Mendota Lutheran Home Bk 20-02769: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- Mendota Lutheran Home Bk 20-02769 (EIN 36-2212706)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-14
- IRS object ID
- 201232279349301323
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T15:18:22-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 EAST FIRST STREET SUITE 200 | AddressLine1 |
| City | DIXON | City |
| State | IL | State |
| ZIP Code | 61021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362212706 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENDOTA LUTHERAN HOME | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEND | NameControl |
| Phone | 8155397439 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SIXTH STREET | AddressLine1 |
| City | MENDOTA | City |
| State | IL | State |
| ZIP Code | 613421796 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JON RAGSDALE | Name |
| Title | ADMINISTRATOR | Title |
| Phone | 8155397439 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFERY L JOHNSON CPA | Name |
| PTIN | P01251758 | PTIN |
| Phone | 8152843331 | Phone |
| Date Prepared | 2012-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JON RAGSDALE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SIXTH STREET | AddressLine1 |
| City | MENDOTA | City |
| State | IL | State |
| ZIP Code | 613421796 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7422463 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | TO ESTABLISH, MAINTAIN AND OPERATE A NURSING HOME AND HOME FOR THE AGED. MENDOTA LUTHERAN HOME IS AFFILIATED WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA, A NONPROFIT ORGANIZATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 77806 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 126838 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6780955 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7109174 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 34230 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15081 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6892991 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7251093 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4382552 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4784597 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2731011 | OtherExpensePriorYear |
| Other Expenses Current Year | 2888825 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7113563 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7673422 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -220572 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -422329 | RevenuesLessExpensesCY |
| Total Assets BOY | 5246952 | TotalAssetsBOY |
| Total Assets EOY | 5270548 | TotalAssetsEOY |
| Total Liabilities BOY | 691028 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1077224 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4555924 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4193324 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MENDOTA LUTHERAN HOME CORPORATION WAS AND IS ESTABLISHED TO CARRY OUT A CHRISTIAN MINISTRY OF PROVIDING CARE FOR AGING MEN AND WOMEN. THE NON-PROFIT CORPORATION WAS ESTABLISHED AND IS MAINTAINED ON THE BIBLICAL PREMISE THAT EVERY INDIVIDUAL REGARDLESS OF AGE IS ALSO A CREATED AND REDEEMED PERSON OF GOD. IN KEEPING WITH THE PREMISE, EACH PERSON SERVED SHALL RECEIVE THE HIGHEST POSSIBLE REGARD, RESPECT, COMPASSION, LOVE, AND SHALL BE CARED FOR AS JESUS CHRIST HIMSELF HAS MODELED AND COMMANDED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | MENDOTA LUTHERAN HOME IS A LICENSED NURSING FACILITY FOR ELDERLY RESIDENTS. IT PROVIDES INTERMEDIATE AND SHELTERED CARE FOR RESIDENTS OF WHICH SOME CANNOT AFFORD TO PAY DIRECTLY FOR THEIR CARE AND RECEIVE ASSISTANCE THROUGH DONATIONS, INVESTMENT INCOME, AND PUBLIC ASSISTANCE. AREA CHURCHES, ORGANIZATIONS, AND INDIVIDUALS DONATE TIME AND FINANCES FOR THE AID AND COMFORT OF THE HOME'S RESIDENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7088435 | Expense |
| Revenue | 7124255 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 7088435 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JON RAGSDALE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8155397439 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 SIXTH STREET | AddressLine1 |
| City | MENDOTA | City |
| State | IL | State |
| ZIP Code | 613421796 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| REV KEVIN WEEKS | ||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| MR KEN KURTH | ||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| MR STANLEY HOELZER | ||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| MRS BERNICE MENNE | ||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| MS GLORIA COGDAL | ||||||
| TRUSTEE | 0.00 | X | 0 | 0 | 0 | |
| MRS GINNY BECKER | ||||||
| PRESIDENT | 0.00 | 0 | 0 | 0 | X | |
| REV DALE PETERSON | ||||||
| VICE PRESIDENT | 0.00 | 0 | 0 | 0 | X | |
| MR JAMES HAMACHER | ||||||
| TREASURER | 0.00 | 0 | 0 | 0 | X | |
| MRS DARLENE ROSE | ||||||
| SECRETARY | 0.00 | 0 | 0 | 0 | X | |
| MR JON RAGSDALE | ||||||
| ADMINISTRATOR | 40.00 | 73280 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 73280 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AEGIS THERAPIES | |||||
| PO BOX 8103 | FORT SMITH | IL | 72906 | THERAPIES | 627834 |
| US FOODSERVICE | |||||
| 1829 SOLUTIONS CENTER | CHICAGO | IL | 606671008 | FOOD SERVICE | 282374 |
| MEDLINE INDUSTRIES | |||||
| DEPT CH 14400 | PATATINE | IL | 600554400 | MEDICAL SUPPLIES | 199708 |
| MID AMERICAN ENERGY | |||||
| PO BOX 8020 | DAVENPORT | IA | 528088020 | UTILITY | 103913 |
| BENEFIT ADMINISTRATIVE SERVICES | |||||
| 17475 JOVANNA DRIVE | HOMEWOOD | IL | 60430 | CONSULTING | 103748 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 126838 | AllOtherContributions |
| Total Contributions | 126838 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NURSING HOME REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 7109174 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7109174 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7109174 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32173 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32173 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 154278 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 171370 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -17092 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -17092 | TotalRevenueColumn |
| Related Or Exempt Function Income | -17092 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7251093 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7124255 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4112133 | Total |
| Program Services | 3808171 | ProgramServices |
| Management And General | 303962 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 369600 | Total |
| Program Services | 369600 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302864 | Total |
| Program Services | 281840 | ProgramServices |
| Management And General | 21024 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86988 | Total |
| Program Services | 54189 | ProgramServices |
| Management And General | 32799 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21423 | Total |
| Management And General | 21423 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19300 | Total |
| Program Services | 19300 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25163 | Total |
| Program Services | 2300 | ProgramServices |
| Management And General | 22863 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15898 | Total |
| Management And General | 15898 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40100 | Total |
| Program Services | 40100 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313580 | Total |
| Program Services | 305432 | ProgramServices |
| Management And General | 8148 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3602 | Total |
| Management And General | 3602 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13500 | Total |
| Program Services | 10352 | ProgramServices |
| Management And General | 3148 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2458 | Total |
| Management And General | 2458 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223407 | Total |
| Program Services | 223407 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171735 | Total |
| Program Services | 171735 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| ANCILLARY EXPENSES | 1107255 | 1107255 | |
| FOOD COSTS | 276928 | 276928 | |
| NURSING PROFESSIONAL FE | 238111 | 238111 | |
| SUPPLIES | 156935 | 117847 | 39088 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172442 | Total |
| Program Services | 61868 | ProgramServices |
| Management And General | 110574 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7673422 | Total |
| Program Services | 7088435 | ProgramServices |
| Management And General | 584987 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483 | BOY |
| EOY | 611 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508644 | BOY |
| EOY | 50943 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584290 | BOY |
| EOY | 946820 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45188 | BOY |
| EOY | 45803 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44094 | BOY |
| EOY | 53746 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8574218 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5526344 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2979795 | BOY |
| EOY | 3047874 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1075788 | BOY |
| EOY | 1116429 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8670 | BOY |
| EOY | 8322 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5246952 | BOY |
| EOY | 5270548 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 555079 | BOY |
| EOY | 692055 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135949 | BOY |
| EOY | 385169 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 691028 | BOY |
| EOY | 1077224 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4015944 | BOY |
| EOY | 3644496 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127381 | BOY |
| EOY | 126645 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 412599 | BOY |
| EOY | 422183 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4555924 | BOY |
| EOY | 4193324 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5246952 | BOY |
| EOY | 5270548 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -422329 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 59729 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Church170b1 Ai | X | Church170b1Ai |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 521044 | OtherCostOrOtherBasis |
| Book Value | 521044 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6030203 | OtherCostOrOtherBasis |
| Depreciation | 3989142 | Depreciation |
| Book Value | 2041061 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2012410 | OtherCostOrOtherBasis |
| Depreciation | 1532870 | Depreciation |
| Book Value | 479540 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10561 | OtherCostOrOtherBasis |
| Depreciation | 4332 | Depreciation |
| Book Value | 6229 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3047874 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CURRENT PORTION OF LONG-TERM LIABILITIES | $123,020 |
| LONG-TERM LIABILITIES | $260,228 |
| DEFERRED REVENUE | $1,511 |
| OTHER LIABILITIES | $410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 385169 | TotalOfAmounts |
| Total Revenue | 7251093 | TotalRevenue |
| Total Expenses | 7673422 | TotalExpenses |
| Excess Or Deficit For Year | -422329 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 59729 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 59729 | TotalAdjustments |
| Excess Or Deficit Per FS | -362600 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 7310822 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 59729 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 59729 | RevenueNotRptdF990 |
| Revenue Subtotal | 7251093 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 7251093 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 0 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 0 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 0 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | GAAP 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 THAN NOT OF BEING REALIZED UPON SETTLEMENT. THE 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, 2011 AND 2010. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WILL BE REVIEWED BY THE ADMINISTRATOR AND BOARD PRESIDENT BEFORE SUBMISSION TO THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS EVALUATES AND DETERMINES COMPENSATION AT THE END OF CONTRACT. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOME MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 59,729. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII FINANCIAL STATEMENTS AND REPORTING LINE 2C | WITHIN THE BOARD OF DIRECTORS THERE IS A FINANCE COMMITTEE WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS IS UNCHANGED FROM LAST YEAR. | AUDIT OVERSIGHT DESCRIPTION |
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