FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN HOME CARE AGENCY INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOME CARE AGENCY INC (EIN 38-3081979)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201613209349307971
Schema version
2015v2.1
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)
Return2016-11-15T13:13:21-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNNE HUISMANNPreparerPersonNm
PTINP00053811PTIN
Phone2483522500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$3,566,509GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee53TotalEmployeeCnt
Total Volunteers33TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$21,858PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$4,031,886PYProgramServiceRevenueAmt
CY Program Service Revenue$3,551,829CYProgramServiceRevenueAmt
PY Investment Income$1,273PYInvestmentIncomeAmt
CY Investment Income$1,193CYInvestmentIncomeAmt
PY Other Revenue$4,647PYOtherRevenueAmt
CY Other Revenue$13,487CYOtherRevenueAmt
PY Total Revenue$4,059,664PYTotalRevenueAmt
CY Total Revenue$3,566,509CYTotalRevenueAmt
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$1,872,684PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,703,754CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,142,663PYOtherExpensesAmt
CY Other Expenses$2,061,984CYOtherExpensesAmt
PY Total Expenses$4,015,347PYTotalExpensesAmt
CY Total Expenses$3,765,738CYTotalExpensesAmt
PY Revenues Less Expenses$44,317PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$199,229CYRevenuesLessExpensesAmt
Total Assets BOY$1,725,331TotalAssetsBOYAmt
Total Assets EOY$2,502,203TotalAssetsEOYAmt
Total Liabilities BOY$2,042,543TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,643,014TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$317,212NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$140,811NetAssetsOrFundBalancesEOYAmt
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$2,504,332ExpenseAmt
Revenue$3,560,829RevenueAmt
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 20,960 VISITS WHICH INCLUDED SERVICES SUCH AS NURSING CARE; SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES; MEDICAL, SOCIAL, AND PERSONAL SERVICES; AND HOSPICE SERVICES TO 905 INDIVIDUALS.Desc
Total Program Service Expenses$2,504,332TotalProgramServiceExpensesAmt
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee53EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANTHONY D GOLDEN
VICE CHAIR0.251.75Yes (X)Yes (X)$0$0$0
RITCH CUSHWAY
CHAIR0.250.75Yes (X)Yes (X)$0$0$0
PETER BENDER
TREASURER/SECRETARY0.250.75Yes (X)Yes (X)$0$0$0
REV DON NEUENDORF
DIRECTOR0.250.75Yes (X)$0$0$0
DARRELL ZOLTON
DIRECTOR0.250.75Yes (X)$0$0$0
PAUL NYQUIST
DIRECTOR0.250.75Yes (X)$0$0$0
CARL SCHOENOW
DIRECTOR0.250.75Yes (X)$0$0$0
DAVID M GEHM
PRESIDENT & CEO0.5039.50Yes (X)$0$246,795$23,015
MICHAEL LOGAN
SR. VP/COO SENIOR SERVICES2.3337.67Yes (X)$0$170,148$5,693
ERIC MUSUM
VP, CAA AND CTO0.0040.00Yes (X)$0$112,230$9,020
AMY STORMS
SR VP FINANCE AND CFO0.0040.00Yes (X)$0$137,491$9,995
ALBERT KAUL
VP HUMAN RESOURCES, CPO0.0040.00Yes (X)$0$117,918$9,298
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$784,582TotReportableCompRltdOrgAmt
Total Other Compensation$57,021TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SELECT REHABILITATION
PO BOX 80905CHICAGOIL60680OCCUPATIONAL/PHYSICAL/SPEECH THERAPY$544,924
LUTHERAN HOMES OF MICHIGAN
4100 PIER NORTH BLVD SUITE AFLINTMI48504HOSPICE CARE$142,794
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOME CARE SERVICESDesc
Business621610BusinessCd
Total Revenue Column$3,551,829TotalRevenueColumnAmt
Related Or Exempt Func Income$3,551,829RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,551,829TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,193TotalRevenueColumnAmt
Exclusion$1,193ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
FURNISHED SERVICES990009$9,000$9,000
MISCELLANEOUS990009$4,487$4,487
FieldValueIRS element (for citing)
Other Revenue Total$13,487OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,566,509TotalRevenueColumnAmt
Related Or Exempt Func Income$3,560,829RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,680ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,458,417TotalAmt
Program Services$1,060,779ProgramServicesAmt
Management And General$397,638ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,878TotalAmt
Program Services$11,352ProgramServicesAmt
Management And General$10,526ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$114,457TotalAmt
Program Services$83,796ProgramServicesAmt
Management And General$30,661ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$109,002TotalAmt
Program Services$78,896ProgramServicesAmt
Management And General$30,106ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$412,984TotalAmt
Management And General$412,984ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$54TotalAmt
Management And General$54ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$637,207TotalAmt
Program Services$626,115ProgramServicesAmt
Management And General$11,092ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,069TotalAmt
Management And General$3,069ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$38,382TotalAmt
Management And General$38,382ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$80,527TotalAmt
Management And General$80,527ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$132,419TotalAmt
Management And General$132,419ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$107,279TotalAmt
Program Services$95,905ProgramServicesAmt
Management And General$11,374ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,592TotalAmt
Program Services$1,435ProgramServicesAmt
Management And General$4,157ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,149TotalAmt
Management And General$30,149ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,880TotalAmt
Management And General$17,880ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$419,753$410,826$8,927
RENTAL EQUIPMENT$89,483$89,483
EQUIP & VEHICLE REPAIRS$44,876$44,800$76
FOUNDATION EXPENSES$37,507$37,507

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,823TotalAmt
Program Services$945ProgramServicesAmt
Management And General$3,878ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,765,738TotalAmt
Program Services$2,504,332ProgramServicesAmt
Management And General$1,261,406ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$868,901BOYAmt
EOY$1,004,561EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$407,883BOYAmt
EOY$292,591EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$392,948BOYAmt
EOY$802,355EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,149BOYAmt
EOY$12,766EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$568,164LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$553,864LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44,450BOYAmt
EOY$14,300EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$375,630EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,725,331BOYAmt
EOY$2,502,203EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$215,604BOYAmt
EOY$222,441EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,826,939BOYAmt
EOY$2,420,573EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,042,543BOYAmt
EOY$2,643,014EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$365,746BOYAmt
EOY-$516,441EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,534BOYAmt
EOY$375,630EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$317,212BOYAmt
EOY-$140,811EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,725,331BOYAmt
EOY$2,502,203EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$199,229ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$375,630OtherChangesInNetAssetsAmt
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$11,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,237CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,858CurrentTaxYearMinus1YearAmt
Current Tax Year$338,123CurrentTaxYearAmt
Total$401,296TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,583,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,722,932CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,721,914CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,031,886CurrentTaxYearMinus1YearAmt
Current Tax Year$3,551,829CurrentTaxYearAmt
Total$17,612,421TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,332CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,889CurrentTaxYearMinus1YearAmt
Current Tax Year$9,000CurrentTaxYearAmt
Total$80,041TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,615,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,752,031CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,769,891CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,057,633CurrentTaxYearMinus1YearAmt
Current Tax Year$3,898,952CurrentTaxYearAmt
Total$18,093,758TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,237CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,858CurrentTaxYearMinus1YearAmt
Current Tax Year$338,123CurrentTaxYearAmt
Total$401,296TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$152,851CurrentTaxYearMinus3YearsAmt
Total$152,851TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$159,088CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,858CurrentTaxYearMinus1YearAmt
Current Tax Year$338,123CurrentTaxYearAmt
Total$554,147TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,539,611PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,193CurrentTaxYearAmt
Total$7,595TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,443CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,193CurrentTaxYearAmt
Total$7,595TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$719CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,121CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,940CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$758CurrentTaxYearMinus1YearAmt
Current Tax Year$4,487CurrentTaxYearAmt
Total$32,025TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,618,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,759,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,791,274CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,059,664CurrentTaxYearMinus1YearAmt
Current Tax Year$3,904,632CurrentTaxYearAmt
Total$18,133,378TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96730PublicSupportCY509Pct
Public Support PY5090.97940PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$54OtherActivitiesAmt
Total Lobbying Expenditures$54TotalLobbyingExpendituresAmt
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$568,164OtherCostOrOtherBasisAmt
Depreciation$553,864DepreciationAmt
Book Value$14,300BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,300TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescASSETS LIMITED AS-TO-USEDesc
Book Value$375,630BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$375,630TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$2,420,573Amt
FieldValueIRS element (for citing)
Total Liability$2,420,573TotalLiabilityAmt

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 (2 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$246,795$0$0$0$0$0$0$0$23,015$0$269,810$0$0
MICHAEL LOGAN
SR. VP/COO SENIOR SERVICES$0$170,148$0$0$0$0$0$0$0$5,693$0$175,841$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 11PRIOR 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 626,115. MANAGEMENT AND GENERAL EXPENSES 11,092. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 637,207.
FORM 990, PART XI, LINE 9:TRANSFER OF ASSETS FROM LUTHERAN HOMES OF MICHIGAN FOUNDATION 375,630.
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 (4 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 9N/A0
LUTHERAN HOMES OF MICHIGAN FOUNDATION
4100 PIER NORTH BLVD STE AFLINTMI48504261630687DONATE FUNDSMI501(C)(3)LINE 11AYes (1)LUTHERAN HOMES OF MICHIGAN INC
LUTHERAN HOME CARE PERSONAL ASSISTANCE
4100 PIER NORTH BLVD STE AFLINTMI48504272138954HOME CAREMI501(C)(3)LINE 9Yes (1)LUTHERAN HOMES OF MICHIGAN INC
AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC
4100 PIER NORTH BLVD STE AFLINTMI48504382236926RETIREMENT COMMUNITYMI501(C)(3)LINE 9Yes (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 Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
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 (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN HOME CARE PERSONAL ASSISTANCE
K$120,000ACTUAL COST
LUTHERAN HOMES OF MICHIGAN
P$142,794ACTUAL COST
LUTHERAN HOMES OF MICHIGAN FOUNDATION
S$375,630ACTUAL AMOUNT
LUTHERAN HOMES OF MICHIGAN FOUNDATION
P$37,507ACTUAL AMOUNT