Civic Intelligence

Lutheran Home - Hickory West Inc

990 • Fiscal year 2016 • EIN 20-1457410

Oct 01, 2015 to Sep 30, 2016 • Filed on Feb 10, 2017

PO Box 947Salisbury, NC 28145

(704) 637-2870

Siviq Scores

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

Liabilities / Assets

95th percentile

1.11x

Higher debt load relative to assets than 95% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

59th percentile

0.35x

Higher debt load relative to revenue than 59% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

42nd percentile

0.6%

Higher net margin than 42% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

82nd percentile

$330,735

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 3.0% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

6th percentile

-14%

Faster asset growth than 6% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

44th percentile

1.3%

Faster revenue growth than 44% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Down

$3,530,067

Down $585,228 (-14%) from 2015

Net Assets

Up

-$395,536

Up $68,583 (+15%) from 2015

Liabilities

Down

$3,925,603

Down $653,811 (-14%) from 2015

Revenue

Up

$11,093,489

Up $139,859 (+1.3%) from 2015

Expenses

Up

$11,024,906

Up $120,494 (+1.1%) from 2015

Net Income

Up

$68,583

Up $19,365 (+39%) from 2015

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

2016

Assets$3,530,067
Liabilities$3,925,603
Net Assets-$395,536

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

2016

Revenue$11,093,489
Expenses$11,024,906
Net Income$68,583
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Feb 10, 2017
Return Version
2015v3.0
Gross Receipts
$11,202,079
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

Empowered by christ, we walk together with all we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,766,440$1,350,893▼ $415,547
Accounts Receivable$1,292,095$1,221,997▼ $70,098
Cash and Non-Interest-Bearing Accounts$989,847$883,491▼ $106,356
Inventories for Sale or Use$64,529$72,574▲ $8,045
Prepaid Expenses and Deferred Charges$1,384$1,112▼ $272
Total Assets$4,115,295$3,530,067▼ $585,228
Other Assets Total$1,000$0▼ $1,000
Liabilities
Other Liabilities$3,840,772$3,160,281▼ $680,491
Accounts Payable and Accrued Expenses$738,642$765,322▲ $26,680
Total Liabilities$4,579,414$3,925,603▼ $653,811
Net Assets / Fund Balance
Temporarily Rstr Net Assets$11,925$2,100▼ $9,825
Unrestricted Net Assets$-476,044$-397,636▲ $78,408
Total Net Assets Fund Balance$-464,119$-395,536▲ $68,583
Total Liabilities and Net Assets / Fund Balance$4,115,295$3,530,067▼ $585,228

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,254,440$904,785$2,159,225
Other Land Buildings$65,627$47,334$112,961
Buildings$30,826$22,234$53,060
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Karen MaddrySecretaryFT$74,533$74,533

Board Members and Trustees

NameTitle
Ted Goins JrChief Executive Officer/PRESIDENT
Anna PasourDirector
Betty LohrDirector
Cary GrantDirector
Derek ShoemakeDirector
Doug NelsonDirector
Dr Shannon MathewsDirector
Eric HoyleDirector
Eunika SimonsDirector
Greg HudginsDirector
J White Iddings JrDirector
Jim HuddleDirector
Joy FisherDirector
Joycelyn JohnsonDirector
Mark TonnesenDirector
Rev Jennifer KrushasDirector
Rev Pamela CookDirector
Rosebud ReubelDirector
Skip DownsDirector
Elizabeth KuhnChief Development Officer
Kirby NickersonChief Financial Officer
Kesha SmithCOO-senior Services

Highest Paid Contractors

ContractorServicesLocationCompensation
Trinity RehabTherapy Services113 SOUTH RAILROAD AVENUE, Dunn, NC 28334$1,058,442
Division Of Medical AssistanceBed Assessment2022 MAIL SERVICE CENTER, Raleigh, NC 27699$448,567
US Food ServiceDietary Food & Supplies125 FORT MILL PARKWAY, Fort Mill, SC 29715$349,214
Grove Medical INCMedical Supplies1089 PARK WEST BLVD, Greenville, SC 29611$171,111
Revenue and Support

Revenue Composition

Contributions and Grants
$24,129
Program Service Revenue
$11,121,616
Investment Income
$-107,532
Other Revenue
$55,276
All Other Contributions
$8,197
Change in Net Assets
$68,583
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,799,655
Other Expenses$5,225,251
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,525,598$248,428-$4,774,026
Fees for Services Other$1,277,691$19,261-$1,296,952
Occupancy$1,004,344--$1,004,344
Other Employee Benefits$604,917$33,206-$638,123
Office Expenses$416,771$47,686-$464,457
Fees for Services Management-$447,712-$447,712
Payroll Taxes$357,886$19,646-$377,532
Depreciation Depletion$276,847--$276,847
Other Expenses$59,683--$59,683
Insurance$47,482--$47,482
Fees for Services Accounting-$14,406-$14,406
Advertising-$12,675-$12,675
Pension Plan Contributions$9,455$519-$9,974
Travel$6,777$1,826-$8,603
Information Technology$3,889--$3,889
Interest$29--$29
Total Functional Expenses$10,179,541$845,365$0$11,024,906
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$3,160,281
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
No
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
No
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, Section A, 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, Part VI, Section B, line 11

The form 990 is prepared by an independent accounting firm and then reviewed by the chief financial officer, before made available to the board of directors via a website portal. The board of directors review and comment on the form 990. Any matters are raised to the outside accountants for collaboration and ultimate resolution.

Form 990, Part VI, Section B, 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, Part VI, Section B, 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 ceo/president which is paid by the managing organization of the control group. All compensation limits are compared to state and national ranges based on facility size and experience of staff. The ceo/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, Part VI, Section C, line 18

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

Form 990, Part VI, Section C, line 19

The organization only makes its conflict of interest policy available to the public.

Form 990, Part VI - Additional Information

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, Part VII - Additional Information

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

Filer Name
Lutheran Home - Hickory West Inc
EIN
20-1457410
Phone
7046372870
Address
PO BOX 947, SALISBURY, NC 28145
Doing Business As
Trinity Ridge

Signing Officer

Name
Kirby Nickerson
Title
CFO
Phone
7046372870
Signed
2017-02-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ted Goins
Formed
2004
Legal Domicile
Nc
Voting Board Members
19
Independent Board Members
18
Employees
267
Volunteers
400

Preparer

Firm
Dixon Hughes Goodman Llp
Address
500 RIDGEFIELD COURT, ASHEVILLE, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Lutheran services for the aging, inc. (lsa) and its affiliated organizations are ministries of the north carolina synod of the evangelical lutheran church in america. The lsa mission statement is, "empowered by christ, we walk together with all we serve." lsa operates nursing homes, retirement communities, assisted living residences, and adult day services in addition to providing care management, home care, and information and referral services in north carolina. Lsa provides a ministry of christian care to older adults and adults with disabilities regardless of faith, race, disability, or economic status. Lsa is made up of 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 seniors served by lsa have been service oriented and philanthropically inclined throughout their lives and continue to seek opportunities for community service. 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, fund raising 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 lsa 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, they have hosted breakfasts for fire, police, and emergency service personnel, collected school supplies for kids, and adopted needy families at christmas. They, too, have logged in hundreds of hours in pro jects for local schools and hospitals, the arc, the alzheimer's association, meals-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 and livingstone colleges; catawba valley, gaston, rowan-cabarrus, stanly, caldwell and forsyth community colleges; appalachian state, winston-salem state, lenoir-rhyne and duke universities; and the university of north carolina and hood theological seminary. These collaborative efforts 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. Community education opportunities are always available on topics such as adult day care, alzheimer' s disease, medicaid, medicare, healthcare directives and more.

Form 990, Part IX, line 11G

Contract Services : Program service expenses 1,277,691. Management and general expenses 19,261. Fundraising expenses 0. Total expenses 1,296,952.

Form 990, Part XII, Line 2C:

This process has not changed from prior year.

Financial Statement Notes

Part X, Line 2:

Substantially all affiliates of lsa and lfs are organized as north carolina nonprofit 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, 2016.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0LUTHERAN 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 FELLOWSHIPS. 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. SEE CONTINUATION ON SCHEDULE ODURING THE YEAR ENDED SEPTEMBER 30, 2016, LUTHERAN HOME - HICKORY WEST, INC. PROVIDED 41,911 DAYS OF CARE TO 461 RESIDENTS.
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IRS990/Form990PartVIISectionAGrp/PersonNm12Greg Hudgins
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chief Executive Officer/PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12Director
IRS990/Form990PartVIISectionAGrp/TitleTxt13Director
IRS990/Form990PartVIISectionAGrp/TitleTxt14Director
IRS990/Form990PartVIISectionAGrp/TitleTxt15Director
IRS990/Form990PartVIISectionAGrp/TitleTxt16Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director
IRS990/Form990PartVIISectionAGrp/TitleTxt19Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt20Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt21COO-SENIOR SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt22Chief Development Officer
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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
2016Detailed filing. Detailed filing 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
2014Summary only. Only limited summary 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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $10M-$25M nonprofits