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GOOD SHEPHERD HOME FOR THE AGED: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD HOME FOR THE AGED (EIN 34-0835584)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201131369349304358
Schema version
2009v1.7
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)
Timestamp2011-05-16T13:11:07-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-04-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts9566319GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees165TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year150632ContributionsGrantsPriorYear
Contributions Grants Current Year361115ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9160313ProgramServiceRevenuePriorYear
Program Service Revenue CY9107434ProgramServiceRevenueCY
Investment Income Prior Year4168InvestmentIncomePriorYear
Investment Income Current Year426InvestmentIncomeCurrentYear
Other Revenue Prior Year8821OtherRevenuePriorYear
Other Revenue Current Year97344OtherRevenueCurrentYear
Total Revenue Prior Year9323934TotalRevenuePriorYear
Total Revenue Current Year9566319TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5276040SalariesEtcPriorYear
Salaries Etc Current Year5205371SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3735431OtherExpensePriorYear
Other Expenses Current Year4460614OtherExpensesCurrentYear
Total Expenses Prior Year9011471TotalExpensesPriorYear
Total Expenses Current Year9665985TotalExpensesCurrentYear
Revenues Less Expenses Prior Year312463RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-99666RevenuesLessExpensesCY
Total Assets BOY9001639TotalAssetsBOY
Total Assets EOY9284998TotalAssetsEOY
Total Liabilities BOY5466687TotalLiabilitiesBOY
Total Liabilities EOY5849712TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3534952NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3435286NetAssetsOrFundBalancesEOY
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
Expense8855577Expense
Grants0Grants
Revenue9204778Revenue
DescriptionTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE HEALTHCARE AND RESIDENTIAL LIVING (HUD SECTION 202) TO THE ELDERLY OF THE COMMUNITY.Description
Total Program Service Expense8855577TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees165NumberOfEmployees
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
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT R SLAVEN
CHAIR1.00XX000
DAN BAILEY
SECRETARY1.00XX000
KIMBERLY K ZAVISLAK
FINANCE COMMITTEE CHAIR1.00XX000
REV DR JAMES E WILSON
MEMBER AT LARGE FOR EXEC1.00XX000
JENNETTE B BRADLEY
MEMBER1.00X000
BECKY SUTHERLAND CORNETT
MEMBER1.00X000
REV DR KEVIN DUDLEY
MEMBER1.00X000
LEONARD GENDERS
MEMBER1.00X000
DR JAMES L GINTER
MEMBER1.00X000
TIMOTHY G GLASSER
MEMBER1.00X000
NELS HENDRICKSON
MEMBER1.00X000
THEODORE J HILL
MEMBER1.00X000
REV AARON LAYNE
MEMBER1.00X000
STEPHEN LUNDREGAN
MEMBER1.00X000
OSCAR MGAYA
MEMBER1.00X000
GARY L PRACHAR
MEMBER1.00X000
WILLIAM SPARKS JR
MEMBER1.00X000
DOUG TIETZ
MEMBER1.00X000
ANN WURSTER
MEMBER1.00X000
THOMAS J STOFAC
PRESIDENT/CEO1.00X02380198743
PHILIP HELSER
CFO1.00X07840914053
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs316428TotalReportableCompFrmRltdOrgs
Total Other Compensation22796TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ENDURACARE TMI INC
PO BOX 53064PHOENIXAZ85072THERAPY SERVICES863559
SKILLED CARE PHARMACY
PO BOX 65HAMILTONOH45012MEDICAL SUPPLIES263862
SYSCO FOOD SERVICES
PO BOX 44466COLUMBUSOH43204FOOD/BEVERAGE SERVICES201913
GULF SOUTH MEDICAL SUPPLY
PO BOX 841968DALLASTX75284MEDICAL SUPPLIES143140
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants356115GovernmentGrants
All Other Contributions5000AllOtherContributions
Total Contributions361115TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column9107434TotalRevenueColumn
Related Or Exempt Function Income9107434RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9107434TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column426TotalRevenueColumn
Exclusion$426ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column97344TotalRevenueColumn
Related Or Exempt Function Income97344RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue97344TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9566319TotalRevenueColumn
Related Or Exempt Function Income9204778RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$426ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4031343Total
Program Services3641070ProgramServices
Management And General390273ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4390Total
Management And General4390ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total861697Total
Program Services824308ProgramServices
Management And General37389ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total307941Total
Program Services269768ProgramServices
Management And General38173ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total21648Total
Management And General21648ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11121Total
Program Services6201ProgramServices
Management And General4920ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total6298Total
Program Services6298ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1249209Total
Program Services1232356ProgramServices
Management And General16853ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total58566Total
Program Services58566ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total944875Total
Program Services908818ProgramServices
Management And General36057ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1264506Total
Program Services1069095ProgramServices
Management And General195411ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11109Total
Program Services10482ProgramServices
Management And General627ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24392Total
Program Services22040ProgramServices
Management And General2352ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total305314Total
Program Services293713ProgramServices
Management And General11601ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total494456Total
Program Services443742ProgramServices
Management And General50714ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT EXPENSE6271662716
MANAGER/RENT FREE UNITS16251625

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4779Total
Program Services4779ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9665985Total
Program Services8855577ProgramServices
Management And General810408ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1000BOY
EOY999EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY204448BOY
EOY144243EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3660943BOY
EOY3759183EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY29247BOY
EOY22883EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7543BOY
EOY22449EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12424641LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8309049LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4318349BOY
EOY4115592EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY780109BOY
EOY1219649EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9001639BOY
EOY9284998EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1040532BOY
EOY871477EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3280000BOY
EOY3190000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1134537BOY
EOY1746090EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11618BOY
EOY42145EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5466687BOY
EOY5849712EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3534952BOY
EOY3433786EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY1500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3534952BOY
EOY3435286EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9001639BOY
EOY9284998EOY
FieldValueIRS element (for citing)
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)
Church170b1 AiXChurch170b1Ai

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 Basis104163OtherCostOrOtherBasis
Book Value104163BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9340577OtherCostOrOtherBasis
Depreciation7282656Depreciation
Book Value2057921BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1663999OtherCostOrOtherBasis
Depreciation74225Depreciation
Book Value1589774BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1315902OtherCostOrOtherBasis
Depreciation952168Depreciation
Book Value363734BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4115592TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED FINANCING COSTS, NET305401
ESCROW AND OTHER DEPOSITS14775
SECURITY DEPOSITS13432
RESIDENT FUNDS25769
BOND FUND (PRINCIPAL AND INTEREST)47626
REPLACEMENT RESERVE521687
DEBT SERVICE RESERVE290959
FieldValueIRS element (for citing)
Total Book Value Other Assets1219649TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSECURITY DEPOSITS LIABILITYDescription
Amount$42,145Amount
FieldValueIRS element (for citing)
Total Of Amounts42145TotalOfAmounts
Total Revenue9566319TotalRevenue
Total Expenses9665985TotalExpenses
Excess Or Deficit For Year-99666ExcessOrDeficitForYear
Excess Or Deficit Per FS-99666ExcessOrDeficitPerFS

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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THOMAS J STOFACBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs238019CompBasedOnRelatedOrgs
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 Orgs8743NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs246762TotalCompensationRelatedOrgs
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 (7 entries)

IdentifierIdentifierExplanationExplanation
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.
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 2C: THE FINANCE COMMITTEE OF LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, THE PARENT ORGANIZATION, OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM.
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 I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD VILLABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1726 CENTER STREETAddressLine1
CityASHLANDCity
StateOHState
ZIP Code44805ZIPCode
FieldValueIRS element (for citing)
EIN340214487EIN
Primary ActivitiesHOUSINGPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income543040TotalIncome
EOY Assets1354832EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
500 W WILSON BRIDGE ROAD STE 245WORTHINGTONOH43085314412586HOUSINGOH501(C)(3)Line 1N/A
LUTHERAN SENIOR CITY INC
935 NORTH CASSADY AVENUECOLUMBUSOH43219310678736HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GOOD SHEPHERD FOUNDATION
500 W WILSON BRIDGE ROAD STE 245WORTHINGTONOH43085341590049INVESTMENTSOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
ASHLAND ASSISTED LIVING INC
330 DAVIS ROADASHLANDOH44805341908342HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
KENSINGTON PLACE INC
1001 PARKVIEW BLVDCOLUMBUSOH43219311311288HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
FAITH MISSION INC
315 E LONG STREETCOLUMBUSOH43215310809759HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
CENTERBURG HOUSING INC
164 WEST HOUCK STREETCENTERBURGOH43011311579303HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
DELAWARE HOUSING INC
2178 BRUCE ROADDELAWAREOH43105311399590HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVE CITY HOUSING INC
4301 STONER DRIVEGROVE CITYOH43123311367737HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVEWOOD II HOUSING INC
4301 STONER DRIVEGROVE CITYOH43123311488730HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
GROVEPORT HOUSING INC
283 GREEN AVENUEGROVEPORTOH43125311450961HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
HAMILTON HOUSING INC
3565 CLIME ROADCOLUMBUSOH43228311367736HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LANCASTER HOUSING INC
963 PRESTIGE BLVDLANCASTEROH43130311320304HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LANSING HOUSING INC
54385 NATIONAL ROADBRIDGEPORTOH43912311320303HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LITTLE BROOK HOUSING INC
5911 LITTLE BROOK WAYCOLUMBUSOH43232311488733HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MANSFIELD HOUSING INC
1665 EXECUTIVE COURTMANSFIELDOH44907311642747HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
PLEASANT VIEW HOUSING INC
1690 CHARTWELL STREETLANCASTEROH43130311717116HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE I HOUSING INC
1401 WELLNESS ROADMARIONOH43302300151342HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MARION PLACE II HOUSING INC
1401 WELLNESS ROADMARIONOH43302300151099HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
NORTH COMMUNITY HOUSING
120 MORSE ROADCOLUMBUSOH43214300245617HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
MANSFIELD HOUSING II INC
1680 EXECUTIVE COURTMANSFIELDOH44907203208737HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
VILLAGE HOUSING INC
1489 OCTOBER RIDGE COURTCOLUMBUSOH43223311488740HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
SULLIVANT HOUSING INC
383 INAH AVENUECOLUMBUSOH43228300060654HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
TUBMAN TOWERS
17 JOHNSON AVENUESPRINGFIELDOH45506200282722HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LUTHERAN HOUSING SERVICES OF HOWLAND
3880 NORTH RIVER ROADWARRENOH44484300263695HOUSINGOH501(C)(3)Line 1LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
LUTHERAN SOCIAL SERVICES OF MAHONING VALLEY
500 W WILSON BRIDGE ROAD STE 245WARRENOH43085421566593TERMINATEDOH501(C)(3)Line 1LUTHERAN 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 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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
L2386551
LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO
O205834