2019-08-26T09:04:28-05:00 2018-12-31 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2018-01-01 522095427 GREENSPRING VILLAGE INC GREE 7039234600 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 BARBARA BISGAIER DIRECTOR 7039234600 2019-08-16 1 JULIA FLANNERY CPA P00928918 4102469301 66.98.98.130 2019-08-16 14:33:34 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 4EE6A31F760B3C5EA0809148B0E883CC4242B14C 2018 2020-03-31 21:24:44Z JACKSON BAIN 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 91042743 0 X WWW.NATIONALSENIORCAMPUSES.ORG X 1997 MD PROVIDE A HOME FOR SENIORS THAT SATISFIES THEIR THREE PRIMARY NEEDS. 16 11 1364 539 0 0 1279792 727367 86830569 89737895 244211 41247 469154 391178 88823726 90897687 321406 342195 0 0 42757212 45351432 0 0 245996 49914007 50873339 92992625 96566966 -4168899 -5669279 548560523 534154648 526003172 524856745 22557351 9297903 X OUR MISSION IS TO PROMOTE AN ACTIVE AND ENGAGED QUALITY OF LIFE FOR SENIORS AND TO ACHIEVE EXCELLENCE IN SERVICES AND PROGRAMS WITH UNMATCHED VALUE FOR OUR PRESENT AND FUTURE RESIDENTS. WE WORK TO MAINTAIN AFFORDABILITY AND LIFELONG COMMITMENT FOR MIDDLE INCOME SENIORS WHILE ENSURING THE LONG-TERM FINANCIAL STABILITY OF THE COMMUNITY. 0 0 82623278 342195 89737895 GREENSPRING VILLAGE PROVIDES SERVICES NEEDED BY SENIOR RESIDENTS, WHO RESIDE IN 1,399 INDEPENDENT LIVING UNITS, 100 ASSISTED LIVING UNITS, 136 SKILLED NURSING BEDS AND 44 MEMORY CARE UNITS. THE SERVICES WE PROVIDE TO OUR RESIDENTS INCLUDE, BUT ARE NOT LIMITED TO HOUSING, FOOD, MEDICAL, SECURITY AND MAINTENANCE SERVICES, RECREATIONAL AND PASTORAL ACTIVITIES. 82623278 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 92 0 1 1364 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 11 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X X MONIKA GAJDA 4104022311 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 X JIM ANDERS DIRECTOR 0.20 16.00 X X 2500 98907 0 JACKSON BAIN CHAIR/PRESIDENT (BEG 4/1/18) 0.00 10.00 X X 1875 91250 0 JIM HAYES VICE CHAIR (BEG 4/1/18) 0.20 10.00 X X 0 88125 0 GROVER WRENN VICE CHAIR (BEG 4/1/18) 0.00 15.00 X X 0 104063 0 MICHELLE BOHREER SECRETARY (BEG 4/1/18) 0.40 18.00 X X 0 114844 0 EILEEN ERSTAD TREASURER 0.20 29.00 X X 1875 114219 0 BARBARA BISGAIER DIRECTOR (BEG 4/1/18) 0.20 8.00 X 0 94688 0 BRUCE BEARDSLEY DIRECTOR (BEG 4/1/18) 0.30 8.50 X 0 58125 0 MARY COLINS DIRECTOR (BEG 4/1/18) 0.10 7.50 X 0 68125 0 FRED HAAS DIRECTOR (BEG 4/1/18) 0.20 9.00 X 0 74688 0 ZINA JACQUE DIRECTOR (BEG 4/1/18) 0.00 10.00 X 0 78750 0 CAROLYN MARKEY DIRECTOR (BEG 4/1/18) 0.20 11.00 X 0 70000 0 WILLOW PASLEY DIRECTOR (BEG 4/1/18) 0.40 13.00 X 0 87813 0 STEPHANIE REEL DIRECTOR 0.10 6.50 X 1875 56875 0 ARNIE SPEERT DIRECTOR (BEG 4/1/18) 0.30 10.50 X 0 73125 0 ROY O'CONNOR DIRECTOR 5.30 1.00 X 2500 16250 0 DAVE BURK DIRECTOR (THRU 3/31/18) 0.10 0.30 X 1875 12500 0 CAROLYN JACOBS DIRECTOR (THRU 3/31/18) 0.10 0.30 X 1875 16250 0 BETTY PRICE DIRECTOR (THRU 3/31/18) 0.40 1.20 X 0 0 0 JOANNE RORAPAUGH DIRECTOR (THRU 3/31/18) 0.20 0.60 X 1875 5625 0 JOHN HALL ASSISTANT TREASURER 0.50 7.50 X 0 0 0 CHRIS RATHMANN ASSISTANT TREASURER 0.50 7.50 X 0 0 0 JAMES WALTER ASSISTANT TREASURER 0.50 7.50 X 0 0 0 CHANDRA KUMAR EXECUTIVE DIRECTOR 40.00 X 201055 0 23265 RONALD TAYLOR DIR OF FINANCE (THRU 8/24/18) 40.00 X 104196 0 14815 CODY BURNS DIR OF FINANCE (BEG 8/26/18) 40.00 X 33267 0 2499 SHEILA WILLING SALES COUNSELOR 40.00 X 129864 0 19504 KAREN HALL ASST ADMINISTRATOR EX CARE 40.00 X 126185 0 11078 KIMBERLY NELSON DIRECTOR PHILANTHROPY 40.00 X 121430 0 22668 SCOTT SULLIVAN SR FACILITIES MGR 40.00 X 116954 0 17438 ANNA GREVES PERSONAL MOVING CONSULTANT 40.00 X 116031 0 12739 965232 1324222 124006 23 0 1 0 HARVEY-CLEARY BUILDERS 6710A ROCKLEDGE DR 430 BETHESDA MD 20817 BUILDER 17127998 ERICKSON LIVING MANAGEMENT 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 MANAGEMENT - SEE SCH. O 10584456 POSITIVE GENERAL CONTRACTORS INC 2277 BEL PRE ROAD STE 200 SILVER SPRING MD 20906 CONTRACTOR 4279776 CYPRESS CONTRACTING LLC 23465 ROCK HAVEN WAY 130 STERLING VA 20166 CONSTRUCTION CONTRACTOR 3984707 POTOMAC RIVER MECHANICAL 5706 GENERAL WASHINGTON DR SUITE ALEXANDRIA VA 22312 CONTRACTOR 2294363 28 335266 392101 727367 RESIDENT FEES 623311 77177546 77177546 ANCILLARY FEES 623311 11857578 11857578 RESIDENT DEPOSITS 623311 657755 657755 PROCESSING FEES 623311 45016 45016 89737895 173553 173553 388928 0 388928 388928 388928 132306 -132306 -132306 -132306 15000 335266 12750 2250 2250 90897687 89737895 0 432425 7270 7270 334925 334925 395347 395347 36251398 31125737 4960490 165171 671110 493977 173330 3803 5315049 4338508 954737 21804 2718528 2300480 405864 12184 3834888 3834888 86654 86654 75847 75847 10216 10216 7286563 2177532 5108531 500 2199105 2199105 7717636 7018828 689145 9663 5108783 5108570 213 138579 82269 54587 1723 1363121 1363121 18989118 18989118 585900 585900 EQUIPMENT RENTAL 2445364 2408134 37230 RESIDENT RELATIONS 1010000 233351 745501 31148 AMORTIZATION 21565 21565 96566966 82623278 13697692 245996 1325 1325 14068514 20965779 5009405 3898483 10991653 9520844 116702 119990 44671 225487 522956368 181065042 331263556 341891326 726166 853983 186338531 156677431 548560523 534154648 13815342 7404365 47535672 45857237 1653750 1804850 462998408 469790293 526003172 524856745 X 19318322 6247430 2675258 0 563771 3050473 22557351 9297903 548560523 534154648 X -5669279 29696 -7619865 X 0 1 X 1 0 X 1445037 840935 1053777 1279792 727367 5346908 84839600 86880692 88795636 86840569 89752895 437109392 86284637 87721627 89849413 88120361 90480262 442456300 100000 100000 100000 100000 100000 500000 0 100000 100000 100000 100000 100000 500000 441956300 691722 705764 754185 702365 562481 3416517 691722 705764 754185 702365 562481 3416517 86976359 88427391 90603598 88822726 91042743 445872817 0.99120 0.99070 0.00770 0.00820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 21203114 21203114 437634057 162389242 275244815 21397221 17118322 4278899 42721976 1557478 41164498 341891326 BENEFICIAL INTEREST IN COMERICA LEGACY FOUNDATION 89373 F BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I 151012012 F FIXED INCOME SECURITIES 5576046 F 156677431 RESIDENT DEPOSITS (NET) 459277669 RESIDENT REFUNDS 8551853 FUNDS HELD FOR RESIDENTS 575197 CLAIMS RESERVE 987169 ACCRUED LIABILITY ON SWAP AGREEMENTS 137569 UNCLAIMED PROPERTY 9849 MARKETING FEE DEFERRED 59243 DEFERRED MANAGEMENT FEE 191744 469790293 X 84038641 29696 -7000758 -6971062 91009703 -112016 -112016 90897687 97298089 1129372 1129372 96168717 398249 398249 96566966 PART IV, LINE 2B: PROSPECTIVE RESIDENTS ARE REQUIRED TO MAKE CERTAIN INSTALLMENT PAYMENTS PRIOR TO THE FINAL SETTLEMENT OF THE GIVEN UNIT. THOSE ADVANCE DEPOSITS ARE REPORTED ON FORM 990, PART X, LINE 21. PART X, LINE 2: GREENSPRING VILLAGE, INC. ("GSV") IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE APPLICABLE STATE INCOME TAX REGULATIONS. MANAGEMENT HAS EVALUATED GSV'S TAX POSITIONS AND HAS CONCLUDED THAT GSV HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT TO NET ASSETS WITH DONOR RESTRICTIONS 1,004,606. SPECIAL FUNDRAISING EVENT EXPENSE NETTED WITH REVENUE ON FORM 990 12,750. CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST -8,018,114. PART XI, LINE 4B - OTHER ADJUSTMENTS: REALIZED LOSS ON INTEREST SWAP -112,016. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL FUNDRAISING EVENT EXPENSE NETTED WITH REVENUE ON FORM 990 12,750. ADJUSTMENT TO NET ASSETS WITH DONOR RESTRICTIONS 1,004,606. REALIZED LOSS ON INTEREST SWAP 112,016. PART XII, LINE 4B - OTHER ADJUSTMENTS: UNREALIZED GAIN ON SWAP AGREEMENTS 398,249. ANNUAL GALA 350266 335266 15000 12750 350266 335266 15000 12750 12750 2250 1 EDUCATIONAL SCHOLARSHIPS - SEE PART IV 148 334925 SCHEDULE I, PART I, LINE 2 SCHOLAR CANDIDATES MUST BE CURRENTLY EMPLOYED YEAR-ROUND AT GREENSPRING VILLAGE. ONLY MEDICAL LEAVES OF ABSENCE ARE ALLOWABLE DURING THE TWO YEARS. OTHER REQUESTS FOR A LEAVE OF ABSENCE WILL BE REVIEWED AND DETERMINED CASE BY CASE. A SCHOLAR CANDIDATE MUST HAVE BEEN EMPLOYED BY GREENSPRING VILLAGE ON OR BEFORE SEPTEMBER 30, OF THE START OF THEIR JUNIOR YEAR IN HIGH SCHOOL. THE CANDIDATE MUST ALSO ACHIEVE 1,000 HOURS OF WORK DURING A TIME SPAN THAT BEGINS NO EARLIER THAN JUNE 1, OF THEIR JUNIOR YEAR OF HIGH SCHOOL (300 OF 1,000 HOURS MUST BE COMPLETED BY THE END OF THEIR JUNIOR YEAR OF HIGH SCHOOL TO QUALIFY). ANY HOURS WORKED PRIOR TO JUNE 1, OF THE START OF THEIR JUNIOR YEAR DO NOT COUNT TOWARDS THE 1,000 HOURS REQUIREMENT. CANDIDATES MUST ACHIEVE THE 1,000 HOUR REQUIREMENT AS WELL AS FULFILL THE TWO-YEAR MINIMUM EMPLOYMENT REQUIREMENT. CANDIDATES MUST BE IN "GOOD STANDING" FROM THEIR ORIGINAL DATE OF HIRE THROUGH THEIR LAST DAY OF WORK. TO MAINTAIN "GOOD STANDING," SCHOLAR CANDIDATES, AS EMPLOYEES, MUST ABIDE BY ALL EMPLOYMENT POLICIES AND PROCEDURES, TO INCLUDE GIVING TWO WEEKS NOTICE TO THEIR SUPERVISOR WHEN TERMINATING EMPLOYMENT. SCHOLAR CANDIDATES MUST COMPLETE EACH STEP AS OUTLINED IN THE PROGRAM DESCRIPTION BY THE RESPECTIVE DUE DATE. FURTHERMORE, CANDIDATES MUST TURN IN PROOF OF FULL-TIME STATUS WITHIN THE DATES SPECIFIED IN THE PROGRAM DESCRIPTION FOR EACH SPRING AND FALL SEMESTER THEY ATTEND SCHOOL. FAILURE TO DO SO WILL DISQUALIFY THE SCHOLAR THAT SEMESTER AND WILL COUNT TOWARDS ONE OF THE TWO ALLOWABLE SEMESTER LAPSES. CANDIDATES SHOULD INTEND TO GO TO COLLEGE OR TRADE SCHOOL AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST ATTEND SCHOOL FULL-TIME (12 CREDIT HOURS EACH SEMESTER) AFTER HIGH SCHOOL. SCHOLAR CANDIDATES MUST BE ACCEPTED AND/OR REGISTERED IN THE FALL OF 2018 AT A TRADE SCHOOL, COLLEGE, OR UNIVERSITY TO BENEFIT. (IN EXCEPTIONAL CASES, A SCHOLAR CANDIDATE MAY ARRANGE TO START SCHOOL UP TO TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM, BUT THEY MUST MAKE ARRANGEMENTS WITH THE RESIDENT LIFE DEPARTMENT. THESE TWO SEMESTERS WILL COUNT AS THE TWO ALLOCABLE SEMESTER LAPSES.) SCHOLARS WHO LAPSE FROM THE PROGRAM FOR MORE THAN A TOTAL OF TWO SEMESTERS AFTER BEING INDUCTED INTO THE PROGRAM ARE NO LONGER ELIGIBLE TO RECEIVE THE AWARD. X X X 0 0 0 0 0 0 0 0 0 CHANDRA KUMAR EXECUTIVE DIRECTOR 163089 0 36317 0 1649 0 0 0 23265 0 224320 0 0 0 SCHEDULE J: THE INDIVIDUAL LISTED IN SCHEDULE J, PART II IS AN EMPLOYEE OF ERICKSON LIVING MANAGEMENT ("ELM"), AN UNRELATED ORGANIZATION TO GREENSPRING VILLAGE, INC., IN ACCORDANCE WITH THE MANAGEMENT AGREEMENT BETWEEN GREENSPRING VILLAGE, INC. AND ELM. SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 3. THEREFORE, FOR IRS MATCHING PURPOSES, ELM IS THE ISSUER OF THE FORM W-2. UNDER THE MANAGEMENT AGREEMENT, GREENSPRING VILLAGE, INC. REIMBURSES ELM FOR THE COST OF SERVICES PERFORMED FOR GREENSPRING VILLAGE, INC. A FAIRFAX COUNTY ECONOMIC DEVELOPMENT AUTHORITY 540787833 2014-10-08 25630000 REFUND PRIOR ISSUE (ORIGINAL ISSUE WAS PRE 2003) 0 0 0 B FAIRFAX COUNTY ECONOMIC DEVELOPMENT AUTHORITY 540787833 2016-10-27 25540000 REFUND PRIOR ISSUE (ORIGINAL ISSUE WAS PRE 2003) 0 0 0 A 3135000 25630000 25630000 1999 1 0 1 1 B 1820000 25540000 247214 25292786 1999 1 0 1 1 A 0 1 0 0 1 1 SUN TRUST BANK 15.000000000000 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 PART II, LINE 11, COLUMN A & B: PROCEEDS SPENT REFUNDING PRIOR ISSUES PART IV, LINE 2 (C) COLUMN A: REBATE COMPUTATION IS NOT DUE YET. FORM 990, PART VI, SECTION A, LINE 1 UNDER THE BYLAWS OF THE ORGANIZATION, THE BOARD HAS DELEGATED AUTHORITY TO AN EXECUTIVE COMMITTEE COMPRISED OF THE ORGANIZATION'S CHAIRMAN, PRESIDENT, SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE ORGANIZATION EXCEPT FOR THOSE ACTIONS RESERVED SOLELY TO THE MEMBER OR THE DIRECTORS UNDER THE GENERAL LAWS OF THE STATE OF MARYLAND. FORM 990, PART VI, SECTION A, LINE 3 GREENSPRING VILLAGE, INC. ENTERED INTO AN AMENDMENT TO THE EXISTING AMENDED & RESTATED MANAGEMENT AGREEMENT ALREADY IN EFFECT WITH ERICKSON LIVING MANAGEMENT, LLC ("ELM"). THE AMENDMENT WAS EFFECTIVE AS OF MARCH 22, 2018 AND MADE CHANGES TO CERTAIN DEFINED TERMS IN THE AGREEMENT. ELM IS A MARYLAND LIMITED LIABILITY COMPANY WHICH MANAGES LARGE SCALE CONTINUING CARE RETIREMENT COMMUNITIES. THE MANAGEMENT AGREEMENT COMPLIES WITH REV. PROC. 2017-13. THE FOLLOWING OFFICERS ARE LISTED IN PART VII, AS NON-COMPENSATED OFFICERS OF THE FILING ORGANIZATION, JOHN HALL, JAMES WALTER, AND CHRIS RATHMANN. THEIR DUTIES ARE CONSIDERED PERFORMED PRO BONO. CHANDRA KUMAR, EXECUTIVE DIRECTOR, RONALD TAYLOR, DIRECTOR OF FINANCE (THRU 8/24/18) AND CODY BURNS, DIRECTOR OF FINANCE (BEG 8/26/18), ARE LEASED EMPLOYEES FROM THE MANAGEMENT COMPANY. THE FILING ORGANIZATION REIMBURSES THE MANAGEMENT COMPANY FOR THEIR COMPENSATION WHICH IS REPORTED ON FORM 990, PART VII, SECTION A. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO PROVIDE FOR A 16 MEMBER BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 GREENSPRING VILLAGE, INC.'S SOLE MEMBER IS NATIONAL SENIOR CAMPUSES, INC. ("NSC"). NSC IS A MARYLAND NON-STOCK CORPORATION. NSC IS A "SUPPORTING ORGANIZATION" WITH RESPECT TO GREENSPRING VILLAGE, AS WELL AS CERTAIN OTHER ORGANIZATIONS SPECIFIED IN ITS GOVERNING DOCUMENTS. AS REQUIRED BY THE REGULATIONS RELATING TO "SUPPORTING ORGANIZATIONS," CERTAIN MEMBERS OF THE BOARD OF DIRECTORS OF NSC WILL ALSO BE MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS MAY NOMINATE A SLATE OF CANDIDATES FOR CONSIDERATION BY THE MEMBER, BUT THE MEMBER HAS SOLE DISCRETION TO ELECT DIRECTORS WHETHER OR NOT NOMINATED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN EXTRAORDINARY ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER UNDER APPLICABLE STATE LAW. UNDER THE ORGANIZATION'S BYLAWS, CERTAIN GOVERNANCE DECISIONS ARE MADE BY THE BOARD WITH THE CONSENT OF THE MEMBER AS SHARED POWERS AND CERTAIN GOVERNANCE DECISIONS ARE RESERVED TO THE MEMBER. SHARED POWERS INCLUDE AMENDMENTS TO ANY OF THE COMMUNITY DOCUMENTS (EXCEPT WHERE IT INVOLVES A RESERVED POWER), APPROVAL OF ALL CONTRACTS WITH OR PAYMENTS TO THE MEMBER OR OTHER RELATED ENTITIES (OTHER THAN GOVERNANCE COSTS OF THE MEMBER), AUTHORIZING THE FILING OF ANY BANKRUPTCY, CHANGES TO SHARED POWERS, A SIGNIFICANT EXPANSION OR NEW LINE OF BUSINESS JUST INVOLVING THE ORGANIZATION, AND SELECTION OF THE MANAGEMENT COMPANY. RESERVED POWERS OF THE MEMBER INCLUDE: APPROVAL OF POLICIES AFFECTING MORE THAN ONE COMMUNITY; SPONSORSHIP OF A NEW COMMUNITY; PAYMENT OF REASONABLE AMOUNTS TO COVER THE MEMBER'S OPERATING COSTS; THE EXECUTION OF JOINT PURCHASE CONTRACTS OR SIMILAR AGREEMENTS ALONG WITH AFFILIATE(S); THE DISPOSITION OR PLEDGE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS (OTHER THAN A PLEDGE IN CONNECTION WITH AN ASSET OR FINANCING TRANSACTION); COMPENSATION OF OFFICERS, DIRECTORS AND ADVISORY COMMITTEE MEMBERS; AND APPROVAL OF CONTRACTS, AMENDMENTS, ETC. AFFECTING THE ORGANIZATION AND ONE OR MORE RELATED ENTITIES OR THE RESIDENTS OF THEIR COMMUNITIES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD APPOINTS A COMMITTEE FROM AMONG ITS DIRECTORS AS WELL AS THE DIRECTORS FROM ONE OR MORE RELATED ENTITIES TO OVERSEE THE PREPARATION OF FORM 990. THE BOARD CHAIR HAS THE RESPONSIBILITY TO REVIEW FORM 990 PRIOR TO ITS FILING OR TO DESIGNATE ANOTHER BOARD MEMBER TO REVIEW THE FORM. THE FULL BOARD IS GIVEN THE OPPORTUNITY TO REVIEW THE FINAL VERSION OF FORM 990 BEFORE IT IS FILED AND ASK QUESTIONS OF THE COMMITTEE OR THE REVIEWER REGARDING THE FORM. THE BOARD CHAIR DESIGNATES AN OFFICER TO SIGN FORM 990. FORM 990, PART VI, SECTION B, LINE 12C GREENSPRING VILLAGE, INC.'S CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, EMPLOYEES AND VOLUNTEERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER GREENSPRING VILLAGE, INC.'S AFFAIRS, COMMITTEE MEMBERS, PROSPECTIVE DIRECTORS, AND SENIOR STAFF PROVIDING SERVICES TO THE ORGANIZATION UNDER A MANAGEMENT AGREEMENT. EACH COVERED PERSON COMPLETES A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY AND AS POTENTIAL CONFLICTS ARISE DURING THE YEAR. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR. IF THE CONFLICT INVOLVES A COVERED EMPLOYEE, THE CHAIR DETERMINES WHETHER A CONFLICT EXISTS AND, IF SO, HOW IT IS TO BE HANDLED, OR THE CHAIR MAY REFER THE MATTER TO THE BOARD OF DIRECTORS FOR CONSIDERATION. FOR ALL OTHER CONFLICTS, THE BOARD OF DIRECTORS OR A COMMITTEE OF DISINTERESTED DIRECTORS WILL DETERMINE WHETHER A CONFLICT ACTUALLY EXISTS. A COVERED PERSON MAY NOT PARTICIPATE IN ANY DISCUSSION OR DEBATE BY THE BOARD BUT MAY ANSWER QUESTIONS OR PROVIDE CLARIFYING INFORMATION UNLESS ANY BOARD MEMBER OBJECTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS APPROVED A DIRECTORS' COMPENSATION POLICY WHICH ESTABLISHES THE PROCESS BY WHICH ALL DIRECTOR COMPENSATION IS DETERMINED. OFFICERS SERVE WITHOUT COMPENSATION. A REVIEW OF THE DIRECTORS' COMPENSATION IS CONDUCTED EACH FISCAL YEAR. COMPENSATION IS APPROACHED ON AN OVERALL BASIS AND THE TOTAL VALUE OF ALL FORMS OF COMPENSATION IS ESTABLISHED AND MONITORED. AN INDEPENDENT COMPENSATION CONSULTANT IS PERIODICALLY RETAINED TO PERFORM AN ANALYSIS OF GREENSPRING VILLAGE, INC.'S COMPENSATION USING COMPARABLES OF BOTH FOR-PROFIT AND NON-PROFIT PEERS. A COMMITTEE OF THE NSC BOARD REVIEWS THE CONSULTANT'S REPORT AND MAKES A RECOMMENDATION TO THE ORGANIZATION AS TO APPROPRIATE COMPENSATION OF DIRECTORS. THE COMMITTEE OF THE NSC BOARD HAS ACCESS TO THE CONSULTANT'S REPORT AND AN OPPORTUNITY TO QUESTION THE CONSULTANT ABOUT THE PROCESS, METRICS, AND COMPARABLES THAT WERE USED IN DETERMINING THE RECOMMENDED COMPENSATION. THE BOARD THEN VOTES ON THE COMPENSATION RECOMMENDATIONS AND A CONTEMPORANEOUS RECORD IS MADE OF THE MEETING AND THE VOTE. NSC COMMISSIONED A COMPENSATION STUDY IN 2017. IT WAS APPROVED BY NSC IN 2017 FOR IMPLEMENTATION APRIL 1, 2018. IT WAS APPROVED BY NSC ACTING AS THE SOLE MEMBER OF THE COMMUNITY ON MARCH 22, 2018. THERE IS A COMPREHENSIVE COMPENSATION REVIEW PERFORMED ANNUALLY FOR THE EXECUTIVE DIRECTOR AND OTHER KEY MANAGEMENT PERSONNEL. THE COMPENSATION IS REVIEWED, DOCUMENTED, AND APPROVED BY THE BOARD DURING THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE EXECUTIVE DIRECTOR'S OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VII, SECTION B: THE AMOUNT INCLUDED IN COLUMN (C) FOR ERICKSON LIVING MANAGEMENT IS FOR PAYMENTS MADE FOR MANAGEMENT SERVICES AND THE DIRECT AND SHARED COSTS ALLOCATED TO THE COMMUNITY. DIRECT AND SHARED COSTS INCLUDE SALARIES AND BENEFITS FOR MANAGEMENT PERSONNEL, AND THE USE OF SERVICES SUCH AS FINANCE, LEGAL, HUMAN RESOURCES, INFORMATION SERVICES, AND OPERATIONS. FORM 990, PART VII, SECTION A: THE COMPENSATION INCLUDED IN COLUMNS D AND E FOR THE BOARD DIRECTORS IS FOR SERVICES PERFORMED FOR THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS INCLUDED ON SCHEDULE R, PART II. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NATIONAL CCRC BUSINESS TRUST I -8,018,114. UNREALIZED GAIN ON SWAP AGREEMENTS 398,249. ASHBY PONDS INC 21170 ASHBY PONDS BLVD ASHBURN VA 20147 205609803 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 BROOKSBY VILLAGE INC 100 BROOKSBY VILLAGE DRIVE PEABODY MA 01960 522126755 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 CEDAR CREST VILLAGE INC 1 CEDAR CREST VILLAGE DRIVE POMPTON PLAINS NJ 07444 522184915 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 EAGLE'S TRACE INC 14703 EAGLE VISTA DRIVE HOUSTON TX 77077 030498683 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 FOX RUN VILLAGE INC 41000 13 MILE ROAD NOVI MI 48377 522291271 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 ANN'S CHOICE INC 10000 ANNS CHOICE WAY WARMINSTER PA 18974 522095427 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 HIGHLAND SPRINGS INC 8000 FRANKFORD ROAD DALLAS TX 75252 510536892 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 LINDEN PONDS INC 300 LINDEN PONDS WAY HINGHAM MA 02043 141849849 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 MARIS GROVE INC 100 MARIS GROVE WAY GLEN MILLS PA 19342 550878964 CONTINUING CARE RETIREMENT COMMUNITY PA 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 NATIONAL SENIOR CAMPUSES INC 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 204356247 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI N/A 0 NATIONAL SENIOR CAMPUSES FOUNDATION INC 7440 SPRING VILLAGE DRIVE SPRINGFIELD VA 22150 030611973 SUPPORTING ORGANIZATION MD 501(C)(3) LINE 12C, III-FI N/A 0 OAK CREST VILLAGE INC 8800 WALTHER BOULEVARD PARKVILLE MD 21234 521874053 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 RIDERWOOD VILLAGE INC 3110 GRACEFIELD ROAD SILVER SPRING MD 20904 522126753 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 SEABROOK VILLAGE INC 3000 ESSEX ROAD TINTON FALLS NJ 07753 522126751 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 TALLGRASS CREEK INC 13800 METCALF AVENUE OVERLAND PARK KS 66223 870765641 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 WIND CREST INC 3235 MILL VISTA ROAD HIGHLANDS RANCH CO 80129 510549976 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 LANTERN HILL INC 535 MOUNTAIN AVENUE NEW PROVIDENCE NJ 07974 371742780 CONTINUING CARE RETIREMENT COMMUNITY MD 501(C)(3) LINE 10 NATIONAL SENIOR CAMPUSES INC 0 NATIONAL CCRC BUSINESS TRUST I 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 266455718 CHARITABLE BUSINESS TRUST MD NATIONAL SENIOR CAMPUSES INC EXCLUDED -8037643 153066493 0 0 0.25720 THE TALON BAR COMPANY 701 MAIDEN CHOICE LANE BALTIMORE MD 21228 562520131 LIQUOR LICENSE HOLDER FOR EAGLE'S TRACE TX N/A C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0