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 521368412 CULPEPER BAPTIST RETIREMENT COMMUNITY INC CULP 5408251569 PO BOX 191 CULPEPER VA 22701 KENT M PHILLIPS 5408251569 2012-08-14 1 GREGORY W JOHNS P00535091 7049985200 2011 2016-02-24 21:20:13Z RANDALL ROBINSON PO BOX 191 CULPEPER VA 22701 7361690 0 X WWW.VBH.ORG X 1948 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 15 15 100 67 0 0 389637 393911 6597967 6862509 25116 76863 16747 28407 7029467 7361690 134547 307800 0 0 4220526 4214268 0 0 0 2980139 3031556 7335212 7553624 -305745 -191934 4643345 4766883 10216551 10580545 -5573206 -5813662 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 6971366 307800 6862509 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 $307,800 IN SUBSIDIES AND INDIGENCE ALLOWANCES TO OUR RESIDENTS IN 2011, PERTAINING TO 19 RESIDENTS. 6971366 1 1 0 0 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 0 1 30 0 100 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 1.00 X 0 250461 23244 MS MONICA HILLERY 1.00 X 0 92617 8551 MR BENJAMIN R DECKER 1.00 X 0 192919 20082 MR KENT M PHILLIPS 1.00 X 0 158112 10037 MR ROBERT BUSWELL 1.00 X 0 95769 19221 MR JOHN P ROBINSON 1.00 X 0 144608 21587 MR ROBERT S MCELMURRAY 40.00 X 144974 0 17850 144974 934486 120572 1 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 480655 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 2002 HARRISONBURG VA 22801 FOOD PURCHASED 383724 OPTIMA HEALTH - LARGE GROUP PO BOX 791148 BALTIMORE MD 21279 EMPLOYEE HEALTH INSURANCE 280846 EL SMITH BUILDING CONTRACTOR 13434 CHESTERFIELD LANE CULPEPER VA 22701 BUILDING CONTRACTOR 151573 RAPPAHANNOCK ELECTRIC COOPERATIVE PO BOX 7388 FREDERICKSBURG VA 22404 ELECTRIC UTILITIES 111877 5 327780 66131 393911 RESIDENTIAL SERVICES 623000 3787656 3787656 HEALTH CARE SERVICES 623000 2957270 2957270 117583 117583 6862509 76531 76531 332 0 332 332 332 GAIN ON LTD RETIREMENT 900099 30417 30417 DEFERRED FINANCING WRI 900099 -2010 -2010 28407 7361690 6862509 0 105270 307800 307800 144974 144974 3463579 3228998 234581 46310 41439 4871 298445 267054 31391 260960 233512 27448 207 207 875389 875389 54169 54169 57652 57652 1673 1673 740112 740112 25384 25384 130365 130365 322548 322548 DIETARY SUPPLIES 434973 434973 PROGRAM SUPPLIES 297240 297240 EQUIPMENT 45807 45807 DUES AND SUBSCRIPTIONS 20048 20048 25989 20745 5244 7553624 6971366 582258 0 -6883 30921 89408 190677 315591 319634 52800 6878 60252 20287 11565633 9664885 1991183 1900748 714330 665808 1472586 1586008 4643345 4766883 614240 644278 2487857 2349332 7114454 7586935 10216551 10580545 X -7608218 -7851858 1320682 1372388 714330 665808 -5573206 -5813662 4643345 4766883 X -191934 -48522 X X 0 1 1 X 0 X 435324 321185 384480 389637 393911 1924537 5284833 5521158 6306092 6597967 6660468 30370518 5720157 5842343 6690572 6987604 7054379 32295055 0 207972 139332 297910 147374 792588 207972 139332 297910 147374 792588 31502467 87244 -3383 33068 25116 76531 218576 87244 -3383 33068 25116 76531 218576 89485 69878 9566 16747 28407 214083 5896886 5908838 6733206 7029467 7159317 32727714 0.96260 0.96320 0.00670 0.00740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 207 207 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: A PORTION OF THE ORGANIZATION'S ASSOCIATION FEES IS ALLOCATED TO LOBBYING. 1320681 101160 49453 1372388 1320681 1.00000 0 1 1 43647 43647 6984536 5752369 1232167 0 3865456 3378222 487234 671994 534294 137700 1900748 INVESTMENTS 665808 F 665808 DUE FROM AFFILIATES 1530676 DEFERRED FINANCING COSTS 49401 DEPOSITS AND OTHER 5931 1586008 DEFERRED ENTRANCE FEES 2384781 DUE TO AFFILIATES 5202154 7586935 7361690 7553624 -191934 -48522 -48522 -240456 7002183 -258347 -258347 7260530 101160 101160 7361690 7245824 0 7245824 307800 307800 7553624 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 -48,522. PART XII, LINE 2D - OTHER ADJUSTMENTS: MONTHLY FEE SUBSIDY -307,800. NET ASSETS RELEASED FROM RESTRICTION 49,453. PART XII, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED GIFTS, GRANTS AND BEQUESTS 101,160. PART XIII, LINE 4B - OTHER ADJUSTMENTS: MONTHLY FEE SUBSIDY 307,800. 1 RESIDENT ASSISTANCE 19 307800 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 245340 0 0 0 5121 0 5493 0 17751 0 273705 0 0 MR BENJAMIN R DECKER 0 189818 0 0 0 3101 0 4268 0 15814 0 213001 0 0 MR KENT M PHILLIPS 0 156570 0 0 0 1542 0 3190 0 6847 0 168149 0 0 MR JOHN P ROBINSON 0 100330 0 42059 0 2219 0 3608 0 17979 0 166195 0 0 MR ROBERT S MCELMURRAY 136805 0 0 0 8169 0 3300 0 14550 0 162824 0 0 0 PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AA0 2003-01-24 2493128 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 1 PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AQ5 2006-05-24 2214021 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 2493128 2493128 1 0 1 1 2214021 2170717 43034 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 CEO 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 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: CHANGE IN PV OF PERPETUAL TRUSTS -48,522. TOTAL TO FORM 990, PART XI, LINE 5: -48,522. 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 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 0 1 0 0 1 0 0 0 VIRGINIA BAPTIST HOMES INC C 277197 OFFICER APPROVAL VIRGINIA BAPTIST HOMES INC O 506559 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES FOUNDATION INC C 50583 INTERCOMPANY TRANSFER