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LSA MANAGEMENT INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LSA MANAGEMENT INC (EIN 20-1457236)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202112249349301306
Schema version
2019v5.2
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)
Return2021-08-12T08:24:57-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201457236EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LSA MANAGEMENT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLSAMBusinessNameControlTxt
Phone7046372870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 947AddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP281450947ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIRBY NICKERSONPersonNm
Person TitleCFOPersonTitleTxt
Phone7046372870PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2021-08-11PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN SERVICES CAROLINASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTED GOINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 947AddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP281450947ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,045,198GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9386GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LSCAROLINAS.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionEMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee58TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,798PYContributionsGrantsAmt
CY Contributions Grants$156,549CYContributionsGrantsAmt
PY Program Service Revenue$6,405,590PYProgramServiceRevenueAmt
CY Program Service Revenue$7,745,730CYProgramServiceRevenueAmt
PY Investment Income$108,243PYInvestmentIncomeAmt
CY Investment Income$1,128,589CYInvestmentIncomeAmt
PY Other Revenue$5,263PYOtherRevenueAmt
CY Other Revenue$14,330CYOtherRevenueAmt
PY Total Revenue$6,533,894PYTotalRevenueAmt
CY Total Revenue$9,045,198CYTotalRevenueAmt
PY Grants And Similar Paid$2,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,920CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,851,759PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,480,458CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$138,005CYTotalFundraisingExpenseAmt
PY Other Expenses$2,458,765PYOtherExpensesAmt
CY Other Expenses$2,793,881CYOtherExpensesAmt
PY Total Expenses$7,312,524PYTotalExpensesAmt
CY Total Expenses$8,278,259CYTotalExpensesAmt
PY Revenues Less Expenses-$778,630PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$766,939CYRevenuesLessExpensesAmt
Total Assets BOY$78,382,227TotalAssetsBOYAmt
Total Assets EOY$85,280,035TotalAssetsEOYAmt
Total Liabilities BOY$75,532,956TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,848,204TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,849,271NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,431,831NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,054,290ExpenseAmt
Grant$3,920GrantAmt
Revenue$7,745,730RevenueAmt
DescLSA MANAGEMENT, INC. (LSAM) IS AN AFFILIATE OF LUTHERAN SERVICES FOR THE AGING, INC., A SOCIAL MINISTRY OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. LSAM IS RESPONSIBLE FOR PROVIDING ADMINISTRATIVE SUPPORT, FINANCIAL MANAGEMENT, INFORMATION TECHNOLOGY SERVICES, RESOURCE DEVELOPMENT AND VARIOUS SUPPORT SERVICES TO THE AFFILIATE CORPORATIONS THAT MINISTER TO THE AGING, ASSURING QUALITY, CONSISTENCY, AND BEST PRACTICES THROUGHOUT THE ORGANIZATION.Desc
Total Program Service Expenses$7,054,290TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee58EmployeeCnt
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIRBY NICKERSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7046372870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11416 S MARTIN LUTHER KING JR AVEAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28144ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TED GOINS JR
CEO/PRESIDENT40.001.00Yes (X)Yes (X)$334,813$0$11,841
ERIC HOYLE
CHAIR1.001.00Yes (X)$0$0$0
BETTY LOHR
VICE CHAIR1.001.00Yes (X)$0$0$0
KIRBY NICKERSON
CHIEF FINANCIAL OFFICER40.001.00Yes (X)$230,321$0$14,679
KAREN MADDRY
SECRETARY40.001.00Yes (X)$73,909$0$7,970
KESHA SMITH
COO - SENIOR SERVICES40.001.00$222,408$0$11,762Yes (X)
MYRA GRIFFIE
CHIEF OPERATING OFFICER40.001.00$163,778$0$9,032Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,025,229TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$55,284TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BB&T FINANCIAL FSB - MASTER
PO BOX 580340CHARLOTTENC28258FINANCIAL SERVICES$868,367
AMERISURE MUTUAL - DEPT 78226
PO BOX 78000DETROITMI48278INSURANCE SERVICES$823,712
INTERACTIVE MEDICAL SYSTEMS
POST OFFICE BOX 1349WAKE FORESTNC27588EMPLOYEE BENEFIT SERVICES$804,829
MCGRIFF - CHARLOTTE
PO BOX 890635CHARLOTTENC28289INSURANCE SERVICES$797,388
PAETEC INTEGRATED SOLUTIONS GROUP INC
PO BOX 9001013LOUISVILLEKY40290IT SERVICES$292,440
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$156,549AllOtherContributionsAmt
Noncash Contributions$3,920NoncashContributionsAmt
Total Contributions$156,549TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE INCOME561499$7,251,573$7,251,573
SERVICE FEE REVENUE900099$494,157$494,157
FieldValueIRS element (for citing)
Total Program Service Revenue$7,745,730TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$161,528TotalRevenueColumnAmt
Exclusion$161,528ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$967,061SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$967,061SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$967,061TotalRevenueColumnAmt
Exclusion$967,061ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$14,330TotalRevenueColumnAmt
Exclusion$14,330ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,330OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,045,198TotalRevenueColumnAmt
Related Or Exempt Func Income$7,745,730RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,142,919ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,920TotalAmt
Program Services$3,920ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,677,136TotalAmt
Program Services$4,089,220ProgramServicesAmt
Management And General$503,260ManagementAndGeneralAmt
Fundraising$84,656FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$60,021TotalAmt
Program Services$52,477ProgramServicesAmt
Management And General$6,458ManagementAndGeneralAmt
Fundraising$1,086FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$426,740TotalAmt
Program Services$373,099ProgramServicesAmt
Management And General$45,917ManagementAndGeneralAmt
Fundraising$7,724FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$316,561TotalAmt
Program Services$276,769ProgramServicesAmt
Management And General$34,062ManagementAndGeneralAmt
Fundraising$5,730FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$85,157TotalAmt
Management And General$85,157ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt
Management And General$9,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$153,954TotalAmt
Management And General$153,954ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$655,629TotalAmt
Program Services$573,216ProgramServicesAmt
Management And General$70,546ManagementAndGeneralAmt
Fundraising$11,867FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$63,951TotalAmt
Program Services$55,912ProgramServicesAmt
Management And General$6,881ManagementAndGeneralAmt
Fundraising$1,158FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$852,400TotalAmt
Program Services$745,254ProgramServicesAmt
Management And General$91,718ManagementAndGeneralAmt
Fundraising$15,428FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$385,846TotalAmt
Program Services$337,345ProgramServicesAmt
Management And General$41,517ManagementAndGeneralAmt
Fundraising$6,984FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,873TotalAmt
Program Services$47,101ProgramServicesAmt
Management And General$5,797ManagementAndGeneralAmt
Fundraising$975FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$109,951TotalAmt
Program Services$96,130ProgramServicesAmt
Management And General$11,831ManagementAndGeneralAmt
Fundraising$1,990FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,487TotalAmt
Program Services$19,660ProgramServicesAmt
Management And General$2,420ManagementAndGeneralAmt
Fundraising$407FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,988TotalAmt
Program Services$17,988ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$365,445TotalAmt
Program Services$365,445ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,945TotalAmt
Management And General$13,945ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
MISCELLANEOUS$3,501$3,501
COVID-19$754$754

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,278,259TotalAmt
Program Services$7,054,290ProgramServicesAmt
Management And General$1,085,964ManagementAndGeneralAmt
Fundraising$138,005FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$790,391BOYAmt
EOY$859,682EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,555,381BOYAmt
EOY$3,035,265EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$65,877,836BOYAmt
EOY$63,184,401EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$77,090BOYAmt
EOY$68,359EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$311,562BOYAmt
EOY$156,987EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,910,386LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,212,716LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$863,979BOYAmt
EOY$697,670EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,201,274BOYAmt
EOY$11,583,492EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,704,714BOYAmt
EOY$5,694,179EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,382,227BOYAmt
EOY$85,280,035EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,377,733BOYAmt
EOY$3,011,989EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$38,839EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,049,577BOYAmt
EOY$68,353,323EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,105,646BOYAmt
EOY$10,444,053EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,532,956BOYAmt
EOY$81,848,204EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,848,403BOYAmt
EOY$3,430,713EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$868BOYAmt
EOY$1,118EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,849,271BOYAmt
EOY$3,431,831EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,382,227BOYAmt
EOY$85,280,035EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$766,939ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$120,905NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$63,474OtherChangesInNetAssetsAmt
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$65,077CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,798CurrentTaxYearMinus1YearAmt
Current Tax Year$156,549CurrentTaxYearAmt
Total$249,678TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,426,345CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,772,457CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,247,487CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,405,590CurrentTaxYearMinus1YearAmt
Current Tax Year$7,745,730CurrentTaxYearAmt
Total$29,597,609TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,491,422CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,779,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,253,322CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,420,388CurrentTaxYearMinus1YearAmt
Current Tax Year$7,902,279CurrentTaxYearAmt
Total$29,847,287TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,847,287PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$113,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$177,646CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$14,514CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$112,713CurrentTaxYearMinus1YearAmt
Current Tax Year$161,528CurrentTaxYearAmt
Total$551,084TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$113,711CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$177,646CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$14,514CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$112,713CurrentTaxYearMinus1YearAmt
Current Tax Year$161,528CurrentTaxYearAmt
Total$551,084TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,399CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,007CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,541CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,263CurrentTaxYearMinus1YearAmt
Current Tax Year$14,330CurrentTaxYearAmt
Total$44,540TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,608,532CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,958,529CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,259,349CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,538,364CurrentTaxYearMinus1YearAmt
Current Tax Year$8,078,137CurrentTaxYearAmt
Total$30,442,911TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98040PublicSupportCY509Pct
Public Support PY5090.98080PublicSupportPY509Pct
Investment Income CY0.01810InvestmentIncomeCYPct
Investment Income PY0.01790InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,552,828OtherCostOrOtherBasisAmt
Depreciation$1,940,871DepreciationAmt
Book Value$611,957BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$357,558OtherCostOrOtherBasisAmt
Depreciation$271,845DepreciationAmt
Book Value$85,713BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$697,670TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
BOND FUNDS$4,092,229
DEFERRED BOND ISSUE COST$1,048,014
BOND ISSUE DISCOUNT$24,775
CIP$79,161
OTHER ASSETS$450,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,694,179TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTEREST RATE SWAP$1,285,346
INTERCOMPANY$9,158,707
FieldValueIRS element (for citing)
Total Liability$10,444,053TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationSUBSTANTIALLY ALL AFFILIATES OF LSA AND LFS ARE ORGANIZED AS NORTH CAROLINA NONPROFIT ORGANIZATIONS AND ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) UNDER A GROUP EXEMPTION OF THE ELCA. LFS REAL PROPERTIES, INC. IS EXEMPT UNDER IRC SECTION 501(C)(2). THE ORGANIZATIONS RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE ORGANIZATIONS, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION OF MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. MANAGEMENT BELIEVES THERE ARE NO SUCH POSITIONS AS OF SEPTEMBER 30, 2020.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TED GOINS JR
CEO/PRESIDENT$334,813$0$0$0$0$0$5,563$0$6,278$0$346,654$0$0$0
KIRBY NICKERSON
CHIEF FINANCIAL OFFICER$230,321$0$0$0$0$0$4,683$0$9,996$0$245,000$0$0$0
KESHA SMITH
COO - SENIOR SERVICES$222,408$0$0$0$0$0$1,766$0$9,996$0$234,170$0$0$0
MYRA GRIFFIE
CHIEF OPERATING OFFICER$163,778$0$0$0$0$0$3,387$0$5,645$0$172,810$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NC MEDICAL CARE COMMISSION - 2012A
A52130940265821DNW72012-12-05$44,668,627CURRENT REFUNDING000
NC MEDICAL CARE COMMISSION - 2017
B5213094022017-03-01$33,795,000CURRENT REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,640,000$44,700,568$3,054,982$893,373$439,798$40,304,5692013Yes (1)00Yes (1)
B$5,591,675$33,795,000$192,462$33,602,5382014Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)00000
B0Yes (1)00Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: NC MEDICAL CARE COMMISSION - 2012A DATE THE REBATE COMPUTATION WAS PERFORMED: 04/11/2017
SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION2012A BONDS PURPOSE REFUND THE OUTSTANDING SERIES 2009 AND SERIES 2010 BONDS AS WELL AS OTHER LOANS AND FUND DEBT SERVICE RESERVE FUND AND ISSUANCE COSTS. 2017 BONDS PURPOSE REFUND THE SERIES 2012B BONDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1LUTHERAN SERVICES FOR THE AGING, INC. (LSA) AND ITS AFFILIATED ORGANIZATIONS ARE MINISTRIES OF THE NORTH CAROLINA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. THE LSA MISSION STATEMENT IS, "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE." LSA OPERATES NURSING HOMES, RETIREMENT COMMUNITIES, ASSISTED LIVING RESIDENCES, AND ADULT DAY SERVICES IN ADDITION TO PROVIDING CARE MANAGEMENT, HOME CARE, AND INFORMATION AND REFERRAL SERVICES IN NORTH CAROLINA. LSA PROVIDES A MINISTRY OF CHRISTIAN CARE TO OLDER ADULTS AND ADULTS WITH DISABILITIES REGARDLESS OF FAITH, RACE, DISABILITY, OR ECONOMIC STATUS. LSA IS MADE UP OF COMPASSIONATE PEOPLE WITH LOVING SPIRITS AND GENEROUS HEARTS. RESIDENTS, STAFF, CLIENTS, PARTICIPANTS, FAMILIES, AND VOLUNTEERS ALL STRIVE TO BE OF SERVICE TO GOD AND THE COMMUNITY. MANY OF THE SENIORS SERVED BY LSA HAVE BEEN SERVICE ORIENTED AND PHILANTHROPICALLY INCLINED THROUGHOUT THEIR LIVES AND CONTINUE TO SEEK OPPORTUNITIES FOR COMMUNITY SERVICE. FOR THE YOUNG-ELDERS OF THE RETIREMENT COMMUNITIES THOSE OPPORTUNITIES ARE ABUNDANT. RESIDENTS THERE LOG IN HUNDREDS OF VOLUNTEER HOURS FOR LOCAL CHURCHES, HABITAT FOR HUMANITY, THE ALZHEIMER'S ASSOCIATION, THE STATE VETERANS HOSPITAL, FUND RAISING FOR CANCER RESEARCH, LITERACY COUNCILS, LOCAL HOSPITALS, FOOD PANTRIES, HOMELESS SHELTERS, THE UNITED WAY, AND MENTORING PROJECTS FOR LOCAL ELEMENTARY SCHOOLS. THEY HAVE PACKED BOXES FOR SAMARITAN'S PURSE, GATHERED COATS FOR KIDS AND COLLECTED CANNED GOODS FOR FOOD PANTRIES. THEY HAVE SEWN, KNITTED, CROCHETED, AND QUILTED COUNTLESS ITEMS FOR CAUSES THROUGHOUT THE STATE AND BEYOND. THE MORE FRAIL ELDERS OF THE LSA NURSING HOMES AND ADULT DAY SERVICES MAY BE LESS VISIBLE, BUT ARE EQUALLY COMMITTED TO COMMUNITY SERVICE. SUPPORTED BY STAFF AND VOLUNTEERS, THEY HAVE HELD BLOOD DRIVES, THEY HAVE HOSTED BREAKFASTS FOR FIRE, POLICE, AND EMERGENCY SERVICE PERSONNEL, COLLECTED SCHOOL SUPPLIES FOR KIDS, AND ADOPTED NEEDY FAMILIES AT CHRISTMAS. THEY, TOO, HAVE LOGGED IN HUNDREDS OF HOURS IN PROJECTS FOR LOCAL SCHOOLS AND HOSPITALS, THE ARC, THE ALZHEIMER'S ASSOCIATION, MEALS-ON-WHEELS, THE HUMANE SOCIETY, THE AMERICAN RED CROSS, THE UNITED WAY, AND MORE. LSA ALSO SERVES ITS COMMUNITIES BY WORKING COLLABORATIVELY WITH COLLEGES AND UNIVERSITIES THROUGHOUT NORTH CAROLINA INCLUDING CATAWBA AND LIVINGSTONE COLLEGES; CATAWBA VALLEY, GASTON, ROWAN-CABARRUS, STANLY, CALDWELL AND FORSYTH COMMUNITY COLLEGES; APPALACHIAN STATE, WINSTON-SALEM STATE, LENOIR-RHYNE AND DUKE UNIVERSITIES; AND THE UNIVERSITY OF NORTH CAROLINA AND HOOD THEOLOGICAL SEMINARY. THESE COLLABORATIVE EFFORTS FOSTER GROWTH AND COOPERATION, AND ULTIMATELY IMPROVE THE QUALITY OF LIFE FOR THE INSTITUTIONS AND THE COMMUNITIES. LSA ALSO ENCOURAGES COMMUNITY MEMBERS TO SEEK VOLUNTEER, EDUCATIONAL, AND SPIRITUAL OPPORTUNITIES THROUGH ITS MINISTRIES. THE MINISTRIES OF LSA ARE ACTIVE, BUSY PLACES WHERE MULTIPLE GENERATIONS MEET IN A SPIRIT OF FUN, FELLOWSHIP AND COOPERATION. COMMUNITY EDUCATION OPPORTUNITIES ARE ALWAYS AVAILABLE ON TOPICS SUCH AS ADULT DAY CARE, ALZHEIMER'S DISEASE, MEDICAID, MEDICARE, HEALTHCARE DIRECTIVES AND MORE.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER, BEFORE MADE AVAILABLE TO THE BOARD OF DIRECTORS VIA A WEBSITE PORTAL. THE BOARD OF DIRECTORS REVIEW AND COMMENT ON THE FORM 990. ANY MATTERS ARE RAISED TO THE OUTSIDE ACCOUNTANTS FOR COLLABORATION AND ULTIMATE RESOLUTION.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS RECEIVE A BOARD MANUAL AS PART OF ORIENTATION WHEN THEY JOIN THE BOARD WHICH INCLUDES THE CORPORATE COMPLIANCE POLICY AND BYLAWS. BOTH THE POLICY AND THE BYLAWS ADDRESS CONFLICT OF INTEREST. THEREAFTER, ANNUALLY, THE BOARD OF DIRECTORS RECEIVE CORPORATE COMPLIANCE TRAINING AND COMPLETE A CONFLICT OF INTEREST DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15AALL COMPENSATION LIMITS ARE COMPARED TO STATE AND NATIONAL RANGES BASED ON FACILITY SIZE AND EXPERIENCE OF STAFF. THE BOARD OF DIRECTORS APPROVE THE COMPENSATION OF THE CEO/PRESIDENT WHICH IS PAID BY THE MANAGING ORGANIZATION OF THE CONTROL GROUP. ALL COMPENSATION LIMITS ARE COMPARED TO STATE AND NATIONAL RANGES BASED ON FACILITY SIZE AND EXPERIENCE OF STAFF. THE CEO/PRESIDENT APPROVES THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. OFFICERS OF THE CONTROLLED GROUP ARE PAID BY THE MANAGING ORGANIZATION AND CERTAIN ORGANIZATIONS WITHIN THE CONTROL GROUP ALSO COMPENSATE KEY EMPLOYEES DIRECTLY.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 ARE POSTED ON GUIDESTAR AND AVAILABLE UPON REQUEST AT THE LSA OFFICE LOCATED IN SALISBURY, NC.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION ONLY MAKES ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART VI - ADDITIONAL INFORMATIONWHISTLEBLOWER POLICY LUTHERAN SERVICES FOR THE AGING, INC. & AFFILIATES ARE COMMITTED TO THEIR ROLE IN PREVENTING HEALTH CARE FRAUD AND ABUSE AND COMPLYING WITH APPLICABLE STATE AND FEDERAL LAWS RELATED TO HEALTH CARE FRAUD AND ABUSE. THE CIVIL FALSE CLAIMS ACT PROVIDES FOR PROTECTION FOR EMPLOYEES FROM RETALIATION. ANY EMPLOYEE WHO IS DISCHARGED, DEMOTED, SUSPENDED, THREATENED, HARASSED, OR DISCRIMINATED AGAINST IN TERMS AND CONDITIONS OF EMPLOYMENT BECAUSE OF LAWFUL ACTS CONDUCTED IN FURTHERANCE OF AN ACTION UNDER THE FCA MAY BRING AN ACTION IN FEDERAL DISTRICT COURT SEEKING REINSTATEMENT, TWO TIMES THE AMOUNT OF BACK PAY PLUS INTEREST, AND OTHER ENUMERATED COSTS, DAMAGES, AND FEES. DOCUMENTATION RETENTION AND DESTRUCTION POLICY EACH ENTITY WITHIN THE LUTHERAN SERVICES FOR THE AGING, INC. & AFFILIATES GROUP WILL ENSURE THAT RECORDS ARE RETAINED FOR THE REQUIRED TIME PERIODS ESTABLISHED BY STATE LAWS, FEDERAL REGULATIONS, AND PAYOR REQUIREMENTS TO MEET THE NEEDS OF LEGITIMATE USERS. AT THE END OF THE RETENTION PERIOD, EACH ENTITY WILL ENSURE THAT DESTRUCTION OF RECORDS IS PERFORMED ACCORDING TO SPECIFIC PROCEDURE AND AUTHORIZATION WITH APPROPRIATE SUPERVISION OF DESTRUCTION. THE PROPER METHOD OF DESTRUCTION FOR ANY PAPER RECORD IS BY SHREDDING OR INCINERATION ONLY. PRIOR TO THE DESTRUCTION OF ANY FACILITY RECORDS, WHETHER ORIGINAL OR COMPUTER MEDIA, A CHECK WILL BE MADE TO ENSURE THE RETENTION PERIOD HAS EXPIRED AS DEFINED BY STATE LAWS AND FACILITY POLICIES. ANY RECORDS IN OPEN INVESTIGATION, AUDIT, OR LITIGATION WILL NOT BE DESTROYED. FOR FACILITIES USING ELECTRONIC MEDICAL RECORDS, RECORDS WILL BE STORED IN THE SYSTEM INDEFINITELY AND THE DESTRUCTION PROCESS WILL NOT APPLY.
FORM 990, PART VII - ADDITIONAL INFORMATIONPART VII, SECTION A - COLUMN (B) HOURS FOR RELATED ORGANIZATIONS BOARD MEMBERS AND OFFICERS DEVOTE TIME TO ALL ENTITIES WITHIN THE CONTROL GROUP.
FORM 990, PART XI, LINE 9:MARKET VALUE ADJUSTMENT ON SWAP AGREEMENT -63,474.
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
LUTHERAN HOME - HICKORY WEST INC
PO BOX 947SALISBURYNC28145201457410NURSINGNC501(C)(3)LINE 10LSA INC0
LFS REAL PROPERTIES INC
PO BOX 2369SALISBURYNC28145581820383REAL ESTATENC501(C)(2)LFS INC0
LSA ELMS AT TANGLEWOOD INC
PO BOX 947SALISBURYNC28145263735637ASSIST LVGNC501(C)(3)LINE 10LSA INC0
LSA ELMS PROPERTY INC
PO BOX 947SALISBURYNC28145263739962LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN RETIREMENT CENTER - SALISBURY
PO BOX 947SALISBURYNC28145561540214ASSIST LVGNC501(C)(3)LINE 10LSA INC0
LSA PHARMACY INC
PO BOX 947SALISBURYNC28145201457251PHARMACYNC501(C)(3)LINE 10LSA INC0
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
PO BOX 2369SALISBURYNC28145561286323COMM SVCNC501(C)(3)LINE 10NC & SC SYNOD OF ECLA0
LUTHERAN HOME - FORSYTH COUNTY INC
PO BOX 947SALISBURYNC28145263328029NURSINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME AT TRINITY OAKS INC
PO BOX 947SALISBURYNC28145201457824NURSINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME - ALBEMARLE INC
PO BOX 947SALISBURYNC28145201457298NURSINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME - WILMINGTON INC
PO BOX 947SALISBURYNC28145260158686NURSINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME - WINSTON-SALEM INC
PO BOX 947SALISBURYNC28145561500212NURSINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME ALBEMARLE PROPERTY INC
PO BOX 947SALISBURYNC28145201457273LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME AT TRINITY OAKS PROPERTY INC
PO BOX 947SALISBURYNC28145201457796LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME - HICKORY INC
PO BOX 947SALISBURYNC28145201457341NURSINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME FORSYTH COUNTY PROPERTY INC
PO BOX 947SALISBURYNC28145461188488LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME HICKORY PROPERTY INC
PO BOX 947SALISBURYNC28145201457319LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME HICKORY WEST PROPERTY INC
PO BOX 947SALISBURYNC28145205304712LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME WILMINGTON PROPERTY INC
PO BOX 947SALISBURYNC28145260158745LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN HOME WINSTON-SALEM PROPERTY INC
PO BOX 947SALISBURYNC28145205304794LEASINGNC501(C)(3)LINE 10LSA INC0
LUTHERAN RETIREMENT CENTER - LUTHERIDGE
PO BOX 947SALISBURYNC28145581823983ASSIST LVGNC501(C)(3)LINE 10LSA INC0
LUTHERAN RETIREMENT CENTER - WILMINGTON
PO BOX 947SALISBURYNC28145561500308INDEP. LVGNC501(C)(3)LINE 10LSA INC0
THE FOUNDATION FOR ABUNDANT LIVING
PO BOX 947SALISBURYNC28145561681723FOUNDATIONNC501(C)(3)LINE 10LSA INC0
LUTHERAN SERVICES FOR THE AGING INC
PO BOX 947SALISBURYNC28145560752160PARENT ORGNC501(C)(3)LINE 10NC & SC SYNOD OF ECLA0
LUTHERAN SERVICES PROPERTY INC
PO BOX 947SALISBURYNC28145203895886LEASINGNC501(C)(3)LINE 10LSA INC0
LSA THERAPY INC
PO BOX 947SALISBURYNC28145461886488THERAPYNC501(C)(3)LINE 10LSA INC0
TRINITY AT HOME INC
PO BOX 947SALISBURYNC28145464838098NURSINGNC501(C)(3)LINE 10LSA INC0
MOUNTAIN RIDGE GROUP HOME INC
PO BOX 2369SALISBURYNC28145581782084GROUP HOMENC501(C)(3)LINE 7LFS INC0
WHITTECAR HOME INC
PO BOX 2369SALISBURYNC28145581940152GROUP HOMENC501(C)(3)LINE 7LFS INC0
ABUNDANT LIVING ADULT DAY SERVICES
PO BOX 947SALISBURYNC28145561884652ADULT DAYNC501(C)(3)LINE 10LSA INC0
TRINITY GUARDIAN SERVICES INC
PO BOX 947SALISBURYNC28145474406015INACTIVENC501(C)(3)LINE 10LSA INC0
LUTHERAN RETIREMENT CENTER - CLEMMONS INC
PO BOX 947SALISBURYNC28145824069577INACTIVENC501(C)(3)LINE 10LSA INC0
TRINITY TEAM SERVICES
PO BOX 947SALISBURYNC28145852020967INACTIVENC501(C)(3)LINE 12A, ILSA INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd