2018-11-13T12:33:58-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-01-01 521368410 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC LAKE 8045219206 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 JOSEPH KELLEY CFO 8045219206 2018-11-12 1 JOHN NORMAN P01506766 7049985200 2018-11-12 67.137.57.251 2018-11-12 14:57:44 ES P 967DCA4FABF3D6C7AE4D014617AEEE9CE601AE20 625448C0F55D99FA31EEB930CD4AF0F24507C48B 2017 2019-02-21 02:37:17Z JONATHAN COOK 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 28108313 0 X WWW.LIFESPIRELIVING.ORG X 1969 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 17 17 495 115 0 0 519244 107413 25279213 27540210 381882 440924 4502 19766 26184841 28108313 487165 564910 0 0 11061713 12440411 0 0 0 12199547 12324970 23748425 25330291 2436416 2778022 97233362 151235283 60163265 109856050 37070097 41379233 TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY, SOME OF WHOM CANNOT AFFORD TO PAY THE FULL COST OF THEIR CARE. 0 0 23722172 564910 27540210 WE WERE ABLE TO PROVIDE BOTH RESIDENTIAL AND HEALTH CARE SERVICES TO OUR RESIDENTS, SOME OF WHOM ARE UNABLE TO COVER THE FULL COST OF THEIR CARE. WE PROVIDED $564,910 IN SUBSIDIES AND INDIGENCE ALLOWANCES TO OUR RESIDENTS IN 2017, PERTAINING TO 25 RESIDENTS. 23722172 1 1 0 0 0 0 0 0 0 1 1 1 0 1 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 50 0 495 1 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 1 1 1 1 1 1 1 0 VA X X JOSEPH KELLEY CFO 8045219206 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 MR ROBERT L MUSICK JR TRUSTEE 1.00 X 0 0 0 MR LEBRON J HOLDEN TRUSTEE 1.00 X 0 0 0 REV HERBERT O BROWNING TRUSTEE 1.00 X 0 0 0 MR CRAIG R HOPSON ESQ TRUSTEE 1.00 X 0 0 0 MR MICHAEL E KECK TRUSTEE 1.00 X 0 0 0 MR JOHN T KING TRUSTEE 1.00 X 0 0 0 MRS VALERIE CARTER TRUSTEE 1.00 X 0 0 0 MR ARNE W OWENS TRUSTEE 1.00 X 0 0 0 MRS SUSAN C RUCKER CHAIR/TRUSTEE 1.00 X 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 CHARLES W TYSINGER TRUSTEE 1.00 X 0 0 0 J ROBERT YEAMAN III ESQ SECRETARY/TRUSTEE 1.00 X X 0 0 0 MR SCOTT CAVE VICE CHAIR/TRUSTEE 1.00 X X 0 0 0 REV DAN CARLTON TRUSTEE 1.00 X 0 0 0 JONATHAN COOK PRESIDENT & CEO 1.00 40.00 X 0 298828 18407 MICK FEAUTO COO 1.00 40.00 X 0 201706 48400 JOSEPH KELLEY CFO 1.00 40.00 X 0 178791 31673 JOHN P ROBINSON VP 1.00 40.00 X 0 205850 21386 DAVID BROWNING ASST TREASURER 1.00 40.00 X 0 104685 14795 0 989860 134661 0 0 1 0 REHABCARE GROUP INC SRS DIVISION ST LOUIS MO 631503534 THERAPY SERVICES 1734669 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 20020 HARRISONBURG VA 22801 FOOD VENDOR 1150460 THW DESIGN 2100 RIVEREDGE PARKWAY ATLANTA GA 30328 CONSULTING SERVICES 724773 GLYNNDEVINS 8880 WARD PARKWAY KANSAS CITY MO 64114 CONSULTING SERVICES 470793 REMEDI SENIORCARE P O BOX 75700 BALTIMORE MD 212755700 PHARMACEUTICAL PROVIDER 322052 15 17290 90123 107413 RESIDENTIAL SERVICES 632000 18221148 18221148 HEALTH CARE SERVICES 632000 9055411 9055411 263651 263651 27540210 332618 332618 107911 395 0 0 107911 395 108306 108306 OTHER NONOPERATING 900099 19766 19766 19766 28108313 27540210 0 460690 564910 564910 198863 198863 10406041 9673444 732597 143214 131850 11364 935122 860925 74197 757171 697092 60079 1877595 1877595 76374 76374 156438 156438 3304 3304 3206295 3206295 50864 50864 690387 690387 3557284 3557284 DIETARY SUPPLIES 2070232 2070232 0 DUES & TRAINING 108197 0 108197 EQUIPMENT EXPENSE 80702 80702 0 PROGRAM SUPPLIES 73886 73886 0 373412 186706 186706 25330291 23722172 1608119 0 5000 5354 10177141 5270124 1143821 1298099 1975500 1215360 15183 34361 7101 20205 100280925 56200546 42539092 44080379 13471309 61364562 27899215 37946839 97233362 151235283 2641377 5335169 76489 135153 18056128 60643487 39389271 43742241 60163265 109856050 X 32671310 37086649 1979856 1802556 2418931 2490028 37070097 41379233 97233362 151235283 X 2778022 1460464 70650 X X 0 1 X 1 0 X 748127 638508 341248 519244 107413 2354540 22607692 24220526 24926420 25279213 27540210 124574061 23355819 24859034 25267668 25798457 27647623 126928601 0 433486 134911 568397 433486 134911 568397 126360204 423430 395983 743102 278855 332618 2173988 423430 395983 743102 278855 332618 2173988 7622 8840 10987 4502 19766 51717 23786871 25263857 26021757 26081814 28000007 129154306 0.97840 0.97120 0.01680 0.01760 X 1 639 639 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION DUES GOES TOWARD LOBBYING. 2392018 2392018 2392018 2392018 2396616 328011 332609 2392018 2399382 220588 223354 2396616 2284026 238612 123256 2399382 0 1 1 2337075 2337075 58310105 30591576 27718529 26495779 22098796 4396983 13137966 3510174 9627792 44080379 NON CURRENT INVESTMENTS 15484105 F BOND INDENTURE 45880457 F 61364562 DUE FROM AFFILIATES 34384063 DEPOSITS AND OTHER 2152513 BENEFICIAL INTEREST IN PERPETUAL TRUST 1410263 37946839 DEFERRED ENTRANCE FEES 33558398 DUE TO AFFILIATES 10183843 43742241 X PART V, LINE 4: THE ENDOWMENTS ARE HELD BY VIRGINIA BAPTIST HOMES FOUNDATION, INC. AND TO BE USED TOWARDS THE CONTINUATION OF RESIDENT SERVICES. 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 BENEVOLENCE ASSISTANCE 564910 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 0 0 1 1 0 0 JONATHAN COOK PRESIDENT & CEO 0 251272 0 38438 0 9118 0 15967 0 2440 0 317235 0 0 MICK FEAUTO COO 0 177116 0 16650 0 7940 0 42000 0 6400 0 250106 0 0 JOSEPH KELLEY CFO 0 153149 0 13952 0 11690 0 23938 0 7735 0 210464 0 0 JOHN P ROBINSON VP 0 143221 0 55097 0 7532 0 18000 0 3386 0 227236 0 0 PART I, LINE 6 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 2016-10-01 91459243 TO REFUND 2006 TAX-EXEMPT BONDS AND SECURED DEBT 0 0 1 B EDA OF HENRICO COUNTY VIRGINIA 541197472 42605QFJ7 2017-12-21 49750000 TO FUND PROJECT COSTS OF THE LAKEWOOD RENOVATIONS 0 0 1 C EDA OF HENRICO COUNTY VIRGINIA 541197472 NONEAVAIL 2017-12-21 23250000 TO FUND PROJECT COSTS OF THE LAKEWOOD RENOVATIONS 0 0 0 A 1752212 19248261 1325407 296610 17626244 1 0 1 0 B 44491517 3326750 4424278 2622713 1035733 33082043 0 0 0 1 C 23250000 532715 441813 22275472 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 1 1 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 ISSUE A -- EXPLANATION OF ISSUE PRICE THE BOND ISSUE WAS MADE TO SUPPORT MULTIPLE TAX-EXEMPT ENTITIES WITHIN THE LIFESPIRE OF VIRGINIA OBLIGATED GROUP. THE AMOUNT OF PROCEEDS REFLECTED IN PART II ONLY REFLECTS THE PORTION OF PROCEEDS ATTRIBUTABLE TO THE REPORTING ENTITY. FORM 990, PART VI, SECTION A, LINE 6 VIRGINIA BAPTIST HOMES, INC. IS THE SOLE MEMBER OF LAKEWOOD MANOR 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 12C 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 15 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 2017. 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 WEBSITES. FORM 990, PART XI, LINE 9: CHANGE IN PV OF PERPETUAL TRUSTS 70,650. WRITE OFF OF DEFERRED FINANCING COS CHANGE IN VALUE OF ANNUITY OBLIGATIONS FORM 990, PART XII, LINE 2C NO CHANGE IN METHOD SINCE THE PRIOR YEAR. VIRGINIA BAPTIST HOMES INC PO BOX 191 CULPEPER VA 22701 540534405 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 12A, I N/A 0 VIRGINIA BAPTIST HOMES FOUNDATION INC PO BOX 191 CULPEPER VA 22701 521373103 FUND RAISING AND DEVELOPMENT VA 501(C)(3) LINE 12A, I N/A 0 CULPEPER BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368412 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 10 N/A 0 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368408 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 10 N/A 0 THE GLEBE INC PO BOX 191 CULPEPER VA 22701 541917966 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 10 N/A 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 VIRGINIA BAPTIST HOMES P 2217550 CASH TRANSFERRED