FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN HOME CARE AGENCY INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOME CARE AGENCY INC (EIN 38-3081979)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201733199349300048
Schema version
2016v3.0
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)
Return2017-11-15T07:16:18-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP480370307ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383081979EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOME CARE AGENCY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone9896523470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 PIER NORTH BLVD No STE AAddressLine1Txt
CityFLINTCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48504ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY E STORMSPersonNm
Person TitleCFOPersonTitleTxt
Phone9896523470PhoneNum
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTINA PETERSPreparerPersonNm
PTINP00904574PTIN
Phone2483522500PhoneNum
Preparation2017-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.32IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm13:06:35IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id852ED58CBC9AA6807749D456DA873D43AD1BF2F7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1WELLSPRING LUTHERAN SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDAVID M GEHMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 PIER NORTH BLVD No STE AAddressLine1Txt
CityFLINTCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48504ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,416,974GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPRINGLUTHERAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionMOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee50TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,551,829PYProgramServiceRevenueAmt
CY Program Service Revenue$3,403,313CYProgramServiceRevenueAmt
PY Investment Income$1,193PYInvestmentIncomeAmt
CY Investment Income$1,520CYInvestmentIncomeAmt
PY Other Revenue$13,487PYOtherRevenueAmt
CY Other Revenue$12,141CYOtherRevenueAmt
PY Total Revenue$3,566,509PYTotalRevenueAmt
CY Total Revenue$3,416,974CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,703,754PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,582,273CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,061,984PYOtherExpensesAmt
CY Other Expenses$1,892,678CYOtherExpensesAmt
PY Total Expenses$3,765,738PYTotalExpensesAmt
CY Total Expenses$3,474,951CYTotalExpensesAmt
PY Revenues Less Expenses-$199,229PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$57,977CYRevenuesLessExpensesAmt
Total Assets BOY$2,502,203TotalAssetsBOYAmt
Total Assets EOY$1,067,939TotalAssetsEOYAmt
Total Liabilities BOY$2,643,014TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,231,722TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$140,811NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$163,783NetAssetsOrFundBalancesEOYAmt
MissionMOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,321,141ExpenseAmt
Revenue$3,413,167RevenueAmt
DescTHE LUTHERAN HOME CARE AGENCY FULFILLED ITS TAX-EXEMPT PURPOSE THROUGH THE PROVISION OF NURSING, REHAB (PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY), SOCIAL SERVICES, SPIRITUAL AND OTHER SUPPORTIVE PROGRAMS TO FRAIL ELDERLY, DISABLED PERSONS, AND TERMINALLY ILL INDIVIDUALS. IN ADDITION, THE LHCA PROVIDES ADDITIONAL SERVICES TO THE COMMUNITY AT LARGE THROUGH EDUCATION, GRIEF SUPPORT, FLU SHOT CLINICS, AND VARIOUS WELLNESS PROGRAMS. OVERALL, THE LHCA PROVIDED A TOTAL OF 20,334 VISITS WHICH INCLUDED SERVICES SUCH AS NURSING CARE; SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES; MEDICAL, SOCIAL, AND PERSONAL SERVICES; AND HOSPICE SERVICES TO 1,004 INDIVIDUALS.Desc
Total Program Service Expenses$2,321,141TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee50EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIC MUSUMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9896523470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 PIER NORTH BLVD STE AAddressLine1Txt
CityFLINTCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48504ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RITCH CUSHWAY
CHAIR0.200.80Yes (X)Yes (X)$0$0$0
ANTHONY D GOLDEN
VICE CHAIR THRU 12/31/160.200.80Yes (X)Yes (X)$0$0$0
PETE BENDER
TREASURER/SECRETARY0.200.80Yes (X)Yes (X)$0$0$0
REV DON NEUENDORF
DIRECTOR0.200.80Yes (X)$0$0$0
DARRELL ZOLTON
DIRECTOR0.200.80Yes (X)$0$0$0
PAUL NYQUIST
DIRECTOR0.200.80Yes (X)$0$0$0
CARL SCHOENOW
DIRECTOR0.200.80Yes (X)$0$0$0
AMY BENKO
DIRECTOR AS OF 4/4/160.200.80Yes (X)$0$0$0
DAVID M GEHM
PRESIDENT & CEO0.0040.00Yes (X)$0$272,054$13,637
ALBERT D KAUL
VP HUMAN RESOURCES, CPO0.2039.80Yes (X)$0$133,429$10,446
AMY STORMS
Sr. VP Finance and CFO0.1039.90Yes (X)$0$168,361$11,608
ERIC R MUSUM
VP, CAA and CTO0.0040.00Yes (X)$0$119,208$9,815
MICHAEL LOGAN
Sr. VP/COO Senior Services1.1038.90Yes (X)$0$173,963$6,294
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$867,015TotReportableCompRltdOrgAmt
Total Other Compensation$51,800TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SELECT REHABILITATION
PO BOX 80905CHICAGOIL60680OCCUPATIONAL/PHYSICAL/SPEECH THERAPY$479,377
LUTHERAN HOMES OF MICHIGAN
4100 PIER NORTH BLVD SUITE AFLINTMI48504HOSPICE CARE$270,195
LUTHERAN HOME CARE PERSONAL ASSISTANCE
4100 PIER NORTH BLVD SUITE AFLINTMI48504RENT$120,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME CARE SERVICESDesc
Business621610BusinessCd
Total Revenue Column$3,403,313TotalRevenueColumnAmt
Related Or Exempt Func Income$3,403,313RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,403,313TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,520TotalRevenueColumnAmt
Exclusion$1,520ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
FURNISHED SERVICES990009$9,854$9,854
MISCELLANEOUS990009$2,287$2,287
FieldValueIRS element (for citing)
Other Revenue Total$12,141OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,416,974TotalRevenueColumnAmt
Related Or Exempt Func Income$3,413,167RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,807ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,329,869TotalAmt
Program Services$951,289ProgramServicesAmt
Management And General$378,580ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,167TotalAmt
Program Services$10,777ProgramServicesAmt
Management And General$11,390ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$129,568TotalAmt
Program Services$65,325ProgramServicesAmt
Management And General$64,243ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$100,669TotalAmt
Program Services$68,876ProgramServicesAmt
Management And General$31,793ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$338,902TotalAmt
Management And General$338,902ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$133TotalAmt
Management And General$133ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$120TotalAmt
Management And General$120ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$644,671TotalAmt
Program Services$623,996ProgramServicesAmt
Management And General$20,675ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,903TotalAmt
Program Services$803ProgramServicesAmt
Management And General$2,100ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,063TotalAmt
Program Services$25ProgramServicesAmt
Management And General$43,038ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$70,599TotalAmt
Management And General$70,599ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$136,737TotalAmt
Program Services$604ProgramServicesAmt
Management And General$136,133ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,211TotalAmt
Program Services$77,660ProgramServicesAmt
Management And General$5,551ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,721TotalAmt
Program Services$3,407ProgramServicesAmt
Management And General$8,314ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,931TotalAmt
Program Services$10,345ProgramServicesAmt
Management And General$2,586ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,400TotalAmt
Management And General$26,400ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$447,772$447,772
RENTAL EQUIPMENT$48,216$48,123$93
LICENSES AND FEES$13,401$942$12,459
FOUNDATION EXPENSES$10,224$10,224

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,674TotalAmt
Program Services$973ProgramServicesAmt
Management And General$701ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,474,951TotalAmt
Program Services$2,321,141ProgramServicesAmt
Management And General$1,153,810ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,004,561BOYAmt
EOY$483,165EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$292,591BOYAmt
EOY$245,374EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$802,355BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,766BOYAmt
EOY$10,972EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$484,164LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$482,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,300BOYAmt
EOY$1,370EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$375,630BOYAmt
EOY$327,058EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,502,203BOYAmt
EOY$1,067,939EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$222,441BOYAmt
EOY$149,363EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,420,573BOYAmt
EOY$1,082,359EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,643,014BOYAmt
EOY$1,231,722EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$516,441BOYAmt
EOY-$490,841EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$375,630BOYAmt
EOY$327,058EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$140,811BOYAmt
EOY-$163,783EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,502,203BOYAmt
EOY$1,067,939EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$57,977ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$35,005OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,237CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,858CurrentTaxYearMinus2YearsAmt
Total$52,114TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,722,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,721,914CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,031,886CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,551,829CurrentTaxYearMinus1YearAmt
Current Tax Year$3,403,313CurrentTaxYearAmt
Total$17,431,874TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,862CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,958CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,000CurrentTaxYearMinus1YearAmt
Current Tax Year$9,854CurrentTaxYearAmt
Total$69,563TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,752,031CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,769,891CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,057,633CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,560,829CurrentTaxYearMinus1YearAmt
Current Tax Year$3,413,167CurrentTaxYearAmt
Total$17,553,551TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,237CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,858CurrentTaxYearMinus2YearsAmt
Total$52,114TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$152,851CurrentTaxYearMinus4YearsAmt
Total$152,851TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,088CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,858CurrentTaxYearMinus2YearsAmt
Total$204,965TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,348,586PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,551CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,193CurrentTaxYearMinus1YearAmt
Current Tax Year$1,520CurrentTaxYearAmt
Total$6,980TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,551CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,193CurrentTaxYearMinus1YearAmt
Current Tax Year$1,520CurrentTaxYearAmt
Total$6,980TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,487CurrentTaxYearMinus1YearAmt
Current Tax Year$2,287CurrentTaxYearAmt
Total$33,593TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,759,703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,791,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,059,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,566,509CurrentTaxYearMinus1YearAmt
Current Tax Year$3,416,974CurrentTaxYearAmt
Total$17,594,124TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98600PublicSupportCY509Pct
Public Support PY5090.96730PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationMISCELLANEOUSExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$120OtherActivitiesAmt
Total Lobbying Expenditures$120TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMEMBERSHIP FEE ALLOCATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$484,164OtherCostOrOtherBasisAmt
Depreciation$482,794DepreciationAmt
Book Value$1,370BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,370TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescASSETS LIMITED AS-TO-USEDesc
Book Value$327,058BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$327,058TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$1,082,359Amt
FieldValueIRS element (for citing)
Total Liability$1,082,359TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID M GEHM
PRESIDENT & CEO$0$270,554$0$1,500$0$0$0$0$0$13,637$0$285,691$0$0
AMY STORMS
Sr. VP Finance and CFO$0$166,861$0$1,500$0$0$0$0$0$11,608$0$179,969$0$0
MICHAEL LOGAN
Sr. VP/COO Senior Services$0$173,963$0$0$0$0$0$0$0$6,294$0$180,257$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationTHE PROCESS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO IS UNDERTAKEN BY LUTHERAN HOMES OF MICHIGAN, INC., A RELATED ORGANIZATION. THE PROCESS INCLUDES USE OF A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6THE SOLE MEMBER OF THE ORGANIZATION IS LUTHERAN HOMES OF MICHIGAN, INC.
Form 990, Part VI, Section A, line 7aTHE ORGANIZATION'S SOLE MEMBER, LUTHERAN HOMES OF MICHIGAN, INC., HAS THE AUTHORITY TO APPOINT/ELECT INDIVIDUALS TO THE BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 11bPRIOR TO FILING THE FORM 990 RETURN, ELECTRONIC COPIES OF THE FORM 990 WERE SENT TO THE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBERS' INPUTS AND COMMENTS WERE SOLICITED.
Form 990, Part VI, Section B, line 12cCONFLICT OF INTEREST FORMS ARE COLLECTED IN THE BEGINNING OF EACH NEW BOARD YEAR. THE FORMS ARE REVIEWED BY THE CEO. IF A CONFLICT EXISTS, THE CEO REVIEWS WITH THE BOARD CHAIR AND DETERMINES THE APPROPRIATE ACTION, WHICH IS TYPICALLY TO REMOVE THE INDIVIDUAL FROM THE POSITION OF CONFLICT FOR THE SPECIFIC TRANSACTION/PROCESS.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE CORPORATE OFFICE OF WELLSPRING LUTHERAN SERVICES BY CONTACTING THE CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 14:A WRITTEN DOCUMENT RETENTION AND DOCUMENT DESTRUCTION POLICY IS CURRENTLY UNDER DEVELOPMENT.
Form 990, Part IX, line 11gINPATIENT CARE: Program service expenses 438,435. Management and general expenses 0. Fundraising expenses 0. Total expenses 438,435. OTHER CONTRACTED SERVICES: Program service expenses 92,459. Management and general expenses 20,675. Fundraising expenses 0. Total expenses 113,134. OTHER: Program service expenses 93,102. Management and general expenses 0. Fundraising expenses 0. Total expenses 93,102.
Form 990, Part XI, line 9:CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION 35,005.
FORM 990, PART XII, LINE 2C:THERE WERE NO CHANGES TO THE AUDIT OVERSIGHT PROCEDURES FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LUTHERAN HOMES OF MICHIGAN INC
4100 PIER NORTH BLVD STE AFLINTMI48504381358410NURSING CAREMI501(C)(3)LINE 10N/A0
LUTHERAN HOMES OF MICHIGAN FOUNDATION
4100 PIER NORTH BLVD STE AFLINTMI48504261630687DONATE FUNDSMI501(C)(3)LINE 12AYes (1)LUTHERAN HOMES OF MICHIGAN INC
Lutheran Home Care Personal Assistance
4100 PIER NORTH BLVD STE AFLINTMI48504272138954HOME CAREMI501(C)(3)LINE 10Yes (1)LUTHERAN HOMES OF MICHIGAN INC
AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC
4100 PIER NORTH BLVD STE AFLINTMI48504382236926RETIREMENT COMMUNITYMI501(C)(3)LINE 10Yes (1)LUTHERAN HOMES OF MICHIGAN INC
PROJECT COMPASSION HEALTH
4100 PIER NORTH BLVD STE AFLINTMI48504382395647SKILLED NURSING FACILITYMI501(C)(3)LINE 10Yes (1)LUTHERAN HOMES OF MICHIGAN INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
ALPENA VILLAGE
4100 PIER NORTH BLVD STE AFLINTMI48504320090735RESIDENTIAL CONTINUING CARE RETIREMENT FACILITYMIN/A
GIBRALTAR
26200 LAHSER RD STE 300SOUTHFIELDMI48034301829767PROVIDE AFFORDABLE HOUSING TO THE ELDERLYMIN/A
MONROE ELDERLY LDHALP
5309 TRANSPORTATION BLVDCLEVELANDOH44125383609893PROVIDE AFFORDABLE HOUSING TO THE ELDERLYMIN/A
ALPENA PINES LDHALP
9710 JUNCTION ROADFRANKENMUTHMI48434260236982PROVIDE AFFORDABLE HOUSING TO THE ELDERLYMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
LHM HOUSING SERVICES INC
4100 PIER NORTH BLVD STE AFLINTMI48504383609879HOUSING SERVICESMIN/AC0
GIBRALTER MANOR DEVELOPMENT INC
4100 PIER NORTH BLVD STE AFLINTMI48504202240778HOUSING SERVICESMIN/AC0
ALPENA PINES DEVELOPMENT INC
4100 PIER NORTH BLVD STE AFLINTMI48504260237019HOUSING SERVICESMIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN HOME CARE PERSONAL ASSISTANCE
K$120,000ACTUAL AMOUNT
LUTHERAN HOMES OF MICHIGAN
P$1,118,930ACTUAL COST
LUTHERAN HOMES OF MICHIGAN FOUNDATION
S$83,578ACTUAL AMOUNT