2019-04-26T10:57:57-05:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 W PHILADELPHIA STREET SUITE 200 YORK PA 17401 990 2018-01-01 472584315 NATIONAL LUTHERAN INC NATI 3013542710 2301 RESEARCH BOULEVARD NO 310 ROCKVILLE MD 20850 RICHARD MAZZA CHIEF FINANCIAL OFFICER 3013542710 2019-04-24 1 KERRI N BOGDA P00760402 7178467000 96.80.2.34 2019-04-24 10:07:16 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2018 2019-02-21 02:37:17Z NATIONAL LUTHERAN COMMUNITIES & SERVICES LAWRENCE BRADSHAW 2301 RESEARCH BOULEVARD NO 310 ROCKVILLE MD 20850 6401155 0 X WWW.NATIONALLUTHERAN.ORG X 2014 MD TO SERVE AS CORPORATE OVERSIGHT FOR ITS AFFILIATED COMMUNITIES DESIGNED FOR SENIORS. 11 10 59 0 2438 0 11615 25333 5831817 6269368 3272 28692 74441 77762 5921145 6401155 263000 519592 0 0 7534394 8631730 0 0 968177 4067351 5498143 11864745 14649465 -5943600 -8248310 25710264 18867974 -439461 3055433 26149725 15812541 TO 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. 0 0 5760749 519592 6269368 TO 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. 5760749 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 24 0 59 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X X RICHARD MAZZA CFO 3013542710 2301 RESEARCH BLVD SUITE 301 ROCKVILLE MD 20850 REV JOSEPH P LETTRICH BOARD MEMBER 1.00 X 0 0 0 REV JOHN WERTZ JR BOARD MEMBER 1.00 X 0 0 0 REV DR WOLLOM A JENSEN BOARD MEMBER 1.00 X 0 0 0 REV DR SCOTT S ICKERT BOARD MEMBER 1.00 X 0 0 0 REV DEBBIE DUKES TREASURER/SECRETARY 1.00 X X 0 0 0 LISA BEHR CHAIR 1.00 X X 0 0 0 MIKE RODGERS BOARD MEMBER 1.00 X 0 0 0 JULIE SWANSON BOARD MEMBER 1.00 X 0 0 0 DRTOMMIE L ROBINSONJRPHD IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 DONNA DUSS BOARD MEMBER 1.00 X 0 0 0 LAWRENCE BRADSHAW PRESIDENT/CEO 10.00 30.00 X X 421855 0 32395 ELIZABETH FLURY BOARD MEMBER (RES. FEB. '18) 1.00 X 0 0 0 RICHARD MAZZA CHIEF FINANCIAL OFFICER 10.00 30.00 X 198109 0 10236 CYNTHIA WALTERS CHIEF OPERATING OFFICER 7.50 32.50 X 288575 0 29705 CAMILLE ROUSSEL CHIEF QUALITY & PERF.(UNTIL 8/18) 40.00 X 177888 0 18143 KAREN SROKA CLIN. QUALITY & PERFORMANCE LEADER 40.00 X 151494 0 16942 JAE SHIN DIR. INFORMATION TECHNOLOGY 40.00 X 161677 0 22761 KATHLEEN O'HALLORAN CHIEF TALENT & CULTURE OFFICER 40.00 X 176484 0 19409 KATHRYN BAERWALD CHIEF PHILANTHROPY OFFICER 40.00 X 178837 0 24335 1754919 0 173926 24 0 1 0 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 MEDICAL SERVICES 2068885 DIVISION 9 CONSTRUCTION PO BOX 286 NEW MARKET MD 21774 CONSTRUCTION 794100 HDHI CONSTRUCTION 21804 DILLER LANE BOYDS MD 20841 CONSTRUCTION 368452 ARCH CONSULTANTS 300 KNIGHTSBRIDGE PARKWAY STE 340 LINCOLNSHIRE IL 60069 PROJECT DEVELOPMENT 364908 ASPIRE CONSULTING PARTNERS 12890 BLALOCK DRIVE FISHERS IN 46037 CONSULTING SVC. 316165 14 25333 25333 MANAGEMENT FEES 623000 4500452 4500452 RESIDENT SERVICE REV. 623000 1768916 1768916 6269368 28692 28692 DEVELOPER FEES 900099 74288 74288 CONSULTING REVENUE 900099 2438 2438 OTHER ANCILLARY REVENU 900099 1036 1036 77762 6401155 6269368 2438 104016 X 519592 519592 980875 980875 6336166 3201043 2456240 678883 102770 48356 16418 37996 684888 176320 440317 68251 527031 168494 302345 56192 101483 101483 73447 73447 87919 87919 175 175 4471 4471 1572299 206726 1362469 3104 163820 108473 55347 559742 62682 475240 21820 513346 4516 495113 13717 463604 61019 402585 187256 101564 85692 481 481 57280 17329 39951 298097 3461 294636 UBI TAX 6206 6206 LOSS ON ABANDONED PROJ. 810542 810542 DUES AND SUBSCRIPTIONS 335269 161971 140487 32811 BAD DEBT 77345 77345 185361 139789 45516 56 14649465 5760749 7920539 968177 17022 10773 383217 1885142 104729 279539 37202 13259 503490 437321 17205648 1713708 23795009 15491940 750000 869595 0 25710264 18867974 852879 1574079 -1292340 1481354 -439461 3055433 X 26143205 15771662 3070 18210 3450 22669 26149725 15812541 25710264 18867974 -8248310 -2088874 0 X 0 1 X 1 0 X 15655 11615 25333 52603 5000333 5831817 6269368 17101518 5015988 5843432 6294701 17154121 4750 7950 5555 18255 0 4750 7950 5555 18255 17135866 663 772 28692 30127 663 772 28692 30127 1438 1438 74441 75324 149765 5016651 5918645 6400155 17335451 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CONSULTING REVENUE - 2017 AMOUNT: $ 74,441. DEVELOPER FEES - 2018 AMOUNT: $ 74,288. OTHER ANCILLARY REVENUE - 2018 AMOUNT: $ 1,036. 0 0 0 0 0 0 0 0 1 175 175 0 PART II-B, LINE 1: NATIONAL 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. 1823775 1713708 110067 15381873 15381873 15491940 DUE TO AFFILIATES 1481354 1481354 6396684 -4471 -4471 6401155 0 6401155 14644994 0 14644994 4471 4471 14649465 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES -4,471. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES 4,471. 1 AHC GREATER BALTIMORE 1501 SAINT PAUL STREET BALTIMORE MD 21202 331089573 501(C)(3) 12500 EXPANSION 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 300 ROCKVILLE MD 20852 521978088 501(C)(3) 12500 PROVISION 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 610 URBANNA VA 23175 541085032 501(C)(3) 6000 PROVISION OF TRANSPORTATION FOR SENIORS TO MEDICAL APPOINTMENTS IN A RURAL 10 COUNTY REGION BLUE RIDGE AREA FOOD BANK PO BOX 937 VERONA VA 24482 521202644 501(C)(3) 20000 EXPANSION OF THE "REACH PROGRAM" TO REACH AN ADDITIONAL 100 SENIORS PER MONTH WITH SHELF-STABLE FOOD BLUE RIDGE HOSPICE 333 W CORK STREET WINCHESTER VA 22601 541126227 501(C)(3) 10000 PROVISION OF FUNDING FOR THE PATIENT CARE FUND TO SUPPORT SENIORS IN NEED OF END-OF-LIFE HOSPICE CARE COMMUNITY MINISTRIES OF ROCKVILLE 1010 GRANDIN AVENUE ROCKVILLE MD 20851 520910334 501(C)(3) 10000 PROVISION OF WEEKLY HOME CARE SERVICES, CASE MANAGEMENT AND HOME REPAIRS TO LOW INCOME FRAIL ELDERLY INDIVIDUALS IN ROCKVILLE CROSSROADS COMMUNITY FOOD NETWORK 6930 CARROLL AVENUE TAKOMA PARK MD 20912 364635237 501(C)(3) 10000 PROVISION 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 STREET WILMINGTON DE 19804 510341283 501(C)(3) 11500 MOBILIZATION OF FAITH COMMUNITIES INCREASE VOLUNTEER CAREGIVING TO ENABLE SENIORS TO GAIN GREATER ACCESS TO COMMUNITY RESOURCES GRACEINSIDE 2828 EMERYWOOD PARKWAY RICHMOND VA 23294 540542300 501(C)(3) 27000 PROVISION OF CHAPLAIN SERVICES TO MEN'S GERIATRIC PRISON IN VIRGINIA HABITAT FOR HUMANITY OF FREDERICK COUNTY MD 117 E CHURCH STREET FREDERICK MD 21701 521820647 501(C)(3) 8500 HOUSE REPAIRS HEART OF VIRGINIA FREE CLINIC 1702 SOUTH MAIN STREET FARMVILLE VA 23901 272785970 501(C)(3) 6950 MEDICAL ASSISTANCE HIGHLAND FOOD PANTRY PO BOX 1762 WINCHESTER VA 22604 464661240 501(C)(3) 12500 SUPPORT 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 DRIVE FAIRFAX VA 22030 521361974 501(C)(3) 7500 EDUCATION JEFFERSON AREA BOARD FOR AGING 674 HILLSDALE DRIVE CHARLOTTESVILLE VA 22901 540990078 501(C)(3) 20000 PROVISION OF THE LIVEWELL, VIRGINIA! WORKSHOPS TO SENIORS WITH CHRONIC DISEASES JEWISH SOCIAL SERVICE AGENCY 200 WOOD HILL ROAD ROCKVILLE MD 20850 530196598 501(C)(3) 12500 PROVISION 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 14205 ROANOKE VA 24038 540916248 501(C)(3) 7000 ENHANCEMENT OF CHRONIC DISEASE SELF MANAGEMENT PROGRAM AND ABILITY TO OFFER DIABETES SELF MANAGEMENT MARYLAND CONSUMER RIGHTS COALITION 2209 MARYLAND AVENUE BALTIMORE MD 21218 522266235 501(C)(3) 20000 ENROLLMENT 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 604 MECHANICSVILLE VA 23111 331168177 501(C)(3) 7500 TRANSPORTATION MENTAL HEALTH AMERICA OF FREDERICKSBURG 2217 PRINCESS ANNE STREET FREDERICKSBURG VA 22401 540678704 501(C)(3) 7500 SUPPORT 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 DRIVE ROCKVILLE MD 20850 521735674 501(C)(3) 10000 CRISIS ASSISTANCE NEWARK SENIOR CENTER 200 WHITE CHAPEL DRIVE NEWARK DE 19713 510104695 501(C)(3) 13500 EXPANSION OF THE TRANSPORTATION PROGRAM TO ENABLE MORE SENIORS TO ATTEND THE EARLY MEMORY LOSS PROGRAM PENINSULA AGENCY ON AGING INC 739 THIMBLE SHOALS BOULEVARD NEWPORT NEWS VA 23606 510151069 501(C)(3) 10000 EDUCATION PIEDMONT SENIOR RESOURCES 1413 SOUTH MAIN STREET FARMVILLE VA 23901 541025127 501(C)(3) 15000 TRANSPORTATION RAPPAHANNOCK RAPIDAN COMMUNITY SERVICES P O BOX 1568 CULPEPER VA 22701 237238218 501(C)(3) 12000 EXPANSION OF LIVEWELL, VIRGINIA! CHRONIC DISEASE MANAGEMENT COURSES THROUGHOUT THE CULPEPER AREA REBUILDING TOGETHER DC ALEXANDRIA 700 PRINCESS STREET ALEXANDRIA VA 22314 541389286 501(C)(3) 18500 PRESERVATION 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 WAY GAITHERSBURG MD 20879 521667026 501(C)(3) 10000 CRISIS ASSISTANCE REBUILDING TOGETHERARLINGTONFAIRFAXFALLS CHURCH INC 10723 MAIN STREET FAIRFAX VA 22030 274158090 501(C)(3) 10000 CRISIS ASSISTANCE SENIOR SERVICES OF ALEXANDRIA 700 PRINCESS STREET ALEXANDRIA VA 22314 540842806 501(C)(3) 7500 GENERAL OPERATIONS SENIOR SERVICES OF SOUTHEASTERN VIRGINIA 6350 CENTER DRIVE NORFOLK VA 23502 546069786 501(C)(3) 12500 EXPANSION OF EVIDENCE-BASED ENHANCEFITNESS, OFFERED TO SENIORS AND THEIR CAREGIVERS, TO THREE ADDITIONAL SITES IN SOUTH HAMPTON ROADS SHENANDOAH DENTAL CLINIC 124 VALLEY VISTA DRIVE WOODSTOCK VA 22664 680657235 501(C)(3) 10000 PROVISION 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 132 TOMS BROOK VA 22660 271675977 501(C)(3) 10000 SUPPORT OF THE FAITH COMMUNITY NURSE PROGRAM IN THE SHENANDOAH VALLEY SILVER SPRING VILLAGE PO BOX 8217 SILVER SPRING MD 20907 460723926 501(C)(3) 7500 SUPPORT OF NORC (NATURALLY OCCURRING RETIREMENT COMMUNITY) PROGRAMS TO SENIORS IN SILVER SPRING SOUTHERN MARYLAND TRI-COUNTY COMMUNITY ACTION COMMITTEE INC 8371 OLD LEONARDTOWN ROAD HUGHESVILLE MD 20637 526066477 501(C)(3) 10000 PROVISION 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 817 WAYNESBORO VA 22980 540958526 501(C)(3) 7500 PROVISION OF TRANSPORTATION SERVICES FOR SENIORS IN AUGUSTA AND ROCKINGHAM COUNTIES VIRGINIA PENINSULA FOODBANK 2401 ALUMINUM AVENUE HAMPTON VA 23661 541422298 501(C)(3) 20000 PURCHASE 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 HALL BLACKSBURG VA 24060 540721690 501(C)(3) 21034 DEVELOPMENT AND IMPLEMENTATION OF A 16-SESSION COURSE FOR SENIORS WITH MILD COGNITIVE IMPAIRMENT CAPITOL HILL VILLAGE 725 8TH ST SE WASHINGTON DC 20003 205150809 501(C)(3) 7500 SUPPORT OF NORC (NATURALLY OCCURRING RETIREMENT COMMUNITY) PROGRAMS TO SENIORS IN SILVER SPRING EDLAVITCH DC JEWISH COMMUNITY CENTER 1529 SIXTEENTH ST NW WASHINGTON DC 20036 521398151 501(C)(3) 10000 ADULT DAY PROGRAM FOOD & FRIENDS 219 RIGGS ROAD NE WASHINGTON DC 20011 521648941 501(C)(3) 27500 SUPPORT 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 NW WASHINGTON DC 20009 521338101 501(C)(3) 5000 CRISIS ASSISTANCE WE ARE FAMILY SENIOR OUTREACH NETWORK INC 1380 MONROE ST NW WASHINGTON DC 20010 262902518 501(C)(3) 20000 EXPANSION 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 41 0 PART I, LINE 2: ALL 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. X 0 0 X X X X X 0 0 0 0 0 0 0 1 0 LAWRENCE BRADSHAW PRESIDENT/CEO 386203 0 35652 0 0 0 19914 0 12481 0 454250 0 0 0 RICHARD MAZZA CHIEF FINANCIAL OFFICER 190926 0 0 0 7183 0 7785 0 2451 0 208345 0 0 0 CYNTHIA WALTERS CHIEF OPERATING OFFICER 258874 0 22518 0 7183 0 14636 0 15069 0 318280 0 0 0 CAMILLE ROUSSEL CHIEF QUALITY & PERF.(UNTIL 8/18) 164266 0 13622 0 0 0 7727 0 10416 0 196031 0 0 0 KAREN SROKA CLIN. QUALITY & PERFORMANCE LEADER 145278 0 6216 0 0 0 8891 0 8051 0 168436 0 0 0 JAE SHIN DIR. INFORMATION TECHNOLOGY 154331 0 7346 0 0 0 6468 0 16293 0 184438 0 0 0 KATHLEEN O'HALLORAN CHIEF TALENT & CULTURE OFFICER 165166 0 11318 0 0 0 10140 0 9269 0 195893 0 0 0 KATHRYN BAERWALD CHIEF PHILANTHROPY OFFICER 165812 0 13025 0 0 0 10535 0 13800 0 203172 0 0 0 PART I, LINE 1A EXECUTIVE 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 7 BONUSES 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. FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C BOARD 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 15 THE 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 19 THE 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 11G PROFESSIONAL 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. 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