2024-11-13T14:20:52-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2023-01-01 261630687 LUTHERAN HOMES OF MICHIGAN FOUNDATION 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 FOUNDATION DAVID M GEHM 2825 WIENEKE RD SAGINAW MI 48603 1178447 0 X WWW.WELLSPRINGLUTHERAN.COM X 2008 MI MOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL. 14 13 0 13 0 0 714861 1057486 0 0 72766 111075 0 5236 787627 1173797 3140481 59416 0 0 5550 6323 0 0 0 51003 49879 3197034 115618 -2409407 1058179 9343348 11008377 37265 37429 9306083 10970948 MOTIVATED BY CHRIST'S LOVE, WE ENGAGE PEOPLE AS THEY EXPERIENCE AND EMBRACE THEIR GOD-GIVEN POTENTIAL. 0 0 65739 59416 SUPPORT AND COMPLEMENT THE CHRISTIAN, LUTHERAN MISSION AND MINISTRY OF LUTHERAN HOMES OF MICHIGAN, INC. AND ITS RELATED ORGANIZATIONS AND LUTHERAN CHILD & FAMILY SERVICE OF MICHIGAN, INC. THROUGH THE SOLICITATION, RECEIPT, AND DISBURSEMENT OF PHILANTHROPIC AND CHARITABLE FUNDS COLLECTED ON BEHALF OF SERVICES AND PROGRAMS ASSOCIATED WITH LUTHERAN HOMES OF MICHIGAN, INC., DBA WELLSPRING LUTHERAN SERVICES AND LUTHERAN CHILD & FAMILY SERVICE OF MICHIGAN, INC. DBA WELLSPRING LUTHERAN SERVICES. 65739 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X JODIE LAWMASTER 9892393004 2825 WIENEKE RD SAGINAW MI 48603 DAVID M GEHM PRESIDENT & CEO 0.67 39.33 X X 0 239980 9685 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 KAREN STORCK DIRECTOR 0.20 0.80 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 INGRID DRAPER DIRECTOR 1.00 0.00 X 0 0 0 TOM FOCKLER DIRECTOR 1.00 0.00 X 0 0 0 AL NUECHTERLEIN DIRECTOR 1.00 0.00 X 0 0 0 MATT RESCH DIRECTOR 1.00 0.00 X 0 0 0 MAUREEN TIPPEN DIRECTOR 1.00 0.00 X 0 0 0 PHIL TRAPP DIRECTOR 1.00 0.00 X 0 0 0 ANDREA LOGAN DIRECTOR 1.00 0.00 X 0 0 0 TIMOTHY KALBFLEISCH SR. VP FINANCE AND CFO 0.25 39.75 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 JILL HAISER VP OF MARKETING, CMO 27.50 12.50 X 0 176575 8139 0 918851 37472 0 0 1 0 0 1057486 18308 1057486 76176 76176 34899 0 34899 34899 34899 9886 4650 5236 5236 1173797 0 0 116311 59416 59416 6323 6323 5450 5450 23194 23194 17925 17925 1603 1603 LICENSES AND FEES 952 952 SUPPLIES 755 755 115618 65739 49879 0 4213388 2010887 -800 20358 5837 5649 18714 18714 1603 0 5123320 8971483 9343348 11008377 12127 29087 25138 8342 37265 37429 X 967252 2024848 8338831 8946100 9306083 10970948 9343348 11008377 X 1058179 267501 339185 X 0 1 X 1 0 X X X 6 LUTHERAN HOMES OF MICHIGAN INC 381358410 10 1 9683 500 PROJECT COMPASSION HEALTH 382395647 10 0 1678 200 AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC 382236926 10 0 3622 0 LUTHERAN HOME CARE AGENCY INC 383081979 10 0 9056 300 LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN INC 381359524 10 0 13664 17308 LUTHERAN HOME CARE PERSONAL ASSISTANCE 272138954 10 0 0 0 6 37703 18308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, LINE 1 EXPLANATION: THE FOLLOWING SUPPORTED ENTITIES ARE NOT NAMED IN LUTHERAN HOMES OF MICHIGAN FOUNDATION GOVERNING DOCUMENTS: LUTHERAN HOME CARE AGENCY, INC. LUTHERAN HOME CARE PERSONAL ASSISTANCE AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY, INC. LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN, INC. PROJECT COMPASSION HEALTH LUTHERAN HOMES OF MICHIGAN FOUNDATION GOVERNING DOCUMENTS PROVIDE FOR THE SUPPORT OF ENTITIES THAT OPERATE, SUPERVISE, OR CONTROL THE CORPORATION AND ARE OPERATING UNDER THE WELLSPRING LUTHERAN SERVICES NAME, AND ARE SECTION 501(C)(3) ORGANIZATIONS, AND 509(A)(1) OR 509(A)(2) ORGANIZATIONS. THE ABOVE MENTIONED ORGANIZATIONS MEET ALL REQUIREMENTS AS SET FORTH IN THE GOVERNING DOCUMENTS OF LUTHERAN HOMES OF MICHIGAN FOUNDATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18714 18714 0 0 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS 8971483 8971483 DUE TO OBLIGATED GROUP 8342 8342 1 LUTHERAN CHILD & FAMILY SERVICE OF MICHIGAN INC DBA WELLSPRING LUTHERAN 2825 WIENEKE RD SAGINAW MI 48603 381359524 501(C)(3) 13664 17308 FMV VARIOUS CLOTHING AND HOUSEHOLD GOODS GENERAL SUPPORT LUTHERAN HOMES OF MICHIGAN INC 2825 WIENEKE RD SAGINAW MI 48603 381358410 501(C)(3) 9683 500 FMV VARIOUS CLOTHING AND HOUSEHOLD GOODS GENERAL SUPPORT LUTHERAN HOME CARE AGENCY INC 2825 WIENEKE RD SAGINAW MI 48603 383081979 501(C)(3) 9056 300 FMV VARIOUS CLOTHING AND HOUSEHOLD GOODS GENERAL SUPPORT 3 0 PART I, LINE 2: BEFORE THE FOUNDATION REIMBURSES THE MINISTRY SITE FOR TEMPORARILY RESTRICTED NET ASSET ITEMS A QUARTERLY INVOICE WITH A SUMMARY OF THE ACTIVITY IS CREATED AND SUBMITTED TO THE EXECUTIVE DIRECTOR FOR REVIEW AND APPROVAL. 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 JILL HAISER VP OF MARKETING, CMO 0 176575 0 0 0 0 0 1773 0 6366 0 184714 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 AS STATED IN THE BYLAWS OF LUTHERAN HOMES OF MICHIGAN FOUNDATION, THE SOLE MEMBER OF THE ORGANIZATION IS LUTHERAN HOMES OF MICHIGAN, INC. THIS MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. FORM 990, PART VI, SECTION A, LINE 7A ON APRIL 30, 2018, THE BOARDS OF LUTHERAN HOMES OF MICHIGAN, INC. AND LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN, INC. PASSED RESOLUTIONS APPOINTING ALL SITTING MEMBERS OF THE RESPECTIVE BOARDS OF DIRECTORS AS ALSO SITTING MEMBERS OF THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION, LUTHERAN HOMES OF MICHIGAN, INC., HAS EXCLUSIVE POWER TO AMEND OR REPEAL THE BYLAWS OR ADOPT NEW BYLAWS, AMEND THE ARTICLES OF INCORPORATION AND TO VOTE ON ALL MATTERS IN WHICH THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED BY LAW, THE ARTICLES OF INCORPORATION AND THE BYLAWS, EXCEPT FOR ARTICLE III WHILE THE MANAGEMENT AGREEMENT WITH LUTHERAN CHILD AND FAMILY SERVICE OF MICHIGAN, INC. IS STILL IN EFFECT. 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 B, LINE 15 THE ANNUAL PERFORMANCE REVIEW AND COMPENSATION ADJUSTMENT OF THE EXECUTIVE DIRECTOR OF THE LHM FOUNDATION IS CONDUCTED BY THE CEO OF LHM INC., A RELATED ORGANIZATION. 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 RESTRICTED NET ASSETS OF OUTSIDE TRUST 339,185. LUTHERAN HOME CARE AGENCY INC 2825 WIENEKE RD SAGINAW MI 48603 383081979 HOME CARE MI 501(C)(3) LINE 10 LUTHERAN HOMES OF MICHIGAN INC 1 LUTHERAN HOMES OF MICHIGAN INC 2825 WIENEKE RD SAGINAW MI 48603 381358410 NURSING HOMES MI 501(C)(3) LINE 10 N/A 0 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 LUTHERAN CHILD & FAMILY SERVICE OF MICHIGAN INC 2825 WIENEKE RD SAGINAW MI 48603 381359524 CHILD AND FAMILY SERVICES MI 501(C)(3) LINE 7 N/A 0 ALPENA VILLAGE 2825 WIENEKE RD SAGINAW MI 48603 320090735 RESIDENTIAL CONTINUING CARE RETIREMENT FACILITY MI N/A 0 1 GIBRALTAR LDHALP 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 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0