Civic Intelligence

Lutheran Home - Hickory West Inc

990 • Fiscal year 2014 • EIN 20-1457410

Oct 01, 2013 to Sep 30, 2014 • Filed on Feb 12, 2015

PO Box 94728145-0947

(704) 637-2870

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

96th percentile

1.13x

Higher debt load relative to assets than 96% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Liabilities / Revenue

63rd percentile

0.43x

Higher debt load relative to revenue than 63% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Net Margin

20th percentile

-5.2%

Higher net margin than 20% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Top Officer Pay

77th percentile

$279,562

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 2.7% of source-year revenue.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Asset Growth

39th percentile

0.7%

Faster asset growth than 39% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Up

$3,989,897

Up $28,982 (+0.7%) from 2013

Net Assets

Down

-$513,337

Down $541,658 (-1913%) from 2013

Liabilities

Up

$4,503,234

Up $570,640 (+15%) from 2013

Revenue

$10,416,456

No earlier filing loaded for comparison.

Expenses

Up

$10,958,114

Up $2,107,876 (+24%) from 2013

Net Income

-$541,658

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2010: $2,830,114Liabilities 2010: $3,232,238Net Assets 2010: -$402,1242010Assets 2011: $4,162,601Liabilities 2011: $3,118,912Net Assets 2011: $1,043,6892011Assets 2012: $2,607,459Liabilities 2012: $2,616,315Net Assets 2012: -$8,8562012Assets 2013: $3,960,915Liabilities 2013: $3,932,594Net Assets 2013: $28,3212013Assets 2014: $3,989,897Liabilities 2014: $4,503,234Net Assets 2014: -$513,3372014Assets 2015: $4,115,295Liabilities 2015: $4,579,414Net Assets 2015: -$464,1192015Assets 2016: $3,530,067Liabilities 2016: $3,925,603Net Assets 2016: -$395,5362016Assets 2017: $3,209,476Liabilities 2017: $3,313,891Net Assets 2017: -$104,4152017Assets 2018: $2,945,601Liabilities 2018: $3,058,206Net Assets 2018: -$112,6052018Assets 2019: $2,709,655Liabilities 2019: $2,627,009Net Assets 2019: $82,6462019Assets 2020: $3,862,141Liabilities 2020: $2,627,574Net Assets 2020: $1,234,5672020Assets 2021: $4,616,109Liabilities 2021: $1,862,152Net Assets 2021: $2,753,9572021Assets 2022: $7,294,489Liabilities 2022: $1,949,542Net Assets 2022: $5,344,9472022Assets 2023: $8,133,232Liabilities 2023: $2,532,810Net Assets 2023: $5,600,4222023Assets 2024: $6,424,606Liabilities 2024: $475,311Net Assets 2024: $5,949,2952024

Highlighted filing

2014

Assets$3,989,897
Liabilities$4,503,234
Net Assets-$513,337

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $8,356,5692010Expenses 2011: $8,970,6032011Expenses 2012: $10,563,6352012Expenses 2013: $8,850,2382013Revenue 2014: $10,416,456Expenses 2014: $10,958,114Net Income 2014: -$541,6582014Revenue 2015: $10,953,630Expenses 2015: $10,904,412Net Income 2015: $49,2182015Revenue 2016: $11,093,489Expenses 2016: $11,024,906Net Income 2016: $68,5832016Revenue 2017: $11,513,179Expenses 2017: $11,168,574Net Income 2017: $344,6052017Revenue 2018: $11,646,287Expenses 2018: $11,654,477Net Income 2018: -$8,1902018Revenue 2019: $11,662,714Expenses 2019: $11,467,463Net Income 2019: $195,2512019Revenue 2020: $13,119,578Expenses 2020: $11,967,657Net Income 2020: $1,151,9212020Revenue 2021: $14,117,518Expenses 2021: $12,598,128Net Income 2021: $1,519,3902021Revenue 2022: $15,854,734Expenses 2022: $13,263,744Net Income 2022: $2,590,9902022Revenue 2023: $15,130,191Expenses 2023: $14,852,389Net Income 2023: $277,8022023Revenue 2024: $16,027,774Expenses 2024: $15,942,524Net Income 2024: $85,2502024

Highlighted filing

2014

Revenue$10,416,456
Expenses$10,958,114
Net Income-$541,658
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Feb 12, 2015
Return Version
2013v4.0
Gross Receipts
$10,416,456
Mission and Program Overview

Mission

Lutheran home - hickory west, inc. Provides long-term and short-term skilled nursing and rehabilitation services to frail older adults and others in a residential setting in support of lutheran services for the aging, inc. (lsa). Its mission states, "empowered by christ, we walk together with all we serve". The people of lsa are compassionate people, with loving spirits and generous hearts. Residents, staff, clients, participants, families, and volunteers all strive to be of service to god and the community. Many of the those served by lsa have been service oriented and philanthropically inclined throughout their lives and continue to seek opportunities for community service in their older years. For the young-elders of the retirement communities those opportunities are abundant. Residents there log in hundreds of volunteer hours for local churches, habitat for humanity, the alzheimer's association, the state veterans hospital, fundraising for cancer research, literacy councils, local

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,135,376$2,018,737▼ $116,639
Accounts Receivable$1,355,334$1,375,830▲ $20,496
Cash and Non-Interest-Bearing Accounts$367,214$532,446▲ $165,232
Inventories for Sale or Use$60,530$61,884▲ $1,354
Total Assets$3,960,915$3,989,897▲ $28,982
Other Assets Total$42,461$1,000▼ $41,461
Liabilities
Other Liabilities$3,109,598$3,844,691▲ $735,093
Accounts Payable and Accrued Expenses$822,996$658,543▼ $164,453
Total Liabilities$3,932,594$4,503,234▲ $570,640
Net Assets / Fund Balance
Temporarily Rstr Net Assets$10,055$11,925▲ $1,870
Unrestricted Net Assets$18,266$-525,262▼ $543,528
Total Net Assets Fund Balance$28,321$-513,337▼ $541,658
Total Liabilities and Net Assets / Fund Balance$3,960,915$3,989,897▲ $28,982

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,924,372$720,812$2,645,184
Other Land Buildings$56,154$67,452$123,606
Buildings$38,211$14,849$53,060
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kirby NickersonTreasurer/cfFT-$175,452$175,452
Kesha SmithChief Oper.FT-$162,809$162,809
Elizabeth KuhnDirector R&dFT-$140,422$140,422
Myra GriffieChief Oper.FT-$125,816$125,816
Tonya HilliardAdministratoFT$87,041$6,924$93,965
Karen MaddrySecretaryFT-$65,490$65,490

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Trinity Rehab LLCTherapy Srvcs-$1,024,784
Revenue and Support

Revenue Composition

Contributions and Grants
$13,561
Program Service Revenue
$10,388,857
Investment Income
$34
Other Revenue
$14,004
All Other Contributions
$13,561
Change in Net Assets
$-541,658

Audited Revenue Reconciliation

Revenue per Audited Statements
$10,416,456
Total Revenue per Audited Statements
$10,416,456
Total Revenue per Form 990
$10,416,456
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,914,484
Other Expenses$5,043,630
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,582,285$227,488-$4,809,773
Occupancy$820,000--$820,000
All Other Expenses$723,918$47,126-$771,044
Other Employee Benefits$633,293--$633,293
Fees for Services Management$415,303--$415,303
Payroll Taxes$379,729--$379,729
Other Expenses$313,903--$313,903
Depreciation Depletion$276,162--$276,162
Current Officers, Directors, Trustees, and Key Employees$87,686$4,003-$91,689
Insurance-$47,783-$47,783
Fees for Services Accounting-$20,727-$20,727
Office Expenses$2,879$11,735-$14,614
Travel$12,821$899-$13,720
Advertising$2,005$5,602-$7,607
Interest$1,205$707-$1,912
Payments to Affiliates$800--$800
Fees for Services Legal-$380-$380
Total Functional Expenses$10,591,664$366,450$0$10,958,114

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$10,958,114
Total Expenses per Audited Statements$10,958,114
Total Expenses per Form 990$10,958,114
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Chris SmithFamily MemberPest ControlNo$2,040
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany$3,844,691
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI

Whistleblower policy lutheran services for the aging, inc. & affiliates are committed to their role in preventing health care fraud and abuse and complying with applicable state and federal laws related to health care fraud and abuse. The civil false claims act provides for protection for employees from retaliation. Any employee who is discharged, demoted, suspended, threatened, harassed, or discriminated against in terms and conditions of employment because of lawful acts conducted in furtherance of an action under the fca may bring an action in federal district court seeking reinstatement, two times the amount of back pay plus interest, and other enumerated costs, damages, and fees. Documentation retention and destruction policy each entity within the lutheran services for the aging, inc. & affiliates group will ensure that records are retained for the required time periods established by state laws, federal regulations, and payor requirements to meet the needs of legitimate users. At the end of the retention period, each entity will ensure that destruction of records is performed according to specific procedure and authorization with appropriate supervision of destruction. The proper method of destruction for any paper record is by shredding or incineration only. Prior to the destruction of any facility records, whether original or computer media, a check will be made to ensure the retention period has expired as defined by state laws and facility policies. Any records in open investigation, audit, or litigation will not be destroyed. For facilities using electronic medical records, records will be stored in the system indefinitely and the destruction process will not apply.

Form 990, Page 6, Part VI, Line 3

Lsa management, inc. Provides administrative support, management, accounting, information technology, and resource development services to lutheran services for the aging and its affiliates. See schedule r, part v.

Form 990, Page 6, Part VI, Line 11B

The form 990 is reviewed by the chief finance officer and made available to the board of directors for review and comment. Any matters are raised to the outside accountants for collaboration and ultimate resolution.

Form 990, Page 6, Part VI, Line 12C

Board members receive a board manual as part of orientation when they join the board, which includes the corporate compliance policy and bylaws. Both the policy and the bylaws address conflict of interest. Thereafter, annually, the board of directors receive corporate compliance training and complete a conflict of interest disclosure

Form 990, Page 6, Part VI, Line 15A

All compensation limits are compared to state and national ranges based on facility size and experience of staff. The board of directors approve the compensation of the president which is paid by the managing organization of the control group.

Form 990, Page 6, Part VI, Line 15B

All compensation limits are compared to state and national ranges based on facility size and experience of staff. The president approves the compensation of officers and key employees. Officers of the controlled group are paid by the managing organization and certain organizations within the control group also compensate key employees directly.

Form 990, Page 6, Part VI, Line 19

Forms 990 are posted on guidestar and available upon request at the lsa office located in salisbury, nc.

Form 990, Part VII

Part vii, section a - column (b) hours for related organizations board members and officers devote time to all entities within the control group.

Filing and Contact Details

Filer

EIN
20-1457410
Phone
7046372870

Signing Officer

Name
Kirby Nickerson
Title
Treasurer
Phone
7046372870
Signed
2015-02-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ted Goins
Formed
2004
Legal Domicile
Nc
Voting Board Members
19
Independent Board Members
19
Employees
244
Volunteers
215

Preparer

Preparer
Anthony T Pandiscia
Phone
9196621001
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Lutheran home - hickory west, inc. Provides long-term and short-term skilled nursing and rehabilitation services to frail older adults and others in a residential setting in support of lutheran services for the aging, inc. (lsa). Its mission states, "empowered by christ, we walk together with all we serve". The people of lsa are compassionate people, with loving spirits and generous hearts. Residents, staff, clients, participants, families, and volunteers all strive to be of service to god and the community. Many of the those served by lsa have been service oriented and philanthropically inclined throughout their lives and continue to seek opportunities for community service in their older years. For the young-elders of the retirement communities those opportunities are abundant. Residents there log in hundreds of volunteer hours for local churches, habitat for humanity, the alzheimer's association, the state veterans hospital, fundraising for cancer research, literacy councils, local hospitals, food pantries, homeless shelters, the united way, and mentoring projects for local elementary schools. They have packed boxes for samaritan's purse, gathered coats for kids, and collected canned goods for food pantries. They have sewn, knitted, crocheted, and quilted countless items for causes throughout the state and beyond. The more frail elders of the lutheran nursing homes and adult day services may be less visible, but are equally committed to community service. Supported by staff and volunteers, they have held blood drives, bake sales, and craft sales. They have hosted breakfasts for fire, police, and emergency service personnel, collected school supplies for kids, and adopted needy families at christmas. They have logged in hundreds of hours in projects for local schools and hospitals, the arc, the alzheimer's association, madd (mothers against drunk driving), meal-on-wheels, the humane society, the american red cross, the united way, and more. Lsa also serves its communities by working collaboratively with colleges and universities throughout north carolina including catawba, livingstone, and lenoir-rhyne colleges; catawba valley, gaston, rowan-cabarrus, stanly, caldwell and forsyth community colleges; appalachian state, winston-salem state, and duke universities; the university of north carolina, and hood theological seminary. These collaborative efforts enhance cooperation, foster growth and cooperation, and ultimately improve the quality of life for the institutions and the communities. Lsa also encourages community members to seek volunteer, educational, and spiritual opportunities through its ministries. The ministries of lsa are active, busy places where multiple generations meet in a spirit of fun, fellowship and cooperation. Resources are available to the community addressing a broad range of aging issues such as healthy aging, nursing home care, adult day care, alzheimer's disease, medicaid and medicare, and healthcare directives.

Form 990, Page 2, Part III, Line 4A

During the year ended september 30, 2014, lutheran home - hickory west, inc. Provided 41,791 days of care to 462 residents.

Financial Statement Notes

Schedule D, Page 3, Part X

Substantially all affiliates of lsa and lfs are organized as north carolina not-for-profit organizations and are exempt from income taxes under internal revenue code (irc) section 501(c)(3) under a group exemption of the elca. Lfs real properties, inc. Is exempt under irc section 501(c)(2). The organizations record a liability for any tax position taken that is beneficial to the organizations, including any related interest and penalties, when it is more likely than not the position of management with respect to a transaction or class of transactions will be overturned by a taxing authority upon examination. Management believes there are no such positions as of september 30, 2014 or 2013. Tax years subsequent to 2009 remain subject to examination by major tax jurisdictions.

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IRS990/ActivityOrMissionDesc0LUTHERAN HOME - HICKORY WEST, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATES, "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". THE PEOPLE OF LSA ARE COMPASSIONATE PEOPLE, WITH LOVING SPIRITS AND GENEROUS HEARTS. RESIDENTS, STAFF, CLIENTS, PARTICIPANTS, FAMILIES, AND VOLUNTEERS ALL STRIVE TO BE OF SERVICE TO GOD AND THE COMMUNITY. MANY OF THE THOSE SERVED BY LSA HAVE BEEN SERVICE ORIENTED AND PHILANTHROPICALLY INCLINED THROUGHOUT THEIR LIVES AND CONTINUE TO SEEK OPPORTUNITIES FOR COMMUNITY SERVICE IN THEIR OLDER YEARS. FOR THE YOUNG-ELDERS OF THE RETIREMENT COMMUNITIES THOSE OPPORTUNITIES ARE ABUNDANT. RESIDENTS THERE LOG IN HUNDREDS OF VOLUNTEER HOURS FOR LOCAL CHURCHES, HABITAT FOR HUMANITY, THE ALZHEIMER'S ASSOCIATION, THE STATE VETERANS HOSPITAL, FUNDRAISING FOR CANCER RESEARCH, LITERACY COUNCILS, LOCAL
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IRS990/Desc0LUTHERAN HOME - HICKORY WEST, INC. OFFERS SHORT-TERM REHABILITATION AND LONG-TERM CARE SERVICES TO PEOPLE OF ALL FAITHS AND ECONOMIC STATUS. LUTHERAN HOME - HICKORY WEST, INC. STRIVES TO BE A TRUE HOME FOR ITS RESIDENTS, A PLACE OF COMFORT, SECURITY AND BELONGING. STAFF EMPHASIZE BOTH QUALITY CARE AND QUALITY OF LIFE. MEANINGFUL ACTIVITIES BRING RESIDENTS, STAFF, FAMILIES AND VOLUNTEERS TOGETHER IN A SPIRIT OF FUN AND FELLOWSHIP. STAFF ARE COMMITTED TO PROVIDING COMPASSIONATE CARE AND PERSONAL ATTENTION TO RESIDENTS WHILE MEETING THE UNIQUE MEDICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF EACH INDIVIDUAL. BECAUSE CHOOSING A NURSING HOME OFTEN COMES AT A DIFFICULT TIME, CHAPLAINS ARE AVAILABLE TO OFFER SUPPORT AND GUIDANCE TO FAMILIES AND RESIDENTS DURING ADMISSION AND THROUGHOUT THEIR STAY. DURING THE YEAR ENDED SEPTEMBER 30, 2014, LUTHERAN HOME - HICKORY WEST, INC. PROVIDED 41,791 DAYS OF CARE TO 462 RESIDENTS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt21CHIEF OPER.
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR R&D
IRS990/Form990PartVIISectionAGrp/TitleTxt23CHIEF OPER.
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IRS990/MissionDesc0LUTHERAN HOME - HICKORY WEST, INC. PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING AND REHABILITATION SERVICES TO FRAIL OLDER ADULTS AND OTHERS IN A RESIDENTIAL SETTING IN SUPPORT OF LUTHERAN SERVICES FOR THE AGING, INC. (LSA). ITS MISSION STATES, "EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE". THE PEOPLE OF LSA ARE COMPASSIONATE PEOPLE, WITH LOVING SPIRITS AND GENEROUS HEARTS. RESIDENTS, STAFF, CLIENTS, PARTICIPANTS, FAMILIES, AND VOLUNTEERS ALL STRIVE TO BE OF SERVICE TO GOD AND THE COMMUNITY. MANY OF THE THOSE SERVED BY LSA HAVE BEEN SERVICE ORIENTED AND PHILANTHROPICALLY INCLINED THROUGHOUT THEIR LIVES AND CONTINUE TO SEEK OPPORTUNITIES FOR COMMUNITY SERVICE IN THEIR OLDER YEARS. FOR THE YOUNG-ELDERS OF THE RETIREMENT COMMUNITIES THOSE OPPORTUNITIES ARE ABUNDANT. RESIDENTS THERE LOG IN HUNDREDS OF VOLUNTEER HOURS FOR LOCAL CHURCHES, HABITAT FOR HUMANITY, THE ALZHEIMER'S ASSOCIATION, THE STATE VETERANS HOSPITAL, FUNDRAISING FOR CANCER RESEARCH, LITERACY COUNCILS, LOCAL
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Summary only. Only limited summary data is available for this year.$6.42$0.48$5.95$16.0$15.9$0.09
2023Summary only. Only limited summary data is available for this year.$8.13$2.53$5.60$15.1$14.9$0.28
2022Summary only. Only limited summary data is available for this year.$7.29$1.95$5.34$15.9$13.3$2.59
2021Summary only. Only limited summary data is available for this year.$4.62$1.86$2.75$14.1$12.6$1.52
2020Summary only. Only limited summary data is available for this year.$3.86$2.63$1.23$13.1$12.0$1.15
2019Summary only. Only limited summary data is available for this year.$2.71$2.63$0.08$11.7$11.5$0.20
2018Summary only. Only limited summary data is available for this year.$2.95$3.06$0.11$11.6$11.7$0.01
2017Summary only. Only limited summary data is available for this year.$3.21$3.31$0.10$11.5$11.2$0.34
2016Summary only. Only limited summary data is available for this year.$3.53$3.93$0.40$11.1$11.0$0.07
2015Summary only. Only limited summary data is available for this year.$4.12$4.58$0.46$11.0$10.9$0.05
2014Detailed filing. Detailed filing data is available for this year.$3.99$4.50$0.51$10.4$11.0$0.54
2013Summary only. Only limited summary data is available for this year.$3.96$3.93$0.03$8.85
2012Summary only. Only limited summary data is available for this year.$2.61$2.62$0.01$10.6
2011Summary only. Only limited summary data is available for this year.$4.16$3.12$1.04$8.97
2010Summary only. Only limited summary data is available for this year.$2.83$3.23$0.40$8.36