2025-11-17T17:38:41-06:00 2024-12-31 872525370 CITRIN COOPERMAN ADVISORS LLC 28601 CHAGRIN BLVD SUITE 210 WOODMERE OH 44122 990 2024-01-01 237085581 GRACE BRETHREN VILLAGE GRAC 9378364011 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 LAURA RUSSELL EXECUTIVE DIRECTOR 9378364011 2025-11-17 1 1 DAVID REAPE P00068117 2168311200 2025-11-17 2024 2025-03-06 01:10:19Z LAURA RUSSELL 1010 TAYWOOD ROAD ENGLEWOOD OH 45322 6072765 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." 8 8 120 23 0 0 123166 720040 5352165 5227298 41840 52716 0 72711 5517171 6072765 0 0 0 0 2479981 2612666 0 0 0 3573268 3265765 6053249 5878431 -536078 194334 6398094 6742250 4924899 4999993 1473195 1742257 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 5228291 5300009 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 45-BED NURSING HOME, IN ADDITION TO 83 INDEPENDENT-LIVING UNITS. SINCE 2006 THE ORGANIZATION HAS BEEN DUALLY CERTIFIED FOR MEDICAID AND MEDICARE FOR 45 NURSING HOME BEDS. 5228291 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 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 11 0 1 120 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 OH X LAURA RUSSELL 9378364011 1010 TAYWOOD RD ENGLEWOOD OH 453222400 MARK COMBS CHAIRMAN 2.00 X X 0 0 0 RICHARD HARTLEY VICE CHAIRMAN & TREASURER 2.00 X X 0 0 0 BILL NANCE SECRETARY 2.00 X X 0 0 0 TIM COMBS MEMBER 2.00 X X 0 0 0 LEE ODIS BRADLEY JR MEMBER 2.00 X 0 0 0 ROY GLASS III MEMBER 2.00 X 0 0 0 KATHY WASSENICH MEMBER 2.00 X 0 0 0 ED STUTZ MEMBER 2.00 X 0 0 0 LAURA RUSSELL EXECUTIVE DIRECTOR 40.00 X 0 105977 11756 0 105977 11756 0 0 0 0 ABSOLUTE REHABILITATION PO BOX 497 GREEN OH 44232 THERAPY 245585 CLIPBOARD HEALTH PO BOX 103125 PASADENA CA 911893125 NURSING AGENCY 240996 BRETHREN RETIREMENT COMMUNITY 750 CHESTNUT ST GREENVILLE OH 45331 MANAGEMENT SERVICES 188604 GORDON FOOD SERVICE INC PO BOX 88029 CHICAGO IL 60680 FOOD DISTRIBUTOR 182602 4 688174 31866 720040 RESIDENT SERVICES 623000 5227298 5227298 5227298 52716 52716 OTHER, INSURANCE PROCE 900099 72711 72711 72711 6072765 5300009 0 52716 2260159 2147197 112962 131027 119895 11132 221480 202664 18816 25734 25734 77866 77866 7192 7192 24320 14965 9355 552858 497053 55805 325585 317426 8159 90 90 45041 45041 404485 393696 10789 123492 123492 CONTRACT SERVICES 1063217 981086 82131 FRANCHISE & INCOME TAX 295020 242946 52074 REPAIRS & MAINTENANCE 237695 236400 1295 BAD DEBT 46613 43501 3112 36557 31462 5095 5878431 5228291 650140 0 13528 22874 390392 284774 440132 1108420 2447 0 51074 24594 13537840 9328788 4499907 4209052 942103 1051925 58511 40611 6398094 6742250 898702 1320549 3124364 2872809 2310 2310 899523 804325 4924899 4999993 X 1324156 1593218 149039 149039 1473195 1742257 6398094 6742250 194334 74728 0 X 0 1 X 1 0 X 408405 457790 142489 123166 720040 1851890 4777761 4559438 4552195 5352165 5227298 24468857 5186166 5017228 4694684 5475331 5947338 26320747 2400 2000 325 50 4775 0 2400 2000 325 50 4775 26315972 28830 46288 28484 41840 127444 272886 28830 46288 28484 41840 127444 272886 72711 72711 5214996 5063516 4723168 5517171 6147493 26666344 0.98690 0.99200 0.01020 0.00780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 39558 39558 11422235 7605577 3816658 1413843 1185762 228081 662204 537449 124755 4209052 MUTUAL FUNDS 1051925 F 1051925 6147493 74728 74728 6072765 0 6072765 5878431 0 5878431 0 5878431 PART IV, LINE 2B: MEDICAID RESIDENTS CAN REQUEST, AND IN CERTAIN CASES, GRACE BRETHREN VILLAGE IS REQUIRED TO MAINTAIN THEIR PERSONAL FUNDS IN A CUSTODIAL ACCOUNT. THESE CUSTODIAL ACCOUNTS ARE ACCOUNTED FOR SEPARATELY AND ARE MAINTAINED BY THE NURSING FACILITY ON THE RESIDENTS BEHALF. THE CUSTODIAL ACCOUNTS ARE LISTED ON THE BALANCE SHEET OF FORM 990, PART X, LINE 21 AS CUSTODIAL ACCOUNT LIABILITIES. FORM 990, PART VI, SECTION A, LINE 2 MARK COMBS AND TIM COMBS ARE BROTHERS. BOTH SERVE AS OFFICERS OF THE ORGANIZATION. 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 ANNUALLY AND EVERY BOARD OF TRUSTEES SIGNS AN UPDATED CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 LAURA RUSSELL IS PAID BY BRETHREN RETIREMENT COMMUNITY. COMPENSATION IS 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 FOR THE SAME PERIOD OF TIME AS SET FORTH IN THE INTERNAL REVENUE CODE SECTION 6104(D).