2020-10-22T12:57:33-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-01-01 521368412 CULPEPER BAPTIST RETIREMENT COMMUNITY INC CULP 8045219206 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 CHRISTOPHER M MARKWITH SENIOR VICE PRESIDENT 8045219206 2020-10-21 1 JOHN NORMAN P01506766 7049985200 2020-10-21 67.137.57.251 2020-10-21 10:24:28 ED P 7FA111DA1DF952C3932DE9B02872546115851591 14449F9F24E3C91E6AF0C8FE7A2B88818D6C789F 2019 2021-01-29 14:40:06Z THE CULPEPER JONATHAN COOK 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 11379004 0 X WWW.LIFESPIRELIVING.ORG X 1948 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 17 17 251 302 0 0 558540 883580 9022742 10459873 34248 -476334 0 0 9615530 10867119 254281 264570 0 0 5433279 6884219 0 0 0 3624456 5122340 9312016 12271129 303514 -1404010 43128378 47881429 52638392 60634233 -9510014 -12752804 X THE CULPEPER PROVIDES DIGNITY IN LIVING FOR SENIOR ADULTS LIVING IN OUR COMMUNITIES, SOME OF WHOM CANNOT AFFORD TO PAY THE FULL COST OF THEIR CARE. PROVIDED SERVICES INCLUDE HIGH QUALITY HOUSING, HEALTH CARE, WELLNESS PROGRAMS, AND OTHER SERVICES. WE PRACTICE SERVANT LEADERSHIP BY ATTRACTING AND RETAINING PROFESSIONAL AND CARING STAFF COMMITTED TO OUR RESIDENTS' NEEDS. WE PROVIDE EXCELLENT FACILITIES AND SERVICES WHILE EMBRACING INNOVATION THAT HONORS OUR TRADITIONAL PRACTICES. OUR FAITH-BASED, NONPROFIT, SERVICE-ORIENTED IDENTITY IN OUR MARKET AREAS SETS US APART FROM OTHER SENIOR CARE PROVIDERS, AND WE ARE INTEGRAL PARTNERS WITH A VARIETY OF CHURCHES, SCHOOLS, HUMAN SERVICE ORGANIZATIONS, AND BUSINESS ORGANIZATIONS THAT SERVE THE REGIONS WHERE WE OPERATE. WE HAVE BEEN GUIDED SINCE OUR FOUNDING BY A VOLUNTEER BOARD AND PROFESSIONAL MANAGEMENT TEAM COMMITTED TO EXCELLENCE IN SERVICE TO SENIORS. 0 0 10070340 264570 9947988 WE PROVIDED BOTH RESIDENTIAL AND HEALTH CARE SERVICES TO OUR RESIDENTS, SOME OF WHOM ARE UNABLE TO COVER THE FULL COST OF THEIR CARE. WE PROVIDED $264,570 IN SUBSIDIES AND INDIGENCE ALLOWANCES TO OUR RESIDENTS IN 2019, PERTAINING TO 14 RESIDENTS. 10070340 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 45 0 251 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 1 0 0 VA X X CHRIS MARKWITH CFO 8045219206 39614 STILLMAN PARKWAY GLEN ALLEN VA 23060 MR JAMES BALES TRUSTEE 1.00 X 0 0 0 REV HERBERT O BROWNING JR TRUSTEE 1.00 X 0 0 0 REV DANIEL CARLTON TRUSTEE 1.00 X 0 0 0 DR VALERIE CARTER SMITH TRUSTEE 1.00 X 0 0 0 MR SCOTT CAVE TRUSTEE 1.00 X 0 0 0 REV NELSON HARRIS TRUSTEE 1.00 X 0 0 0 MR R CRAIG HOPSON ESQ TRUSTEE 1.00 X 0 0 0 MR MICHAEL E KECK TRUSTEE 1.00 X 0 0 0 MS SARA MARCHELLO TRUSTEE 1.00 X 0 0 0 MR ROBERT L MUSICK JR TRUSTEE 1.00 X 0 0 0 MR SAMUEL G OAKEY III TRUSTEE 1.00 X 0 0 0 SUSAN RUCKER TRUSTEE 1.00 X 0 0 0 MR MATTHEW SCOTT TRUSTEE 1.00 X 0 0 0 MR MICHAEL M SMITH TRUSTEE 1.00 X 0 0 0 MR NED STEPHENSON TRUSTEE 1.00 X 0 0 0 MR JOSEPH M TEEFEY TRUSTEE 1.00 X 0 0 0 MR J ROBERT YEAMAN III TRUSTEE 1.00 X 0 0 0 JONATHAN COOK PRESIDENT & CEO 1.00 39.00 X 0 453758 23499 JOE KELLEY CFO 1.00 39.00 X 0 216571 25633 CHRIS MARKWITH ASSIST TREAS/CFO 1.00 39.00 X 0 163164 25000 RAY FISHER COO 1.00 39.00 X 0 261402 29499 JOHN P ROBINSON VP 1.00 39.00 X 0 210243 19455 JIM JACOBSEN EXECUTIVE DIRECTOR 40.00 X 162427 0 10956 162427 1305138 134042 1 0 1 0 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 20020 HARRISONBURG VA 22801 FOOD VENDOR 454359 REHABCARE GROUP INC CONTRACT THERAPY DIVISION ST LOUIS MO 63150 THERAPY 434614 GLYNN DEVINS 8880 WARD PKWY KANSAS CITY MO 64114 MARKETING 389140 NET 100 3675 CONCORDE PKWY CHANTILLY VA 20151 IT WIRING 347150 GMK ASSOC 1201 MAIN ST STE 2100 COLUMBIA SC 29201 CONSTRUCTION SERVICES 333780 9 873858 9722 883580 RESIDENTIAL SERVICES 623000 5122237 5122237 HEALTH CARE SERVICES 623000 5037965 5037965 299671 299671 10459873 35551 35551 511885 -511885 -511885 -511885 10867119 9947988 0 35551 264570 264570 1428224 1428224 4440127 4188267 251860 112928 100979 11949 497702 445045 52657 405238 365112 40126 782572 782572 305451 305451 107227 107227 3295 3295 1162877 1162877 28996 28996 664754 664754 1141863 1141863 DIETARY SUPPLIES 421653 421653 PROGRAM SUPPLIES 364860 364860 138792 138792 12271129 10070340 2200789 0 1221546 -24746 262767 475061 195300 20669 3743 13516 49091843 3355199 39141629 45736644 724082 834007 73100 1558642 773847 43128378 47881429 3629394 3126054 77048 1992758 1926937 34365323 43711979 12573869 11869263 52638392 60634233 X -11568232 -14743257 2058218 1990453 -9510014 -12752804 43128378 47881429 X -1404010 -1838780 X X 0 1 X 1 0 X 412177 339645 372427 558540 883580 2566369 7285319 8466297 8811486 9022742 10459873 44045717 7697496 8805942 9183913 9581282 11343453 46612086 0 0 0 46612086 62973 69049 48881 34248 35551 250702 62973 69049 48881 34248 35551 250702 -39221 -39221 7760469 8835770 9232794 9615530 11379004 46823567 0.99550 0.98930 0.00540 0.00630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 268 268 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION DUES IS ALLOCATED TO LOBBYING. 5396282 58293 -189392 5265183 5335266 102715 -41699 5396282 5264415 49009 21842 5335266 4975201 270686 18528 5264415 4841709 110221 23271 4975201 0.78220 0.21780 0 1 1 43647 43647 45310976 2657499 42653477 905508 399757 505751 2831712 297943 2533769 45736644 DEFERRED ENTRANCE FEES 5432154 DUE TO AFFILIATES 4706195 SWAP OBLIGATIONS 2553414 DEFERRED FINANCING COSTS -822500 11869263 X PART V, LINE 4: VIRGINIA BAPTIST HOMES FOUNDATION, INC., A RELATED ORGANIZATION, HOLDS AND ADMINISTERS ENDOWMENTS FOR ALL OF THE RELATED ORGANIZATIONS LISTED IN SCHEDULE R. THE ENDOWMENTS ARE TO BE USED TOWARDS THE CONTINUATION OF RESIDENT SERVICES. THE AMOUNTS SHOWN IN PART V REPRESENT THE AGGREGATE BALANCE OF THE DONOR-RESTRICTED ASSETS HELD BY THE FOUNDATION ON BEHALF OF ALL RELATED ORGANIZATIONS. PART X, LINE 2: THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION ADOPTED ACCOUNTING GUIDANCE REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. 1 BENEVOLENT ASSISTANCE 14 264570 REDUCTION TO MONTHLY FEES PART I, LINE 2: THE ORGANIZATION GRANTS ASSISTANCE TOWARDS MONTHLY FEES THROUGH A FINANCIAL AID APPLICATION PROCESS. GRANTS ARE AWARDED IN THE FORM OF A REDUCTION OF RESIDENT MONTHLY FEES. X X 0 0 0 1 1 0 0 0 0 JONATHAN COOK PRESIDENT & CEO 0 442356 0 11402 0 0 0 19000 0 4499 0 477257 0 0 JOE KELLEY CFO 0 171715 0 30000 0 14856 0 25000 0 633 0 242204 0 0 CHRIS MARKWITH ASSIST TREAS/CFO 0 163164 0 0 0 0 0 25000 0 0 0 188164 0 0 RAY FISHER COO 0 230310 0 31092 0 0 0 25000 0 4499 0 290901 0 0 JOHN P ROBINSON VP 0 146213 0 58873 0 5157 0 19000 0 455 0 229698 0 0 JIM JACOBSEN EXECUTIVE DIRECTOR 139070 0 17715 0 5642 0 10956 0 0 0 173383 0 0 0 PART I, LINE 5 EFFECTIVE IN 2016 THE BOARD OF TRUSTEES IMPLEMENTED AN INCENTIVE COMPENSATION PLAN BASE ON SEVERAL SPECIFIED FACTORS, ONE OF WHICH IS ADJUSTED NET OPERATING INCOME. A EDA OF NEWPORT NEWS 521290859 65225PAM8 2016-10-12 91459243 TO REFUND 2006 TAX-EXEMPT BONDS 0 0 1 B ECONOMIC DEVELOPMENT AUTHORITY OF CULPEPER COUNTY VIRGINIA 383854138 NONEAVAIL 2017-07-26 48112000 TO FUND THE PROJECT COSTS OF THE CULPEPER RENOVATIONS 0 0 0 A 499437 2429479 167290 37438 2224751 1 0 1 1 B 48112000 958866 43711980 3441154 0 0 0 0 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 1 1 0 0 0 0 1 B 0 1 0 0 1 1 SUNTRUST AND HUNTINGTON NATIONAL 7.000000000000 0 0 0 0 1 A 1 B 1 PART II, COLUMN A, LINE 3 THE BOND ISSUE FROM 2016 IS DEBT THAT HAS BEEN ALLOCATED ACROSS MULTIPLE ENTITIES WITHIN THE GROUP OF ENTITIES THAT THE ORGANIZATION SUPPORTS. THE AMOUNT OF PROCEEDS SHOWN ON LINE 3 REPRESENTS THE AMOUNT OF PROCEEDS ALLOCATED TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 VIRGINIA BAPTIST HOMES, INC. IS THE SOLE MEMBER OF CULPEPER BAPTIST RETIREMENT COMMUNITY, INC. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY THE ORGANIZATION'S EXTERNAL FINANCIAL AUDIT FIRM FROM INFORMATION THE ORGANIZATION FURNISHED, AND REVIEWED BY THE ORGANIZATION'S CHIEF FINANCIAL EXECUTIVE AND CONTROLLER PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12 THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES AND THE VIRGINIA BAPTIST HOMES, INC. COMPLIANCE OFFICER MONITOR AND ENFORCE THE CONFLICT OF INTEREST POLICY, IN ACCORDANCE WITH THE VBH CORPORATE COMPLIANCE PROGRAM. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS AND KEY EMPLOYEES IS SET BY THE BOARD OF TRUSTEES AFTER DELIBERATION, INCLUDING REVIEW OF THE "CHIEF EXECUTIVE OF MULTI-FACILITY ORGANIZATIONS COMPENSATION REPORT AND OTHER SENIOR LIVING INDUSTRY COMPARABILITY REPORTS. THIS PROCESS WAS MOST RECENTLY CONDUCTED IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990 AND ASSOCIATED MATERIALS ARE MADE AVAILABLE AT, OR BY REQUEST TO, EITHER THE BUSINESS' LOCATION OR THE HEADQUARTERS OF VIRGINIA BAPTIST HOMES, INC. THE FORM 990 MAY ALSO BE VIEWED ON CERTAIN THIRD PARTY WEB SITES. FORM 990, PART XI, LINE 9: CHANGE IN PV OF PERPETUAL TRUSTS 109,925. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS -1,948,705. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. VIRGINIA BAPTIST HOMES INC 1900 LAUDERDALE DR RICHMOND VA 23238 540534405 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 12A, I N/A 0 VIRGINIA BAPTIST HOMES FOUNDATION INC 1900 LAUDERDALE DR RICHMOND VA 23238 521373103 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 12B, II N/A 0 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC 955 HARPERVILLE RD NEWPORT NEWS VA 23601 521368408 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 10 N/A 0 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC 1900 LAUDERDALE DR RICHMOND VA 23238 521368410 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 10 N/A 0 THE GLEBE INC 200 THE GLEBE BLVD DALEVILLE VA 24083 541917966 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 10 N/A 0 0 0 1 1 1 0 0 0 0 0 1 0 1 0 0 1 0 0 0 LIFESPIRE OF VIRGINIA C 657330 CASH TRANSFERRED VBH FOUNDATION C 216528 CASH TRANSFERRED LIFESPIRE OF VIRGINIA P 787354 CASH TRANSFERRED