Civic Intelligence

Lutheran Retirement Center - Clemmons Inc

EIN 82-4069577 • 501(c)3 • Salisbury, NC

Profile

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

PO Box 947Salisbury, NC 28145

www.lscarolinas.net

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

91st percentile

0.90x

Higher debt load relative to assets than 91% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

96th percentile

7.74x

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

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

72nd percentile

18%

Higher net margin than 72% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

88th percentile

$429,211

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 30.5% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

27th percentile

-2.0%

Faster asset growth than 27% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

46th percentile

5.3%

Faster revenue growth than 46% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Down

$12,063,086

Down $241,417 (-2.0%) from 2023

Liabilities

Down

$10,889,499

Down $875,101 (-7.4%) from 2023

Net Assets

Up

$1,173,587

Up $633,684 (+117%) from 2023

Revenue

Up

$1,407,576

Up $71,220 (+5.3%) from 2023

Expenses

Down

$1,153,871

Down $26,457 (-2.2%) from 2023

Net Income

Up

$253,705

Up $97,677 (+63%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2021: $11,369,431Liabilities 2021: $10,936,203Net Assets 2021: $433,2282021Assets 2022: $11,771,207Liabilities 2022: $11,369,810Net Assets 2022: $401,3972022Assets 2023: $12,304,503Liabilities 2023: $11,764,600Net Assets 2023: $539,9032023Assets 2024: $12,063,086Liabilities 2024: $10,889,499Net Assets 2024: $1,173,5872024

Highlighted filing

2024

Assets$12,063,086
Liabilities$10,889,499
Net Assets$1,173,587

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2021: $1,241,590Expenses 2021: $921,767Net Income 2021: $319,8232021Revenue 2022: $1,241,347Expenses 2022: $1,273,178Net Income 2022: -$31,8312022Revenue 2023: $1,336,356Expenses 2023: $1,180,328Net Income 2023: $156,0282023Revenue 2024: $1,407,576Expenses 2024: $1,153,871Net Income 2024: $253,7052024

Highlighted filing

2024

Revenue$1,407,576
Expenses$1,153,871
Net Income$253,705

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$1,407,576
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,528,343$9,244,354▼ $283,989
Investments in Publicly Traded Securities$1,976,030$2,165,670▲ $189,640
Cash and Non-Interest-Bearing Accounts$822,161$656,518▼ $165,643
Prepaid Expenses and Deferred Charges$5,872$5,669▼ $203
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors-$0-
Accounts Receivable$-27,903$-9,125▲ $18,778
Total Assets$12,304,503$12,063,086▼ $241,417
Other Assets Total$0$0→ $0
Liabilities
Tax Exempt Bond Liabilities$10,760,693$10,760,693→ $0
Accounts Payable and Accrued Expenses$122,117$130,914▲ $8,797
Other Liabilities$881,790$-2,108▼ $883,898
Total Liabilities$11,764,600$10,889,499▼ $875,101
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$539,903$1,173,587▲ $633,684
Total Net Assets Fund Balance$539,903$1,173,587▲ $633,684
Total Liabilities and Net Assets / Fund Balance$12,304,503$12,063,086▼ $241,417

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,885,524$1,677,030$10,562,554
Land$351,000-$351,000
Equipment$7,830-$7,830
Compensation and Service Providers

Employees

NameTitleOtherTotal
Tonya HilliardAdministrator$120,600$120,600
Karen MaddrySecretary$94,526$94,526

Board Members and Trustees

NameTitle
Gregory HudginsChair
Ted GoinsPresident/CEO
Cary M GrantVice Chair
Cynthia McCoyAdministrator
Kirby NickersonChief Financial Officer
Kesha SmithChief Operating Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,303,554
Investment Income
$72,280
Other Revenue
$31,742
Change in Net Assets
$253,705
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,003,810
Salaries, Compensation, and Employee Benefits$150,061
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$379,108--$379,108
Depreciation Depletion$294,693--$294,693
Other Salaries and Wages$52,315$84,041-$136,356
Office Expenses$62,466$26,864-$89,330
Occupancy$65,547--$65,547
Fees for Services Management-$62,949-$62,949
Information Technology$30,659--$30,659
Fees for Services Other$22,773$0$0$22,773
Insurance$20,944--$20,944
Other Expenses$15,446--$15,446
Fees for Services Accounting-$15,000-$15,000
Payroll Taxes$3,497$5,618-$9,115
Fees for Service Investment Mgmnt Fees-$3,494-$3,494
Advertising-$3,322-$3,322
Other Employee Benefits$1,207$1,938-$3,145
Pension Plan Contributions$554$891-$1,445
Conferences and Meetings-$493-$493
Travel-$52-$52
Total Functional Expenses$949,209$204,662$0$1,153,871
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany$-2,108
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 35% controlled entity
No
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
No
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, Line 15

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, Line 14

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 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.

Form 990, Part VI, Line 3 Delegation of management duties

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, Line 11B Review of form 990 by governing body

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, Line 12C Conflict of interest policy

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, Line 18 How forms are made available to the public

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

Form 990, Part VI, Line 19 Required documents available to the public

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

Form 990, Part VII, Section A

Board members and officers devote time to all entities within the control group.

Filing and Contact Details

Filer

Filer Name
Lutheran Retirement Center - Clemmons Inc
EIN
82-4069577
Phone
7046372870
Address
PO Box 947, Salisbury, NC 28145

Signing Officer

Name
Ted Goins
Title
President / CEO
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
2017
Legal Domicile
Nc
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
3

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

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 projects 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 XII, Line 2C Change of oversight process or selection process

This process has not changed from the prior year.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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, 2024.

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IRS990/Desc0AT LUTHERAN RETIREMENT CENTER - CLEMMONS, INC., ACTIVE RETIREES ARE AFFORDED PRIVACY AND COMPANIONSHIP IN A WARM, WELCOMING SETTING, FREE OF THE CONCERNS OF HOME OWNERSHIP. THE COMMUNITY IS DESIGNED WITH CAREFUL CONSIDERATION GIVEN TO SAFETY, SECURITY AND ACCESSIBILITY. PROFESSIONAL AND CARING TEAMMATES ARE COMMITTED TO PROVIDING COMFORT, CARE AND SUPPORTIVE SERVICES WHEN OR IF THOSE SERVICES ARE NEEDED. LUTHERAN RETIREMENT CENTER - CLEMMONS, INC. IS MINDFUL OF THE RESPONSIBILITIES OF CITIZENRY AND STRIVES TO PROMOTE FAIRNESS AND EQUALITY WHILE PROVIDING QUALITY HEALTHCARE AND RESIDENTIAL SERVICES. DURING THE YEAR ENDED SEPTEMBER 30, 2024, LUTHERAN RETIREMENT CENTER - CLEMMONS, INC. PROVIDED 18,324 DAYS OF SERVICE CARE TO 75 RESIDENTS.
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IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt00
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION - OTHER INCOME, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 26411.0, COLUMN E - 31742.0, COLUMN F - 58153.0;
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part III, Line 12 Other Income
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Substantially 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, 2024.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2264785

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