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Nonprofiteer
← GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST

Form 990 for tax year 2023

Filed by GRACEWORKS LUTHERAN SERVICES HEALTH BENEFIT TRUST.

Totals

Total revenue
$7,427,846
Total expenses
$6,316,528
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$7,356,696
Investment income
$71,150
Other revenue
$0
Total assets, end of year
$2,048,258
Total liabilities, end of year
$598,327
Net assets or fund balances, end of year
$1,449,931
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

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 $5,841,457 · related or exempt $5,841,457

  • 2b · Program service revenue: PARTICIPANT CONTRIBUTI

    total $1,515,239 · related or exempt $1,515,239

  • 3 · Investment income

    total $71,150 · excluded $71,150

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $6,314,022

  • 24a · Other expenses: BANK FEES AND CHARGES

    total $2,506

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,472,894 · end of year $2,040,940

  • 15 · Other assets

    beginning of year $2,754 · end of year $7,318

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,137,035 · end of year $598,327

  • 29 · Capital stock, trust principal or current funds

    beginning of year $338,613 · end of year $1,449,931

  • 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 · 2023

Mission

TO PAY MEMBER'S LIFE, SICK, ACCIDENT, OR OTHER BENEFITS.

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

As filed on the 2023 return.

Listed in Part VII

  • JUDY A BUDI

    TRUSTEE

    Total calculated
    $412,755
    From this org
    $0
    From related orgs
    $381,255
    Other
    $31,500
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,255 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $13,200 related
    Nontaxable benefits
    $0 + $18,300 related
    Filer's total
    $0 + $412,755 related

  • DAWN L BARHORST

    TRUSTEE

    Total calculated
    $197,223
    From this org
    $0
    From related orgs
    $180,616
    Other
    $16,607
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $178,968 related
    Bonus
    $0
    Other
    $0 + $1,648 related
    Deferred
    $0 + $7,380 related
    Nontaxable benefits
    $0 + $9,227 related
    Filer's total
    $0 + $197,223 related

  • ROBERT A REICHARD

    TRUSTEE

    Total calculated
    $208,883
    From this org
    $0
    From related orgs
    $191,834
    Other
    $17,049
    Hours/week
    0.1 + 39.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $190,087 related
    Bonus
    $0
    Other
    $0 + $1,747 related
    Deferred
    $0 + $7,758 related
    Nontaxable benefits
    $0 + $9,291 related
    Filer's total
    $0 + $208,883 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)

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
PART I, LINE 4B:
NON-QUALIFIED DEFERRED COMPENSATION PLAN, SECTION 457(B): JUDY A. BUDI, EMPLOYEE CONTRIBUTION - $2,500, EMPLOYER CONTRIBUTION - $2,400

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
2023
Filed
4 December 2024
IRS schema version
2023v5.1
Source object
202413419349301116

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