt
Program Services	$1,330	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,565	TotalAmt
Program Services	$5,565	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$75,320	TotalAmt
Program Services	$75,320	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,638,585	TotalAmt
Program Services	$2,616,087	ProgramServicesAmt
Management And General	$22,498	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$28,534	TotalAmt
Program Services	$28,297	ProgramServicesAmt
Management And General	$237	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$406,290	TotalAmt
Program Services	$402,904	ProgramServicesAmt
Management And General	$3,386	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$184,626	TotalAmt
Program Services	$183,094	ProgramServicesAmt
Management And General	$1,532	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,604	TotalAmt
Management And General	$1,604	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$46,613	TotalAmt
Management And General	$46,613	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$896,193	TotalAmt
Program Services	$867,229	ProgramServicesAmt
Management And General	$28,964	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$17,754	TotalAmt
Management And General	$17,754	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,189	TotalAmt
Management And General	$72,189	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$166,692	TotalAmt
Program Services	$160,775	ProgramServicesAmt
Management And General	$5,917	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$72,783	TotalAmt
Management And General	$72,783	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$964	TotalAmt
Management And General	$964	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,110	TotalAmt
Program Services	$2,978	ProgramServicesAmt
Management And General	$132	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$229,703	TotalAmt
Program Services	$219,968	ProgramServicesAmt
Management And General	$9,735	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$52,799	TotalAmt
Program Services	$50,561	ProgramServicesAmt
Management And General	$2,238	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$323,448	$318,897	$4,551
FOOD	$248,320	$248,320	$0
OTHER EXPENSES	$211,194	-$6,895	$218,089
LICENSE SURCHARGE	$145,719	$145,674	$45

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$77,998	TotalAmt
Program Services	$32,940	ProgramServicesAmt
Management And General	$45,058	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,907,333	TotalAmt
Program Services	$5,353,044	ProgramServicesAmt
Management And General	$554,289	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,514,849	BOYAmt
EOY	$1,263,872	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$769,748	BOYAmt
EOY	$846,772	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$597,802	BOYAmt
EOY	$299,501	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$53,151	BOYAmt
EOY	$45,851	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,427,753	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,443,785	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,783,087	BOYAmt
EOY	$1,983,968	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,119	BOYAmt
EOY	$16,158	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,733,756	BOYAmt
EOY	$4,456,122	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$616,065	BOYAmt
EOY	$471,986	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$374,774	BOYAmt
EOY	$74,199	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,956	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$15,065	BOYAmt
EOY	$13,687	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,069	BOYAmt
EOY	$15,200	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,100,929	BOYAmt
EOY	$575,072	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,623,827	BOYAmt
EOY	$3,873,050	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,000	BOYAmt
EOY	$8,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,632,827	BOYAmt
EOY	$3,881,050	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,733,756	BOYAmt
EOY	$4,456,122	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$199,441	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$48,782	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$857,735	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$415,158	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$99,504	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$249,746	CurrentTaxYearMinus1YearAmt
Current Tax Year	$323,001	CurrentTaxYearAmt
Total	$1,945,144	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,296,560	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,534,501	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,704,894	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,466,342	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,642,618	CurrentTaxYearAmt
Total	$28,644,915	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,825	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$42,818	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$58,104	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$34,626	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,053	CurrentTaxYearAmt
Total	$237,426	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,203,120	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,992,477	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,862,502	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,750,714	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,018,672	CurrentTaxYearAmt
Total	$30,827,485	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$485,522	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,025,567	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,213,178	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,230,904	CurrentTaxYearMinus1YearAmt
Current Tax Year	$941,428	CurrentTaxYearAmt
Total	$4,896,599	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$485,522	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,025,567	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,213,178	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,230,904	CurrentTaxYearMinus1YearAmt
Current Tax Year	$941,428	CurrentTaxYearAmt
Total	$4,896,599	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$25,930,886	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,562	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,279	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$16,705	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,722	CurrentTaxYearMinus1YearAmt
Current Tax Year	$38,833	CurrentTaxYearAmt
Total	$82,101	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,562	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,279	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$16,705	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,722	CurrentTaxYearMinus1YearAmt
Current Tax Year	$38,833	CurrentTaxYearAmt
Total	$82,101	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$36,073	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,235	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$30,573	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,269	CurrentTaxYearAmt
Total	$129,150	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,244,755	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,006,991	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,879,207	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,801,009	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,106,774	CurrentTaxYearAmt
Total	$31,038,736	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.83540	PublicSupportCY509Pct
Public Support PY509	0.84000	PublicSupportPY509Pct
Investment Income CY	0.00260	InvestmentIncomeCYPct
Investment Income PY	0.00180	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	MISCELLANEOUS REVENUES	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,316,952	OtherCostOrOtherBasisAmt
Depreciation	$4,626,111	DepreciationAmt
Book Value	$1,690,841	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$366,450	OtherCostOrOtherBasisAmt
Depreciation	$186,281	DepreciationAmt
Book Value	$180,169	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,744,351	OtherCostOrOtherBasisAmt
Depreciation	$1,631,393	DepreciationAmt
Book Value	$112,958	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,983,968	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ASSET RETIREMENT OBLIGATION	Desc
Amt	$15,200	Amt

Field	Value	IRS element (for citing)
Total Liability	$15,200	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$6,155,556	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$48,782	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$48,782	RevenueNotReportedAmt
Revenue Subtotal	$6,106,774	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$6,106,774	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$5,907,333	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$5,907,333	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$5,907,333	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	4	RecipientCnt
Cash Grant	$5,565	CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, ITEM C	DBA: MAPLE LAWN SENIOR CARE; MAPLEWOOD COURT; MAPLEVIEW ESTATES. DBA: MAPLE LAWN SENIOR CARE; MAPLEWOOD COURT; MAPLEVIEW ESTATES
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 A, LINE 7B	THE ORGANIZATION'S MEMBERS HAVE THE POWER TO AMEND THE ARTICLES AND BYLAWS AND TO TERMINATE MEMBERSHIPS.
FORM 990, PART VI, SECTION A, LINE 8B	THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	A 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 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 B, LINE 15A	THE 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. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025.
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.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 867,229. MANAGEMENT AND GENERAL EXPENSES 28,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 896,193.