Mendota Lutheran Home Bk 20-02769: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
Mendota Lutheran Home Bk 20-02769 (EIN 36-2212706)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-05-14
IRS object ID
201501349349304250
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T12:50:06-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Jeremy M Brune CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12508 Riverwalk DriveAddressLine1Txt
CityPlainfieldCityNm
State AbbreviationILStateAbbreviationCd
ZIP60586ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362212706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mendota Lutheran HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMENDBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Sixth StreetAddressLine1Txt
CityMendotaCityNm
State AbbreviationILStateAbbreviationCd
ZIP613421796ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJon RagsdalePersonNm
Person TitleAdministratorPersonTitleTxt
Phone8155397439PhoneNum
Signature2015-05-15SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeremy M Brune CPAPreparerPersonNm
PTINP01425038PTIN
Phone7798753979PhoneNum
Preparation2015-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$7,362,131GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mlh500.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo 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 North America, a non-profit organization.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee218TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$121,758PYContributionsGrantsAmt
CY Contributions Grants$87,437CYContributionsGrantsAmt
PY Program Service Revenue$6,835,760PYProgramServiceRevenueAmt
CY Program Service Revenue$7,256,532CYProgramServiceRevenueAmt
PY Investment Income$38,890PYInvestmentIncomeAmt
CY Investment Income$18,162CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,996,408PYTotalRevenueAmt
CY Total Revenue$7,362,131CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,909,147PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,777,356CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,764,276PYOtherExpensesAmt
CY Other Expenses$2,707,769CYOtherExpensesAmt
PY Total Expenses$7,673,423PYTotalExpensesAmt
CY Total Expenses$7,485,125CYTotalExpensesAmt
PY Revenues Less Expenses-$677,015PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$122,994CYRevenuesLessExpensesAmt
Total Assets BOY$6,214,260TotalAssetsBOYAmt
Total Assets EOY$5,803,598TotalAssetsEOYAmt
Total Liabilities BOY$1,546,953TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,305,593TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,667,307NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,498,005NetAssetsOrFundBalancesEOYAmt
MissionTo 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 North America, a non-profit organization.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,966,965ExpenseAmt
Revenue$7,256,532RevenueAmt
DescMendota 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 2014, Mendota Lutheran Home provided these services to approximately 90 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.Desc
Total Program Service Expenses$6,966,965TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee218EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJon RagsdalePersonNm
Phone8155397439PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Sixth StreetAddressLine1Txt
CityMendotaCityNm
State AbbreviationILStateAbbreviationCd
ZIP613421796ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
Rev Kevin Weeks
President0.000.00Yes (X)Yes (X)$0$0$0
Rev Mike Morrell
Trustee0.000.00Yes (X)$0$0$0
Rev Tammy Anderson
Trustee0.000.00Yes (X)$0$0$0
Greta Bates
Trustee0.000.00Yes (X)$0$0$0
Lorraine Loomis
Trustee0.000.00Yes (X)$0$0$0
John Nielsen
Treasurer0.000.00Yes (X)Yes (X)$0$0$0
Gloria Cogdal
Trustee0.000.00Yes (X)$0$0$0
Joanne Miller
Vice President0.000.00Yes (X)Yes (X)$0$0$0
Tim Munson
Trustee0.000.00Yes (X)$0$0$0
Jon Ragsdale
Administrator0.000.00$73,771$0$10,161Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$73,771TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,161TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aegis Therapies
PO Box 8103Fort SmithAR72902Therapy$666,773
US FoodService
1829 Solution CenterChicagoIL606771088Food Service$384,332
Medline Industries
Dept CH 14400PalatineIL600554400Medical Supplies$200,538
Ben Admin Services
17475 Jovanna DrHomewoodIL60430Insurance$223,179
Professional Healthcare Staffing
PO Box 594PontiacIL61764Staffing$134,474
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
All Other Contributions$87,437AllOtherContributionsAmt
Total Contributions$87,437TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNursing HomeDesc
Business623000BusinessCd
Total Revenue Column$7,256,532TotalRevenueColumnAmt
Related Or Exempt Func Income$7,256,532RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,256,532TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,162TotalRevenueColumnAmt
Related Or Exempt Func Income$18,162RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,362,131TotalRevenueColumnAmt
Related Or Exempt Func Income$7,274,694RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$81,338TotalAmt
Management And General$81,338ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,796,936TotalAmt
Program Services$3,560,874ProgramServicesAmt
Management And General$236,062ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,403TotalAmt
Program Services$23,324ProgramServicesAmt
Management And General$2,079ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$589,158TotalAmt
Program Services$540,941ProgramServicesAmt
Management And General$48,217ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$284,521TotalAmt
Program Services$262,207ProgramServicesAmt
Management And General$22,314ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$313,170TotalAmt
Program Services$275,734ProgramServicesAmt
Management And General$37,436ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,505TotalAmt
Program Services$4,160ProgramServicesAmt
Management And General$20,345ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$108,347TotalAmt
Program Services$108,347ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$146,009TotalAmt
Program Services$139,670ProgramServicesAmt
Management And General$6,339ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,426TotalAmt
Program Services$5,496ProgramServicesAmt
Management And General$930ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,678TotalAmt
Program Services$3,678ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,308TotalAmt
Management And General$23,308ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$284,891TotalAmt
Program Services$284,891ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$67,504TotalAmt
Program Services$57,453ProgramServicesAmt
Management And General$10,051ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$498,129$481,241$16,888
Ancillary Services$890,565$890,565
Assessment Fees$227,885$227,885
Bad Debt$2,808$2,808

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$110,544TotalAmt
Program Services$97,691ProgramServicesAmt
Management And General$12,853ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,485,125TotalAmt
Program Services$6,966,965ProgramServicesAmt
Management And General$518,160ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$140,307BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$885,409BOYAmt
EOY$873,695EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$41,269BOYAmt
EOY$41,269EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$104,744BOYAmt
EOY$110,299EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,577,187LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,614,974LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,099,500BOYAmt
EOY$2,962,213EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,943,031BOYAmt
EOY$1,816,122EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,214,260BOYAmt
EOY$5,803,598EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$879,081BOYAmt
EOY$612,996EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$572,923BOYAmt
EOY$630,050EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,949BOYAmt
EOY$62,547EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,546,953BOYAmt
EOY$1,305,593EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,375,156BOYAmt
EOY$3,171,969EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,421BOYAmt
EOY$10,342EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,257,730BOYAmt
EOY$1,315,694EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,667,307BOYAmt
EOY$4,498,005EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,214,260BOYAmt
EOY$5,803,598EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$122,994ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$46,308NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,434,773BeginningYearBalanceAmt
Contributions$10,027ContributionsAmt
Investment Earnings Or Losses$107,457InvestmentEarningsOrLossesAmt
Other Expenditures$64,742OtherExpendituresAmt
Administrative Expenses$15,636AdministrativeExpensesAmt
End Year Balance$1,471,879EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,664,383BeginningYearBalanceAmt
Contributions$33,954ContributionsAmt
Investment Earnings Or Losses$291,764InvestmentEarningsOrLossesAmt
Other Expenditures$543,130OtherExpendituresAmt
Administrative Expenses$12,198AdministrativeExpensesAmt
End Year Balance$1,434,773EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,693,743BeginningYearBalanceAmt
Contributions$308,838ContributionsAmt
Investment Earnings Or Losses$271,776InvestmentEarningsOrLossesAmt
Other Expenditures$592,068OtherExpendituresAmt
Administrative Expenses$17,906AdministrativeExpensesAmt
End Year Balance$1,664,383EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.10000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.89000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$521,044OtherCostOrOtherBasisAmt
Book Value$521,044BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,999,253OtherCostOrOtherBasisAmt
Depreciation$4,177,326DepreciationAmt
Book Value$1,821,927BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,056,890OtherCostOrOtherBasisAmt
Depreciation$1,437,648DepreciationAmt
Book Value$619,242BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,962,213TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
Interest and Dividends Receivable$6,534
Contributions Receivable$4,156
Investments$257,615
Beneficial Interest - Inv Pool$40,927
Settlement - Medicare$18,014
Other Assets$1,989
Assets Whose Use is Limited$504,845
Investment - Insurance Company$19,164
Beneficial Interst - Perp Trust$962,878
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,816,122TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Accrued Interest$2,690
Assessment Tax - HFS$59,857
FieldValueIRS element (for citing)
Total Liability$62,547TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,315,823TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$46,308NetUnrealizedGainsInvstAmt
Revenue Not Reported-$46,308RevenueNotReportedAmt
Revenue Subtotal$7,362,131RevenueSubtotalAmt
Total Revenue Per Form990$7,362,131TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,485,125TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,485,125ExpensesSubtotalAmt
Total Expenses Per Form990$7,485,125TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Endowment funds intended uses (Part V, line 4)The unrestricted board designated fund has an account balance of $145,843 at December 31, 2014. These funds were set aside by the Board of Directors to be utilized by Mendota Lutheran Home to provide educational scholarships to its employees.A more detailed explanation of the unrestricted board designated fund can be found in Note (12) of the audited financial statements of Mendota Lutheran Home. Temporarily restricted contributions represent various donations made to Mendota Lutheran Home during 2014 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, 2014 was $10,342. The restrictions on this balance is designated for the following uses: nursing and activity progrmas, food pantry, scholarship funds, and time restrictions for receipt.A more detailed explanation of temporarily restricted contributions can be found in Note (13) of the audited financial statements of Mendota Lutheran Home. The permanently restricted endowment fund has an account balance of $1,315,694 at December 31, 2014. 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 (14) 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, 2013.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11The 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 15aThe 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 15bThe 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 19Mendota Lutheran Home makes governing documents, conflicts of interest statements, financial statements, and tax returns availabile to the public upon written request.
General explanation attachmentCertain reclassifications were made in regards to the presentation of prior year financial statement groupings (2013) to be consistent with the financial statement groupings for 2014. These reclassifications had no effect on reported results of operations or net assets for the year ending December 31, 2013.These reclassifications were incorporated into the completion of the prior year amounts reported within the 2014 Form 990.

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