2013-08-14T10:29:11-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2012-01-01 521368408 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC NEWP 5408251569 PO BOX 191 CULPEPER VA 22701 DR RANDALL ROBINSON 5408251569 2013-08-12 1 JOHN NORMAN P01506766 7049985200 2012 2016-02-25 16:41:14Z THE CHESAPEAKE RANDALL ROBINSON PO BOX 191 CULPEPER VA 22701 19382944 0 X WWW.VBH.ORG X 1969 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 12 12 330 200 0 0 525623 519979 19678422 18752488 176673 113894 794690 -91521 21175408 19294840 331771 271769 0 0 7331504 7544990 0 0 0 13665344 13433514 21328619 21250273 -153211 -1955433 53876203 50852348 107256168 106113496 -53379965 -55261148 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 20248561 271769 18752488 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 $271,769 IN SUBSIDIES PERTAINING TO 16 RESIDENTS IN 2012. 20248561 1 1 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 28 0 1 330 1 0 0 0 0 0 0 0 0 0 0 X 12 12 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 ACTING CFO 5408251569 PO BOX 191 CULPEPER VA 22701 DR JAMES E BAUCOM 1.00 X 0 0 0 DR HERBERT O BROWNING JR 1.00 X 0 0 0 REV LAWRENCE A DAVIES 1.00 X 0 0 0 REV C NELSON HARRIS 1.00 X X 0 0 0 MR LEBRON J HOLDEN 1.00 X 0 0 0 MR MICHAEL E KECK 1.00 X 0 0 0 MR JOHN T KING 1.00 X 0 0 0 MR MAURICE C LAW 1.00 X 0 0 0 MR ROBERT L MUSICK JR 1.00 X 0 0 0 MR WILLIAM F TRIMBLE JR 1.00 X 0 0 0 MR NED STEPHENSON 1.00 X 0 0 0 MR CHARLES W TYSINGER 1.00 X 0 0 0 DR RANDALL ROBINSON 1.00 X 0 294743 10155 MS MONICA HILLERY 1.00 X 0 97701 6927 MR KENT M PHILLIPS 1.00 X 0 177107 8457 MR ROBERT BUSWELL 1.00 X 0 98168 6873 MR JOHN P ROBINSON 1.00 X 0 140535 7440 MR MARK T WOODARD 40.00 X 133327 0 7265 133327 808254 47117 1 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 839033 SYSCO OF HAMPTON ROADS 7000 HARBOR VIEW BLVD SUFFOLK VA 23435 FOOD PURCHASES 823048 DOMINION VIRGINIA POWER PO BOX 26543 RICHMOND VA 23290 ELECTRIC UTILITIES 537151 OPTIMA HEALTH - LARGE GROUP PO BOX 791148 BALTIMORE MD 21279 EMPLOYEE HEALTH INSURANCE 392458 PRO FLOORS 120 PRIMROSE AVE HAMPTON VA 23663 BUILDING CONTRACTOR 238091 15 510069 9910 519979 RESIDENTIAL SERVICES 623000 14078856 14078856 HEALTH CARE SERVICES 623000 3826785 3826785 846847 846847 18752488 53202 53202 148796 88104 60692 60692 60692 LOSS FOM AFFILIATE DEBT CANCELLAT 900099 -91521 -91521 -91521 19294840 18752488 0 22373 271769 271769 133327 133327 6336560 5935821 400739 75056 68860 6196 528666 485027 43639 471381 432470 38911 1105 1105 405 405 1495885 1495885 144704 144704 180297 180297 15692 15692 3001514 3001514 40431 40431 3512696 3512696 3503606 3503606 DIETARY SUPPLIES 944061 944061 PROGRAM SUPPLIES 462501 462501 EQUIPMENT EXPENSE 71682 71682 DUES AND SUBSCRIPTIONS 35445 35445 23490 21133 2357 21250273 20248561 1001712 0 4000 4000 3822128 3171605 509674 533125 603474 1000075 35892 20507 81746126 38708269 45655649 43037857 1177353 1529266 2068033 1555913 53876203 50852348 1081575 1123963 65722448 63969079 40452145 41020454 107256168 106113496 X -53995137 -55910936 29393 27710 585779 622078 -53379965 -55261148 53876203 50852348 X -1955433 -6274 80524 X X 0 1 X 1 0 X 359284 402225 269100 525623 519979 2076211 16546305 18877420 19218376 19513630 18752488 92908219 16905589 19279645 19487476 20039253 19272467 94984430 0 2661156 483266 803497 184335 46238 4178492 2661156 483266 803497 184335 46238 4178492 90805938 137703 27656 56354 136905 53202 411820 137703 27656 56354 136905 53202 411820 647949 267615 464425 794690 -91521 2083158 17691241 19574916 20008255 20970848 19234148 97479408 0.93150 0.91990 0.00420 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 405 405 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF THE ORGANIZATION'S ASSOCIATION DUES IS ALLOCATED TO LOBBYING. 85379 48181 49864 83696 89374 10575 14570 85379 89374 0.66000 0.34000 0 1 1 468298 468298 70981550 31404927 39576623 7401809 5303334 2098475 2894469 2000008 894461 43037857 DUE TO AFFILIATES 17078198 DEFERRED ENTRANCE FEES 23942256 41020454 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENTS ARE HELD BY VIRGINIA BAPTIST HOMES FOUNDATION, INC. AND TO BE USED TOWARDS THE CONTINUATION OF RESIDENT SERVICES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: SHOULD THE TAX-EXEMPT STATUS OF THE ORGANIZATION BE CHALLENGED IN THE FUTURE, THE 2010, 2011, AND 2012 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 RESIDENT ASSISTANCE 16 271769 REDUCTION TO MONTHLY FEES PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 0 259907 0 0 0 34836 0 6275 0 3880 0 304898 0 0 MR KENT M PHILLIPS 0 175516 0 0 0 1591 0 4810 0 3647 0 185564 0 0 A PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AA0 2003-01-24 86403985 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 1 B PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AQ5 2006-05-24 61935617 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 A 82666557 86403985 59062388 1976914 25364683 2004 1 0 1 1 B 2203966 61935617 60724184 1211433 1 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 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 2012. 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). CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN PV OF PERPETUAL TRUSTS 36,292. NET ASSETS RELEASED FROM RESTRICTIONS 44,232. 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 11D, III-O N/A 0 CULPEPER BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368412 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 9 N/A 0 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368410 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 9 N/A 0 THE GLEBE INC PO BOX 191 CULPEPER VA 22701 541917966 SENIOR LIVING MANAGEMENT VA 501(C)(3) LINE 9 N/A 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 VIRGINIA BAPTIST HOMES INC C 448949 OFFICER APPROVAL VIRGINIA BAPTIST HOMES FOUNDATION INC P 1935654 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES FOUNDATION INC C 65070 INTERCOMPANY TRANSFER THE GLEBE INC D 91521 REORGANIZATION PLAN