THE VILLAGE AT ROCKVILLE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE VILLAGE AT ROCKVILLE INC (EIN 53-0196624)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-13
- IRS object ID
- 201312259349300531
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T08:40:04-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1869 CHARTER LANE STE 301 | AddressLine1 |
| City | LANCASTER | City |
| State | PA | State |
| ZIP Code | 17601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 530196624 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL LUTHERAN HOME AND VILLAGE AT ROCKVILLE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NATI | NameControl |
| Phone | 3014249560 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9701 VEIRS DRIVE | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 20850 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAWRENCE R BRADSHAW | Name |
| Title | CEO | Title |
| Phone | 3014249560 | Phone |
| Date Signed | 2013-08-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL S FREY | Name |
| PTIN | P00327329 | PTIN |
| Phone | 7173935696 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE VILLAGE AT ROCKVILLE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LAWRENCE R BRADSHAW | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 RESEARCH BLVD | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 20850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 29625394 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.THEVILLAGEATROCKVILLE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1890 | YearFormation |
| State Legal Domicile | DC | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF SKILLED NURSING FACILITY AND RESIDENTIAL LIVING COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 396 | TotalNbrEmployees |
| Total Nbr Volunteers | 183 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1148511 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2053853 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 25461348 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23201207 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1508047 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2005007 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 243709 | OtherRevenuePriorYear |
| Other Revenue Current Year | 214647 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 28361615 | TotalRevenuePriorYear |
| Total Revenue Current Year | 27474714 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17087394 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16196061 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11045101 | OtherExpensePriorYear |
| Other Expenses Current Year | 11602235 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 28132495 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27798296 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 229120 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -323582 | RevenuesLessExpensesCY |
| Total Assets BOY | 73830230 | TotalAssetsBOY |
| Total Assets EOY | 87209324 | TotalAssetsEOY |
| Total Liabilities BOY | 11543008 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22310665 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 62287222 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 64898659 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO FULFILL ITS CHRISTIAN MINISTRY NATIONAL LUTHERAN HOME AND VILLAGE AT ROCKVILLE PROVIDES AN ARRAY OF OPTIONS FOR SENIORS INCLUDING RESIDENTIAL LIVING, ALONG WITH HOME AND HEALTH CARE SERVICES WHICH ARE DESIGNED TO MEET INDIVIDUAL NEEDS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 23199514 | Expense |
| Grants | 0 | Grants |
| Revenue | 23201207 | Revenue |
| Description | SKILLED NURSING FACILITY - PROVIDES RESIDENCY AND MEDICAL CARE TO THOSE IN THE SENIOR COMMUNITY IN A 219-BED FACILITY(IN THE PROCESS OF BEING RECONFIGURED FROM A 300-BED FACILITY) FOR WHICH THERE WERE 69,224 CENSUS DAYS IN 2012.INDEPENDENT LIVING COMMUNITY - PROVIDES RESIDENCY TO THOSE IN THE SENIOR COMMUNITY IN A 141 UNIT FACILTIY(RECONFIGURED FROM THE ORIGINAL 144 UNITS) FOR WHICH THERE WERE 57,814 CENSUS DAYS IN 2012. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THE ORGANIZATION EXTENDS CHARITY CARE AND OTHER SUPPORT TO RESIDENTS, WHO MEET CERTAIN CRITERIA UNDER ITS BENEVOLENT CARE POLICY AND ARE UNABLE TO PAY FOR SERVICES, AT ALL LEVELS OF CARE AS NEEDED AND WHEN APPROPRIATE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE BENEVOLENT CARE, THEY ARE NOT REPORTED AS RESIDENT SERVICE REVENUES.THE ORGANIZATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF BENEVOLENT CARE IT PROVIDES. THE ESTIMATED COSTS OF PROVIDING BENEVOLENT CARE IS BASED UPON THE DIRECT AND INDIRECT COSTS IDENTIFIED WITH THE SPECIFIC BENEVOLENT CARE PROVIDED. THE COST OF BENEVOLENT CARE PROVIDED AMOUNTED TO APPROXIMATELY $4,800,000 IN 2012 AND $4,200,000 IN 2011, RESPECTIVELY, RELATED TO THE MEDICAID PROGRAM. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 23199514 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 67 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 396 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MD | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL J BRADY CHIEF FINANCIAL OFFICER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3013542714 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 RESEARCH BLVD | AddressLine1 |
| City | ROCKVILLE | City |
| State | MD | State |
| ZIP Code | 20850 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MRS CLAUDIA HARRINGTON | ||||||||
| CHAIRPERSON | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| THE REV ALAN TRAHER | ||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| MR DANIEL M BRINGMAN | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| MR LAWRENCE R BRADSHAW | ||||||||
| CEO/NLCS | 12.00 | 28.00 | X | X | 0 | 259051 | 19219 | |
| THE REV RODNEY RONNEBERG | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| MRS FAITH BAUERSFELD | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | X | 0 | 0 | 0 | ||
| MR WALLY ROSSMILLER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MRS MARJORIE BRUFFY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MR FRANK E MCGOVERN | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 169825 | 0 | 32093 | |||
| MR MICHAEL BRADY | ||||||||
| ASSISTANT TREASURER & CFO | 14.00 | 26.00 | X | 0 | 119628 | 17170 | ||
| MS GINA MARIE D'ANGELO | ||||||||
| CHIEF, CLINICAL OPS | 40.00 | 106114 | 0 | 15899 | X | |||
| HYANG SOON LEE | ||||||||
| NURSE LIAISON | 40.00 | 122077 | 0 | 20870 | X | |||
| XIAOGIU HU | ||||||||
| DIRECTOR OF INFOMATICS | 40.00 | 121525 | 0 | 18245 | X | |||
| MRS CAMILLE A FORBES-SCOTT | ||||||||
| DIR. OF NURSING | 40.00 | 116095 | 0 | 20617 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 635636 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 378679 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 144113 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SHOCKEY CONSTRUCTION | |||||
| 1057 MARTINSBURG PIKE | WINCHESTER | VA | 22603 | CONSTRUCTION | 7128735 |
| WHITING-TURNER CONTRACTING COMPANY | |||||
| 200 CEDAR ST | CAMBRIDGE | MD | 21613 | CONSTRUCTION CONTRACTOR | 1794668 |
| FLAGSHIP | |||||
| 513 SOUTH CLEWELL STREET | BETHLEHEM | PA | 18015 | MOBILITY ASSISTANCE DEVICES | 1524735 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | FOOD SERVICES | 795166 |
| PARTNERS IN PLANNING | |||||
| 5252 CHEROKEE AVE STE 103 | ALEXANDRIA | VA | 22312 | DESIGN CONSULTANTS | 384642 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| All Other Contributions | 2053853 | AllOtherContributions |
| Total Contributions | 2053853 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RESIDENT INCOME | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 23201207 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23201207 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23201207 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1491229 | TotalRevenueColumn |
| Exclusion | $1,491,229 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3176 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3176 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3176 | TotalRevenueColumn |
| Exclusion | $3,176 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1937220 | Securities |
| Other | 727238 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 862574 | Securities |
| Other | 1288106 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1074646 | Securities |
| Other | -560868 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 513778 | TotalRevenueColumn |
| Exclusion | $513,778 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA INCOME | 623000 | 136396 | $136,396 |
| HAIR CARE | 623000 | 67005 | $67,005 |
| RESIDENT TRIPS | 623000 | 7752 | $7,752 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 318 | TotalRevenueColumn |
| Exclusion | $318 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 211471 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27474714 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23201207 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,219,654 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201918 | Total |
| Management And General | 201918 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12954033 | Total |
| Program Services | 11953326 | ProgramServices |
| Management And General | 1000707 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 389117 | Total |
| Program Services | 382175 | ProgramServices |
| Management And General | 6942 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1397311 | Total |
| Program Services | 1149540 | ProgramServices |
| Management And General | 247771 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1253682 | Total |
| Program Services | 877618 | ProgramServices |
| Management And General | 376064 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1531700 | Total |
| Management And General | 1531700 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57286 | Total |
| Management And General | 57286 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 398 | Total |
| Management And General | 398 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117131 | Total |
| Management And General | 117131 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2763919 | Total |
| Program Services | 2518795 | ProgramServices |
| Management And General | 245124 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162024 | Total |
| Management And General | 162024 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1702961 | Total |
| Program Services | 1475630 | ProgramServices |
| Management And General | 227331 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10500 | Total |
| Management And General | 10500 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335268 | Total |
| Program Services | 1243193 | ProgramServices |
| Management And General | 92075 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28383 | Total |
| Program Services | 17511 | ProgramServices |
| Management And General | 10872 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2201989 | Total |
| Program Services | 2201989 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 866088 | 866088 | |
| BAD DEBTS | 384745 | 384745 | |
| DUES AND SUBSRIPTIONS | 109198 | 54350 | 54848 |
| ANNUITY EXPENSES | 86223 | 86223 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244422 | Total |
| Program Services | 74554 | ProgramServices |
| Management And General | 169868 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27798296 | Total |
| Program Services | 23199514 | ProgramServices |
| Management And General | 4598782 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200 | BOY |
| EOY | 200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1397212 | BOY |
| EOY | 1912672 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1600623 | BOY |
| EOY | 1441873 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 409500 | BOY |
| EOY | 274500 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97517 | BOY |
| EOY | 110198 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298549 | BOY |
| EOY | 199001 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63279797 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 24668940 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28330243 | BOY |
| EOY | 38610857 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41595773 | BOY |
| EOY | 40740256 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 2918715 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83482 | BOY |
| EOY | 83482 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17131 | BOY |
| EOY | 917570 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73830230 | BOY |
| EOY | 87209324 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3921234 | BOY |
| EOY | 3074939 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7452283 | BOY |
| EOY | 8706906 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 10135000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169491 | BOY |
| EOY | 393820 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11543008 | BOY |
| EOY | 22310665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60642203 | BOY |
| EOY | 63104529 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289940 | BOY |
| EOY | 375790 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1355079 | BOY |
| EOY | 1418340 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62287222 | BOY |
| EOY | 64898659 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73830230 | BOY |
| EOY | 87209324 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -323582 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2836016 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 99003 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1225978 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1124921 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 981467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1148511 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2053853 | CurrentTaxYear |
| Total | 6534730 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25098407 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27206131 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27997079 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25467013 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23201207 | CurrentTaxYear |
| Total | 128969837 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 287180 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 234078 | CurrentTaxYearMinus1Year |
| Current Tax Year | 203401 | CurrentTaxYear |
| Total | 724659 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 26324385 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 28331052 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29265726 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26849602 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25458461 | CurrentTaxYear |
| Total | 136229226 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 3931 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2432 | CurrentTaxYear |
| Total | 6363 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 682001 | CurrentTaxYear |
| Total | 682001 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 3931 | CurrentTaxYearMinus1Year |
| Current Tax Year | 684433 | CurrentTaxYear |
| Total | 688364 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 135540862 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2666977 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3619585 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3233811 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1444643 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1494405 | CurrentTaxYear |
| Total | 12459421 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2666977 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3619585 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3233811 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1444643 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1494405 | CurrentTaxYear |
| Total | 12459421 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -73911 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 226474 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3970 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1214 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8070 | CurrentTaxYear |
| Total | 165817 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28917451 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32177111 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 32503507 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28295459 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26960936 | CurrentTaxYear |
| Total | 148854464 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.91060 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.89180 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.08370 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.10700 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ -73,911. 2009 AMOUNT: $ 226,474. 2010 AMOUNT: $ 3,970. 2011 AMOUNT: $ 1,214. 2012 AMOUNT: $ 318. RESIDENT TRIPS - 2012 AMOUNT: $ 7,752. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $398 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 398 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | NATIONAL LUTHERAN HOME AND VILLAGE AT ROCKVILLE PAYS DUES TO LIFESPAN. 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 $398. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8210054 | OtherCostOrOtherBasis |
| Book Value | 8210054 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31292361 | OtherCostOrOtherBasis |
| Depreciation | 19617673 | Depreciation |
| Book Value | 11674688 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7143099 | OtherCostOrOtherBasis |
| Depreciation | 5051267 | Depreciation |
| Book Value | 2091832 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16634283 | OtherCostOrOtherBasis |
| Book Value | 16634283 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 38610857 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ANNUITIES PAYABLE | Description |
| Amount | $393,820 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 393820 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 30853470 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2836016 | NetUnrealizedGainsInvestments |
| Other Revenues | 99003 | OtherRevenues |
| Revenue Not Rptd F990 | 2935019 | RevenueNotRptdF990 |
| Revenue Subtotal | 27918451 | RevenueSubtotal |
| Investment Expenses Not Included | 117131 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -560868 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -443737 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 27474714 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 28242033 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 560868 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 560868 | ExpensesNotRptdF990 |
| Expenses Subtotal | 27681165 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 117131 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 117131 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 27798296 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE ORGANIZATION FOLLOWS THE PROVISIONS OF GENERALLY ACCEPTED ACCOUNTING STANDARDS THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS, INCLUDING NOT-FOR-PROFIT CORPORATIONS, AND PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE STANDARDS ALSO PROVIDE GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND DISCLOSURE. MANAGEMENT HAS DETERMINED THAT THIS STANDARD DOES NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE ORGANIZATIONS'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF TRUSTS 99,003. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON SALE OR DISPOSAL OF ASSETS -560,868. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON SALE OR DISPOSAL OF ASSETS 560,868. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR LAWRENCE R BRADSHAW | ||||||||||||||
| CEO/NLCS | 0 | 259051 | 0 | 0 | 0 | 0 | 0 | 15649 | 0 | 3570 | 0 | 278270 | 0 | 0 |
| MR FRANK E MCGOVERN | ||||||||||||||
| EXECUTIVE DIRECTOR | 156180 | 0 | 0 | 0 | 13645 | 0 | 10643 | 0 | 21450 | 0 | 201918 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | THE EXECUTIVE DIRECTOR SEPARATED FROM THE ORGANIZATION IN NOVEMBER AND RECEIVED SEVERANCE PAY FOR THE MONTH OF DECEMBER. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MAYOR AND COUNCIL OF ROCKVILLE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 526001573 | IssuerEIN |
| CUSIP Number | 774223AA9 | CUSIPNumber |
| Date Issued | 2012-02-28 | DateIssued |
| Issue Price | 10135000 | IssuePrice |
| Description Of Purpose | RENOVATIONS TO EXISTING FACILITIES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 10135000 | TotalProceeds |
| Capitalized Interest | 376672 | CapitalizedInterest |
| Issuance Costs From Proceeds | 202700 | IssuanceCostsFromProceeds |
| Capital Expenditures | 9555628 | CapitalExpenditures |
| Year Of Subst Completion | 2013 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | NATIONAL LUTHERAN HOME FOR THE AGED, INC. (EIN 26-2222476), THE PARENT ENTITY, PROVIDES FINANCIAL AND MANAGEMENT FUNCTIONS FOR THE ORGANIZATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A SINGLE CLASS OF CONSTITUENT MEMBERS WHICH SHALL CONSIST OF THOSE DULY ELECTED MEMBERS OF THE BOARD OF TRUSTEES OF NATIONAL LUTHERAN HOME FOR THE AGED, INC., THE PARENT ORGANIZATION TO THE FILING ENTITY. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S BOARD HAS ROTATING 3 YEAR TERMS WITH THE POSSIBILITY OF 2 CONSECUTIVE TERMS BEING SERVED. THEN A BREAK OF ONE YEAR MUST OCCUR BEFORE AN INDIVIDUAL SERVES AS A BOARD MEMBER AGAIN. THE ONLY EXCEPTION TO THESE RULES ARE THE BISHOP'S DESIGNEES FROM EACH OF THE CHURCH SYNODS TO WHICH THE ORGANIZATION BELONGS. IF THE BISHOP CHOOSES NOT TO SERVE ON THE BOARD, THEN HE CAN ASSIGN AN INDIVIDUAL TO HIS/HER SEAT AS LONG AS HE/SHE IS BISHOP. | |
| FORM 990, PART VI, SECTION A, LINE 7B | APPROVAL OF THE FOLLOWING MATTERS IS RESERVED EXCLUSIVELY TO THE MEMBERSHIP. HE/SHE OR THEY MAY: A) APPROVE THE ROLE AND/OR MISSION STATEMENT, IF ANY. B) APPROVE OPERATING AND CAPITAL BUDGETS C) APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS. D) APPROVE ALL CONTRACTS IN EXCESS OF $1,000,000 E) APPROVE THE INCURRENCE OF DEBT IN EXCESS OF $1,000,000 F) APPROVE AND RECOMMEND THE FORMATION OF LEGAL ENTITIES, THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS, DIVESTITURES, DISSOLUTIONS, CLOSURES, MERGERS, CONSOLIDATIONS, OR CHANGES IN CORPORATE MEMBERSHIP G) LIQUIDATION, DISSOLUTION, WINDING UP OR ABANDONMENT OF THE CORPORATION H) APPROVAL OF STRATEGIC PLANS I) SELECTION OF THE AUDITOR FOR THE CORPORATION | |
| FORM 990, PART VI, SECTION B, LINE 11 | 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 PRIOR TO TRANSMISSION OF THE RETURN TO THE IRS. THE BOARD OF THE PARENT, NATIONAL LUTHERAN HOME FOR THE AGED, 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. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD DETERMINES THE COMPENSATION FOR THE CEO THROUGH THE COMBINED USE OF SEVERAL METHODS. THE NLCS 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 AND WRITTEN EMPLOYMENT CONTRACTS ARE DRAWN. 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 DOCUEMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF TRUSTS 99,003. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE ROLE OF THE AUDIT COMMITTEE, WHICH CONSISTS OF THE FINANCE COMMITTEE, IS TO SELECT THE AUDITOR. THE AUDITORS ALSO PRESENT THEIR AUDIT FINDINGS TO THE AUDIT COMMITTEE IN A FORMAT WHICH ENCOURAGES DIALOGUE AND QUESTIONS WITH THE AUDITORS. | AUDIT OVERSIGHT: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE VILLAGE AT ORCHARD RIDGE INC | |||||||||||
| 2301 RESEARCH BLVD | ROCKVILLE | MD | 20850 | 263445374 | PROSPECTIVE CONTINUING CARE RETIREMENT COMMUNITY | VA | 501(C)(3) | LINE 9 | NATIONAL LUTHERAN HOME FOR THE AGED INC | 0 | |
| NATIONAL LUTHERAN HOME FOR THE AGED INC | |||||||||||
| 2301 RESEARCH BLVD | ROCKVILLE | MD | 20850 | 262222476 | CORPORATE OVERSIGHT | MD | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| THE LEGACY AT NORTH AUGUSTA INC | |||||||||||
| 2301 RESEARCH BLVD | ROCKVILLE | MD | 20850 | 452857307 | CONTINUING CARE RETIREMENT COMMUNITY | VA | 501(C)(3) | LINE 9 | NATIONAL LUTHERAN HOME FOR THE AGED INC | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |