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LUTHERAN HOME - WILMINGTON INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOME - WILMINGTON INC (EIN 26-0158686)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-02-13
IRS object ID
201520449349300422
Schema version
2013v4.0
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)
Return2015-02-13T15:48:56-06:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561743537PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LANGDON & COMPANY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1223 US HIGHWAY 70 EAST SUITE 100AddressLine1
CityGARNERCity
StateNCState
ZIP Code275294051ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260158686EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOME - WILMINGTON INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlLUTHBusinessNameControlTxt
Phone7046372870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 947AddressLine1
CitySALISBURYCity
StateNCState
ZIP Code281450947ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIRBY NICKERSONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7046372870PhoneNum
Signature2015-02-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY T PANDISCIAPreparerPersonNm
PTINP00187421PTIN
Phone9196621001PhoneNum
Preparation2015-02-13PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTED GOINSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 947AddressLine1
CitySALISBURYCity
StateNCState
ZIP Code281450947ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$8,515,683GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LSCAROLINAS.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionLUTHERAN HOME - WILMINGTON, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING, SPECIALIZED ALZHEIMER'S CARE, AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF ITS MISSION WITH LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATEMENT IS "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". THE PEOPLE OF LSA ARE 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 THOSE SERVED BY LSA HAVE BEEN SERVICE ORIENTED AND PHILANTHROPICALLY INCLINED THROUGHOUT THEIR LIVES AND CONTINUE TO SEEK OPPORTUNITIES FOR COMMUNITY SERVICE IN THEIR OLDER YEARS. 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, FUNDRAIActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee239TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$16,634PYContributionsGrantsAmt
CY Contributions Grants$25,780CYContributionsGrantsAmt
PY Program Service Revenue$8,337,801PYProgramServiceRevenueAmt
CY Program Service Revenue$8,456,561CYProgramServiceRevenueAmt
PY Investment Income$62PYInvestmentIncomeAmt
CY Investment Income$17,197CYInvestmentIncomeAmt
PY Other Revenue$13,769PYOtherRevenueAmt
CY Other Revenue$16,145CYOtherRevenueAmt
PY Total Revenue$8,368,266PYTotalRevenueAmt
CY Total Revenue$8,515,683CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,491,386PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,810,069CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,732,631PYOtherExpensesAmt
CY Other Expenses$3,934,335CYOtherExpensesAmt
PY Total Expenses$8,224,017PYTotalExpensesAmt
CY Total Expenses$8,744,404CYTotalExpensesAmt
PY Revenues Less Expenses$144,249PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$228,721CYRevenuesLessExpensesAmt
Total Assets BOY$3,404,014TotalAssetsBOYAmt
Total Assets EOY$3,226,082TotalAssetsEOYAmt
Total Liabilities BOY$3,950,570TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,012,398TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$546,556NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$786,316NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLUTHERAN HOME - WILMINGTON, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING, SPECIALIZED ALZHEIMER'S CARE, AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF ITS MISSION WITH LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATEMENT IS "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". THE PEOPLE OF LSA ARE 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 THOSE SERVED BY LSA HAVE BEEN SERVICE ORIENTED AND PHILANTHROPICALLY INCLINED THROUGHOUT THEIR LIVES AND CONTINUE TO SEEK OPPORTUNITIES FOR COMMUNITY SERVICE IN THEIR OLDER YEARS. 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, FUNDRAIMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,378,395ExpenseAmt
Revenue$8,456,561RevenueAmt
DescLUTHERAN HOME - WILMINGTON, INC. ACCEPTED ITS FIRST RESIDENTS ON JUNE 6, 2011. THE FACILITY, LOCATED IN NEW HANOVER COUNTY, OPERATES 100 SKILLED NURSING BEDS AND OFFERS SHORT-TERM REHABILITATION AND LONG-TERM CARE SERVICES TO PEOPLE OF ALL FAITHS AND ECONOMIC STATUS. LUTHERAN HOME - WILMINGTON, INC. STRIVES TO BE A TRUE HOME FOR ITS RESIDENTS, A PLACE OF COMFORT, SECURITY AND BELONGING. STAFF EMPHASIZE BOTH QUALITY CARE AND QUALITY OF LIFE. MEANINGFUL ACTIVITIES BRING RESIDENTS, STAFF, FAMILIES AND VOLUNTEERS TOGETHER IN A SPIRIT OF FUN AND FELLOWSHIP. STAFF ARE COMMITTED TO PROVIDING COMPASSIONATE CARE AND PERSONAL ATTENTION TO RESIDENTS WHILE MEETING THE UNIQUE MEDICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF EACH INDIVIDUAL. BECAUSE CHOOSING A NURSING HOME OFTEN COMES AT A DIFFICULT TIME, CHAPLAINS ARE AVAILABLE TO OFFER SUPPORT AND GUIDANCE TO FAMILIES AND RESIDENTS DURING ADMISSION AND THROUGHOUT THEIR STAY. DURING THE YEAR ENDED SEPTEMBER 30, 2014, LUTHERAN HOME - WILMINGTON, INC. PROVIDED 34,021 DAYS OF CARE TO 330 RESIDENTS.Desc
Total Program Service Expenses$8,378,395TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee239EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN MILLERPersonNm
Phone7046372870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11416 S MARTIN LUTHER KING JR AVEAddressLine1
CitySALISBURYCity
StateNCState
ZIP Code28144ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TED GOINS JR
PRESIDENT40.001.00Yes (X)Yes (X)$0$274,066$5,496
REV PAMELA COOK
DIRECTOR1.001.00Yes (X)$0$0$0
ERIC HOYLE
DIRECTOR1.001.00Yes (X)$0$0$0
JERRY BRAMLEY
DIRECTOR1.001.00Yes (X)$0$0$0
DONALD BUMGARNER
DIRECTOR1.001.00Yes (X)$0$0$0
JIM HUDDLE
DIRECTOR1.001.00Yes (X)$0$0$0
REV JEFFREY SHEALY
DIRECTOR1.001.00Yes (X)$0$0$0
JOY FISHER
DIRECTOR1.001.00Yes (X)$0$0$0
EUNIKA SIMONS
DIRECTOR1.001.00Yes (X)$0$0$0
JOYCELYN JOHNSON
DIRECTOR1.001.00Yes (X)$0$0$0
MARK TONNESEN
DIRECTOR1.001.00Yes (X)$0$0$0
BETTY LOHR
DIRECTOR1.001.00Yes (X)$0$0$0
DR SHANNON MATHEWS
DIRECTOR1.001.00Yes (X)$0$0$0
LORETTA MEYERS
DIRECTOR1.001.00Yes (X)$0$0$0
DOUG NELSON
DIRECTOR1.001.00Yes (X)$0$0$0
DEREK SHOEMAKE
DIRECTOR1.001.00Yes (X)$0$0$0
STEPHEN STANFIELD-SWITZER
DIRECTOR1.001.00Yes (X)$0$0$0
KATRINA WEIRICK
DIRECTOR1.001.00Yes (X)$0$0$0
J WHITE IDDINGS JR
DIRECTOR1.001.00Yes (X)$0$0$0
ROSEBUD REUBEL
DIRECTOR1.001.00Yes (X)$0$0$0
KIRBY NICKERSON
TREASURER/CF40.001.00Yes (X)$0$170,532$4,920
KESHA SMITH
CHIEF OPER.40.001.00Yes (X)$0$157,313$5,496
JOHN FRYE
ADMINISTRATO40.00Yes (X)$134,744$0$6,507
ELIZABETH KUHN
DIRECTOR R&D40.001.00Yes (X)$0$132,699$7,723
MYRA GRIFFIE
CHIEF OPER.40.001.00Yes (X)$0$120,320$5,496
KAREN MADDRY
SECRETARY40.001.00Yes (X)$0$59,139$6,351
FieldValueIRS element (for citing)
Total Reportable Comp From Org$134,744TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$914,069TotReportableCompRltdOrgAmt
Total Other Compensation$41,989TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY REHAB LLCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11416 S MARTIN LUTHER KING JR AVEAddressLine1
CitySALISBURYCity
StateNCState
ZIP Code28144ZIPCode
FieldValueIRS element (for citing)
ServicesTHERAPY SRVCSServicesDesc
Compensation$858,286CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$25,780AllOtherContributionsAmt
Total Contributions$25,780TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE FEE REVENUESDesc
Total Revenue Column$8,456,561TotalRevenueColumnAmt
Related Or Exempt Func Income$8,456,561RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,456,561TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,197TotalRevenueColumnAmt
Exclusion$17,197ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Total Revenue Column$16,145TotalRevenueColumnAmt
Related Or Exempt Func Income$16,145RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,145OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,515,683TotalRevenueColumnAmt
Related Or Exempt Func Income$8,472,706RelatedOrExemptFuncIncomeAmt
Exclusion$17,197ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$133,909TotalAmt
Program Services$126,249ProgramServicesAmt
Management And General$7,660ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,862,584TotalAmt
Program Services$3,630,330ProgramServicesAmt
Management And General$232,254ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$499,184TotalAmt
Program Services$499,184ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$314,392TotalAmt
Program Services$314,392ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$338,908TotalAmt
Program Services$338,908ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,000TotalAmt
Management And General$7,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,821TotalAmt
Management And General$21,821ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,589TotalAmt
Program Services$3,773ProgramServicesAmt
Management And General$3,816ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,383TotalAmt
Program Services$136ProgramServicesAmt
Management And General$5,247ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$538,417TotalAmt
Program Services$538,417ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,837TotalAmt
Program Services$9,238ProgramServicesAmt
Management And General$7,599ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,347TotalAmt
Program Services$2,060ProgramServicesAmt
Management And General$287ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$200,106TotalAmt
Program Services$200,106ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$43,475TotalAmt
Management And General$43,475ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
ANCILLARY EXPENSES$982,917$982,917
PHARMACY DRUGS$432,692$432,692
BED ASSESSMENT$360,536$360,536
FOOD$298,750$298,750

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$673,557TotalAmt
Program Services$636,707ProgramServicesAmt
Management And General$36,850ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,744,404TotalAmt
Program Services$8,378,395ProgramServicesAmt
Management And General$366,009ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,191,313BOYAmt
EOY$382,852EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$969,936BOYAmt
EOY$1,001,184EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,873BOYAmt
EOY$29,233EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,400BOYAmt
EOY$13,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,652,520LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$609,687LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,201,492BOYAmt
EOY$1,042,833EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$756,080EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,000BOYAmt
EOY$500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,404,014BOYAmt
EOY$3,226,082EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$404,050BOYAmt
EOY$426,465EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,761BOYAmt
EOY$55,761EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,490,759BOYAmt
EOY$3,530,172EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,950,570BOYAmt
EOY$4,012,398EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$557,056BOYAmt
EOY-$798,173EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,500BOYAmt
EOY$11,857EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$546,556BOYAmt
EOY-$786,316EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,404,014BOYAmt
EOY$3,226,082EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$228,721ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,039NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,967CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,634CurrentTaxYearMinus1YearAmt
Current Tax Year$25,780CurrentTaxYearAmt
Total$81,977TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$853,501CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,790,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,351,570CurrentTaxYearMinus1YearAmt
Current Tax Year$8,472,706CurrentTaxYearAmt
Total$25,468,740TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$865,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,818,179CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,368,204CurrentTaxYearMinus1YearAmt
Current Tax Year$8,498,486CurrentTaxYearAmt
Total$25,550,717TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$25,550,717PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$99CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62CurrentTaxYearMinus1YearAmt
Current Tax Year$17,197CurrentTaxYearAmt
Total$17,363TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$99CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62CurrentTaxYearMinus1YearAmt
Current Tax Year$17,197CurrentTaxYearAmt
Total$17,363TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$865,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,818,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,368,266CurrentTaxYearMinus1YearAmt
Current Tax Year$8,515,683CurrentTaxYearAmt
Total$25,568,080TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99930PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,900OtherCostOrOtherBasisAmt
Depreciation$1,246DepreciationAmt
Book Value$654BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,551,092OtherCostOrOtherBasisAmt
Depreciation$559,210DepreciationAmt
Book Value$991,882BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,528OtherCostOrOtherBasisAmt
Depreciation$49,231DepreciationAmt
Book Value$50,297BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,042,833TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANYDesc
Amt$3,530,172Amt
FieldValueIRS element (for citing)
Total Liability$3,530,172TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,504,644TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$11,039NetUnrealizedGainsInvstAmt
Revenue Not Reported-$11,039RevenueNotReportedAmt
Revenue Subtotal$8,515,683RevenueSubtotalAmt
Total Revenue Per Form990$8,515,683TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,744,404TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,744,404ExpensesSubtotalAmt
Total Expenses Per Form990$8,744,404TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationSUBSTANTIALLY ALL AFFILIATES OF LSA AND LFS ARE ORGANIZED AS NORTH CAROLINA NOT-FOR-PROFIT 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, 2014 OR 2013. TAX YEARS SUBSEQUENT TO 2009 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
TED GOINS JR
PRESIDENT$274,066$5,496$279,562
KIRBY NICKERSON
TREASURER/CFO$170,532$4,920$175,452
KESHA SMITH
CHIEF OPER. OFFICER$157,313$5,496$162,809

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOME WILMINGTON PROPERTYBusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
Relationship DescriptionADMINISTRATORRelationshipDescriptionTxt
Transaction$23,822TransactionAmt
TransactionHOUSE RENTALTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
ExplanationLUTHERAN HOME WILMINGTON PROPERTY, INC. RENTS A HOUSE TO JOHN FRYE, THE ADMINISTRATOR OF LUTHERAN HOME - WILMINGTON, INC. LUTHERAN HOME WILMINGTON PROPERTY, INC. IS AN AFFILIATED 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH IS PROPERLY REPORTED ON SCHEDULE R, PART II. LUTHERAN HOME WILMINGTON PROPERTY, INC. RENTS THE HOUSE PURSUANT TO AN "ARMS-LENGTH" AGREEMENT REQUIRING PAYMENT BY THE LESSEE OF RENT BASED ON FAIR MARKET VALUE. ALL RENTAL INCOME IS CONSIDERED UNRELATED BUSINESS INCOME AND IS PROPERLY REPORTED ON LUTHERAN HOME WILMINGTON PROPERTY, INC.'S FORM 990-T.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONLUTHERAN HOME - WILMINGTON, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING, SPECIALIZED ALZHEIMER'S CARE, AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF ITS MISSION WITH LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATEMENT IS "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". THE PEOPLE OF LSA ARE 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 THOSE SERVED BY LSA HAVE BEEN SERVICE ORIENTED AND PHILANTHROPICALLY INCLINED THROUGHOUT THEIR LIVES AND CONTINUE TO SEEK OPPORTUNITIES FOR COMMUNITY SERVICE IN THEIR OLDER YEARS. 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, FUNDRAISING 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 LUTHERAN 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, BAKE SALES, AND CRAFT SALES. THEY HAVE HOSTED BREAKFASTS FOR FIRE, POLICE, AND EMERGENCY SERVICE PERSONNEL, COLLECTED SCHOOL SUPPLIES FOR KIDS, AND ADOPTED NEEDY FAMILIES AT CHRISTMAS. THEY HAVE LOGGED IN HUNDREDS OF HOURS IN PROJECTS FOR LOCAL SCHOOLS AND HOSPITALS, THE ARC, THE ALZHEIMER'S ASSOCIATION, MADD (MOTHERS AGAINST DRUNK DRIVING), MEAL-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, LIVINGSTONE, AND LENOIR-RHYNE COLLEGES; CATAWBA VALLEY, GASTON, ROWAN-CABARRUS, STANLY, CALDWELL AND FORSYTH COMMUNITY COLLEGES; APPALACHIAN STATE, WINSTON-SALEM STATE, AND DUKE UNIVERSITIES; THE UNIVERSITY OF NORTH CAROLINA, AND HOOD THEOLOGICAL SEMINARY. THESE COLLABORATIVE EFFORTS ENHANCE COOPERATION, 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. RESOURCES ARE AVAILABLE TO THE COMMUNITY ADDRESSING A BROAD RANGE OF AGING ISSUES SUCH AS HEALTHY AGING, NURSING HOME CARE, ADULT DAY CARE, ALZHEIMER'S DISEASE, MEDICAID AND MEDICARE, AND HEALTHCARE DIRECTIVES.
FORM 990, PAGE 2, PART III, LINE 4AEMOTIONAL, AND SPIRITUAL NEEDS OF EACH INDIVIDUAL. BECAUSE CHOOSING A NURSING HOME OFTEN COMES AT A DIFFICULT TIME, CHAPLAINS ARE AVAILABLE TO OFFER SUPPORT AND GUIDANCE TO FAMILIES AND RESIDENTS DURING ADMISSION AND THROUGHOUT THEIR STAY. DURING THE YEAR ENDED SEPTEMBER 30, 2014, LUTHERAN HOME - WILMINGTON, INC. PROVIDED 34,021 DAYS OF CARE TO 330 RESIDENTS.
FORM 990, PART VIWHISTLEBLOWER 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, PAGE 6, PART VI, LINE 3LSA MANAGEMENT, INC. PROVIDES ADMINISTRATIVE SUPPORT, MANAGEMENT, ACCOUNTING, INFORMATION TECHNOLOGY, AND RESOURCE DEVELOPMENT SERVICES TO LUTHERAN SERVICES FOR THE AGING AND ITS AFFILIATES. SEE SCHEDULE R, PART V.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED BY THE CHIEF FINANCE OFFICER AND MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. ANY MATTERS ARE RAISED TO THE OUTSIDE ACCOUNTANTS FOR COLLABORATION AND ULTIMATE RESOLUTION.
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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 PRESIDENT WHICH IS PAID BY THE MANAGING ORGANIZATION OF THE CONTROL GROUP.
FORM 990, PAGE 6, PART VI, LINE 15BALL COMPENSATION LIMITS ARE COMPARED TO STATE AND NATIONAL RANGES BASED ON FACILITY SIZE AND EXPERIENCE OF STAFF. THE 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, PAGE 6, PART VI, LINE 19FORMS 990 ARE POSTED ON GUIDESTAR AND AVAILABLE UPON REQUEST AT THE LSA OFFICE LOCATED IN SALISBURY, NC.
FORM 990, PART VIIPART VII, SECTION A - COLUMN (B) HOURS FOR RELATED ORGANIZATIONS BOARD MEMBERS AND OFFICERS DEVOTE TIME TO ALL ENTITIES WITHIN THE CONTROL GROUP.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Business Name Line2DisregardedEntityName/BusinessNameLine2Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ABUNDANT LIVING ADULT DAY SERVICES
INCPO BOX 947SALISBURYNC28145561884652ADULT DAYNC501C39LSA INCYes (true)
LFS REAL PROPERTIES INC
PO BOX 2369SALISBURYNC28145581820383REAL ESTATNC501C2LFSYes (true)
LSA ELMS AT TANGLEWOOD INC
PO BOX 947SALISBURYNC28145263735637ASSIST LVGNC501C39LSA INCYes (true)
LSA ELMS PROPERTY INC
PO BOX 947SALISBURYNC28145263739962LEASINGNC501C39LSA INCYes (true)
LSA MANAGEMENT INC
PO BOX 947SALISBURYNC28145201457236MANAGEMENTNC501C39LSA INCYes (true)
LSA PHARMACY INC
PO BOX 947SALISBURYNC28145201457251PHARMACYNC501C39LSA INCYes (true)
LUTHERAN FAMILY SERVICES IN THE
CAROLINASPO BOX 2369SALISBURYNC28145561286323COMM. SVCNC501C311BLSA INCYes (true)
LUTHERAN HOME - ALBEMARLE INC
PO BOX 947SALISBURYNC28145201457298NURSINGNC501C39LSA INCYes (true)
LUTHERAN HOME - FORSYTH COUNTY INC
PO BOX 947SALISBURYNC28145263328029NURSINGNC501C39LSA INCYes (true)
LUTHERAN HOME - HICKORY WEST INC
PO BOX 947SALISBURYNC28145201457410NURSINGNC501C39LSA INCYes (true)
LUTHERAN HOME - HICKORY INC
PO BOX 947SALISBURYNC28145201457341NURSINGNC501C39LSA INCYes (true)
LUTHERAN HOME - WINSTON-SALEM INC
PO BOX 947SALISBURYNC28145561500212NURSINGNC501C39LSA INCYes (true)
LUTHERAN HOME ALBEMARLE PROPERTY
INCPO BOX 947SALISBURYNC28145201457273LEASINGNC501C39LSA INCYes (true)
LUTHERAN HOME AT TRINITY OAKS
PROPERTY INCPO BOX 947SALISBURYNC28145201457796LEASINGNC501C39LSA INCYes (true)
LUTHERAN HOME AT TRINITY OAKS INC
PO BOX 947SALISBURYNC28145201457824NURSINGNC501C39LSA INCYes (true)
LUTHERAN HOME FORSYTH COUNTY
PROPERTY INCPO BOX 947SALISBURYNC28145461188488LEASINGNC501C39LSA INCYes (true)
LUTHERAN HOME HICKORY PROPERTY
INCPO BOX 947SALISBURYNC28145201457319LEASINGNC501C39LSA INCYes (true)
LUTHERAN HOME HICKORY WEST PROPERTY
INCPO BOX 947SALISBURYNC28145205304712LEASINGNC501C39LSA INCYes (true)
LUTHERAN HOME WILMINGTON PROPERTY
INCPO BOX 947SALISBURYNC28145260158745LEASINGNC501C39LSA INCYes (true)
LUTHERAN HOME WINSTON-SALEM
PROPERTY INCPO BOX 947SALISBURYNC28145205304794LEASINGNC501C39LSA INCYes (true)
LUTHERAN RETIREMENT CENTER -
SALISBURY INCPO BOX 947SALISBURYNC28145561540214ASSIST LVGNC501C39LSA INCYes (true)
LUTHERAN RETIREMENT CENTER -
WILMINGTON INCPO BOX 947SALISBURYNC28145561500308INDEP. LVGNC501C39LSA INCYes (true)
LUTHERAN RETIREMENT CENTER AT
LUTHERIDGE INCPO BOX 947SALISBURYNC28145581823983ASSIST LVGNC501C39LSA INCYes (true)
LUTHERAN SERVICES FOR THE AGING
FOUNDATION INCPO BOX 947SALISBURYNC28145561681723FOUNDATIONNC501C39LSA INCYes (true)
LUTHERAN SERVICES FOR THE AGING
INC (LSA INC)PO BOX 947SALISBURYNC28145560752160PARENT ORGNC501C39falseN/A
LUTHERAN SERVICES PROPERTY INC
PO BOX 947SALISBURYNC28145203895886LEASINGNC501C39LSA INCYes (true)
LSA THERAPY INC
PO BOX 947SALISBURYNC28145461886488THERAPYNC501C39LSA INCYes (true)
TRINITY AT HOME INC
PO BOX 947SALISBURYNC28145464838098NURSINGNC501C39LSA INCYes (true)
MOUNTAIN RIDGE GROUP HOME INC
PO BOX 2369SALISBURYNC28145581782084GROUP HOMENC501C37LFSYes (true)
WHITTECAR HOME INC
PO BOX 2369SALISBURYNC28145581940152GROUP HOMENC501C37LFSYes (true)
PACE AT HOME INC
1915 FAIRGROVE CHURCH ROADNEWTONNC28658273462373CARE SVCNC501C33falseN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LUTHERAN SERVICES FOR THE AGING
FOUNDATION INCB$4,000FMV
LSA MANAGEMENT INC
E$7,826FMV
CONTROL GROUP INTERCOMPANY RECPAY
E$2,272,345FMV
LUTHERAN HOME - HICKORY INC
E$1,000,000FMV
LUTHERAN HOME - ALBEMARLE INC
E$250,000FMV
LSA PHARMACY INC
H$432,692FMV
LUTHERAN HOME WILMINGTON PROPERTY
INCK$538,417FMV
LSA MANAGEMENT INC
M$338,908FMV
LSA PHARMACY INC
M$17,532FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
Explanation"CONTROL GROUP INTERCOMPANY REC/PAY" CONSISTS OF SHORT-TERM INTERCOMPANY ALLOCATIONS BETWEEN THE ENTITIES WITHIN THE CONTROLLED GROUP.ExplanationTxt