STRATEGY STUDIO / PUBLIC DATA EXPLORER

NATIONAL LUTHERAN INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NATIONAL LUTHERAN INC (EIN 47-2584315)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-04-26
IRS object ID
201911169349300431
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-04-26T10:57:57-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1221 W PHILADELPHIA STREET SUITE 200AddressLine1Txt
CityYORKCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472584315EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL LUTHERAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone3013542710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 RESEARCH BOULEVARD NO 310AddressLine1Txt
CityROCKVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP20850ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD MAZZAPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone3013542710PhoneNum
Signature2019-04-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDAPreparerPersonNm
PTINP00760402PTIN
Phone7178467000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.80.2.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-24IPDt
IP Tm10:07:16IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdF58787FA80410BAE38B710EAF9FCC5760AD3BCDFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL LUTHERAN COMMUNITIES & SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLAWRENCE BRADSHAWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 RESEARCH BOULEVARD NO 310AddressLine1Txt
CityROCKVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP20850ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,401,155GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NATIONALLUTHERAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO SERVE AS CORPORATE OVERSIGHT FOR ITS AFFILIATED COMMUNITIES DESIGNED FOR SENIORS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee59TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$2,438TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,615PYContributionsGrantsAmt
CY Contributions Grants$25,333CYContributionsGrantsAmt
PY Program Service Revenue$5,831,817PYProgramServiceRevenueAmt
CY Program Service Revenue$6,269,368CYProgramServiceRevenueAmt
PY Investment Income$3,272PYInvestmentIncomeAmt
CY Investment Income$28,692CYInvestmentIncomeAmt
PY Other Revenue$74,441PYOtherRevenueAmt
CY Other Revenue$77,762CYOtherRevenueAmt
PY Total Revenue$5,921,145PYTotalRevenueAmt
CY Total Revenue$6,401,155CYTotalRevenueAmt
PY Grants And Similar Paid$263,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$519,592CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,534,394PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,631,730CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$968,177CYTotalFundraisingExpenseAmt
PY Other Expenses$4,067,351PYOtherExpensesAmt
CY Other Expenses$5,498,143CYOtherExpensesAmt
PY Total Expenses$11,864,745PYTotalExpensesAmt
CY Total Expenses$14,649,465CYTotalExpensesAmt
PY Revenues Less Expenses-$5,943,600PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,248,310CYRevenuesLessExpensesAmt
Total Assets BOY$25,710,264TotalAssetsBOYAmt
Total Assets EOY$18,867,974TotalAssetsEOYAmt
Total Liabilities BOY-$439,461TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,055,433TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,149,725NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,812,541NetAssetsOrFundBalancesEOYAmt
MissionTO FULFILL ITS CHRISTIAN MINISTRY, NATIONAL LUTHERAN COMMUNITIES & SERVICES IS ORGANIZED TO PROVIDE AN ARRAY OF OPTIONS FOR SENIORS INCLUDING RESIDENTIAL LIVING AS WELL AS HOME AND COMMUNITY-BASED SERVICES WHICH ARE DESIGNED TO MEET INDIVIDUAL NEEDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,760,749ExpenseAmt
Grant$519,592GrantAmt
Revenue$6,269,368RevenueAmt
DescTO SERVE AS CORPORATE OVERSIGHT WHICH INCLUDES, BUT IS NOT LIMITED TO, THE MARKETING, DEVELOPMENT, INFORMATION TECHNOLOGY, PHILANTHROPY, FINANCE, AND HUMAN RESOURCE SERVICES OF TWO CCRC COMMUNITIES AND ONE DUAL-CERTIFIED INDEPENDENT LIVING/ASSISTED LIVING FACILITY THAT PROVIDES SENIORS WITH HOUSING, MEDICAL ATTENTION, AND ANY SERVICES THAT PROMOTE GOOD EMOTIONAL AND PHYSICAL HEALTH IN A CHRISTIAN ENVIRONMENT. CURRENTLY THE ORGANIZATION IS OVERSEEING THE FUTURE DEVELOPMENT OF A CCRC TO BE LOCATED IN ANNAPOLIS, MD, AND AN EXPANSION AT THE VILLAGE AT ROCKVILLE.Desc
Total Program Service Expenses$5,760,749TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee59EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHARD MAZZA CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3013542710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 RESEARCH BLVD SUITE 301AddressLine1Txt
CityROCKVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP20850ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
REV JOSEPH P LETTRICH
BOARD MEMBER1.00Yes (X)$0$0$0
REV JOHN WERTZ JR
BOARD MEMBER1.00Yes (X)$0$0$0
REV DR WOLLOM A JENSEN
BOARD MEMBER1.00Yes (X)$0$0$0
REV DR SCOTT S ICKERT
BOARD MEMBER1.00Yes (X)$0$0$0
REV DEBBIE DUKES
TREASURER/SECRETARY1.00Yes (X)$0$0$0Yes (X)
LISA BEHR
CHAIR1.00Yes (X)$0$0$0Yes (X)
MIKE RODGERS
BOARD MEMBER1.00Yes (X)$0$0$0
JULIE SWANSON
BOARD MEMBER1.00Yes (X)$0$0$0
DRTOMMIE L ROBINSONJRPHD
IMMEDIATE PAST CHAIR1.00Yes (X)$0$0$0Yes (X)
DONNA DUSS
BOARD MEMBER1.00Yes (X)$0$0$0
LAWRENCE BRADSHAW
PRESIDENT/CEO10.00Yes (X)$421,855$0$32,395Yes (X)30.00
ELIZABETH FLURY
BOARD MEMBER (RES. FEB. '18)1.00Yes (X)$0$0$0
RICHARD MAZZA
CHIEF FINANCIAL OFFICER10.00$198,109$0$10,236Yes (X)30.00
CYNTHIA WALTERS
CHIEF OPERATING OFFICER7.50$288,575$0$29,705Yes (X)32.50
CAMILLE ROUSSEL
CHIEF QUALITY & PERF.(UNTIL 8/18)40.00$177,888$0$18,143Yes (X)
KAREN SROKA
CLIN. QUALITY & PERFORMANCE LEADER40.00$151,494$0$16,942Yes (X)
JAE SHIN
DIR. INFORMATION TECHNOLOGY40.00$161,677$0$22,761Yes (X)
KATHLEEN O'HALLORAN
CHIEF TALENT & CULTURE OFFICER40.00$176,484$0$19,409Yes (X)
KATHRYN BAERWALD
CHIEF PHILANTHROPY OFFICER40.00$178,837$0$24,335Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,754,919TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$173,926TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FUNCTIONAL PATHWAYS
10133 SHERRILL BLVD SUITE 200KNOXVILLETN37932MEDICAL SERVICES$2,068,885
DIVISION 9 CONSTRUCTION
PO BOX 286NEW MARKETMD21774CONSTRUCTION$794,100
HDHI CONSTRUCTION
21804 DILLER LANEBOYDSMD20841CONSTRUCTION$368,452
ARCH CONSULTANTS
300 KNIGHTSBRIDGE PARKWAY STE 340LINCOLNSHIREIL60069PROJECT DEVELOPMENT$364,908
ASPIRE CONSULTING PARTNERS
12890 BLALOCK DRIVEFISHERSIN46037CONSULTING SVC.$316,165
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
All Other Contributions$25,333AllOtherContributionsAmt
Total Contributions$25,333TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEES623000$4,500,452$4,500,452
RESIDENT SERVICE REV.623000$1,768,916$1,768,916
FieldValueIRS element (for citing)
Total Program Service Revenue$6,269,368TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,692TotalRevenueColumnAmt
Exclusion$28,692ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
DEVELOPER FEES900099$74,288$74,288
CONSULTING REVENUE900099$2,438$2,438
OTHER ANCILLARY REVENU900099$1,036$1,036
FieldValueIRS element (for citing)
Other Revenue Total$77,762OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,401,155TotalRevenueColumnAmt
Related Or Exempt Func Income$6,269,368RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,438UnrelatedBusinessRevenueAmt
Exclusion$104,016ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$519,592TotalAmt
Program Services$519,592ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$980,875TotalAmt
Management And General$980,875ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,336,166TotalAmt
Program Services$3,201,043ProgramServicesAmt
Management And General$2,456,240ManagementAndGeneralAmt
Fundraising$678,883FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$102,770TotalAmt
Program Services$48,356ProgramServicesAmt
Management And General$16,418ManagementAndGeneralAmt
Fundraising$37,996FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$684,888TotalAmt
Program Services$176,320ProgramServicesAmt
Management And General$440,317ManagementAndGeneralAmt
Fundraising$68,251FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$527,031TotalAmt
Program Services$168,494ProgramServicesAmt
Management And General$302,345ManagementAndGeneralAmt
Fundraising$56,192FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$101,483TotalAmt
Management And General$101,483ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$73,447TotalAmt
Management And General$73,447ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$87,919TotalAmt
Management And General$87,919ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$175TotalAmt
Management And General$175ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,471TotalAmt
Management And General$4,471ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,572,299TotalAmt
Program Services$206,726ProgramServicesAmt
Management And General$1,362,469ManagementAndGeneralAmt
Fundraising$3,104FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$163,820TotalAmt
Management And General$108,473ManagementAndGeneralAmt
Fundraising$55,347FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$559,742TotalAmt
Program Services$62,682ProgramServicesAmt
Management And General$475,240ManagementAndGeneralAmt
Fundraising$21,820FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$513,346TotalAmt
Program Services$4,516ProgramServicesAmt
Management And General$495,113ManagementAndGeneralAmt
Fundraising$13,717FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$463,604TotalAmt
Program Services$61,019ProgramServicesAmt
Management And General$402,585ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$187,256TotalAmt
Program Services$101,564ProgramServicesAmt
Management And General$85,692ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$481TotalAmt
Management And General$481ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$57,280TotalAmt
Program Services$17,329ProgramServicesAmt
Management And General$39,951ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$298,097TotalAmt
Program Services$3,461ProgramServicesAmt
Management And General$294,636ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
UBI TAX$6,206$6,206
LOSS ON ABANDONED PROJ.$810,542$810,542
DUES AND SUBSCRIPTIONS$335,269$140,487$161,971$32,811
BAD DEBT$77,345$77,345

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$185,361TotalAmt
Program Services$139,789ProgramServicesAmt
Management And General$45,516ManagementAndGeneralAmt
Fundraising$56FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,649,465TotalAmt
Program Services$5,760,749ProgramServicesAmt
Management And General$7,920,539ManagementAndGeneralAmt
Fundraising$968,177FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,022BOYAmt
EOY$10,773EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$383,217BOYAmt
EOY$1,885,142EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$104,729BOYAmt
EOY$279,539EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$37,202BOYAmt
EOY$13,259EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$503,490BOYAmt
EOY$437,321EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,205,648LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,713,708LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,795,009BOYAmt
EOY$15,491,940EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$750,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$869,595BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,710,264BOYAmt
EOY$18,867,974EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$852,879BOYAmt
EOY$1,574,079EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY-$1,292,340BOYAmt
EOY$1,481,354EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY-$439,461BOYAmt
EOY$3,055,433EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,143,205BOYAmt
EOY$15,771,662EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,070BOYAmt
EOY$18,210EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,450BOYAmt
EOY$22,669EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,149,725BOYAmt
EOY$15,812,541EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,710,264BOYAmt
EOY$18,867,974EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$8,248,310ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$2,088,874PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$15,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,615CurrentTaxYearMinus1YearAmt
Current Tax Year$25,333CurrentTaxYearAmt
Total$52,603TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$5,000,333CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,831,817CurrentTaxYearMinus1YearAmt
Current Tax Year$6,269,368CurrentTaxYearAmt
Total$17,101,518TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$5,015,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,843,432CurrentTaxYearMinus1YearAmt
Current Tax Year$6,294,701CurrentTaxYearAmt
Total$17,154,121TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,950CurrentTaxYearMinus1YearAmt
Current Tax Year$5,555CurrentTaxYearAmt
Total$18,255TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$4,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,950CurrentTaxYearMinus1YearAmt
Current Tax Year$5,555CurrentTaxYearAmt
Total$18,255TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,135,866PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$663CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$772CurrentTaxYearMinus1YearAmt
Current Tax Year$28,692CurrentTaxYearAmt
Total$30,127TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$663CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$772CurrentTaxYearMinus1YearAmt
Current Tax Year$28,692CurrentTaxYearAmt
Total$30,127TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year$1,438CurrentTaxYearAmt
Total$1,438TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$74,441CurrentTaxYearMinus1YearAmt
Current Tax Year$75,324CurrentTaxYearAmt
Total$149,765TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$5,016,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,918,645CurrentTaxYearMinus1YearAmt
Current Tax Year$6,400,155CurrentTaxYearAmt
Total$17,335,451TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationCONSULTING REVENUE - 2017 AMOUNT: $ 74,441. DEVELOPER FEES - 2018 AMOUNT: $ 74,288. OTHER ANCILLARY REVENUE - 2018 AMOUNT: $ 1,036.ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$175OtherActivitiesAmt
Total Lobbying Expenditures$175TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationNATIONAL LUTHERAN, INC. PAYS DUES TO LEADINGAGE. A PORTION OF THE DUES PAID TO THIS ORGANIZATION IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUES PAID THAT ARE ALLOCABLE TO LOBBYING IS $175.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,823,775OtherCostOrOtherBasisAmt
Depreciation$1,713,708DepreciationAmt
Book Value$110,067BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,381,873OtherCostOrOtherBasisAmt
Book Value$15,381,873BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,491,940TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$1,481,354Amt
FieldValueIRS element (for citing)
Total Liability$1,481,354TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$6,396,684TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$4,471OtherRevenueAmt
Revenue Not Reported-$4,471RevenueNotReportedAmt
Revenue Subtotal$6,401,155RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,401,155TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,644,994TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,644,994ExpensesSubtotalAmt
Other Expenses Not Included$4,471OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,471ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,649,465TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT FEES -4,471.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT FEES 4,471.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AHC GREATER BALTIMORE
1501 SAINT PAUL STREETBALTIMOREMD21202331089573501(C)(3)$12,500EXPANSION OF HEALTH PARTNERSHIPS AND ON-SITE PROGRAMMING TO 75 SENIORS IN THE MONTEVERDE LOW INCOME APARTMENT COMPLEX
ARTS FOR THE AGING-MARYLAND INC
15800 CRABBS BRANCH WAY SUITE 300ROCKVILLEMD20852521978088501(C)(3)$12,500PROVISION OF THE WEEKLY AND BI-WEEKLY JOY IN GENERATION ARTS PROGRAMMING FOR SENIORS IN 26 COMMUNITY AND RESIDENTIAL CARE SETTINGS IN THE DC AREA
BAY AGING
PO BOX 610URBANNAVA23175541085032501(C)(3)$6,000PROVISION OF TRANSPORTATION FOR SENIORS TO MEDICAL APPOINTMENTS IN A RURAL 10 COUNTY REGION
BLUE RIDGE AREA FOOD BANK
PO BOX 937VERONAVA24482521202644501(C)(3)$20,000EXPANSION OF THE "REACH PROGRAM" TO REACH AN ADDITIONAL 100 SENIORS PER MONTH WITH SHELF-STABLE FOOD
BLUE RIDGE HOSPICE
333 W CORK STREETWINCHESTERVA22601541126227501(C)(3)$10,000PROVISION OF FUNDING FOR THE PATIENT CARE FUND TO SUPPORT SENIORS IN NEED OF END-OF-LIFE HOSPICE CARE
COMMUNITY MINISTRIES OF ROCKVILLE
1010 GRANDIN AVENUEROCKVILLEMD20851520910334501(C)(3)$10,000PROVISION OF WEEKLY HOME CARE SERVICES, CASE MANAGEMENT AND HOME REPAIRS TO LOW INCOME FRAIL ELDERLY INDIVIDUALS IN ROCKVILLE
CROSSROADS COMMUNITY FOOD NETWORK
6930 CARROLL AVENUETAKOMA PARKMD20912364635237501(C)(3)$10,000PROVISION OF HEALTHY FOOD AND POSITIVE SOCIAL INTERACTIONS FOR SENIORS AT A WEEKLY FARMERS MARKET AS WELL AS LINKAGES WITH COMMUNITY-BASED SOCIAL SERVICES
DELAWARE ECUMENICAL COUNCIL ON CHILDREN AND FAMILIES
240 NORTH JAMES STREETWILMINGTONDE19804510341283501(C)(3)$11,500MOBILIZATION OF FAITH COMMUNITIES INCREASE VOLUNTEER CAREGIVING TO ENABLE SENIORS TO GAIN GREATER ACCESS TO COMMUNITY RESOURCES
GRACEINSIDE
2828 EMERYWOOD PARKWAYRICHMONDVA23294540542300501(C)(3)$27,000PROVISION OF CHAPLAIN SERVICES TO MEN'S GERIATRIC PRISON IN VIRGINIA
HABITAT FOR HUMANITY OF FREDERICK COUNTY MD
117 E CHURCH STREETFREDERICKMD21701521820647501(C)(3)$8,500HOUSE REPAIRS
HEART OF VIRGINIA FREE CLINIC
1702 SOUTH MAIN STREETFARMVILLEVA23901272785970501(C)(3)$6,950MEDICAL ASSISTANCE
HIGHLAND FOOD PANTRY
PO BOX 1762WINCHESTERVA22604464661240501(C)(3)$12,500SUPPORT OF SPECIAL DELIVERY PROJECT (15 - 20 POUNDS OF FOOD ON A MONTHLY BASIS) FOR FOOD INSECURE SENIORS IN WINCHESTER AREA
INSIGHT MEMORY CARE CENTER
3953 PENDER DRIVEFAIRFAXVA22030521361974501(C)(3)$7,500EDUCATION
JEFFERSON AREA BOARD FOR AGING
674 HILLSDALE DRIVECHARLOTTESVILLEVA22901540990078501(C)(3)$20,000PROVISION OF THE LIVEWELL, VIRGINIA! WORKSHOPS TO SENIORS WITH CHRONIC DISEASES
JEWISH SOCIAL SERVICE AGENCY
200 WOOD HILL ROADROCKVILLEMD20850530196598501(C)(3)$12,500PROVISION OF CULTURALLY AND LINGUISTICALLY COMPETENT SMALL GROUP SOCIALIZATION OPPORTUNITIES FOR HOLOCAUST SURVIVORS LIVING IN FAIRFAX COUNTY, VA AND MONTGOMERY COUNTY, MD
LOCAL OFFICE ON AGING
PO BOX 14205ROANOKEVA24038540916248501(C)(3)$7,000ENHANCEMENT OF CHRONIC DISEASE SELF MANAGEMENT PROGRAM AND ABILITY TO OFFER DIABETES SELF MANAGEMENT
MARYLAND CONSUMER RIGHTS COALITION
2209 MARYLAND AVENUEBALTIMOREMD21218522266235501(C)(3)$20,000ENROLLMENT OF 1000 MARYLAND LOW TO MODERATE INCOME OLDER ADULTS IN UNDERUTILIZED HOUSING TAX CREDIT PROGRAMS SO THAT THESE INDIVIDUALS WILL HAVE ADDITIONAL RESOURCES TO PAY FOR DAILY NECESSITIES
MECHANICSVILLE CHURCHES EMERGENCY FUNCTIONS
PO BOX 604MECHANICSVILLEVA23111331168177501(C)(3)$7,500TRANSPORTATION
MENTAL HEALTH AMERICA OF FREDERICKSBURG
2217 PRINCESS ANNE STREETFREDERICKSBURGVA22401540678704501(C)(3)$7,500SUPPORT OF THE SENIOR VISITORS PROGRAM TO PROVIDE WEEKLY VISITS TO 108 SOCIALLY ISOLATED SENIORS TO HELP PREVENT DEPRESSION AND SUICIDE
MONTGOMERY COUNTY COALITION FOR THE HOMELESS
600-B EAST GUDE DRIVEROCKVILLEMD20850521735674501(C)(3)$10,000CRISIS ASSISTANCE
NEWARK SENIOR CENTER
200 WHITE CHAPEL DRIVENEWARKDE19713510104695501(C)(3)$13,500EXPANSION OF THE TRANSPORTATION PROGRAM TO ENABLE MORE SENIORS TO ATTEND THE EARLY MEMORY LOSS PROGRAM
PENINSULA AGENCY ON AGING INC
739 THIMBLE SHOALS BOULEVARDNEWPORT NEWSVA23606510151069501(C)(3)$10,000EDUCATION
PIEDMONT SENIOR RESOURCES
1413 SOUTH MAIN STREETFARMVILLEVA23901541025127501(C)(3)$15,000TRANSPORTATION
RAPPAHANNOCK RAPIDAN COMMUNITY SERVICES
P O BOX 1568CULPEPERVA22701237238218501(C)(3)$12,000EXPANSION OF LIVEWELL, VIRGINIA! CHRONIC DISEASE MANAGEMENT COURSES THROUGHOUT THE CULPEPER AREA
REBUILDING TOGETHER DC ALEXANDRIA
700 PRINCESS STREETALEXANDRIAVA22314541389286501(C)(3)$18,500PRESERVATION OF THE HOMES OF LOW-INCOME SENIORS BY OFFERING MINOR HOME REPAIRS SO THAT SENIORS CAN AGE IN PLACE
REBUILDING TOGETHER MONTGOMERY COUNTY
18225-A FLOWER HILL WAYGAITHERSBURGMD20879521667026501(C)(3)$10,000CRISIS ASSISTANCE
REBUILDING TOGETHERARLINGTONFAIRFAXFALLS CHURCH INC
10723 MAIN STREETFAIRFAXVA22030274158090501(C)(3)$10,000CRISIS ASSISTANCE
SENIOR SERVICES OF ALEXANDRIA
700 PRINCESS STREETALEXANDRIAVA22314540842806501(C)(3)$7,500GENERAL OPERATIONS
SENIOR SERVICES OF SOUTHEASTERN VIRGINIA
6350 CENTER DRIVENORFOLKVA23502546069786501(C)(3)$12,500EXPANSION OF EVIDENCE-BASED ENHANCEFITNESS, OFFERED TO SENIORS AND THEIR CAREGIVERS, TO THREE ADDITIONAL SITES IN SOUTH HAMPTON ROADS
SHENANDOAH DENTAL CLINIC
124 VALLEY VISTA DRIVEWOODSTOCKVA22664680657235501(C)(3)$10,000PROVISION OF DENTURES TO LOW-INCOME SENIORS IN ORDER TO ENABLE THE EATING OF A HEALTHY AND BALANCED DIET TO PREVENT DISEASE AND NUTRITIONAL DEFICIENCIES
SHENANDOAH VALLEY LUTHERAN MINISTRIES
PO BOX 132TOMS BROOKVA22660271675977501(C)(3)$10,000SUPPORT OF THE FAITH COMMUNITY NURSE PROGRAM IN THE SHENANDOAH VALLEY
SILVER SPRING VILLAGE
PO BOX 8217SILVER SPRINGMD20907460723926501(C)(3)$7,500SUPPORT OF NORC (NATURALLY OCCURRING RETIREMENT COMMUNITY) PROGRAMS TO SENIORS IN SILVER SPRING
SOUTHERN MARYLAND TRI-COUNTY COMMUNITY ACTION COMMITTEE INC
8371 OLD LEONARDTOWN ROADHUGHESVILLEMD20637526066477501(C)(3)$10,000PROVISION OF MEDICAL, THERAPEUTIC AND SUPPORTIVE SERVICES TO SENIORS IN THE FRIENDLY HEALTH SERVICES AND SENIOR COMPANION PROGRAMS
VALLEY PROGRAM FOR AGING SERVICES
P O BOX 817WAYNESBOROVA22980540958526501(C)(3)$7,500PROVISION OF TRANSPORTATION SERVICES FOR SENIORS IN AUGUSTA AND ROCKINGHAM COUNTIES
VIRGINIA PENINSULA FOODBANK
2401 ALUMINUM AVENUEHAMPTONVA23661541422298501(C)(3)$20,000PURCHASE OF PRODUCE FOR MONTHLY DISTRIBUTION TO 700 SENIORS AT 11 MOBILE FOOD PANTRY SITES LOCATED AT LOW-INCOME SENIOR LIVING APARTMENTS
VIRGINIA TECH ADULT DAY SERVICES
102 WALLACE HALLBLACKSBURGVA24060540721690501(C)(3)$21,034DEVELOPMENT AND IMPLEMENTATION OF A 16-SESSION COURSE FOR SENIORS WITH MILD COGNITIVE IMPAIRMENT
CAPITOL HILL VILLAGE
725 8TH ST SEWASHINGTONDC20003205150809501(C)(3)$7,500SUPPORT OF NORC (NATURALLY OCCURRING RETIREMENT COMMUNITY) PROGRAMS TO SENIORS IN SILVER SPRING
EDLAVITCH DC JEWISH COMMUNITY CENTER
1529 SIXTEENTH ST NWWASHINGTONDC20036521398151501(C)(3)$10,000ADULT DAY PROGRAM
FOOD & FRIENDS
219 RIGGS ROAD NEWASHINGTONDC20011521648941501(C)(3)$27,500SUPPORT FOR THE SPECIALIZED NUTRITION FOR CRITICALLY ILL SENIORS PROGRAM SERVING 832 SENIORS WITH HIV/AIDS, CANCER, OR OTHER CRITICAL ILLNESS
SARAH'S CIRCLE
2551 17TH ST NWWASHINGTONDC20009521338101501(C)(3)$5,000CRISIS ASSISTANCE
WE ARE FAMILY SENIOR OUTREACH NETWORK INC
1380 MONROE ST NWWASHINGTONDC20010262902518501(C)(3)$20,000EXPANSION OF THE FOOD PROGRAM FOR INNER-CITY, LOW-INCOME SENIORS, INCLUDING DELIVERY OF FRESH PRODUCE IN THE SUMMER/FALL AND YEAR ROUND DELIVERY OF GROCERIES
FieldValueIRS element (for citing)
Total501c3 Org41Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL GRANT RECIPIENTS ARE REQUIRED TO AGREE TO THE TERMS & CONDITIONS WHICH SPECIFY THAT A REPRESENTATIVE OF IMPACT 1890 MAY INSPECT THE BOOKS AND RECORDS OF THE GRANT RECIPIENT AS RELATED TO THE GRANT. ALL GRANT RECIPIENTS COMPLETE AN END OF YEAR REPORT, WHICH INCLUDES A FINANCIAL RECONCILIATION OF AMOUNT AWARDED AND AMOUNTS SPENT, INCLUDING THE PURPOSES FOR WHICH GRANT MONIES WERE EXPENDED. GRANT RECIPIENTS RECEIVING MORE THAN $5,000 RECEIVE THE FIRST HALF OF THE AWARD UPON RECEIPT OF THE SIGNED TERMS & CONDITIONS; THE SECOND PAYMENT IS MADE FOLLOWING RECEIPT OF A MID-YEAR REPORT, WHICH INCLUDES INFORMATION AS TO THE EXPENDITURE OF FUNDS AND PURPOSES OF SUCH EXPENDITURES. FINALLY, ALL GRANT RECIPIENTS, REGARDLESS OF THE SIZE OF THE GRANT, ARE VISITED DURING THE GRANT PERIOD BY A MEMBER OF THE IMPACT 1890 STAFF AND, AT TIMES, MEMBERS OF THE IMPACT 1890 BOARD OF DIRECTORS (BOARD), THE GROUP GRANTED AUTHORITY BY THE NATIONAL LUTHERAN, INC. TO AWARD THE GRANTS. ANY FUNDS REMAINING AT THE END OF THE GRANT PERIOD MUST EITHER BE RETURNED TO IMPACT 1890 OR MAY BE SPENT DOWN IN ACCORDANCE WITH A SPEND DOWN PLAN APPROVED BY THE BOARD. DUE TO THE TRANSITION OF THE GRANT PROGRAM FROM NLI TO IMPACT 1890 ON JANUARY 1, 2018, SCHEDULE I INCLUDES TWO YEARS OF GRANT RECIPIENTS. SOME OF THE GRANT RECIPIENTS RECEIVED GRANTS IN BOTH YEARS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAWRENCE BRADSHAW
PRESIDENT/CEO$386,203$0$35,652$0$0$0$19,914$0$12,481$0$454,250$0$0$0
RICHARD MAZZA
CHIEF FINANCIAL OFFICER$190,926$0$0$0$7,183$0$7,785$0$2,451$0$208,345$0$0$0
CYNTHIA WALTERS
CHIEF OPERATING OFFICER$258,874$0$22,518$0$7,183$0$14,636$0$15,069$0$318,280$0$0$0
CAMILLE ROUSSEL
CHIEF QUALITY & PERF.(UNTIL 8/18)$164,266$0$13,622$0$0$0$7,727$0$10,416$0$196,031$0$0$0
KAREN SROKA
CLIN. QUALITY & PERFORMANCE LEADER$145,278$0$6,216$0$0$0$8,891$0$8,051$0$168,436$0$0$0
JAE SHIN
DIR. INFORMATION TECHNOLOGY$154,331$0$7,346$0$0$0$6,468$0$16,293$0$184,438$0$0$0
KATHLEEN O'HALLORAN
CHIEF TALENT & CULTURE OFFICER$165,166$0$11,318$0$0$0$10,140$0$9,269$0$195,893$0$0$0
KATHRYN BAERWALD
CHIEF PHILANTHROPY OFFICER$165,812$0$13,025$0$0$0$10,535$0$13,800$0$203,172$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AEXECUTIVE APARTMENS WERE PROVIDED FOR USE BY CYNTHIA WALTERS, COO & RICHARD MAZZA, CFO. THIS WAS REPORTED AS TAXABLE COMPENSATION ON THEIR FORMS W-2.
PART I, LINE 7BONUSES ARE DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD AND ARE BASED ON A VARIETY OF FACTORS SUCH AS WHETHER CAMPUS BUDGETS ARE MET, HOW EACH CAMPUS DOES ON ITS RESPECTIVE NURSING/HEALTH CARE SURVEY AND HOW EACH SENIOR LEADER DOES IN OBTAINING HIS OR HER GOALS FOR THE YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO AND PRESIDENT PERFORM AN INITIAL REVIEW OF THE FORM 990. UPON APPROVAL, THE FORM 990 IS MADE AVAILABLE TO EACH BOARD MEMBER FOR REVIEW AND APPROVAL AT A BOARD MEETING PRIOR TO TRANSMISSION OF THE RETURN TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT EACH YEAR. IF A CONFLICT IS IDENTIFIED, IT IS 1) IDENTIFIED AND DISCUSSED WITH THE BOARD AND 2) REVIEWED AND DOCUMENTED BY MANAGEMENT. IF AN ACTUAL OR POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD MEMBER, OFFICER, OR EMPLOYEE WILL RECUSE HIM OR HERSELF FROM ANY CONVERSATIONS, DECISIONS, OR OTHER ACTIVITIES AND DISCUSSIONS INVOLVING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY AS POTENTIAL SOURCES OF CONFLICTS WITH INTERESTED PERSONS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD DETERMINES THE COMPENSATION FOR THE CEO THROUGH THE COMBINED USE OF SEVERAL METHODS. THE EXECUTIVE COMMITTEE SERVES AS A COMPENSATION COMMITTEE WHICH OVERSEES THE PROCESS. COMPENSATION SURVEYS ARE PERFORMED BY AN OUTSIDE HR CONSULTING FIRM, PRM, USING LOCAL MARKET DATA. THE CEO, EXECUTIVE DIRECTOR, AND DIRECTOR OF HUMAN RESOURCES USE SALARY SURVEYS TO DETERMINE THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES TO ENSURE THEY ARE WITHIN THE LOCAL MARKET RANGE. THE SERVICES THE INDIVIDUAL PROVIDES TO THE ORGANIZATION AND THE TENURE OF THE OFFICER ARE ALSO FACTORS CONSIDERED IN SALARY DETERMINATIONS. ONCE THE EXECUTIVE COMMITTEE GIVES ITS APPROVAL, ITS DECISIONS ARE NOTED AT THE BOARD LEVEL.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND AT NO COST. THE DOCUMENTS WILL ALSO BE MADE AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 188,099. MANAGEMENT AND GENERAL EXPENSES 921,872. FUNDRAISING EXPENSES 3,104. TOTAL EXPENSES 1,113,075. MAINTENANCE & EQUIPMENT CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,624. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,624. MEDICAL CARE FEES: PROGRAM SERVICE EXPENSES 18,627. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,627. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 417,973. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,973.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY SERVICES LLC
2301 RESEARCH BLVD STE 310ROCKVILLEMD20850371843616PROJECT MANAGEMENTMD$1,768,808$360,541NATIONAL LUTHERAN INC
MYPOTENTIAL MD
2301 RESEARCH BLVD STE 310ROCKVILLEMD20850812686381HEALTH CLINICMD$361,948$76,753COMMUNITY SERVICES LLC
MYPOTENTIAL VA
2301 RESEARCH BLVD STE 310ROCKVILLEMD20850474102818HEALTH CLINICVA$1,298,102$237,876COMMUNITY SERVICES LLC
TVOR CLINIC LLC
2301 RESEARCH BLVD STE 310ROCKVILLEMD20850300962299HEALTH CLINICMD$108,758$45,912COMMUNITY SERVICES LLC
IMPACT 1890 LLC
2301 RESEARCH BLVD STE 310ROCKVILLEMD20850301007964GRANT PAYMENTSMD$0$0NATIONAL LUTHERAN INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
THE VILLAGE AT ORCHARD RIDGE INC
400 CLOCKTOWER RIDGE DRIVEWINCHESTERVA22603263445374CONTINUTING CARE RETIREMENT COMMUNITYVA501(C)(3)LINE 10NATIONAL LUTHERAN INCYes (1)
THE VILLAGE AT ROCKVILLE INC
9701 VEIRS DRIVEROCKVILLEMD20850530196624CONTINUTING CARE RETIREMENT COMMUNITYMD501(C)(3)LINE 10NATIONAL LUTHERAN INCYes (1)
THE LEGACY AT NORTH AUGUSTA INC
1410 A NORTH AUGUSTA STREETSTAUNTONVA24401452857307RESIDENTIAL CARE AND ASSISTED LIVING FACILITYVA501(C)(3)LINE 10NATIONAL LUTHERAN INCYes (1)
THE VILLAGE AT PROVIDENCE POINT INC
2301 RESEARCH BLVDROCKVILLEMD20850454024593CONTINUTING CARE RETIREMENT COMMUNITYMD501(C)(3)LINE 10NATIONAL LUTHERAN INCYes (1)
NATIONAL LUTHERAN HOME FOR THE AGED INC
2301 RESEARCH BLVDROCKVILLEMD20850262222476SUPPORTING ORGANIZATIONMD501(C)(3)LINE 12A, INATIONAL LUTHERAN INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PRIMROSE INTEL LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 RESEARCH BLVD STE 450AddressLine1Txt
CityROCKVILLECityNm
State AbbreviationMDStateAbbreviationCd
ZIP20850ZIPCd
FieldValueIRS element (for citing)
EIN824733502EIN
Primary ActivitiesSOFTWARE SOLUTIONSPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL LUTHERAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Share Of Total Income-$368,445ShareOfTotalIncomeAmt
Share Of EOY Assets$314,659ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.90000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE VILLAGE AT ROCKVILLE INC
D$20,869,989COST
THE LEGACY AT NORTH AUGUSTA INC
D$9,181,918COST
THE VILLAGE AT ORCHARD RIDGE INC
D$17,512,235COST
THE VILLAGE AT ROCKVILLE INC
E$119,250COST
THE VILLAGE AT ORCHARD RIDGE INC
E$494,913COST
NATIONAL LUTHERAN HOME FOR THE AGED INC
E$48,434,437COST
THE VILLAGE AT ROCKVILLE INC
L$2,440,001COST
THE VILLAGE AT ORCHARD RIDGE INC
L$1,515,000COST
THE LEGACY AT NORTH AUGUSTA INC
L$443,000COST
THE VILLAGE AT ROCKVILLE INC
O$124,237COST
THE VILLAGE AT ORCHARD RIDGE INC
O$124,237COST
THE LEGACY AT NORTH AUGUSTA INC
O$124,237COST
THE VILLAGE AT ORCHARD RIDGE INC
R$8,357,151COST
PRIMROSE INTEL LLC
B$750,000COST