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← NATIONAL LUTHERAN HOME FOR THE AGED INCORPORATED

Form 990 for tax year 2022

Filed by NATIONAL LUTHERAN HOME FOR THE AGED INCORPORATED.

Totals

Total revenue
$1,581,598
Total expenses
$210,151
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$210,151
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • REV JOHN WERTZ JR

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • PASTOR LISA LEBER

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • CORNELL P ABOD

    TREASURER/SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • REV ANNE DWIGGINS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN DAILEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TOM WHITEFORD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • DR TOMMIE L ROBINSON JR

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL HELLER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JOHN E HANDLEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CYNTHIA WALTERS

    PRESIDENT/CEO

    Total calculated
    $489,797
    From this org
    $0
    From related orgs
    $455,855
    Other
    $33,942
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $384,802 related
    Bonus
    $0 + $42,568 related
    Other
    $0 + $28,485 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $21,742 related
    Filer's total
    $0 + $489,797 related

  • DR RACHEL CARLSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • REV SCOTT MAXWELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • RICHARD MAZZA

    CHIEF FINANCIAL OFFICER

    Total calculated
    $368,231
    From this org
    $0
    From related orgs
    $330,367
    Other
    $37,864
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $284,186 related
    Bonus
    $0 + $21,489 related
    Other
    $0 + $24,692 related
    Deferred
    $0 + $10,584 related
    Nontaxable benefits
    $0 + $27,280 related
    Filer's total
    $0 + $368,231 related

  • REGINA FIGUEROA

    CHIEF OPERATING OFFICER

    Total calculated
    $258,571
    From this org
    $0
    From related orgs
    $231,610
    Other
    $26,961
    Hours/week
    7.5 + 32.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $231,250 related
    Bonus
    $0
    Other
    $0 + $360 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $26,961 related
    Filer's total
    $0 + $258,571 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE ORGANIZATION'S CEO IS PAID BY NATIONAL LUTHERAN, INC. NATIONAL LUTHERAN, INC. USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
3 May 2023
IRS schema version
2022v5.0
Source object
202301329349306510

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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