GRACEWORKS LUTHERAN SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GRACEWORKS LUTHERAN SERVICES (EIN 31-0540159)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-15
IRS object ID
201142279349301304
Schema version
2010v3.4
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)
Timestamp2011-08-15T07:57:06-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-08-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN O CRIMName
Phone9372980201Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts50254431GrossReceipts
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 Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees934TotalNbrEmployees
Total Nbr Volunteers551TotalNbrVolunteers
Total Gross UBI6354TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1256800ContributionsGrantsPriorYear
Contributions Grants Current Year1262983ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40051391ProgramServiceRevenuePriorYear
Program Service Revenue CY40952368ProgramServiceRevenueCY
Investment Income Prior Year-386304InvestmentIncomePriorYear
Investment Income Current Year723301InvestmentIncomeCurrentYear
Other Revenue Prior Year27027OtherRevenuePriorYear
Other Revenue Current Year22031OtherRevenueCurrentYear
Total Revenue Prior Year40948914TotalRevenuePriorYear
Total Revenue Current Year42960683TotalRevenueCurrentYear
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 Year24307352SalariesEtcPriorYear
Salaries Etc Current Year24717463SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year222765TotalFundrsngExpCurrentYear
Other Expense Prior Year22493530OtherExpensePriorYear
Other Expenses Current Year19227816OtherExpensesCurrentYear
Total Expenses Prior Year46800882TotalExpensesPriorYear
Total Expenses Current Year43945279TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5851968RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-984596RevenuesLessExpensesCY
Total Assets BOY119143564TotalAssetsBOY
Total Assets EOY113445303TotalAssetsEOY
Total Liabilities BOY81985941TotalLiabilitiesBOY
Total Liabilities EOY75808418TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37157623NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37636885NetAssetsOrFundBalancesEOY
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 Change1SignificantChange
Expense36189043Expense
Revenue40417066Revenue
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 754 PEOPLE AT THE BETHANY REHABILITATION CENTER. SIXTY-ONE PERCENT OF THE PEOPLE SERVED RETURNED TO THEIR PREVIOUS HOMES AFTER RECOVERY. BETHANY PROVIDED $2.71 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 305 VOLUNTEERS TO FAITHFULLY CARE FOR THE NEEDS OF THOSE WHOM WE SERVE THROUGH 34,654 HOURS OF SERVICES AT BETHANY VILLAGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1262488Expense
Revenue535302Revenue
DescriptionCOMMUNITY CARE: CONSUMER CREDIT COUNSELING SERVICE (CCCS) HELPED NEARLY 3,000 PEOPLE EXPERIENCE ONE-ON-ONE FINANCIAL COUNSELING AND HELPED 1,140 PEOPLE MANAGE THEIR DEBTS THROUGH THE CCCS DEBT MANAGEMENT PROGRAM. CCCS ENABLED 42 FAMILIES TO BECOME HOMEOWNERS AND HELPED 386 FAMILIES TO AVOID FORECLOSURE. NEARLY 1,000 INDIVIDUALS RECEIVED BANKRUPTCY PRE-FILING COUNSELING AND 400 INDIVIDUALS RECEIVED BANKRUPTCY PRE-DISCHARGE FINANCIAL EDUCATION. APPROXIMATELY 1,620 INDIVIDUALS LEARNED HOW TO MANAGE THEIR FINANCES THROUGH FINANCIAL EDUCATION CLASSES OR WORKSHOPS. ANOTHER 3,000 INDIVIDUALS LEARNED ABOUT AVAILABLE SERVICES THROUGH OUTREACH PRESENTATIONS. AN ADDITIONAL 3,100 INDIVIDUALS BENEFITED FROM RESPONSES BY CCCS TO FINANCIALLY RELATED INQUIRIES. FRIENDS AT HOME EMPOWERED SENIOR VOLUNTEERS TO PROVIDE COMPANIONSHIP SERVICES THAT SUPPORTED INDEPENDENT SENIORS IN THEIR DESIRE TO LIVE IN THEIR HOMES LONGER. EIGHTEEN PEOPLE HELPED TO INITIATE THE PROGRAM IN ITS FIRST YEAR THROUGH 73 HOURS OF SERVICE. HOMELESSNESS PREVENTION AND RAPID REHOUSING PROGRAM PROVIDED FINANCIAL ASSISTANCE FOR RENT AND RENT ARREARS TO PREVENT 62 FAMILIES, CONSISTING OF 147 INDIVIDUALS, FROM LOSING THEIR HOUSING IN MONTGOMERY COUNTY. INTERFAITH CARE TEAM MINISTRY PROVIDED CASE MANAGEMENT SERVICES TO 52 FAMILIES IN TARGETED NEIGHBORHOODS. IN ADDITION, EMERGENCY ASSISTANCE WAS PROVIDED TO MORE THAN 544 INDIVIDUALS THROUGH THIS PROGRAM. THE PREBLE COUNTY EMERGENCY ASSISTANCE PROGRAM PROVIDED FOOD, CLOTHING AND FINANCIAL ASSISTANCE FOR SHELTER, UTILITIES AND MEDICATIONS TO 5,146 INDIVIDUALS. THOUSANDS MORE RECEIVED AFFORDABLE CLOTHING AND HOUSEHOLD ITEMS AT THE ONCE AROUND THRIFT SHOP IN EATON. SENIOR COMPANION PROGRAM PROVIDED FULFILLING OPPORTUNITIES FOR 49 INCOME-ELIGIBLE OLDER ADULTS TO PROVIDE FRIENDSHIP AND ASSISTANCE THROUGH MORE THAN 45,151 HOURS OF FAITHFUL SERVICE TO 261 ELDERLY PERSONS WHO WERE ABLE TO MAINTAIN INDEPENDENCE IN THEIR OWN HOMES. VOLUNTEER SERVICES PROVIDED OPPORTUNITIES FOR 132 VOLUNTEERS TO FAITHFULLY CARE FOR THE NEEDS OF THOSE WHOM WE SERVE THROUGH 51,470 HOURS OF VARIOUS SUBSIDIZED CHARITABLE SERVICES. COMMUNITY CARE PROVIDED $427,063 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 Expense37451531TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With1096106NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees934NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 (20 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 - SECRETARY5.00XX000
REV JOHN F BRADOSKY
DIRECTOR3.00X000
FLOYD EVANS JR
DIRECTOR3.00X000
JUDY A KALTHOFF
DIRECTOR3.00X000
JOYCE RUTHERFORD-DONNER
DIRECTOR3.00X000
RONALD C SCHNEIDER
DIRECTOR3.00X000
MARILYN K SHANNON
DIRECTOR3.00X000
VIOLET G SHARPE
DIRECTOR3.00X000
RONALD D WINE
DIRECTOR3.00X000
TODD E WICHMANN
DIRECTOR (TO 3/31/2010)3.00X000
WILLIS O SERR II
PRESIDENT & CEO40.00X363751031255
MICHAEL W ALLEN
V-P FINANCE & FACILITIES40.00X209126021454
PAMELA E BLUMENSHEID
V-P MARKETING & PR40.00X111906019702
REV JAMES V BOSSE
V-P COMMUNITY & ORG CARE40.00X127275054563
JUDY A BUDI
V-P RESIDENTIAL CARE40.00X158051022679
DAVID V VANDERCHER
V-P HUMAN RESOURCES40.00X139494017399
JOHN M BRINKMAN
ADMINISTRATOR40.00122972020695X
MATTHEW J CASSIDY
MANAGER, THERAPY SERVICES40.00107655018806X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1340230TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation206553TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
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 SERVICES352664
ARTHUR SHUSTER INC
PO BOX 131115ST PAULMN55113INTERIOR DESIGN SERVICES194075
SABATINODAY INC
9049 SPRINGBORO PIKEMIAMISBURGOH45342ADVERTISING SERVICES178986
CASTOR CONSTRUCTION CO INC
2543 US ST 42 SSPRING VALLEYOH45370CONSTRUCTION SERVICES163327
ELEVATOR SERVICES INC
PO BOX 905454CHARLOTTENC282905454ELEVATOR SERVICES147553
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Federated Campaigns78395FederatedCampaigns
Fundraising Events6960FundraisingEvents
Government Grants420947GovernmentGrants
All Other Contributions756681AllOtherContributions
Noncash Contributions13852NoncashContributions
Total Contributions1262983TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BETHANY VILLAGE RESIDE6230002649200626492006
MEDICARE/MEDICAID REVE6239901235527112355271
RELATED ENTITY MGMT SE54161015697891569789
COMMUNITY CARE SERVICE623000535302535302
FieldValueIRS element (for citing)
Total Program Service Revenue40952368TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column429786TotalRevenueColumn
Exclusion$429,786ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4692Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4692Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4692TotalRevenueColumn
Exclusion$4,692ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7517812Securities
Other25000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7241697Securities
Other7600Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities276115Securities
Other17400Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column293515TotalRevenueColumn
Exclusion$293,515ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events26655GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events6960CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses17971FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8684TotalRevenueColumn
Exclusion$8,684ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory28781GrossSalesOfInventory
Cost Of Goods Sold26480CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2301TotalRevenueColumn
Exclusion$2,301ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionBOOKKEEPING FEESDescription
Business Code541200BusinessCode
Total Revenue Column6354TotalRevenueColumn
Unrelated Business Revenue6354UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue6354TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42960683TotalRevenueColumn
Related Or Exempt Function Income40952368RelatedOrExemptFunctionIncome
Unrelated Business Revenue6354UnrelatedBusinessRevenue
Exclusion$738,978ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1276655Total
Management And General1258471ManagementAndGeneral
Fundraising18184Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18255906Total
Program Services15961416ProgramServices
Management And General2203815ManagementAndGeneral
Fundraising90675Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total769918Total
Program Services638478ProgramServices
Management And General125980ManagementAndGeneral
Fundraising5460Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2361955Total
Program Services2046943ProgramServices
Management And General307625ManagementAndGeneral
Fundraising7387Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2053029Total
Program Services1809075ProgramServices
Management And General236858ManagementAndGeneral
Fundraising7096Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total120676Total
Program Services67772ProgramServices
Management And General52904ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total70815Total
Management And General70815ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total138558Total
Management And General138558ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total341166Total
Program Services291284ProgramServices
Management And General47904ManagementAndGeneral
Fundraising1978Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total378512Total
Program Services231371ProgramServices
Management And General121900ManagementAndGeneral
Fundraising25241Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4092095Total
Program Services4053379ProgramServices
Management And General38716ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total81188Total
Program Services70114ProgramServices
Management And General10666ManagementAndGeneral
Fundraising408Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25217Total
Program Services5220ProgramServices
Management And General18120ManagementAndGeneral
Fundraising1877Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1863797Total
Program Services1863797ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4964657Total
Program Services4820321ProgramServices
Management And General144336ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total384420Total
Program Services347975ProgramServices
Management And General36445ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DRUGS & LAB14495121449512
DEBT EXTINGUISHMENT1101392814901019902
FOOD110101310965744294145
REPAIR & MAINTENANCE9120917317651748265500
SUPPLIES789601788604997

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1413106Total
Program Services1096441ProgramServices
Management And General257851ManagementAndGeneral
Fundraising58814Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total43945279Total
Program Services37451531ProgramServices
Management And General6270983ManagementAndGeneral
Fundraising222765Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6588427BOY
EOY8097207EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11369480BOY
EOY11502911EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1150000BOY
EOY850000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY167408BOY
EOY174628EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY895542BOY
EOY874104EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis116274833LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45607703LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY73066209BOY
EOY70667130EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25047491BOY
EOY20490799EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY131955BOY
EOY60932EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY727052BOY
EOY727592EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY119143564BOY
EOY113445303EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5158603BOY
EOY6431821EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY21983338BOY
EOY22972597EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY54385000BOY
EOY45945000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY459000BOY
EOY459000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY81985941BOY
EOY75808418EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35411430BOY
EOY35636684EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1584414BOY
EOY1838422EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY161779BOY
EOY161779EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37157623BOY
EOY37636885EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119143564BOY
EOY113445303EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-984596ReconcilationRevenueExpenses
Reconcilation Other Changes1463858ReconcilationOtherChanges
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 Years1313164CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1469399CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1582435CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1256800CurrentTaxYearMinus1Year
Current Tax Year1262983CurrentTaxYear
Total6884781Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35403384CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35519402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37704711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40116266CurrentTaxYearMinus1Year
Current Tax Year41007804CurrentTaxYear
Total189751567Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36716548CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36988801CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39287146CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41373066CurrentTaxYearMinus1Year
Current Tax Year42270787CurrentTaxYear
Total196636348Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years59064CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45420CurrentTaxYearMinus1Year
Current Tax Year50857CurrentTaxYear
Total155341Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years59064CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45420CurrentTaxYearMinus1Year
Current Tax Year50857CurrentTaxYear
Total155341Total
FieldValueIRS element (for citing)
Public Support Total509196481007PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1310578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years706141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years781258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year524884CurrentTaxYearMinus1Year
Current Tax Year434478CurrentTaxYear
Total3757339Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years32909CurrentTaxYearMinus2Years
Total32909Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1310578CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years706141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years814167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year524884CurrentTaxYearMinus1Year
Current Tax Year434478CurrentTaxYear
Total3790248Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4692CurrentTaxYearMinus4Years
Total4692Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38031818CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37694942CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40101313CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41897950CurrentTaxYearMinus1Year
Current Tax Year42705265CurrentTaxYear
Total200431288Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98030PublicSupportPercentage509
Prior Year Support Percentage0.97650PriorYearSupportPercentage
Investment Income Percentage0.01890InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02300PriorYrInvestIncomePercentage
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$2,021OtherActivitiesAmount
Total Lobbying Expenditures IIB2021TotalLobbyingExpendituresIIB
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 2010 IS $2,021.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS0IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance364799BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses61086InvestmentEarningsOrLosses
Other Expenditures2932OtherExpenditures
Administrative Expenses12000AdministrativeExpenses
End Of Year Balance410953EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance345731BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses39705InvestmentEarningsOrLosses
Other Expenditures4637OtherExpenditures
Administrative Expenses16000AdministrativeExpenses
End Of Year Balance364799EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance403350BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-53679InvestmentEarningsOrLosses
Other Expenditures3940OtherExpenditures
End Of Year Balance345731EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.39370PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.60630TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1489184OtherCostOrOtherBasis
Book Value1489184BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96287942OtherCostOrOtherBasis
Depreciation33457778Depreciation
Book Value62830164BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3443913OtherCostOrOtherBasis
Depreciation2524767Depreciation
Book Value919146BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15053794OtherCostOrOtherBasis
Depreciation9625158Depreciation
Book Value5428636BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings70667130TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOBLIGATION TO PROVIDE FUTURE SERVICESDescription
Amount$459,000Amount
FieldValueIRS element (for citing)
Total Of Amounts459000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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 UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:INCOME TAX FOOTNOTE FROM THE DECEMBER 31, 2010 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 2010 OR 2009. IN 2007, THE ORGANIZATION ADOPTED AN ACCOUNTING STANDARD RELATED TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. AS A QUALIFIED TAX-EXEMPT ENTITY, THE ADOPTION OF THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S 2010 OR 2009 FINANCIAL STATEMENTS. 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 2007.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event133615GrossReceiptsEvent1
Charitable Contributions Event16960CharitableContributionsEvent1
Gross Revenue Event126655GrossRevenueEvent1
Other Direct Expenses Event117971OtherDirectExpensesEvent1
Gross Receipts Total33615GrossReceiptsTotal
Charitable Contributions Total6960CharitableContributionsTotal
Gross Revenue Total Events26655GrossRevenueTotalEvents
Other Direct Expenses Total Events17971OtherDirectExpensesTotalEvents
Direct Expense Summary Events17971DirectExpenseSummaryEvents
Net Income Summary8684NetIncomeSummary

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
35418900095620147000165550395006000
MICHAEL W ALLEN
208154000972012737087170230580000
REV JAMES V BOSSE
12501500022600102080443550181838000
JUDY A BUDI
157569000482097970128820180730000
DAVID V VANDERCHER
137681000181308595088040156893000

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 457B: $6,724

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)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredRefunding EscrowRefundingEscrowCredit EnhancementCreditEnhancement
3097647423750455285522813119720090011
23800000283101154529932009001188050007750000313906

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.010000.000000.010001
000000.010000.000000.010001

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 V Form990ScheduleKPartV (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 Transaction27596AmountOfTransaction
Description Of TransactionPASTOR LARRY IS AN INDEPENDENT CONTRACTOR WHO PROVIDES PASTORAL SERVICES TO GRACEWORKS.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3GRACEWORKS CLOSED ITS PROGRAM OF ADOPTION SERVICES ON APRIL 30, 2009. THE DECISION CAME AFTER YEARS OF CAREFUL DELIBERATION, APPLYING ORGANIZATIONAL VALUES TO FACTUAL REALITY, IN RESPONSE TO SOCIETAL TRENDS, CHANGES IN INTERNATIONAL REGULATIONS AND AN INCREASE IN COMPETING ADOPTION PROVIDERS. STAFF CONTINUED TO WORK WITH CLIENTS AND EMPLOYEES DURING THEIR TRANSITION. GRACEWORKS RECOGNIZES AND APPRECIATES THE SIGNFICANCE AND DEEP MEANING ASSOCIATED WITH PLACEMENT OF MORE THAN 2,100 CHILDREN WITH FAMILIES, INCLUDING OVER 1,000 CHILDREN FROM 36 OTHER COUNTRIES, IN ITS MORE THAN 40 YEARS OF PROVIDING ADOPTION SERVICES.
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. .
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,463,858.
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 (28 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HEALTH AT HOME LLC
Q125000COST
GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST
Q2278549COST
BETHANY COMMONS AT YANKEE TRACE
P4650COST
GRACEWORKS ENHANCED LIVING
P2419281COST
GRACEWORKS HOUSING SERVICES
P495926COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN XI INC
P77306COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN INC
P145574COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN II INC
P75835COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN III INC
P73014COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN IV INC
P101051COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN V INC
P82900COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN VII INC
P103846COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN IX INC
P111991COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN VIII INC
P69120COST
MIAMI VALLEY LUTHERAN HOUSING ASSOC OF IN X INC
P63188COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION OF KY INC
P129400COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION IV INC
P126837COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION II INC
P92386COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION INC
P83084COST
ST MARK HOUSING ASSOCIATION INC
P30419COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION V INC
P115010COST
REDEEMER HOUSING ASSOCIATION INC
P67850COST
COMMUNITY ALTERNATIVE HOUSING ASSOC II INC
P4354COST
MIAMI VALLEY LUTHERAN HOUSING ASSOCIATION III INC
P4314COST
WE CARE HOMES II INC
P3825COST
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