2012-08-15T15:50:05-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2011-01-01 540534405 VIRGINIA BAPTIST HOMES INC VIRG 5408251569 PO BOX 191 CULPEPER VA 22701 KENT M PHILLIPS 5408251569 2012-08-08 1 GREGORY W JOHNS P00535091 7049985200 2011 2016-02-24 21:20:13Z RANDALL ROBINSON PO BOX 191 CULPEPER VA 22701 5430070 0 X WWW.VBH.ORG X 1946 VA OWN AND OPERATE PLANNED SERVICES COMMUNITIES FOR SENIOR ADULTS. 15 15 22 15 0 0 219260 748454 4837955 4249843 328504 319399 -503312 79016 4882407 5396712 635402 634913 0 0 1526103 2216160 0 0 195407 2681758 1993897 4843263 4844970 39144 551742 16107699 14144790 9776723 7439910 6330976 6704880 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 2701273 634913 4249843 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. 2701273 1 1 0 0 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 0 1 7 0 22 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 KENT M PHILLIPS 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 C LEE HILBERT 1.00 X 0 0 0 MR LEBRON J HOLDEN 1.00 X 0 0 0 REV CAROL JOHNSTON 1.00 X 0 0 0 MR L RALPH JONES JR 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 SAM G OAKEY III 1.00 X 0 0 0 MR WILLIAM F TRIMBLE JR 1.00 X 0 0 0 DR RANDALL ROBINSON 40.00 X 250461 0 23244 MS MONICA HILLERY 40.00 X 92617 0 8551 MRBENJAMIN R DECKER 40.00 X 192919 0 20082 MR KENT M PHILLIPS 40.00 X 158112 0 10037 MR ROBERT BUSWELL 40.00 X 95769 0 19221 MR JOHN P ROBINSON 40.00 X 144608 0 21587 934486 0 102722 4 0 1 0 CRSALCS MANAGEMENT LLC CAPITAL SQ 400 LOCUST ST SUITE 8 DES MOINES IA 50309 MANAGEMENT SERVICES 741565 SYCOM TECHNOLOGIES PO BOX 70909 RICHMOND VA 23255 IT SERVICES 577073 EASTERN ALLIANCE INSURANCE GROUP PO BOX 206 EAST PETERSBURG PA 175200206 WORKERS' COMP INSURANCE 457479 FIREMANS FUND INSURANCE COMPANY DEPT CH 10284 PALANTINE IL 60055 PROPERTY INSURANCE 225155 VIRGINIA SENIOR CARE GROUP RRG CO OF BBT INSURANCE SERVICES INC STATESVILLE NC 28687 LIABILITY INSURANCE 207572 6 748454 748454 CORPORATE INCOME 561000 4249843 4249843 4249843 287496 287496 65261 33358 31903 31903 31903 GAIN ON LTD RETIREMENT 900099 84606 84606 DEFERRED FINANCING WRI 900099 -5590 -5590 79016 5396712 4249843 0 398415 634913 634913 934486 895009 39477 1078058 1078058 30130 16140 13399 591 78749 42183 35021 1545 94737 50748 42131 1858 809 809 100730 100730 336204 189683 146521 1656 540 1116 92931 90212 2719 169408 169408 25419 25419 66052 64472 1580 363977 363977 129009 129009 533149 533149 FARM EXPENSES 17450 17450 157103 153693 3410 4844970 2701273 1948290 195407 -14304205 -18716506 2809 0 344743 367756 2325093 1405816 437780 919277 11263901 10535503 18362671 21038760 16107699 14144790 1553192 884223 6945115 6555687 1278416 0 9776723 7439910 X 3120172 3148704 1000 473723 3209804 3082453 6330976 6704880 16107699 14144790 X 551742 -177838 X X 0 1 1 X 0 X X X 1 1 1 CULPEPER BAPTIST RETIREMENT COMMUNITY INC 521368412 9 1 1 1 277197 NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC 521368408 9 1 1 1 357716 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC 521368410 9 1 1 1 0 THE GLEBE INC 541917966 9 1 1 1 0 4 634913 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 305921 472724 305921 305921 0.39000 0.61000 0 1 1 329957 329957 197656 194574 3082 0 1139894 647892 492002 657586 563350 94236 919277 INVESTMENTS 10535503 F 10535503 DUE FROM AFFILIATES 20504069 INTEREST RECEIVABLE 24567 DEPOSITS AND OTHER 372712 DEFERRED FINANCING COSTS 137412 21038760 5396712 4844970 551742 -50487 -127351 -177838 373904 4238588 -50487 -634913 -685400 4923988 472724 472724 5396712 4210057 0 4210057 634913 634913 4844970 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: SHOULD THE TAX-EXEMPT STATUS OF THE ORGANIZATION BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 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. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN PV OF PERPETUAL TRUSTS -127,351. PART XII, LINE 2D - OTHER ADJUSTMENTS: GRANTS ALLOCATION -634,913. PART XII, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED CONTRIBUTIONS 472,724. PART XIII, LINE 4B - OTHER ADJUSTMENTS: GRANTS ALLOCATION 634,913. 1 CULPEPER BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368412 501(C)(3) 277197 ASSISTANCE NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC PO BOX 191 CULPEPER VA 22701 521368408 501(C)(3) 357716 ASSISTANCE 2 0 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 245340 0 0 0 5121 0 5493 0 17751 0 273705 0 0 0 MRBENJAMIN R DECKER 189818 0 0 0 3101 0 4268 0 15814 0 213001 0 0 0 MR KENT M PHILLIPS 156570 0 0 0 1542 0 3190 0 6847 0 168149 0 0 0 MR JOHN P ROBINSON 100330 0 42059 0 2219 0 3608 0 17979 0 166195 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. PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AA0 2003-01-24 3797414 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 0 PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167BF8 2006-05-24 11152896 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 0 3797414 3624064 173350 1 0 1 1 11152896 4765681 6266763 120452 1 1 1 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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, CONTROLLER, AND OPERATIONS 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 2011. 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -50,487. CHANGE IN PV OF PERPETUAL TRUSTS -127,351. TOTAL TO FORM 990, PART XI, LINE 5: -177,838. 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 0 1 1 1 1 1 1 0 0 CULPEPER BAPTIST RETIREMENT COMMUNITY INC B 277197 OFFICER APPROVAL NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC B 357716 OFFICER APPROVAL CULPEPER BAPTIST RETIREMENT COMMUNITY INC P 506559 INTERCOMPANY TRANSFER THE GLEBE INC P 313735 INTERCOMPANY TRANSFER NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC P 1716761 INTERCOMPANY TRANSFER LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC P 1673005 INTERCOMPANY TRANSFER LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC M 50000 ESTIMATE VIRGINIA BAPTIST HOMES FOUNDATION INC N 92098 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES FOUNDATION INC O 146521 INTERCOMPANY TRANSFER