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GOOD SHEPHERD HOME FOR THE AGED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD HOME FOR THE AGED (EIN 34-0835584)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201321349349306467
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-14T15:24:05-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340835584EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE GOOD SHEPHERD HOME FOR THE AGED INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone6142285200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 W WILSON BRIDGE RD NO 245AddressLine1
CityWORTHINGTONCity
StateOHState
ZIP Code43085ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNELS HENDRICKSONName
TitleCFOTitle
Phone6142285200Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY CROWELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 W WILSON BRIDGE RD NO 245AddressLine1
CityWORTHINGTONCity
StateOHState
ZIP Code43085ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8837227GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteLSSCO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE, INDEPENDENT AND AFFORDABLE HOUSING FOR THE ELDERLY, TRANSITIONAL SHELTERS FOR THE HOMELESS, KITCHENS, FOOD PANTRIES, AND DISASTER RESPONSE AID FOR RESIDENTS OF OHIO.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees169TotalNbrEmployees
Total Nbr Volunteers1498TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year175000ContributionsGrantsPriorYear
Contributions Grants Current Year355000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8852831ProgramServiceRevenuePriorYear
Program Service Revenue CY8455807ProgramServiceRevenueCY
Investment Income Prior Year163InvestmentIncomePriorYear
Investment Income Current Year105InvestmentIncomeCurrentYear
Other Revenue Prior Year27490OtherRevenuePriorYear
Other Revenue Current Year26315OtherRevenueCurrentYear
Total Revenue Prior Year9055484TotalRevenuePriorYear
Total Revenue Current Year8837227TotalRevenueCurrentYear
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 Year4667141SalariesEtcPriorYear
Salaries Etc Current Year4926139SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3966047OtherExpensePriorYear
Other Expenses Current Year4017806OtherExpensesCurrentYear
Total Expenses Prior Year8633188TotalExpensesPriorYear
Total Expenses Current Year8943945TotalExpensesCurrentYear
Revenues Less Expenses Prior Year422296RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-106718RevenuesLessExpensesCY
Total Assets BOY8084933TotalAssetsBOY
Total Assets EOY8054733TotalAssetsEOY
Total Liabilities BOY3778025TotalLiabilitiesBOY
Total Liabilities EOY3850819TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4306908NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4203914NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTHCARE, INDEPENDENT AND AFFORDABLE HOUSING FOR THE ELDERLY, TRANSITIONAL SHELTERS FOR THE HOMELESS, KITCHENS, FOOD PANTRIES, AND DISASTER RESPONSE AID FOR RESIDENTS OF OHIO.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8325318Expense
Grants0Grants
Revenue8482122Revenue
DescriptionTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE HEALTHCARE AND RESIDENTIAL LIVING TO THE ELDERLY OF THE COMMUNITY.Description
Total Program Service Expense8325318TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees169NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
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 Line1PHIL HELSERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6142285200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 W WILSON BRIDGE RD STE 245AddressLine1
CityWORTHINGTONCity
StateOHState
ZIP Code43085ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAN BAILEY
FUND DEVELOPMENT COMMITTEE CHAIR1.00XX000
KIMBERLY K ZAVISLAK
CHAIR1.00XX000
REV DR JAMES E WILSON JR
SECRETARY/ TREASURER & CCR CHAIR1.00XX000
BECKY SUTHERLAND CORNETT PHD
QUALITY & COMPLIANCE COMMITTEE CHAIR1.00XX000
LEONARD S GENDERS
MEMBER1.00X000
DR JAMES L GINTER
MEMBER1.00X000
TIMOTHY G GLASSER
FINANCE COMMITTEE CHAIR1.00XX000
THEODORE J HILL
STRATEGIC PLANNING COMMITTEE CHAIR1.00XX000
REV AARON LAYNE
MEMBER1.00X000
REV JOHN C DAVIDSON
(SEPT-JUNE) NBD CHAIR1.00XX000
JOHN GULDIG
MEMBER1.00X000
REV WILLIAM MCKEE
MEMBER1.00X000
RONALD SEIFFERT
MEMBER1.00X000
ROBERT R SLAVEN
IMMEDIATE PAST CHAIR1.00XX000
GARY L PRACHAR
MEMBER1.00X000
SCOTT YOUNG
MEMBER1.00X000
ERIKA JONES
MEMBER1.00X000
DOUG TIETZ
(JUL - SEPT) NBD CHAIR1.00XX000
REV LARRY A CROWELL
PRESIDENT & CEO1.00X02052768196
PHIL HELSER
CFO1.00X010657517001
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs311851TotalReportableCompFrmRltdOrgs
Total Other Compensation25197TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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
ENDURACARE TMI INC
PO BOX 53064PHOENIXAZ85072THERAPY SERVICES556989
SELECT REHABILITATION INC
550 FRONTAGE ROAD SUITE 2415NORTHFIELDIL60093THERAPY SERVICES453447
SKILLED CARE PHARMACY
PO BOX 65HAMILTONOH45012MEDICAL SUPPLIES203146
SYSCO FOOD SERVICES
PO BOX 94570CLEVELANDOH44101FOOD & BEVERAGE SERVICES199539
PHARMED CORPORATION
24340WESTLAKEOH44145MEDICAL SUPPLIES164201
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations355000RelatedOrganizations
Total Contributions355000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column8455807TotalRevenueColumn
Related Or Exempt Function Income8455807RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8455807TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column105TotalRevenueColumn
Exclusion$105ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PURCHASE DISCOUNTS90009982948294
WELLNESS PROGRAM90009974587458
BEAUTY BARBER INCOME90009933313331

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7232TotalRevenueColumn
Related Or Exempt Function Income7232RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue26315TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8837227TotalRevenueColumn
Related Or Exempt Function Income8482122RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$105ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3842672Total
Program Services3470664ProgramServices
Management And General372008ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total25082Total
Management And General25082ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total778054Total
Program Services744294ProgramServices
Management And General33760ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total280331Total
Program Services245581ProgramServices
Management And General34750ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4112Total
Program Services2303ProgramServices
Management And General1809ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3966Total
Program Services2211ProgramServices
Management And General1755ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1301456Total
Program Services1283898ProgramServices
Management And General17558ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36802Total
Program Services36802ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1076412Total
Program Services1035335ProgramServices
Management And General41077ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3567Total
Program Services3567ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total304824Total
Program Services257718ProgramServices
Management And General47106ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4740Total
Program Services4472ProgramServices
Management And General268ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13335Total
Program Services12049ProgramServices
Management And General1286ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total189589Total
Program Services182385ProgramServices
Management And General7204ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total340895Total
Program Services305931ProgramServices
Management And General34964ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total101821Total
Program Services101821ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FRANCHISE TAXES517279517279
BAD DEBT EXPENSE7689176891
TRAINING & STAFF AWARDS3022530225
DUES & SUBSCRIPTIONS87168716

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3176Total
Program Services3176ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8943945Total
Program Services8325318ProgramServices
Management And General618627ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY83865BOY
EOY24767EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4069460BOY
EOY4004472EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28897BOY
EOY32315EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5123BOY
EOY19400EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10814351LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7507321LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3229986BOY
EOY3307030EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY145964BOY
EOY137682EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY521638BOY
EOY529067EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8084933BOY
EOY8054733EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY643266BOY
EOY785672EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3095000BOY
EOY2995000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39759BOY
EOY70147EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3778025BOY
EOY3850819EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4306908BOY
EOY4203914EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4306908BOY
EOY4203914EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8084933BOY
EOY8054733EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-106718ReconcilationRevenueExpenses
Reconcilation Other Changes3724ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years344129CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years150632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years361115CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year175000CurrentTaxYearMinus1Year
Current Tax Year355000CurrentTaxYear
Total1385876Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9070934CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9169134CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9204778CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8880321CurrentTaxYearMinus1Year
Current Tax Year8482122CurrentTaxYear
Total44807289Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9415063CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9319766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9565893CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9055321CurrentTaxYearMinus1Year
Current Tax Year8837122CurrentTaxYear
Total46193165Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50946193165PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24262CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year163CurrentTaxYearMinus1Year
Current Tax Year105CurrentTaxYear
Total29124Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24262CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year163CurrentTaxYearMinus1Year
Current Tax Year105CurrentTaxYear
Total29124Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9439325CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9323934CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9566319CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9055484CurrentTaxYearMinus1Year
Current Tax Year8837227CurrentTaxYear
Total46222289Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99940PublicSupportPercentage509
Prior Year Support Percentage0.99840PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00160PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis54902OtherCostOrOtherBasis
Book Value54902BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9153541OtherCostOrOtherBasis
Depreciation6502226Depreciation
Book Value2651315BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis168271OtherCostOrOtherBasis
Depreciation104708Depreciation
Book Value63563BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1437637OtherCostOrOtherBasis
Depreciation900387Depreciation
Book Value537250BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3307030TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
ESCROW AND WORKERS' COMP DEPOSITS1000
RESIDENT FUNDS34560
BOND FUND (PRINCIPAL AND INTEREST)52526
REPLACEMENT RESERVE150008
DEBT SERVICE RESERVE290973
FieldValueIRS element (for citing)
Total Book Value Other Assets529067TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITS LIABILITYDescription
Amount$70,147Amount
FieldValueIRS element (for citing)
Total Of Amounts70147TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF JUNE 30, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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

FieldValueIRS element (for citing)
Name PersonREV LARRY A CROWELLNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs205276CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs8196NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs213472TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART I, LINE 3: THE ORGANIZATION'S CEO IS COMPENSATED BY A RELATED ORGANIZATION. HIS PERFORMANCE IS EVALUATED ANNUALLY BY OTHER MANAGEMENT AS WELL AS THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MAKES COMPENSATION RECOMMENDATIONS THAT ARE APPROVED BY THE ENTIRE BOARD OF DIRECTORS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER OF THE ORGANIZATION HAS THE RIGHT TO APPROVE OR RATIFY THE DECISIONS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PREPARED BY OUR OUTSIDE AUDITING FIRM AND SUBMITTED TO THE ACCOUNTING MANAGER AND CFO FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS OF THE BOARD OF DIRECTORS AND MANAGEMENT STAFF ANNUALLY REVIEW AND ACKNOWLEDGE THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY SITUATIONS OF POTENTIAL CONFLICT OF INTEREST. AT NEW-HIRE ORIENTATION, ALL PERSONNEL ACKNOWLEDGE THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY. THE COMPLIANCE OFFICER MONITORS FOR POTENTIAL CONFLICTS OF INTEREST AND AT LEAST ANNUALLY UPDATES ALL DISCLOSURES. RESTRICTIONS IMPOSED, SUCH AS PARTICIPATION RIGHTS, ARE BASED ON THE TYPE OF CONFLICT THAT EXISTS.
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL PERFORMANCE EVALUATION IS PREPARED FOR EACH MANAGEMENT OFFICIAL. THE TOP MANAGEMENT OFFICIAL IS EVALUATED BY THE REST OF MANAGEMENT AS WELL AS THE BOARD OF DIRECTORS THROUGH ITS EXECUTIVE COMMITTEE. THE FULL BOARD APPROVES THE RECOMMENDATIONS OF THE EXECUTIVE COMMITTEE. THE TOP MANAGEMENT OFFICIAL EVALUATES REMAINING MANAGEMENT. SALARY SURVEYS ARE REFERENCED AS APPROPRIATE TO ESTABLISH COMPENSATION, WITH CONSIDERATION OF THE SIZE, GEOGRAPHIC REACH, COMPLEXITY, AND BREADTH OF SERVICES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 18FORM 1023 AND FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO INTERESTED INDIVIDUALS AND CORPORATIONS UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 5:OTHER CHANGES IN RESTRICTED NET ASSETS 3,724. TOTAL TO FORM 990, PART XI, LINE 5: 3,724.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, THE PARENT ORGANIZATION, OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THIS PROCESS WAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART VII: THE OFFICERS LISTED PRIMARILY SPEND TIME WITH THE PARENT ORGANIZATION, LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS IS 40.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
500 W WILSON BRIDGE ROAD STE 245WORTHINGTONOH43085314412586HOUSINGOH501(C)(3)LINE 1N/A0
GOOD SHEPHERD FOUNDATION
500 W WILSON BRIDGE ROAD STE 245WORTHINGTONOH43085341590049INVESTMENTSOH501(C)(3)LINE 11A, I1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
ASHLAND ASSISTED LIVING INC
330 DAVIS ROADASHLANDOH44805341908342HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
KENSINGTON PLACE INC
1001 PARKVIEW BLVDCOLUMBUSOH43219311311288HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
FAITH MISSION INC
315 E LONG STREETCOLUMBUSOH43215310809759HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
CENTERBURG HOUSING INC
164 WEST HOUCK STREETCENTERBURGOH43011311579303HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
DELAWARE HOUSING INC
2178 BRUCE ROADDELAWAREOH43105311399590HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVE CITY HOUSING INC
4301 STONER DRIVEGROVE CITYOH43123311367737HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVEWOOD II HOUSING INC
4301 STONER DRIVEGROVE CITYOH43123311488730HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVEPORT HOUSING INC
283 GREEN AVENUEGROVEPORTOH43125311450961HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
HAMILTON HOUSING INC
3565 CLIME ROADCOLUMBUSOH43228311367736HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LANCASTER HOUSING INC
963 PRESTIGE BLVDLANCASTEROH43130311320304HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LANSING HOUSING INC
54385 NATIONAL ROADBRIDGEPORTOH43912311320303HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LITTLE BROOK HOUSING INC
5911 LITTLE BROOK WAYCOLUMBUSOH43232311488733HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MANSFIELD HOUSING INC
1665 EXECUTIVE COURTMANSFIELDOH44907311642747HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
PLEASANT VIEW HOUSING INC
1690 CHARTWELL STREETLANCASTEROH43130311717116HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE I HOUSING INC
1401 WELLNESS ROADMARIONOH43302300151342HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE II HOUSING INC
1401 WELLNESS ROADMARIONOH43302300151099HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
NORTH COMMUNITY HOUSING
120 MORSE ROADCOLUMBUSOH43214300245617HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MANSFIELD HOUSING II INC
1680 EXECUTIVE COURTMANSFIELDOH44907203208737HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
VILLAGE HOUSING INC
1489 OCTOBER RIDGE COURTCOLUMBUSOH43223311488740HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
SULLIVANT HOUSING INC
383 INAH AVENUECOLUMBUSOH43228300060654HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
TUBMAN TOWERS
17 JOHNSON AVENUESPRINGFIELDOH45506200282722HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LUTHERAN HOUSING SERVICES OF HOWLAND
3880 NORTH RIVER ROADWARRENOH44484300263695HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GOOD SHEPHERD VILLA INC
726 CENTER STREETASHLANDOH44805272836988HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE III HOUSING INC
1401 WELLNESS ROADMARIONOH43302274533938HOUSINGOH501(C)(3)LINE 91LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
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 Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
O219137ALLOCATION OF COSTS
THE GOOD SHEPHERD FOUNDATION
C355000TRANSFER
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
R598174ACCRUAL
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
N696002ALLOCATED EMPLOYEE COSTS