2020-11-03T14:27:56-06:00 2019-12-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2019-01-01 390816846 LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN INC LUTH 4142462300 6737 W WASHINGTON STREET NO 2275 WEST ALLIS WI 53214 HECTOR COLON PRESIDENT 4142462300 2020-11-03 1 TROY MARINE CPA P00187863 4147775500 2020-11-03 104.231.254.62 2020-11-03 10:11:56 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 793A1E00ACF041F16FD41A7A782950CAF62641F6 2019 2021-01-29 14:40:06Z HECTOR COLON 6737 W WASHINGTON STREET NO 2275 WEST ALLIS WI 53214 54373036 0 X WWW.LSSWIS.ORG X 1882 WI PROVIDER OF HEALTH AND HUMAN SERVICES. 14 14 1186 47 0 0 2118499 2451407 44833127 50808371 -273189 67883 2101666 918483 48780103 54246144 1000501 980354 0 0 37442527 39998580 0 0 483301 11274225 11200383 49717253 52179317 -937150 2066827 38366941 44227256 13887553 12975903 24479388 31251353 ACT COMPASSIONATELY. SERVE HUMBLY. LEAD COURAGEOUSLY. 0 0 27354738 791559 30677443 COMMUNITY BASED-SERVICES INCLUDE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT, SKILL BUILDING AND CARE COORDINATION. SPECIFIC SERVICES IN ADOPTION, FOSTER CARE, EARLY CHILDHOOD DEVELOPMENT, SCHOOL BASED MENTAL HEALTH, IN HOME THERAPY FOR CHILDREN ADULTS AND FAMILIES, SUBSTANCE USE OUTPATIENT TREATMENT AND RESOURCE CENTERS FOR PERSONS WITH MENTAL ILLNESS. 13861661 188532 15671090 RESIDENTIAL-SERVICES INCLUDE HUD AND TAX CREDIT AFFORDABLE HOUSING, YOUTH RESIDENTIAL TREATMENT CENTER, ADULT MENTAL HEALTH GROUP HOMES, TRANSITIONAL LIVING SITES FOR VETERANS, RESIDENTIAL SUBSTANCE USE TREATMENT CENTERS, HOMELESS SERVICES INCLUDING TENANT RENTAL ASSISTANCE AND SERVICE COORDINATION AT AFFORDABLE HOUSING SITES. 3512374 263 4459838 IRIS-CONNECTIONS - IRIS (INCLUDE,RESPECT,I SELF-DIRECT) IS A COMMUNITY BASED LONG TERM SUPPORT PROGRAM THAT BEGAN IN 2008. IT IS A SELF-DIRECTED WAIVER PROGRAM THAT ALLOWS 1)AN ALTERNATIVE TO MANAGED CARE 2)PEOPLE TO DIRECT HOW THEIR PUBLIC FUNDED DOLLARS ARE SPENT. IT SERVES PEOPLE WITH DISABILITIES AND THOSE WHO ARE AGING. 44728773 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 326 0 1 1186 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 WI X RACHEL KESSLER 4142462322 6737 W WASHINGTON ST WEST ALLIS WI 53214 HECTOR COLON PRESIDENT & CEO 39.00 1.00 X 317242 0 24068 JOSEPH M ARZBECKER COO 39.00 1.00 X 264096 0 24068 RANDY J OLESZAK CFO 39.00 1.00 X 226881 0 15263 MICHELLE NAPLES CHIEF INTEGRATION OFFICER 40.00 X 169656 0 500 JILL A CHAFFEE VP/GM- COMMUNITY BASED SERVICES 40.00 X 138110 0 23062 FRANCIE L STONE CLINICAL DIRECTOR 40.00 X 103268 0 14601 DENNIS HANSON VP/GM - RESIDENTIAL 39.00 1.00 X 109693 0 8085 KERI A DEBRUIN CHIEF HUMAN CAPITAL OFFICE 40.00 X 106651 0 587 DAVID MINDEN PH D CLINICAL SUPERVISOR 40.00 X 106359 0 500 SARAH K HOTCHKISS REGIONAL DIRECTOR 40.00 X 103599 0 0 KATIE BAARDSETH SECOND VICE CHAIR 2.00 X 0 0 0 MICHAEL LOSENEGGER TREASURER 2.00 X 0 0 0 JOSE OLIVIERI SECRETARY 2.00 X 0 0 0 JOHN HOWMAN PAST CHAIR 2.00 X 0 0 0 FRANKLIN CUMBERBATCH DIRECTOR 2.00 X 0 0 0 CATHERINE MODE DIRECTOR 2.00 X 0 0 0 TIM HAAS DIRECTOR 2.00 X 0 0 0 ERIC THOMAS CHAIR 2.00 X 0 0 0 CORINNE BODEMAN DIRECTOR 2.00 X 0 0 0 PAUL ERICKSON DIRECTOR 2.00 X 0 0 0 DEAN GRUNER DIRECTOR 2.00 X 0 0 0 BILL KESSLER DIRECTOR 2.00 X 0 0 0 MAUREEN KOLB DIRECTOR 2.00 X 0 0 0 RICHARD PIEPER DIRECTOR 2.00 X 0 0 0 1645555 0 110734 10 0 1 0 VENTURE CONSTRUCTION GROUP INC 2385 S 179TH STREET STE B NEW BERLIN WI 53146 CONSTRUCTION 657013 ENTERPRISE RENT A CAR PO BOX 840173 KANSAS CITY MO 641840173 RENTAL 420698 VERIZON WIRELESS PO BOX 25505 LEHIGH VALLEY PA 549376180 CELL PHONES 278081 KANE COMMUNICATIONS 250 E WISCONSIN AVE STE 1200 MILWAUKEE WI 53202 MARKETING SERVICES 276688 WHITNALL SUMMIT CO LLC PO BOX 851340 MINNEAPOLIS MN 55485 RENTAL 255830 23 144963 2306444 132838 2451407 COMMUNITY BASED 624100 30677443 30677443 RESIDENTIAL 623000 15671090 15671090 CONNECTIONS 624100 4459838 4459838 50808371 11829 0 11829 11829 11829 194775 126892 67883 67883 67883 MANAGEMENT FEES 561000 633970 633970 MISCELLANEOUS REVENUE 900099 272684 272684 906654 54246144 51442341 0 352396 980354 980354 1645555 561029 1084526 29746270 26359307 3147717 239246 560670 259184 298558 2928 5432935 4979806 422521 30608 2613150 2231384 362792 18974 7000 7000 193927 147474 46453 150374 122597 12302 15475 72000 72000 689523 496074 163799 29650 82232 36609 7447 38176 2126839 1440880 650465 35494 2155224 2136460 -19656 38420 1641493 1579089 59716 2688 413130 265977 128527 18626 477914 109385 368529 468180 307326 160854 PAYMENTS TO OUTSIDED PR 1496009 1496009 ALL OTHER 701670 688678 12992 FOOD 524868 524151 693 24 52179317 44728773 6967243 483301 73493 1464320 6898497 8555893 718797 739868 14886567 9463582 4896156 5422985 25779998 28044190 38366941 44227256 5870696 5442877 7679815 7206766 337042 326260 13887553 12975903 X -1578213 1676532 26057601 29574821 24479388 31251353 38366941 44227256 X 2066827 4705138 X 0 1 X 1 1 1 X 3722901 2916638 2335131 2118499 2451407 13544576 3722901 2916638 2335131 2118499 2451407 13544576 13544576 6926 6292 6000 11829 31047 2033663 1676946 1078938 2095666 906654 7791867 21367490 238620406 0.63390 0.63380 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2015 AMOUNT: $ 828,493. 2016 AMOUNT: $ 719,194. 2017 AMOUNT: $ 161,068. 2018 AMOUNT: $ 1,197,929. 2019 AMOUNT: $ 272,684. MANAGEMENT FEES - 2015 AMOUNT: $ 1,205,170. 2016 AMOUNT: $ 957,752. 2017 AMOUNT: $ 917,870. 2018 AMOUNT: $ 897,737. 2019 AMOUNT: $ 633,970. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 72000 0 1 0 0 0 0 1 72000 0 0 72000 0 PT II-B LINE 1: LINE 1B AND 1G: LOBBYING ACTIVITY BY LUTHERAN SOCIAL SERVICES OF WISCONSIN & UPPER MICHIGAN, INC. FOR 2019 CONSISTED PRIMARILY OF MEETINGS AND DISCUSSIONS WITH WISCONSIN LEGISLATIVE REPRESENTATIVES ON VARIOUS PENDING LEGISLATIVE MATTERS WITH HEALTH AND HUMAN SERVICES ISSUES WITHIN THEIR SCOPE. 874974 874974 10058167 7426023 2632144 902883 197853 705030 1443762 1292293 151469 1606781 547413 1059368 5422985 UNAMORTIZED ISSUE COST AND OTHER ASSETS 177879 ASSETS HELD FOR SALE 611000 BENEFICIAL INTEREST IN LSS FOUNDATION 27255311 28044190 RESERVED CHARITY GIFT 44890 DEFERRED COMPENSATION 145157 457 PLAN LIABILITIES 136213 326260 1 FOSTER FAMILY 258 233354 FOOD 13 2207 REFUGEE RESETTLEMENT 762 347963 CLOTHING 229 19119 ALLOWANCE 917 165960 SPECIAL EDUCATION 1 5 HOUSING 577 71220 MEDICAL AND DENTAL 118 15325 TRANSPORT 3645 49725 PERSONAL ITEMS 117 4585 COUNSELING 47 13558 MEDICATION, MGMT, MONITOR 25 1530 UTILITIES 116 10601 MEDICATION 34 21862 WAGES 35 23340 OTHER PART I, LINE 2: LSS MANAGEMENT RECEIVES MONTHLY FINANCIAL REPORTS AND MEETS REGULARLY TO MONITOR THE PROPER USE OF FUNDS THAT ARE GRANTED TO INDIVIDUALS AND TO MONITOR ELIGIBILITY FOR THOSE FUNDS. THE GRANTS ARE PROGRAM EXPENSES AND ARE SUBJECT TO REVIEW BY ALL LSS MANAGEMENT INCLUDING TOP MANAGEMENT. X X 1 1 X X X 0 0 0 0 0 1 0 1 0 HECTOR COLON PRESIDENT & CEO 280117 0 37125 0 0 0 500 0 23568 0 341310 0 0 0 JOSEPH M ARZBECKER COO 210304 0 53792 0 0 0 500 0 23568 0 288164 0 0 0 RANDY J OLESZAK CFO 195464 0 31417 0 0 0 500 0 14763 0 242144 0 0 0 MICHELLE NAPLES CHIEF INTEGRATION OFFICER 153948 0 15708 0 0 0 500 0 0 0 170156 0 0 0 JILL A CHAFFEE VP/GM- COMMUNITY BASED SERVICES 134710 0 3400 0 0 0 500 0 22562 0 161172 0 0 0 KERI A DEBRUIN CHIEF HUMAN CAPITAL OFFICE 90857 0 15794 0 0 0 0 0 587 0 107238 0 0 0 PART I, LINE 1A ALL OFFICERS HAVE COMPANY PAID HEALTH & DENTAL. PART I, LINE 3 ALL REIMBURSEMENTS OR PAYMENTS TO OFFICERS AND EMPLOYEES ARE BACKED BY REQUIRED PAPER DOCUMENTATION. PART I, LINE 7 DENNIS HANSON RECEIVED A BONUS OF $2,000 IN 2019. DAVID MINDEN PH.D RECEIVED A BONUS OF $2,699.91 IN 2019. FRANCIE STONE RECEIVED A BONUS OF $1,540 IN 2019. HECTOR COLON RECEIVED A BONUS OF $37,125 IN 2019. PT I LINE 6A: THE FOLLOWING INDIVIDUALS RECEIVED THE AMOUNTS LISTED BASED ON THE RESULTS OF THE ORGANIZATION. JOSEPH ARZBECKER RECEIVED $53,792.01 IN 2019. KERI DE BRUIN RECEIVED $15,793.75 IN 2019. MICHELLE NAPLES RECEIVED $15,708 IN 2019. RANDY OLESZAK RECIEVED $31,416.50 IN 2019. X 79152 FMV X 1 24000 FMV X OFFICE SPACE 3 28260 FMV X GIFT CERTIFICATES 4 1146 FMV X RECREATION/ENTERTAINMENT 1 280 FMV 0 1 1 PART I, LINE 32B: STOCK DONATIONS ARE IMMEDIATELY LIQUIDATED, SO LSS RECEIVES CASH ONLY. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS 6 MEMBERS COMPRISING THE SYNODS OF ELCA. THE SYNOD COUNCIL OF EACH MEMBER HAS THE POWER TO ELECT MEMBER REPRESENTATIVES TO THE BOARD OF DIRECTORS, CONSISTING OF TEN IN TOTAL. FIVE AT LARGE DIRECTORS ARE ELECTED BY THE BOARD. A QUORUM IS REQUIRED FOR TRANSACTION OF ANY BOARD BUSINESS. A MAJORITY VOTE IS REQUIRED TO PASS A MOTION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C AN ANNUAL REQUIREMENT TO FILL OUT A CONFLICT OF INTEREST STATEMENT IS REQUIRED FOR EXTERNAL DIRECTORS AND OFFICERS. FORM 990, PART VI, SECTION B, LINE 15 PART VI, LINE 15A: A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO DETERMINE PAY RATES AND APPROVE PAY AND HIRING FOR TOP MANAGEMENT. PART VI, LINE 15B: A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO DETERMINE PAY RATES AND APPROVE PAY AND HIRING. FORM 990, PART VI, SECTION C, LINE 19 KEY POLICIES AND FINANCIAL INFORMATION ARE POSTED ON LSSWIS.ORG, THE AGENCY'S WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN LSS FOUNDATION AND FIXED ASSET IMPAIRMENT 4,705,138. LSS ASPEN CENTER LLC 2000 BLUEMOUND ROAD WAUKESHA WI 53186 843176904 SUBSTANCE ABUSE ASSISTANCE WITH A FOCUS ON OPIOD ADDICTION WI 1978872 2033872 LSS LSS FOUNDATION INC 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391242451 CONTRIBUTION SOLICITATION WI 501(C)(3) LINE 7 N/A 0 LSS HOUSING INC 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391410431 LOW INCOME HOUSING WI 501(C)(3) LINE 10 LSS 0 LSS MANOR INC - NEW BERLIN 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391584256 LOW INCOME HOUSING WI 501(C)(4) LINE 10 LSS 0 LSS MANOR INC - CALUMET 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391584266 LOW INCOME HOUSING WI 501(C)(4) LINE 10 LSS 0 LSS MANOR INC - CHOCOLAY 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391691693 LOW INCOME HOUSING WI 501(C)(4) LINE 10 LSS 0 LSS HOUSING INC - HOUGHTON 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391584257 LOW INCOME HOUSING WI 501(C)(4) LINE 10 LSS 0 LSS HOUSING - MARQUETTE 6737 W WASHINGTON ST SUITE 2275 WEST ALLIS WI 53214 391848653 LOW INCOME HOUSING WI 501(C)(3) LINE 10 LSS 0 LSS MANOR INC - 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