BAPTIST CONVALESCENT CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BAPTIST CONVALESCENT CENTER INC (EIN 61-0476683)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-18
IRS object ID
201302619349300405
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-09-18T06:56:38-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID ATERRY CPA PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16903 BURLINGTON PIKE SUITE BAddressLine1
CityFLORENCECity
StateKYState
ZIP Code41042ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610476683EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BAPTIST CONVALESCENT CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAPTNameControl
Phone8594913800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11452 DONALDSON ROADAddressLine1
CityERLANGERCity
StateKYState
ZIP Code41018ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT KESTERName
TitleCEOTitle
Phone8594913800Phone
Date Signed2013-09-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID A TERRYName
Phone8596479999Phone
Date Prepared2013-09-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT KESTERBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 HIGHLAND AVENUEAddressLine1
CityCOVINGTONCity
StateKYState
ZIP Code41011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25230362GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1952YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionProviding long-term care for the agedActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees663TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25114678ProgramServiceRevenuePriorYear
Program Service Revenue CY25151183ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year95838OtherRevenuePriorYear
Other Revenue Current Year79179OtherRevenueCurrentYear
Total Revenue Prior Year25210516TotalRevenuePriorYear
Total Revenue Current Year25230362TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15266339SalariesEtcPriorYear
Salaries Etc Current Year15298754SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9225841OtherExpensePriorYear
Other Expenses Current Year9528513OtherExpensesCurrentYear
Total Expenses Prior Year24492180TotalExpensesPriorYear
Total Expenses Current Year24827267TotalExpensesCurrentYear
Revenues Less Expenses Prior Year718336RevenuesLessExpensesPriorYear
Revenues Less Expenses CY403095RevenuesLessExpensesCY
Total Assets BOY38794007TotalAssetsBOY
Total Assets EOY31144121TotalAssetsEOY
Total Liabilities BOY26300796TotalLiabilitiesBOY
Total Liabilities EOY18247814TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12493211NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12896307NetAssetsOrFundBalancesEOY
Mission DescriptionProviding long-term care for the agedMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18745458Expense
Revenue25151183Revenue
DescriptionPROVIDED ROOM, BOARD AND NURSING CARE FOR 822 INDIVIDUALSDescription
Total Program Service Expense18745458TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included27NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees663NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT KESTER CFONamePerson
Telephone Number8594913800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11452 DONALDSON ROADAddressLine1
CityERLANGERCity
StateKYState
ZIP Code41018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
DR MARK ERION
Chairman10.00X000
HARRY PEENO
Secretary10.00X000
MR GARY BRICKING
Vice Chair10.00X000
RALPH AUST
Director5.00X000
DR HERBERT BOOTH
Director5.00X000
GLENDA GABBARD
Director5.00X000
LINDA COBB-BANKS
Director5.00X000
RANDY BLANKENSHIP
Director5.00X000
CHRIS GRUBBS
Director5.00X000
CLIFF WARTMAN
Director5.00X000
DAN FRANCIS
Director5.00X000
RICK ROBBINS
Director5.00X000
PAT BURKHART
Director5.00X000
HENRY VITTETOE
Director5.00X000
MARK WEGFORD
Director5X
DR ROBERT LONG
CEO40149191X
DR ROBERT KESTER
CFO40117054X
MARY MIDDENDORF
Therapy Director40108756X
DONNA FRODGE
Administrator40101569X
FieldValueIRS element (for citing)
Total Reportable Comp From Org476570TotalReportableCompFromOrg
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAPTIST LIFE STAFFING AGENCY
1831 MADISON AVENUECOVKY41014Staffing786190
MED CARE PHARMACY
350 ARESTOCRAT DRIVEFLORENCEKY41042Medical Supplies950109
HUMANA INS CO OF KY
500 W MAIN STLOUISVILLEKY40202Insurance1769648
MEDLINE INDUSTRIES
ONE MEDLINE PLACEMUNDELEINIL60060Medical Supplies446114
PROFFESSIONAL PRN SERVICES
525 W 5TH STCOVINGTONKY41011Staffing550186
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRoom & BoardDescription
Business Code000016BusinessCode
Total Revenue Column25151183TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue25151183TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Unrestricted Contributions00000155155515
Rental Property0000167361973619
Portfolio Income0000144545
FieldValueIRS element (for citing)
Total Other Revenue79179TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25230362TotalRevenueColumn
Related Or Exempt Function Income25230362RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12410643Total
Program Services11025020ProgramServices
Management And General1385623ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2888111Total
Program Services2523811ProgramServices
Management And General364300ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1590889Total
Program Services1590889ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total327127Total
Program Services0ProgramServices
Management And General327127ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total430250Total
Program Services0ProgramServices
Management And General430250ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1114995Total
Program Services1114995ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total83219Total
Program Services83219ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total518837Total
Program Services0ProgramServices
Management And General518837ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1375907Total
Program Services0ProgramServices
Management And General1375907ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total371918Total
Program Services0ProgramServices
Management And General371918ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Utilities & Telephone90513409051340
Provider Tax50884050884000
Bad Debt34341903434190
Miscellaneous251437192143592940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1706541Total
Program Services1706541ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24827267Total
Program Services18745458ProgramServices
Management And General6081809ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1057437BOY
EOY1067759EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3006778BOY
EOY3062609EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY396956BOY
EOY173213EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45038435LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19957090LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23361193BOY
EOY25081345EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1818404BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9153239BOY
EOY1759195EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38794007BOY
EOY31144121EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5221181BOY
EOY3943684EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY21079615BOY
EOY14304130EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26300796BOY
EOY18247814EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12493211BOY
EOY12896307EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12493211BOY
EOY12896307EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38794007BOY
EOY31144121EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses403095ReconcilationRevenueExpenses
Reconcilation Other Changes1ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Church170b1 AiXChurch170b1Ai
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5472579InvestmentCostOrOtherBasis
Book Value5472579BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis31871259InvestmentCostOrOtherBasis
Depreciation19957090Depreciation
Book Value11914169BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis4374405InvestmentCostOrOtherBasis
Book Value4374405BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3320192InvestmentCostOrOtherBasis
Book Value3320192BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25081345TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Restricted Investments
Total other assets1759195
FieldValueIRS element (for citing)
Total Book Value Other Assets1759195TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt25230362TotRevenueEtcAuditedFinclStmt
Revenue Subtotal25230362RevenueSubtotal
Total Revenue Per Form99025230362TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24827267TotExpensesEtcAuditedFinclStmt
Expenses Subtotal24827267ExpensesSubtotal
Total Expenses Per Form99024827267TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bA copy of the 990 is given to the Board Members for
discussion and approval.
Pt VI, Line 12cBoard Members are routinely asked about compliance with
the organizations written conflict of interest policy.
Pt VI, Line 15aThe Executive Committee is responsible for determining
the compensation of the CEO and top management.
Comparable data is used.
Pt VI, Line 19Any requests to view the 990 and related documents are
referred to the Board who would make them available for
inspection.
Pt XIrounding
Pt VI, Line 15bThe Executive Committe is responsible for determining
the compensation of the CEO
Form 990, Part IX, Line 24fSUPPLIES 1445338. 1445338. 0. 0. HOUSEKEEPING 165280. 165280. 0. 0. LAUNDRY 95923. 95923. 0. 0.

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