LUTHERAN HOME-HICKORY INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LUTHERAN HOME-HICKORY INC (EIN 20-1457341)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-02-15
- IRS object ID
- 201330469349301598
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-15T12:24:27-06:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LANGDON & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 223 US HIGHWAY 70 EAST SUITE 100 | AddressLine1 |
| City | GARNER | City |
| State | NC | State |
| ZIP Code | 275294051 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201457341 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUTHERAN HOME - HICKORY INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LUTH | NameControl |
| Phone | 7046372870 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 947 | AddressLine1 |
| City | SALISBURY | City |
| State | NC | State |
| ZIP Code | 281450947 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TED GOINS | Name |
| Title | PRESIDENT | Title |
| Phone | 7046372870 | Phone |
| Date Signed | 2013-02-11 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANTHONY T PANDISCIA | Name |
| Phone | 9196621001 | Phone |
| Date Prepared | 2013-02-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TED GOINS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 947 | AddressLine1 |
| City | SALISBURY | City |
| State | NC | State |
| ZIP Code | 281450947 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13632300 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LSANC.NET | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | 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), A MINISTRY OF THE NORTH CAROLINA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. THE ORGANIZATION STRIVES TO EXPRESS GOD'S LOVE IN CHRIST TO THOSE WE SERVE BY: PROVIDING MULTIPLE SERVICES FOR SENIORS INCLUDING NURSING CARE, ADULT DAY CARE, AND RETIREMENT LIVING; MINISTERING TO THEIR NEEDS IN TRADITIONAL AND INNOVATIVE WAYS; AND DEMONSTRATING RESPONSIBLE STEWARDSHIP. 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 O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 329 | TotalNbrEmployees |
| Total Nbr Volunteers | 119 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 57604 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 48015 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12872788 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 13553490 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 59738 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5543 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 25252 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12990130 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13632300 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 20000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6794918 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7272328 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4873292 | OtherExpensePriorYear |
| Other Expenses Current Year | 5615910 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11668210 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12908238 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1321920 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 724062 | RevenuesLessExpensesCY |
| Total Assets BOY | 6145841 | TotalAssetsBOY |
| Total Assets EOY | 7035464 | TotalAssetsEOY |
| Total Liabilities BOY | 836266 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 951005 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5309575 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6084459 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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), A MINISTRY OF THE NORTH CAROLINA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. THE ORGANIZATION STRIVES TO EXPRESS GOD'S LOVE IN CHRIST TO THOSE WE SERVE BY: PROVIDING MULTIPLE SERVICES FOR SENIORS INCLUDING NURSING CARE, ADULT DAY CARE, AND RETIREMENT LIVING; MINISTERING TO THEIR NEEDS IN TRADITIONAL AND INNOVATIVE WAYS; AND DEMONSTRATING RESPONSIBLE STEWARDSHIP. 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 O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11287667 | Expense |
| Grants | 20000 | Grants |
| Revenue | 13553490 | Revenue |
| Description | 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, 2012, LUTHERAN HOME - HICKORY, INC. PROVIDED 63,128 DAYS OF CARE TO 500 RESIDENTS. | Description |
| Total Program Service Expense | 11287667 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 329 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SUSAN MILLER | NamePerson |
| Telephone Number | 7046372870 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1416 S MARTIN LUTHER KING JR AVE | AddressLine1 |
| City | SALISBURY | City |
| State | NC | State |
| ZIP Code | 28144 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer |
|---|---|---|---|---|---|---|---|
| TED GOINS JR | |||||||
| PRESIDENT | 40.00 | X | X | 0 | 233724 | 8258 | |
| REV SUSAN BAME | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV DR LEONARD BOLICK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JERRY BRAMLEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR JOHN BUMGARNER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOYCE ERICSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV MARY FINKLEA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOY FISHER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV DR THOMAS HURLOCKER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOYCELYN JOHNSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KAYE LEONARD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BETTY LOHR | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR SHANNON MATHEWS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LORETTA MEYERS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DOUG NELSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DEREK SHOEMAKE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| STEVE STANFIELD-SWITZER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ERIC VAUGHN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV DR HERMAN YOOS III | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| AMBER MCINTOSH | |||||||
| ADMINISTRATO | 40.00 | X | 112769 | 0 | 6467 | ||
| ELIZABETH KUHN | |||||||
| DIRECTOR R&D | 40.00 | X | 0 | 109483 | 6108 | ||
| MYRA GRIFFIE | |||||||
| CHIEF OPER. | 40.00 | X | 0 | 104904 | 5588 | ||
| KESHA SMITH | |||||||
| CHIEF ADMIN. | 40.00 | X | 0 | 103810 | 6286 | ||
| KAREN MADDRY | |||||||
| SECRETARY | 40.00 | X | 0 | 48836 | 5899 | ||
| TONYA HILLIARD | |||||||
| ADMINISTRATO | 40.00 | X | 37699 | 0 | 857 | ||
| KIRBY NICKERSON | |||||||
| TREASURER/CF | 40.00 | X | 0 | 0 | 0 | ||
| ANNETTE CONRAD | |||||||
| TREASURER | 40.00 | 0 | 162842 | 7210 | X | ||
| DEBORAH MATHIS | |||||||
| CHIEF OPER. | 40.00 | 0 | 69900 | 3539 | X | ||
| PATRICK FOLEY | |||||||
| CHIEF OPER. | 40.00 | 0 | 38077 | 5369 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 150468 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 871576 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 55581 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SUNDANCE REHABILITATION | |||||
| 6549 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | THERAPY SRVCS | 1437488 |
| INTERSCAPES INC | |||||
| 1323 THE PLAZA | CHARLOTTE | NC | 28205 | INTERIOR DESIGN | 171228 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Related Organizations | 20000 | RelatedOrganizations |
| All Other Contributions | 28015 | AllOtherContributions |
| Total Contributions | 48015 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| SERVICE FEE REVENUES | 12049856 | 12049856 |
| ANCILLARY INCOME | 1503634 | 1503634 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 13553490 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5543 | TotalRevenueColumn |
| Exclusion | $5,543 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Total Revenue Column | 25252 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25252 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 25252 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13632300 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13578742 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,543 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20000 | Total |
| Program Services | 20000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228622 | Total |
| Program Services | 218048 | ProgramServices |
| Management And General | 10574 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5647280 | Total |
| Program Services | 5375626 | ProgramServices |
| Management And General | 271654 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 942062 | Total |
| Program Services | 942062 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 454364 | Total |
| Program Services | 454364 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 541094 | Total |
| Management And General | 541094 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2094 | Total |
| Management And General | 2094 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17276 | Total |
| Management And General | 17276 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14948 | Total |
| Program Services | 685 | ProgramServices |
| Management And General | 14263 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11328 | Total |
| Program Services | 1943 | ProgramServices |
| Management And General | 9385 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 600000 | Total |
| Management And General | 600000 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13371 | Total |
| Program Services | 12283 | ProgramServices |
| Management And General | 1088 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3776 | Total |
| Program Services | 3776 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169532 | Total |
| Program Services | 169532 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105270 | Total |
| Management And General | 105270 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| ANCILLARY EXPENSES | 1676627 | 1676627 |
| PHARMACY DRUGS | 619446 | 619446 |
| FOOD | 523999 | 523999 |
| BED ASSESSMENT | 331778 | 331778 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 985371 | Total |
| Program Services | 937498 | ProgramServices |
| Management And General | 47873 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12908238 | Total |
| Program Services | 11287667 | ProgramServices |
| Management And General | 1620571 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2784558 | BOY |
| EOY | 1708482 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124321 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1078291 | BOY |
| EOY | 1227699 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47991 | BOY |
| EOY | 40231 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140 | BOY |
| EOY | 140 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2448664 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1737874 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 623964 | BOY |
| EOY | 710790 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 504370 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1486576 | BOY |
| EOY | 2843752 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6145841 | BOY |
| EOY | 7035464 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 817866 | BOY |
| EOY | 951005 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18400 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 836266 | BOY |
| EOY | 951005 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5286462 | BOY |
| EOY | 6021361 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23113 | BOY |
| EOY | 63098 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5309575 | BOY |
| EOY | 6084459 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6145841 | BOY |
| EOY | 7035464 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 724062 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 50822 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 95547 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 159467 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 87078 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 57604 | CurrentTaxYearMinus1Year |
| Current Tax Year | 48015 | CurrentTaxYear |
| Total | 447711 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10433370 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10972143 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11733044 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12872788 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13578742 | CurrentTaxYear |
| Total | 59590087 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10528917 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11131610 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11820122 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12930392 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13626757 | CurrentTaxYear |
| Total | 60037798 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 60037798 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42940 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16488 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20618 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18633 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5543 | CurrentTaxYear |
| Total | 104222 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42940 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16488 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20618 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18633 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5543 | CurrentTaxYear |
| Total | 104222 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10571857 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11148098 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11840740 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12949025 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13632300 | CurrentTaxYear |
| Total | 60142020 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99830 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99720 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 152624 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 351435 | InvestmentEarningsOrLosses |
| End Of Year Balance | 504059 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 51624 | BeginningOfYearBalance |
| Contributions | 101000 | Contributions |
| End Of Year Balance | 152624 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 51624 | BeginningOfYearBalance |
| End Of Year Balance | 51624 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 48624 | BeginningOfYearBalance |
| Contributions | 3000 | Contributions |
| End Of Year Balance | 51624 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.65000 | BoardDesignatedEOYBalance |
| Term Endowment EOY Balance | 0.35000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9513 | OtherCostOrOtherBasis |
| Depreciation | 4081 | Depreciation |
| Book Value | 5432 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2273557 | OtherCostOrOtherBasis |
| Depreciation | 1581231 | Depreciation |
| Book Value | 692326 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 165594 | OtherCostOrOtherBasis |
| Depreciation | 152562 | Depreciation |
| Book Value | 13032 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 710790 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTERCOMPANY | 2663127 |
| OTHER ASSETS | 180625 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2843752 | TotalBookValueOtherAssets |
| Total Revenue | 13632300 | TotalRevenue |
| Total Expenses | 12908238 | TotalExpenses |
| Excess Or Deficit For Year | 724062 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 50822 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 50822 | TotalAdjustments |
| Excess Or Deficit Per FS | 774884 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 13683122 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 50822 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 50822 | RevenueNotRptdF990 |
| Revenue Subtotal | 13632300 | RevenueSubtotal |
| Total Revenue Per Form990 | 13632300 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12908238 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 12908238 | ExpensesSubtotal |
| Total Expenses Per Form990 | 12908238 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USES FOR ENDOWMENT FUNDS | 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. |
| LIABILITY UNDER FIN 48 FOOTNOTE | SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION EVALUATES ITS UNCERTAIN TAX POSITIONS USING PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10-25, RECOGNITION OF A TAX POSITION. ACCORDINGLY, THE ORGANIZATION'S POLICY TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE ORGANIZATION, 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, 2012. TAX YEARS SUBSEQUENT TO 2008 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. |
| SUPPLEMENTAL FINANCIAL INFORMATION | SCHEDULE D, PAGE 4, PART XIV | PART V - ENDOWMENT FUNDS THE PRIOR YEAR'S NET INVESTMENT EARNINGS FOR ENDOWMENT FUNDS CORRESPONDS TO THE PRESENTATION AS REPORTED ON A CONSOLIDATED BASIS ON THE PRIOR YEAR FORM 990 FOR LUTHERAN SERVICES FOR THE AGING FOUNDATION, INC. (AN AFFILIATE REPORTED ON SCHEDULE R). REPORTING FOR THE CURRENT YEAR FORM 990 HAS BEEN REVISED TO PROMOTE ACCURACY AND TRANSPARENCY BUT THERE HAS BEEN NO CHANGE TO THE ENDOWMENT POLICIES. THE AMOUNTS REPORTED AS THE END OF YEAR BALANCE PROPERLY REFLECT THIS ORGANIZATION'S ENDOWMENT FUNDS AT 9/30/12 AND THE AGGREGATE ENDOWMENT FUNDS REPORTED FOR THE CONTROL GROUP ACCURATELY RECONCILE TO THE 9/30/12 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | RESIDENT GRANTS | TypeOfGrant |
| Number Of Recipients | 5 | NumberOfRecipients |
| Amount Of Cash Grant | 20000 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|
| TED GOINS JR | |||
| 233724 | 2313 | 5945 | 241982 |
| ANNETTE CONRAD | |||
| 162842 | 1612 | 5598 | 170052 |
| DEBORAH MATHIS | |||
| 69900 | 762 | 2777 | 73439 |
| PATRICK FOLEY | |||
| 38077 | 381 | 4988 | 43446 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | 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), A MINISTRY OF THE NORTH CAROLINA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. THE ORGANIZATION STRIVES TO EXPRESS GOD'S LOVE IN CHRIST TO THOSE WE SERVE BY: PROVIDING MULTIPLE SERVICES FOR SENIORS INCLUDING NURSING CARE, ADULT DAY CARE, AND RETIREMENT LIVING; MINISTERING TO THEIR NEEDS IN TRADITIONAL AND INNOVATIVE WAYS; AND DEMONSTRATING RESPONSIBLE STEWARDSHIP. 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. |
| FIRST ACCOMPLISHMENT DESCRIPTION | 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, 2012, LUTHERAN HOME - HICKORY, INC. PROVIDED 63,128 DAYS OF CARE TO 500 RESIDENTS. |
| ADDITIONAL INFORMATION | 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. |
| MANAGEMENT DELEGATED | FORM 990, PAGE 6, PART VI, LINE 3 | LSA MANAGEMENT, INC. PROVIDES MANAGEMENT SERVICES TO ALL LSA AFFILIATES, INCLUDING THIS ORGANIZATION. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND THE POLICY IS REVIEWED AT A REGULARLY SCHEDULED BOARD MEETING. EACH MEMBER SIGNS A STATEMENT INDICATING THIS COMPLIANCE WITH THE POLICY. WHEN NEW MEMBERS JOIN THE BOARD MID-TERM, THEY ALSO RECEIVE THIS INFORMATION AND COMPLETE THE SAME STATEMENT INDICATING THEIR COMPLIANCE WITH THE POLICY. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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. |
| COMPENSATION PROCESS FOR OFFICERS | 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. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. |
| ADDITIONAL INFORMATION | FORM 990, PART VII | FORMER OFFICERS KIRBY NICKERSON TOOK THE POSITION OF TREASURER/CFO IN JUNE OF 2012 AND THEREFORE DID NOT RECEIVE COMPENSATION IN CALENDAR YEAR 2011 OR A CORRESPONDING 2011 FORM W-2. ANNETTE CONRAD SERVED AS TREASURER FROM 10/1/11 TO 2/10/12. DEBORAH MATHIS SERVED AS CHIEF OPERATING OFFICER UNTIL 6/4/11. SHE DID NOT RECEIVE ANY FISCAL YEAR COMPENSATION BUT HER 2011 W-2 INCOME IS PROPERLY REPORTED ON PART VII. PATRICK FOLEY SERVED AS CHIEF OPERATING OFFICER FROM 9/26/11 TO 10/12/12 AND HIS 2011 W-2 INCOME IS PROPERLY REPORTED ON PART VII. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | OTHER CHANGES IN NET ASSETS RELATE TO AMOUNTS REPORTED ON SCHEDULE D, PART XII. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)
| Business Name Line2NameOfDisregardedEntity/BusinessNameLine2 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | false | N/A | |
| LUTHERAN SERVICES PROPERTY INC | ||||||||||||
| PO BOX 947 | SALISBURY | NC | 28145 | 203895886 | LEASING | 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 | false | N/A | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination | Business Name Line2NameOfOtherOrganization/BusinessNameLine2 |
|---|---|---|---|
| LUTHERAN HOME HICKORY PROPERTY INC | |||
| B | 150000 | ACTUAL AMOUNT | |
| LUTHERAN SERVICES FOR THE AGING INC | |||
| C | 20000 | ACTUAL AMOUNT | |
| LSA MANAGEMENT INC | |||
| D | 469767 | ACTUAL AMOUNT | |
| CONTROL GROUP INTERCOMPANY RECPAY | |||
| D | 250081 | ACTUAL AMOUNT | |
| LUTHERAN HOME - WILMINGTON INC | |||
| D | 1000000 | ACTUAL AMOUNT | |
| LUTHERAN RETIREMENT CENTER - | |||
| D | 943278 | ACTUAL AMOUNT | SALISBURY INC |
| LSA PHARMACY INC | |||
| G | 619446 | ACTUAL AMOUNT | |
| LUTHERAN HOME HICKORY PROPERTY INC | |||
| J | 600000 | ACTUAL AMOUNT | |
| LSA MANAGEMENT INC | |||
| L | 541094 | ACTUAL AMOUNT | |
| LSA PHARMACY INC | |||
| L | 26433 | ACTUAL AMOUNT | |
| LUTHERAN HOME HICKORY PROPERTY INC | |||
| B | 150000 | ACTUAL AMOUNT | |
| LUTHERAN SERVICES FOR THE AGING INC | |||
| C | 20000 | ACTUAL AMOUNT | |
| LSA MANAGEMENT INC | |||
| D | 469767 | ACTUAL AMOUNT | |
| CONTROL GROUP INTERCOMPANY RECPAY | |||
| D | 250081 | ACTUAL AMOUNT | |
| LUTHERAN HOME - WILMINGTON INC | |||
| D | 1000000 | ACTUAL AMOUNT | |
| LUTHERAN RETIREMENT CENTER - | |||
| D | 943278 | ACTUAL AMOUNT | SALISBURY INC |
| LSA PHARMACY INC | |||
| G | 619446 | ACTUAL AMOUNT | |
| LUTHERAN HOME HICKORY PROPERTY INC | |||
| J | 600000 | ACTUAL AMOUNT | |
| LSA MANAGEMENT INC | |||
| L | 541094 | ACTUAL AMOUNT | |
| LSA PHARMACY INC | |||
| L | 26433 | ACTUAL AMOUNT | |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | CONTROL GROUP INTERCOMPANY RECPAY CONSISTS OF SHORTTERM INTERCOMPANY ALLOCATIONS BETWEEN THE ENTITIES WITHIN THE CONTROLLED GROUP | Explanation |