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 521368410 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC LAKE 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 25689926 0 X WWW.VBH.ORG X 1969 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 15 15 460 125 0 0 126354 60639 22321816 22735050 492416 853404 -286708 72176 22653878 23721269 309319 366452 0 0 10583955 10395260 0 0 0 11369111 10771311 22262385 21533023 391493 2188246 87885636 86166567 55955031 52971284 31930605 33195283 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 20460753 366452 22735050 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 $366,452 IN SUBSIDIES, PERTAINING TO 25 RESIDENTS DURING 2011. 20460753 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 45 0 460 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 MR BENJAMIN R DECKER 1.00 X 0 192919 20082 MR KENT M PHILLIPS 1.00 X 0 158112 10037 MS MONICA HILLERY 1.00 X 0 92617 8551 MR ROBERT BUSWELL 1.00 X 0 95769 19221 MR JOHN P ROBINSON 1.00 X 0 144608 21587 MR JEFFREY J MCINNIS 40.00 X 140392 0 11613 MS FELICITY S WOOD 40.00 X 103180 0 14405 243572 934486 128740 2 0 1 0 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 20020 HARRISONBURG VA 22801 FOOD PURCHASED 887531 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 23238 THERAPY SERVICES 741567 OPTIMA HEALTH - LARGE GROUP PO BOX 791148 BALTIMORE VA 21279 EMPLOYEE HEALTH INSURANCE 692096 DOMINION VIRGINIA POWER PO BOX 26543 RICHMOND VA 23290 ELECTRIC UTILITIES 524656 FAMILY CARE PHARMACY 2576 GAYTON CENTRE DRIVE RICHMOND VA 23233 MEDICINES PURCHASED 407116 9 60639 60639 RESIDENTIAL SERVICES 632000 17623046 17623046 HEALTH CARE SERVICES 632000 4725377 4725377 386627 386627 22735050 317670 317670 2504391 1968657 535734 535734 535734 GAIN ON LTD RETIREMENT 900099 77135 77135 DEFERRED FINANCING WRI 900099 -4959 -4959 72176 23721269 22735050 0 925580 366452 366452 140392 140392 8836917 8250911 586006 96014 88245 7769 675495 620837 54658 646442 594135 52307 497 497 1402599 1402599 118109 118109 104179 104179 8353 8353 2903823 2903823 46681 46681 1066941 1066941 3067226 3067226 DIETARY SUPPLIES 1003721 1003721 PROGRAM SUPPLIES 768573 768573 EQUIPMENT EXPENSE 101804 101804 TRAINING 101669 101669 77136 77136 21533023 20460753 1072270 0 5000 5000 19715460 23990638 525893 524700 801850 151620 1138679 44900 78184245 36762623 43428368 41421622 14658521 11368452 7611865 8659635 87885636 86166567 1817827 1880377 20249373 19667533 33887831 31423374 55955031 52971284 X 28171452 29654323 1420872 1290701 2338281 2250259 31930605 33195283 87885636 86166567 X 2188246 -923568 X X 0 1 1 X 0 X 767539 73491 245073 126354 60639 1273096 21449615 18641694 20306267 22321816 22682090 105401482 22217154 18715185 20551340 22448170 22742729 106674578 0 436283 1358036 324796 259624 2378739 436283 1358036 324796 259624 2378739 104295839 1776269 1049817 -104048 492416 317670 3532124 1776269 1049817 -104048 492416 317670 3532124 350225 597300 117197 -286708 72176 850190 24343648 20362302 20564489 22653878 23132575 111056892 0.93910 0.90880 0.03180 0.03920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 497 497 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: A PORTION OF THE ORGANIZATION'S ASSOCIATION DUES GOES TOWARD LOBBYING. 2440609 38168 166244 2312533 2440609 0.44000 0.56000 0 1 1 2217971 2217971 48192062 17987490 30204572 0 22113750 16927727 5186023 5660462 1847406 3813056 41421622 INVESTMENTS 11368452 F 11368452 DUE FROM AFFILIATES 7650733 INTEREST RECEIVABLE 4740 DEPOSITS AND OTHER 15183 DEFERRED MARKETING COSTS 266950 DEFERRED FINANCING COSTS 722029 8659635 DEFERRED ENTRANCE FEES 31423374 31423374 23721269 21533023 2188246 -833451 -90117 -923568 1264678 22649442 -833451 -200208 -1033659 23683101 38168 38168 23721269 21166571 0 21166571 366452 366452 21533023 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 -90,117. PART XII, LINE 2D - OTHER ADJUSTMENTS: MONTHLY FEE SUBSIDY -366,452. NET ASSETS RELEASED FROM RESTRICTION 166,244. PART XII, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED GIFTS, GRANTS AND BEQUESTS 36,073. PERMANENTLY RESTRICTED GIFTS, GRANTS AND BEQUESTS 2,095. PART XIII, LINE 4B - OTHER ADJUSTMENTS: MONTHLY FEE SUBSIDY 366,452. 1 RESIDENT ASSISTANCE 25 366452 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 JEFFREY J MCINNIS 139996 0 0 0 396 0 3194 0 8419 0 152005 0 0 0 PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AAO 2003-01-24 6152134 REFUND OUTSTANDING SERIES 2000 BONDS A 1 0 1 PENINSULA PORTS AUTHORITY OF VIRGINIA 237002328 707167AQ5 2006-05-24 5463460 DEFEASE AND REPLACE PORTION OF OUTSTANDING BONDS 1 0 1 ECONOMIC DEVELOPMENT OF HENRICO COUNTY 541197472 42605QCK7 2006-01-24 32242472 FUND PROJECT COSTS OF LAKEWOOD MANOR 1 0 1 6152134 6152134 1 0 1 1 5463460 5356597 106863 1 1 1 1 32242472 1381834 635765 30224873 2007 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 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 WEBSITES (E.G., GUIDESTAR). CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -833,451. CHANGE IN PV OF PERPETUAL TRUSTS -90,117. TOTAL TO FORM 990, PART XI, LINE 5: -923,568. 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 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 0 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 VIRGINIA BAPTIST HOMES INC O 1673005 INTERCOMPANY TRANSFER VIRGINIA BAPTIST HOMES INC M 50000 ESTIMATE