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 541917966 THE GLEBE INC GLEB 5408251569 PO BOX 191 CULPEPER VA 22701 DR RANDALL ROBINSON 5408251569 2013-08-12 1 JOHN NORMAN P01506766 7049985200 2012 2016-02-25 16:41:14Z RANDALL ROBINSON PO BOX 191 CULPEPER VA 22701 21948899 0 X WWW.VBH.ORG X 1998 VA TO PROVIDE "DIGNITY IN LIVING" FOR SENIOR ADULTS WHO RESIDE IN THIS PLANNED SERVICES COMMUNITY. 13 13 317 104 0 0 2055 4345 9842868 10158056 2499 4219 0 11782279 9847422 21948899 5280 10207 0 0 4639957 5009802 0 0 0 10639053 10068204 15284290 15088213 -5436868 6860686 51306645 58049955 84584884 80013508 -33278239 -21963553 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 10439464 10207 10158056 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 $10,207 IN SUBSIDIES, PERTAINING TO 3 RESIDENTS DURING 2012. 10439464 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 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 1 35 0 1 317 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 MR V CURTIS BROOKING 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 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 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 1.00 X 0 294743 10155 MR KENT M PHILLIPS 1.00 X 0 177107 8457 MS MONICA HILLERY 1.00 X 0 97701 6927 MR ROBERT BUSWELL 1.00 X 0 98168 6873 MR JOHN P ROBINSON 1.00 X 0 140536 7440 MR ROBERT H GERNDT 40.00 X 133990 0 7581 MS KATHERINE P MORRIS 40.00 X 101934 0 6878 235924 808255 54311 0 0 1 0 US FOOD SERVICE PO BOX 602215 CHARLOTTE NC 28260 FOOD PURCHASED 469039 HEALTHKEEPERS INC PO BOX 17499 BALTIMORE MD 21297 EMPLOYEE HEALTH INSURANCE 419750 COMFORT SYSTEMS USA PO BOX 757 BRISTOL VA 24203 EQUIPMENT PURCHASES 246576 AMERICAN ELECTRIC POWER 40 FRANKLIN ROAD ROANOKE VA 24011 ELECTRIC UTILITIES 205105 STATUS SOLUTIONS 1180 SEMINOLE TRAIL SUITE 440 CHARLOTTESVILLE VA 22901 EQUIPMENT PURCHASES 123817 6 3195 1150 4345 RESIDENTIAL SERVICES 623000 7406621 7406621 HEALTH CARE SERVICES 623000 2415592 2415592 335843 335843 10158056 3863 3863 356 0 356 356 356 DEBT CANCELLATION 623000 11782279 11782279 11782279 21948899 10158056 0 11786498 X 10207 10207 4307619 3789740 517879 44482 39134 5348 348650 306734 41916 309051 271896 37155 191 191 1928545 1928545 128190 128190 94974 94974 15503 15503 953494 953494 32585 32585 1922 1922 2819783 2819783 2816179 2816179 DIETARY SUPPLIES 636767 636767 PROGRAM SUPPLIES 445777 445777 EQUIPMENT EXPENSE 110813 110813 83481 83481 15088213 10439464 4648749 0 1703826 11503992 2082767 1121000 274500 273238 753667 74133 46605 59863541 17775158 44109488 42088383 3061931 2263070 51306645 58049955 6769953 1445793 2172 5807 55540000 57039580 2993346 22272759 18528982 84584884 80013508 X -33316670 -21995920 30815 24751 7616 7616 -33278239 -21963553 51306645 58049955 X 6860686 4454000 X X 0 1 X 1 0 X 22052 500 425 2055 4345 29377 8455938 8590913 8952286 9450739 9822213 45272089 8477990 8591413 8952711 9452794 9826558 45301466 0 2438223 2438223 2438223 2438223 42863243 249770 19605 5267 2499 3863 281004 249770 19605 5267 2499 3863 281004 273835 349409 382892 392129 12118122 13516387 9001595 8960427 9340870 9847422 21948543 59098857 0.72530 0.87870 0.00480 0.01630 X 0 0 0 0 0 0 0 0 1 191 191 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF ASSOCIATION DUES ARE ALLOCABLE TOWARDS LOBBYING ACTIVITIES. 38431 1000 7064 32367 42016 1380 4965 38431 121807 400 80191 42016 121608 825 626 121807 0.24000 0.76000 0 1 1 933237 933237 48179025 13264269 34914756 4411769 2349693 2062076 6339510 2161196 4178314 42088383 DUE TO AFFILIATES 109391 DEFERRED ENTRANCE FEES 11917173 DEPOSITS 135283 ADVANCE FEE REFUND LIABILITY 6367135 18528982 X 26409963 4461064 4461064 21948899 0 21948899 15088213 0 15088213 0 15088213 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: DECREASE IN OBLIGATION TO PROVIDE FUTURE SERVICES 4,454,000. NET ASSETS RELEASED FROM RESTRICTIONS 7,064. 1 SUBSIDIES OF MONTHLY FEES 3 10207 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 259907 0 0 0 34836 0 6275 0 3880 0 304898 0 0 MR KENT M PHILLIPS 0 174462 0 0 0 2645 0 4810 0 3647 0 185564 0 0 A VIRGINIA SMALL BUSINESS FINANCING AUTHORITY 541300845 928103AA8 2012-09-28 30002708 REFUND AND REPLACE 0 0 0 B INDUSTRIAL DEVELOPMENT AUTHORITY OF ROANOKE COUNTY VIRGINIA 541290561 769834AL6 2003-01-21 54970845 FUND ACQUISITION & CONSTRUCTION 1 0 0 C VIRGINIA SMALL BUSINESS FINANCING AUTHORITY 541300845 928103AB6 2012-09-28 27036872 REFUND AND REPLACE 0 0 0 A 30002708 30002708 1 0 1 1 B 54970845 54970845 2997970 1099417 2005 0 0 1 1 C 27036872 27036872 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 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 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 CTHESE BONDS IN PART I, LINES A & C WERE ISSUED TO REFUND AND REPLACE PREVIOUSLY ISSUED INDUSTRIAL DEVELOPMENT AUTHORITY OF ROANOKE COUNTY, VIRGINIA RESIDENTIAL CARE FACILITY REVENUE BONDS (THE GLEBE, INC), SERIES 2003A AND 2003B. 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 CONTROLLER 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 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). OTHER FEES FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 1,928,545. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,928,545. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FUTURE SERVICE OBLIGATION 4,454,000. FORM 990, PART XII, LINE 2C: NO CHANGE IN METHOD FROM PRIOR 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 11A, I 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 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 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 VIRGINIA BAPTIST HOMES INC P 394425 INTERCOMPANY TRANSFERS VIRGINIA BAPTIST HOMES INC E 2940029 REORGANIZATION PLAN NEWPORT NEWS BAPTIST RETIREMENT COMMUNITY INC E 91521 REORGANIZATION PLAN LAKEWOOD MANOR BAPTIST RETIREMENT COMMUNITY E 3600859 REORGANIZATION PLAN VIRGINIA BAPTIST HOMES FOUNDATION INC E 1614009 REORGANIZATION PLAN