BAPTIST CONVALESCENT CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BAPTIST CONVALESCENT CENTER INC (EIN 61-0476683)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349301286
Schema version
2011v1.2
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)
Timestamp2012-11-13T11:28:42-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
TitleCFOTitle
Phone8594913800Phone
Date Signed2012-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID A TERRYName
Phone8596479999Phone
Date Prepared2012-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts25210516GrossReceipts
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 Employees674TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24625163ProgramServiceRevenuePriorYear
Program Service Revenue CY25114678ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year213162OtherRevenuePriorYear
Other Revenue Current Year95838OtherRevenueCurrentYear
Total Revenue Prior Year24838325TotalRevenuePriorYear
Total Revenue Current Year25210516TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15292204SalariesEtcPriorYear
Salaries Etc Current Year15266339SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9132977OtherExpensePriorYear
Other Expenses Current Year9225841OtherExpensesCurrentYear
Total Expenses Prior Year24425181TotalExpensesPriorYear
Total Expenses Current Year24492180TotalExpensesCurrentYear
Revenues Less Expenses Prior Year413144RevenuesLessExpensesPriorYear
Revenues Less Expenses CY718336RevenuesLessExpensesCY
Total Assets BOY30556244TotalAssetsBOY
Total Assets EOY38794007TotalAssetsEOY
Total Liabilities BOY18781370TotalLiabilitiesBOY
Total Liabilities EOY26300796TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11774874NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12493211NetAssetsOrFundBalancesEOY
Mission DescriptionProviding long-term care for the agedMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18546455Expense
Revenue25114678Revenue
DescriptionPROVIDED ROOM, BOARD AND NURSING CARE FOR 415 INDIVIDUALSDescription
Total Program Service Expense18546455TotalProgramServiceExpense
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 With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees674NumberOfEmployees
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
GLENN CHASTEEN
Director5X
DR ROBERT LONG
CEO40143112X
DR ROBERT KESTER
CFO40117817X
MARY MIDDENDORF
Therapy Director40112138X
DONNA FRODGE
Administrator40101739X
FieldValueIRS element (for citing)
Total Reportable Comp From Org474806TotalReportableCompFromOrg
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 AVENUECOVKY41014Staffing777644
MED CARE PHARMACY
350 ARESTOCRAT DRIVEFLORENCEKY41042Medical Supplies742297
HUMANA INS CO OF KY
500 W MAIN STLOUISVILLEKY40202Insurance1847893
MEDLINE INDUSTRIES
ONE MEDLINE PLACEMUNDELEINIL60060Medical Supplies433362
US FOOD SERVICE
PO BOX 98761CHICAGOIL606938761Food1008016
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRoom & BoardDescription
Business Code000016BusinessCode
Total Revenue Column25114678TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue25114678TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Unrestricted Contributions00000187508750
Rental Property0000168705087050
Portfolio Income0000143838
FieldValueIRS element (for citing)
Total Other Revenue95838TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25210516TotalRevenueColumn
Related Or Exempt Function Income25210516RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12229737Total
Program Services11052614ProgramServices
Management And General1177123ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3036602Total
Program Services2677452ProgramServices
Management And General359150ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1343504Total
Program Services1343504ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total266882Total
Program Services0ProgramServices
Management And General266882ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total387801Total
Program Services0ProgramServices
Management And General387801ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1357121Total
Program Services1357121ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total86716Total
Program Services86716ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total529658Total
Program Services0ProgramServices
Management And General529658ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1364777Total
Program Services0ProgramServices
Management And General1364777ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total402028Total
Program Services0ProgramServices
Management And General402028ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Utilities & Telephone87325608732560
Provider Tax53038453038400
Bad Debt51363605136360
Miscellaneous714140714140

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1498664Total
Program Services1498664ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24492180Total
Program Services18546455ProgramServices
Management And General5945725ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY590434BOY
EOY1057437EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3351127BOY
EOY3006778EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY503299BOY
EOY396956EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42029291LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18668098LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24355656BOY
EOY23361193EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1186108BOY
EOY1818404EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY569620BOY
EOY9153239EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30556244BOY
EOY38794007EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4744577BOY
EOY5221181EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY14036793BOY
EOY21079615EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18781370BOY
EOY26300796EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11750502BOY
EOY12493211EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24372BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11774874BOY
EOY12493211EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30556244BOY
EOY38794007EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses718336ReconcilationRevenueExpenses
Reconcilation Other Changes1ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Basis2620534InvestmentCostOrOtherBasis
Book Value2620534BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis31813087InvestmentCostOrOtherBasis
Depreciation18668098Depreciation
Book Value13144989BookValue

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3221265InvestmentCostOrOtherBasis
Book Value3221265BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23361193TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRestricted InvestmentsDescription
Book Value9153239BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets9153239TotalBookValueOtherAssets
Total Revenue25210516TotalRevenue
Total Expenses24492180TotalExpenses
Excess Or Deficit For Year718336ExcessOrDeficitForYear
Excess Or Deficit Per FS718336ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25210516TotRevenueEtcAuditedFinclStmt
Revenue Subtotal25210516RevenueSubtotal
Total Revenue Per Form99025210516TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24492180TotExpensesEtcAuditedFinclStmt
Expenses Subtotal24492180ExpensesSubtotal
Total Expenses Per Form99024492180TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aA 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 15The 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.
Form 990, Part IX, Line 24fSUPPLIES 1498664. 1498664. 0. 0.

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