2023-09-13T07:48:46-05:00 2022-12-31 420714325 RSM US LLP 6 S PATTERSON BLVD DAYTON OH 45402 990 2022-01-01 237085581 GRACE BRETHREN VILLAGE INC GRAC 9378364011 1010 TAYWOOD RD ENGLEWOOD OH 453222400 LAURA RUSSELL EXECUTIVE DIRECTOR 9378364011 2023-09-01 1 LAURA RUSSELL 999009999 0 KAREN O CRIM P00368385 9372980201 2023-09-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LAURA RUSSELL 1010 TAYWOOD RD ENGLEWOOD OH 453222400 4723168 0 X WWW.GBVILLAGE.COM X 1969 OH TO 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." 7 7 108 16 162 0 457790 142489 4559438 4552195 46168 28304 108 162 5063504 4723150 0 0 0 0 2286310 2280227 0 0 0 2645641 3117762 4931951 5397989 131553 -674839 7904746 7305922 5131143 5401596 2773603 1904326 TO 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." 0 0 4889156 4552195 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, 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. 4889156 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 108 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X LAURA RUSSELLL 9378364011 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 MICHAEL MCKINNISS ADMINISTRATOR UNTIL 12/22 40.00 X 95300 0 26181 LAURA RUSSELL EXECUTIVE DIRECTOR AS OF 11/22 40.00 X 68414 0 8276 MARCIA FLORKEY CHAIRMAN 2.00 X X 0 0 0 R DOUGLAS HAINES VICE CHAIRMAN UNTIL 07/22 2.00 X X 0 0 0 TIMOTHY STUMP TREASURER 2.00 X X 0 0 0 JOHN MILLER SECRETARY 4.00 X X 0 0 0 MARSHALL GIPE MEMBER 2.00 X 0 0 0 STEVE HANGEN MEMBER UNTIL 01/22 2.00 X 0 0 0 RICHARD HARTLEY MEMBER 2.00 X 0 0 0 BILL NANCE MEMBER 2.00 X 0 0 0 LEE ODIS BRADLEY JR MEMBER 2.00 X 0 0 0 163714 0 34457 0 0 0 1 BRETHREN RETIREMENT COMMUNITY 750 CHESTNUT STREET GREENVILLE OH 45331 MANAGEMENT SERVICES 455106 ABSOLUTE REHABILITATION & CONSULTING SRV PO BOX 497 GREEN OH 44232 THERAPY & REHABILITATION SRVCS 250735 INTELYCARE INC PO BOX 787317 PHILADELPHIA PA 19178 NURSING SERVICES 183675 CIRRUS CONCEPT CONSULTING LLC PO BOX 75291 CHICAGO IL 60675 NURSING SERVICES 134067 OMNICARE INC PO BOX 78000 DEPT 781668 DETROIT MI 48278 PHARMACY SERVICES 119679 5 131946 10543 142489 RESIDENT SERVICES 623000 4552195 4552195 4552195 28304 28304 180 18 162 162 162 4723150 4552195 162 28304 121481 115952 5529 2042369 1961768 80601 77220 73526 3694 39157 34994 4163 16103 16103 36850 36850 6348 6348 53345 20170 33175 520722 464148 56574 330180 323787 6393 1012 1012 54232 54232 405186 398689 6497 102942 102942 CONTRACT SERVICES 1072632 1033599 39033 FRANCHISE & INCOME TAX 246193 246193 REPAIRS & MAINTENANCE 212224 212224 DUES AND SUBSCRIPTIONS 37077 37077 22716 4106 18610 5397989 4889156 508833 0 10909 40273 1858125 1333457 340437 386464 2447 2447 30861 34544 13202437 8555115 4633945 4647322 991823 814060 36199 47355 7904746 7305922 764561 550038 3214142 3785161 2170 2360 1075928 989695 74342 74342 5131143 5401596 X 2624564 1755287 149039 149039 2773603 1904326 7904746 7305922 -674839 -194438 0 X X 0 1 X 1 0 X 6636 8455 408405 457790 142489 1023775 4398416 4433310 4777761 4559438 4552195 22721120 4405052 4441765 5186166 5017228 4694684 23744895 2700 2300 675 5675 0 2700 2300 675 5675 23739220 50177 49469 28830 46288 28484 203248 50177 49469 28830 46288 28484 203248 4455229 4491234 5214996 5063516 4723168 23948143 0.99130 0.99030 0.00850 0.00950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 39558 39558 11219610 6958722 4260888 1371932 1081879 290053 571337 514514 56823 4647322 MUTUAL FUNDS 814060 F 814060 COST REPORT SETTLEMENTS PAYABLE 74342 74342 X 4528712 -194438 -194438 4723150 0 4723150 5397989 0 5397989 0 5397989 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 2019. 0 0 0 0 0 0 0 0 0 MICHAEL MCKINNISS ADMINISTRATOR UNTIL 12/22 95300 0 0 0 0 0 3859 0 22322 0 121481 0 0 0 LAURA RUSSELL EXECUTIVE DIRECTOR AS OF 11/22 68414 0 0 0 0 0 0 0 8276 0 76690 0 0 0 FORM 990, PART VII, SECTION A, LINE 5 AND SCHEDULE J, PART II MICHAEL D. MCKINNISS RECEIVED COMPENSATION FROM BRETHREN RETIREMENT COMMUNITY. LAURA RUSSELL WAS EMPLOYED AND PAID BY GRACE BRETHREN VILLAGE FOR SERVICES PROVIDED IN A DIFFERENT POSITION PRIOR TO BECOMING EXECUTIVE DIRECTOR IN NOVEMBER 2022. UPON BECOMING THE EXECUTIVE DIRECTOR, LAURA RUSSELL BECAME AN EMPLOYEE OF BRETHREN RETIREMENT COMMUNITY. THE COMPENSATION AND BENEFITS REPORTED ON THIS FORM 990 ARE FOR THE ENTIRE CALENDAR YEAR. 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 11B 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. THIS STATEMENT IS REVIEWED ANNUAL AND EVERY BOARD OF TRUSTEES SIGNS AN UPDATED CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS REVIEWED BY THE FINANCE COMMITTEE WITH FINAL APPROVAL BY THE BOARD OF TRUSTEES. FOR 2022, NO COMPENSATION WAS REVIEWED BECAUSE THERE WERE NO COMPENSATION CHANGES IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THESE 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.