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Nonprofiteer
← GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST

Form 990 for tax year 2024

Filed by GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST.

Totals

Total revenue
$9,170,703
Total expenses
$9,586,772
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$9,119,833
Investment income
$50,870
Other revenue
$0
Total assets, end of year
$1,997,929
Total liabilities, end of year
$964,067
Net assets or fund balances, end of year
$1,033,862
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
$0

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: EMPLOYER CONTRIBUTION

    total $7,594,656 · related or exempt $7,594,656

  • 2b · Program service revenue: PARTICIPANT CONTRIBUTION

    total $1,525,177 · related or exempt $1,525,177

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $50,870 · excluded $50,870

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $9,583,785

  • 11g · Fees: other

    total $0

  • 24a · Other expenses: BANK FEES AND CHARGES

    total $2,987

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $2,040,940 · end of year $1,994,485

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $7,318 · end of year $3,444

  • 17 · Accounts payable and accrued expenses

    beginning of year $598,327 · end of year $964,067

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $1,449,931 · end of year $1,033,862

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

TO PAY MEMBERS' LIFE, SICK, ACCIDENT, OR OTHER BENEFITS.

  • LIFE, SICK, ACCIDENT, OR OTHER BENEFITS PAID FOR PARTICIPANTS OR BENEFICIARIES.

As filed on the 2024 return.

Listed in Part VII

  • Dawn L Barhorst

    TRUSTEE

    Total calculated
    $210,918
    From this org
    $0
    From related orgs
    $192,580
    Other
    $18,338
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,846 related
    Bonus
    $0
    Other
    $0 + $1,734 related
    Deferred
    $0 + $7,874 related
    Nontaxable benefits
    $0 + $10,464 related
    Filer's total
    $0 + $210,918 related
  • Judy A Budi

    TRUSTEE

    Total calculated
    $425,476
    From this org
    $0
    From related orgs
    $389,483
    Other
    $35,993
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $389,483 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,808 related
    Nontaxable benefits
    $0 + $22,185 related
    Filer's total
    $0 + $425,476 related
  • Robert A Reichard

    TRUSTEE

    Total calculated
    $220,413
    From this org
    $0
    From related orgs
    $201,268
    Other
    $19,145
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $198,455 related
    Bonus
    $0
    Other
    $0 + $2,813 related
    Deferred
    $0 + $8,109 related
    Nontaxable benefits
    $0 + $11,036 related
    Filer's total
    $0 + $220,413 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
NON-QUALIFIED DEFERRED COMPENSATION PLAN, SECTION 457(B): JUDY A. BUDI, EMPLOYEE CONTRIBUTION - $2,195, EMPLOYER CONTRIBUTION -$2,169
Schedule J, Part I, Line 3
COMPENSATION IS PAID BY GRACEWORKS LUTHERAN SERVICES, A RELATED ORGANIZATION, AND IS DETERMINED USING THE FOLLOWING METHODS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part II
All compensation reported for trustees is paid by a related organization and is not connected to their service as trustees of this organization. Their compensation relates solely to their officer positions within the related organization.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
30 January 2026
IRS schema version
2024v5.1
Source object
202630309349300908

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