Established in 1881, the Lutheran Social Services is a social service firm operated by the Evangelical Lutheran Church in America. The organization offers a variety of children's services, such as adoption, foster care and residential treatment. With a presence in Canyon Lake, Texas, it provides adult day and nursing care and assisted and independent living services for senior citizens. The Lutheran Social Services offers emergency assistance and health screening and monitoring services individuals living under the line of poverty. The organization additionally provides disaster response and spiritual care services. It operates several children's residential treatment and health care and retirement centers. The Lutheran Social Services health care centers include pharmacies, laboratories and x-ray facilities.