AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC (EIN 38-2236926)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201433219349302393
Schema version
2013v3.0
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)
Return2014-11-17T09:21:50-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 307AddressLine1
CitySOUTHFIELDCity
StateMIState
ZIP Code480370307ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382236926EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUSABLE VALLEY CONTINUING CAREBusinessNameLine1
Business Name Line2RETIREMENT COMMUNITY INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlAUSABusinessNameControlTxt
Phone9896523470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 329AddressLine1
CityFRANKENMUTHCity
StateMIState
ZIP Code48734ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY E STORMSPersonNm
Person TitleCFOPersonTitleTxt
Phone9896523470PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT LONGPreparerPersonNm
PTINP00782202PTIN
Phone2483522500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1WELLSPRING LUTHERAN SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerDAVID M GEHMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 329AddressLine1
CityFRANKENMUTHCity
StateMIState
ZIP Code48734ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,984,597GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WELLSPRINGLUTHERAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee127TotalEmployeeCnt
Total Volunteers29TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$900PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,558,980PYProgramServiceRevenueAmt
CY Program Service Revenue$4,869,903CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$1CYInvestmentIncomeAmt
PY Other Revenue$13,219PYOtherRevenueAmt
CY Other Revenue$114,693CYOtherRevenueAmt
PY Total Revenue$2,573,100PYTotalRevenueAmt
CY Total Revenue$4,984,597CYTotalRevenueAmt
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$1,335,762PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,620,210CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,358,294PYOtherExpensesAmt
CY Other Expenses$2,471,825CYOtherExpensesAmt
PY Total Expenses$2,694,056PYTotalExpensesAmt
CY Total Expenses$5,092,035CYTotalExpensesAmt
PY Revenues Less Expenses-$120,956PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$107,438CYRevenuesLessExpensesAmt
Total Assets BOY$3,698,083TotalAssetsBOYAmt
Total Assets EOY$3,904,809TotalAssetsEOYAmt
Total Liabilities BOY$4,085,605TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,389,219TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$387,522NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$484,410NetAssetsOrFundBalancesEOYAmt
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$3,725,864ExpenseAmt
Revenue$4,869,903RevenueAmt
DescPROVIDED SKILLED NURSING CARE AND INDEPENDENT LIVING OPTIONS FOR 19,293 SENIOR DAYS.Desc
Total Program Service Expenses$3,725,864TotalProgramServiceExpensesAmt
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 CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee127EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 ApprovaYes (1)DecisionsSubjectToApprovaInd
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 CEOYes (1)CompensationProcessCEOInd
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 Line1SUSAN L KUCKBusinessNameLine1
FieldValueIRS element (for citing)
Phone9896523470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 329AddressLine1
CityFRANKENMUTHCity
StateMIState
ZIP Code48734ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID M GEHM
PRESIDENT & CEO0.4039.60Yes (X)Yes (X)$0$203,990$31,668
DEBORAH DUTCHER
DIRECTOR0.200.80Yes (X)$0$0$0
ANTHONY GOLDEN
CHAIR0.200.80Yes (X)Yes (X)$0$0$0
RANDY HARRIS
DIRECTOR0.200.80Yes (X)$0$0$0
MARY JO KRICK
SECRETARY0.200.80Yes (X)Yes (X)$0$0$0
REV DON NEUENDORF
DIRECTOR0.200.80Yes (X)$0$0$0
PETER BENDER
TREASURER0.200.80Yes (X)Yes (X)$0$0$0
SCOTT ZIMMER
DIRECTOR0.200.80Yes (X)$0$0$0
RITCH CUSHWAY
VICE CHAIR0.200.80Yes (X)Yes (X)$0$0$0
DARRELL ZOLTON
DIRECTOR0.200.80Yes (X)$0$0$0
CHARLES WINTERSTEIN
DIRECTOR0.200.80Yes (X)$0$0$0
MARILYNN GOERING
DIRECTOR0.200.80Yes (X)$0$0$0
MAUREEN MCGEE
COO - CAMPUS BASED SERVICE8.0032.00Yes (X)$0$104,427$27,312
AMY STORMS
VP OF FINANCE/CFO1.0039.00Yes (X)$0$106,809$12,265
ERIC MUSUM
INFORMATION TECHNOLOGY DIRECTOR1.0039.00Yes (X)$0$83,141$9,671
ALBERT KAUL
VP OF HUMAN RESOURCES1.0039.00Yes (X)$0$90,094$15,921
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$588,461TotReportableCompRltdOrgAmt
Total Other Compensation$96,837TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHABCARE GROUP INCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line17733 FORSYTH BLVDAddressLine1
CitySTLOUISCity
StateMOState
ZIP Code63102ZIPCode
FieldValueIRS element (for citing)
ServicesTHERAPYServicesDesc
Compensation$169,852CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROOM/CARE/SKILLED NURS623990$4,859,342$4,859,342
RESIDENT RENTAL INCOME623990$10,523$10,523
OTHER RESIDENT REIMB623990$38$38
FieldValueIRS element (for citing)
Total Program Service Revenue$4,869,903TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
TV CHARGES900099$15,438$15,438
REBATE INCOME900099$6,543$6,543
MEALS - GUEST900099$2,111$2,111

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$90,601TotalRevenueColumnAmt
Exclusion$90,601ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$114,693OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,984,597TotalRevenueColumnAmt
Related Or Exempt Func Income$4,869,903RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$114,694ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,217,566TotalAmt
Program Services$2,065,005ProgramServicesAmt
Management And General$152,561ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,291TotalAmt
Program Services$29,965ProgramServicesAmt
Management And General$6,326ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$201,256TotalAmt
Program Services$185,279ProgramServicesAmt
Management And General$15,977ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$165,097TotalAmt
Program Services$152,345ProgramServicesAmt
Management And General$12,752ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$422,300TotalAmt
Management And General$422,300ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,976TotalAmt
Management And General$17,976ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$75TotalAmt
Management And General$75ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$206,204TotalAmt
Program Services$69,040ProgramServicesAmt
Management And General$137,164ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,587TotalAmt
Management And General$2,587ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,411TotalAmt
Management And General$17,411ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,439TotalAmt
Program Services$419ProgramServicesAmt
Management And General$4,020ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,374TotalAmt
Program Services$793ProgramServicesAmt
Management And General$2,581ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$85,897TotalAmt
Program Services$85,897ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$134,144TotalAmt
Program Services$134,144ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,797TotalAmt
Management And General$61,797ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
MMQAA PROVIDER TAX$380,428$380,428
NET PATIENT CARE$371,763$371,763
DRUGS/MEDICAL SUPPLIES$299,860$34,681$265,179
FOOD$239,064$239,064

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$224,506TotalAmt
Program Services$126,971ProgramServicesAmt
Management And General$97,535ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,092,035TotalAmt
Program Services$3,725,864ProgramServicesAmt
Management And General$1,366,171ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$180,147BOYAmt
EOY$472,409EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$579,892BOYAmt
EOY$436,176EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,660BOYAmt
EOY$5,981EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$71,172BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,948,664LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$353,012LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,448,540BOYAmt
EOY$1,595,652EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,360,426BOYAmt
EOY$1,360,426EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$51,246BOYAmt
EOY$34,165EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,698,083BOYAmt
EOY$3,904,809EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$396,896BOYAmt
EOY$399,449EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,669,474BOYAmt
EOY$1,669,474EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,019,235BOYAmt
EOY$2,320,296EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,085,605BOYAmt
EOY$4,389,219EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$403,993BOYAmt
EOY-$500,881EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,471BOYAmt
EOY$16,471EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$387,522BOYAmt
EOY-$484,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,698,083BOYAmt
EOY$3,904,809EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$107,438ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,861NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,689OtherChangesInNetAssetsAmt
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$22,218CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$900CurrentTaxYearMinus1YearAmt
Total$50,294TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,178,476CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,044,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,007,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,558,980CurrentTaxYearMinus1YearAmt
Current Tax Year$4,869,903CurrentTaxYearAmt
Total$22,659,729TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$24,479CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,208CurrentTaxYearMinus1YearAmt
Current Tax Year$17,549CurrentTaxYearAmt
Total$57,573TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,200,694CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,096,263CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,017,099CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,566,088CurrentTaxYearMinus1YearAmt
Current Tax Year$4,887,452CurrentTaxYearAmt
Total$22,767,596TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$184,058CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$447,724CurrentTaxYearMinus1YearAmt
Current Tax Year$107,290CurrentTaxYearAmt
Total$739,072TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$184,058CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$447,724CurrentTaxYearMinus1YearAmt
Current Tax Year$107,290CurrentTaxYearAmt
Total$739,072TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,028,524PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$343CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Current Tax Year$1CurrentTaxYearAmt
Total$1,252TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$781CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$343CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Current Tax Year$1CurrentTaxYearAmt
Total$1,252TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,723CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$868,653CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,011CurrentTaxYearMinus1YearAmt
Current Tax Year$97,144CurrentTaxYearAmt
Total$1,028,493TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,240,198CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,965,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,034,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,573,100CurrentTaxYearMinus1YearAmt
Current Tax Year$4,984,597CurrentTaxYearAmt
Total$23,797,341TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92570PublicSupportCY509Pct
Public Support PY5090.93110PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOMEExplanationTxt

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$75OtherActivitiesAmt
Total Lobbying Expenditures$75TotalLobbyingExpendituresAmt
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

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$7,263BeginningBalanceAmt
Additions During Year$23,496AdditionsDuringYearAmt
Distributions During Year$24,928DistributionsDuringYearAmt
Ending Balance$5,831EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$180,000OtherCostOrOtherBasisAmt
Book Value$180,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,288,620OtherCostOrOtherBasisAmt
Depreciation$130,292DepreciationAmt
Book Value$1,158,328BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$370,519OtherCostOrOtherBasisAmt
Depreciation$160,479DepreciationAmt
Book Value$210,040BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$109,525OtherCostOrOtherBasisAmt
Depreciation$62,241DepreciationAmt
Book Value$47,284BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,595,652TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LOANS FROM RELATED PARTIES$225,000
DUE TO AFFILIATES$1,765,117
ACCRUED OTHER LIABILITIES$330,179
FieldValueIRS element (for citing)
Total Liability$2,320,296TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 1B:RESIDENT TRUST ACCOUNT
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.

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

FieldValueIRS element (for citing)
PersonDAVID M GEHMPersonNm
TitlePRESIDENT & CEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$203,990CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$17,500DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$14,168NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$235,658TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

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 (10 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 A, LINE 7BDECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBER, LUTHERAN HOMES OF MICHIGAN, INC.
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 B, LINE 15ATHE 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 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 HOMES OF MICHIGAN, INC. BY CONTACTING THE CHIEF FINANCIAL OFFICER.
FORM 990, PART VI, SECTION B, LINE 14:A WRITTEN DOCUMENT RENTENTION AND DOCUMENT DESTRUCTION POLICY IS CURRENTLY UNDER DEVELOPMENT.
FORM 990, PART XI, LINE 9:RECOVERY OF BAD DEBT 3,689.
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LUTHERAN HOMES OF MICHIGAN INC
PO BOX 329FRANKENMUTHMI48734381358410NURSING CAREMI501(C)(3)LINE 9N/A0
ELDER HOUSING LLC
PO BOX 329FRANKENMUTHMI48734201034873SENIOR HOUSINGMI501(C)(3)LINE 9Yes (1)LUTHERAN HOMES OF MICHIGAN INC
LUTHERAN HOMES OF MICHIGAN FOUNDATION
PO BOX 329FRANKENMUTHMI48734261630687DONATE FUNDSMI501(C)(3)LINE 11A, IYes (1)LUTHERAN HOMES OF MICHIGAN INC
LUTHERAN HOME CARE PERSONAL ASSISTANCE
PO BOX 329FRANKENMUTHMI48734272138954HOME CAREMI501(C)(3)LINE 9Yes (1)LUTHERAN HOMES OF MICHIGAN INC
LUTHERAN HOME CARE AGENCY INC
PO BOX 329FRANKENMUTHMI48734383081979SENIOR SERVICESMI501(C)(3)LINE 9Yes (1)LUTHERAN HOMES OF MICHIGAN INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
ALPENA VILLAGE
PO BOX 329FRANKENMUTHMI48734320090735RESIDENTIAL CONTINUING CARE RETIREMENT FACILITYMIN/A
GILBRALTAR
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

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LHM HOUSING SERVICES INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 329AddressLine1
CityFRANKENMUTHCity
StateMIState
ZIP Code48734ZIPCode
FieldValueIRS element (for citing)
EIN383609879EIN
Primary ActivitiesHOUSING SERVICESPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
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 Org0RentalOfFcltsFromOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN HOMES OF MICHIGAN INC
P$850,000ACTUAL COST
LUTHERAN HOMES OF MICHIGAN INC
Q$340,000ACTUAL COST

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