2021-10-21T10:14:01-05:00 2020-12-31 161131146 BONADIO & CO LLP 100 CORPORATE PARKWAY SUITE 200 AMHERST NY 14226 990 2020-01-01 161548940 LUTHERAN SOCIAL SERVICES GROUP INC LUTH 7166654905 715 FALCONER STREET JAMESTOWN NY 14701 THOMAS E HOLT PRESIDENT/CEO 7166654905 2021-10-19 1 THOMAS HOLT XXX-XX-XXXX JUSTIN N REID P01321869 7162506600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THOMAS E HOLT 715 FALCONER STREET JAMESTOWN NY 14701 2267714 0 9386 X WWW.LUTHERAN-JAMESTOWN.ORG X 1998 NY LUTHERAN SOCIAL SERVICES GROUP, INC (LSS) PROVIDES ADMINISTRATIVE SUPPORT SERVICES, INCLUDING FINANCE, HUMAN RESOURCES, AND MANAGEMENT INFORMATION SYSTEMS FOR ITS 501(C)3 SUBSIDIARIES. LSS ALSO PROVIDES STRATEGIC PLANNING SERVICES AND PROVIDES PAYROLL SERVICES FOR THE ORGANIZATION AND ITS SUBSIDIARIES. 14 14 28 0 0 0 0 319622 2533165 1932386 0 0 69474 15706 2602639 2267714 0 0 0 0 2203226 1979474 0 0 0 513015 326404 2716241 2305878 -113602 -38164 3022801 3126290 1885693 2027346 1137108 1098944 X LUTHERAN SOCIAL SERVICES GROUP, INC (LSS) PROVIDES ADMINISTRATIVE SUPPORT SERVICES, INCLUDING FINANCE, HUMAN RESOURCES, AND MANAGEMENT INFORMATION SYSTEMS FOR ITS 501(C)3 SUBSIDIARIES. LSS ALSO PROVIDES STRATEGIC PLANNING SERVICES AND PROVIDES PAYROLL SERVICES FOR THE ORGANIZATION AND ITS SUBSIDIARIES. 0 0 2305878 1948092 LUTHERAN SOCIAL SERVICES GROUP, INC (LSS) PROVIDES ADMINISTRATIVE SUPPORT SERVICES, INCLUDING FINANCE, HUMAN RESOURCES, AND MANAGEMENT INFORMATION SYSTEMS FOR ITS 501(C)3 SUBSIDIARIES. LSS ALSO PROVIDES STRATEGIC PLANNING SERVICES AND PROVIDES PAYROLL SERVICES FOR THE ORGANIZATION AND ITS SUBSIDIARIES. 2305878 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 13 0 1 28 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JASON BECKWITH 7166654905 715 FALCONER STREET JAMESTOWN NY 14701 X TERRY HAVENS - TURNER CHAIR 0.50 0.50 X X 0 0 0 TIMOTHY MAGNUSON DIRECTOR 0.50 X 0 0 0 TED BOGDAN DIRECTOR 0.50 X 0 0 0 J ERIC LIVENGOOD DIRECTOR 0.50 X 0 0 0 JOEL GADEN DIRECTOR 0.50 0.50 X 0 0 0 R MICHAEL GOLDMAN DIRECTOR 0.50 X 0 0 0 REV ALAN W ANDERSON DIRECTOR 0.50 X 0 0 0 ROSLIN NEWTON DIRECTOR 0.50 X 0 0 0 JOHN MACHOLZ BISHOP DIRECTOR 0.50 X 0 0 0 DEAN WEAVER DIRECTOR 0.50 X 0 0 0 CLARK POPPLETON DIRECTOR 0.50 X 0 0 0 BRIGETTA OVERCASH SECRETARY 0.50 X X 0 0 0 GARY M JOHNSON TREASURER 0.50 X X 0 0 0 KAREN RINE VICE CHAIR 0.50 X X 0 0 0 JASON BECKWITH CFO 43.00 2.00 X 265066 0 12411 THOMAS E HOLT PRESIDENT/CEO 41.00 4.00 X 432078 0 14380 KATHLEEN LYNCH ADMINISTRATOR - HP 40.00 X 115005 0 11097 PAMELA NORDIN ADMINISTRATOR - LRH 40.00 X 147220 0 15361 RICHARD SHICK CHIEF INFORMATION OFFICER 40.00 X 138096 0 15842 KEVIN SAFF DIRECTOR-SENIOR HOUSING 40.00 X 117981 0 14360 KARL L WIGGINS VICE PRESIDENT OF GA 40.00 X 162424 0 4776 1377870 0 88227 10 0 1 0 COOL INSURANCE AGENCY PO BOX 2153 GLEN FALLS NY 12801 INSURANCE 465424 MEMIC INDEMNITY COMPANY PO BOX 11409 PORTLAND ME 04104 WORKERS COMP INSURANCE 363798 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 HOUSEKEEPING MANAGEMENT & SUPERVISION 145597 ADP INC PO BOX 842875 BOSTON MA 02284 PAYROLL PROCESSING 101296 4 319622 319622 AGENCY ADMISTRATION FE 561000 1907453 1907453 RENTAL INCOME 531110 24933 24933 1932386 OTHER INCOME 561499 15706 15706 15706 2267714 1948092 0 0 723935 723935 926250 926250 64590 64590 181775 181775 82924 82924 51547 51547 13375 13375 110552 110552 3166 3166 22662 22662 30757 30757 4692 4692 770 770 29811 29811 7467 7467 EQUIPMENT RENTAL & MAIN 24431 24431 DUES & SUBSCRIPTIONS 6826 6826 TRAVEL & EDUCATION 3894 3894 16454 16454 2305878 2305878 0 0 1969785 1447098 4591 319454 90101 409749 176 743 60867 60201 257374 180202 68634 77172 828647 811873 3022801 3126290 1037590 1101619 848103 925727 1885693 2027346 X 1137108 1098944 1137108 1098944 3022801 3126290 -38164 0 X X 0 1 X 1 0 X X 5 LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK INC 160765309 10 1 983049 0 LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC 161548942 10 1 94781 0 GRACE LUTHERAN RESIDENTIAL SERVICES INC 161554927 10 1 128138 0 GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES INC 311610580 10 1 404300 0 LUTHERAN HOUSING REALTY INC 201991970 10 1 297185 0 5 1907453 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART VI, SECTION E, LINE 3A: THE ORGANIZATION'S OFFICERS AND DIRECTORS ARE THE SAME FOR THE SUPPORTING ORGANIZATIONS. PART VI, SECTION E, LINE 3B: THE ORGANIZATION ESTABLISHES AND OVERSEES ALL OF THE POLICIES, PROGRAMS AND ACTIVITIES OF EACH OF ITS SUPPORTING ORGANIZATIONS. 257374 180202 77172 77172 457 CUSTODIAL ACCOUNT 811873 811873 DEFERRED COMPENSATION 925727 925727 X X X X X 0 0 0 0 0 0 0 0 0 THOMAS E HOLT PRESIDENT/CEO 389114 0 0 0 42964 0 14250 0 130 0 446458 0 0 0 JASON BECKWITH CFO 214273 0 0 0 50793 0 12281 0 130 0 277477 0 0 0 KARL L WIGGINS VICE PRESIDENT OF GA 153449 0 0 0 8975 0 1816 0 2960 0 167200 0 0 0 PAMELA NORDIN ADMINISTRATOR - LRH 147220 0 0 0 0 0 7882 0 7479 0 162581 0 0 0 RICHARD SHICK CHIEF INFORMATION OFFICER 138096 0 0 0 0 0 7147 0 8695 0 153938 0 0 0 FORM 990, PART V, LINE 2A: THE TOTAL NUMBER OF EMPLOYEES OF THE ORGANIZATION IS 28 WHICH IS CALCULATED AS FOLLOWS: TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 (645) LESS NUMBER OF EMPLOYEES PAID BY AFFILIATED ORGANIZATIONS (617). FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CFO & CONTROLLER PRIOR TO FILING. IN ADDITION, A COPY IS PROVIDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW ONE WEEK PRIOR TO THEIR MEETING WITH THE CEO & CFO. ONCE THE FINANCE COMMITTEE HAS APPROVED FORM 990, A COPY IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AT LEAST ONE WEEK PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING IS PERFORMED ON AN ONGOING BASIS AS WELL AS ANNUALLY WITH SIGNED CONFLICT OF INTEREST DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15 THE CEO REPORTS DIRECTLY TO THE BOARD OF DIRECTORS WHO APPOINT 4-5 MEMBERS TO SERVE ON A COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR PERFORMING THE CEO'S ANNUAL EVALUATION, ESTABLISHING GOALS AND SETTING THE CEO'S COMPENSATION INCLUDING FRINGE BENEFITS. THE COMPENSATION COMMITTEE MEETS AT LEAST 2 TIMES PER YEAR AND REPORTS TO THE FULL BOARD AT LEAST ANNUALLY, IN EXECUTIVE SESSION, WITHOUT THE CEO PRESENT. APPROXIMATELY EVERY THREE TO FIVE YEARS, THE COMPENSATION COMMITTEE ENGAGES A THIRD PARTY CONSULTANT TO PERFORM AN EXECUTIVE COMPENSATION STUDY. THE CONSULTANT'S STUDY INCORPORATES LIKE ORGANIZATIONS, INDUSTRY SPECIFIC SALARY SURVEYS, AVAILABLE 990 INFORMATION AND THE SCOPE OF RESPONSIBILITIES GIVEN THE HORIZONTALLY DIVERSE MAKEUP OF LUTHERANS SERVICES AND MULTIPLE CORPORATE STRUCTURE. THE STUDY PROVIDES GUIDELINES FOR BOTH SALARY AND FRINGE BENEFITS FOR THE COMMITTEE TO USE. THIS STUDY ALSO INCORPORATES OTHER KEY POSITIONS, WHICH ARE REVIEWED BY THE COMMITTEE. THE CEO IS RESPONSIBLE FOR PERFORMING THE OTHER KEY EMPLOYEE'S ANNUAL EVALUATION, ESTABLISHING GOALS AND SETTING COMPENSATION. THE CEO ALSO UTILIZES THE THIRD PARTY COMPENSATION STUDY IN ESTABLISHING COMPENSATION LEVELS FOR KEY EMPLOYEES. FROM TIME TO TIME, THE CEO INFORMS THE COMPENSATION COMMITTEE OF THESE INDIVIDUAL'S SALARY AND FRINGE BENEFITS. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION REPLIES TO REQUESTS ON AN AS REQUESTED BASIS, SUBJECT TO PRIVACY LAWS AND REGULATIONS. FORM 990, PART VII: KEVIN SAFF IS DIRECTOR OF LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP, INC., KARL WIGGINS IS VICE PRESIDENT OF GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES, INC., PAM NORDIN IS ADMINISTRATOR OF LUTHERAN RETIREMENT HOME AND KATHLEEN LYNCH IS ADMINISTRATOR OF HULTQUIST PLACE. ALL OF WHICH ARE SUBSIDIARY ORGANIZATIONS OF LUTHERAN SOCIAL SERVICES GROUP, INC. (LSS) WHICH ARE PART OF THE LSS CONSOLIDATED PAYROLL AND W-2S. FORM 990, PART XII, LINE 2C: NO CHANGES IN THE OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. LUTHERAN SOCIAL SERVICES FOUNDATION OF UPSTATE NEW YORK INC 715 FALCONER STREET JAMESTOWN NY 14701 311598005 FOUNDATION SUPPORT NY 501(C)(3) LINE 12C, III-FI 0 LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK INC 715 FALCONER STREET JAMESTOWN NY 14701 160765309 SKILLED NURSING NY 501(C)(3) LINE 10 1 GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES INC 715 FALCONER STREET JAMESTOWN NY 14701 311610580 RESIDENTIAL, FOSTER CARE & EDUCATION FOR AT-RISK YOUTH NY 501(C)(3) LINE 10 1 LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC 715 FALCONER STREET JAMESTOWN NY 14701 161548942 INDEPENDENT SENIOR HOUSING NY 501(C)(3) LINE 10 1 GRACE LUTHERAN RESIDENTIAL SERVICES INC 715 FALCONER STREET JAMESTOWN NY 14701 161554927 DEVELOPMENTAL DISABILITIES NY 501(C)(3) LINE 10 1 LUTHERAN HOUSING REALTY INC 715 FALCONER STREET JAMESTOWN NY 14701 201991970 ASSISTED LIVING NY 501(C)(3) LINE 10 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 LUTHERAN HOUSING REALTY INC D 2690774 BALANCE OUTSTANDING LUTHERAN HOUSING ADMINISTRATIVE SERVICES GROUP INC D 5860000 BALANCE OUTSTANDING LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK INC Q 983049 ACTUAL COST LUTHERAN HOUSING REALTY INC Q 297185 ACTUAL COST LUTHERAN HOUSING ADMINSITRATIVE SERVICES GROUP INC Q 94781 ACTUAL COST GRACE LUTHERAN RESIDENTIAL SERVICES INC Q 128138 ACTUAL COST GUSTAVUS ADOLPHUS CHILD AND FAMILY SERVICES INC Q 404300 ACTUAL COST