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LSA MANAGEMENT INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LSA MANAGEMENT INC (EIN 20-1457236)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-07
IRS object ID
201130389349301008
Schema version
2009v1.7
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)
Timestamp2011-02-07T09:49:08-06:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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)
NameANNETTE CONRADName
TitleTREASURERTitle
Phone7046372870Phone
Date Signed2011-02-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDavidson Holland Whitesell Co PLLCName
Phone8283222070Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNETTE CONRADNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 947AddressLine1
CitySALISBURYCity
StateNCState
ZIP Code281450947ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3075645GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees24TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year100200ContributionsGrantsPriorYear
Contributions Grants Current Year10962ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2802145ProgramServiceRevenuePriorYear
Program Service Revenue CY2909059ProgramServiceRevenueCY
Investment Income Prior Year16249InvestmentIncomePriorYear
Investment Income Current Year59206InvestmentIncomeCurrentYear
Other Revenue Current Year410OtherRevenueCurrentYear
Total Revenue Prior Year2918594TotalRevenuePriorYear
Total Revenue Current Year2979637TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1755105SalariesEtcPriorYear
Salaries Etc Current Year2023096SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year47250TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year562781OtherExpensePriorYear
Other Expenses Current Year579664OtherExpensesCurrentYear
Total Expenses Prior Year2365136TotalExpensesPriorYear
Total Expenses Current Year2602760TotalExpensesCurrentYear
Revenues Less Expenses Prior Year553458RevenuesLessExpensesPriorYear
Revenues Less Expenses CY376877RevenuesLessExpensesCY
Total Assets BOY26544742TotalAssetsBOY
Total Assets EOY8214775TotalAssetsEOY
Total Liabilities BOY23264087TotalLiabilitiesBOY
Total Liabilities EOY5342684TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3280655NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2872091NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES MANAGEMENT, ACCOUNTING, INFORMATION TECHNOLOGY, AND RESOURCE DEVELOPMENT SERVICES TO THE AFFILIATES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense820756Expense
Revenue2909469Revenue
DescriptionLSA Management, Inc. ("LSAM") 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 Expense820756TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees24NumberOfEmployees
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
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
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
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 (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HANS TEICH
VICE CHAIR1.00X000
KAYE LEONARD
BOARD CHAIR1.00X000
TED W GOINS JR
PRESIDENT/CEO40.00X23231608616X
KAREN K MADDRY
SECRETARY40.005503206628X
ANNETTE S CONRAD
TREASURER/CFO40.0015004007403X
DEBBIE MATHIS
CHIEF OPERATING OFFICER40.0015186907425X
ELIZABETH KUHN
DIRECTOR R&D40.0010610107649X
DAVID BEAM
PHARMACIST40.0001379077251X
JAMES FISHER
PHARMACIST40.0001187857012X
AMBER MCINTOSH
ADMINISTRATOR40.0001134857797X
MICHAEL WALSH
EXECUTIVE DIRECTOR40.0001050636840X
JOHN C FRYE JR
ADMINISTRATOR40.0011500305527X
CYNTHIA MCCOY
ADMINISTRATOR40.0001009986032X
FieldValueIRS element (for citing)
Total Reportable Comp From Org810361TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs576238TotalReportableCompFrmRltdOrgs
Total Other Compensation78180TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonDAVID R POLSTONNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13806 PARK AVE SUITE 2LAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28403ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesARCHITECTURALDescriptionOfServices
Compensation123681Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions10962AllOtherContributions
Total Contributions10962TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEESDescription
Business Code561000BusinessCode
Total Revenue Column2909059TotalRevenueColumn
Related Or Exempt Function Income2909059RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2909059TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column58738TotalRevenueColumn
Exclusion$58,738ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities96476Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities96008Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities468Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column468TotalRevenueColumn
Exclusion$468ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUE RELATINGDescription
Business Code561000BusinessCode
Total Revenue Column410TotalRevenueColumn
Related Or Exempt Function Income410RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue410TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2979637TotalRevenueColumn
Related Or Exempt Function Income2909469RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$59,206ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total437388Total
Management And General437388ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1363390Total
Program Services535956ProgramServices
Management And General827434ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14244Total
Program Services4239ProgramServices
Management And General10005ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total86159Total
Program Services25643ProgramServices
Management And General60516ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total121915Total
Program Services36285ProgramServices
Management And General85630ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28863Total
Management And General28863ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37905Total
Management And General37905ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total24000Total
Management And General24000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total73270Total
Program Services40079ProgramServices
Management And General33191ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25080Total
Program Services11709ProgramServices
Management And General13371ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26707Total
Program Services26707ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total5093Total
Management And General5093ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES1160774633869739
PRINTING AND PUBLICATIO678445781910025
SOFTWARE EXPENSE30236263427602
TELEPHONE23632151422118
DUES & SUBSCRIPTIONS20575548215093

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total100382Total
Program Services26351ProgramServices
Management And General74031ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2602760Total
Program Services820756ProgramServices
Management And General1782004ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4148668BOY
EOY5762862EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY200000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY129552BOY
EOY393731EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY430233BOY
EOY233915EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis593637LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec533935LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY121916BOY
EOY59702EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY653972BOY
EOY742201EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21060401BOY
EOY822364EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26544742BOY
EOY8214775EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY530268BOY
EOY531030EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20110000BOY
EOY592787EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2623819BOY
EOY4218867EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23264087BOY
EOY5342684EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3256397BOY
EOY2872091EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24258BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3280655BOY
EOY2872091EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26544742BOY
EOY8214775EOY
FieldValueIRS element (for citing)
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 Minus4 Years85198CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year100200CurrentTaxYearMinus1Year
Current Tax Year10962CurrentTaxYear
Total196360Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1982336CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2038903CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2324402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2802145CurrentTaxYearMinus1Year
Current Tax Year2909059CurrentTaxYear
Total12056845Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2067534CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2038903CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2324402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2902345CurrentTaxYearMinus1Year
Current Tax Year2920021CurrentTaxYear
Total12253205Total

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 Total50912253205PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years237525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16249CurrentTaxYearMinus1Year
Current Tax Year58738CurrentTaxYear
Total474326Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years237525CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90481CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16249CurrentTaxYearMinus1Year
Current Tax Year58738CurrentTaxYear
Total474326Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years41022CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years630CurrentTaxYearMinus2Years
Current Tax Year410CurrentTaxYear
Total42062Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2138867CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2317450CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2415513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2918594CurrentTaxYearMinus1Year
Current Tax Year2979169CurrentTaxYear
Total12769593Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95960PublicSupportPercentage509
Prior Year Support Percentage0.95780PriorYearSupportPercentage
Investment Income Percentage0.03710InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03850PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis593637OtherCostOrOtherBasis
Depreciation533935Depreciation
Book Value59702BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59702TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMISC INVESTMENTSDescription
Book Value742201BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities742201TotalOfBookValueSecurities

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEFERRED LOAN AND BOND ISSUANCE COSTSDescription
Book Value822364BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets822364TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
FAIR VALUE OF INTEREST RATE SWAP AGREEMENT$2,774,702
INTERCOMPANY ACCOUNTS$1,444,165
FieldValueIRS element (for citing)
Total Of Amounts4218867TotalOfAmounts
Total Revenue2979637TotalRevenue
Total Expenses2602760TotalExpenses
Excess Or Deficit For Year376877ExcessOrDeficitForYear
Net Unrealized GL On Investments48478NetUnrealizedGLOnInvestments
Other-$833,919OtherAmount
Total Adjustments-785441TotalAdjustments
Excess Or Deficit Per FS-408564ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3046863TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments48478NetUnrealizedGainsInvestments
Other Revenues35220OtherRevenues
Revenue Not Rptd F99083698RevenueNotRptdF990
Revenue Subtotal2963165RevenueSubtotal
Investment Expenses Not Included5510InvestmentExpensesNotIncluded
Other Revenues Not Included10962OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt16472RevenueNotRptdOnFinStmt
Total Revenue Per Form9902979637TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2597250TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2597250ExpensesSubtotal
Investment Expenses Not Included25510InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt5510ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902602760TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48: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, 2010, 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: -781471. adjust prior years difference in capitalized assets and accum depr.: -52448.
Part XII, Line 2d - Other Adjustments:NET ASSETS RELEASED FROM RESTRICTION: 35220.
Part XII, Line 4b - Other Adjustments:ASSETS RESTRICTED: 10962.

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
FieldValueIRS element (for citing)
ActivityASSITANCE WITH CAPITAL CAMPAIGNActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor34875AmountRetainedByContractor
Net To Organization-34875NetToOrganization
FieldValueIRS element (for citing)
Total Retained By Contractors34875TotalRetainedByContractors
Total Net To Organization-34875TotalNetToOrganization

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
232316000002904057120240932000
ANNETTE S CONRAD
150040000001876055270157443000
DEBBIE MATHIS
151869000001898055270159294000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NORTH CAROLINA MEDICAL CARE COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521309402IssuerEIN
Date Issued2009-12-01DateIssued
Issue Price27364250IssuePrice
Description Of PurposeFOR CAPITAL EXPANSION PROJECTSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds21403322TotalProceeds
Amount In Reserve Fund5960928AmountInReserveFund
Issuance Costs From Proceeds429045IssuanceCostsFromProceeds
Capital Expenditures20974277CapitalExpenditures
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
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.
Form 990, Part VI, Section B, line 12cON 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 15ALL 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 C, line 19FORMS ARE POSTED ON GUIDESTAR AND AVAILABLE AT THE LSA OFFICE LOCATED IN SALISBURY, NC.
Form 990, Part XI, Line 2cTHE EXECUTIVE COMMITTEE FUNCTIONS AS THE AUDIT COMMITTEE AND PERFORMS THE DUTIES AND RESPONSIBILITIES AS INDICATED ON PAGE 12, PART XI, LINE 2C. THE PROCESS HAS NOT CHANGED SINCE LAST YEAR.

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/BusinessNameLine1
LUTHERAN SERVICES FOR THE AGING INC
PO BOX 947SALISBURYNC28145560500212PARENT ORGNC501(C)(3)509(A)(2)LUTHERAN SERVICES FOR THE AGING INC
LSA PHARMACY INC
PO BOX 947SALISBURYNC28145201457251PHARMACYNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME-ALBEMARLE INC
PO BOX 947SALISBURYNC28145201457298SKILLED NURSING CARE AND ASSISTED LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME-HICKORY INC
PO BOX 947SALISBURYNC28145201457341SKILLED NURSING CARE AND ASSISTED LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME AT TRINITY OAKS INC
PO BOX 947SALISBURYNC28145201457824SKILLED NURSING CARE AND ASSISTED LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME-HICKORY WEST INC
PO BOX 947SALISBURYNC28145201457410SKILLED NURSING CARENC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME-WINSTON-SALEM INC
PO BOX 947SALISBURYNC28145561500212SKILLED NURSING CARENC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME-FORSYTH COUNTY INC
PO BOX 947SALISBURYNC28145263328029SKILLED NURSING CARENC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME-WILMINGTON INC
PO BOX 947SALISBURYNC28145260158686SKILLED NURSING CARENC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME ALBEMARLE PROPERTY INC
PO BOX 947SALISBURYNC28145201457273LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME HICKORY PROPERTY INC
PO BOX 947SALISBURYNC28145201457319LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME AT TRINITY OAKS PROPERTY INC
PO BOX 947SALISBURYNC28145201457796LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME HICKORY WEST PROPERTY INC
PO BOX 947SALISBURYNC28145205304712LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME WINSTON-SALEM PROPERTY INC
PO BOX 947SALISBURYNC28145205304794LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN HOME WILMINGTON PROPERTY INC
PO BOX 947SALISBURYNC28145260158745LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN SERVICES PROPERTY INC
PO BOX 947SALISBURYNC28145203895886LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN RETIREMENT CENTER-SALISBURY INC
PO BOX 947SALISBURYNC28145561540214INDEPENDENT AND ASSISTED LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN RETIREMENT CENTER-WILMINGTON INC
PO BOX 947SALISBURYNC28145561500308INDEPENDENT LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN RETIREMENT CENTER AT LUTHERIDGE INC
PO BOX 947SALISBURYNC28145581823983INDEPENDENT AND ASSISTED LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LUTHERAN SERVICES FOR THE AGING FOUNDATION INC
PO BOX 947SALISBURYNC28145561681723FOUNDATIONNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
ABUNDANT LIVING ADULT DAY SERVICES INC
PO BOX 947SALISBURYNC28145561884652ADULT DAY SERVICESNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LSA ELMS AT TANGLEWOOD INC
PO BOX 947SALISBURYNC28145263735637ASSISTED LIVINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
LSA ELMS PROPERTY INC
PO BOX 947SALISBURYNC28145263739962LEASINGNC501(C)(3)509(A)(2)lUTHERAN SERVICES FOR THE AGING INC
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 (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LUTHERAN SERVICES FOR THE AGING INC
K471025
LSA PHARMACY INC
K210487
LUTHERAN HOME-ALBEMARLE INC
K246770
LUTHERAN HOME-HICKORY INC
K432909
LUTHERAN HOME AT TRINITY OAKS INC
K396225
LUTHERAN HOME-HICKORY WEST INC
K342551
LUTHERAN HOME-WINSTON-SALEM INC
K284274
LUTHERAN RETIREMENT CENTER AT LUTHERIDGE INC
K134635
LUTHERAN RETIREMENT CENTER-SALISBURY INC
K232940
LSA ELMS AT TANGLEWOOD INC
K135243
ABUNDANT LIVING ADULT DAY SERVICES INC
K22000
LUTHERAN HOME WILMINGTON PROPERTY INC
Q8715146
LUTHERAN HOME HICKORY WEST PROPERTY INC
Q1750863
LUTHERAN HOME WINSTON-SALEM PROPERTY INC
Q1575000
LSA ELMS PROPERTY INC
Q8933269
LUTHERAN SERVICES PROPERTY INC
J28530