Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WERNLE YOUTH & FAMILY TREATMENT CENTER INC
Employer identification number
35-0868957
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,001,809
294,128
1,751,348
1,164,374
1,007,954
5,219,613
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
4,159,421
4,619,322
3,693,763
3,827,295
3,839,600
20,139,401
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
5,161,230
4,913,450
5,445,111
4,991,669
4,847,554
25,359,014
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
547,653
10,000
531,833
368,461
327,964
1,785,911
c
Add lines 7a and 7b..
547,653
10,000
531,833
368,461
327,964
1,785,911
8
Public support (Subtract line 7c from line 6.)
23,573,103
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
5,161,230
4,913,450
5,445,111
4,991,669
4,847,554
25,359,014
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
73,436
82,998
75,676
82,056
62,602
376,768
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
73,436
82,998
75,676
82,056
62,602
376,768
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
10,498
18,122
88,057
140,763
257,440
13
Total support. (Add lines 9, 10c, 11, and 12.)..
5,234,666
5,006,946
5,538,909
5,161,782
5,050,919
25,993,222
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
90.690 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
92.600 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
1.450 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.030 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
WERNLE YOUTH & FAMILY TREATMENT CENTER INC
Employer identification number
35-0868957
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
PER THE BY-LAWS THERE ARE MEMBERS. THE MEMBERS ARE THE INDIANA/KENTUCKY SYNOD, NORTHWESTERN OHIO SYNOD; NORTHEASTERN OHIO SYNOD AND SOUTHERN OHIO SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA.
FORM 990, PART VI, SECTION A, LINE 7A
THE DIRECTORS ARE NOMINATED BY THE BOARD OF DIRECTORS AND THE MAJORITY ARE RATIFIED BY THE EXECUTIVE GROUP OF HIS/HER SYNOD FOR THREE YEAR TERMS.
FORM 990, PART VI, SECTION A, LINE 7B
CHANGES TO BY-LAWS ARE SUBJECT TO APPROVAL AND ALSO THE ELECTION OF THE DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11
WERNLE STAFF SHALL PRESENT THE PREPARED FORM 990, INCLUDING ALL SCHEDULES, TO WERNLE'S FINANCE COMMITTEE FOR REVIEW AND AUTHORIZATION TO SUBMIT TO THE IRS. ONCE AUTHORIZED TO SUBMIT TO THE IRS BY THE FINANCE COMMITTEE, THE PREPARED FORM 990, INCLUDING ALL SCHEDULES, IS THEN ELECTRONICALLY DISTRIBUTED BY WERNLE STAFF TO EACH MEMBER OF THE BOARD OF DIRECTORS BEFORE THE FORM'S SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C
THE FINANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST POLICY ENFORCEMENT. ALL BOARD MEMBERS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15
THE BOARD OF DIRECTORS APPROVES THE SALARY FOR THE EXECUTIVE DIRECTOR / CEO AS WELL AS THE COO. THEY REVIEW THE CURRENT SALARY AND PERFORMANCE BASED ON GOALS SET FOR THE EXECUTIVE DIRECTOR / CEO AND COO, RESPECTIVELY. THEY ALSO LOOK AT SALARY SURVEYS FROM OTHER NONPROFIT ORGANIZATIONS IN THE SAME INDUSTRY AND OF A SIMILAR SIZE. FOR 2010, THEY LOOKED AT THE INDIANA ASSOCIATION OF RESIDENTIAL CHILD CARING, THE INDIANA ASSOCIATION OF REHABILITATION SERVICES AND LUTHERAN SERVICES IN AMERICA. THE ENTIRE BOARD THEN DETERMINES AND APPROVES THE AMOUNT OF COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE PROCESS FOR DETERMINING THE SALARY FOR ALL OTHER EMPLOYEES IS BASED UPON THEIR ANNUAL PERFORMANCE REVIEW. THE WAGES ARE COMPETITIVE WITH SALARIES IN THE LOCAL LABOR MARKET. THE ONLY ADJUSTMENT DURING 2013 WAS AN INCREASE GIVEN TO ALL MANAGEMENT POSITIONS. THE PROCESS FOR DETERMINING THE SALARY FOR ALL OTHER EMPLOYEES IS BASED UPON THEIR ANNUAL PERFORMANCE REVIEW. THE WAGES ARE COMPETITIVE WITH SALARIES IN THE LOCAL LABOR MARKET.
FORM 990, PART VI, SECTION C, LINE 19
THE FORM 990 IS AVAILABLE ON GUIDESTAR. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:
CHANGE IN BENEFICIAL INTEREST HELD BY OTHERS -669.
FORM 990, PART XII, LINE 2C
THE FINANCE COMMITTEE HAS THE RESPONSIBILITY OF OVERSIGHT FOR THE AUDITED FINANCIAL STATEMENTS AND RECOMMENDS THE INDEPENDENT AUDITORS TO THE BOARD. THE BOARD HAS THE FINAL DECISION IN THE SELECTION OF THE INDEPENDENT AUDITORS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.