2023-12-18T15:03:46-06:00 2023-06-30 450250958 Eide Bailly LLP 1730 Burnt Boat Loop Ste 100 Bismarck ND 585030886 990 2022-07-01 450310153 Maple Manor Care Center MAPL 7012562987 1116 9th Avenue Langdon ND 58249 Dawn Bunn Administrator 7012562987 2023-12-14 1 Dawn Bunn 999009999 1 Lisa Chaffee CPA P00193453 7012551091 2023-12-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Dawn Bunn 1116 9th Avenue Langdon ND 58249 7216758 0 X www.mmcarecenter.com X 1995 ND Residential and Nursing Care 7 7 94 10 0 0 842107 5662 5251691 5936370 10744 27276 0 1247450 6104542 7216758 0 0 0 0 2633367 3136497 0 0 0 3338792 3750558 5972159 6887055 132383 329703 12283981 12550309 7643781 7523220 4640200 5027089 None 0 0 6065232 5936370 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. 6065232 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 3 0 1 94 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Dawn Bunn 7012562987 1116 9th Avenue North Langdon ND 58249 William Brooks President 0.50 X X 0 0 0 Adrian Olson Vice President (thru May 2022) 0.50 X X 0 0 0 Charles Jordan Secretary 0.50 X X 0 0 0 Hilary Petri Director 0.50 X 0 0 0 Brittany Farris Director (beginning Sept 2022) 0.50 X 0 0 0 Jennifer Busse Director 0.50 X 0 0 0 Sara Goodman Director 0.50 X 0 0 0 Jodi Myrvik Director (June 2022) 0.50 X 0 0 0 Dawn Bunn Administrator 45.00 X 66921 0 10620 66921 0 10620 0 0 0 0 DTN Staffing 1200 Collins Ave Mandan ND 58554 Contract Nursing 863581 Fusion Medical Staffing PO BOX 30131 Omaha NE 681031231 Contract Nursing 286574 PrimeTime Staffing PO BOX 3544 Omaha NE 681030544 Contract Nursing 239158 3 5662 5662 Resident Service Revenue 623000 5541690 5541690 Independent Living Revenue 623000 342460 342460 52220 52220 5936370 27276 27276 Employee Retention Credit 900099 1247450 1247450 1247450 7216758 5936370 0 1274726 X 154669 154669 14142 14142 2412669 2263636 149033 31969 31969 338826 338826 184222 163677 20545 175723 175723 1556516 1556516 3963 3963 166231 143441 22790 105210 25905 79305 301930 288098 13832 25268 15850 9418 7005 2114 4891 293804 264424 29380 476842 432333 44509 123916 20624 103292 Dietary Expense 202573 202573 Bad Debt 151606 151606 Equipment Rental & Main 96244 90033 6211 Medical Supplies 34645 34645 29082 24820 4262 6887055 6065232 821823 0 5633251 4974420 464903 323260 22132 22426 31508 32717 14653918 9336903 5630634 5317015 495927 535955 5626 1344516 12283981 12550309 305104 377209 7293450 7029192 41748 33377 3479 0 0 83442 7643781 7523220 X 4640200 5027089 4640200 5027089 12283981 12550309 329703 57186 0 X 0 1 X 0 0 X 382701 87653 916867 842107 5662 2234990 5163067 4509449 4683867 5251691 5936370 25544444 5545768 4597102 5600734 6093798 5942032 27779434 0 1628103 1877512 1761509 1687388 2124894 9079406 1628103 1877512 1761509 1687388 2124894 9079406 18700028 58980 63138 59083 10744 27276 219221 58980 63138 59083 10744 27276 219221 5604748 4660240 5659817 6104542 5969308 27998655 0.66790 0.68910 0.00780 0.00890 X 0 1 X 220965 220965 8655881 5122618 3533263 5686287 4194664 1491623 90785 19621 71164 5317015 Accrued Interest 13624 ERC Receivable 1247450 Right of Use Lease Asset 83442 1344516 Right of Use Lease Liability 83442 83442 X 7273944 57186 57186 7216758 0 7216758 6887055 0 6887055 0 6887055 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. A City of Langdon ND 456002108 2015-09-16 9176500 Refund bonds issued 2/26/2009 and 12/28/2011 0 0 0 A 2093049 9176500 136742 9039758 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 1 0 0 0 0 A 0 Jeffery Bunn Husband of Dawn Bunn, Administrator of Organization 14142 Payment of Compensation - Jeffery is a Dietary Aid for Maple Manor Care Center. 0 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.