2014-10-27T11:36:01-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 101 NORTH TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2013-01-01 521368410 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC LAKE 8045219206 1900 LAUDERDALE DRIVE RICHMOND VA 23238 JOSEPH KELLEY CFO 8045219206 2014-10-22 1 JOHN NORMAN P01506766 7049985200 2013 2015-11-30 17:44:51Z RANDALL ROBINSON 1900 LAUDERDALE DRIVE RICHMOND VA 23238 25807350 0 X WWW.VBH.ORG X 1969 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 15 15 470 130 0 0 118846 748127 22958820 22607692 1071545 524521 -3597746 7622 20551465 23887962 383171 407609 0 0 10513325 10948442 0 0 0 11089635 11947370 21986131 23303421 -1434666 584541 84302002 87091374 52559567 53963460 31742435 33127914 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 21951744 407609 22607692 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 $407,609 IN SUBSIDIES, PERTAINING TO 26 RESIDENTS DURING 2013. 21951744 1 1 0 1 0 0 0 0 0 0 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 52 0 1 470 1 0 0 0 0 0 0 0 0 0 0 X 15 15 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 MICHAEL M SMITH TRUSTEE 1.00 X 0 0 0 MR JOSEPH M TEEFEY TRUSTEE 1.00 X 0 0 0 REV LAWRENCE A DAVIES 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 MR MICHAEL E KECK 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 OLIVER L WAY 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 SAMUAL G OAKLEY III TRUSTEE 1.00 X 0 0 0 MR CRAIG HOPSON 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 281743 5067 MR KENT M PHILLIPS EVP & ACTING COO 1.00 40.00 X 0 199049 5989 MS MONICA HILLERY SECRETARY 1.00 40.00 X 0 97547 1859 MR ROBERT BUSWELL ASST. TREASURER 1.00 40.00 X 0 102270 9312 MR JOHN P ROBINSON VP 1.00 40.00 X 0 232284 7494 MR JOSEPH KELLEY CFO 1.00 40.00 X 0 118271 8760 MR JEFFREY J MCINNIS EXECUTIVE DIRECTOR 40.00 X 154231 0 6069 154231 1031164 44550 1 0 1 0 DANIEL & COMPANY PO BOX 6749 RICHMOND VA 23230 BUILDING CONTRACTOR 1119531 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 20020 HARRISONBURG VA 22801 FOOD PURCHASED 951062 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 931882 BALDUCCI ADDITIONS 10173 CHAMBERLAYNE RD MECHANICSVILLE VA 23116 BUILDING CONTRACTOR 921755 COLONIAL WEBB CONTRACTORS 2820 ACKLEY AVE RICHMOND VA 23228 BUILDING CONTRACTOR 523242 21 502596 245531 748127 RESIDENTIAL SERVICES 632000 17255460 17255460 HEALTH CARE SERVICES 632000 4820838 4820838 531394 531394 22607692 423430 423430 2020479 1919388 101091 101091 101091 OTHER NONOPERATING 900099 7622 7622 7622 23887962 22607692 0 532143 407609 407609 160300 160300 9250390 8640871 609519 98867 91022 7845 757599 697487 60112 681286 627229 54057 507 507 2007887 2007887 193409 193409 127268 127268 6899 6899 3112857 3112857 38789 38789 1030780 1030780 3150599 3150599 DIETARY SUPPLIES 1156033 1156033 PROGRAM SUPPLIES 830125 830125 DUES & TRAINING 146060 146060 EQUIPMENT EXPENSE 123153 123153 23004 37303 -14299 23303421 21951744 1351677 0 5000 5001 24318458 24304784 534654 412417 544900 964220 76656 49571 85153734 42582330 40663654 42571404 11358467 11880272 6800213 6903705 84302002 87091374 2203598 2772388 30790 44881 19302866 18961968 31022313 32184223 52559567 53963460 X 28164761 29257475 1244726 1341986 2332948 2528453 31742435 33127914 84302002 87091374 X 584541 623521 177417 X X 0 1 X 1 0 X 245073 126354 60639 118846 748127 1299039 20306267 22321816 22682090 22735050 22607692 110652915 20551340 22448170 22742729 22853896 23355819 111951954 0 1358036 324796 259624 783321 433486 3159263 1358036 324796 259624 783321 433486 3159263 108792691 -104048 492416 317670 351091 423430 1480559 -104048 492416 317670 351091 423430 1480559 117197 -286708 72176 3113 7622 -86600 20564489 22653878 23132575 23208100 23786871 113345913 0.95980 0.94780 0.01310 0.01920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 507 507 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION DUES GOES TOWARD LOBBYING. 2284026 238612 123256 2399382 2312533 70093 98600 2284026 2440609 38168 166244 2312533 2440609 0.46000 0.54000 0 1 1 2337075 2337075 52700941 21587232 31113709 24208380 18471258 5737122 5907338 2523840 3383498 42571404 INVESTMENTS 11880272 F 11880272 DUE FROM AFFILIATES 4567420 INTEREST RECEIVABLE 3630 DEPOSITS AND OTHER 15183 DEFERRED MARKETING COSTS 176366 DEFERRED FINANCING COSTS 670041 BENEFICIAL INTEREST IN PERPETUAL TRUST 1471065 6903705 DEFERRED ENTRANCE FEES 31677757 DUE TO AFFILIATES 506466 32184223 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 2011, 2012, AND 2013 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 BENEVOLENCE ASSISTANCE 26 407609 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 0 0 0 0 DR RANDALL ROBINSON PRESIDENT & CEO 0 231139 0 0 0 50604 0 5067 0 0 0 286810 0 0 MR KENT M PHILLIPS EVP & ACTING COO 0 193895 0 0 0 5154 0 3989 0 2000 0 205038 0 0 MR JOHN P ROBINSON VP 0 114160 0 111251 0 6873 0 4291 0 3203 0 239778 0 0 MR JEFFREY J MCINNIS EXECUTIVE DIRECTOR 136699 0 0 0 17532 0 2867 0 3202 0 160300 0 0 0 A PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AAO 2003-01-24 6152134 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 1 B PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AQ5 2006-05-24 5463460 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 C ECONOMIC DEVELOPMENT OF HENRICO COUNTY 541197472 42605QCK7 2006-01-24 32242472 FUND PROJECT COSTS OF LAKEWOOD MANOR 1 0 0 A 5893355 6152134 6152134 1 0 1 1 B 235126 5463460 5356597 106863 0 1 1 1 C 18847472 32242472 1381834 635765 30224873 2007 0 0 1 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 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PENINSULA PORTS AUTHORITY OF VIRGINIA DATE THE REBATE COMPUTATION WAS PERFORMED: 03/27/2013 ISSUER NAME: PENINSULA PORTS AUTHORITY OF VIRGINIA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/24/2011 ISSUER NAME: ECONOMIC DEVELOPMENT OF HENRICO COUNTY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/28/2011 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 2013. 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 (E.G., GUIDESTAR). FORM 990, PART XI, LINE 9: CHANGE IN PV OF PERPETUAL TRUSTS 177,417. NET ASSETS RELEASED FROM RESCTRICTIONS -123,256. NET ASSETS RELEASED TO UNRESTRICTED 123,256. 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 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 11D, III-O N/A 0 CULPEPER BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368412 SENIOR LIVING COMMUNITY VA 501(C)(3) LINE 9 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 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 1 0 0 1 0 0 1 0 0 0 VIRGINIA BAPTIST HOMES INC P 2088326 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES INC N 50000 ESTIMATE VIRGINIA BAPTIST HOMES FOUNDATION C 502596 INTERCOMPANY TRANSFER