Annual Report 2025

PART ONE

2025HIGHLIGHTS

SENIOR SERVICES

LSC held a formal grand opening event for Trinity Village independent living in Hickory, N.C., in March. Located on the same campus as Trinity Village’s assisted living, skilled nursing, rehab, and memory care facilities, it offers 72 monthly rental apartments with no entrance fee. Trinity Village independent living expands the continuum of senior services while maintaining LSC’s commitment to quality at every level.

LSC’s skilled nursing facilities achieved outstanding quality results this year. Two communities — Trinity Village in Hickory, N.C., and Trinity Glen in Clemmons — earned deficiency-free survey ratings during this calendar year, a notable achievement in a highly regulated environment. Across all nine LSC nursing facilities, the average deficiency rate was 2, far better than the North Carolina average of 7 and the national average of 9.6. These results reflect teammates’ dedication and LSC’s strong organizational focus on quality, safety, and resident-centered care. Trinity Oaks assisted living and Trinity at Home, LSC’s licensed home care agency, also received deficiency-free survey ratings this year. LSC is proud of all of its communities’ and programs’ commitment to excellence throughout 2025.

LSC is committed to helping seniors remain healthy, independent, and at home. As part of this effort, LSC is a partner in several PACE programs across North Carolina; they showed steady enrollment and strong financial performance throughout the year. In December, LSC became an equal sponsor of PACE programs in Charlotte, Hickory, and Gastonia—now consolidated under the shared name of Senior TLC. PACE construction and expansion projects also moved ahead in 2025, preparing for future growth.

Trinity at Home is another example of LSC’s commitment to senior health and independence. Early in 2025, LSC expanded its home care offering to New Hanover County, based at Trinity Landing. Later in the year, services expanded to Catawba County, based

Pharmacy teammates Kaitlyn Smith and Rashida Price work with the automated packaging device that produces the Smart Pass pouches.

at Trinity Village.

Leading Care Pharmacy (formerly LSA Pharmacy) introduced new automation and medication distribution technology across nearly all LSC communities. Older systems were replaced with patient-specific medication packaging that integrates with LSC’s electronic medical records — improving safety, accuracy, and efficiency. The pharmacy also expanded its in-house infusion therapy services, strengthening operations and positioning itself for future growth.

CHILD AND FAMILY SERVICES

LSC teammates worked tirelessly in 2025 to help North and South Carolinians recover and rebuild from Hurricane Helene and other disasters, with support from many generous individual donors, congregations, and grantors. LSC’s Development Team secured over $3 million in grants and over $237,000 in individual gifts for disaster response and recovery. With this funding, LSC’s Disaster Services

team is providing direct support including rebuilding materials, essential supplies, and temporary housing assistance. It is also strengthening local disaster resilience through partnerships with community-based groups, including Voluntary Organizations Active in Disaster (VOADs) and Long-Term Recovery Groups (LTRGs).

LSC’s seven disaster case managers have assisted 286 individuals and families in 20 North Carolina and 15 South Carolina counties. Over 98 percent of households served are low-income.

LSC’s Foster Care program for Unaccompanied Children was almost closed due to federal funding issues, but it is now up and running again. It currently serves unaccompanied children ranging in age from 6 to 17. It is a treasure to watch them study subjects ranging from biology to U.S. history together in one classroom, with the support of LSC teammates.

CULTURE AND VALUES

LSC saw strong participation and encouraging results from its annual Teammate Engagement Survey in 2025. Nearly 79 percent of teammates participated, an increase from the previous year. More than half of respondents reported being engaged or highly engaged in their work, and LSC’s overall engagement score improved compared with 2024. Survey results are already guiding LSC’s planning and continuous improvement.

In 2025, LSC awarded scholarships totaling $22,340 to 10 teammates for educational programs that support their personal growth and LSC’s mission. More than half of the recipients are working toward nursing degrees or credentials, reflecting LSC’s continued investment in high-quality clinical care. Other scholarships support undergraduate studies in fields such as business, communication, and human services, as well as graduate and professional degrees in social work and law. The scholarship program continues to help teammates build skills, advance their careers, and strengthen LSC’s service to communities across the Carolinas. For the fourth year in a row, LSC earned two Candid Platinum Seals — one for Lutheran Family Services, and one for Lutheran Services for the Aging — the

highest level of transparency recognition available. The Platinum seals recognize nonprofits that go beyond basic reporting by providing data and metrics that demonstrate progress toward their goals. Each year, millions of people use Candid’s website to review nonprofit information before choosing where to give.

cover the necessary expenses to

PART TWO

• Rev. Dr. Leroy Cannon Columbia, SC

• Mrs. Elizabeth Derrick Salisbury, NC

• Rev. Mary Finklea Florence, SC

• Mr. Larry Gates Wilmington, NC

• Mr. Ted Goins, Jr. Salisbury, NC

• Ms. Sharon Graeber Greensboro, NC

LSC board of trustees

• Mrs. Tami Hefner Conover, NC

• Mr. Rick Herman Weaverville, NC

• Mrs. Susan Kullstam Huntersville, NC

• Dr. Joel Miller Hickory, NC

• Mr. Doug Nelson Tobaccoville, NC

• Mr. Zach Osborne Raleigh, NC

• Mrs. Virginia K. Aull White Rock, SC

• Mr. Wayne M. Bach Hickory, NC

• Dr. Jill S. Bates Apex, NC

• Ms. Loretta Beam Vale, NC

• Ms. Miji Bell Baltimore, MD

• Mrs. Terry Bellamy Asheville, NC

• Mrs. Sarah Benbow Cary, NC

• Mrs. Andrea T. Benfield Newton, NC

• Mr. Frederick H. Black Chapel Hill, NC

• Ms. Maggie Blackwell Salisbury, NC

• Mr. & Mrs. Larry L. Bowman Newton, NC

• The Rev. Jann Boyd & The Rev. Kevin Ogilvie Lexington, SC

• Mrs. Betty Brown Salisbury, NC

• Mr. & Mrs. Don Bumgarner Conover, NC

• Dr. Jim Chapman Columbia, SC

• Dr. Kay Conrad Winston-Salem, NC

• Mr. J. David Cooke Greenville, SC

• Mr. & Mrs. Richard Cosgrove, Jr. Richfield, NC

• Ms. Christine Crater Lexington, NC

• Rev. Dr. Shanitria Cuthbertson Charlotte, NC

• Mr. & Mrs. Luther W. Dasher Fort Mill, SC

• Mr. & Mrs. Tony Deely Mt. Pleasant, SC

• Mr. Damon Dequenne Winston-Salem, NC

• Rev. Dr. Alfredo Oviedo Hendersonville, NC

• Dr. Reneé Rogers Kernersville, NC

• Rev. Will Rose Chapel Hill, NC

• Dr. Eunika Simons Columbia, SC

• Dr. Nisha Singh Orangeburg, SC

• Dr. Avery Staley Mooresville, NC

LSC Board of Advisors

• The Rev. Dr. & Mrs. David A. Donges Columbia, SC

• Mr. Charles Downs Hudson, NC

• Mr. Donald Erickson Wilmington, NC

• Ms. Angela Fawver Irmo, SC

• Marycruz Figueroa & Andy Flack Greer, SC

• Dr. Sylvia Flack Winston Salem, NC

• Mr. John B. Fleming, Jr. Cary, NC

• Mr. Chris Fogarty Monroe, NC

• Mr. John Frye Wilmington, NC

• Dr. & Mrs. Robert K. Gaither Albemarle, NC

• Mrs. Tammi Gates Wilmington, NC

• The Rev. Jennifer M. Ginn Salisbury, NC

• Mr. Thomas L. Gipson Raleigh, NC

• Rev. & Mrs. James K. Glander Blythwood, SC

• Dr. David Goltra, Jr. Mt. Pleasant, SC

• Dr. Ellen Goode Raleigh, NC

• Mr. Cary Grant Durham, NC

• Mr. & Mrs. Robert E. Gresham, Jr. Salisbury, NC

• Mr. & Mrs. G. Parker Hatchett Salisbury, NC

• Mr. Josef Herz-Lane Apex, NC

• The Rev. Wolfgang Herz-Lane Apex, NC

• Mr. & Mrs. William Hillegass Salisbury, NC

• Mr. Perry Hood Salisbury, NC

• Dr. Gail Hounshell Salisbury, NC

• Mr. Eric Hoyle Winston-Salem, NC

• Mr. & Mrs. James Huddle Glen Allen, VA

• Mr. Greg Hudgins Durham, NC

• Mr. & Mrs. Alan W. Hunsberger Wilmington, NC

• Mrs. Betty Hussey Durham, NC

• Mr. White Iddings, Jr. Hickory, NC

• Mr. Bert E. Joines, Sr. Winston-Salem, NC

• The Rev. David R. Keck, Jr. Mooresville, NC

• Ms. Marsha Kinley Belmont, NC

• Mr. Robert O. Klepfer, Jr. Greensboro, NC

• Mrs. Kaye Leonard Salisbury, NC

• Mrs. Betty Lohr Hickory, NC

• Ms. Marie Magaletti Salisbury, NC

• Mr. & Mrs. Daniel Matangira Salisbury, NC

• Mr. & Mrs. Van Matthews Greenville, SC

• The Rev. Dr. James A. McDaniels Greensboro, NC

• Mr. Will McKaughan Rock Hill, SC

• Mrs. Loretta Meyers Wilmington, NC

• Mr. Geary Milliken Johns Island, SC

• The Rev. Dr. Jane P. Mitcham West Columbia, SC

• Mr. George A. Moretz Hickory, NC

• Mr. Robert A. Mullinax, Sr. Newton, NC

• Mr. Bill Mullinix, Jr. Kinston, NC

• Mrs. Barb Trapp-Moen Durham, NC

• Mr. David Turner Columbia, SC

• Mr. Brian Van Horn Mooresville, NC

• The Rev. Russell Myers, Jr. Albemarle, NC

• Mr. Hoang Nguyen Durham, NC

• Ms. Jill Nothstine Pittsboro, NC

• Ms. Mary Ponds Granite Quarry, NC

• Mrs. Beth B. Pottle Wilmington, NC

• Dr. David W. Potts Greenville, SC

• Mr. Jesse Ray Asheville, NC

• Mr. & Mrs. Edward E. Ruse III Raleigh, NC

• Rev. & Mrs. Robert Shoffner Hickory, NC

• Mr. & Mrs. Bill Sliney Rock Hill, SC

• The Rev. David A. Sloop Durham, NC

• Ms. Zandra H. Spencer Salisbury, NC

• Mr. & Mrs. Steve StanfieldSwitzer Wilmington, NC

• Mr. Jeff Stewart Durham, NC

• The Rev. Dr. Scott J. Suskovic Charlotte, NC

• Mr. & Mrs. Jay Swain Asheville, NC

• Mrs. Eloise Thomas Matthews, NC

• Mr. Eric Vaughn Raleigh, NC

• The Rev. Andrew Weisner Hickory, NC

• The Rev. Gregory B. Williams Hendersonville, NC

• Mr. & Mrs. Ray Wise Wilmington, NC

• Mrs. Anna Yonge Lexington, SC

• Mr. & Mrs. David Yount Charlotte, NC

In 2025, more than 2,500 Lutheran Services Carolinas teammates, along with 2,553 donors and 4,494 advocates, improved the lives of thousands of Carolinians

12,250

Individuals and families served by LSC’s child and family programs

Survivors of human trafficking got help to begin new lives 184

Generous donors 2,553 Legal refugees & immigrants served 4,411

4,494 Advocates spread the word about LSC

Youth participated in the Day Services for Youth Program in South Carolina. 505

C O R E V A L U E S

Combat wounded veterans received supportive services 6

563 Foster children served

Individuals served by LSC’s Foster to Adopt Program 89

Collaboration: Trust, enjoy, and cooperate to enrich your workplace.

Compassion: Recognize the hurt or unhappiness of others and act to change it.

Excellence: Any job worth doing is worth doing well. Strive for excellence.

Faith: Love, serve, and be joyful in your work. Support and forgive.

Integrity: Work honestly, seek help, admit failure.

6,185 People received resources through Trinity Recovery

591,280

Individuals served through LSC’s Disaster Services Program. 286

Residential service days provided to seniors

101

Adults thrived in LSC developmental, TBI & recovery homes

Justice: Create a just culture throughout the organization and in all the communities we serve

Respect: Recognize the gifts and worth of everyone

LSC Senior Services OPERATIONS STATEMENT

Revenue

Expense

Operating income

$192,324,963

$184,272,157

$8,052,806

Unrestricted contributions $815,658

Operating income with contributions . . . . $8,868,464

Other unrestricted changes .

$25,758,366

Total increase in unrestricted assets $34,626,830

Other restricted changes

Total increase to assets

NURSING HOME OCCUPANCY: 91.6%

Nursing Home Payor Mix:

• Medicaid: 49.7%

• Private pay: 30.4%

• Medicare: 7.8%

• Hospice: 4.4%

• Insurance: 7.7%

LSC

$780,790

$35,407,620

EXPENSES (both Senior Services and Child and Family)

• Program Services 85.9%

• Administration/Development/ Marketing 14.1%

LSC child and family OPERATIONS STATEMENT

$36,727,469

$37,990,204

Operating income

Unrestricted contributions

($1,262,735)

$851,443

Operating income with contributions ($411,292)

Other unrestricted changes

Total increase in unrestricted assets

$432,337

$21,045

Other restricted changes $1,079,286

Total increase in net assets

PROGRAMS BY STATE

• South Carolina | 55.8% • North Carolina | 44.2%

$1,100,331

2025 FINANCIAL STATEMENT

Senior Services – Lutheran Services for the Aging (LSA) ended the fiscal year with an Operating Income of $8,052,806, which was well above budgeted expectations of $5,856,008.

Nursing occupancy ended up at 91.6% for the fiscal year, and assisted living occupancy was at 87.0%; both were slightly under budgeted for the year but closer to historic expectations after coming out of COVID. Despite being under budget on occupancy, the nursing and assisted living communities had strong reimbursement rates and ancillary revenue sources such as therapy services that allowed LSC to exceed revenue expectations. This, combined with a focus on expense control allowed for a nursing and assisted living Operating Income of $4.3 million.

Independent living continued to outperform financial expectations. The area finished the year with an occupancy rate of 95.2%, which is just above the 94.4% budget. That translated into an operating income of $5.3 million, which is a favorable variance to budget of $2.1 million.

There were several new ventures during the last fiscal year. In Hickory, NC, LSA’s newest 72-apartment independent living community Trinity Village IL opened mid-December 2024. The community will be in fill-up mode throughout the coming fiscal year 2026. LSA also began a joint venture with Neil Medical Group to create a new pharmacy partnership, Leading Care Pharmacy LLC. The goal is more streamlined operations and competitive pricing to enable the partnership to expand beyond just servicing LSA members. LSA has also shown steady progress in its partnership with Liberty Institutional Special Needs Plan (ISNP) throughout 2025. Enrollment across facilities reached 172 members in October, approaching the goal of 200 enrollees at eight locations by January 2026. The plan’s focus is on care coordination and cost containment. And finally, Trinity at Home, which has provided home care services at Trinity Oaks and the surrounding community in Salisbury, expanded to both Hickory and Wilmington, supporting senior residents with personalized care and outreach.

LSA continues to look to add additional services in other areas where LSA is considered a provider of choice.

Child & Family Services – Lutheran Family Services in the Carolinas (LFS) navigated multiple programmatic issues during the year, ending with an operating loss of ($1,262,735). Thankfully, with donations and investment income, there was a slight increase in unrestricted net assets of $21,045.

One of the main factors affecting programming was in the New Americans Program (NAP) due to the change in administration. The cornerstone program area of refugee resettlement effectively closed, and unfortunately, team members associated with that area had to be reassigned to other program areas or, in some cases, laid off. Certain NAP support contracts with North Carolina and South Carolina still remained intact during the year and, hopefully, will continue into the new fiscal year.

LFS’s largest service line, foster care services, had a strong financial year that was well above budgeted expectations. Dedicated foster parents and caseworkers served 563 children, and the Foster Care for Unaccompanied Children program helped 32 children as they awaited reunification with their families or guardians.

LSC’s disaster services served 286 individuals with the help of partners. Towards the fiscal year end, a Lutheran Disaster Relief (LDR) grant of $741,000 was received for future work in the western part of North Carolina next fiscal year. Moreover, approximately $525,000 has been received from the American Red Cross for relief efforts in South Carolina.

Despite fiscal year 2025 being a difficult year, LSC is well-positioned to meet the changing programmatic needs for the coming fiscal year.

Connections that create impact

In Fiscal Year 2025, giving to Lutheran Services Carolinas reflected the deep connections that carry our mission forward. Individuals, congregations, foundations, and businesses continued their generous support, and many donors broadened their impact by contributing non-cash gifts in addition to traditional giving. Together, these connections transformed generosity into lasting support for the people and communities LSC serves.

Legacy Corner

In Fiscal Year 2025, 18 planned gifts — many created years ago — made a meaningful impact at LSC today.

Gifts in Kind

Turning connections into care: Nearly 13% of all giving to LSC comes through gifts in kind, demonstrating how donated goods and services create real, mission-advancing impact every day.

“We hope you’re inspired by the meaningful work shared in this report. As we look to 2026, your gift — whether renewed or given for the first time — helps LSC write the next chapter of service, expanding our impact and connecting with more people in need.”

We hope you’re inspired by the meaningful work shared in this report. As we look to 2026, your gift — whether renewed or given for the first time — helps LSC write the next chapter of service, expanding our impact and connecting with more people in need.

For more information, reach out to the LSC Development Team at donate@lscarolinas.net