2015-02-13T15:48:56-06:00 2014-09-30 561743537 LANGDON & COMPANY LLP 223 US HIGHWAY 70 EAST SUITE 100 GARNER NC 275294051 990 2013-10-01 201457341 LUTHERAN HOME - HICKORY INC LUTH 7046372870 PO BOX 947 SALISBURY NC 281450947 KIRBY NICKERSON TREASURER 7046372870 2015-02-12 true ANTHONY T PANDISCIA P00187421 9196621001 2015-02-13 2013 2016-02-25 16:41:14Z TED GOINS PO BOX 947 SALISBURY NC 281450947 12863854 false X WWW.LSCAROLINAS.NET X 2004 NC LUTHERAN HOME - HICKORY, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING, ASSISTED LIVING, SPECIAL CARE FOR PEOPLE WITH DEMENTIA, AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF THE LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATEMENT IS "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". 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 SAM 19 19 335 107 0 74694 53398 13268504 12704941 20841 45650 16659 59865 13380698 12863854 18547 16164 0 7247346 7384754 0 0 5421362 5096934 12687255 12497852 693443 366002 7933170 8258867 1135583 1101754 6797587 7157113 X LUTHERAN HOME - HICKORY, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING, ASSISTED LIVING, SPECIAL CARE FOR PEOPLE WITH DEMENTIA, AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF THE LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATEMENT IS "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". 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 SAM false false 12050300 16164 12704941 LUTHERAN HOME - HICKORY, INC. OFFERS SHORT-TERM REHABILITATION, LONG-TERM CARE, AND ASSISTED LIVING SERVICES TO PEOPLE OF ALL FAITHS AND ECONOMIC STATUS. THE ORGANIZATION ALSO PROVIDES SKILLED NURSING AND ASSISTED LIVING CARE FOR THE OFTEN DIFFICULT-TO-PLACE ALZHEIMER'S RESIDENTS. LUTHERAN HOME - HICKORY, 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. 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 - HICKORY, INC. PROVIDED 60,716 DAYS OF CARE TO 534 RESIDENTS. 12050300 true true false false false false false false false true true false false true false true false true false false false false false false false false false false true true false false false false false false false false false false false false false true true true false false true 27 0 true 335 true false false false false false false false false false false X 19 19 false true false false false false false true true false false true true true true true true true true false X X X SUSAN MILLER 7046372870 1416 S MARTIN LUTHER KING JR AVE SALISBURY NC 28144 X TED GOINS JR PRESIDENT 40.00 1.00 X X 0 274066 5496 REV PAMELA COOK DIRECTOR 1.00 1.00 X 0 0 0 ERIC HOYLE DIRECTOR 1.00 1.00 X 0 0 0 JERRY BRAMLEY DIRECTOR 1.00 1.00 X 0 0 0 DONALD BUMGARNER DIRECTOR 1.00 1.00 X 0 0 0 JIM HUDDLE DIRECTOR 1.00 1.00 X 0 0 0 REV JEFFREY SHEALY DIRECTOR 1.00 1.00 X 0 0 0 JOY FISHER DIRECTOR 1.00 1.00 X 0 0 0 EUNIKA SIMONS DIRECTOR 1.00 1.00 X 0 0 0 JOYCELYN JOHNSON DIRECTOR 1.00 1.00 X 0 0 0 MARK TONNESEN DIRECTOR 1.00 1.00 X 0 0 0 BETTY LOHR DIRECTOR 1.00 1.00 X 0 0 0 DR SHANNON MATHEWS DIRECTOR 1.00 1.00 X 0 0 0 LORETTA MEYERS DIRECTOR 1.00 1.00 X 0 0 0 DOUG NELSON DIRECTOR 1.00 1.00 X 0 0 0 DEREK SHOEMAKE DIRECTOR 1.00 1.00 X 0 0 0 STEPHEN STANFIELD-SWITZER DIRECTOR 1.00 1.00 X 0 0 0 KATRINA WEIRICK DIRECTOR 1.00 1.00 X 0 0 0 J WHITE IDDINGS JR DIRECTOR 1.00 1.00 X 0 0 0 ROSEBUD REUBEL DIRECTOR 1.00 1.00 X 0 0 0 KIRBY NICKERSON TREASURER/CF 40.00 1.00 X 0 170532 4920 KESHA SMITH CHIEF OPER. 40.00 1.00 X 0 157313 5496 ELIZABETH KUHN DIRECTOR R&D 40.00 1.00 X 0 132699 7723 MYRA GRIFFIE CHIEF OPER. 40.00 1.00 X 0 120320 5496 KAREN MADDRY SECRETARY 40.00 1.00 X 0 59139 6351 MARCHETA CAMPBELL ADMINISTRATO 40.00 X 57856 0 3122 AMBER MCINTOSH ADMINISTRATO 40.00 X 45090 0 1585 102946 914069 40189 true true false TRINITY REHAB LLC 1416 S MARTIN LUTHER KING JR AVE SALISBURY NC 28144 THERAPY SRVCS 1085744 1 16164 37234 12621 53398 SERVICE FEE REVENUES 12704941 12704941 12704941 45650 45650 OTHER INCOME 59865 59865 59865 12863854 12764806 45650 16164 16164 91988 88208 3780 6044959 5782057 262902 774028 774028 473779 473779 510592 510592 2073 2073 22120 22120 8445 101 8344 18691 1000 17691 600000 600000 15936 13264 2672 6619 6232 387 8025 8025 173239 173239 72917 6869 66048 ANCILLARY EXPENSES 1224277 1224277 PHARMACY DRUGS 732754 732754 FOOD 499771 499771 BED ASSESSMENT 331918 331918 869557 808022 61535 12497852 12050300 447552 0 1716115 690484 1162316 1120142 36930 38367 140 140 2626390 1968265 696855 658125 543523 1587418 3777291 4164191 7933170 8258867 928498 828393 207085 273361 1135583 1101754 X 6782882 7135431 14705 21682 6797587 7157113 7933170 8258867 366002 -6476 X false true X true false X 87078 57604 48015 74694 53398 320789 11733044 12872788 13578742 13285163 12764806 64234543 11820122 12930392 13626757 13359857 12818204 64555332 64555332 20618 18633 5543 19796 45650 110240 20618 18633 5543 19796 45650 110240 11840740 12949025 13632300 13379653 12863854 64665572 0.99830 0.99870 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 542822 5686 30803 579311 504059 38763 542822 152624 351435 504059 51624 101000 152624 51624 51624 1.00000 false true true 18864 7824 11040 2431497 1793745 637752 176029 166696 9333 658125 INTERCOMPANY 4023727 OTHER ASSETS 138125 CIP 2339 DUE FROM AFFILIATE 4164191 X 12857378 -6476 -6476 12863854 12863854 12497852 12497852 12497852 SCHEDULE D, PAGE 2, PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT CONSISTS OF DONOR-RESTRICTED INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. INCOME FROM THE ENDOWMENTS ARE USED BUT NOT LIMITED TO FUTURE EXPANSION, EQUIPMENT PURCHASES AND FUTURE PROGRAM SERVICE NEEDS. SCHEDULE D, PAGE 3, PART X SUBSTANTIALLY 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. SCHEDULE D, PAGE 4, PART XIII PART V - ENDOWMENT FUNDS AMOUNTS REPORTED AS THE CURRENT YEAR END OF YEAR BALANCE AMONG THE CONTROL GROUP ACCURATELY TIE BACK TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. true RHYNE SCHOLARSHIP 3 15000 FMV HOLLAR SCHOLARSHIP 1 1164 FMV SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION MAINTAINS CONTACT RECORDS ON RESIDENT GRANT RECIPIENTS AS WELL AS CONSISTENTLY FOLLOWS UP WITH INDIVIDUALS TO ENSURE THEY ARE MEETING THE ORGANIZATION'S REQUIREMENTS AND REMAIN ELIGIBLE FOR THE GRANT. PART III, LINE 1 - ADDITIONAL INFORMATION ALTHOUGH REPORTED IN AGGREGATE FOR PURPOSES OF TRANSPARENCY, NO SINGLE GRANT MADE IN THE CURRENT YEAR WAS VALUED AT AN AMOUNT GREATER THAN 5,000. false false false false false false false false false TED GOINS JR PRESIDENT 274066 5496 279562 KIRBY NICKERSON TREASURER/CFO 170532 4920 175452 KESHA SMITH CHIEF OPER. OFFICER 157313 5496 162809 AMBER MCINTOSH ADMINISTRATOR 45090 355 1230 46675 FORM 990 - ORGANIZATION'S MISSION LUTHERAN HOME - HICKORY, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING, ASSISTED LIVING, SPECIAL CARE FOR PEOPLE WITH DEMENTIA, AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF THE LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATEMENT IS "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". 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 4A OF EACH INDIVIDUAL. 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 - HICKORY, INC. PROVIDED 60,716 DAYS OF CARE TO 534 RESIDENTS. FORM 990, PART VI WHISTLEBLOWER 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 3 LSA 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 11B THE 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 12C BOARD 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 15A ALL 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 15B ALL 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 19 FORMS 990 ARE POSTED ON GUIDESTAR AND AVAILABLE UPON REQUEST AT THE LSA OFFICE LOCATED IN SALISBURY, NC. FORM 990, PART VII AMBER MCINTOSH SERVED AS ADMINISTRATOR UNTIL MARCH 2013 AND HER 2013 W-2 INCOME IS PROPERLY REPORTED ON PART VII. AMBER MCINTOSH DID NOT RECEIVE ANY FISCAL YEAR COMPENSATION. MARCHETA CAMPBELL TOOK THE POSITION OF ADMINISTRATOR IN MARCH 2013. PART VII, SECTION A - COLUMN (B) HOURS FOR RELATED ORGANIZATIONS BOARD MEMBERS AND OFFICERS DEVOTE TIME TO ALL ENTITIES WITHIN THE CONTROL GROUP. ABUNDANT LIVING ADULT DAY SERVICES INC PO BOX 947 SALISBURY NC 28145 561884652 ADULT DAY NC 501C3 9 LSA INC true LFS REAL PROPERTIES INC PO BOX 2369 SALISBURY NC 28145 581820383 REAL ESTAT NC 501C2 LFS true LSA ELMS AT TANGLEWOOD INC PO BOX 947 SALISBURY NC 28145 263735637 ASSIST LVG NC 501C3 9 LSA INC true LSA ELMS PROPERTY INC PO BOX 947 SALISBURY NC 28145 263739962 LEASING NC 501C3 9 LSA INC true LSA MANAGEMENT INC PO BOX 947 SALISBURY NC 28145 201457236 MANAGEMENT NC 501C3 9 LSA INC true LSA PHARMACY INC PO BOX 947 SALISBURY NC 28145 201457251 PHARMACY NC 501C3 9 LSA INC true LUTHERAN FAMILY SERVICES IN THE CAROLINAS PO BOX 2369 SALISBURY NC 28145 561286323 COMM. SVC NC 501C3 11B LSA INC true LUTHERAN HOME - ALBEMARLE INC PO BOX 947 SALISBURY NC 28145 201457298 NURSING NC 501C3 9 LSA INC true LUTHERAN HOME - FORSYTH COUNTY INC PO BOX 947 SALISBURY NC 28145 263328029 NURSING NC 501C3 9 LSA INC true LUTHERAN HOME - HICKORY WEST INC PO BOX 947 SALISBURY NC 28145 201457410 NURSING NC 501C3 9 LSA INC true LUTHERAN HOME - WILMINGTON INC PO BOX 947 SALISBURY NC 28145 260158686 NURSING NC 501C3 9 LSA INC true LUTHERAN HOME - WINSTON-SALEM INC PO BOX 947 SALISBURY NC 28145 561500212 NURSING NC 501C3 9 LSA INC true LUTHERAN HOME ALBEMARLE PROPERTY INC PO BOX 947 SALISBURY NC 28145 201457273 LEASING NC 501C3 9 LSA INC true LUTHERAN HOME AT TRINITY OAKS PROPERTY INC PO BOX 947 SALISBURY NC 28145 201457796 LEASING NC 501C3 9 LSA INC true LUTHERAN HOME AT TRINITY OAKS INC PO BOX 947 SALISBURY NC 28145 201457824 NURSING NC 501C3 9 LSA INC true LUTHERAN HOME FORSYTH COUNTY PROPERTY INC PO BOX 947 SALISBURY NC 28145 461188488 LEASING NC 501C3 9 LSA INC true LUTHERAN HOME HICKORY PROPERTY INC PO BOX 947 SALISBURY NC 28145 201457319 LEASING NC 501C3 9 LSA INC true LUTHERAN HOME HICKORY WEST PROPERTY INC PO BOX 947 SALISBURY NC 28145 205304712 LEASING NC 501C3 9 LSA INC true LUTHERAN HOME WILMINGTON PROPERTY INC PO BOX 947 SALISBURY NC 28145 260158745 LEASING NC 501C3 9 LSA INC true LUTHERAN HOME WINSTON-SALEM PROPERTY INC PO BOX 947 SALISBURY NC 28145 205304794 LEASING NC 501C3 9 LSA INC true LUTHERAN RETIREMENT CENTER - SALISBURY INC PO BOX 947 SALISBURY NC 28145 561540214 ASSIST LVG NC 501C3 9 LSA INC true LUTHERAN RETIREMENT CENTER - WILMINGTON INC PO BOX 947 SALISBURY NC 28145 561500308 INDEP. LVG NC 501C3 9 LSA INC true LUTHERAN RETIREMENT CENTER AT LUTHERIDGE INC PO BOX 947 SALISBURY NC 28145 581823983 ASSIST LVG NC 501C3 9 LSA INC true LUTHERAN SERVICES FOR THE AGING FOUNDATION INC PO BOX 947 SALISBURY NC 28145 561681723 FOUNDATION NC 501C3 9 LSA INC true LUTHERAN SERVICES FOR THE AGING INC (LSA INC) PO BOX 947 SALISBURY NC 28145 560752160 PARENT ORG NC 501C3 9 N/A false LUTHERAN SERVICES PROPERTY INC PO BOX 947 SALISBURY NC 28145 203895886 LEASING NC 501C3 9 LSA INC true LSA THERAPY INC PO BOX 947 SALISBURY NC 28145 461886488 THERAPY NC 501C3 9 LSA INC true TRINITY AT HOME INC PO BOX 947 SALISBURY NC 28145 464838098 NURSING NC 501C3 9 LSA INC true MOUNTAIN RIDGE GROUP HOME INC PO BOX 2369 SALISBURY NC 28145 581782084 GROUP HOME NC 501C3 7 LFS true WHITTECAR HOME INC PO BOX 2369 SALISBURY NC 28145 581940152 GROUP HOME NC 501C3 7 LFS true PACE AT HOME INC 1915 FAIRGROVE CHURCH ROAD NEWTON NC 28658 273462373 CARE SVC NC 501C3 3 N/A false false true true true true false false true false false true false true false false false false false false LSA FOUNDATION B 8025 FMV LUTHERAN SERVICES FOR THE AGING INC C 15000 FMV LSA FOUNDATION C 1164 FMV LSA MANAGEMENT INC D 1376466 FMV CONTROL GROUP INTERCOMPANY RECPAY D 203982 FMV LUTHERAN HOME - WILMINGTON INC D 1000000 FMV LUTHERAN HOME - FORSYTH COUNTY D 500000 FMV LUTHERAN RETIREMENT CENTER - SALISBURY INC D 943278 FMV LSA PHARMACY INC H 732754 FMV LUTHERAN HOME HICKORY PROPERTY INC K 600000 FMV LSA MANAGEMENT INC M 510592 FMV LSA PHARMACY INC M 21964 FMV SCHEDULE R "CONTROL GROUP INTERCOMPANY REC/PAY" CONSISTS OF SHORT-TERM INTERCOMPANY ALLOCATIONS BETWEEN THE ENTITIES WITHIN THE CONTROLLED GROUP.