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 540534405 VIRGINIA BAPTIST HOMES INC VIRG 5408251569 PO BOX 191 CULPEPER VA 22701 DR RANDALL ROBINSON 5408251569 2013-08-12 1 JOHN NORMAN P01506766 7049985200 2012 2016-02-24 21:20:13Z RANDALL ROBINSON PO BOX 191 CULPEPER VA 22701 4824584 0 X WWW.VBH.ORG X 1946 VA OWN AND OPERATE PLANNED SERVICES COMMUNITIES FOR SENIOR ADULTS. 13 13 24 13 0 0 748454 360522 4249843 4246279 319399 323541 79016 -2940028 5396712 1990314 634913 936957 0 0 2216160 2439767 0 0 77590 1993897 1458571 4844970 4835295 551742 -2844981 14144790 11485246 7439910 7449633 6704880 4035613 OWN AND OPERATE PLANNED SERVICES COMMUNITIES FOR SENIOR ADULTS, SOME OF WHOM CANNOT AFFORD TO PAY THE FULL COST OF THEIR CARE, WHILE PROVIDING "DIGNITY IN LIVING." 0 0 2745960 936957 4246279 THE ORGANIZATION SUPPORTED THE CHARITABLE PURPOSE OF OUR SUBSIDARIES BY PROVIDING MANAGEMENT, CONDUCTING SHORT AND LONG RANGE PLANNING, DEVELOPING BUDGETS AND PERFORMING OTHER SUPPPORT SERVICES AS NEEDED. 2745960 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 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 24 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 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 THOMAS W LOVELACE 1.00 X 0 0 0 MR ROBERT L MUSICK JR 1.00 X 0 0 0 MR NED STEPHENSON 1.00 X 0 0 0 MR WILLIAM F TRIMBLE JR 1.00 X 0 0 0 MR CHARLES W TYSINGER 1.00 X 0 0 0 DR RANDALL ROBINSON 40.00 X 294743 0 10155 MS MONICA HILLERY 40.00 X 97701 0 6927 MR KENT M PHILLIPS 40.00 X 177107 0 8457 MR ROBERT BUSWELL 40.00 X 98168 0 6873 MR JOHN P ROBINSON 40.00 X 140535 0 7440 808254 0 39852 3 0 1 0 SYCOM TECHNOLOGIES PO BOX 70909 RICHMOND VA 23255 IT SERVICES 580026 EASTERN ALLIANCE INSURANCE GROUP PO BOX 206 EAST PETERSBURG PA 175200206 WORKERS' COMP INSURANCE 444301 FIREMANS FUND INSURANCE COMPANY DEPT CH 10284 PALANTINE IL 60055 PROPERTY INSURANCE 218069 VIRGINIA SENIOR CARE GROUP RRG CO OF BBT INSURANCE SERVICES INC STATESVILLE NC 28687 LIABILITY INSURANCE 215661 VIRGINIA SENIOR CARE GROUP LLC PO BOX 1288 CHARLOTTESVILLE VA 22902 LIABILITY INSURANCE 141213 8 1684 358838 360522 CORPORATE INCOME 561000 4246279 4246279 4246279 266164 266164 2891647 2834270 57377 57377 57377 LOSS ON CANCELLATION OF DEBT 900099 -2940028 -2940028 -2940028 1990314 4246279 0 -2616487 936957 936957 952392 909211 43181 1206655 1206655 88076 47561 38753 1762 87300 47142 38412 1746 105344 56886 46351 2107 101211 101211 214 214 6180 6180 29524 730 28794 99311 99311 277547 277547 69360 69360 56463 56463 219445 219445 578810 578810 FARM EXPENSES 14999 14999 5507 5507 4835295 2745960 2011745 77590 -18716506 -20459002 367756 527470 2867592 1620179 919277 1247413 10535503 10880201 21038760 19289164 14144790 11485246 884223 1070959 6555687 6376401 0 2273 7439910 7449633 X 3148704 227683 473723 559898 3082453 3248032 6704880 4035613 14144790 11485246 X -2844981 10135 165579 X X 0 1 X 1 0 X X X 1 1 1 CULPEPER BAPTIST RETIREMENT COMMUNITY INC 521368412 9 1 1 1 271810 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC 521368408 9 1 1 1 271769 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC 521368410 9 1 1 1 383171 THE GLEBE INC 541917966 9 1 1 1 10207 4 936957 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 214 214 0 PART IV, SUPPLEMENTAL INFORMATION: PART II-B, LINE 1 LOBBYING ACTIVITIES: A PORTION OF ASSOCIATION DUES ARE ALLOCABLE TOWARDS LOBBYING ACTIVITIES. 778646 150000 63825 864821 305921 472724 778645 305921 0.35000 0.65000 0 1 1 390810 390810 727519 628177 99342 1462403 821196 641207 286860 170806 116054 1247413 INVESTMENTS 10880201 F 10880201 DUE FROM AFFILIATES 18736566 INTEREST RECEIVABLE 14398 DEPOSITS AND OTHER 406763 DEFERRED FINANCING COSTS 131437 19289164 DUE TO AFFILIATES 2273 2273 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 CULPEPER BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368412 501(C)(3) 271810 ASSISTANCE NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368408 501(C)(3) 271769 ASSISTANCE LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368410 501(C)(3) 383171 ASSISTANCE THE GLEBE INC PO BOX 191 CULPEPER VA 22701 541917966 501(C)(3) 10207 ASSISTANCE 4 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION GRANTS ASSISTANCE TOWARDS OPERATIONAL EXPENSES. X 1 0 X X 0 0 0 0 0 0 0 1 0 DR RANDALL ROBINSON 259907 0 0 0 34836 0 6275 0 3880 0 304898 0 0 0 MR KENT M PHILLIPS 175516 0 0 0 1591 0 4810 0 3647 0 185564 0 0 0 PART I, LINE 7 A PORTION OF MR. JOHN P. ROBINSON'S COMPENSATION IS NON-FIXED AND IS BASED UPON THE AMOUNT OF NET ENTRY FEES COLLECTED FROM RESIDENTS. MR. ROBINSON IS THE ORGANIZATION'S VICE PRESIDENT OF MARKETING AND PUBLIC RELATIONS. A PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AA0 2003-01-24 3797414 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 1 B PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167BF8 2006-05-24 11152896 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 A 3360110 3797414 3624064 173350 1 0 1 1 B 5213798 11152896 4765681 6266763 120452 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 PRIOR TO FILING, THIS FORM 990 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, AND CONTROLLER, IN CONSULTATION AS NECESSARY WITH THE ORGANIZATION'S AUDIT/ACCOUNTING FIRM & PREPARER. 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 165,579. 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. 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 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 VIRGINIA BAPTIST HOMES FOUNDATION INC PO BOX 191 CULPEPER VA 22701 521373103 FUND RAISING AND DEVELOPMENT VA 501(C)(3) LINE 11A, I N/A 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 0 0 CULPEPER BAPTIST RETIREMENT COMMUNITY INC B 86055 OFFICER APPROVAL NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC B 448949 OFFICER APPROVAL THE GLEBE INC Q 394425 INTERCOMPANY TRANSFER CULPEPER BAPTIST RETIREMENT COMMUNITY INC Q 579840 INTERCOMPANY TRANSFER NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC Q 1935654 INTERCOMPANY TRANSFER LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC Q 1934247 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES FOUNDATION INC O 150145 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES FOUNDATION INC P 79757 INTERCOMPANY TRANSFER LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC N 50000 ESTIMATE THE GLEBE INC D 2940029 REORGANIZATION