MAPLE MANOR CARE CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MAPLE MANOR CARE CENTER (EIN 45-0310153)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2023-12-18
IRS object ID: 202313529349300026
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-12-18T15:03:46-06:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1730 Burnt Boat Loop Ste 100	AddressLine1Txt
City	Bismarck	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	585030886	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450310153	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Maple Manor Care Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MAPL	BusinessNameControlTxt
Phone	7012562987	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 9th Avenue	AddressLine1Txt
City	Langdon	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58249	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Dawn Bunn	PersonNm
Person Title	Administrator	PersonTitleTxt
Phone	7012562987	PhoneNum
Signature	2023-12-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Dawn	PersonFirstNm
Person Last	Bunn	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lisa Chaffee CPA	PreparerPersonNm
PTIN	P00193453	PTIN
Phone	7012551091	PhoneNum
Preparation	2023-12-14	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Dawn Bunn	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 9th Avenue	AddressLine1Txt
City	Langdon	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58249	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,216,758	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mmcarecenter.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	Residential and Nursing Care	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	94	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$842,107	PYContributionsGrantsAmt
CY Contributions Grants	$5,662	CYContributionsGrantsAmt
PY Program Service Revenue	$5,251,691	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,936,370	CYProgramServiceRevenueAmt
PY Investment Income	$10,744	PYInvestmentIncomeAmt
CY Investment Income	$27,276	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$1,247,450	CYOtherRevenueAmt
PY Total Revenue	$6,104,542	PYTotalRevenueAmt
CY Total Revenue	$7,216,758	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,633,367	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,136,497	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,338,792	PYOtherExpensesAmt
CY Other Expenses	$3,750,558	CYOtherExpensesAmt
PY Total Expenses	$5,972,159	PYTotalExpensesAmt
CY Total Expenses	$6,887,055	CYTotalExpensesAmt
PY Revenues Less Expenses	$132,383	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$329,703	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,283,981	TotalAssetsBOYAmt
Total Assets EOY	$12,550,309	TotalAssetsEOYAmt
Total Liabilities BOY	$7,643,781	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,523,220	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,640,200	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,027,089	NetAssetsOrFundBalancesEOYAmt
Mission	None	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$6,065,232	ExpenseAmt
Revenue	$5,936,370	RevenueAmt
Desc	Maple Manor Care Center is a 49-bed nursing home and a 24-unit congregate housing facility located in Langdon, North Dakota. The Care Center provides residential and nursing care to persons in a long term care setting.	Desc
Total Program Service Expenses	$6,065,232	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	Yes (1)	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	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	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	3	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	94	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	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dawn Bunn	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7012562987	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 9th Avenue North	AddressLine1Txt
City	Langdon	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58249	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
William Brooks
President	0.50	Yes (X)	Yes (X)	$0	$0	$0
Adrian Olson
Vice President (thru May 2022)	0.50	Yes (X)	Yes (X)	$0	$0	$0
Charles Jordan
Secretary	0.50	Yes (X)	Yes (X)	$0	$0	$0
Hilary Petri
Director	0.50	Yes (X)		$0	$0	$0
Brittany Farris
Director (beginning Sept 2022)	0.50	Yes (X)		$0	$0	$0
Jennifer Busse
Director	0.50	Yes (X)		$0	$0	$0
Sara Goodman
Director	0.50	Yes (X)		$0	$0	$0
Jodi Myrvik
Director (June 2022)	0.50	Yes (X)		$0	$0	$0
Dawn Bunn
Administrator	45.00		Yes (X)	$66,921	$0	$10,620

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$66,921	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$10,620	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DTN Staffing
1200 Collins Ave	Mandan	ND	58554	Contract Nursing	$863,581
Fusion Medical Staffing
PO BOX 30131	Omaha	NE	681031231	Contract Nursing	$286,574
PrimeTime Staffing
PO BOX 3544	Omaha	NE	681030544	Contract Nursing	$239,158

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$5,662	AllOtherContributionsAmt
Total Contributions	$5,662	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Service Revenue	623000	$5,541,690	$5,541,690
Independent Living Revenue	623000	$342,460	$342,460

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,220	TotalRevenueColumnAmt
Related Or Exempt Func Income	$52,220	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,936,370	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,276	TotalRevenueColumnAmt
Exclusion	$27,276	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Employee Retention Credit	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,247,450	TotalRevenueColumnAmt
Exclusion	$1,247,450	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,247,450	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,216,758	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,936,370	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,274,726	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$154,669	TotalAmt
Management And General	$154,669	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$14,142	TotalAmt
Program Services	$14,142	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,412,669	TotalAmt
Program Services	$2,263,636	ProgramServicesAmt
Management And General	$149,033	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,969	TotalAmt
Program Services	$31,969	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$338,826	TotalAmt
Program Services	$338,826	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$184,222	TotalAmt
Program Services	$163,677	ProgramServicesAmt
Management And General	$20,545	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$175,723	TotalAmt
Management And General	$175,723	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,556,516	TotalAmt
Program Services	$1,556,516	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,963	TotalAmt
Management And General	$3,963	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$166,231	TotalAmt
Program Services	$143,441	ProgramServicesAmt
Management And General	$22,790	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$105,210	TotalAmt
Program Services	$25,905	ProgramServicesAmt
Management And General	$79,305	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$301,930	TotalAmt
Program Services	$288,098	ProgramServicesAmt
Management And General	$13,832	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$25,268	TotalAmt
Program Services	$15,850	ProgramServicesAmt
Management And General	$9,418	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,005	TotalAmt
Program Services	$2,114	ProgramServicesAmt
Management And General	$4,891	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$293,804	TotalAmt
Program Services	$264,424	ProgramServicesAmt
Management And General	$29,380	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$476,842	TotalAmt
Program Services	$432,333	ProgramServicesAmt
Management And General	$44,509	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$123,916	TotalAmt
Program Services	$20,624	ProgramServicesAmt
Management And General	$103,292	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Dietary Expense	$202,573	$202,573
Bad Debt	$151,606	$151,606
Equipment Rental & Main	$96,244	$90,033	$6,211
Medical Supplies	$34,645	$34,645

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,082	TotalAmt
Program Services	$24,820	ProgramServicesAmt
Management And General	$4,262	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,887,055	TotalAmt
Program Services	$6,065,232	ProgramServicesAmt
Management And General	$821,823	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,633,251	BOYAmt
EOY	$4,974,420	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$464,903	BOYAmt
EOY	$323,260	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$22,132	BOYAmt
EOY	$22,426	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$31,508	BOYAmt
EOY	$32,717	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$14,653,918	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,336,903	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,630,634	BOYAmt
EOY	$5,317,015	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$495,927	BOYAmt
EOY	$535,955	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,626	BOYAmt
EOY	$1,344,516	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,283,981	BOYAmt
EOY	$12,550,309	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$305,104	BOYAmt
EOY	$377,209	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,293,450	BOYAmt
EOY	$7,029,192	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$41,748	BOYAmt
EOY	$33,377	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,479	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$83,442	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,643,781	BOYAmt
EOY	$7,523,220	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	$4,640,200	BOYAmt
EOY	$5,027,089	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,640,200	BOYAmt
EOY	$5,027,089	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,283,981	BOYAmt
EOY	$12,550,309	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$329,703	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$57,186	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	0	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	$382,701	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$87,653	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$916,867	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$842,107	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,662	CurrentTaxYearAmt
Total	$2,234,990	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,163,067	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,509,449	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,683,867	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,251,691	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,936,370	CurrentTaxYearAmt
Total	$25,544,444	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,545,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,597,102	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,600,734	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,093,798	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,942,032	CurrentTaxYearAmt
Total	$27,779,434	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	$1,628,103	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,877,512	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,761,509	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,687,388	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,124,894	CurrentTaxYearAmt
Total	$9,079,406	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,628,103	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,877,512	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,761,509	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,687,388	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,124,894	CurrentTaxYearAmt
Total	$9,079,406	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$18,700,028	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$58,980	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$63,138	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$59,083	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,744	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,276	CurrentTaxYearAmt
Total	$219,221	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$58,980	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$63,138	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$59,083	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,744	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,276	CurrentTaxYearAmt
Total	$219,221	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,604,748	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,660,240	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,659,817	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,104,542	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,969,308	CurrentTaxYearAmt
Total	$27,998,655	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.66790	PublicSupportCY509Pct
Public Support PY509	0.68910	PublicSupportPY509Pct
Investment Income CY	0.00780	InvestmentIncomeCYPct
Investment Income PY	0.00890	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$220,965	OtherCostOrOtherBasisAmt
Book Value	$220,965	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,655,881	OtherCostOrOtherBasisAmt
Depreciation	$5,122,618	DepreciationAmt
Book Value	$3,533,263	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,686,287	OtherCostOrOtherBasisAmt
Depreciation	$4,194,664	DepreciationAmt
Book Value	$1,491,623	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,785	OtherCostOrOtherBasisAmt
Depreciation	$19,621	DepreciationAmt
Book Value	$71,164	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,317,015	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Accrued Interest	$13,624
ERC Receivable	$1,247,450
Right of Use Lease Asset	$83,442

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,344,516	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Right of Use Lease Liability	Desc
Amt	$83,442	Amt

Field	Value	IRS element (for citing)
Total Liability	$83,442	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$7,273,944	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$57,186	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$57,186	RevenueNotReportedAmt
Revenue Subtotal	$7,216,758	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$7,216,758	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$6,887,055	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$6,887,055	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$6,887,055	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part IV, Line 2b:

The Care Center acts as custodian for the funds of the residents. The Care Center also holds security deposits of residents in its congregate housing facility. These funds are included in cash and cash equivalents and accounts payable in the financial statements.

Part X, Line 2:

The Care Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Care Center 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	City of Langdon ND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	456002108	BondIssuerEIN
Bond Issued	2015-09-16	BondIssuedDt
Issue Price	$9,176,500	IssuePriceAmt
Purpose	Refund bonds issued 2/26/2009 and 12/28/2011	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,093,049	RetiredAmt
Total Proceeds	$9,176,500	TotalProceedsAmt
Issuance Costs From Proceeds	$136,742	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$9,039,758	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Jeffery Bunn	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Husband of Dawn Bunn, Administrator of Organization	RelationshipDescriptionTxt
Transaction	$14,142	TransactionAmt
Transaction	Payment of Compensation - Jeffery is a Dietary Aid for Maple Manor Care Center.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 1a	The President only votes in the case of a tie.
Form 990, Part VI, Section A, line 8b	There are no committees that can act on behalf of the board.
Form 990, Part VI, Section B, line 11b	Upon receipt of the draft Form 990, the organization will email a copy to the board members for their review and comment prior to filing the Form 990 with the IRS.
Form 990, Part VI, Section B, line 12c	On an annual basis, the Board of Directors is required to sign a conflict of interest policy disclosing any potential conflicts. If a potential conflict exists, compliance with the conflict of interest policy is monitored at the annual board meeting.
Form 990, Part VI, Section B, line 15a	The Board performs an annual review of the Administrator's salary. Comparable data is gathered from the North Dakota Long Term Care Association. Documentation of the review is included in the board minutes.
Form 990, Part VI, Section C, line 19	The governing documents, conflict of interest policy and financial statements are available upon request.
Form 990, Part IX, line 11g	Contract Services: Program service expenses 1,556,516. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,556,516.