2011-11-07T07:15:39-06:00 2010-12-31 LARSONALLEN LLP 101 N TRYON STREET SUITE 1000 CHARLOTTE NC 28246 990 2010-01-01 521368410 LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY INC LAKE 5408251569 PO BOX 191 CULPEPER VA 22701 KENT M PHILLIPS 5408251569 2011-11-01 1 7049985200 2010 2016-03-07 17:11:31Z RANDALL ROBINSON PO BOX 191 CULPEPER VA 22701 22653878 0 X WWW.VBH.ORG X 1969 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 18 18 455 145 0 0 245073 126354 20306267 22321816 -104048 492416 117297 -286708 20564589 22653878 324950 309319 0 0 10397919 10583955 0 0 0 10436949 11369111 21159818 22262385 -595229 391493 95245221 87885636 64335736 55955031 30909485 31930605 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 20914752 309319 22321816 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 $309,319 IN SUBSIDIES, PERTAINING TO 24 RESIDENTS DURING 2010. 20914752 1 1 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 0 455 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 1 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 CARL A LODEN 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 THOMAS E 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 1.00 X 0 238893 13537 MR BENJAMIN R DECKER 1.00 X 0 80352 5959 MR KENT M PHILLIPS 1.00 X 0 58785 3842 MS MONICA HILLERY 1.00 X 0 91435 7453 MR ROBERT BUSWELL 1.00 X 0 90596 8719 JEFFREY J MCINNIS 40.00 X 130700 0 3516 130700 560061 43026 1 0 1 0 SYSCO FOOD SERVICES OF VIRGINIA LLC PO BOX 20020 HARRISONBURG VA 22801 FOOD PURCHASED 874534 OPTIMA HEALTH - LARGE GROUP PO BOX 791148 BALTIMORE VA 21279 EMPLOYEE HEALTH INSURANCE 830031 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 536725 DOMINION VIRGINIA POWER PO BOX 26543 RICHMOND VA 23290 ELECTRIC UTILITIES 467982 FAMILY CARE PHARMACY 2576 GAYTON CENTRE DRIVE RICHMOND VA 23233 MEDICINES PURCHASED 436698 11 126354 126354 RESIDENTIAL SERVICES 632000 17482386 17482386 HEALTH CARE SERVICES 632000 4406544 4406544 432886 432886 22321816 492416 492416 LOSS ON LTD RETIREMENT 900099 -286708 -286708 -286708 22653878 22321816 0 205708 309319 309319 130700 130700 8955901 8318046 637855 97455 89210 8245 737890 675464 62426 662009 606003 56006 1201018 1123700 77318 107734 107734 145249 12775 132474 10047 10047 3364826 3364826 45672 43286 2386 1271245 1271245 3087588 3087588 3783 3783 DIETARY SUPPLIES 941462 941462 PROGRAM SUPPLIES 865974 865974 EQUIPMENT EXPENSE 117205 80681 36524 DUES AND SUBSCRIPTIONS 107815 104554 3261 BAD DEBT EXPENSE 68283 68283 31210 16836 14374 22262385 20914752 1347633 0 5000 5000 20071418 19715460 240483 525893 430200 801850 1556662 1138679 77283509 33855141 45482852 43428368 16880570 14658521 10578036 7611865 95245221 87885636 1901530 1817827 28074063 20249373 34360143 33887831 64335736 55955031 X 26977473 28171452 1701578 1420872 2230434 2338281 30909485 31930605 95245221 87885636 X 391493 629627 X X 0 1 1 X 0 X 977627 767539 73491 245073 126354 2190084 26565080 21449615 18641694 20306267 22321816 109284472 27542707 22217154 18715185 20551340 22448170 111474556 2873245 2873245 436283 1358036 323242 2117561 2873245 436283 1358036 323242 4990806 106483750 1380899 1776269 1049817 -104048 492416 4595353 1380899 1776269 1049817 -104048 492416 4595353 319904 350225 597300 117197 -286708 1097918 29243510 24343648 20362302 20564489 22653878 117167827 0.90880 0.91110 0.03920 0.04560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2440610 0.42000 0.58000 0 0 2217971 2217971 47923367 16321297 31602070 21695149 15932919 5762230 5447022 1600925 3846097 43428368 INVESTMENTS 14658521 F 14658521 DUE FROM AFFILIATES 7594443 INTEREST RECEIVABLE 2239 OTHER ASSETS 15183 7611865 DEFERRED ENTRANCE FEES 33887831 33887831 22653878 22262385 391493 526377 103250 629627 1021120 23147045 526377 85726 612103 22534942 118936 118936 22653878 21953066 0 21953066 309319 309319 22262385 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ENDOWMENTS ARE 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 2008, 2009, AND 2010 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 103,250. PART XII, LINE 2D - OTHER ADJUSTMENTS: MONTHLY FEE SUBSIDY -309,319. NET ASSETS RELEASED FROM RESTRICTION 395,045. PART XII, LINE 4B - OTHER ADJUSTMENTS: TEMPORARILY RESTRICTED GIFTS, GRANTS AND BEQUESTS 114,339. PERMANENTLY RESTRICTED GIFTS, GRANTS AND BEQUESTS 4,597. PART XIII, LINE 4B - OTHER ADJUSTMENTS: MONTHLY FEE SUBSIDY 309,319. 1 SUBSIDIES OF MONTHLY FEES 24 309319 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 238893 0 0 0 0 0 4723 0 8814 0 252430 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 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 IN 2008, VIRGINIA BAPTIST HOMES, INC. ("VBH") AND ITS AFFILLIATES ENTERED INTO A THREE-YEAR MANAGEMENT AND MARKETING AGREEMENT WITH CRSA MANAGEMENT, LLC, A CCRC MANAGEMENT COMPANY. AS PART OF THIS AGREEMENT, THE ORGANIZATION'S OPERATIONS AND FINANCE FUNCTIONS WERE OVERSEEN AND DIRECTED BY CRSA EMPLOYEES. AS A RESULT OF THE STRENGTHENING OF VBH'S FINANCIAL AND OPERATIONS LEADERSHIP TEAM, THIS AGREEMENT WAS EFFECTIVELY TERMINATED IN LATE 2010. 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 2010. 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 GAINS ON INVESTMENTS: 526,377. CHANGE IN PV OF PERPETUAL TRUSTS 103,250. TOTAL TO FORM 990, PART XI, LINE 5: 629,627. 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 2264846 INTERCOMPANY INVOICES VIRGINIA BAPTIST HOMES INC M 60000 ESTIMATE