2017-09-22T14:08:26-04:00 2016-12-31 Jeremy Brune & Associates LLC 2508 Riverwalk Drive Plainfield IL 60586 990 2016-01-01 362212706 Mendota Lutheran Home MEND 500 Sixth Street Mendota IL 613421796 Michelle Urnikis Administrator 8155397439 2017-08-11 true Jeremy M Brune CPA P01425038 7798753979 2017-09-22 73.246.1.51 2017-09-22 14:10:20 1541522017265qc0upjl 2017-09-22 P 5B4DBC4FDDE87F7BF068E23A574855F1470BCECF 5B4DBC4FDDE87F7BF068E23A574855F1470BCECF 2016 2021-01-29 14:40:06Z 5927735 false X www.mlh500.com X 1953 IL To establish, maintain, and operate a nursing home as well as a home for the aged. Mendota Lutheran Home is affiliated with the Evangelical Lutheran Church in America, a non-profit organization. 9 9 196 24 0 0 366054 119662 6544724 5647418 13777 33303 0 6924555 5800383 0 0 4381031 4269709 0 0 2573354 2330389 6954385 6600098 -29830 -799715 5787568 5187613 1366169 1454828 4421399 3732785 To establish, maintain, and operate a nursing home as well as a home for the aged. Mendota Lutheran Home is affiliated with the Evangelical Lutheran Church in America, a non-profit organization. false false 6014138 Mendota Lutheran Home is licensed by the Illinois Department of Public Health to provide skilled, intermediate, and sheltered care nursing home services to elderly residents. During 2016, Mendota Lutheran Home provided these services to approximately 68.06 residents on a daily basis. Support to care for these residents includes investment income, public assistance, as well as donations from area churches, organizations, and individuals. 6014138 true true false false false false false false false true true false false true true true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 25 0 true 196 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true false true false true true false X Michelle Urnikis 8155397439 500 Sixth Street Mendota IL 613421796 X Greta Bates President 1.00 0.00 X X 0 0 0 Pr Tammy Anderson Vice President 1.00 0.00 X X 0 0 0 John Nielsen Treasurer 1.00 0.00 X X 0 0 0 Dave Jones Secretary 1.00 0.00 X X 0 0 0 Ed Bock Trustee 1.00 0.00 X 0 0 0 Pr Anne Hoflen Trustee 1.00 0.00 X 0 0 0 Lambert Leonard Trustee 1.00 0.00 X 0 0 0 Lorraine Loomis Trustee 1.00 0.00 X 0 0 0 Tim Munson Trustee 1.00 0.00 X 0 0 0 Michelle Urnikis Administrator 40.00 0.00 X 60930 0 3320 Jon Ragsdale Administrator 010116 - 02221 40.00 0.00 X 13790 0 939 74720 0 4259 0 false false false Aegis Therapies PO Box 8103 Fort Smith AR 72902 Therapy 537498 US FoodService 1829 Solution Center Chicago IL 606771088 Food Service 216103 Medline Industries Dept CH 14400 Palatine IL 600554400 Medical Supplies 149211 Omnicare Inc PO Box 78000 Detroit MI 48278 Prescriptions 103066 Professional Healthcare Staffing PO Box 594 Pontiac IL 61764 Staffing 104680 5 119662 119662 Nursing Home 623000 5647418 5647418 5647418 28509 28509 132146 127352 4794 4794 4794 5800383 5680721 0 0 75919 75919 3458294 3229973 228321 32199 29427 2772 447925 409366 38559 255372 233300 22072 170107 119488 50619 26702 3651 23051 135257 121731 13526 141502 130131 11371 3078 1915 1163 3237 3237 32087 32087 264718 238246 26472 68745 52867 15878 Supplies 411979 396060 15919 Ancillary Services 731136 731136 Assessment Fees 188475 188475 Bad Debt 60190 60190 93176 64945 28231 6600098 6014138 585960 0 85408 748148 602026 43183 39395 112722 97183 8796927 6163358 2833260 2633569 2050255 1730032 5787568 5187613 647951 547148 645050 851341 73168 56339 1366169 1454828 X 2820087 2368139 303958 11294 1297354 1353352 4421399 3732785 5787568 5187613 -799715 111101 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1742286 11171 125607 506703 7715 1364646 1471879 303958 -990 32572 -11 1742286 1434773 10027 107457 64742 15636 1471879 1664383 33954 291764 543130 12198 1434773 1693743 308838 271776 592068 17906 1664383 0.99000 0.01000 true false 564941 564941 6079530 4450458 1629072 2152456 1712900 439556 2633569 Interest and Dividends Receivable 8021 Investments 283263 Beneficial Interest - Inv pool 42847 Settlement - Medicare 14347 Other Assets 27 Assets Whose use is Limited 359482 Investment - Insurance Company 21552 Beneficial Intrest - Perp Trust 1000493 1730032 Accrued Interest 744 Assessment Tax - HFS 55595 56339 X 5911484 111101 111101 5800383 5800383 6600098 6600098 6600098 Endowment funds intended uses (Part V, line 4) The unrestricted board designated fund has an account balance of $0 at December 31, 2016. These funds were originally set aside by the Board of Directors to be utilized by Mendota Lutheran Home to provide educational scholarships to its employees. These funds were released by the Board of Directors during 2016 to be utilized for operating purposes.A more detailed explanation of the unrestricted board designated fund can be found in Note (11) of the audited financial statements of Mendota Lutheran Home. Temporarily restricted contributions represent various donations made to Mendota Lutheran Home during 2016 that were directed by the donors to be utilized for specific purposes or carry time restrictions for usage. The temporarily restricted balance at December 31, 2016 was $11,294. The restrictions on this balance is designated for the following uses: nursing and activity programs, equipment, scholarship funds, and time restrictions for receipt.A more detailed explanation of temporarily restricted contributions can be found in Note (12) of the audited financial statements of Mendota Lutheran Home. The permanently restricted endowment fund has an account balance of $1,364,646 at December 31, 2016. The permanently restricted endowment fund is derived from three bequests that have specific intended uses. The primary uses of the interest and investment income income derived from these funds is specified to be utilized for on-going operations of the facility with a portion directed to provide service funds to the employees of the organization.A more detailed explanation of the unrestricted board designated fund can be found in Note (13) of the audited financial statements of Mendota Lutheran Home. Footnote for uncertain tax position under FIN 48 (Part X) Generally Accepted Accounting Principles prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of tax positions taken or expected to be taken in tax returns. The amount recognized is measured as the largest amount of benefit that is more likely that not of being realized upon settlement. Mendota Lutheran Home has determined that it does not have any significant risks related to income tax expense and therefore no amounts were reserved for uncertain tax positions as of December 31, 2016. Form 990 governing body review Part VI line 11 The Form 990 will be distributed to the Board of Directors for review and approval before submission to the Internal Revenue Service. CEO executive director top management comp Part VI line 15a The Board of Directors annually evaluates the Administrator and determines compensation adjustments based on both performance,industry standards, and budgetary constraints. Other officer or key employee compensation Part VI line 15b The Administrator evaluates all other employees of Mendota Lutheran Home and determines compensation based on performance, industry standards, and budgetary constraints. Governing documents etc available to public Part VI line 19 Mendota Lutheran Home makes governing documents, conflicts of interest statements, financial statements, and tax returns availabile to the public upon written request. General explanation attachment Certain reclassifications were made in regards to the presentation of prior year financial statement groupings (2015) to be consistent with the financial statement groupings for 2016. These reclassifications had no effect on reported results of operations or net assets for the year ending December 31, 2015.These reclassifications were incorporated into the completion of the prior year amounts reported within the 2016 Form 990.