Lutheran Services Carolinas represents the coming together of two long-standing health and human service organizations, Lutheran Services for the Aging (LSA), founded in 1960 to serve North Carolina seniors, and Lutheran Family Services in the Carolinas (LFS), founded in 1976 to serve vulnerable populations through foster care, adoption, veterans, refugee, and mental health services; help those at risk of homelessness; provide disaster related services; and also provide residential care and services for people with varying degrees of disability. The two organizations affiliated in 2011 and adopted the name Lutheran Services Carolinas in 2012.

The introduction of that new name also included new names for some of the older senior service programs, once known as “Lutheran Homes,” which now operate as “Trinity” senior living and/or senior care communities.