GRACEWORKS LUTHERAN SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GRACEWORKS LUTHERAN SERVICES (EIN 31-0540159)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-15
IRS object ID
201202289349301810
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

FieldValueIRS element (for citing)
Timestamp2012-08-15T09:58:57-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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 Signed2012-07-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
PTINP00368385PTIN
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL W ALLENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16430 INNER MISSION WAYAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45459ZIPCode
FieldValueIRS element (for citing)
Gross Receipts61810426GrossReceipts
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 Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees952TotalNbrEmployees
Total Nbr Volunteers550TotalNbrVolunteers
Total Gross UBI5220TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1262983ContributionsGrantsPriorYear
Contributions Grants Current Year1110465ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40952368ProgramServiceRevenuePriorYear
Program Service Revenue CY42226968ProgramServiceRevenueCY
Investment Income Prior Year723301InvestmentIncomePriorYear
Investment Income Current Year9026982InvestmentIncomeCurrentYear
Other Revenue Prior Year22031OtherRevenuePriorYear
Other Revenue Current Year105036OtherRevenueCurrentYear
Total Revenue Prior Year42960683TotalRevenuePriorYear
Total Revenue Current Year52469451TotalRevenueCurrentYear
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 Year24717463SalariesEtcPriorYear
Salaries Etc Current Year25061467SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year241533TotalFundrsngExpCurrentYear
Other Expense Prior Year19227816OtherExpensePriorYear
Other Expenses Current Year19300531OtherExpensesCurrentYear
Total Expenses Prior Year43945279TotalExpensesPriorYear
Total Expenses Current Year44361998TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-984596RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8107453RevenuesLessExpensesCY
Total Assets BOY113445303TotalAssetsBOY
Total Assets EOY118885953TotalAssetsEOY
Total Liabilities BOY75808418TotalLiabilitiesBOY
Total Liabilities EOY73762638TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37636885NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY45123315NetAssetsOrFundBalancesEOY
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
Expense36964926Expense
Revenue41747821Revenue
DescriptionBETHANY VILLAGE: BETHANY VILLAGE PROVIDED HEALTH AND RESIDENTIAL SERVICES TO NEARLY 750 ELDERLY PEOPLE WHO LIVE AT BETHANY VILLAGE (BETHANY), A STATE-OF-THE-ART CONTINUING CARE RETIREMENT COMMUNITY THAT INCLUDES A CHRONIC AND SUB ACUTE 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 TO 710 PEOPLE AT THE BETHANY REHABILITATION CENTER. SIXTY-ONE PERCENT OF THE PEOPLE SERVED RETURNED TO THEIR PREVIOUS HOMES AFTER RECOVERY. BETHANY PROVIDED $3.8 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 321 VOLUNTEERS TO FAITHFULLY CARE FOR THE NEEDS OF THOSE WHOM WE SERVE THROUGH 34,712 HOURS OF SERVICES AT BETHANY VILLAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1188108Expense
Revenue479147Revenue
DescriptionCOMMUNITY CARE: CONSUMER CREDIT COUNSELING SERVICE (CCCS) HELPED NEARLY 2,300 PEOPLE EXPERIENCE ONE-ON-ONE FINANCIAL COUNSELING AND HELPED 915 PEOPLE MANAGE THEIR DEBTS THROUGH THE CCCS DEBT MANAGEMENT PROGRAM. CCCS ENABLED 20 FAMILIES TO BECOME HOMEOWNERS AND HELPED 257 FAMILIES TO AVOID FORECLOSURE. NEARLY 580 INDIVIDUALS RECEIVED BANKRUPTCY PRE-FILING COUNSELING AND 300 INDIVIDUALS RECEIVED BANKRUPTCY PRE-DISCHARGE FINANCIAL EDUCATION. APPROXIMATELY 1,100 INDIVIDUALS LEARNED HOW TO MANAGE THEIR FINANCES THROUGH FINANCIAL EDUCATION CLASSES OR WORKSHOPS. ANOTHER 3,600 INDIVIDUALS LEARNED ABOUT AVAILABLE SERVICES THROUGH OUTREACH PRESENTATIONS. AN ADDITIONAL 2,200 INDIVIDUALS BENEFITED FROM RESPONSES BY CCCS TO FINANCIALLY RELATED INQUIRIES. FRIENDS AT HOME EMPOWERED 32 SENIOR VOLUNTEERS TO PROVIDE COMPANIONSHIP SERVICES THAT SUPPORTED 35 INDEPENDENT SENIORS IN THEIR DESIRE TO LIVE IN THEIR HOMES LONGER. HOMELESSNESS PREVENTION AND RAPID REHOUSING PROGRAM PROVIDED FINANCIAL ASSISTANCE FOR RENT AND RENT ARREARS TO 33 FAMILIES, CONSISTING OF 70 INDIVIDUALS AT IMMINENT RISK OF HOMELESSNESS, FROM LOSING THEIR HOUSING IN MONTGOMERY COUNTY. PROGRAM SERVICE ENDED JUNE 30, 2011 FULFILLING THE TERMS OF A CONTRACT WITH MONTGOMERY COUNTY. INTERFAITH CARE TEAM MINISTRY PROVIDED CASE MANAGEMENT SERVICES TO 33 FAMILIES IN TARGETED NEIGHBORHOODS. IN ADDITION, EMERGENCY ASSISTANCE WAS PROVIDED TO 328 INDIVIDUALS THROUGH THIS PROGRAM. THE PROGRAM CLOSED JUNE 30, 2011 WHEN MONTGOMERY COUNTY FUNDING CONCLUDED. THE PREBLE COUNTY EMERGENCY ASSISTANCE PROGRAM PROVIDED FOOD, CLOTHING AND FINANCIAL ASSISTANCE FOR SHELTER, UTILITIES AND MEDICATIONS TO 5,888 INDIVIDUALS. THOUSANDS MORE RECEIVED AFFORDABLE CLOTHING AND HOUSEHOLD ITEMS AT THE ONCE AROUND THRIFT SHOP IN EATON. SENIOR COMPANION PROGRAM PROVIDED FULFILLING OPPORTUNITIES FOR 40 INCOME-ELIGIBLE OLDER ADULTS TO PROVIDE FRIENDSHIP AND ASSISTANCE TO 187 ELDERLY PERSONS WHO WERE ABLE TO MAINTAIN INDEPENDENCE IN THEIR OWN HOMES. VOLUNTEER SERVICES PROVIDED OPPORTUNITIES FOR 91 VOLUNTEERS TO FAITHFULLY CARE FOR THE NEEDS OF THOSE WHOM WE SERVE THROUGH 49,105 HOURS OF VARIOUS SUBSIDIZED CHARITABLE SERVICES. COMMUNITY CARE PROVIDED $518,926 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 Expense38153034TotalProgramServiceExpense
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 Member1BsnssRltnshpThruFamilyMember
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 With1096114NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees952NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RONALD A LONG
BOARD - CHAIR5.00XX000
DR GEORGE R BROWN
BOARD - VICE CHAIR5.00XX000
STEPHEN B HOFFSIS
BOARD - SECRETARY UNTIL 5/10/115.00XX000
MARILYN K SHANNON
BOARD - SECRETARY AT 5/10/113.00XX000
REV LISA A ARRINGTON
DIRECTOR3.00X000
SALLY D BEALS
DIRECTOR3.00X000
REV JOHN F BRADOSKY
DIRECTOR - UNTIL 4/24/113.00X000
FLOYD EVANS JR
DIRECTOR3.00X000
DONALD E KALB
DIRECTOR3.00X000
JUDY A KALTHOFF
DIRECTOR3.00X000
JOYCE RUTHERFORD-DONNER
DIRECTOR3.00X000
RONALD C SCHNEIDER
DIRECTOR3.00X000
VIOLET G SHARPE
DIRECTOR3.00X000
JEFFREY R TEETERS
DIRECTOR3.00X000
RONALD D WINE
DIRECTOR3.00X000
WILLIS O SERR II
PRESIDENT & CEO40.00X373270032406
MICHAEL W ALLEN
V-P FINANCE & FACILITIES40.00X205826022896
PAMELA E BLUMENSHEID
V-P MARKETING & PR UNTIL 9/16/1140.00X107025016991
REV JAMES V BOSSE
V-P COMMUNITY & ORG CARE40.00X136242056325
JUDY A BUDI
V-P RESIDENTIAL CARE40.00X161226024091
DAVID V VANDERCHER
V-P HUMAN RESOURCES40.00X142005017896
JOHN M BRINKMAN
ADMINISTRATOR40.00125765022160X
MATTHEW J CASSIDY
MANAGER, THERAPY SERVICES40.00104638019752X
DWIGHT D MORGAN
DIRECTOR, TIS40.00126327012136X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1482324TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation224653TotalOtherCompensation
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
9080 SPRINGBORO PIKEMIAMISBURGOH45342CONSTRUCTION SERVICES1922874
COPELAND ROOFING SIDING & WINDOWS
4080 DAYTON-XENIA ROADDAYTONOH45432CONSTRUCTION SERVICES344637
ML TAYLOR CONSTRUCTION INC
2146 TROY AVENUENEW CASTLEIN47362CONSTRUCTION SERVICES265676
GLYNN DEVINS INC
11230 COLLEGE BLVDOVERLAND PARKKS66210ADVERTISING & MARKETING SERVICES256546
SHUSTER ARTHUR INC
PO BOX 131115ST PAULMN55113INTERIOR DESIGN SERVICES195485
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Federated Campaigns69207FederatedCampaigns
Fundraising Events7020FundraisingEvents
Government Grants326735GovernmentGrants
All Other Contributions707503AllOtherContributions
Noncash Contributions21718NoncashContributions
Total Contributions1110465TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BETHANY VILLAGE RESIDE6230002744148027441480
MEDICARE/MEDICAID REVE6239901279507412795074
RELATED ENTITY MGMT SE54161015112671511267
COMMUNITY CARE SERVICE623000479147479147
FieldValueIRS element (for citing)
Total Program Service Revenue42226968TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column494227TotalRevenueColumn
Exclusion$494,227ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real88924Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real88924Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column88924TotalRevenueColumn
Exclusion$88,924ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8726888Securities
Other9099774Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7722999Securities
Other1570908Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1003889Securities
Other7528866Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8532755TotalRevenueColumn
Exclusion$8,532,755ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events27171GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7020CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses20779FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6392TotalRevenueColumn
Exclusion$6,392ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory30789GrossSalesOfInventory
Cost Of Goods Sold26289CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4500TotalRevenueColumn
Exclusion$4,500ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionBOOKKEEPING FEESDescription
Business Code541200BusinessCode
Total Revenue Column5220TotalRevenueColumn
Unrelated Business Revenue5220UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue5220TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column52469451TotalRevenueColumn
Related Or Exempt Function Income42226968RelatedOrExemptFunctionIncome
Unrelated Business Revenue5220UnrelatedBusinessRevenue
Exclusion$9,126,798ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1296199Total
Management And General1276942ManagementAndGeneral
Fundraising19257Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18574458Total
Program Services16230431ProgramServices
Management And General2247076ManagementAndGeneral
Fundraising96951Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total827060Total
Program Services693724ProgramServices
Management And General127592ManagementAndGeneral
Fundraising5744Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2302576Total
Program Services2011221ProgramServices
Management And General283039ManagementAndGeneral
Fundraising8316Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2061174Total
Program Services1811986ProgramServices
Management And General241725ManagementAndGeneral
Fundraising7463Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total201451Total
Program Services167719ProgramServices
Management And General33732ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79880Total
Management And General79880ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total223307Total
Management And General223307ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total437906Total
Program Services412446ProgramServices
Management And General23162ManagementAndGeneral
Fundraising2298Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total282356Total
Program Services149334ProgramServices
Management And General110879ManagementAndGeneral
Fundraising22143Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4042398Total
Program Services4003258ProgramServices
Management And General39140ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total88800Total
Program Services76990ProgramServices
Management And General10963ManagementAndGeneral
Fundraising847Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26479Total
Program Services4206ProgramServices
Management And General22039ManagementAndGeneral
Fundraising234Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1833752Total
Program Services1833752ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5135440Total
Program Services4949171ProgramServices
Management And General186269ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total384851Total
Program Services348130ProgramServices
Management And General36721ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DRUGS & LAB13836611383661
FOOD119416911882435117809
SUPPLIES93482490066433736424
REPAIR & MAINTENANCE8424786716731619338872

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2208779Total
Program Services1316425ProgramServices
Management And General824179ManagementAndGeneral
Fundraising68175Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44361998Total
Program Services38153034ProgramServices
Management And General5967431ManagementAndGeneral
Fundraising241533Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8097207BOY
EOY4582094EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11502911BOY
EOY12129396EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY850000BOY
EOY850000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY174628BOY
EOY180403EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY874104BOY
EOY994367EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis119628525LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50494594LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY70667130BOY
EOY69133931EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20490799BOY
EOY30334622EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY60932BOY
EOY98217EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY727592BOY
EOY582923EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY113445303BOY
EOY118885953EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6413116BOY
EOY5981116EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22972597BOY
EOY22105157EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY45945000BOY
EOY45295000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY18705BOY
EOY18365EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY459000BOY
EOY363000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY75808418BOY
EOY73762638EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35636684BOY
EOY42936675EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1838422BOY
EOY2024861EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY161779BOY
EOY161779EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37636885BOY
EOY45123315EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113445303BOY
EOY118885953EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8107453ReconcilationRevenueExpenses
Reconcilation Other Changes-621023ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years1469399CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1582435CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1256800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1262983CurrentTaxYearMinus1Year
Current Tax Year1110465CurrentTaxYear
Total6682082Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35519402CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37704711CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40116266CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41007804CurrentTaxYearMinus1Year
Current Tax Year42284928CurrentTaxYear
Total196633111Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36988801CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39287146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41373066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42270787CurrentTaxYearMinus1Year
Current Tax Year43395393CurrentTaxYear
Total203315193Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years59064CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50857CurrentTaxYearMinus1Year
Current Tax Year53926CurrentTaxYear
Total209267Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years59064CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50857CurrentTaxYearMinus1Year
Current Tax Year53926CurrentTaxYear
Total209267Total
FieldValueIRS element (for citing)
Public Support Total509203105926PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years706141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years781258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years524884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year434478CurrentTaxYearMinus1Year
Current Tax Year583151CurrentTaxYear
Total3029912Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years32909CurrentTaxYearMinus3Years
Total32909Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years706141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years814167CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years524884CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year434478CurrentTaxYearMinus1Year
Current Tax Year583151CurrentTaxYear
Total3062821Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37694942CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40101313CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41897950CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42705265CurrentTaxYearMinus1Year
Current Tax Year43978544CurrentTaxYear
Total206378014Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98410PublicSupportPercentage509
Prior Year Support Percentage0.98030PriorYearSupportPercentage
Investment Income Percentage0.01480InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01890PriorYrInvestIncomePercentage
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$2,205OtherActivitiesAmount
Total Lobbying Expenditures IIB2205TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I: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 2011 IS $2,205.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.37720PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.62280TermEndowmentEOYBalance
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 Basis98702618OtherCostOrOtherBasis
Depreciation36871768Depreciation
Book Value61830850BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3653663OtherCostOrOtherBasis
Depreciation2631282Depreciation
Book Value1022381BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16373893OtherCostOrOtherBasis
Depreciation10991544Depreciation
Book Value5382349BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings69133931TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

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

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 APY 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:INCOME TAX FOOTNOTE FROM THE DECEMBER 31, 2011 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 2011 OR 2010. 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 2008.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event134191GrossReceiptsEvent1
Charitable Contributions Event17020CharitableContributionsEvent1
Gross Revenue Event127171GrossRevenueEvent1
Non Cash Prizes Event16711NonCashPrizesEvent1
Other Direct Expenses Event114068OtherDirectExpensesEvent1
Gross Receipts Total34191GrossReceiptsTotal
Charitable Contributions Total7020CharitableContributionsTotal
Gross Revenue Total Events27171GrossRevenueTotalEvents
Non Cash Prizes Total Events6711NonCashPrizesTotalEvents
Other Direct Expenses Total Events14068OtherDirectExpensesTotalEvents
Direct Expense Summary Events20779DirectExpenseSummaryEvents
Net Income Summary6392NetIncomeSummary

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 (5 entries)

Base 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
361715000115550147000177060405676000
MICHAEL W ALLEN
2048290009970125470103490228722000
REV JAMES V BOSSE
13455600016860103980459270192567000
JUDY A BUDI
1607300004960100230140680185317000
DAVID V VANDERCHER
140145000186008792091040159901000

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): $7,199

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CITY OF CENTERVILLE OHIO - SERIES 2007A HEALTH CARE REVENUE BONDS
316001036152241AN52007-08-3130976474SEE SCHEDULE K, PART V000
CITY OF CENTERVILLE OHIO - SERIES 2007B HEALTH CARE REVENUE BONDS
316001036152241AP02007-08-3123800000SEE SCHEDULE K, PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrowCredit EnhancementCreditEnhancement
5000003097647423750455285522813119720090011
89550002380000028310115452993200900117750000313906

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.010000.000000.010001
00000.010000.000000.010001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000001
010001

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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonLARRY A HOFFSISNamePerson
FieldValueIRS element (for citing)
RelationshipFATHER OF BOARD MEMBER STEPHEN HOFFSISRelationship
Amount Of Transaction45331AmountOfTransaction
Description Of TransactionPASTOR LARRY IS AN INDEPENDENT CONTRACTOR WHO PROVIDES PASTORAL SERVICES TO GRACEWORKS.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 FINANCE 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 WITHIN THE GEOGRAPHIC SERVICE TERRITORY OF GRACEWORKS LUTHERAN SERVICES 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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -621,023.CHANGES IN NET ASSETS OR FUND BALANCES:
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
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 (30 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH AT HOME LLC
Q150000COST
HANDS AT HOME LLC
Q50000COST
GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST
Q2478256COST
GRACEWORKS ENHANCED LIVING
P2430511COST
GRACEWORKS HOUSING SERVICES
P656604COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN XI INC
P83303COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN INC
P133317COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN II INC
P85373COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN III INC
P226005COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN IV INC
P95682COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN V INC
P139693COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN VII INC
P99467COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN IX INC
P33977COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN VIII INC
P83800COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN X INC
P82018COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION OF KY INC
P127526COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION IV INC
P125878COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION II INC
P86047COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION INC
P80611COST
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