2013-03-28T15:00:21-05:00 2012-06-30 990 2011-07-01 351282401 NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES INC NATI 5743726200 337 Grace Village Drive Winona Lake IN 46590 SONDREA HAMILTON 2013-03-28 2011 2016-02-25 16:41:14Z GRACE VILLAGE RETIREMENT COMMUNITY SAME AS C ABOVE 337 Grace Village Drive Winona Lake IN 46590 2792795 false X GRACEVILLAGE.ORG X 1974 IN GRACE VILLAGE'S MISSION IS TO ENABLE OLDER ADULTS TO LIVE TO THEIR FULLEST POTENTIAL IN THE SECURITY OF A CHRISTIAN COMMUNITY. 13 13 26 20 0 0 72163 46488 2374060 2376752 46454 62755 311033 306800 2803710 2792795 0 0 0 0 721271 743766 0 0 53768 2270959 2393003 2992230 3136769 -188520 -343974 14813137 14208978 10815425 10741588 3997712 3467390 GRACE VILLAGE'S MISSION IS TO ENABLE OLDER ADULTS TO LIVE TO THEIR FULLEST POTENTIAL IN THE SECURITY OF A CHRISTIAN COMMUNITY. GRACE VILLAGE OFFERS INDEPENDENT LIVING OPTIONS THAT INCLUDE MEALS AND NURSING SERVICES WHEN NEEDED. false false GRACE VILLAGE OFFERS INDEPENDENT LIVING OPTIONS THAT INCLUDE MEALS AND NURSING SERVICES WHEN NEEDED. GRACE VILLAGE ALSO OFFERS THERAPY SERVICES AND IN HOME NON-MEDICAL SERVICES AS NEEDED. true true false false true false false true false true true false false true false false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false false true 0 0 26 false false false false false false false false false X 13 13 false false false false true true true true true false false false true true true true false false false false IN X Sondrea Hamilton 5743726498 337 Grace Village Drive Winona Lake IN 46590 CRAIG SNOW 1.00 X 0 0 0 DAVID KOONTZ 1.00 X 0 0 0 DAVID PHELPS 1.00 X 0 0 0 DON FLUKE 1.00 X 0 0 0 DR WILLIAM REMINGTON 1.00 X 0 0 0 GARY HERBRUCK 1.00 X 0 0 0 HAROLD GATLIN 1.00 X 0 0 0 JESSE DEBOEST 1.00 X 0 0 0 JO DISBRO 1.00 X 0 0 0 MARK YOUNG 1.00 X 0 0 0 MATT ELLIOTT 1.00 X 0 0 0 RON HENRY 1.00 X 0 0 0 RON REDPATH 1.00 X 0 0 0 JEFFRY CARROL 40.00 X X 0 135483 0 SONDREA HAMILTON 40.00 X 58111 0 0 58111 135483 0 1 false true false 0 46488 46488 RESIDENT SERVICE 623000 1966243 1966243 DEFERRED (LIFE LEASE) 410509 410509 0 0 0 0 2376752 62755 62755 0 0 303600 303600 0 303600 303600 0 0 0 0 0 0 APPLICATION FEES 900099 3200 3200 0 0 0 0 3200 2792795 2746307 0 0 0 0 0 0 58172 58172 0 464406 339996 71110 53300 6665 6154 511 167712 146152 21560 46811 41662 4681 468 0 0 44554 44554 0 0 470 470 1855 1855 27751 27751 15035 850 14185 16864 5216 11648 0 274813 274813 2352 725 1627 0 553 168 385 157981 157981 732842 732842 38055 38055 0 RESIDENT CARE 348450 348450 BUILDING MAINTENANCE 90016 90016 LOSS ON INTEREST RATE SWAP 111854 111854 DEBT FORGIVENESS 529558 529558 0 0 0 0 3136769 1828314 1254687 53768 0 203188 133336 7838 72777 25505 28185 17591 18840 23531088 11307032 12406359 12224056 1936758 1528804 0 0 215898 202980 14813137 14208978 269344 192830 5159474 5378974 5017778 4799228 35800 0 56500 66006 276529 304550 10815425 10741588 3963417 3458060 34295 9330 3997712 3467390 14813137 14208978 X -343974 -186348 X true true true X false X 75051 42955 46024 72163 46488 282681 2429222 2418775 2278989 2374060 2379952 11880998 0 0 0 2504273 2461730 2325013 2446223 2426440 12163679 0 0 0 0 0 0 0 0 12163679 327647 364873 353831 351854 366355 1764560 0 327647 364873 353831 351854 366355 1764560 0 16404 7856 5546 5633 0 35439 2848324 2834459 2684390 2803710 2792795 13963678 0.87100 0.86480 0.12640 0.13020 X SCHEDULE A, PART IV - EXPLANATION FOR OTHER INCOME, PART IV, APPLICATION FEES 3200, OTHER INCOME, SCHEDULE A, PART III, LINE 12, <OTHERINCOME> <INCOME> <DESCRIPTION /> <COLUMNA>16404</COLUMNA> <COLUMNB>7856</COLUMNB> <COLUMNC>5546</COLUMNC> <COLUMND>5633</COLUMND> <COLUMNE /> <COLUMNF>35439</COLUMNF> </INCOME> <INCOME> <DESCRIPTION /> <COLUMNA /> <COLUMNB /> <COLUMNC /> <COLUMND /> <COLUMNE /> <COLUMNF>0</COLUMNF> </INCOME> </OTHERINCOME>, OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - , COLUMN A - 16404, COLUMN B - 7856, COLUMN C - 5546, COLUMN D - 5633, COLUMN E - , COLUMN F - 35439; DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 46488 true true false true 125948 125948 20289149 9255712 11033437 0 1955249 1600927 354322 1160742 450393 710349 12224056 0 F 1528804 F 1528804 1610 WAIT LIST DEPOSITS 4500 REFUNDABLE PORTION LIFE LEASE DEPOSITS 221685 SECURITY DEPOSITS 72989 PAYROLL TAXES 3766 304550 2792795 3136769 -343974 0 0 -343974 2792795 0 0 2792795 0 0 2792795 3136769 0 0 3136769 0 0 3136769 Explanation of escrow agreement Schedule D, Part IV, Line 2b THE ORGANIZATION HAS AN ESCROW ACCOUNT AND AGREEMENT WITH A LOCAL BANK. GRACE VILLAGE DEPOSITS MONEY RECEIVED BY FUTURE RESIDENTS FOR LIFE LEASE DEPOSITS INTO THIS ACCOUNT. THE MONEY IS HELD IN THE ESCROW ACCOUNT UNTIL THE RESIDENT OFFICIALLY MOVES IN TO GRACE VILLAGE AND BECOMES A RESIDENT OF GRACE VILLAGE. true X X false false false false false false false false false TOWN OF WINONA LAKE INDIANA 356001423 975204AG3 2006-05-23 6157000 REFINANCE PRIOR ISSUES AND BUIL NEW SNF WHICH NUMBERS WILL BE REFLECTED ON RELATED COMPANY'S 990 false false 0 0 6157 0 0 0 56847 0 0 0 0 0 false false true true true false 0.0 false 0.0 Classes of members or stockholders Form 990, Part VI, Section A, Line 6 BOARD MEMBERS APPROVE SIGNIFICANT DECISIONS OF MANAGEMENT. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a BOARD MEMBERS APPROVE SIGNIFICANT DECISIONS OF MANAGEMENT. ALSO BOARD MEMBERS ELECT AND VOTE ON NEW BOARD MEMBERS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b EXTRAORDINARY CAPITAL PROJECTS AND OTHER FINANCIAL AND STRATEGIC DECISIONS HAVE TO BE APPROVED BY THE BOARD OF DIRECTORS/MEMBERS. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b CFO PREPARES 990. CEO REVIEWS 990 BEFORE IT IS FILED. THE FULL BOARD IS GIVEN A COPY OF THE 990 UPON COMPLETION OF PREPARATION AND FILING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c GRACE VILLAGE TRIES TO AVOID SITUATIONS THAT COULD POTENTIALLY BE SEEN AS A CONFLICTS OF INTEREST. IF A CONFICT IS FOUND, IT IS DEALT WITH ON A CASE BY CASE BASIS, AND THE BOARD OF DIRECTORS MAKES A DECISION AS TO MATERIALITY OF THE CONFLICT, AND WHETHER TO TERMINATE TRANSACTIONS WITH PARTIES THAT HAVE A CONFLICT OF INTEREST. CONFLICTS OF INTEREST ARE MONITORED AND DEALT WITH AT EVERY LEVEL OF THE ORGANIZATION, FROM HOURLY EMPLOYEES, TO SALARIED EMPLOYEES, TO BOARD MEMBERS. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 UPON REQUEST Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -186348; 35-1282401 SCHEDULE K - PART I - COLUMN (E): THE ISSUE PRICE DOES NOT MATCH THE AMOUNT THAT IS ON FORM 8038 BECAUSE THIS BOND ISSUE WAS TO BENEFIT TWO SEPARATE LEGAL ENTITIES. THE ENTITIES OPERATE AS ONE COMPANY, BUT ONLY 47% OF THE BOND ISSUE WAS FOR NATIONAL FELLOWSHIP BRETHREN RET. HOMES. THE AMOUNT ON LINE A, COLUMN (E) OF $6,157,000 REPRESENTS 47% OF THE TOTAL BOND ISSUE OF $13,100,000. GRACE VILLAGE HEALTHCARE FACILITY INC 337 GRACE VILLAGE DRIVE WINONA LAKE IN 46590 351447417 NURSING HOME/ASSISTED LIVING FACILITY IN 501(C)(3) 9 NA false false false false false false false false false true false false false true true false false false false