2017-11-14T11:18:32-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2016-01-01 521368408 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC NEWP 8045219206 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 JOSEPH KELLEY CFO 8045219206 2017-11-08 1 JOHN NORMAN P01506766 7049985200 2017-11-08 67.137.57.251 2017-11-08 10:54:31 ES P 3905FB583EB2AC04B8E06D147EE1A9B7E683F127 7A1B27052E545E28D90A8875D3947817BFF1AEF5 2016 2017-02-10 21:41:12Z THE CHESAPEAKE JONATHAN COOK 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 21112457 0 X WWW.LIFESPIRELIVING.ORG X 1969 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 18 18 377 110 0 0 540389 215518 20374851 20818413 120776 78526 0 0 21036016 21112457 182259 125040 0 0 8473882 8745579 0 0 0 14737317 14720851 23393458 23591470 -2357442 -2479013 61039679 47164534 122277563 111938413 -61237884 -64773879 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 21982084 125040 20818413 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 $125,040 IN SUBSIDIES AND INDIGENCE ALLOWANCES TO OUR RESIDENTS IN 2016, PERTAINING TO 135 RESIDENTS. 21982084 1 0 0 1 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 34 0 1 377 1 0 0 0 0 0 0 0 0 0 0 X 18 18 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 CHAIR 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 REV C NELSON HARRIS 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 MR ARNE W OWENS TRUSTEE 1.00 X 0 0 0 MRS SUSAN C RUCKER VICE CHAIR 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 WILLIAM F TRIMBLE JR TRUSTEE 1.00 X 0 0 0 MR CHARLES W TYSINGER TRUSTEE 1.00 X 0 0 0 MR OLIVER L WAY TRUSTEE 1.00 X 0 0 0 J ROBERT YEAMAN III ESQ TRUSTEE 1.00 X 0 0 0 MR SCOTT CAVE TRUSTEE 1.00 X 0 0 0 REV DAN CARLTON TRUSTEE 1.00 X 0 0 0 JONATHAN COOK PRESIDENT & CEO 1.00 40.00 X 0 288042 10609 MICK FEAUTO COO 1.00 40.00 X 0 192641 14583 JOSEPH KELLEY CFO 1.00 40.00 X 0 170168 9117 JOHN P ROBINSON VP 1.00 40.00 X 0 229882 8902 DAVID BROWNING ASST TREASURER 1.00 40.00 X 0 99947 7656 MONICA HILLERY SECRETARY 1.00 40.00 X 0 18636 5342 MARK WOODARD EXECUTIVE DIRECTOR 40.00 X 151092 0 7570 151092 999316 63779 5 0 1 0 REHABCARE GROUP INC P O BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1093099 SYSCO OF HAMPTON ROADS 7000 HARBOUR VIEW BLVD SUFFOLK VA 23435 FOOD VENDOR 880280 COLONIAL WEBB CONTRACTORS 2820 ACKLEY AVENUE RICHMOND VA 23228 BUILDING CONTRACTOR 387695 PRO FLOORS 27 WHEATLAND DRIVE HAMPTON VA 23666 FLOORING CONTRACTOR 230606 SB&A 207 WEST FRANKLIN STREET RICHMOND VA 23220 MARKETING 221926 12 130000 85518 215518 RESIDENTIAL SERVICES 623000 15187221 15187221 HEALTH CARE SERVICES 623000 4860491 4860491 770701 770701 20818413 62763 62763 9013 6750 0 0 9013 6750 15763 15763 21112457 20818413 0 78526 125040 125040 158662 158662 7383171 6710568 672603 86139 79029 7110 588619 540028 48591 528988 485319 43669 1650819 1650819 212282 212282 202951 202951 7291 7291 3587421 3587421 33032 33032 3296035 3296035 3444311 3444311 DIETARY SUPPLIES 1777110 1777110 EQUIPMENT EXPENSE 126099 126099 PROGRAM SUPPLIES 75439 75439 DUES AND SUBSCRIPTIONS 71276 71276 236785 51834 184951 23591470 21982084 1609386 0 4000 4000 18332768 7589156 666683 676216 1038530 535800 10528 9849 87995541 51769813 37995556 36225728 1615165 1792966 1376449 330819 61039679 47164534 1680430 2117662 60580667 59325892 60016466 50494859 122277563 111938413 X -61981938 -65415663 84683 44165 659371 597619 -61237884 -64773879 61039679 47164534 X -2479013 33110 -1090092 X X 0 1 X 1 0 X 519979 674800 457177 540389 215518 2407863 18752488 19345569 19775226 20374150 20818413 99065846 19272467 20020369 20232403 20914539 21033931 101473709 1021 1021 46238 249106 422759 718103 46238 250127 422759 719124 100754585 53202 60724 57939 110406 62763 345034 53202 60724 57939 110406 62763 345034 -91521 -91521 19234148 20081093 20290342 21024945 21096694 101727222 0.99040 0.98010 0.00340 0.00410 X 0 0 0 0 0 0 0 0 1 551 551 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION DUES IS ALLOCATED TO LOBBYING. 76720 3880 989 79611 76868 500 648 76720 77608 2422 3162 76868 83696 510 6598 77608 85379 48181 49864 83696 0.66000 0.34000 0 1 1 588568 588568 73676778 41786497 31890281 9736273 7512060 2224213 3993922 2471256 1522666 36225728 DUE TO AFFILIATES 19954731 DEFERRED ENTRANCE FEES 30540128 50494859 X PART V, LINE 4: THE ENDOWMENTS ARE HELD BY VIRGINIA BAPTIST HOMES FOUNDATION, INC. AND ARE 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 135 125040 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 1 0 0 1 1 0 0 JONATHAN COOK PRESIDENT & CEO 0 246513 0 39999 0 1530 0 5300 0 5309 0 298651 0 0 MICK FEAUTO COO 0 176721 0 11463 0 4457 0 9404 0 5179 0 207224 0 0 JOSEPH KELLEY CFO 0 146952 0 13431 0 9785 0 3846 0 5271 0 179285 0 0 JOHN P ROBINSON VP 0 154031 0 72270 0 3581 0 4389 0 4513 0 238784 0 0 MARK WOODARD EXECUTIVE DIRECTOR 139808 0 7500 0 3784 0 3057 0 4513 0 158662 0 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 BONDS OUTSTANDING 0 0 0 A 60177803 4143755 927323 55106725 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 1 1 0 0 0 0 1 A 1 PART II, LINE 3 -- ALLOCATION OF TOTAL ISSUE PRICE THE BOND ISSUE IS PART OF THE LIFESPIRE OF VIRGINIA SERIES 2016 RESIDENTIAL CARE FACILITIES REVENUE REFUNDING BOND. THE DETAILS PROVIDED IN THIS SCHEDULE K REPRESENT THE AMOUNTS ALLOCATED TO THE FILING ORGANIZATION AS PART OF THE OVERALL LIFESPIRE OBLIGATED GROUP. OTHER ORGANIZATIONS IN THE LIFESPIRE OBLIGATED GROUP THAT BENEFIT FROM THE BOND ISSUE INCLUDE CULPEPER BAPTIST RETIREMENT COMMUNITY, LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY, AND VIRGINIA BAPTIST HOMES, ALL OF WHICH ARE EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). FORM 990, PART VI, SECTION A, LINE 6 VIRGINIA BAPTIST HOMES, INC. IS THE SOLE MEMBER OF NEWPORT NEWS 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 2015. 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 7,123. WRITE OFF OF DEFERRED FINANCING COSTS -1,097,215. 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 OR SELECTION PROCESS DURING THE TAX 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 12B, II N/A 0 CULPEPER BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368412 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 10 N/A 0 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368410 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 10 N/A 0 THE GLEBE INC PO BOX 191 CULPEPER VA 22701 541917966 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 10 N/A 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 VIRGINIA BAPTIST HOMES INC Q 2386960 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES INC C 130000 OFFICER APPROVAL