2019-04-26T10:56:55-05:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 221 W PHILADELPHIA STREET SUITE 200 YORK PA 17401 990 2018-01-01 262222476 NATIONAL LUTHERAN HOME FOR THE AGED INC NATI 3013542710 2301 RESEARCH BLVD 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 09:52:26 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2018 2019-02-21 02:37:17Z LAWRENCE BRADSHAW 2301 RESEARCH BLVD NO 310 ROCKVILLE MD 20850 7109171 0 X WWW.NATIONALLUTHERAN.ORG X 2008 MD TO SERVE AS A SUPPORTING ORGANIZATION TO NATIONAL LUTHERAN COMMUNITIES & SERVICES. 11 10 0 0 0 0 0 0 0 0 3508263 1770436 0 0 3508263 1770436 0 0 0 0 0 0 0 0 0 398850 499352 398850 499352 3109413 1271084 82249356 85735520 1794367 7950063 80454989 77785457 X TO FULFILL ITS CHRISTIAN MINISTRY, NATIONAL LUTHERAN HOME FOR THE AGED IS ORGANIZED FOR THE PURPOSE OF SUPPORTING THE OBJECTIVES OF ITS PARENT ORGANIZATION, NATIONAL LUTHERAN, INC. AND RELATED ORGANIZATIONS THAT PROVIDE FOR THE HEALTHCARE, HOUSING, GENERAL CARE AND WELL-BEING OF AGED PERSONS. 0 0 0 0 0 THE ORGANIZATION SERVES AS A SUPPORTING ORGANIZATION TO ITS AFFILIATES, PROVIDING FINANCIAL SUPPORT TO ITS TWO CONTINUING CARE RETIREMENT COMMUNITIES AND ONE DUAL-CERTIFIED RESIDENTIAL CARE/ASSISTED LIVING FACILITY. THE FACILITIES PROVIDE SENIORS WITH HOUSING, MEDICAL ATTENTION, AND ANY SERVICES THAT PROMOTE GOOD EMOTIONAL AND PHYSICAL HEALTH IN A CHRISTIAN ENVIRONMENT. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X X RICHARD MAZZA CFO 3013542710 2301 RESEARCH BLVD SUITE 310 ROCKVILLE MD 20850 MR LAWRENCE R BRADSHAW PRESIDENT/CEO 10.00 30.00 X X 0 421855 32395 THE REV DR WOLLOM JENSEN BOARD MEMBER 1.00 X 0 0 0 DR TOMMIE ROBINSON JR IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 THE REV JOSEPH LETTRICH BOARD MEMBER 1.00 X 0 0 0 THE REV SCOTT ICKERT BOARD MEMBER 1.00 1.00 X 0 0 0 MS ELIZABETH FLURY BOARD MEMBER (RESIGNED FEB. '18) 1.00 X 0 0 0 MS DONNA DUSS BOARD MEMBER 1.00 X 0 0 0 REV DEBBIE DUKES TREASURER/SECRETARY 1.00 X X 0 0 0 MICHAEL RODGERS BOARD MEMBER 1.00 X 0 0 0 REV JOHN WERTZ JR BOARD MEMBER 1.00 1.00 X 0 0 0 MS LISA BEHR CHAIR 1.00 X X 0 0 0 MS JULIE SWANSON BOARD MEMBER 1.00 X 0 0 0 MR RICHARD MAZZA CHIEF FINANCIAL OFFICER 15.00 30.00 X 0 198109 10236 CYNTHIA WALTERS CHIEF OPERATING OFFICER 7.50 32.50 X 0 288575 29705 0 908539 72336 0 0 1 0 MORGAN STANLEY 702 KING FARM BLVD STE 500 ROCKVILLE MD 20850 INVESTMENT MGT. SVC. 173094 HAMLIN CAPITAL MANAGEMENT 640 FIFTH AVENUE 11TH FLOOR NEW YORK NY 10019 INVESTMENT MGT. SVC. 168936 2 1335139 1335139 5774032 5338735 435297 435297 435297 1770436 0 0 1770436 X 342030 342030 157322 157322 499352 0 499352 0 43948672 28925261 3210186 3290017 35090498 53520242 82249356 85735520 44367 42740 7907323 1750000 0 1794367 7950063 X 80454989 77785457 80454989 77785457 82249356 85735520 1271084 -3940616 0 X 0 1 X 1 0 X X 5 THE VILLAGE AT ORCHARD RIDGE INC 263445374 10 0 0 0 THE VILLAGE AT ROCKVILLE 530196624 10 0 0 0 THE LEGACY AT NORTH AUGUSTA 452857307 10 0 0 0 THE VILLAGE AT PROVIDENCE POINT INC 454024593 10 0 0 0 NATIONAL LUTHERAN INC 472584315 10 1 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, SECTION A, LINE 1: THE BYLAWS FOR NATIONAL LUTHERAN HOME FOR THE AGED, INC. (NLHA) ONLY MENTION ITS PARENT, NATIONAL LUTHERAN, INC. THE BYLAWS DO NOT MENTION NLHA'S AFFILIATES BY NAME; HOWEVER, EACH AFFILIATE MENTIONS NATIONAL LUTHERAN, INC. AS THE SOLE MEMBER OF ITS ORGANIZATION. THE DAY-TO-DAY OPERATIONS OF THE GROUP, ALL MANAGED BY THE SAME EXECUTIVE TEAM, CLEARLY INDICATE THAT NLHA IS THE SUPPORTING ORGANIZATION FOR THE ENTITIES LISTED ON PART I, LINE 11G (I). NLHA'S NEWLY AMENDED BYLAWS INDICATE THAT NATIONAL LUTHERAN, INC. HAS THE POWER TO ELECT NLHA'S BOARD OF TRUSTEES. 0 DUE FROM AFFILIATES 53520242 53520242 -2512210 -3940616 -342030 -4282646 1770436 0 1770436 157322 0 157322 342030 342030 499352 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT EXPENSES -342,030. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES 342,030. 0 0 0 0 0 0 0 1 0 MR LAWRENCE R BRADSHAW PRESIDENT/CEO 0 386203 0 35652 0 0 0 19914 0 12481 0 454250 0 0 MR RICHARD MAZZA CHIEF FINANCIAL OFFICER 0 190926 0 0 0 7183 0 7785 0 2451 0 208345 0 0 CYNTHIA WALTERS CHIEF OPERATING OFFICER 0 258874 0 22518 0 7183 0 14636 0 15069 0 318280 0 0 PART I, LINE 3 THE ORGANIZATION'S PARENT, NATIONAL LUTHERAN, INC., USES SEVERAL METHODS TO DETERMINE COMPENSATION, AMONG THEM THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, AND THE FORMS 990S OF OTHER ORGANIZATIONS. THE PARENT, NATIONAL LUTHERAN, INC., ALSO USES COMPENSATION STUDIES AND APPROVAL BY THE BOARD. 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 A, LINE 3 NATIONAL LUTHERAN, INC. (EIN 47-2584315), THE PARENT ENTITY, PROVIDES FINANCIAL AND MANAGEMENT FUNCTIONS FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 NATIONAL LUTHERAN INC. IS THE SOLE MEMBER OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A NATIONAL LUTHERAN, INC., THE SOLE MEMBER OF NATIONAL LUTHERAN HOME FOR THE AGED, INC., HAS THE RIGHT TO VOTE AND ELECT MEMBERS OF THE FILING ORGANIZATION'S BOARD OF TRUSTEES. THE MEMBER ALSO RESERVES THE RIGHT TO REMOVE ANY TRUSTEE WITH OR WITHOUT CAUSE. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE, ALONG WITH APPROPRIATE STAFF, PERFORMS 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. THE BOARD OF THE PARENT, NATIONAL LUTHERAN, INC., WILL RECEIVE A COPY OF THE RETURN PRIOR TO THE IRS FILING AS WELL. 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 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. PART IX FOR 2018, NATIONAL LUTHERAN HOME FOR THE AGED, INC. DID NOT HAVE ANY FUNDRAISING EXPENSES AT THE COMMUNITY LEVEL, RATHER THESE EXPENSES ARE REMITTED FROM INVESTMENT ASSETS HELD BY THE PARENT ORGANIZATION, NATIONAL LUTHERAN, INC. 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