2017-11-15T12:07:28-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 5001 SPRING VALLEY ROAD SUITE 600W DALLAS TX 75244 990 2016-01-01 751094140 GRACE PRESBYTERIAN MINISTRIES INC GRAC 2144131523 550 E ANN ARBOR AVE DALLAS TX 75216 TIM MALLAD PRESIDENT 2144131523 2017-11-14 1 MICHAEL SIEGEL P01587323 9723835700 67.137.57.251 2017-11-14 13:27:34 CS P 620CE377AB574A82531DB92133EAAE39445EB33D 082ACE2F511E36C30C0E31AD8E141AA6B2332ED9 2016 2021-01-29 14:40:06Z TIM MALLAD 12467 MERIT DRIVE DALLAS TX 75251 46852867 0 X WWW.GRACEPRESBYTERIANVILLAGE.ORG X 1962 TX GRACE PRESBYTERIAN VILLAGE IS A CONTINUING CARE RETIREMENT COMMUNITY FOUNDED IN 1962 AND LOCATED ON 27 BEAUTIFUL WOODED ACRES IN OAK CLIFF. WE ARE A MEMBER OF DALLAS-BASED PRESBYTERIAN COMMUNITIES AND SERVICES, A NOT-FOR-PROFIT ORGANIZATION, AND WE PLEDGE TO ENRICH THE LIVES OF THOSE WE SERVE BY PROVIDING EXCEPTIONAL CARE AND SERVICES IN A FAITH-BASED CULTURE. OUR WIDE RANGE OF SERVICES INCLUDES RESIDENTIAL LIVING, ASSISTED LIVING, SKILLED NURSING AND REHABILITATION, OUTPATIENT THERAPY, AND ALZHEIMER'S AND DEMENTIA CARE. OUR PROGRAMS AND SERVICES ARE AVAILABLE TO PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, OR DISABILITY. 4 4 586 300 0 0 12024810 17328340 30054574 29166815 256 2 315262 357710 42394902 46852867 915155 944266 0 0 17760850 18292730 0 0 0 16310718 15268041 34986723 34505037 7408179 12347830 85640684 83156702 35427073 32402097 50213611 50754605 X GRACE PRESBYTERIAN VILLAGE IS A CONTINUING CARE RETIREMENT COMMUNITY FOUNDED IN 1962 AND LOCATED ON 27 BEAUTIFUL WOODED ACRES IN OAK CLIFF. WE ARE A MEMBER OF DALLAS-BASED PRESBYTERIAN COMMUNITIES AND SERVICES, A NOT-FOR-PROFIT ORGANIZATION, AND WE PLEDGE TO ENRICH THE LIVES OF THOSE WE SERVE BY PROVIDING EXCEPTIONAL CARE AND SERVICES IN A FAITH-BASED CULTURE. OUR WIDE RANGE OF SERVICES INCLUDES RESIDENTIAL LIVING, ASSISTED LIVING, SKILLED NURSING AND REHABILITATION, OUTPATIENT THERAPY, AND ALZHEIMER'S AND DEMENTIA CARE. OUR PROGRAMS AND SERVICES ARE AVAILABLE TO PERSONS WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, OR DISABILITY. 0 0 16835233 462691 14291773 PROVIDED SKILLED NURSING AND ALZHEIMER'S AND DEMENTIA CARE TO OUR COMMUNITY RESIDENTS, INCLUDING MEDICARE AND MEDICAID PATIENTS. 831964 152998 4725850 PROVIDED ASSISTED AND INDEPENDENT LIVING SERVICES. 8843061 328577 10149192 PROVIDED HOSPICE SERVICES THROUGH FAITH PRESBYTERIAN HOSPICE IN THE DALLAS AREA TO ABOUT 965 UNDUPLICATED PATIENTS. 26510258 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 128 0 586 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVE AILEY 2144131561 12467 MERIT DRIVE DALLAS TX 75251 RONALD J GAFFORD TRUSTEE 1.00 2.00 X 0 0 0 ANDREW MEYERCORD TRUSTEE 1.00 1.00 X 0 0 0 SHARON WALKER TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL WRIGHT TRUSTEE 1.00 1.00 X 0 0 0 TIM MALLAD PRESIDENT 5.00 35.00 X 0 229950 0 PHIL WENTWORTH PAST INTERIM CEO 5.00 35.00 X 0 92741 0 STEVE AILEY CHIEF FINANCIAL OFFICER 5.00 35.00 X 0 32308 0 STEVE KEARNEY PAST CFO 5.00 35.00 X 0 222261 18137 PHILIP WIECHMANN PAST EXECUTIVE DIRECTOR - FPH 40.00 0.00 X 174357 0 29752 DARRELL BALTIMORE PAST EXECUTIVE DIRECTOR - GPV 40.00 0.00 X 112914 0 24725 GODWIN DIXON PRESIDENT & CEO - FOUNDATION 0.00 40.00 X 0 335554 21420 STEFANIE PENNINGTON RECRUITING DIRECTOR 0.00 40.00 X 0 201698 0 RON KELLY EXECUTIVE DIRECTOR - PVN 0.00 40.00 X 0 178848 10721 WILLIAM COOK LANGMADE MEDICAL DIRECTOR - FPPI 0.00 40.00 X 0 157317 29313 PETER LYNCH VP FOUNDATION 0.00 40.00 X 0 149735 7768 JOHN MARK LENHARD CORP. DIRECTOR OF ORG. DEVELOPMENT 0.00 40.00 X 0 137441 17057 287271 1737853 158893 8 0 1 0 LINBECK GROUP PO BOX 22500 HOUSTON TX 77227 CONSTRUCTION MANAGEMENT 12366172 FAULKNER GROUP 3100 MONTICELLO AVE SUITE 700 DALLAS TX 75205 INTERIOR DESIGN 1834626 POLK MECHANICAL COMPANY 2425 DILLARD STREET GRAND PRAIRIE TX 75051 CONSTRUCTION MANAGEMENT 539898 OLICON INC 4226 MAIN STREET DALLAS TX 75226 INTERIOR DESIGN / CONSTRUCTION 298997 CARESTAF OF DALLAS 1341 W MOCKINGBIRD LANE DALLAS TX 75247 HOME HEALTH CARE & NON-MEDICAL CARE STAF 209356 9 17276795 51545 17328340 RESIDENT REVENUE 623000 29166815 29166815 29166815 2 2 CHARGEABLE SUPPLIES 900099 78491 78491 BEAUTY SHOP 900099 69183 69183 OTHER MISCELLANEOUS REVENUE 900099 56575 56575 153461 153461 357710 46852867 29166815 0 357712 944266 944266 287271 287271 16504240 12702626 3801614 70405 54188 16217 203959 156979 46980 1226855 944259 282596 1437364 1437364 38845 38845 39083 39083 1007622 775525 232097 34766 34766 92441 71148 21293 226612 174414 52198 836824 644069 192755 387767 298448 89319 20552 20552 58955 58955 1499112 1153804 345308 2026027 2026027 BAD DEBT 2357947 1814814 543133 MEDICAL / THERAPY EXPEN 2038745 2038745 FOOD 847345 847345 OUTSIDE SERVICES 813256 625929 187327 1504778 1158165 346613 34505037 26510258 7994779 0 22957 23031 5319584 4849734 18931 15349 153464 154477 48953221 22089526 19264883 26863695 60860865 51250416 85640684 83156702 2500933 2962508 2045906 1785579 30880234 27654010 35427073 32402097 X 20930954 33278783 24168616 12336685 5114041 5139137 50213611 50754605 85640684 83156702 X 12347830 -11806836 X X 0 1 X 1 0 X 911395 1997586 2796936 12024810 17328340 35059067 29514439 31156877 30314264 30054574 29166815 150206969 30425834 33154463 33111200 42079384 46495155 185266036 0 0 0 185266036 184795 1124 314 256 2 186491 184795 1124 314 256 2 186491 418140 604090 384176 315262 357710 2079378 31028769 33759677 33495690 42394902 46852867 187531905 0.98790 0.99100 0.00100 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2012 AMOUNT: $ 418,140. 2013 AMOUNT: $ 604,090. 2014 AMOUNT: $ 384,176. 2015 AMOUNT: $ 37,443. 2016 AMOUNT: $ 56,575. RESIDENT SERVICES - 2015 AMOUNT: $ 76,123. 2016 AMOUNT: $ 55,238. BEAUTY SHOP - 2015 AMOUNT: $ 73,376. 2016 AMOUNT: $ 69,183. CHARGEABLE SUPPLIES - 2015 AMOUNT: $ 56,655. 2016 AMOUNT: $ 78,491. EMPLOYEE GUEST MEALS - 2015 AMOUNT: $ 35,686. 2016 AMOUNT: $ 35,384. WELLNESS CENTER - 2015 AMOUNT: $ 35,979. 2016 AMOUNT: $ 37,735. VILLAGE STORE INCOME - 2016 AMOUNT: $ 25,104. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8387043 8387043 33163544 16192356 16971188 687566 402641 284925 4459555 3455155 1004400 2255513 2039374 216139 26863695 INTEREST IN NET ASSETS-PC&SF 17475822 SECURITY DEPOSIT 3076 CONSTRUCTION IN PROGRESS 20831616 INTERCOMPANY 12939902 51250416 INTERCOMPANY 26298104 CONSTRUCTION PAYABLE 1355906 27654010 X 45908601 0 45908601 944266 944266 46852867 33560771 0 33560771 944266 944266 34505037 PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES AND FILES ALL PROPER RETURNS RELATED TO THESE ACTIVITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANT ASSISTANCE 944,266. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT ASSISTANCE 944,266. 1 SUPPLEMENTAL ASSISTANCE 106 944266 PART I, LINE 2: THE ORGANIZATION PROVIDES ASSISTANCE TO RESIDENTS OF ITS CCRC CAMPUS WHO REACH FINANCIAL HARDSHIP AND ARE UNABLE TO PAY A PORTION OF THEIR MONTHLY FEES. AN APPLICATION FOR ASSISTANCE IS COMPLETED AND SUBMITTED TO THE EXECUTIVE DIRECTOR AND COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO PROVIDING ASSISTANCE. THE RESIDENT'S FINANCIAL CIRCUMSTANCES ARE PERIODICALLY REVIEWED TO DETERMINE IF THE RESIDENT STILL QUALIFIES FOR ASSISTANCE. X X X X 1 1 0 0 0 0 0 1 0 TIM MALLAD PRESIDENT 0 229950 0 0 0 0 0 0 0 0 0 229950 0 0 STEVE KEARNEY PAST CFO 0 129893 0 11500 0 80868 0 9538 0 8599 0 240398 0 0 PHILIP WIECHMANN PAST EXECUTIVE DIRECTOR - FPH 156357 0 18000 0 0 0 18000 0 11752 0 204109 0 0 0 GODWIN DIXON PRESIDENT & CEO - FOUNDATION 0 335554 0 0 0 0 0 18920 0 2500 0 356974 0 0 STEFANIE PENNINGTON RECRUITING DIRECTOR 0 127698 0 74000 0 0 0 0 0 0 0 201698 0 0 RON KELLY EXECUTIVE DIRECTOR - PVN 0 169924 0 8924 0 0 0 2600 0 8121 0 189569 0 0 WILLIAM COOK LANGMADE MEDICAL DIRECTOR - FPPI 0 157317 0 0 0 0 0 18000 0 11313 0 186630 0 0 PETER LYNCH VP FOUNDATION 0 149735 0 0 0 0 0 0 0 7768 0 157503 0 0 JOHN MARK LENHARD CORP. DIRECTOR OF ORG. DEVELOPMENT 0 129409 0 8032 0 0 0 7268 0 9789 0 154498 0 0 PART I, LINES 4A-B THE FOLLOWING PARTICIPANTS WERE INCLUDED IN A 457(F) PLAN; HOWEVER, THERE HAVE BEEN NO CONTRIBUTIONS OR DISTRIBUTIONS FOR THE PLAN. GODWIN DIXON, STEVE KEARNEY STEVE KEARNEY - PAST CFO RECEIVED A SEVERANCE PACKAGE IN 2016 IN THE AMOUNT OF $58,648. PART I, LINE 7 THE ORGANIZATION PAID PERFORMANCE BASED BONUSES. FORM 990, PART VI, SECTION A, LINE 3 ON 5/1/2008, PRESBYTERIAN COMMUNITIES & SERVICES WAS FORMED TO PROVIDE MANAGEMENT AND SHARED SERVICES TO PRESBYTERIAN COMMUNITIES AND SERVICES FOUNDATION AND OTHER AFFILIATED ORGANIZATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO WILL REVIEW. THE DRAFT REPORT WILL BE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. ONE BOARD MEMBER WITH PARTICULAR KNOWLEDGE IN THIS AREA WILL REVIEW THE FINAL RETURN BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A COMPLIANCE OFFICER (CO) WHO REVIEWS ALL TRANSACTIONS OF THE ORGANIZATION THAT MAY RESULT IN A CONFLICT OF INTEREST. THE CO DETERMINES IF THE TRANSACTION WOULD RESULT IN UNDUE INFLUENCE AS A RESULT OF THE RELATIONSHIP AND NOT BE PURSUED. THE CO REPORTS ALL CONFLICTS OF INTEREST TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 REVIEWED ANUALLY BY THE RECRUITING DIRECTOR, AN OUTSIDE CONSULTANT AND SURVEYS FROM INDUSTRY ARE USED. THE BOARD ALSO HAS A COMPENSATION COMMITTEE THAT REVIEWS THE CURRENT COMPENSATION COMPARED TO LIKE ENTITIES AND MAKES RECOMMENDATIONS TO THE BOARD FOR CHANGES IN COMPENSATION. THE OUTSIDE CONSULTANT REVIEWS COMPENSATION, INDEPENDENT OF THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE SITE, BASED UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF PC&S FOUNDATION -11,806,836. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT, AND NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS HAS CHANGED DURING THE FILING YEAR. PRESBYTERIAN COMMUNITIES AND SERVICES 6100 COLWELL BLVD STE 225 IRVING TX 75039 261459224 SHARED SERVICES/MANAGEMENT TX 501(C)(3) LINE 12B, II N/A 0 PRESBYTERIAN COMMUNITIES AND SERVICES FOUNDATION 6100 COLWELL BLVD STE 225 IRVING TX 75039 751910084 FOUNDATION FOR AFFILIATES TX 501(C)(3) LINE 7 PRESBYTERIAN COMMUNITIES & SERVICES 0 FAITH PRESBYTERIAN PROVIDERS INC 4350 SIGMA RD SUITE 400 DALLAS TX 75244 383800779 PALLATIVE/HOSPICE SERVICES TX 501(C)(3) LINE 10 PRESBYTERIAN COMMUNITIES & SERVICES 0 PRESBYTERIAN VILLAGE NORTH 8600 SKYLINE DRIVE DALLAS TX 75243 510190369 CCRC TX 501(C)(3) LINE 10 PRESBYTERIAN COMMUNITIES & SERVICES 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0