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LSA MANAGEMENT INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LSA MANAGEMENT INC (EIN 20-1457236)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-01
IRS object ID
201240619349302359
Schema version
2010v3.4
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)
Timestamp2012-03-01T13:31:34-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVIDSON HOLLAND WHITESELL & CO PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1209 13TH AVE PLACE NW SUITE 200AddressLine1
CityHICKORYCity
StateNCState
ZIP Code28601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201457236EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LSA MANAGEMENT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLSAMNameControl
Phone7046372870Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTED GOINSName
TitlePRESIDENTTitle
Phone7046372870Phone
Date Signed2012-03-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSUSAN M BALKEName
Phone8283222070Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTED GOINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 947AddressLine1
CitySALISBURYCity
StateNCState
ZIP Code281450947ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3391885GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LSANC.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPROVIDES MANAGEMENT, ACCOUNTING, INFORMATION TECHNOLOGY, AND RESOURCE DEVELOPMENT SERVICES TO THE AFFILIATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees27TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10962ContributionsGrantsPriorYear
Contributions Grants Current Year120ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2909059ProgramServiceRevenuePriorYear
Program Service Revenue CY3267459ProgramServiceRevenueCY
Investment Income Prior Year59206InvestmentIncomePriorYear
Investment Income Current Year89031InvestmentIncomeCurrentYear
Other Revenue Prior Year410OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2979637TotalRevenuePriorYear
Total Revenue Current Year3356610TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2023096SalariesEtcPriorYear
Salaries Etc Current Year2068938SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY19375TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year19375TotalFundrsngExpCurrentYear
Other Expense Prior Year579664OtherExpensePriorYear
Other Expenses Current Year661602OtherExpensesCurrentYear
Total Expenses Prior Year2602760TotalExpensesPriorYear
Total Expenses Current Year2749915TotalExpensesCurrentYear
Revenues Less Expenses Prior Year376877RevenuesLessExpensesPriorYear
Revenues Less Expenses CY606695RevenuesLessExpensesCY
Total Assets BOY8214775TotalAssetsBOY
Total Assets EOY7895234TotalAssetsEOY
Total Liabilities BOY5342684TotalLiabilitiesBOY
Total Liabilities EOY4643956TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2872091NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3251278NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES MANAGEMENT, ACCOUNTING, INFORMATION TECHNOLOGY, AND RESOURCE DEVELOPMENT SERVICES TO THE AFFILIATES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1128728Expense
Revenue3267459Revenue
DescriptionLSA MANAGEMENT, INC. IS AN AFFILIATE OF LUTHERAN SERVICES FOR THE AGING, INC., A SOCIAL MINISTRY OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. ONE OF TWENTY-THREE AFFILIATE ORGANIZATIONS, LSAM IS RESPONSIBLE FOR PROVIDING ADMINISTRATIVE SUPPORT, FINANCIAL MANAGEMENT, INFORMATION TECHNOLOGY SERVICES, RESOURCE DEVELOPMENT AND VARIOUS SUPPORT SERVICES TO THE AFFILIATE CORPORATIONS THAT MINISTER TO THE AGING.Description
Total Program Service Expense1128728TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees27NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LSA MANAGEMENT INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7046372870TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11416 S MARTIN LUTHER KING JR AVAddressLine1
CitySALISBURYCity
StateNCState
ZIP Code28144ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MRS KAYE LEONARD
BOARD CHAIR1.00X000
MR JERRY BRAMLEY
VICE CHAIR1.00X000
TED W GOINS JR
PRESIDENT40.00X22567408533X
KAREN K MADDRY
SECRETARY40.005262106579X
ANNETTE S CONRAD
TREASURER40.0014698807364X
KESHA L SMITH
ASST. SECRETARY40.008548807237X
DEBBIE MATHIS
CHIEF OPERATING OFFICER40.0015011707403X
ELIZABETH KUHN
DIRECTOR R&D40.0010502107627X
DAVID BEAM
PHARMACIST40.0001338907201X
JAMES FISHER
PHARMACIST40.0001200627028X
AMBER MCINTOSH
ADMINISTRATOR40.0001081607690X
MICHAEL WALSH
EXECUTIVE DIRECTOR40.0001053647634X
JOHN C FRYE JR
ADMINISTRATOR40.0001150035527X
CYNTHIA MCCOY
ADMINISTRATOR40.000985806020X
FRANCES NICHOLS
EXECUTIVE DIRECTOR40.000681165527X
SHARON CONOLEY
EXECUTIVE DIRECTOR40.000807937143X
BARBARA GARWOOD
EXECUTIVE DIRECTOR40.00051480772X
FieldValueIRS element (for citing)
Total Reportable Comp From Org765909TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs582479TotalReportableCompFrmRltdOrgs
Total Other Compensation79823TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INTERSCAPES
1323 THE PLAZACHARLOTTENC28205INTERIOR DESIGN959245
WRIGHTSVILLE BEACH LANDSCAPING
PO BOX 805WRIGHTSVILLE BEACHNC28480LANDSCAPING160875
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions120AllOtherContributions
Total Contributions120TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES56100032547053254705
ANCILLARY SERVICE REVE5610001275412754
FieldValueIRS element (for citing)
Total Program Service Revenue3267459TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column87596TotalRevenueColumn
Exclusion$87,596ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities36710Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities35275Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1435Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1435TotalRevenueColumn
Exclusion$1,435ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3356610TotalRevenueColumn
Related Or Exempt Function Income3267459RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$89,031ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total810652Total
Management And General810652ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1002232Total
Program Services532876ProgramServices
Management And General469356ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23896Total
Program Services23896ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total112515Total
Program Services112515ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total119643Total
Program Services119643ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13092Total
Management And General13092ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80708Total
Management And General80708ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total19375Total
Fundraising19375Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3417Total
Program Services3417ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total9057Total
Program Services9057ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31227Total
Program Services31227ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total24000Total
Management And General24000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total67539Total
Program Services41121ProgramServices
Management And General26418ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23552Total
Program Services9187ProgramServices
Management And General14365ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total486Total
Program Services486ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32546Total
Program Services32546ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total4245Total
Management And General4245ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES15672011249344227
PRINTING AND PUBLICATIO52726456237103
TELEPHONE32422175230670
DUES & SUBSCRIPTIONS27009156225447
POSTAGE AND SHIPPING22013929912714

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total80843Total
Program Services42028ProgramServices
Management And General38815ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2749915Total
Program Services1128728ProgramServices
Management And General1601812ManagementAndGeneral
Fundraising19375Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5762862BOY
EOY3666791EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY200000BOY
EOY201400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY393731BOY
EOY907213EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY233915BOY
EOY233261EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis640145LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec566481LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY59702BOY
EOY73664EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY742201BOY
EOY735556EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY822364BOY
EOY2077349EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8214775BOY
EOY7895234EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY531030BOY
EOY563102EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY592787BOY
EOY996312EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY109524EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4218867BOY
EOY2975018EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5342684BOY
EOY4643956EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2872091BOY
EOY3251278EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2872091BOY
EOY3251278EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8214775BOY
EOY7895234EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses606695ReconcilationRevenueExpenses
Reconcilation Other Changes-227508ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years100200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10962CurrentTaxYearMinus1Year
Current Tax Year120CurrentTaxYear
Total111282Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2038903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2324402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2802145CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2909059CurrentTaxYearMinus1Year
Current Tax Year3267459CurrentTaxYear
Total13341968Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2038903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2324402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2902345CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2920021CurrentTaxYearMinus1Year
Current Tax Year3267579CurrentTaxYear
Total13453250Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50913453250PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years237525CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years90481CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16249CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58738CurrentTaxYearMinus1Year
Current Tax Year87596CurrentTaxYear
Total490589Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years237525CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years90481CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16249CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58738CurrentTaxYearMinus1Year
Current Tax Year87596CurrentTaxYear
Total490589Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41022CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years630CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year410CurrentTaxYearMinus1Year
Total42062Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2317450CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2415513CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2918594CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2979169CurrentTaxYearMinus1Year
Current Tax Year3355175CurrentTaxYear
Total13985901Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96190PublicSupportPercentage509
Prior Year Support Percentage0.95960PriorYearSupportPercentage
Investment Income Percentage0.03510InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03710PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis453258OtherCostOrOtherBasis
Depreciation401100Depreciation
Book Value52158BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis186887OtherCostOrOtherBasis
Depreciation165381Depreciation
Book Value21506BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73664TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMISC INVESTMENTSDescription
Book Value735556BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities735556TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED LOAN AND BOND ISSUANCE COSTS776337
INTERCOMPANY RECEIVABLE902967
LFS RECEIVABLE398045
FieldValueIRS element (for citing)
Total Book Value Other Assets2077349TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFAIR VALUE OF INTEREST RATE SWAP AGREEMENTDescription
Amount$2,975,018Amount
FieldValueIRS element (for citing)
Total Of Amounts2975018TotalOfAmounts
Total Revenue3356610TotalRevenue
Total Expenses2749915TotalExpenses
Excess Or Deficit For Year606695ExcessOrDeficitForYear
Net Unrealized GL On Investments-27192NetUnrealizedGLOnInvestments
Other-$200,316OtherAmount
Total Adjustments-227508TotalAdjustments
Excess Or Deficit Per FS379187ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3125685TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-27192NetUnrealizedGainsInvestments
Revenue Not Rptd F990-27192RevenueNotRptdF990
Revenue Subtotal3152877RevenueSubtotal
Investment Expenses Not Included3417InvestmentExpensesNotIncluded
Other Revenues Not Included200316OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt203733RevenueNotRptdOnFinStmt
Total Revenue Per Form9903356610TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2746498TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2746498ExpensesSubtotal
Investment Expenses Not Included23417InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt3417ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902749915TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:EFFECTIVE OCTOBER 1, 2009, THE ORGANIZATION IMPLEMENTED THE NEW ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF SEPTEMBER 30, 2011, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -200,316.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 200,316.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1GROUNLUND SAYTHER BRUNKOWBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115350 ORIOLE CTAddressLine1
CityBURNSVILLECity
StateMNState
ZIP Code55306ZIPCode
FieldValueIRS element (for citing)
ActivityASSITANCE WITH CAPITAL CAMPAIGNActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts19375GrossReceipts
Amount Retained By Contractor19375AmountRetainedByContractor
Net To Organization0NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts19375TotalGrossReceipts
Total Retained By Contractors19375TotalRetainedByContractors
Licensed StatesNCLicensedStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TED W GOINS JR
225674000002821057120234207000
ANNETTE S CONRAD
146988000001837055270154352000
DEBBIE MATHIS
150117000001876055270157520000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NORTH CAROLINA MEDICAL CARE COMMISSION
5213094022009-12-0127364250FOR CAPITAL EXPANSION PROJECTS000
NORTH CAROLINA MEDICAL CARE COMMISSION
5213094022010-12-018300000FOR CAPITAL EXPANSION PROJECTS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
267356436286074290452630659820120001
166000813400016600020120001

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE BOARD RECEIVES THE FORM 990 PRIOR TO THE FILING DEADLINE IN ORDER TO REVIEW. REVIEW IS DOCUMENTED IN THE JANUARY MINUTES.
ON AN ANNUAL BASIS, ALL BOARDS RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND THE POLICY IS REVIEWD AT A REGULARLY SCHEDULED BOARD MEETING. EACH MEMBERS SIGNS A STATEMENT INDICATING THEIR COMPLIANCE WITH THE POLICY. WHEN NEW MEMBERS JOIN THE BOARD MID-TERM, THEY ALSO RECEIVE THIS INFORMATION AND COMPLETE THE SAME STATEMENTS.FORM 990, PART VI, SECTION B, LINE 12C
ALL COMPENSATION LIMITS ARE COMPARED TO STATE AND NATIONAL RANGES BASED ON FACILITY SIZE AND EXPERIENCE OF STAFF. THE BOARD APPROVES THE COMPENSATION OF THE PRESIDENT.FORM 990, PART VI, SECTION B, LINE 15
FORMS ARE POSTED ON GUIDESTAR AND AVAILABLE AT THE LSA OFFICE LOCATED IN SALISBURY, NC.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -27,192. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -200,316. TOTAL TO FORM 990, PART XI, LINE 5: -227,508.FORM 990, PART XI, LINE 5:
PROCESS HAS NOT CHANGED SINCE LAST YEAR.FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LUTHERAN SERVICES FOR THE AGING INC
PO BOX 947SALISBURYNC28145560500212PARENT ORGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LSA PHARMACY INC
PO BOX 947SALISBURYNC28145201457251PHARMACYNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME-ALBEMARLE INC
PO BOX 947SALISBURYNC28145201457298SKILLED NURSING CARE AND ASSISTED LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME-HICKORY INC
PO BOX 947SALISBURYNC28145201457341SKILLED NURSING CARE AND ASSISTED LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME AT TRINITY OAKS INC
PO BOX 947SALISBURYNC28145201457824SKILLED NURSING CARE AND ASSISTED LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME-HICKORY WEST INC
PO BOX 947SALISBURYNC28145201457410SKILLED NURSING CARENC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME-WINSTON-SALEM INC
PO BOX 947SALISBURYNC28145561500212SKILLED NURSING CARENC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME-FORSYTH COUNTY INC
PO BOX 947SALISBURYNC28145263328029SKILLED NURSING CARENC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME-WILMINGTON INC
PO BOX 947SALISBURYNC28145260158686SKILLED NURSING CARENC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME ALBEMARLE PROPERTY INC
PO BOX 947SALISBURYNC28145201457273LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME HICKORY PROPERTY INC
PO BOX 947SALISBURYNC28145201457319LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME AT TRINITY OAKS PROPERTY INC
PO BOX 947SALISBURYNC28145201457796LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME HICKORY WEST PROPERTY INC
PO BOX 947SALISBURYNC28145205304712LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME WINSTON-SALEM PROPERTY INC
PO BOX 947SALISBURYNC28145205304794LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN HOME WILMINGTON PROPERTY INC
PO BOX 947SALISBURYNC28145260158745LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN SERVICES PROPERTY INC
PO BOX 947SALISBURYNC28145203895886LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN RETIREMENT CENTER-SALISBURY INC
PO BOX 947SALISBURYNC28145561540214INDEPENDENT AND ASSISTED LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN RETIREMENT CENTER-WILMINGTON INC
PO BOX 947SALISBURYNC28145561500308INDEPENDENT LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN RETIREMENT CENTER AT LUTHERIDGE INC
PO BOX 947SALISBURYNC28145581823983INDEPENDENT AND ASSISTED LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LUTHERAN SERVICES FOR THE AGING FOUNDATION INC
PO BOX 947SALISBURYNC28145561681723FOUNDATIONNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
ABUNDANT LIVING ADULT DAY SERVICES INC
PO BOX 947SALISBURYNC28145561884652ADULT DAY SERVICESNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LSA ELMS AT TANGLEWOOD INC
PO BOX 947SALISBURYNC28145263735637ASSISTED LIVINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
LSA ELMS PROPERTY INC
PO BOX 947SALISBURYNC28145263739962LEASINGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LUTHERAN SERVICES FOR THE AGING INC
K508129
LSA PHARMACY INC
K228579
LUTHERAN HOME-ALBEMARLE INC
K271353
LUTHERAN HOME-HICKORY INC
K500548
LUTHERAN HOME AT TRINITY OAKS INC
K421979
LUTHERAN HOME-HICKORY WEST INC
K344723
LUTHERAN HOME-WINSTON-SALEM INC
K305812
LUTHERAN RETIREMENT CENTER AT LUTHERIDGE INC
K134438
LUTHERAN RETIREMENT CENTER-SALISBURY INC
K211000
LSA ELMS AT TANGLEWOOD INC
K159427
ABUNDANT LIVING ADULT DAY SERVICES INC
K22000
LUTHERAN HOME WILMINGTON INC
K13961
LUTHERAN SERVICES PROPERTY INC
K11885
LUTHERAN SERVICES PROPERTY INC
J24000