2012-08-15T11:59:46-05:00 2011-12-31 BRUCE E BERNSTIEN & ASSOC PC 10440 N CENTRAL EXPRESSWAY STE 1040 DALLAS TX 75231 990 2011-01-01 751094140 GRACE PRESBYTERIAN MINISTRIES INC % DAVID DIER GRAC 2143761701 550 E ANN ARBOR AVE DALLAS TX 75216 Mark Havrilka 2012-08-15 true BRUCE E BERNSTIEN 2147060840 2011 2016-02-24 21:20:13Z Godwin Dixon 6100 Colwell BlvdSuite 225 Irving TX 75039 28894234 false X WWW.GRACEPRESBYTERIANVILLAGE.ORG X 1962 TX provides independent and assisted living, as well as rehabilitation and nursing care. we also provide comprehensive and compassionate hospice services to the community. 3 3 602 130 0 844561 1103045 28379611 28168129 236341 248226 -94483 -625166 29366030 28894234 967102 1048918 0 0 17305223 17268385 0 0 0 11287158 12572320 29559483 30889623 -193453 -1995389 38197164 46327448 6310499 5762608 31886665 40564840 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. false false 10492202 838652 12786103 PROVIDED SKILLED NURSING AND ALZHEIMER'S AND DEMENTIA CARE TO OUR COMMUNITY RESIDENTS, INCLUDING MEDICARE AND MEDICAID PATIENTS. WE SERVED 595 UNDUPLICATED PATIENTS IN 2011 . 1692958 842 2617324 WE PROVIDED ASSISTED LIVING SERVICES TO 76 UNDUPLICATED RESIDENTS IN 2011. 7509388 195071 8754112 PROVIDED HOSPICE SERVICES THROUGH FAITH PRESBYTERIAN HOSPICE TO THE DALLAS METROPLEX TO 1103 UNDUPLICATED HOSPICE PATIENTS IN 2011. 2883017 1615836 provide rehabilitation and outpatient therapy 1107296 14353 2394753 retirement and other related svcs 3990313 14353 4010589 23684861 true true false false false false false false false true false false true true false true true 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 true false false false false true 193 0 true 602 true false false false false false false false false false false false false false X 3 3 false true false false false false true true true false true true true true true true true true true true false X DAVID DIER 2144131554 6100 COLWELL BLVD SUITE 225 Irving TX 75039 X Howard M Chase FACHE 1.0 X 0 0 0 Michael Wright 1.0 X 0 0 0 Ron Gafford 1.0 X 0 0 0 Godwin Dixon 10.0 X 0 351467 3125 Teresa Whittington 10.0 X 0 172239 12124 Elizabeth Nicole Gann 10.0 X 0 175016 0 Sabrina Porter 30.0 X 0 149014 10874 Brenda Terry 10.0 X 0 146520 4366 Mark Havrilka 10.0 X 0 163944 14374 Ann McKinley 10.0 X 0 110855 6108 Cynthia Douglas 40.0 X 139933 0 0 139933 1269055 50971 1 false true false Salus Soulutions LLC 7330 Fern Ave Suite 502 SHREVEPORT LA 71105 contract labor 875768 ENTERPRISE STAFFING P O Box 270568 HOUSTON TX 771770568 contract labor 421288 Olicon Inc 1801 Royal Lane suite 700 DALLAS TX 752293168 construction cntr 152943 Lake Forest Village 3901 Montecito Dr DENTON TX 76210 hospice r&b 125330 4 1103045 1103045 NURSING SERVICES 900099 12786104 12786104 ASSISTED LIVING SERVICES 900099 2617324 2617324 FAITH HOSPICE REVENUE 900099 8754112 8754112 REHABILITATION AND THERAPY 900099 1615836 1615836 RETIREMENT AND OTHER RELATED SERVICES 900099 2394753 2394753 28168129 248226 248226 0 0 0 0 0 0 TRANSFER TO PC&S FDTN 900099 -557636 -557636 ELECTRICITY EXPENSES 900099 -5168 -5168 PROPERTY TAXES 900099 -65020 -65020 2658 2658 -625166 28894234 27542963 248226 0 1048918 1048918 0 0 139933 139933 0 0 14268917 12815935 1452982 57691 63445 -5754 1740111 1525159 214952 1061733 955993 105740 2250439 2250439 29949 29949 44289 44289 0 0 0 126484 112415 14069 60735 60735 53141 19740 33401 260213 69477 190736 0 907017 888204 18813 330669 300410 30259 0 0 91469 91469 0 1510775 1510775 195633 195633 SUPPLIES 3216632 3127359 89273 CONTRACT LABOR 1772204 1772204 OUTSIDE SERVICES 562262 245172 317090 BAD DEBT 494818 11121 483697 665591 533676 131915 30889623 23684861 7204762 0 35961 30070 146876 147517 0 0 3227809 2959437 0 0 0 0 0 0 13991 19113 87739 127461 36940515 14613893 23030803 22326622 0 0 0 0 230173 0 0 0 11423812 20717228 38197164 46327448 2733221 2609907 0 0 0 0 0 0 0 0 0 0 3318750 2902422 0 0 258528 250279 6310499 5762608 X 19177659 18672632 12345002 21528204 364004 364004 31886665 40564840 38197164 46327448 X -1995389 10673564 X false true true X false X 22228754 2579025 768933 1079034 1103045 27758791 22417755 24418494 26051787 28050655 28168129 129106820 44646509 26997519 26820720 29129689 29271174 156865611 156865611 287374 235280 214172 236341 248226 1221393 287374 235280 214172 236341 248226 1221393 -625166 -625166 44933883 27232799 27034892 29366030 28894234 157461838 0.99621 0.99326 0.00776 0.00673 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8387043 8387043 22836701 10899792 11936910 92971 7948 85023 2752318 2028503 723815 2871482 1677650 1193832 22326623 DUE FROM RELATED PARTIES 7477509 SECURITY DEPOSIT 3076 OTHER RECEIVABLES 29282 INTEREST IN PC&S FDTN 13207361 20717228 0 SECURITY DEPOSITS 142350 DEFERRED TENANT REVENUE 102917 INTEREST PAYABLE 5012 250279 28894234 30889623 -1995389 -44429 10717993 10673564 8678175 38518880 -44429 10717993 10673564 27845316 1048918 1048918 28894234 29840705 29840705 1048918 1048918 30889623 reconciliation SCHEDULE D, PART XI, LINE 8: -change in valuation of benificial interest in assets held by others: $ 98,274 -net assets transfered from related organization: $10,619,718 reconciliation SCHEDULE D, PART XII, LINE 2D: -change in valuation of benificial interest in assets held by others: $ 98,274 -net assets transfered from related organization: $10,619,718 reconciliation SCHEDULE D, PART XII, LINE 4B: -grants and other assistance to individuals in the us: $ 1,048,918 reconciliation SCHEDULE D, PART XIII, LINE 4B: -grants and other assistance to individuals in the us: $ 1,048,918 true supplemental assistance 85 1048918 records maintenance Schedule I, Part I, Line 2: THE ORGANIZATION PROVIDES ASSISTANCE TO THE RESIDENTS OF ITS CCRC CAMPUS WHO REACH A 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 false false false false false false false false false Godwin Dixon 0 282260 0 54880 0 14327 0 0 0 3125 0 354592 0 0 Teresa Whittington 0 152876 0 14363 0 5000 0 0 0 12124 0 184363 0 0 Elizabeth Nicole Gann 0 148195 0 21821 0 5000 0 0 0 0 0 175016 0 0 Sabrina Porter 0 128175 0 15839 0 5000 0 0 0 10874 0 159888 0 0 Brenda Terry 0 130634 0 10886 0 5000 0 0 0 4366 0 150886 0 0 Mark Havrilka 0 136715 0 22229 0 5000 0 0 0 14374 0 178318 0 0 The organization delegates control over management duties Form 990, Part VI, Line 3: On 5/1/2008, Presbyterian Communiites & Services was formed to provide management and shared services to grace Presbyterian ministries and other affiliated organizations. Local Chapters, Branches or affliates of the organization Form 990, Part VI, Line 10: Presbyterian Communities & Services, Faith Presbyterian Providers, Inc., Presbyterian Village North, Presbyterian Communities & Services Foundation The process for organization to review form 990 Form 990, Part VI, Line 11b: THE 990 IS RECEIVED BY MANAGEMENT TO REVIEW AND CORRECT PRIOR TO SUBMITTING TO THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW. MANAGEMENT MEETS WITH THE FINANCE COMMITTEE, ALONG WITH THE OUTSIDE PREPARER, TO DISCUSS THE 990 RETURN AND RECOMMEND CHANGES, IF ANY. AFTER THE 990 HAS BEEN FINALIZED AND APPROVED BY THE FINANCE COMMITTEE, IT IS SUBMITTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO SENDING TO THE IRS. DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST Form 990, Part VI, Line 12c: WE HAVE 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. The process for determining the compensation form 990, part vi, line 15b: THE BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS THE CURRENT COMPENSATION COMPARED TO LIKE ENTITIES AND MAKES RECOMMENDATIONS TO THE BOARD FOR CHANGES IN COMPENSATION. THE BOARD ALSO USES AN OUTSIDE CONSULTANT TO REVIEW COMPENSATION, INDEPENDENT OF THE COMPENSATION COMMITTEE. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC form 990, PART VI, LINE 19: These documents are available at the site, based on written request. other changes in net assets form 990, part xi, line 5: -change in valuation of benificial interest in assets hold by others:$98,274; -net assets transfered from related organization: $10,619,718. -unrealized loss on investment: -$44,429. Material differences in voting rights among members of the governing body form 990, part vi, line 1a: Broad Authority is delegated to the PC&S Board of Trustees. Decisions of the governing body reserved to approval by members form 990, part vi, line 7b: Broad Authority is delegated to the PC&S Board of Trustees for most decisions. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Godwin Dixon TITLE:President/CEO HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Teresa Whittington TITLE:V.P. of Quality & Development HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Elizabeth Nicole Gann TITLE:V.P. of HR & IT HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sabrina Porter TITLE:V.P. of Residential/Community HOURS:10 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Brenda Terry TITLE:V.P of Operation HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mark Havrilka TITLE:V.P. of Finance HOURS:30 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ann McKinley TITLE:V.P. of Marketing HOURS:30 presbyterian communities and svcs fdtn 6100 Colwell BoulevardSte 225 Irving TX 75039 751910084 fdtn for affi TX 501(c)(3) 7 (2) false presbyterian communities and services 6100 Colwell BoulevardSte 225 irving TX 75039 261459224 SHD SVcs/MGMT TX 501(c)(3) 11 N/A false presbyterian village north 8600 skyline dallas TX 75243 510190369 CCRC TX 501(c)(3) 9 (2) false Faith Presbyterian Providers Inc 4350 Sigma Rd Suite 400 dallas TX 75244 383800779 pall/hos svcs TX 501(c)(4) (2) false false false true true false false false false false false false false true true true false false false presbyterian communities & services fdtn 1c 1103045 fmv presbyterian communities & services fdtn 1d 2200000 fmv presbyterian communities & services 1o 2250439 fmv