2013-04-21T16:20:06-05:00 2012-12-31 Jeremy Brune CPA 2508 Riverwalk Drive Plainfield IL 60586 990 2012-01-01 362212706 Mendota Lutheran Home MEND 500 Sixth Street Mendota IL 613421796 Jon Ragsdale 8155397439 2013-04-30 false Jeremy M Brune CPA P01425038 7798753979 2013-04-21 2012 2016-02-25 16:41:14Z 7843949 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 North America, a non-profit organization. 9 9 235 24 0 0 126838 799506 7109174 7011660 15081 32783 0 7251093 7843949 0 0 4784597 4851960 0 0 2888825 2951889 7673422 7803849 -422329 40100 5270548 5767620 1077224 1340183 4193324 4427437 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 North America, a non-profit organization. false false 7248771 7011660 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 2012, Mendota Lutheran Home provided these services to approximately 86 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. 7248771 true true false false false false false false true true false false false 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 19 0 true 235 true 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 Jon Ragsdale 8155397439 500 Sixth Street Mendota IL 613421796 Ginny Becker 0.00 X X 0 0 0 Gloria Cogdal 0.00 X X 0 0 0 Greta Bates 0.00 X 0 0 0 Jeff Simonton 0.00 X 0 0 0 JoAnne Miller 0.00 X 0 0 0 John Nielsen 0.00 X 0 0 0 Ken Kurth 0.00 X 0 0 0 Rev Dale Peterson 0.00 X X 0 0 0 Rev Kevin Weeks 0.00 X 0 0 0 Rev Michael Morrell 0.00 X 0 0 0 Jon Ragsdale 40.00 X 76595 0 0 76595 0 0 0 false false false Aegis Therapies PO Box 8103 Fort Smith AR 72902 Therapy 855072 US FoodService 1829 Solution Center Chicago IL 606771088 Food Service 350436 Medline Industries Dept CH 14400 Palatine IL 600554400 Medical Supplies 216022 Ben Admin Services 17475 Jovanna Dr Homewood IL 60430 Consulting 172922 NHRMA Mutual PO Box 17062 Urbana IL 618037062 Insurance 124978 6 799506 799506 Nursing Home 623000 7011660 7011660 7011660 32783 32783 7843949 7044443 0 0 77896 77896 3891792 3654885 236907 31370 28882 2488 560031 515620 44411 290871 268649 22222 227170 153898 73272 32093 4056 28037 51302 51302 151645 138940 12705 8314 5345 2969 1615 1615 16075 16075 259731 259731 67612 57800 9812 Supplies 506116 489584 16532 Ancillary Services 1115796 1115796 Assessment Fees 340913 340913 Bad Debt 101298 101298 72209 60457 11752 7803849 7248771 555078 0 X 611 50943 179885 287485 946820 882557 45803 47285 53746 142033 9075224 5786075 3047874 3289149 1116429 934576 8322 4650 5270548 5767620 692055 855869 385169 344464 139850 1077224 1340183 X 3771141 3711737 293152 422183 422548 4193324 4427437 5270548 5767620 40100 194013 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 548828 293982 14305 8818 848297 535634 7754 9593 4153 548828 0.15000 0.50000 0.35000 false false 521044 521044 6205530 4124243 2081287 2348650 1661832 686818 3289149 Interest and Dividends Receiva 4650 4650 Accrued Interest 1014 Assessment Tax - HFS 114019 Settlement - Medicaid 12307 Settlement - Medicare 12510 139850 X 8037965 194013 3 194016 7843949 7843949 7803849 7803849 7803849 D9 Other revenues non included on Form 990 Part XI line 2d The Other Revenue represents a rounding adjustment of $3 that reconciles the Audited Financial Statements to the Form 990. D13 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, 2012. O01 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. O02 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. O03 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. O04 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.