GRACEWORKS LUTHERAN SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GRACEWORKS LUTHERAN SERVICES (EIN 31-0540159)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201312279349300811
Schema version
2012v2.1
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)
Timestamp2013-08-15T08:44:45-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN310210560EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BATTELLE & BATTELLE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12000 WEST DOROTHY LANEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45439ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310540159EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRACEWORKS LUTHERAN SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGRACNameControl
Phone9374366885Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16430 INNER MISSION WAYAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45459ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL W ALLENName
TitleV-P FINANCE & FACILITIESTitle
Phone9374366885Phone
Date Signed2013-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
PTINP00368385PTIN
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIS O SERR IINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16430 INNER MISSION WAYAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45459ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59840689GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GRACEWORKS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1926YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO HELP PEOPLE EXPERIENCE DIGNITY & WHOLENESS IN RELATIONSHIP WITH GOD, FAMILY & COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees920TotalNbrEmployees
Total Nbr Volunteers530TotalNbrVolunteers
Total Gross UBI4896TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1110465ContributionsGrantsPriorYear
Contributions Grants Current Year934309ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42226968ProgramServiceRevenuePriorYear
Program Service Revenue CY41692667ProgramServiceRevenueCY
Investment Income Prior Year9026982InvestmentIncomePriorYear
Investment Income Current Year684744InvestmentIncomeCurrentYear
Other Revenue Prior Year105036OtherRevenuePriorYear
Other Revenue Current Year1725469OtherRevenueCurrentYear
Total Revenue Prior Year52469451TotalRevenuePriorYear
Total Revenue Current Year45037189TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25061467SalariesEtcPriorYear
Salaries Etc Current Year25368810SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year353158TotalFundrsngExpCurrentYear
Other Expense Prior Year19300531OtherExpensePriorYear
Other Expenses Current Year18887713OtherExpensesCurrentYear
Total Expenses Prior Year44361998TotalExpensesPriorYear
Total Expenses Current Year44256523TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8107453RevenuesLessExpensesPriorYear
Revenues Less Expenses CY780666RevenuesLessExpensesCY
Total Assets BOY118885953TotalAssetsBOY
Total Assets EOY123116266TotalAssetsEOY
Total Liabilities BOY73762638TotalLiabilitiesBOY
Total Liabilities EOY75368424TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45123315NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY47747842NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIN RESPONSE TO JESUS CHRIST, GRACEWORKS LUTHERAN SERVICES HELPS PEOPLE EXPERIENCE DIGNITY AND WHOLENESS IN RELATIONSHIP WITH GOD, FAMILY AND COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense36787308Expense
Revenue41224276Revenue
DescriptionBETHANY VILLAGE: BETHANY VILLAGE PROVIDED HEALTH AND RESIDENTIAL SERVICES TO 764 OLDER ADULTS WHO LIVE AT BETHANY VILLAGE (BETHANY), A STATE-OF-THE-ART CONTINUING CARE RETIREMENT COMMUNITY THAT INCLUDES A CHRONIC AND SUBACUTE HEALTHCARE FACILITY (LINDEN HOUSE), AN ASSISTED LIVING FACILITY (PAVILION) AND INDEPENDENT LIVING RESIDENCES (VISTA PLACE, HOMESTEAD, PARK RIDGE PLACE, COTTAGES AND VILLAS). BETHANY PROVIDED SHORT-TERM, GOAL-ORIENTED THERAPY AND NURSING CARE TO 735 PEOPLE AT THE BETHANY REHABILITATION CENTER. SIXTY-ONE PERCENT OF THE PEOPLE SERVED RETURNED TO THEIR PREVIOUS HOMES AFTER RECOVERY. BETHANY PROVIDED $3.2 MILLION IN UNCOMPENSATED CHARITABLE CARE DURING THE PERIOD. ALL RESIDENTS, REGARDLESS OF ABILITY TO PAY, RECEIVE PRIVATE ROOMS AND HOLISTIC CARE THAT PROVIDES FOR THEIR PHYSICAL, SOCIAL, PSYCHOLOGICAL, EMOTIONAL AND SPIRITUAL NEEDS. VOLUNTEER SERVICES PROVIDED OPPORTUNITIES FOR 314 VOLUNTEERS TO FAITHFULLY CARE FOR THE NEEDS OF THOSE WHOM WE SERVE THROUGH 38,294 HOURS OF SERVICES AT BETHANY VILLAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1055628Expense
Revenue468391Revenue
DescriptionCOMMUNITY CARE: CONSUMER CREDIT COUNSELING SERVICE (CCCS) HELPED NEARLY 1,700 PEOPLE EXPERIENCE ONE-ON-ONE FINANCIAL COUNSELING AND HELPED 877 PEOPLE MANAGE THEIR DEBTS THROUGH THE CCCS DEBT MANAGEMENT PROGRAM. CCCS ENABLED 28 FAMILIES TO BECOME HOMEOWNERS AND HELPED 208 FAMILIES TO AVOID FORECLOSURE. 430 INDIVIDUALS RECEIVED BANKRUPTCY PRE-FILING COUNSELING AND 208 INDIVIDUALS RECEIVED BANKRUPTCY PRE-DISCHARGE FINANCIAL EDUCATION. APPROXIMATELY 950 INDIVIDUALS PARTICIPATED IN FINANCIAL CLASSES AND WORKSHOPS TO LEARN HOW TO MANAGE THEIR FINANCES. ANOTHER 5,700 INDIVIDUALS LEARNED ABOUT AVAILABLE SERVICES THROUGH OUTREACH PRESENTATIONS. AN ADDITIONAL 1,600 INDIVIDUALS BENEFITED FROM RESPONSES BY CCCS TO FINANCIALLY RELATED INQUIRIES. FRIENDS AT HOME EMPOWERED 39 VOLUNTEERS TO PROVIDE 1,164 HOURS OF COMPANIONSHIP SERVICES THAT SUPPORTED 164 INDEPENDENT OLDER ADULTS IN THEIR DESIRE TO LIVE IN THEIR HOMES LONGER. THE PROGRAM CONCLUDED ON DECEMBER 31, 2012 WHEN THE THREE-YEAR-GRANT AGREEMENT WITH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA FOUNDATION ENDED. THE PREBLE COUNTY EMERGENCY ASSISTANCE PROGRAM PROVIDED FOOD, CLOTHING AND FINANCIAL ASSISTANCE FOR SHELTER, UTILITIES AND MEDICATIONS TO 6,404 INDIVIDUALS. THOUSANDS MORE RECEIVED AFFORDABLE CLOTHING AND HOUSEHOLD ITEMS AT THE ONCE AROUND THRIFT SHOP IN EATON. SENIOR COMPANION PROGRAM PROVIDED FULFILLING OPPORTUNITIES FOR 39 INCOME-ELIGIBLE OLDER ADULTS TO PROVIDE 39,928 HOURS OF FAITHFUL SERVICE THROUGH FRIENDLY VISITS AND RESPITE CARE TO 164 OLDER PERSONS WHO WERE ABLE TO MAINTAIN INDEPENDENCE IN THEIR OWN HOMES. VOLUNTEER SERVICES PROVIDED OPPORTUNITIES FOR 122 VOLUNTEERS TO FAITHFULLY CARE FOR THE NEEDS OF THOSE WHOM WE SERVE THROUGH 47,150 HOURS OF VARIOUS SUBSIDIZED CHARITABLE SERVICES. COMMUNITY CARE PROVIDED $484,934 IN UNCOMPENSATED CHARITABLE SERVICES DURING THE PERIOD TO PEOPLE WHO NEEDED COUNSELING AND TO PEOPLE WITH LIMITED RESOURCES.Description
FieldValueIRS element (for citing)
Total Program Service Expense37842936TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096119NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees920NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL W ALLEN V-P FINANCE & FACBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9374366885TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16430 INNER MISSION WAYAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45459ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RONALD A LONG
BOARD - CHAIR6.001.00XX000
DR GEORGE R BROWN
BOARD - VICE CHAIR UNTIL 4/24/125.001.00XX000
JUDY A KALTHOFF
BOARD - VICE CHAIR AT 8/14/125.001.00XX000
MARILYN K SHANNON
BOARD - SECRETARY5.001.00XX000
REV LISA A ARRINGTON
DIRECTOR3.00X000
SALLY D BEALS
DIRECTOR5.001.00X000
FLOYD EVANS JR
DIRECTOR3.00X000
DONALD E KALB
DIRECTOR3.00X000
DR M KATHERINE LOUDERMILK
DIRECTOR3.00X000
J GREGORY MAYEUX
DIRECTOR3.00X000
JOYCE RUTHERFORD-DONNER
DIRECTOR3.00X000
DR CRAIG A SCHMITT
DIRECTOR3.00X000
RONALD C SCHNEIDER
DIRECTOR UNTIL 1/9/123.00X000
VIOLET G SHARPE
DIRECTOR5.001.00X000
BRENT A STROBEL
DIRECTOR3.00X000
JEFFREY R TEETERS
DIRECTOR3.00X000
DEBBIE WATTS ROBINSON
DIRECTOR3.00X000
RONALD D WINE
DIRECTOR5.001.00X000
WILLIS O SERR II
PRESIDENT & CEO26.0014.00X381339023380
MICHAEL W ALLEN
V-P FINANCE & FACILITIES26.0014.00X211556016856
REV JAMES V BOSSE
V-P COMMUNITY & ORG CARE30.0010.00X139771054171
JUDY A BUDI
V-P RESIDENTIAL CARE20.0020.00X168681022204
DAVID V VANDERCHER
V-P HUMAN RESOURCES35.005.00X146011015849
JOHN M BRINKMAN
ADMINISTRATOR40.00131130020860X
MATTHEW J CASSIDY
MANAGER, THERAPY SERVICES40.00108856019601X
DWIGHT D MORGAN
DIRECTOR, TIS30.0010.0013178909347X
CHRISTINE L SOERGEL
DIRECTOR, NURSING SERVICES40.0010247505897X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1521608TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation188165TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OBERER THOMPSON COMPANY
4197 RESEARCH BLVDBEAVERCREEKOH45430CONSTRUCTION SERVICES2161740
COPELAND ROOFING SIDING & WINDOWS
4080 DAYTON-XENIA ROADDAYTONOH45432CONSTRUCTION SERVICES1223907
AOD
11575 HERON BY BLVD SUITE 200CORAL SPRINGSFL33076COMPUTER SOFTWARE SERVICES231368
SHUSTER ARTHUR INC
PO BOX 131115ST PAULMN55113INTERIOR DESIGN SERVICES202652
GLYNN DEVINS INC
11230 COLLEGE BLVDOVERLAND PARKKS66210ADVERTISING & MARKETING SERVICES202540
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Federated Campaigns96439FederatedCampaigns
Fundraising Events7490FundraisingEvents
Government Grants231807GovernmentGrants
All Other Contributions598573AllOtherContributions
Noncash Contributions16798NoncashContributions
Total Contributions934309TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BETHANY VILLAGE RESIDE6230002743382927433829
MEDICARE/MEDICAID REVENUE6239901219807312198073
RELATED ENTITY MGMT SERVICES54161015923741592374
COMMUNITY CARE SERVICE FEES623000468391468391
FieldValueIRS element (for citing)
Total Program Service Revenue41692667TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column601744TotalRevenueColumn
Exclusion$601,744ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real88932Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real88932Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column88932TotalRevenueColumn
Exclusion$88,932ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14841758Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities14689789Securities
Other68969Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities151969Securities
Other-68969Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column83000TotalRevenueColumn
Exclusion$83,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events32653GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7490CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21635FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column11018TotalRevenueColumn
Exclusion$11,018ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory27723GrossSalesOfInventory
Cost Of Goods Sold23107CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4616TotalRevenueColumn
Exclusion$4,616ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
INSURANCE PROCEEDS FROM HAIL STOR9000991614087$1,614,087
BOOKKEEPING FEES54120048964896
OTHER9000991920$1,920
FieldValueIRS element (for citing)
Total Other Revenue1620903TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45037189TotalRevenueColumn
Related Or Exempt Function Income41692667RelatedOrExemptFunctionIncome
Unrelated Business Revenue4896UnrelatedBusinessRevenue
Exclusion$2,405,317ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1179818Total
Management And General1160424ManagementAndGeneral
Fundraising19394Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19198096Total
Program Services16675828ProgramServices
Management And General2407191ManagementAndGeneral
Fundraising115077Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total532423Total
Program Services437025ProgramServices
Management And General91421ManagementAndGeneral
Fundraising3977Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2510455Total
Program Services2159491ProgramServices
Management And General342107ManagementAndGeneral
Fundraising8857Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1948018Total
Program Services1709563ProgramServices
Management And General230719ManagementAndGeneral
Fundraising7736Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total142566Total
Program Services102087ProgramServices
Management And General40479ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69300Total
Management And General69300ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total259964Total
Management And General259964ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total293221Total
Program Services258257ProgramServices
Management And General33445ManagementAndGeneral
Fundraising1519Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total280741Total
Program Services147719ProgramServices
Management And General108612ManagementAndGeneral
Fundraising24410Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3852114Total
Program Services3824569ProgramServices
Management And General27545ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total82053Total
Program Services67618ProgramServices
Management And General13843ManagementAndGeneral
Fundraising592Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36627Total
Program Services5494ProgramServices
Management And General30828ManagementAndGeneral
Fundraising305Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1808754Total
Program Services1808754ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5342658Total
Program Services5120738ProgramServices
Management And General221920ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total341687Total
Program Services306729ProgramServices
Management And General34958ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICATIONS & LABS13188631318863
FOOD119827111893548156761
SUPPLIES95126091307337662525
PURCHASED PROF. SRVC841690496016345674

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2067944Total
Program Services1301758ProgramServices
Management And General596181ManagementAndGeneral
Fundraising170005Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44256523Total
Program Services37842936ProgramServices
Management And General6060429ManagementAndGeneral
Fundraising353158Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4582094BOY
EOY4682964EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12129396BOY
EOY13810911EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY850000BOY
EOY700000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY180403BOY
EOY184445EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY994367BOY
EOY993874EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis122380894LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec51871433LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY69133931BOY
EOY70509461EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30334622BOY
EOY31895189EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY98217BOY
EOY83183EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY582923BOY
EOY256239EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118885953BOY
EOY123116266EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5981116BOY
EOY6121417EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22105157BOY
EOY24260656EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45295000BOY
EOY44610000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY18365BOY
EOY13351EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY363000BOY
EOY363000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73762638BOY
EOY75368424EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY42936675BOY
EOY45442870EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2024861BOY
EOY2143193EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY161779BOY
EOY161779EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45123315BOY
EOY47747842EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118885953BOY
EOY123116266EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses780666ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1843861ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1582435CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1256800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1262983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1110465CurrentTaxYearMinus1Year
Current Tax Year934309CurrentTaxYear
Total6146992Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37704711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40116266CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41007804CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42284928CurrentTaxYearMinus1Year
Current Tax Year41692667CurrentTaxYear
Total202806376Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39287146CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41373066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42270787CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43395393CurrentTaxYearMinus1Year
Current Tax Year42626976CurrentTaxYear
Total208953368Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45420CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53926CurrentTaxYearMinus1Year
Current Tax Year40600CurrentTaxYear
Total249867Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45420CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53926CurrentTaxYearMinus1Year
Current Tax Year40600CurrentTaxYear
Total249867Total
FieldValueIRS element (for citing)
Public Support Total509208703501PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years781258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years524884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years434478CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year583151CurrentTaxYearMinus1Year
Current Tax Year690676CurrentTaxYear
Total3014447Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32909CurrentTaxYearMinus4Years
Total32909Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years814167CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years524884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years434478CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year583151CurrentTaxYearMinus1Year
Current Tax Year690676CurrentTaxYear
Total3047356Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year1616007CurrentTaxYear
Total1616007Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40101313CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41897950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42705265CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43978544CurrentTaxYearMinus1Year
Current Tax Year44933659CurrentTaxYear
Total213616731Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97700PublicSupportPercentage509
Prior Year Support Percentage0.98410PriorYearSupportPercentage
Investment Income Percentage0.01430InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01480PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$0DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,088OtherActivitiesAmount
Total Lobbying Expenditures IIB2088TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION OCCASIONALLY CONTACTS LEGISLATORS ENCOURAGING THEM TO SUPPORT POSITIONS CONSISTENT WITH ITS MISSION AND SERVICE ACTIVITIES. ISSUES CAN INCLUDE MEDICARE AND MEDICAID FUNDING, VARIOUS GOVERNMENT PROGRAM CHANGES, LONG-TERM CARE INSURANCE, ETC. EXPENDITURES FOR LOBBYING ARE VERY SMALL AND IMMATERIAL. THE ORGANIZATION ALSO PAYS DUES TO LEADINGAGE OHIO (FKA AOPHA), THE ADVOCATE OF NOT-FOR-PROFIT SERVICES FOR OLDER OHIOANS. THE PORTION OF THESE DUES ALLOCABLE TO LOBBYING EFFORTS IN 2012 IS $2,088.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance428955BeginningOfYearBalance
Investment Earnings Or Losses33286InvestmentEarningsOrLosses
Other Expenditures9793OtherExpenditures
End Of Year Balance452448EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance410953BeginningOfYearBalance
Investment Earnings Or Losses20463InvestmentEarningsOrLosses
Other Expenditures2461OtherExpenditures
End Of Year Balance428955EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance364799BeginningOfYearBalance
Investment Earnings Or Losses61086InvestmentEarningsOrLosses
Other Expenditures2932OtherExpenditures
Administrative Expenses12000AdministrativeExpenses
End Of Year Balance410953EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance345731BeginningOfYearBalance
Investment Earnings Or Losses39705InvestmentEarningsOrLosses
Other Expenditures4637OtherExpenditures
Administrative Expenses16000AdministrativeExpenses
End Of Year Balance364799EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance403350BeginningOfYearBalance
Investment Earnings Or Losses-53679InvestmentEarningsOrLosses
Other Expenditures3940OtherExpenditures
End Of Year Balance345731EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.35760PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.64240TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis898351OtherCostOrOtherBasis
Book Value898351BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis102555146OtherCostOrOtherBasis
Depreciation39878391Depreciation
Book Value62676755BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3670943OtherCostOrOtherBasis
Depreciation2763762Depreciation
Book Value907181BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15256454OtherCostOrOtherBasis
Depreciation9229280Depreciation
Book Value6027174BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings70509461TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOBLIGATION TO PROVIDE FUTURE SERVICESDescription
Amount$363,000Amount
FieldValueIRS element (for citing)
Total Of Amounts363000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:AS PART OF THE CONSUMER CREDIT COUNSELING SERVICE, THE ORGANIZATION OFFERS A DEBT MANAGEMENT PLAN. PARTICIPANTS IN THIS PLAN MAKE DEPOSITS INTO AN ESCROW ACCOUNT AND THESE FUNDS ARE USED TO MAKE MONTHLY PAYMENTS TO CREDITORS TO PAY DOWN THE CONSUMER'S OUTSTANDING DEBT WITHIN 60 MONTHS. THE ORGANIZATION HOLDS A SMALL AMOUNT OF PERSONAL FUNDS FOR A FEW RESIDENTS. THE MONEY IS USED TO PAY VARIOUS BILLS ON BEHALF OF THESE RESIDENTS.
PART V, LINE 4:PERMANENTLY RESTRICTED FUNDS: DISTRIBUTIONS FROM THE EMMA IVY FUND SUBSIDIZE MAINTENANCE OF PERMANENT ADOPTION RECORDS INCLUDING STAFFING TO RESPOND TO INQUIRIES AND FACILITATE CORRESPONDENCE AMONG BIRTH PARENTS, ADOPTIVE PARENTS, AND ADOPTED CHILDREN. THE SLOAN ENDOWMENT FUND IS INTENDED TO ESTABLISH AN EDUCATIONAL TRUST TO PROVIDE EDUCATIONAL SCHOLARSHIPS AND EDUCATION TO NURSING ASSISTANTS, REGISTERED NURSES AND LICENSED PROFESSIONAL NURSES FOR STUDIES IN BASIC SCIENCES.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X, LINE 2:INCOME TAX FOOTNOTE FROM THE DECEMBER 31, 2012 AUDITED FINANCIAL STATEMENTS: THE ORGANIZATION AND SUBSTANTIALLY ALL OF ITS AFFILIATES ARE TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX IS REQUIRED. LYR DEVELOPMENT, INC. IS A FOR-PROFIT OHIO CORPORATION THAT IS 100% OWNED BY BETHANY COMMONS AT YANKEE TRACE. LYR DEVELOPMENT, INC. HAD NO TAXABLE INCOME FOR 2012 OR 2011. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event140143GrossReceiptsEvent1
Charitable Contributions Event17490CharitableContributionsEvent1
Gross Revenue Event132653GrossRevenueEvent1
Non Cash Prizes Event16032NonCashPrizesEvent1
Other Direct Expenses Event115603OtherDirectExpensesEvent1
Gross Receipts Total40143GrossReceiptsTotal
Charitable Contributions Total7490CharitableContributionsTotal
Gross Revenue Total Events32653GrossRevenueTotalEvents
Non Cash Prizes Total Events6032NonCashPrizesTotalEvents
Other Direct Expenses Total Events15603OtherDirectExpensesTotalEvents
Direct Expense Summary Events21635DirectExpenseSummaryEvents
Net Income Summary11018NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIS O SERR II
PRESIDENT & CEO37197900093600100000133800404719000
MICHAEL W ALLEN
V-P FINANCE & FACILITIES210527000102908567082890228412000
REV JAMES V BOSSE
V-P COMMUNITY & ORG CARE1382920001479070960470750193942000
JUDY A BUDI
V-P RESIDENTIAL CARE168160000521069730152310190885000
DAVID V VANDERCHER
V-P HUMAN RESOURCES144087000192406029098200161860000
JOHN M BRINKMAN
ADMINISTRATOR1311300000055100153500151990000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AA HOUSING ALLOWANCE IS PROVIDED TO REV. JAMES V. BOSSE.
PART I, LINE 4BWILLIS O. SERR II - NON QUALIFIED DEFERRED COMPENSATION PLAN, SECTION 457(B): $5,004

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF CENTERVILLE OHIO - SERIES 2007A HEALTH CARE REVENUE BONDS
A316001036152241AN52007-08-3130976474SEE SCHEDULE K, PART V000
CITY OF CENTERVILLE OHIO - SERIES 2007B HEALTH CARE REVENUE BONDS
B316001036152241AP02007-08-3123800000SEE SCHEDULE K, PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrowCredit EnhancementCreditEnhancement
A103000030976474237504552855220090011
B911000023800000283101200910117750000313906

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.010000.000000.01000000
B00000.010000.000000.01000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A001000000
B001010000

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE K, PART I, LINES A AND B, COLUMN (F):DESCRIPTION OF PURPOSETHE SERIES 2007 BONDS WERE ISSUED TO (I) FINANCE THE EXPANSION AND RENOVATION OF THE CONTINUING-CARE RETIREMENT COMMUNITY OWNED AND OPERATED BY GRACEWORKS LUTHERAN SERVICES (THE "CORPORATION") KNOWN AS "BETHANY VILLAGE," (II) REFUND CERTAIN OUTSTANDING BONDS PREVIOUSLY ISSUED ON BEHALF OF THE CORPORATION, (III) PAY CAPITALIZED INTEREST ON THE 2007 BONDS, (IV) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2007A BONDS, AND (V) PAY A PORTION OF THE COSTS OF ISSUANCE OF THE SERIES 2007 BONDS. PROCEEDS FROM THE 2007 SERIES A BONDS WERE USED EXCLUSIVELY ON PROJECT CONSTRUCTION. MORE SPECIFICALLY, THE USE OF PROCEEDS FROM SERIES B OF THE TOTAL SERIES 2007 ISSUE WERE GENERALLY ALLOCATED 2/3 FOR THE USES NOTED ABOVE, EXCLUSIVE OF THE REFERENCED REFUNDING OF CERTAIN OUTSTANDING BONDS PREVIOUSLY ISSUED ON BEHALF OF THE CORPORATION, AND 1/3 FOR THE REFERENCED REFUNDING ALONE.
FORM 990, SCHEDULE K, PART III, LINE 4, COLUMNS A AND B:STATEMENT REGARDING PRIVATE BUSINESS USEANY PRIVATE BUSINESS USE OF BOND FINANCED PROPERTY IS LESS THAN 1% OF TOTAL USE OF THE PROPERTY.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART IV, LINE 33:GW REAL PROPERTY, LLC WAS FORMED IN 2009. GRACEWORKS IS THE SOLE MEMBER OF THE COMPANY.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE ORGANIZATION ARE LUTHERAN CONGREGATIONS IN FORMAL COVENANT RELATIONSHIP WITH THE ORGANIZATION AS DESCRIBED IN ITS CODE OF REGULATIONS.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S MEMBERS SEND DELEGATES TO AN ANNUAL MEETING WHEREIN MEMBERS ARE ELECTED TO THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11ANNUALLY, THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S CEO, VP - FINANCE & FACILITIES, AND OTHER SENIOR STAFF FOR AN IN-DEPTH REVIEW OF THE RETURN PRIOR TO THE TIME OF FILING FORM 990 WITH THE IRS. THE FORM 990 IS ALSO PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY OF THE ORGANIZATION IN A QUARTERLY MEETING PRIOR TO THE TIME OF FILING FORM 990. EACH VOTING MEMBER IS GIVEN THE OPPORTUNITY TO REVIEW AND COMMENT ON THE FORM.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES SELF-DISCLOSURE OF ANY CONFLICTS OF INTEREST ON AN ON-GOING BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS WILL CONDUCT A WRITTEN ASSESSMENT OF THE PERFORMANCE OF THE CEO AT LEAST ANNUALLY. SUCH ASSESSMENT WILL NORMALLY BE CONDUCTED DURING THE FIRST QUARTER OF THE CALENDAR YEAR AFTER DATA RELATED TO ORGANIZATIONAL PERFORMANCE FOR THE PRIOR YEAR IS COMPILED AND PUBLISHED. ALL MEMBERS OF THE BOARD OF DIRECTORS SHOULD PARTICIPATE IN SUCH ASSESSMENT AND THE INPUT OF THE CEO SHOULD BE SOUGHT AND CONSIDERED. THE BOARD OR ITS DESIGNATED REPRESENTATIVES WILL MEET WITH THE CEO TO COMMUNICATE THE RESULTS OF SUCH ASSESSMENT. UPON COMPLETION OF THE ANNUAL WRITTEN EVALUATION OF THE CEO, THE BOARD OF DIRECTORS WILL CONSIDER ADJUSTMENTS TO THE COMPENSATION OF THE CEO. THE BOARD CHAIR IS THE COORDINATOR OF THIS PROCESS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL SELECT A QUALIFIED COMPENSATION CONSULTANT TO PROVIDE PROFESSIONAL SERVICES TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE WILL WORK WITH THE CONSULTANT TO COMPILE INFORMATION CONCERNING COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS. THE CONSULTANT WILL CONSIDER THE AVAILABILITY OF SIMILAR SERVICES BOTH REGIONALLY AND NATIONALLY AND REVIEW CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS. CONSIDERING THE AVAILABILITY OF RESOURCES AND PERFORMANCE OF THE CEO, THE BOARD OF DIRECTORS WILL ESTABLISH A REASONABLE AND FAIR LEVEL OF COMPENSATION FOR THE CEO, INCLUDING APPROPRIATE BENEFITS, THAT IS CONSISTENT WITH THE COMPENSATION PHILOSOPHY OF THE ORGANIZATION AND WILL NOT RESULT IN AN EXCESS BENEFIT TRANSACTION AS DEFINED BY THE INTERNAL REVENUE SERVICE. THE ACTIONS OF THE BOARD OF DIRECTORS REGARDING COMPENSATION WILL BE RECORDED IN CONFIDENTIAL MINUTES OF THE MEETINGS AT WHICH SUCH MATTERS ARE CONSIDERED. NORMALLY THIS PROCESS SHOULD BE COMPLETED DURING THE FIRST QUARTER OF A CALENDAR YEAR. UPON COMPLETION OF THE PROCESS, THE BOARD CHAIR WILL INFORM THE CEO IN WRITING OF THE DECISION OF THE BOARD OF DIRECTORS. THE TOTAL COMPENSATION OF THE CEO WILL BE DOCUMENTED IN A MEMORANDUM SIGNED BY THE BOARD CHAIR AND THE CEO. THE CEO IS RESPONSIBLE AND ACCOUNTABLE TO THE BOARD OF DIRECTORS FOR THE FAIR COMPENSATION OF ALL OTHER EMPLOYEES. AT LEAST ANNUALLY, THE CEO WILL REVIEW WITH THE EXECUTIVE COMMITTEE THE COMPENSATION OF ALL EMPLOYEES WHO ARE OFFICERS OF GRACEWORKS LUTHERAN SERVICES AND THE COMPENSATION OF ALL EMPLOYEES WHO EARN COMPENSATION ABOVE A THRESHOLD AMOUNT SET FROM TIME TO TIME BY THE EXECUTIVE COMMITTEE. AS PART OF SUCH REVIEW, THE CEO WILL DEMONSTRATE THE REASONABLENESS OF SUCH COMPENSATION IN LIGHT OF EACH INDIVIDUAL'S PERFORMANCE AND COMPARABILITY DATA RELATED TO EACH INDIVIDUAL'S POSITION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. AN UNAUDITED FINANCIAL STATEMENT IS PUBLISHED WITH THE ORGANIZATION'S ANNUAL REPORT WITH INSTRUCTIONS ON HOW TO REVIEW THE AUDITED FINANCIAL STATEMENTS ONCE THEY ARE AVAILABLE. THE ANNUAL REPORT IS MAILED TO INDIVIDUALS IN THE COMMUNITY AND POSTED ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART XII, LINE 2C:NEITHER THE ORGANIZATION'S AUDIT OVERSIGHT PROCESS NOR ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GW REAL PROPERTY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16430 INNER MISSION WAYAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45459ZIPCode
FieldValueIRS element (for citing)
EIN270731990EIN
Primary ActivitiesTO HOLD REAL ESTATEPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income0TotalIncome
EOY Assets212979EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16430 INNER MISSION WAYAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45459ZIPCode
FieldValueIRS element (for citing)
EIN311273785EIN
Primary ActivitiesGRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUSTPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(9)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (25 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH AT HOME LLC
R120000COST
HANDS AT HOME LLC
R141426COST
GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST
R2746895COST
BETHANY COMMONS AT YANKEE TRACE
R99456COST
HEALTH AT HOME LLC
Q105751COST
HANDS AT HOME LLC
Q71111COST
GRACEWORKS ENHANCED LIVING
Q2392026COST
GRACEWORKS HOUSING SERVICES
Q397505COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN XI INC
Q91273COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN INC
Q233008COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN II INC
Q98578COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN III INC
Q109343COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN IV INC
Q113979COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN V INC
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