Form 990 for tax year 2022
Filed by LUTHERAN HOME - FORSYTH COUNTY INC.
Totals
- Total revenue
- $11,129,058
- Total expenses
- $10,268,577
- Contributions and grants received
- $39,657
- Grants paid
- $0
- Program service revenue
- $10,984,891
- Investment income
- $40,124
- Other revenue
- $64,386
- Total assets, end of year
- $6,737,394
- Total liabilities, end of year
- $1,433,084
- Net assets or fund balances, end of year
- $5,304,310
- Program services expenses (Part IX)
- $9,137,234
- Management and general expenses
- $1,131,343
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $9,137,234
Program services were 89.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$31,810
-
1f · All other contributions, gifts and grants
$7,847
-
2a · Program service revenue: SERVICE FEE REVENUE
total $10,948,271 · related or exempt $10,948,271
-
2b · Program service revenue: DIETARY INCOME
total $36,620 · related or exempt $36,620
-
3 · Investment income
total $39,838 · excluded $39,838
-
7a · Gross sales of assets other than inventory
securities $286
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $286
-
7d · Net gain or loss
total $286 · excluded $286
-
11a · Other revenue: OTHER REVENUE
total $64,386 · excluded $64,386
-
11e · Other revenue, total
$64,386
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $4,801,860 · program services $4,380,715 · management and general $421,145
-
8 · Pension plan contributions
total $18,915 · program services $17,256 · management and general $1,659
-
9 · Other employee benefits
total $327,134 · program services $298,443 · management and general $28,691
-
10 · Payroll taxes
total $388,058 · program services $354,024 · management and general $34,034
-
11a · Fees: management
total $519,061 · management and general $519,061
-
11b · Fees: legal
total $2,400 · management and general $2,400
-
11c · Fees: accounting
total $30,000 · management and general $30,000
-
11f · Fees: investment management
total $2,377 · management and general $2,377
-
11g · Fees: other
total $1,182,437 · program services $1,158,202 · management and general $24,235
-
12 · Advertising and promotion
total $3,317 · management and general $3,317
-
13 · Office expenses
total $517,424 · program services $457,255 · management and general $60,169
-
14 · Information technology
total $5,815 · program services $5,815
-
16 · Occupancy
total $872,714 · program services $872,714
-
17 · Travel
total $14,383 · program services $10,128 · management and general $4,255
-
19 · Conferences, conventions and meetings
total $4,595 · program services $4,595
-
22 · Depreciation, depletion and amortization
total $154,295 · program services $154,295
-
23 · Insurance
total $57,221 · program services $57,221
-
24a · Other expenses: MEDICAL EXPENSES
total $727,997 · program services $727,997
-
24b · Other expenses: FOOD
total $367,906 · program services $367,906
-
24c · Other expenses: BAD DEBT
total $270,574 · program services $270,574
-
24d · Other expenses: COVID 19 EXPENSE
total $94 · program services $94
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $3,485,379 · end of year $1,205,055
-
4 · Accounts receivable
beginning of year $1,810,599 · end of year $2,075,102
-
8 · Inventories for sale or use
beginning of year $69,237 · end of year $33,120
-
9 · Prepaid expenses and deferred charges
beginning of year -$7,345 · end of year $13,323
-
10a · Land, buildings and equipment: cost or other basis
$2,245,208
-
10b · Land, buildings and equipment: accumulated depreciation
$1,746,702
-
10c · Land, buildings and equipment, net
beginning of year $612,383 · end of year $498,506
-
11 · Investments: publicly traded securities
end of year $2,912,288
-
17 · Accounts payable and accrued expenses
beginning of year $534,571 · end of year $680,192
-
19 · Deferred revenue
beginning of year $31,810 · end of year $0
-
25 · Other liabilities
beginning of year $934,439 · end of year $752,892
-
27 · Net assets without donor restrictions
beginning of year $4,467,432 · end of year $5,300,992
-
28 · Net assets with donor restrictions
beginning of year $2,001 · end of year $3,318
Mission and programs · 2022
Mission
SEE SCHEDULE O
Activities or mission (Part I)
EMPOWERED BY CHRIST, WE WALK TOGETHER WITH ALL WE SERVE.
-
LUTHERAN HOME - FORSYTH COUNTY, 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.SEE CONTINUATION ON SCHEDULE O.DURING THE YEAR ENDED SEPTEMBER 30, 2023, LUTHERAN HOME - FORSYTH, INC. PROVIDED 44,960 DAYS OF CARE TO 127 RESIDENTS.
Expenses $9,137,234 · Revenue $10,984,891
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
TED GOINS
CEO/PRESIDENT
- Total calculated
- $394,066
- From this org
- $0
- From related orgs
- $381,871
- Other
- $12,195
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $381,371 related
- Bonus
- $0
- Other
- $0 + $500 related
- Deferred
- $0 + $6,100 related
- Nontaxable benefits
- $0 + $6,095 related
- Filer's total
- $0 + $394,066 related
-
GREGORY HUDGINS
CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CARY M GRANT
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
KAREN MADDRY
SECRETARY
- Total calculated
- $89,637
- From this org
- $0
- From related orgs
- $81,554
- Other
- $8,083
- Hours/week
- 1 + 40 related
-
KIRBY NICKERSON
CHIEF FINANCIAL OFFICER
- Total calculated
- $274,928
- From this org
- $0
- From related orgs
- $259,279
- Other
- $15,649
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $259,079 related
- Bonus
- $0
- Other
- $0 + $200 related
- Deferred
- $0 + $5,214 related
- Nontaxable benefits
- $0 + $10,435 related
- Filer's total
- $0 + $274,928 related
-
KESHA SMITH
CHIEF OPERATING OFFICER
- Total calculated
- $276,600
- From this org
- $0
- From related orgs
- $261,157
- Other
- $15,443
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $245,907 related
- Bonus
- $0 + $15,000 related
- Other
- $0 + $250 related
- Deferred
- $0 + $5,008 related
- Nontaxable benefits
- $0 + $10,435 related
- Filer's total
- $0 + $276,600 related
-
TONYA HILLIARD
ADMINISTRATOR
- Total calculated
- $162,418
- From this org
- $158,690
- From related orgs
- $0
- Other
- $3,728
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $145,375
- Bonus
- $13,065
- Other
- $250
- Deferred
- $3,190
- Nontaxable benefits
- $538
- Filer's total
- $162,418
-
SAADIA BAHRI
LPN
- Total calculated
- $138,423
- From this org
- $131,460
- From related orgs
- $0
- Other
- $6,963
- Hours/week
- 40
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
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ABUNDANT LIVING ADULT DAY SERVICES
501(C)(3) · ADULT DAY · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(2) · REAL ESTATE · NC · controlled entity
Directly controlled by LFS INC
-
501(C)(3) · ASSIST LVG · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · MANAGEMENT · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · PHARMACY · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN FAMILY SERVICES IN THE CAROLINAS
501(C)(3) · COMM SVC · NC · controlled entity
Directly controlled by NC & SC SYNOD OF ECLA
-
LUTHERAN HOME - FORSYTH COUNTY INC
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME AT TRINITY OAKS INC
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME - WILMINGTON INC
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME - WINSTON-SALEM INC
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME ALBEMARLE PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME AT TRINITY OAKS PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME FORSYTH COUNTY PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME HICKORY PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME HICKORY WEST PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME WILMINGTON PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN HOME WINSTON-SALEM PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN RETIREMENT CENTER - SALISBURY
501(C)(3) · ASSIST LVG · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN RETIREMENT CENTER - WILMINGTON
501(C)(3) · INDEP. LVG · NC · controlled entity
Directly controlled by LSA INC
-
THE FOUNDATION FOR ABUNDANT LIVING
501(C)(3) · FOUNDATION · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN SERVICES FOR THE AGING INC
501(C)(3) · PARENT ORG · NC · controlled entity
Directly controlled by NC & SC SYNOD OF ECLA
-
LUTHERAN SERVICES PROPERTY INC
501(C)(3) · LEASING · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · THERAPY · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · GROUP HOME · NC · controlled entity
Directly controlled by LFS INC
-
501(C)(3) · GROUP HOME · NC · controlled entity
Directly controlled by LFS INC
-
LUTHERAN RETIREMENT CENTER - LUTHERIDGE
501(C)(3) · ASSIST LVG · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · INACTIVE · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN RETIREMENT CENTER - CLEMMONS INC
501(C)(3) · INDEP. LVG · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · INACTIVE · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN RETIREMENT CENTER - HICKORY INC
501(C)(3) · INACTIVE · NC · controlled entity
Directly controlled by LSA INC
-
LUTHERAN RETIREMENT CENTER - HICKORY WEST INC
501(C)(3) · INACTIVE · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
-
501(C)(3) · NURSING · NC · controlled entity
Directly controlled by LSA INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202422259349301427
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