2015-07-28T13:02:01-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2014-01-01 521368412 CULPEPER BAPTIST RETIREMENT COMMUNITY INC CULP 8045219206 1900 LAUDERDALE DRIVE RICHMOND VA 23238 JOSEPH KELLEY CFO 8045219206 2015-07-24 1 JOHN NORMAN P01506766 7049985200 2014 2016-02-25 16:41:14Z JONATHAN COOK 1900 LAUDERDALE DRIVE RICHMOND VA 23238 7178222 0 X WWW.VBH.ORG X 1948 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 16 16 197 35 0 0 315550 580618 6296546 6542190 68049 55414 0 0 6680145 7178222 303293 213609 0 0 4706312 5151080 0 0 0 3095534 3354174 8105139 8718863 -1424994 -1540641 5904661 5266422 12676775 13599555 -6772114 -8333133 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 8179803 213609 6542190 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 $213,609 IN SUBSIDIES AND INDIGENCE ALLOWANCES TO OUR RESIDENTS IN 2014, PERTAINING TO 14 RESIDENTS. 8179803 1 1 0 1 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 25 0 1 197 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 VA X X JOSEPH KELLEY CFO 8045219206 1900 LAUDERDALE DRIVE RICHMOND VA 23238 MR CRAIG HOPSON TRUSTEE 1.00 X 0 0 0 MR ROBERT MUSICK JR TRUSTEE 1.00 X 0 0 0 MR ARNE W OWENS TRUSTEE 1.00 X 0 0 0 REV C NELSON HARRIS TRUSTEE 1.00 X 0 0 0 MR LEBRON J HOLDEN TRUSTEE 1.00 X 0 0 0 MS SUSAN C RUCKER TRUSTEE 1.00 X 0 0 0 MR JOHN T KING TRUSTEE 1.00 X 0 0 0 MR MAURICE C LAW 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 WILLIAM F TRIMBLE JR TRUSTEE 1.00 X 0 0 0 MR CHARLES W TYSINGER TRUSTEE 1.00 X 0 0 0 MR JOSEPH M TEEFEY TRUSTEE 1.00 X 0 0 0 MR OLIVER L WAY TRUSTEE 1.00 X 0 0 0 MR SAMUEL G OAKEY III TRUSTEE 1.00 X 0 0 0 MR THOMAS W LOVELACE TRUSTEE 1.00 X 0 0 0 DR RANDALL ROBINSON PRESIDENT & CEO 1.00 40.00 X 0 256538 40500 MS MONICA HILLERY SECRETARY 1.00 40.00 X 0 99306 4024 MR KENT M PHILLIPS EVP & ACTING COO 1.00 40.00 X 0 204217 6092 MR ROBERT BUSWELL ASST. TREASURER 1.00 40.00 X 0 59240 20469 MR JOHN P ROBINSON VP 1.00 40.00 X 0 213209 38300 MR JOSEPH KELLEY CFO 1.00 40.00 X 0 136699 13484 MR ROBERT S MCELMURRAY EXECUTIVE DIRECTOR 40.00 X 146575 0 29757 146575 969209 152626 1 0 1 0 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 2002 HARRISONBURG VA 22801 FOOD PURCHASED 409573 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 393182 EL SMITH BUILDING CONTRACTOR 13434 CHESTERFIELD LANE CULPEPER VA 22701 BUILDING CONTRACTOR 245421 RAY DELINE PAINTING CO 18023 WINTERWOOD CT CULPEPER VA 22701 PAINT CONTRACTOR 101146 4 225576 355042 580618 RESIDENTIAL SERVICES 623000 3487523 3487523 HEALTH CARE SERVICES 623000 2938304 2938304 116363 116363 6542190 55414 55414 7178222 6542190 0 55414 213609 213609 146575 146575 4159747 4017252 142495 52925 47325 5600 484204 432975 51229 307629 275082 32547 232 232 816444 816444 42244 42244 102257 102257 7027 7027 948166 948166 28471 28471 165 165 119026 119026 324821 324821 DIETARY SUPPLIES 510337 510337 PROGRAM SUPPLIES 348856 348856 EQUIPMENT 66740 66740 DUES AND SUBSCRIPTIONS 24202 24202 15186 6332 8854 8718863 8179803 539060 0 863613 -198041 233898 283493 158400 278400 7018 4212 13323647 10584149 2480928 2739498 823769 803391 1337035 1355469 5904661 5266422 761841 952249 2223538 2156339 9691396 10490967 12676775 13599555 X -8888755 -10440396 1324122 1335122 792519 772141 -6772114 -8333133 5904661 5266422 X -1540641 -20378 X X 0 1 X 1 0 X 389637 393911 1366569 315550 580618 3046285 6597967 6660468 6289654 6296546 6542190 32386825 6987604 7054379 7656223 6612096 7122808 35433110 0 297910 147374 355473 881920 226063 1908740 297910 147374 355473 881920 226063 1908740 33524370 25116 76531 62156 68516 55414 287733 25116 76531 62156 68516 55414 287733 16747 28407 -5232 39922 7029467 7159317 7713147 6680612 7178222 35760765 0.93750 0.93950 0.00800 0.00750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 232 232 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION FEES IS ALLOCATED TO LOBBYING. 1325853 11000 1730 1335123 1398016 100 72263 1325853 1372388 27980 2325 1398016 1320681 101160 49453 1372388 1320681 1.00000 0 1 1 43647 43647 8059199 6275399 1783800 4274281 3586163 688118 946520 722587 223933 2739498 BENEFICIAL INTEREST IN PERPETUAL TRUST 772141 F OTHER INVESTMENTS 31250 F 803391 DUE FROM AFFILIATES 1303272 DEFERRED FINANCING COSTS 42957 INTEREST RECEIVABLE 9240 1355469 DEFERRED ENTRANCE FEES 3240614 DUE TO AFFILIATES 7250353 10490967 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: SHOULD THE TAX-EXEMPT STATUS OF THE ORGANIZATION BE CHALLENGED IN THE FUTURE, THE 2012, 2013, AND 2014 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. 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 213609 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 0 0 X X 0 0 0 0 0 0 0 0 0 DR RANDALL ROBINSON PRESIDENT & CEO 0 202572 0 0 0 53966 0 40500 0 0 0 297038 0 0 MR KENT M PHILLIPS EVP & ACTING COO 0 197977 0 0 0 6240 0 4092 0 2000 0 210309 0 0 MR JOHN P ROBINSON VP 0 143489 0 61583 0 8137 0 35000 0 3300 0 251509 0 0 MR JOSEPH KELLEY CFO 0 119949 0 0 0 16750 0 10184 0 3300 0 150183 0 0 MR ROBERT S MCELMURRAY EXECUTIVE DIRECTOR 130453 0 0 0 16122 0 22249 0 7508 0 176332 0 0 0 PART I, LINE 1A RANDALL ROBINSON HAD $43,498 OF HOUSING ALLOWANCE INCLUDED IN HIS TAXABLE COMPENSATION IN 2014. A PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AQ5 2006-05-24 2214021 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 A 112737 2214021 2170717 43034 0 1 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PENINSULA PORTS AUTHORITY OF VIRGINIA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/24/2011 FORM 990, PART VI, SECTION B, LINE 11 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 2014. 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 (E.G., GUIDESTAR). FORM 990, PART XI, LINE 9: CHANGE IN PV OF PERPETUAL TRUSTS -20,378. 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 11A, 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 11B, II N/A 0 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368408 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 N/A 0 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368410 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 N/A 0 THE GLEBE INC PO BOX 191 CULPEPER VA 22701 541917966 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 N/A 0 0 0 1 1 1 0 0 0 0 0 1 0 1 0 0 0 1 0 0 VIRGINIA BAPTIST HOMES INC C 255853 OFFICER APPROVAL VIRGINIA BAPTIST HOMES INC Q 714143 INTERCOMPANY TRANSFER