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GRACE BRETHREN VILLAGE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GRACE BRETHREN VILLAGE INC (EIN 23-7085581)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-25
IRS object ID
202232989349300633
Schema version
2021v4.2
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)
Return2022-10-25T12:03:16-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 S PATTERSON BLVDAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237085581EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRACE BRETHREN VILLAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGRACBusinessNameControlTxt
Phone9378364011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11010 TAYWOOD RDAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationOHStateAbbreviationCd
ZIP453222400ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL D MCKINNISSPersonNm
Person TitleEXECUTIVE DIRECTOR/ADMINISTRATORPersonTitleTxt
Phone9378364011PhoneNum
Signature2022-10-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastMCKINNISSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN O CRIMPreparerPersonNm
PTINP00368385PTIN
Phone9372980201PhoneNum
Preparation2022-10-17PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL D MCKINNISSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11010 TAYWOOD RDAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationOHStateAbbreviationCd
ZIP453222400ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,063,516GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GBVILLAGE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE LOVE OF CHRIST THROUGH OUR STAFF BY SHARING THEMSELVES DAILY WITH RESIDENTS THROUGH COMPASSIONATE PHYSICAL, EMOTIONAL, AND SPIRITUAL CARE TO ENHANCE THE CELEBRATION OF LIFE BY "ADDING LIFE TO YEARS."ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee99TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$108TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$408,405PYContributionsGrantsAmt
CY Contributions Grants$457,790CYContributionsGrantsAmt
PY Program Service Revenue$4,777,761PYProgramServiceRevenueAmt
CY Program Service Revenue$4,559,438CYProgramServiceRevenueAmt
PY Investment Income$27,964PYInvestmentIncomeAmt
CY Investment Income$46,168CYInvestmentIncomeAmt
PY Other Revenue$779PYOtherRevenueAmt
CY Other Revenue$108CYOtherRevenueAmt
PY Total Revenue$5,214,909PYTotalRevenueAmt
CY Total Revenue$5,063,504CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,184,266PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,286,310CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,521,538PYOtherExpensesAmt
CY Other Expenses$2,645,641CYOtherExpensesAmt
PY Total Expenses$4,705,804PYTotalExpensesAmt
CY Total Expenses$4,931,951CYTotalExpensesAmt
PY Revenues Less Expenses$509,105PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$131,553CYRevenuesLessExpensesAmt
Total Assets BOY$8,104,829TotalAssetsBOYAmt
Total Assets EOY$7,904,746TotalAssetsEOYAmt
Total Liabilities BOY$5,511,425TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,131,143TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,593,404NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,773,603NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE THE LOVE OF CHRIST THROUGH OUR STAFF BY SHARING THEMSELVES DAILY WITH RESIDENTS THROUGH COMPASSIONATE PHYSICAL, EMOTIONAL, AND SPIRITUAL CARE TO ENHANCE THE CELEBRATION OF LIFE BY "ADDING LIFE TO YEARS."MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,428,509ExpenseAmt
Revenue$4,559,438RevenueAmt
DescGRACE BRETHREN VILLAGE (GBV) IS A FAITH-BASED NOT-FOR-PROFIT CONTINUING CARE RETIREMENT COMMUNITY. GBV HAS BEEN SERVING AREA SENIORS WITH HOUSING AND SERVICES FOR INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING SINCE 1971. OUR GOAL IS MUCH GREATER THAN TO PROVIDE JUST HOUSING AND SERVICES TO OUR RESIDENTS. OUR GOAL IS TO EXEMPLIFY THE VALUES OF THE CHRISTIAN TRADITION WHILE FULFILLING RESIDENTS' PHYSICAL, INTELLECTUAL, SOCIAL, EMOTIONAL AND SPIRITUAL NEEDS. THE CAMPUS CONSISTS OF A 50-BED NURSING HOME , FOUR ASSISTED-LIVING APARTMENTS, IN ADDITION TO 82 INDEPENDENT-LIVING UNITS. SINCE 2006 THE ORGANIZATION HAS BEEN DUALLY CERTIFIED FOR MEDICAID AND MEDICARE FOR 45 NURSING HOME BEDS.Desc
Total Program Service Expenses$4,428,509TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee99EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL D MCKINNISSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9378364011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11010 TAYWOOD ROADAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45322ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARCIA FLORKEY
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
TIM MIHOJEVICH
CHAIRMAN UNTIL 01/212.00Yes (X)Yes (X)$0$0$0
R DOUGLAS HAINES
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
TIMOTHY STUMP
TREASURER2.00Yes (X)Yes (X)$0$0$0
JOHN MILLER
SECRETARY4.00Yes (X)Yes (X)$0$0$0
MARSHALL GIPE
MEMBER2.00Yes (X)$0$0$0
STEVE HANGEN
MEMBER2.00Yes (X)$0$0$0
RICHARD HARTLEY
MEMBER2.00Yes (X)$0$0$0
BILL NANCE
MEMBER2.00Yes (X)$0$0$0
LEE ODIS BRADLEY JR
MEMBER2.00Yes (X)$0$0$0
MICHAEL MCKINNISS
EXECUTIVE DIRECTOR40.00Yes (X)$89,873$0$28,534
CHERYL EDWARDS
REGISTERED NURSE49.66$116,532$0$34,395Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$206,405TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$62,929TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BRETHREN RETIREMENT COMMUNITY
750 CHESTNUT STGREENVILLEOH45331MANAGEMENT SERVICES$418,085
ABSOLUTE REHABILITATION & CONSULTING SRV
PO BOX 497GREENOH44232THERAPY & REHABILITATION SRVCS$323,462
INTELYCARE INC
PO BOX 200413PITTSBURGHPA15251NURSING SERVICES$114,983
OMNICARE INC
900 OMNICARE CENTER 201 EAST FOURTCINCINNATIOH45202PHARMACY SERVICES$113,833
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$443,520GovernmentGrantsAmt
All Other Contributions$14,270AllOtherContributionsAmt
Total Contributions$457,790TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$4,559,438TotalRevenueColumnAmt
Related Or Exempt Func Income$4,559,438RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,559,438TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,168TotalRevenueColumnAmt
Exclusion$46,168ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$120RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$12RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$108RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$108TotalRevenueColumnAmt
Unrelated Business Revenue$108UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,063,504TotalRevenueColumnAmt
Related Or Exempt Func Income$4,559,438RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$108UnrelatedBusinessRevenueAmt
Exclusion$46,168ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$118,407TotalAmt
Program Services$112,074ProgramServicesAmt
Management And General$6,333ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,828,620TotalAmt
Program Services$1,737,192ProgramServicesAmt
Management And General$91,428ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$110,902TotalAmt
Program Services$94,631ProgramServicesAmt
Management And General$16,271ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$228,381TotalAmt
Program Services$222,780ProgramServicesAmt
Management And General$5,601ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,925TotalAmt
Management And General$2,925ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,958TotalAmt
Management And General$42,958ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,938TotalAmt
Management And General$6,938ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$167TotalAmt
Management And General$167ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$41,547TotalAmt
Program Services$14,422ProgramServicesAmt
Management And General$27,125ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$390,610TotalAmt
Program Services$343,329ProgramServicesAmt
Management And General$47,281ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$267,656TotalAmt
Program Services$261,921ProgramServicesAmt
Management And General$5,735ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$296TotalAmt
Management And General$296ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$59,138TotalAmt
Management And General$59,138ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$402,832TotalAmt
Program Services$394,987ProgramServicesAmt
Management And General$7,845ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$95,668TotalAmt
Management And General$95,668ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT SERVICES$910,799$885,227$25,572
FRANCHISE & INCOME TAX$244,835$244,835
REPAIRS & MAINTENANCE$112,642$112,642
DUES AND SUBSCRIPTIONS$34,411$34,411

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$32,219TotalAmt
Program Services$4,469ProgramServicesAmt
Management And General$27,750ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,931,951TotalAmt
Program Services$4,428,509ProgramServicesAmt
Management And General$503,442ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,922BOYAmt
EOY$10,909EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,124,841BOYAmt
EOY$1,858,125EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$180,561BOYAmt
EOY$340,437EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,447BOYAmt
EOY$2,447EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,099BOYAmt
EOY$30,861EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,783,877LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,149,932LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,806,587BOYAmt
EOY$4,633,945EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$907,558BOYAmt
EOY$991,823EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,814BOYAmt
EOY$36,199EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,104,829BOYAmt
EOY$7,904,746EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$617,556BOYAmt
EOY$764,561EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,254,896BOYAmt
EOY$3,214,142EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$2,150BOYAmt
EOY$2,170EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,561,455BOYAmt
EOY$1,075,928EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,368BOYAmt
EOY$74,342EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,511,425BOYAmt
EOY$5,131,143EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,444,365BOYAmt
EOY$2,624,564EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$149,039BOYAmt
EOY$149,039EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,593,404BOYAmt
EOY$2,773,603EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,104,829BOYAmt
EOY$7,904,746EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$131,553ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$48,646NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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 Minus4 Years$9,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$408,405CurrentTaxYearMinus1YearAmt
Current Tax Year$457,790CurrentTaxYearAmt
Total$890,362TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,079,159CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,398,416CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,433,310CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,777,761CurrentTaxYearMinus1YearAmt
Current Tax Year$4,559,438CurrentTaxYearAmt
Total$22,248,084TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,088,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,405,052CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,441,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,186,166CurrentTaxYearMinus1YearAmt
Current Tax Year$5,017,228CurrentTaxYearAmt
Total$23,138,446TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,700CurrentTaxYearMinus1YearAmt
Current Tax Year$2,300CurrentTaxYearAmt
Total$5,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$2,700CurrentTaxYearMinus1YearAmt
Current Tax Year$2,300CurrentTaxYearAmt
Total$5,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$23,133,446PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,830CurrentTaxYearMinus1YearAmt
Current Tax Year$46,288CurrentTaxYearAmt
Total$221,024TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,830CurrentTaxYearMinus1YearAmt
Current Tax Year$46,288CurrentTaxYearAmt
Total$221,024TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,134,495CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,455,229CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,491,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,214,996CurrentTaxYearMinus1YearAmt
Current Tax Year$5,063,516CurrentTaxYearAmt
Total$23,359,470TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99030PublicSupportCY509Pct
Public Support PY5090.99110PublicSupportPY509Pct
Investment Income CY0.00950InvestmentIncomeCYPct
Investment Income PY0.00880InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,558OtherCostOrOtherBasisAmt
Book Value$39,558BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,904,292OtherCostOrOtherBasisAmt
Depreciation$6,625,015DepreciationAmt
Book Value$4,279,277BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,276,690OtherCostOrOtherBasisAmt
Depreciation$1,026,703DepreciationAmt
Book Value$249,987BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$563,337OtherCostOrOtherBasisAmt
Depreciation$498,214DepreciationAmt
Book Value$65,123BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,633,945TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescMUTUAL FUNDSDesc
Book Value$991,823BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$991,823TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCOST REPORT SETTLEMENTS PAYABLEDesc
Amt$74,342Amt
FieldValueIRS element (for citing)
Total Liability$74,342TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,112,150TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$48,646NetUnrealizedGainsInvstAmt
Revenue Not Reported$48,646RevenueNotReportedAmt
Revenue Subtotal$5,063,504RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,063,504TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,931,951TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,931,951ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,931,951TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS DEPOSITS FROM RESIDENTS TO BE USED BY THE RESIDENTS FOR INCIDENTAL EXPENSES.
PART X, LINE 2:A PROVISION FOR INCOME TAXES HAS NOT BEEN INCLUDED IN THE FINANCIAL STATEMENTS SINCE THE ORGANIZATION HAS RECEIVED TAX-EXEMPT STATUS FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2018.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
CHERYL EDWARDS
REGISTERED NURSE$116,532$0$0$0$0$0$0$0$34,395$0$150,927$0$0$0
MICHAEL MCKINNISS
EXECUTIVE DIRECTOR$89,873$0$0$0$0$0$4,775$0$23,759$0$118,407$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J, PART IIFormAndLineReferenceDesc
ExplanationMICHAEL D. MCKINNISS RECEIVED COMPENSATION FROM BRETHREN RETIREMENT COMMUNITYExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE A SEPARATE COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WILL BE MADE AVAILABLE TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE BOARD OF TRUSTEES SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY. THIS STATEMENT IS REVIEWED ANNUAL AND EVERY BOARD OF TRUSTEES SIGNS AN UPDATED CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION IS REVIEWED BY THE FINANCE COMMITTEE WITH FINAL APPROVAL BY THE BOARD OF TRUSTEES. FOR 2021, NO COMPENSATION WAS REVIEWED BECAUSE THERE WERE NO COMPENSATION CHANGES IN 2021.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH IN THE INTERNAL REVENUE CODE SECTION 6104(D).
FORM 990, PART XII, LINE 2C:THE PROCESS BY WHICH THE ORGANIZATION SELECTS AN INDEPENDENT ACCOUNTANT TO CONDUCT ITS AUDIT HAS NOT CHANGED SINCE THE PRIOR YEAR.