2011-02-11T09:00:04-06:00 2010-06-30 990 2009-07-01 351282401 NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES INC NATI 5743726200 337 GRACE VILLAGE DRIVE WINONA LAKE IN 46590 SONDREA HAMILTON 2011-02-10 2009 2016-02-24 21:20:13Z GRACE VILLAGE RETIREMENT COMMUNITY SAME AS C ABOVE 337 GRACE VILLAGE DRIVE WINONA LAKE IN 46590 2684390 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 23 50 0 0 42955 46024 2418775 2278989 61873 50831 310856 308546 2834459 2684390 0 0 0 0 423037 676039 0 0 42054 1660669 1526707 2083706 2202746 750753 481644 14374681 14257481 11004279 10667011 3370402 3590470 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 2491331 0 2684390 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. 2491331 true true false false true false false true false true 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 true 13 0 true 23 true false false false false false 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 ARDEN WARNER 1 X 0 0 0 GARY HERBRUCK 1 X 0 0 0 MARK YOUNG 1 X 0 0 0 DAVID PHELPS 1 X 0 0 0 DAVID KOONTZ 1 X 0 0 0 HAROLD GATLIN 1 X 0 0 0 DON FLUKE 1 X 0 0 0 JO DISBRO 1 X 0 0 0 JESSE DEBOEST 1 X 0 0 0 RON HENRY 1 X 0 0 0 RON REDPATH 1 X 0 0 0 CRAIG SNOW 1 X 0 0 0 STEVEN BARRETT 1 X 0 0 0 JEFFRY CARROL 40 X X X 140697 0 0 SONDREA HAMILTON 40 X X 58289 0 0 198986 0 0 0 false true false TL JACKSON CONSTRUCTION INC 11273 N SYRACUSE-WEBSTER ROAD SYRACUSE IN 46567 CONSTRUCTION 627484 1 0 0 0 0 0 46024 0 46024 RESIDENT SERVICE 623000 1879225 1879225 0 0 DEFERRED (LIFE LEASE) 623000 399764 399764 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2278989 50831 50831 0 0 0 0 0 0 0 0 0 0 303000 0 0 0 303000 0 303000 303000 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 0 APPLICATION FEES 900099 4400 4400 0 0 AVIARY UPKEEP 900099 1146 1146 0 0 0 0 0 0 0 0 0 0 5546 2684390 2638366 0 0 0 0 0 0 0 0 0 0 70853 0 70853 0 0 0 0 0 452379 307062 111618 33699 7302 4915 2108 279 101736 98961 1575 1200 43769 29325 9629 4815 0 0 0 0 0 0 0 0 61053 61053 0 0 0 0 0 0 0 0 7953 0 7953 0 300 0 300 0 29571 0 27510 2061 13364 1929 11435 0 8195 3635 4560 0 0 0 0 0 241357 241357 0 0 4200 1561 2639 0 0 0 0 0 1545 388 1157 0 83924 0 83924 0 0 0 0 0 645703 0 645703 0 54910 0 54910 0 RESIDENT CARE 308716 308716 0 0 BUILDING MAINTENANCE 65916 65916 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2202746 1124818 1035874 42054 0 0 0 0 0 0 867075 297914 0 0 5248 4214 0 0 0 0 0 0 31159 38580 67348 63716 21704034 9904548 11327679 11799486 0 0 1807217 1839068 0 0 0 0 268955 214503 14374681 14257481 195461 127574 0 0 4806123 4986768 5619378 5226928 17900 35800 0 0 30185 91142 0 0 335232 198799 11004279 10667011 3275504 3466899 94898 123571 0 0 0 0 0 0 0 0 3370402 3590470 14374681 14257481 X true true true X false X 0 43405 56973 75051 42955 46024 264408 1898765 2236027 2429222 2418775 2278989 11261778 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1942170 2293000 2504273 2461730 2325013 11526186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11526186 406777 413515 327647 364873 353831 1866643 0 0 0 0 0 0 406777 413515 327647 364873 353831 1866643 0 0 0 0 0 0 15788 32992 16404 7856 5546 78586 2364735 2739507 2848324 2834459 2684390 13471415 0.8556 0.13856 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 46024 true false true 0 125948 125948 0 18674580 8137130 10537450 0 0 0 0 0 1834453 1434080 400373 0 1069053 333338 735715 11799486 1839068 F 0 1839068 WAIT LIST DEPOSITS 5000 REFUNDABLE PORTION LIFE LEASE DEPOSITS 91106 SECURITY DEPOSITS 102693 198799 2684390 2202746 481644 0 0 0 0 -288585 -288585 193059 2684390 0 0 0 0 0 2684390 0 0 0 2684390 2491331 0 0 0 0 0 2491331 0 0 0 2491331 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. Other changes in net assets Schedule D, Part XI, Line 8 DEBT FORGIVENESS - -288585; OTHER - 0; TOTAL - -288585 true 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 6157 0 0 0 56847 0 0 false false true true false false false false true 0.000 0.000 0.000 true true true false 0.0 false 0.0 true 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 11A 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. Public Disclosure Form 990, Part VI, Section C, Line 19 UPON REQUEST 35-1282401 NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES, INC. 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. THIS TAX RETURN IS BEING FILED AFTER THE DEADLINE OF NOVEMBER 15, 2010. THE COMPANY FILED FOR AN EXTENSION AND THE EXTENSION WAS APPROVED. I HAVE INCLUDED A COPY OF THE APPROVAL WITH THE RETURN. 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 true false false false true true false false false false GRACE VILLAGE HEALTHCARE FACILITY INC I 300000 GRACE VILLAGE HEALTHCARE FACILITY INC M GRACE VILLAGE HEALTHCARE FACILITY INC N 500000