Mendota Lutheran Home Bk 20-02769: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Mendota Lutheran Home Bk 20-02769 (EIN 36-2212706)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-12
IRS object ID
201411329349303871
Schema version
2013v3.1
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)
Return2014-05-12T16:45:11-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Jeremy Brune CPABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12508 Riverwalk DriveAddressLine1
CityPlainfieldCity
StateILState
ZIP Code60586ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362212706EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mendota Lutheran HomeBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMENDBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 Sixth StreetAddressLine1
CityMendotaCity
StateILState
ZIP Code613421796ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJon RagsdalePersonNm
Person TitleAdministratorPersonTitleTxt
Phone8155397439PhoneNum
Signature2014-05-15SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeremy M Brune CPAPreparerPersonNm
PTINP01425038PTIN
Phone7798753979PhoneNum
Preparation2014-05-12PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$6,996,408GrossReceiptsAmt
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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee232TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$806,589PYContributionsGrantsAmt
CY Contributions Grants$102,866CYContributionsGrantsAmt
PY Program Service Revenue$6,914,931PYProgramServiceRevenueAmt
CY Program Service Revenue$6,835,760CYProgramServiceRevenueAmt
PY Investment Income$43,536PYInvestmentIncomeAmt
CY Investment Income$57,782CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,765,056PYTotalRevenueAmt
CY Total Revenue$6,996,408CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,851,960PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,909,147CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,019,184PYOtherExpensesAmt
CY Other Expenses$2,764,276CYOtherExpensesAmt
PY Total Expenses$7,871,144PYTotalExpensesAmt
CY Total Expenses$7,673,423CYTotalExpensesAmt
PY Revenues Less Expenses-$106,088PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$677,015CYRevenuesLessExpensesAmt
Total Assets BOY$6,485,970TotalAssetsBOYAmt
Total Assets EOY$6,214,260TotalAssetsEOYAmt
Total Liabilities BOY$1,407,479TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,546,953TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,078,491NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,667,307NetAssetsOrFundBalancesEOYAmt
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$7,162,312ExpenseAmt
Revenue$6,835,760RevenueAmt
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 2013, Mendota Lutheran Home provided these services to approximately 87 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$7,162,312TotalProgramServiceExpensesAmt
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
Employee232EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 StreetAddressLine1
CityMendotaCity
StateILState
ZIP Code613421796ZIPCode
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 DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
Rev Dale Peterson
Trustee1.000.00Yes (X)$0$0$0
Gloria Cogdal
Secretary1.000.00Yes (X)$0$0$0Yes (X)
Rev Kevin Weeks
Trustee1.000.00Yes (X)$0$0$0
Ken Kurth
President1.000.00Yes (X)$0$0$0Yes (X)
Greta Bates
Trustee1.000.00Yes (X)$0$0$0
John Nielsen
Trustee1.000.00Yes (X)$0$0$0
Rev Michael Morrell
Trustee1.000.00Yes (X)$0$0$0
Ginney Becker
Trustee1.000.00Yes (X)$0$0$0
Joanne Miller
Vice President1.000.00Yes (X)$0$0$0Yes (X)
Jon Ragsdale
Administrator40.000.00$74,063$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$74,063TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Aegis Therapies
PO Box 8103Fort SmithAR72902Therapy$738,688
US FoodService
1829 Solution CenterChicagoIL606771088Food Service$402,343
Medline Industries
Dept CH 14400PalatineIL600554400Medical Supplies$182,673
Ben Admin Services
17475 Jovanna DrHomewoodIL60430Insurance$162,775
NHRMA Mutual
PO Box 17062UrbanaIL618037062Insurance$121,028
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$102,866GovernmentGrantsAmt
Total Contributions$102,866TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNursing HomeDesc
Business623000BusinessCd
Total Revenue Column$6,835,760TotalRevenueColumnAmt
Related Or Exempt Func Income$6,835,760RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,835,760TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,782TotalRevenueColumnAmt
Related Or Exempt Func Income$57,782RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,996,408TotalRevenueColumnAmt
Related Or Exempt Func Income$6,893,542RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,258TotalAmt
Management And General$79,258ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,918,496TotalAmt
Program Services$3,684,482ProgramServicesAmt
Management And General$234,014ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$33,705TotalAmt
Program Services$31,064ProgramServicesAmt
Management And General$2,641ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$585,464TotalAmt
Program Services$539,586ProgramServicesAmt
Management And General$45,878ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$292,224TotalAmt
Program Services$270,548ProgramServicesAmt
Management And General$21,676ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,472TotalAmt
Management And General$3,472ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,895TotalAmt
Management And General$25,895ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$174,948TotalAmt
Program Services$169,122ProgramServicesAmt
Management And General$5,826ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,164TotalAmt
Program Services$4,153ProgramServicesAmt
Management And General$21,011ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$116,087TotalAmt
Program Services$116,087ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$140,769TotalAmt
Program Services$131,729ProgramServicesAmt
Management And General$9,040ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,014TotalAmt
Program Services$5,234ProgramServicesAmt
Management And General$2,780ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,483TotalAmt
Program Services$4,483ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,461TotalAmt
Management And General$14,461ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$286,954TotalAmt
Program Services$286,954ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$67,000TotalAmt
Program Services$57,625ProgramServicesAmt
Management And General$9,375ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$501,265$482,770$18,495
Ancillary Services$996,377$996,377
Assessment Fees$210,129$210,129
Bad Debt$80,104$80,104

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$109,154TotalAmt
Program Services$91,865ProgramServicesAmt
Management And General$17,289ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,673,423TotalAmt
Program Services$7,162,312ProgramServicesAmt
Management And General$511,111ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$179,885BOYAmt
EOY$168,920EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$302,621BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$785,829BOYAmt
EOY$885,409EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$47,285BOYAmt
EOY$41,269EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$142,033BOYAmt
EOY$104,744EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,429,583LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,330,083LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,289,149BOYAmt
EOY$3,099,500EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$934,576BOYAmt
EOY$966,863EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$804,592BOYAmt
EOY$947,555EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,485,970BOYAmt
EOY$6,214,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$919,558BOYAmt
EOY$879,081EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$344,464BOYAmt
EOY$572,923EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$143,457BOYAmt
EOY$94,949EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,407,479BOYAmt
EOY$1,546,953EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,546,705BOYAmt
EOY$3,375,156EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$329,070BOYAmt
EOY$34,421EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,202,716BOYAmt
EOY$1,257,730EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,078,491BOYAmt
EOY$4,667,307EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,485,970BOYAmt
EOY$6,214,260EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$677,015ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$265,831NetUnrlzdGainsLossesInvstAmt
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$1,664,383BeginningYearBalanceAmt
Contributions$33,954ContributionsAmt
Investment Earnings Or Losses$291,764InvestmentEarningsOrLossesAmt
Other Expenditures$543,130OtherExpendituresAmt
Administrative Expenses$12,198AdministrativeExpensesAmt
End Year Balance$1,434,773EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 EOY0.09940BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.02400PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.87660TermEndowmentBalanceEOYPct
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$5,981,823OtherCostOrOtherBasisAmt
Depreciation$4,039,059DepreciationAmt
Book Value$1,942,764BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,926,716OtherCostOrOtherBasisAmt
Depreciation$1,291,024DepreciationAmt
Book Value$635,692BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,099,500TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Interest and Dividends Receivable$6,639
Investment Income Receivable$4,816
Settlement - Medicare$31,173
Beneficial Interest - Perp Trust$904,927
FieldValueIRS element (for citing)
Total Book Value Other Assets$947,555TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Accrued Interest$1,492
Assessment Tax - HFS$81,150
Settlement - Medicaid$12,307
Settlement - Medicare
FieldValueIRS element (for citing)
Total Liability$94,949TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,262,239TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$265,831NetUnrealizedGainsInvstAmt
Revenue Not Reported$265,831RevenueNotReportedAmt
Revenue Subtotal$6,996,408RevenueSubtotalAmt
Total Revenue Per Form990$6,996,408TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,673,423TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$7,673,423ExpensesSubtotalAmt
Total Expenses Per Form990$7,673,423TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFootnote for uncertain tax position under FIN 48 (Part X)FormAndLineReferenceDesc
ExplanationGenerally 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 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.

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