2023 Annual Report

2023 Annual Report

What Happens When
We Come Together

Dear members and partners—

Thank you for your generosity and for your support of Lutheran Services in America. Put simply, you make what we do possible.

The Lutheran Services in America network is community-centered, trusted and founded on our shared faith tradition of service in the community. Stepping into the gap where others can’t—or won’t—go is what social ministries do, and collectively our network members reach one in 50 people in America in over 1,400 communities. Proof that when we come together, good things happen—we can move mountains.

Let all that you do be done in love. (1 Cor 16:14)

Our strategy is rooted in our unique strength: taking action together. Through our learning communities, national network member and partner engagement and advocacy, we unite leaders: faith leaders, nonprofit leaders, industry leaders, policy makers, philanthropists, academics, healthcare professionals, individuals with lived expertise and others around a shared purpose.

Our mission statement reflects both this strategy and purpose:

Cultivating Caring Communities that Advance Health and Opportunity for All.
  • Working in community and in partnership permeates everything we do. We set a large table connecting people from all walks of life.
  • We advance health and opportunity in the broadest sense, taking what our faith tradition calls a whole-person approach to health.
  • We are here for all—and our work leaves no one out!

Throughout this 2023 report, we’ve highlighted how we continue to strengthen our shared future by growing leadership, catalyzing innovation and amplifying our united, faith-based voice—taking action together to advance health and opportunity for all.

We are deeply grateful for what each and every one of you brings to this work. Your support powers our mission.

This is what happens when we come together!

In peace,

Alesia Frerichs portrait

Alesia Frerichs

President & CEO
Lutheran Services in America
Colleen Frankenfield portrait

Colleen Frankenfield

President & CEO, Lutheran Social Ministries of New Jersey
Chairperson of the Board, Lutheran Services in America
What happens when we
come together
in Community and Partnership.

Lutheran Services in America brings together leaders to tackle issues that are critical to our communities. We do so by engaging a nationwide member and partner network, through our signature learning communities and through our unified voice in advocacy.

To achieve our mission:

Cultivate caring communities that advance health and opportunity for all.


collective capacity to lead and effect policy and systems change


innovation and collaboration for impact


a united, faith-based voice that shares solutions: what works, why and for whom.

Forbes logo

In 2023, Lutheran Services in America was identified by Forbes as the 19th largest charity in the U.S.

Our unique strength, our core strategy: taking action together.

With a national network of health and human service providers—300 nonprofit organizations across 1,400 U.S. communities working with over 6 million people — reaching one in 50 people in America —and over $26 billion in combined annual revenue, we

  • advance equitable outcomes for children, youth and families;
  • improve independence and choice for older adults;
  • champion meaningful services and support for people with intellectual and developmental disabilities; and
  • strengthen stability and purpose for veterans, refugees, New Americans and more.
What happens when we
come together
to Advance Health and Opportunity.

Our network’s strong tradition of using a whole-person approach leads to innovative solutions that address the multiple factors impacting health.

Launching the Housing Solutions Collaborative

Limited access to stable, safe, equitable and affordable housing is a national crisis. And it’s an issue that cuts across and impacts so many of our communities.

So, in 2023, we launched the Housing Solutions Collaborative, which draws on our network’s collective resources, expertise and national reach to lead innovative responses to the health and housing crisis.

Through the collaborative, our network members are addressing housing insecurity not just as a means to provide shelter, but also to ensure that residents are connected to the supportive services they need to thrive: food, social connection, transportation and mental health care, among other resources. Because it takes more than a house to thrive.

Through a partnership with the University of North Carolina, Family Health Centers at NYU Langone and the Weinberg Foundation, we are providing access to services and supports for 15,000 older adults in low income settings so they can remain in the homes and communities of their choice.

Nearly $2 billion in assets and portfolios in affordable housing... and growing... to expand housing supply.

Peer connection and expertise to share what works, why and for whom, elevation innovative solutions beyond shelter.

Physical health, mental health and housing are inextricably linked. To achieve equitable health outcomes, in addition to addressing health and behavioral needs, we must go further and include access to food, transportation and other services and supports.

These multiple factors drive as much as 80% of health outcomes.

"Housing insecurity is a part of every single program we have, whether working with refugees, with communities recovering from disaster or with older adults."

John Moeller, president and CEO of Inspiritus and Housing Solutions Collaborative member

Advancing enhanced care coordination

We are working to align health and social care for some of our most vulnerable communities. In 2023, we expanded partnerships with health stakeholders including payers, health systems and Medicaid experts towards aligned action. Opportunities to strengthen partnerships include identifying common community needs, exploring diverse payment models and leveraging data.

Members in Action: Health and Housing

Across the Lutheran Services in America network, members are tackling the national crisis of housing insecurity among older adults. Read how LSA member, Lutheran Senior Services (LSS), headquartered in St. Louis, is expanding their affordable housing footprint.

What happens when we
come together
for All.

All across the network, our work leaves no one out, whether it is strengthening families, supporting older adults or creating pathways for people with intellectual and developmental disabilities.

The Results Innovation Lab is GROWING

In the Results Innovation Lab, we bring together providers, families, policy makers, healthcare professionals, national partners and others to spearhead innovative approaches to change when and how we engage families in crisis and create pathways to keep families together. In 2023 we launched several new programs.

In 2023 the Lab reached 8,898 children and families across the U.S., bringing our total since inception to 36,280.

Unlocking the power of lived expertise

When we listen, support and value people with lived expertise we can authentically uncover and unlock new ways of thinking. In 2023, our Lived Expertise Convening, an extension of the Results Innovation Lab, engaged grassroots partners, advocates and practitioners to center and strengthen our work with families and communities by centering lived expertise. Hear Grace and others share their experience.

In November, we gathered nearly 70 participants for a day-and-a-half convening, Unlocking the Power of Lived Expertise. The event brought together people from all walks of life: committed change-makers, community leaders, parents, youth, clergy, policymakers and academics from across the country to listen to and learn from families experiencing poverty, housing insecurity, community violence and other challenges.

Grace Araya portrait

"Lived expertise is powerful and an essential ingredient when we are working towards better outcomes."

Grace Araya, president and CEO, Concordia Place

The majority of children removed from their families are removed for neglect, which is most often a symptom of poverty.

New initiative: Faith, families and community partnerships

This collaboration between our Results Innovation Lab and ELCA World Hunger unites people with lived expertise, human services professionals, people of faith and policymakers to help stabilize families and reduce the need for foster care.

Elevating a diversity of voices with lived expertise to inform and advance policy and system changes to improve equity.

Convening cross-sector stakeholders and communities to learn together and take action.

Developing resources to build a broader base of support for family stabilization.

members taking action in the results innovation lab

decrease in the number of Black youth in care for more than 24 months, achieved by Lutheran Social Services of New York.
improvement in the number of foster youth returning home to live with their biological families, achieved by Lutheran Child and Family Services of Illinois.

Peer support groups implemented for adolescents and fathers, by Gemma Services.

12 Illinois child welfare organizations formed a powerful alliance highlighting the importance of collaboration.

Advancing Race Equity and Sharing Best Practices

To continue our tradition of sharing what works, why and for whom, in 2023 LSA partnered with Chapin Hall at the University of Chicago to create the Family Stabilization Initiative Sustainability ToolkitThis toolkit operationalizes Lutheran Services in America’s signature learning collaborative model and provides social sector leaders with a resource for applying race equity and sustainability best practices in their work.

Family Stabilization Initiative graphic

"It has operationalized ways in which we look at equity. Equity shows up in the work we do and that it is really critical to examine those voices and integrate them into the work."

⎼ Participant feedback, Wilder Foundation report

Mobilizing rural communities to empower older adults and caregivers

Built on our signature collaborative learning and action model and with an emphasis on whole-person care, the innovative Rural Aging Action Network seeds partnership and aligned action in community-led approaches to support aging in rural and frontier communities. In 2023, network members helped address existing gaps in care, such as affordable food, transportation, navigating health care and benefits eligibility and emerging gaps such as legal and translation assistance.

Explore our new video series and learn more about the people working together to improve the lives of older adults in America.

21 rural health leaders improved capacity in 6 communities.

388 older adults connected to 1,001 services by leveraging 1,081 assets and mobilizing 306 community partners.

The RAAN model has been recognized for its innovation and impact by The Commonwealth Fund, LeadingAge LTSS Center @UMass Boston, Grantmakers in Aging and the National Council on Aging.

1 in 4
older adults live in a rural community or small town (11 million).
1 in 5
rural residents are older adults.

"This focus on empowerment, dignity and intentional connection has transformed the traditional deficit-based assessment process and nurtured a sense of community and self-respect among participants."

Emily Dieppa, vice president of Workforce Innovations, PHI

Championing Meaningful Improvements for People with Intellectual and Developmental Disabilities

The Disability Network engages 15 network members in three areas of focus including policy/advocacy, culture and engagement, and innovation. Together, we explored the latest research in workforce trends to support people with disabilities, along with innovations in technology to provide opportunities for greater independence. With a unified voice, we engaged leaders in purposeful conversation including with elected decision makers to shape and advance legislation.  For example, our efforts paved the way in professionalizing the role of the direct care workforce to ensure greater recognition and understanding of their unique role in meeting the needs of people with disabilities.

Engaged national leaders from the U.S. House of Representatives, the U.S. Senate, the White House and federal agencies to inform future disability policy.

“The Lutheran Services of America Disability Network elevates disability awareness, policymaker education and funding. We value our membership and the doors it opens for us in D.C.”

Cheryl A. Wicks, Mosaic

What happens when we
come together
with a Faith-based Voice.

With our office just steps from the U.S. Capitol, we ensure the voice of one of the largest faith-based networks is amplified in the national conversation.

Strengthening the Voice of Lutheran Services in America in Washington, DC

Our public policy and advocacy work enables our network members to share the important role social ministries have in their communities. Our efforts aim to strengthen congressional and administration support for policies and funding that improve the health and well-being of people with a focus on improving access to care—advancing health and opportunity for all. In 2023:

  • 248 meetings led with lawmakers and coalitions.
  • 300 health and human services organizations.
  • 1,400 communities represented by 147 representatives and 92 senators.
  • Ongoing advocacy to strengthen access to care by addressing the proposed Minimum Staffing Rule for Skilled Nursing Facilities.
  • Work to broaden the workforce pipeline in direct care: increasing recruitment and training and fortifying existing staff.
  • Efforts to strengthen access to housing with supports and services, including behavioral health.

Rural Aging Policy Roundtable

In 2023, we hosted 15 network members from 12 states for the opportunity to engage with the White House Domestic Policy Council to share feedback on critical health and aging policy issues. We also launched our Rural Aging Policy Priorities, which will amplify our work of championing older adults and caregivers by advocating for policies and funding that meet their unique needs aging in rural communities.

What Happens

We enter 2024 with continued energy and joy in the profound work the LSA network is making possible. What are we particularly excited about?


  • Expanding efforts to enhance care coordination and alignment to address whole person health.
  • Building on current successes and continuing to strengthen community-centered approaches to ensure choice and independence for older adults aging in rural communities.
  • Increase influence to guide and inform decision makers to ensure our trusted, community-centered, faith-based perspective is shared and informs debates.


  • Deepening partnerships with health/behavioral health systems and providers, social service organizations, payers, community-based non-profits, policymakers, people with lived expertise and other key stakeholders to improve health outcomes.
  • Harnessing the expertise and insights of our network to inform relevant policy issues with an increased focus on Medicaid, Housing and Access to Care.


  • Further centering lived expertise as part of the Results Innovation Lab to improved capacity to advance policy and systems change towards improved outcomes in child welfare.
  • Strengthening the capacity of LSA network members to effectively engage in advocacy efforts to amplify our faith-based voice.
Thank you for making all this possible.
Continue your support.
Strengthen your partnership with us.
Share the news.

Thanks & acknowledgments

In Gratitude

We gratefully acknowledge financial contributions from our friends and partners whose generosity makes our mission possible.


(gifts received January 1 – December 31, 2023)

Norma Adams

Adrienne Alsbrooks


Justin Amos

Bill and Susan Andrews


Marian Baldini

James and Barbara Barclay

Katherine Barton

Vicki Beilfuss

Stephen Bennett

Stan Berman

Ryan Bilak

Norma Blombach

Susan Bobie

Edward and Cheryl Boudreau

Rev. Dr. Stephen Bouman and
Ms. Janet Bouman

Carolyn Boyken

Donna Bredlow

Joseph Carroll

Mary Jane Chaffee

Dr. and Mrs. Clyde J. Christmas

East Koshkonong Lutheran Church

First Lutheran Church

Samuel and Fern Clapper

Rich Claybaker

Richard and Mary Coar

Tom and Luanne Croker

Priscilla Cruz

Donna Daly

Ralston and Miriam Deffenbaugh

Richard Dietrich

David Duea


Marjorie Ellis

David Fenoglietto

Christopher Findlay

Luanne and Barry Fisher

Give Lively Foundation, Inc

New Hampshire Charitable
Foundation’s Wade Harwood and Ashley Frame Fund

Our Change Foundation

Colleen Frankenfield

Carol Fredrich

Alesia and Stephen Frerichs

Cauze Charitable Fund

Kristen and Rob Gay

Mark and Suzanne Glenn

Ted W. Goins Jr.

Darrell Gordon

Rev. Richard and Nancy Ann Graham

Diane Greve

Eric Gurley

Charlotte Haberaecker

Dennis Hacker

Rev. Donald Hallberg

Bill Hanawalt

Rev. Mark Hanson

Thomas and Sue Harlin


Charles Heck

Valerie Heeger

Ruth Henrichs

Tania Hernandez-Andersen

Karen Himle

Deborah and Ryan Hoesly

Brian and Carla Hofland

California Lutheran Homes

Timothy Lee Horst

David and Janet Hughes

Dorothy Hunter

James and Deborah Hushagen

Dan Hytrek


Junia John-Straker

Jeanne and Eric Kamrath

Shelley Kendrick

Barbara Kimicata

Katherine Knorr

Rev. Kurt Kusserow and Pam Kusserow

Barbara Lange

David and Judith Larson

of the Philadelphia Foundation

Barbara Lund

Rev. P. Stevens and Lois L. Lynn

Jeffrey Maletta

Mr. and Mrs. William R. Marshall

Rick and Janet Marshall

Carl R. McAloose

Paul W. Middeke

Rev. Charles Miller

Rev. Lyle and Sonja Miller

John Moeller

Zachary Nelson

Tom Nelson III

Lutheran Executive Alumni Network

Susan Newton

Rev. Linda Norman

Andrea Norton

Dr. Antonio Oftelie

Kristi Olien

Shane Paben

Andrea Paul

Janet Lee Pavlak

Victor Peischl

Mark and Mary Peterson

Stephanie Picken

Gregory and Barbara Pile

Janette Poppen-Bever

Lester and Marilyn Potter

Siegfried Pregitzer

Feng Qin

Asad Quasem

Andrea Rahn

Bonnie Raquet

Joseph and Sydney Riffe

Rev. Kevin and Peg Robson

Maynard Ronholm

Eilene Roth

Vincent Ruggiero

Joy Ryan

Dr. Patricia W. Savage and
Dr. Roger B. Johnson Jr.

Stephen Schack

Jan Schippers

Richmond Schmidt

Larry Seitz

Mariel Sena

Polly Shaffer

Rev. William and Patricia Snyder

Bola and Amy Sodeinde

Emily Sollie

Ingrid and Bill Stafford

Eric Stenberg

Pam and Scott Stewart

Mark Stillwell

Annriette Stolte

Geraldine Swan

Julie and Bruce Swanson

David and Barbara Swartling

Robert and Hilma Swensen

Tom Syverson

JoAnn Theys

Rev. Jeffrey and Pamela Thiemann


Randy and Linda Timmons

Jenn Turner-Rafferty

Dr. Robert W. Tuttle

John Twardos and Molly MacMillan

Robert Ulery

Alvin Varughese

Ann L. Vazquez

Erwin Vettel

Michael and Elizabeth Vetter

Judy Ward

George Watson and John Fitzpatrick

Catherine White

William Wiles

Bishop Lawrence and LaJoy Wohlrabe

Diane Wolfe

Patricia Yoder

Phillip Woodruff

William Yoder

William and Francie Zimmerman

Member Contributors

Lutheran Services in America member organizations, who contributed funds beyond
sustaining dues to advance our network’s collective impact (received July 1 – December 31, 2023)


Advocate Health

AK Child & Family

Bethesda Lutheran Services

California Lutheran Homes and Community Services in association with Front Porch

Christ the King Community
Outreach (CKCO)

Community Family Life Services, Inc.

Compass Housing Alliance

Dakota Boys and Girls Ranch Association


Fellowship Square Foundation, Inc.

Gemma Services

Genacross Lutheran Services


Immanuel Living


KenCrest Centers

Knute Nelson

Luther Manor

Lutheran Community Services, Inc.

Lutheran Family Services

Lutheran Family Services
Rocky Mountains

Lutheran Foundation of St. Louis

Lutheran Metropolitan Ministry

Lutheran Ministries Media, Inc.

Lutheran Services Carolinas

Lutheran Services Florida, Inc.

Lutheran Services in Iowa

Lutheran Social Ministries of Maryland

Lutheran Social Ministries of New Jersey

Lutheran Social Service of Minnesota

Lutheran Social Services of Alaska, Inc.

Lutheran Social Services of Illinois

Lutheran Social Services of Indiana

Lutheran Social Services of Nevada

Lutheran Social Services of
Northern California

Lutheran Social Services of South Dakota

Lutheran Social Services of
Southern California

Lutheran Social Services of the
National Capital Area

Lutheran Social Services
of the Southwest

Lutheran Social Services of the
Virgin Islands

Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

Martha & Mary Lutheran Services

Missouri Slope Lutheran
Care Center, Inc.


Mount Olivet Rolling Acres

My Friends House

National Lutheran Communities & Services, Inc.

Opportunity Parish Ecumenical Neighborhood Ministry (OPEN M)

Peace Community Center

PLM – Families Together

RAI Ministries, Inc.

Saint Luke Ministries

Samaritan Ministry of
Greater Washington


Sapphire Lutheran Homes, Inc.

St. John’s United

Trinity Healing Center


Virginia Lutheran Homes, Inc.

We Raise Foundation

Grants, Foundations, Sponsors & Partners

Lutheran Services in America member organizations, who contributed funds beyond
sustaining dues to advance our network’s collective impact (received July 1 – December 31, 2023)

ABCD Institute

Abt Associates

Amherst H. Wilder Foundation

Appalachian State University

ATI Advisory

Bethel New Life

Capital Impact

Chapin Hall at the University of Chicago

Concordia Plan Services

Consumer Technology
Association Foundation


Dash Media

Diverse Elders Coalition


ELCA World Hunger Fund

Enterprise Community Partners

Evangelical Lutheran Church in America 

Evans & Associates 

Flourishing Spark

Forefront Culinary and Support Services


Grantmakers in Aging

The Harry and Jeanette
Weinberg Foundation

Home Grown Strategies

Immanuel Communities

J8 Consulting

Johnson Kendall Johnson

Just Build Village Then 

Knute Nelson

LeadingAge LTSS Center

Lutheran Church Extension Fund

The Lutheran Church—Missouri Synod 

Lutheran Executive Alumni Network 

Lutheran Family Services
Rocky Mountains

Lutheran Services for the Children Endowment at the ELCA Foundation

Lutheran Services for the Elderly Endowment at the ELCA Foundation

Margaret A. Cargill Philanthropies 

Mission Investment Fund of the ELCA

The National Center for Innovation
and Excellence

National Council on Aging

National Housing Trust

National Indian Child
Welfare Association

NORC Walsh Center for Rural Housing

Partnership to Align Social Care


PHI National

Portico Benefit Services

Rose Community Management

Santa for Seniors, a program of Lutheran Community Services Northwest

Select Rehabilitation

Serviam Care Network

Simply Connect

SPARK Learning for Organizations

Transform Consulting Group 

Twin Lakes Community


The University of North Carolina
at Chapel Hill

US Aging

Wespath Institutional Investments


Memorials, Tributes & Celebrations

Lutheran Services in America member organizations, who contributed funds beyond
sustaining dues to advance our network’s collective impact (received July 1 – December 31, 2023)

Frankie Barbera

Wendy Yoder Beach

Norman C. Berg

Caring Connections

Rev. Dr. John M Brndjar

Ken Daly

David Duea

Eleanor H. Earnshaw

Alesia Frerichs

Ted Goins

Rev. Ted W. Goins, Sr.

Charlotte Haberaecker

Karen Himle

Deborah Hoesly

Fred Kraegel

LSA Staff

Lutheran Services of the Carolinas

Aaron and Elise McAloose

Mosaic workforce

Native American/Indigenous children

Joanne Negstad

Logan Paben

Leona Poppen

Dr. Patricia W. Savage 

Leona Scheetz

Bill Stolte

C. Richard Yoder

Leona Aplin Scheetz

Board of Directors

July 2023 – June 2024


Colleen Frankenfield
President & CEO,
Lutheran Social Ministries of New Jersey

Vice Chairperson

Eric Gurley
President & CEO,


Dr. Kristen Gay
President & CEO,
Gemma Services


William Anderson
Vice President & Worldwide Director (Ret.),
Rohm and Haas Company
David Duea
President & CEO,
Lutheran Community Services Northwest
Jane Isaacs Lowe
Foundation Program Director (Ret.)
Rev. Barbara Lund
Sr. Director of Operations and Innovation,
Service and Justice Home Area Evangelical Lutheran Church in America
Dr. Antoniop M. Oftelie
Executive Director of Leadership for a Networked World,
Harvard University
Paula Phillippe
Self-employed Consultant
Rev. Michael W. Meyer
Managing Director,
Elizabeth Sullivan
Managing Director, (Ret.)
Margaret A. Cargill Philanthropies
Rev. Jeffrey D. Thiemann
President & CEO (Ret.),
Portico Benefit Services
Mr. David Trost
President & CEO,
St. John's United