2014-11-14T15:41:07-06:00 2013-12-31 420714325 MCGLADREY LLP 2000 W DOROTHY LN DAYTON OH 45439 990 2013-01-01 237085581 GRACE BRETHREN VILLAGE GRAC 9378364011 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 MICHAEL MONTGOMERY EXECUTIVE DIRECTOR 9378364011 2014-11-13 1 KAREN O CRIM P00368385 9372980201 2013 2015-11-30 17:44:51Z MICHAEL MONTGOMERY 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 3854758 0 X WWW.GBVILLAGE.COM X 1969 OH TO PROVIDE A CONTINUUM OF CARE FOR OLDER ADULTS IN A SAFE, NURTURING CHRISTIAN ENVIRONMENT INCLUDING SKILLED AND INTERMEDIATE HEALTHCARE AS WELL AS ASSISTED LIVING AND INDEPENDENT LIVING 9 9 109 93 2935 1935 22379 2771 4016995 3812679 19882 35968 2644 2935 4061900 3854353 0 0 0 0 2179054 1978736 0 0 0 1626315 1623412 3805369 3602148 256531 252205 6614396 6514822 4963585 4564180 1650811 1950642 TO FOSTER, MAINTAIN, AND OPERATE A CHRISTIAN RETIREMENT COMMUNITY AND TO PROVIDE SERVICES WHICH ENHANCE PHYSICAL, MENTAL, AND SPIRITUAL WELL-BEING ENABLING PERSONS TO LIVE SECURELY WITH DIGNITY, CONTINUING TO LOVE, LEARN, AND ACHIEVE PERSONAL FULFILLMENT. 0 0 3181874 3812679 GRACE 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 AND FOUR UNITS ARE ASSISTED-LIVING APARTMENTS, IN ADDITION TO 77 INDEPENDENT-LIVING UNITS. DURING 2006, THE ORGANIZATION BECAME DUALLY CERTIFIED FOR MEDICAID AND MEDICARE FOR 45 NURSING HOME BEDS. 3181874 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 109 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 0 0 X MICHAEL MONTGOMERY 9378364011 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 BRUCE MCKENZIE CHAIRMAN 1.00 X X 0 0 0 RONALD WYSS TREASURER 1.00 X X 0 0 0 JOSEPH PATTERSON SECRETARY 1.00 X X 0 0 0 ROBERT FOOTE MEMBER 1.00 X 0 0 0 TIM MIHOJEVICH MEMBER 1.00 X 0 0 0 GREG RYERSON MEMBER 1.00 X 0 0 0 JAN BRUMBAUGH MEMBER 1.00 X 0 0 0 JANET RADER MEMBER 1.00 X 0 0 0 TIM STUMP MEMBER 1.00 X 0 0 0 MICHAEL MONTGOMERY EXECUTIVE DIRECTOR 40.00 X 91604 0 31 PAMELA JONES DIRECTOR OF NURSING 40.00 X 83040 0 7247 174644 0 7278 0 0 0 0 BRETHREN RETIREMENT COMMUNITY 750 CHESTNUT STREET GREENVILLE OH 45331 BUSINESS OFFICE & IT SERVICES 128446 CONCEPT REHAB 7150 GRANITE CIRCLE TOLEDO OH 43617 THERAPY SERVICES 114886 2 2771 2771 RESIDENT SERVICES 623000 3812679 3812679 3812679 35968 35968 3340 405 2935 2935 2935 3854353 3812679 2935 35968 181922 154634 27288 1409735 1338022 71713 170055 165836 4219 217024 179690 37334 21015 21015 4496 4496 12429 9616 2813 230258 180803 49455 218801 218801 535 145 390 58067 58067 331879 322481 9398 84684 84684 CONTRACT SERVICES 312789 295078 17711 FRANCHISE & INCOME TAX 217375 217375 REPAIRS & MAINTENANCE 98201 98201 MISCELLANEOUS 30488 30488 2395 1192 1203 3602148 3181874 420274 0 251583 450170 440062 267683 1896 2447 9706 13494 10352053 5209603 5348893 5142450 544356 620678 17900 17900 6614396 6514822 428027 399982 3137023 2839993 2617 2947 1195561 1144759 200357 176499 4963585 4564180 X 1513743 1810813 37068 39829 100000 100000 1650811 1950642 6614396 6514822 252205 47626 0 X X 0 1 X 1 0 X 6798 50391 4841 22379 2771 87180 4151137 3734590 3921935 4016995 3812679 19637336 4157935 3784981 3926776 4039374 3815450 19724516 0 0 0 19724516 17504 21456 21777 19882 35968 116587 17504 21456 21777 19882 35968 116587 2734 832 711 1644 1935 7856 4178173 3807269 3949264 4060900 3853353 19848959 0.99370 0.99400 0.00590 0.00560 X 0 1 X 39558 39558 9063226 4260775 4802451 808982 609822 199160 440287 339006 101281 5142450 MUTUAL FUNDS 620678 F 620678 COST REPORT SETTLEMENTS PAYABLE 176499 176499 X 3901979 47626 47626 3854353 0 3854353 3602148 0 3602148 0 3602148 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 STATEMETNS 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 2010. FORM 990, PART VI, SECTION A, LINE 8B THE 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 11 A COPY OF FORM 990 WILL BE MADE AVAILABLE TO THE BOARD FORM 990, PART VI, SECTION B, LINE 12C EACH MEMBER OF THE BOARD OF TRUSTEES SIGNS A CONFLICT OF INTEREST STATEMENT ANNUALLY FORM 990, PART VI, SECTION B, LINE 15A REVIEWED BY THE FINANCE COMMITTEE WITH FINAL APPROVAL BY THE BOARD OF TRUSTEES FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST 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