2014-11-17T09:21:50-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC PO BOX 307 SOUTHFIELD MI 480370307 990 2013-01-01 201034873 ELDER HOUSING LLC ELDE 9896523470 PO BOX 329 FRANKENMUTH MI 48734 AMY E STORMS CFO 9896523470 2014-11-13 1 ROBERT LONG P00782202 2483522500 2013 2015-11-30 17:44:51Z THE MANORS DAVID M GEHM PO BOX 329 FRANKENMUTH MI 48734 8380137 0 X WWW.WELLSPRINGLUTHERAN.COM X 2004 MI MOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL. 12 11 314 90 0 0 3596 2281 5873948 8206831 -2454 -4077 102665 169082 5977755 8374117 0 0 0 0 2704816 3552554 0 0 0 3374409 4424690 6079225 7977244 -101470 396873 14719759 14572534 17573097 16978544 -2853338 -2406010 MOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL. 0 0 4582820 8211595 ELDER HOUSING (DBA THE MANORS) PROVIDES SAFE, SECURE HOUSING TO SENIORS WITH ADDITIONAL LINKAGES TO THE COMMUNITY THROUGH OUTINGS AND EXCURSIONS, WELLNESS PROGRAMS, LIFE ENRICHMENT ACTIVITIES, MULTIPLE SPIRITUAL SUPPORT PROGRAMS, AND MEANINGFUL EDUCATIONAL OPPORTUNITIES. THIS WAS PROVIDED TO SENIORS ON THE MANORS CAMPUS WITH AN AVERAGE OCCUPANCY OF 97 APARTMENTS FOR INDEPENDENT SENIORS, 138 APARTMENTS WITH SOME SERVICES PROVIDED TO SENIORS, AND 40 ROOMS FOR SENIORS WHO SUFFER MEMORY LOSS. 4582820 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 9 0 1 314 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 MI X SUSAN L KUCK 9896523470 PO BOX 329 FRANKENMUTH MI 48734 DAVID M GEHM PRESIDENT & CEO 2.00 38.00 X X 0 203990 31668 ANTHONY D GOLDEN CHAIR 0.20 0.80 X X 0 0 0 MARILYNN GOERING DIRECTOR 0.20 0.80 X 0 0 0 DR JOHN BRANDT DIRECTOR - PARTIAL YEAR 0.20 0.80 X 0 0 0 REV JOHN BUSH DIRECTOR - PARTIAL YEAR 0.20 0.80 X 0 0 0 CHARLES WINTERSTEIN DIRECTOR 0.20 0.80 X X 0 0 0 DEBORAH DUTCHER DIRECTOR 0.20 0.80 X 0 0 0 MARY JO KRICK SECRETARY 0.20 0.80 X X 0 0 0 REV DON NEUENDORF DIRECTOR 0.20 0.80 X 0 0 0 PETE BENDER TREASURER 0.20 0.80 X X 0 0 0 RITCH CUSHWAY VICE CHAIR 0.20 0.80 X X 0 0 0 SCOTT ZIMMER DIRECTOR 0.20 0.80 X 0 0 0 DARRELL ZOLTON DIRECTOR 0.20 0.80 X 0 0 0 RANDY HARRIS DIRECTOR 0.20 0.80 X 0 0 0 MAUREEN MCGEE COO - CAMPUS BASED SERVICE 8.00 32.00 X 0 104427 27312 AMY STORMS CFO 4.00 36.00 X 0 106809 12265 ERIC MUSUM CHIEF TECHNOLOGY OFFICER 1.00 39.00 X 0 83141 9671 ALBERT KAUL VP HUMAN RESOURCES 1.00 39.00 X 0 90094 15921 0 588461 96837 0 0 1 0 UNIDINE CORPORATION PO BOX 60479 CHARLOTTE NC 28260 FOOD SERVICE 628329 1 2281 2281 ROOM & MEDICAL CARE 623000 8152954 8152954 OTHER RESIDENT RENTAL 623000 53877 53877 8206831 1943 1943 4764 0 4764 4764 4764 6020 -6020 -6020 -6020 OTHER INCOME 900099 110797 110797 TELEPHONE FEES 900099 43803 43803 GUEST MEALS 900099 9718 9718 164318 8374117 8211595 0 160241 3093513 2671504 422009 29011 20789 8222 195022 155791 39231 235008 202177 32831 727046 727046 7472 7472 105 105 676770 621977 54793 1824 1824 172962 116124 56838 21283 21283 477101 477101 6440 546 5894 1377 431 946 440912 440912 1002101 1002101 146653 146653 FOOD 244581 244581 PROPERTY TAXES 231273 231273 EQUIP, VEHICLE REPAIRS 101556 58246 43310 DUES AND SUBSCRIPTIONS 9016 742 8274 156218 12811 143407 7977244 4582820 3394424 0 48840 680367 20097 51164 2517 309 8527 11715 21434 23803 23161780 9494933 14608544 13666847 9800 138329 14719759 14572534 298752 294177 12910562 12455718 4363783 4228649 17573097 16978544 X -2865365 -2418037 12027 12027 -2853338 -2406010 14719759 14572534 X 396873 50455 X X 0 1 X 1 0 X 21070 7206 4366 3596 2281 38519 7810602 7880990 7420031 5877124 8211595 37200342 60947 49855 36625 53521 200948 7831672 7949143 7474252 5917345 8267397 37439809 21637 7206 4366 3596 2281 39086 0 21637 7206 4366 3596 2281 39086 37400723 1943 1943 1943 1943 15973 15182 62864 110797 204816 7831672 7965116 7489434 5980209 8380137 37646568 0.99350 0.99430 0.00010 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME 0 0 0 0 0 0 0 0 1 105 105 0 PART II-B, LINE 1: MEMBERSHIP FEE ALLOCATED TO LOBBYING. 354545 354545 21102267 8106937 12995330 296712 129789 166923 145173 89753 55420 1263083 1168454 94629 13666847 PAYABLES TO AFFILIATES 3794959 RESIDENT SECURITY DEPOSITS 329000 INTEREST RATE SWAP 104690 4228649 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2010. 0 0 0 0 0 0 0 0 0 DAVID M GEHM PRESIDENT & CEO 0 203990 0 0 0 0 0 17500 0 14168 0 235658 0 0 PART I, LINE 3 THE 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. FORM 990, PART I, ITEM C DBA: SHATTUCK MANOR DBA: MEADOWVIEW MANOR DBA: MCBRITE MANOR FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS LUTHERAN HOMES OF MICHIGAN, INC. FORM 990, PART VI, SECTION A, LINE 7A THE 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 11 PRIOR 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 12C CONFLICT 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 B, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD, UNDER THE BOARD CHAIR'S LEADERSHIP, IS RESPONSIBLE FOR ANNUAL PERFORMANCE REVIEW AND COMPENSATION ADJUSTMENT OF THE CEO, WHEN APPROPRIATE. OUTSIDE SOURCES OR COMPARATIVE REVIEW ARE TAKEN INTO CONSIDERATION WHEN SETTING TOTAL COMPENSATION. THE LAST ANNUAL PERFORMANCE REVIEW OCCURRED IN 2013 AND THE LAST IN-DEPTH COMPENSATION REVIEW OCCURRED IN 2010. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABALE TO THE PUBLIC UPON REQUEST AT THE CORPORATE OFFICE OF LUTHERAN HOMES OF MICHIGAN INC. 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 XI, LINE 9: INTEREST RATE SWAP ADJUSTMENT 50,455. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES TO THE AUDIT OVERSIGHT PROCEDURES FROM THE PREVIOUS YEAR. LUTHERAN HOMES OF MICHIGAN INC PO BOX 329 FRANKENMUTH MI 48734 381358410 NURSING CARE MI 501(C)(3) LINE 9 N/A 0 LUTHERAN HOME CARE AGENCY INC PO BOX 329 FRANKENMUTH MI 48734 383081979 HOME CARE MI 501(C)(3) LINE 9 LUTHERAN HOMES OF MICHIGAN INC 1 LUTHERAN HOMES OF MICHIGAN FOUNDATION PO BOX 329 FRANKENMUTH MI 48734 261630687 DONATE FUNDS MI 501(C)(3) LINE 11A, I LUTHERAN HOMES OF MICHIGAN INC 1 LUTHERAN HOME CARE PERSONAL ASSISTANCE PO BOX 329 FRANKENMUTH MI 48734 272138954 HOME CARE MI 501(C)(3) LINE 9 LUTHERAN HOMES OF MICHIGAN INC 1 AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC PO BOX 329 FRANKENMUTH MI 48735 382236926 RETIREMENT COMMUNITY MI 501(C)(3) LINE 9 LUTHERAN HOMES OF MICHIGAN INC 1 ALPENA VILLAGE PO BOX 329 FRANKENMUTH MI 48734 320090735 RESIDENTIAL CONTINUING CARE RETIREMENT FACILITY MI N/A GIBRALTAR 26200 LAHSER RD STE 300 SOUTHFIELD MI 48034 301829767 PROVIDE AFFORDABLE HOUSING TO THE ELDERLY MI N/A MONROE ELDERLY LDHALP 5309 TRANSPORTATION BLVD CLEVELAND OH 44125 383609893 PROVIDE AFFORDABLE HOUSING TO THE ELDERLY MI N/A ALPENA PINES LDHALP 9710 JUNCTION ROAD FRANKENMUTH MI 48434 260236982 PROVIDE AFFORDABLE HOUSING TO THE ELDERLY MI N/A LHM HOUSING SERVICES INC PO BOX 329 FRANKENMUTH MI 48734 383609879 HOUSING SERVICES MI N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 LUTHERAN HOMES OF MICHIGAN INC P 2875000 ACTUAL COST LUTHERAN HOMES OF MICHIGAN INC Q 150000 ACTUAL COST