2024-11-13T14:07:53-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2023-01-01 383081979 LUTHERAN HOME CARE AGENCY INC LUTH 9896523470 2825 WIENEKE RD SAGINAW MI 48603 TIMOTHY KALBFLEISCH SVP AND CFO 9896523470 2024-11-11 1 1 SAMANTHA L BECKER P01344887 2483757100 2024-11-11 2023 2024-10-15 13:58:12Z WELLSPRING LUTHERAN SERVICES DAVID M GEHM 2825 WIENEKE RD SAGINAW MI 48603 876104 0 X WWW.WELLSPRINGLUTHERAN.COM X 1992 MI MOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL. 6 6 21 11 0 0 68414 9356 1678636 834410 14134 4452 2710 27886 1763894 876104 0 0 0 0 801231 556873 0 0 0 1208666 667294 2009897 1224167 -246003 -348063 4141329 4335619 3950249 4461734 191080 -126115 MOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL. 0 0 663011 0 834410 THE 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 4,223 VISITS WHICH INCLUDED SERVICES SUCH AS NURSING CARE; SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES; MEDICAL, SOCIAL, AND PERSONAL SERVICES; AND HOSPICE SERVICES TO 74 INDIVIDUALS. 663011 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 4 0 1 21 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X JODIE LAWMASTER 9892393004 2825 WIENEKE RD SAGINAW MI 48603 RITCH CUSHWAY CHAIRMAN 0.20 0.80 X X 0 0 0 PETE BENDER TREASURER/SECRETARY 0.20 0.80 X X 0 0 0 PAUL NYQUIST DIRECTOR 0.20 0.80 X 0 0 0 CARL SCHOENOW DIRECTOR 0.20 0.80 X 0 0 0 AMY BENKO DIRECTOR 0.20 0.80 X 0 0 0 KAREN STORCK DIRECTOR 0.20 0.80 X 0 0 0 DAVID M GEHM PRESIDENT & CEO 0.08 39.92 X 0 239980 9685 TIMOTHY KALBFLEISCH SR. VP FINANCE AND CFO 0.08 39.92 X 0 222855 3707 ALBERT D KAUL VP OF FOUNDATION, CDO 0.08 39.92 X 0 116960 6978 ERIC R MUSUM VP, CTO 0.08 39.92 X 0 162481 8963 0 742276 29333 0 0 1 0 LUTHERAN HOME CARE PERSONAL ASSISTANCE 2825 WIENEKE RD SAGINAW MI 48603 RENT 114974 1 9356 300 9356 HOME CARE SERVICES 621610 834410 834410 834410 4452 4452 MISCELLANEOUS 561000 27886 27886 27886 876104 834410 0 32338 494535 316502 178033 2924 1637 1287 22529 10138 12391 36885 23606 13279 87320 87320 42 42 99320 77665 21655 43346 42913 433 24703 24703 57449 57449 116101 116101 24373 17549 6824 2210 1481 729 21078 16019 5059 24274 24274 DRUGS AND SUPPLIES 134190 134190 LICENSES AND FEES 9761 3026 6735 BAD DEBT EXPENSE 7586 3565 4021 RENTAL EQUIPMENT 5283 5283 10258 9437 821 1224167 663011 561156 0 528672 300802 142282 114865 1942 1208 153204 138380 20227 14824 3448206 3903920 4141329 4335619 33730 34467 3916519 4427267 3950249 4461734 X 36499 -311564 154581 185449 191080 -126115 4141329 4335619 X -348063 30868 X 0 1 X 1 0 X 130000 132869 544986 68414 9536 885805 3412919 3402127 2922188 1678636 834410 12250280 180 40 220 3543099 3535036 3467174 1747050 843946 13136305 130000 10000 9356 149356 0 130000 10000 9356 149356 12986949 2525 2418 1318 14134 4452 24847 2525 2418 1318 14134 4452 24847 745 43103 168 2710 27886 74612 3546369 3580557 3468660 1763894 876284 13235764 0.98120 0.98040 0.00190 0.00150 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 42 42 0 PART II-B, LINE 1: MEMBERSHIP FEE ALLOCATED TO LOBBYING. 153204 138380 14824 14824 ASSETS LIMITED AS-TO-USE 185449 DUE FROM AFFILIATES 3718471 3903920 DUE TO AFFILIATES 4427267 4427267 0 0 0 0 0 0 0 0 0 DAVID M GEHM PRESIDENT & CEO 0 239980 0 0 0 0 0 2522 0 7163 0 249665 0 0 TIMOTHY KALBFLEISCH SR. VP FINANCE AND CFO 0 222855 0 0 0 0 0 2217 0 1490 0 226562 0 0 ERIC R MUSUM VP, CTO 0 162481 0 0 0 0 0 1693 0 7270 0 171444 0 0 PART I, LINE 3 THE PROCESS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, CEO, AND CFO 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 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 11B 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 C, LINE 19 THE 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 XI, LINE 9: CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION 30,868. LUTHERAN HOMES OF MICHIGAN INC 2825 WIENEKE RD SAGINAW MI 48603 381358410 NURSING CARE MI 501(C)(3) LINE 10 N/A 0 LUTHERAN HOMES OF MICHIGAN FOUNDATION 2825 WIENEKE RD SAGINAW MI 48603 261630687 DONATE FUNDS MI 501(C)(3) LINE 12A LUTHERAN HOMES OF MICHIGAN INC 1 LUTHERAN HOME CARE PERSONAL ASSISTANCE 2825 WIENEKE RD SAGINAW MI 48603 272138954 HOME CARE MI 501(C)(3) LINE 10 LUTHERAN HOMES OF MICHIGAN INC 1 AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC 2825 WIENEKE RD SAGINAW MI 48603 382236926 RETIREMENT COMMUNITY MI 501(C)(3) LINE 10 LUTHERAN HOMES OF MICHIGAN INC 1 PROJECT COMPASSION HEALTH 2825 WIENEKE RD SAGINAW MI 48603 382395647 SKILLED NURSING FACILITY MI 501(C)(3) LINE 10 LUTHERAN HOMES OF MICHIGAN INC 1 ALPENA VILLAGE 2825 WIENEKE RD SAGINAW MI 48603 320090735 RESIDENTIAL CONTINUING CARE RETIREMENT FACILITY MI N/A 0 1 GIBRALTAR 26200 LAHSER RD STE 300 SOUTHFIELD MI 48034 301829767 PROVIDE AFFORDABLE HOUSING TO THE ELDERLY MI N/A 0 1 TRANSITIONAL CARE COMMUNITY LLC 2825 WIENEKE RD SAGINAW MI 48603 872544936 RESIDENTIAL CONTINUING CARE RETIREMENT FACILITY MI N/A 0 1 GIBRALTAR MANOR DEVELOPMENT INC 2825 WIENEKE RD SAGINAW MI 48603 202240778 HOUSING SERVICES MI N/A C 0 ALPENA PINES DEVELOPMENT INC 2825 WIENEKE RD SAGINAW MI 48603 260237019 HOUSING SERVICES MI N/A C 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 LUTHERAN HOME CARE PERSONAL ASSISTANCE K 114974 ACTUAL AMOUNT LUTHERAN HOMES OF MICHIGAN P 87320 ACTUAL AMOUNT