2015-07-14T13:01:44-05:00 2014-08-31 ERNST & YOUNG US LLP 1900 SCRIPPS CENTER 312 WALNUT ST CINCINNATI OH 45202 990 2013-09-01 610461940 Baptist Health Richmond Inc % CHRISTOPHER T JONES BAPT 8596253131 PO Box 1600 Suite Richmond KY 404762603 Carl Herde TREASURER 8596233131 2015-07-13 true TRICIA M JOHNSON P00627205 8596233131 2013 2016-02-25 16:41:14Z CHRISTOPhER T JONES PO BOX 1600 RICHMOND KY 404762603 70301019 false X www.baptisthealthrichmond.com X 1892 KY THE MISSION OF BAPTIST HEALTH RICHMOND IS TO PROVIDE QUALITY HEALTH CARE BY A TEAM OF HIGHLY-SKILLED PHYSICIANS AND STAFF THROUGH NURTURING, PERSONALIZED SERVICES. 9 7 742 41 0 399062 399062 61748145 65997504 101008 207567 3315721 2551926 65563936 69156059 60000 400 0 0 33724673 32429590 0 0 0 32889620 36479062 66674293 68909052 -1110357 247007 61128601 68232870 34316336 45167844 26812265 23065026 X THE MISSION OF BAPTIST HEALTH IS TO EXEMPLIFY OUR CHRISTIAN HERITAGE OF PROVIDING QUALITY HEALTHCARE SERVICES BY ENHANCING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. false false 56615802 400 65997504 SEE SCHEDULE O 56615802 true true false true false false false false false true true true false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 70 0 true 742 true false false false false false false false false false false X 9 7 false false false false true true true true true false false true true true true true true true true false KY X CHRISTOPHER T JONES 8596233131 801 EASTERN BYPASS RICHMOND KY 40475 EARL BALDWIN DIRECTOR 2.0 0.0 X 0 750 0 HELEN FARDO DIRECTOR 2.0 0.0 X 0 750 0 JEFFREY FULTZ DIRECTOR 2.0 0.0 X 0 750 0 HARRY MOBERLY JR DIRECTOR 2.0 0.0 X 0 750 0 DOUGLAS G OWEN DMD DIRECTOR MEMBER AT LARGE 2.0 0.0 X 0 750 0 MARCIA RIDINGS DIRECTOR (thru 12/31/13) 2.0 0.0 X 0 3000 0 WILLIAM SISSON DIRECTOR 2.0 40.0 X 0 663469 260428 LAURA S STEIDLE DIRECTOR 2.0 0.0 X 0 750 0 AARON THOMPSON PhD DIRECTOR 2.0 0.0 X 0 750 0 STEPHEN C HANSON SYSTEM CEO (EFF 3/26/13) 1.0 40.0 X X 0 959051 21077 CHRISTOPHER T JONES PRESIDENT 40.0 0.0 X 249238 0 42589 TAMMY SULLIVAN CNO 40.0 0.0 X 123868 0 24530 CARL HERDE TREASURER 1.0 40.0 X 0 584383 214226 JANET NORTON SECRETARY 1.0 40.0 X 0 427559 124585 patricia olds vp support services 40.0 0.0 X 121910 0 17688 ROSHAN PAIS MD CHIEF MeDiCAL OFFCR EX-OFFicio 40.0 0.0 X 244736 0 28432 THOMAS D CERVONI PHYSICIAN 40.0 0.0 X 491627 0 39052 RICHARD A SHELTON PHYSICIAN 40.0 0.0 X 219343 0 29272 ELIJAH V KAKANI PHYSICIAN 40.0 0.0 X 215325 0 27397 DAVID SHAFRAN PHYSICIAN 40.0 0.0 X 230438 0 31030 TOMMY SMITH SYSTEM CEO (THRU 3/25/13) 1.0 40.0 X 0 1047581 35339 CHRIS MCCLURG CFO (THRU 7/1/13) 0.0 0.0 X 102808 0 18176 1999293 3690293 913821 33 true true false ARAMARK CORPORATION 12483 COLLECTIONS CENTER DR CHICAGO IL 60693 EQpmnt maintenance 1375150 ANESTHESIA SERVICE 789 EASTERN BYPASS RICHMOND KY 40475 ANESTHESIA SERVICES 529625 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 NUTRITIONAL SERVICES 479938 TEG Architects 903 SPRING ST JEFFERSONVILLE IN 47130 construction 648716 Neace Lukens 2305 RIVER RD LOUISVILLE KY 40206 insurance 462498 28 0 399062 0 399062 NET PATIENT SERVICE REVENUE 623990 65997504 65997504 0 0 65997504 108021 108021 0 0 445432 0 316698 0 128734 0 128734 128734 574884 352924 452361 375901 122523 -22977 99546 99546 0 0 0 EHR incentive 900099 1081836 0 0 1081836 Pharmacy revenue 900099 787168 0 0 787168 Cafeteria revenue 900009 192455 0 0 192455 361733 0 0 361733 2423192 69156059 65997504 0 2759493 400 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26468200 24151851 2316349 0 1057419 964880 92539 0 2995205 2733081 262124 0 1908766 1741721 167045 0 0 0 0 0 180444 0 180444 0 8297 0 8297 0 4449 0 4449 0 0 0 0 0 0 0 2484994 2484994 0 0 42836 42836 0 0 14706988 14429700 277288 0 0 0 0 0 0 0 0 0 2762094 2747663 14431 0 83500 6758 76742 0 0 0 0 0 0 0 0 0 1005551 1005551 0 0 0 0 0 0 3601186 3601186 0 0 903847 26320 877527 0 PURCHASED SERVICES 8948643 2650401 6298242 0 PROVIDER TAX 1162833 0 1162833 0 PHYSICIAN RECRUITMENT 376698 0 376698 0 EDUCATION COST 152625 0 152625 0 54077 28460 25617 68909052 56615802 12293250 0 0 4956161 9345723 0 0 0 0 7692648 4708870 0 0 0 0 286763 0 2830300 2633473 580099 209462 77776121 54965628 22641455 22810493 296392 0 17608317 24973628 0 0 1000000 1000000 3236466 2551221 61128601 68232870 5971749 6188355 0 0 0 0 0 0 0 0 0 0 2751890 1497755 0 0 25592697 37481734 34316336 45167844 X 7239645 666737 1964304 1689175 17608316 20709114 26812265 23065026 61128601 68232870 X 247007 508929 -4503175 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4449 4449 false Lobbying Activity THE ABOVE AMOUNT REPRESENTS THE PORTION OF ANNUAL DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES CARRIED OUT BY the KENTUCKY HOSPITAL ASSOCIATION. 21024428 3164917 275129 23914216 19033081 2266481 275134 21024428 4031844 14173819 1168017 340599 19033081 4499897 468053 4031844 4704618 357693 -62205 42118 458091 4499897 0.13400 0.86600 false false 1293784 1293784 35418233 22348923 13069310 128313 117384 10929 39546364 32499321 7047043 1389427 1389427 22810493 PERPTUL TRUSTS HLD BY TRUSTEES 24973628 F 24973628 0 INTER-COMPANY LOANS 30935283 PENSION LIABILITY 6546451 37481734 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ASSETS WHOSE USE IS LIMITED INCLUDE ASSETS SET ASIDE BY THE HOSPITAL'S BOARD OF DIRECTORS FOR LONG-TERM USES, OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES. THE PERMANENTLY RESTRICTED NET ASSETS REPRESENT THE HOSPITAL'S BENEFICIAL INTEREST IN PERPETUAL TRUSTS. true true X true X true X true true false true true 960391 1018005 -57614 0.00080 20223 14794906 13723712 1071194 0.01550 20223 15755297 14741717 1013580 0.01470 20821 20821 0.00030 356524 356524 0.00520 34907 30500 4407 0.00010 412252 30500 381752 0.00560 20223 16167549 14772217 1395332 0.02030 24 430 1606 1606 24 430 1606 1606 false 1314149 365563 19312360 20350607 -1038247 X true true 1 1 BAPTIST HEALTH RICHMOND INC 801 EASTERN BYPASS RICHMOND KY 40475 WWW.BAPTISTHEALTHRICHMOND.COM X X BAPTIST HEALTH RICHMOND INC 1 true X X X X X X X X X 12 true false true X WWW.BAPTISTHEALTHRICHMOND.COM X X X X X X X X X X false false true true 200. true 400. true X X X X X X true true X X X X X true false X X X X true X false false Schedule H, Part V, Line 5c AVAILABILITY OF CHNA REPORT COPIES OF THE CHNA WERE ALSO DISTRIBUTED INTERNALLY AND EXTERNALLY TO THOSE WHO PARTICIPATED IN THE NEEDS ASSESSMENT (INDIVIDUALS AND ORGANIZATIONS). Schedule H, Part V, Line 7 NEEDS NOT ADDRESSED Mental Health Services Psychiatric care is not central to the hospitals core services. Provision of mental health services would require renovation of the hospital to build and equip an inpatient psychiatric wing and recruitment of psychiatrists, psychologists and/or other mental health professionals. We do not have the resources or capital to pursue mental health services at this time. Schedule H, Part V, Line 11 Criteria used to determine eligibility for providing discounted care AS PROVIDED FOR IN THE WRITTEN CHARITY CARE POLICY, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CONDITIONS TO QUALIFY FOR CHARITY: A. THE INDIVIDUAL IS A RESIDENT OF KENTUCKY B. THE INDIVIDUAL IS NOT ELIGIBLE FOR MEDICAID C. THE INDIVIDUAL IS NOT COVERED BY A 3RD PARTY PAYOR D. THE INDIVIDUAL IS NOT IN THE CUSTODY OF A UNIT OF GOVERNMENT WHICH IS RESPONSIBLE FOR COVERAGE OF THE ACUTE CARE NEEDS OF THE INDIVIDUAL. THE INDIVIDUAL MEETS THE FOLLOWING INCOME AND RESOURCES CRITERIA: HOUSEHOLD SIZE MONTHLY INCOME LIMIT ANNUAL INCOME LIMIT 1 $903.00 $10,830.00 2 $1,214.00 $14,570.00 3 $1,526.00 $18,310.00 4 $1,837.00 $22,050.00 5 $2,149.00 $25,790.00 FOR EACH ADDITIONAL MEMBER ADD $311 MONTHLY AND $3,740 ANNUALly. Schedule H, Part I, Line 3c Criteria for Determining eligibility for free or discounted care AS PROVIDED FOR IN THE WRITTEN CHARITY CARE POLICY, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CONDITIONS TO QUALIFY FOR CHARITY: A. THE INDIVIDUAL IS A RESIDENT OF KENTUCKY B. THE INDIVIDUAL IS NOT ELIGIBLE FOR MEDICAID C. THE INDIVIDUAL IS NOT COVERED BY A 3RD PARTY PAYOR D. THE INDIVIDUAL IS NOT IN THE CUSTODY OF A UNIT OF GOVERNMENT WHICH IS RESPONSIBLE FOR COVERAGE OF THE ACUTE CARE NEEDS OF THE INDIVIDUAL. THE INDIVIDUAL MEETS THE FOLLOWING INCOME AND RESOURCES CRITERIA: HOUSEHOLD SIZE MONTHLY INCOME LIMIT ANNUAL INCOME LIMIT 1 $903.00 $10,830.00 2 $1,214.00 $14,570.00 3 $1,526.00 $18,310.00 4 $1,837.00 $22,050.00 5 $2,149.00 $25,790.00 FOR EACH ADDITIONAL MEMBER ADD $311 MONTHLY AND $3,740 ANNUALly. SCHEDULE H, PART I, LINE 7 BHR utilizes a cost accounting system that identifies the cost of delivering care at the individual procedure and item (supply) level for direct costs and a detailed step-down methodology to allocate overhead costs as accurately as possible. Costs are determined for each patient based upon the specific procedures performed and items used for each patient. Additionally, BHR uses a cost-to-charge ratio, derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. Patients are also categorized by: 1.patient type (inpatient and outpatient), 2.payer plan (42 unique categories of payer plans. Charity, State-sponsored charity and the Uninsured are among the uniquely identified payer plans), and 3.clinical service (53 unique clinical services). The cost of care for uninsured patients who qualify for "full" charity care (under a State-sponsored or BHR sponsored charity program) is determined by calculating the cost of each uninsured charity patient (at the procedure and item level) and accumulating the cost of each patient. For insured patients who also qualify for partial charity under the BHS sponsored charity program, costs are allocated to each portion (insurance, partial charity, patient payments and bad debt) using the patient's payer plan cost-to-charge ratio (CCR). For example, this CCR is multiplied by the charges covered by insurance to determine the cost of insurance, multiplied by charges covered by partial charity to determine the cost of partial charity, multiplied by patient payments to determine the cost of paid services and multiplied by unpaid charges to determine the cost of bad debt. The cost of care for uninsured patients who do NOT qualify for charity care (full or partial bad debt accounts) are allocated to each portion (patient paid portion and unpaid portion) using the patient's uninsured payer plan CCR. For example, this CCR is multiplied by patient payments to determine the cost of paid services and multiplied by unpaid charges to determine the cost of bad debt. Much care is taken to ensure that costs used for community benefit reporting are directly related to exempt-purpose patient care (excluding physician-related costs) and that costs are reported accurately. For example, the cost of charity and Medicaid are removed from the calculation of the loss on subsidized services. schedule h, part iii, line 2 EXPLANATION FOR COSTING METHODOLOGY THE COST TO CHARGE RATIO IS THE METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST. schedule h, part iii, line 3 RATIONALe FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE AND FOR THIS REASON, THE ORGANIZATION BELIEVES IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY IS NEGLIGIBLE. Schedule H, Part III, Line 4 bad debt expense footnote in organization's financial statements THE HOSPITAL ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. SCHEDULE H, PART III, LINE 8 MEDICARE COSTING METHODOLOGY MEDICARE REVENUES AND ALLOWABLE COSTS WERE TAKEN FROM THE AS FILED MEDICARE COST REPORT. MUCH CARE IS TAKEN TO ENSURE THAT ALL ADJUSTMENTS TO REMOVE NON-ALLOWABLE COSTS ARE TAKEN. DUE TO THE FACT THAT MEDICARE RATES ARE NON-NEGOTIABLE AND ARE ESTABLISHED BY THE GOVERNMENT, ALL OF THE SHORTFALL FOR MEDICARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES Patients and guarantors who qualify for a "full" charity discount will not be billed once the charity determination is made. Patients and guarantors who qualify for a "partial" charity discount will be billed only for the non-discounted portion of their account. Guarantors who have an ability to pay for services will be billed based on the following guidelines. - Patients or guarantors may be asked to pay an estimated patient liability at point of service. - BHr facilities will accept and file claims for all insurances assigned to the organization with adequate proof of coverage. This assignment does not relieve the guarantor of responsibility for payment if the insurer fails to pay as prescribed by regulation, statute or patient-insurance contract. Deductibles, co-payments and non-covered services will be the responsibility of guarantors. - Statements will be sent to guarantors once patient liability is determined for insured or uninsured patients and necessary billing follow-up calls will be made by BHr Patient Financial Services and/or a designated external early out vendor over a period of time averaging from 90 to 120 days. All statements will contain information regarding the availability of financial assistance. If applicable, effort will be made to assist uninsured patients to secure coverage through any governmental or other assistance programs. - Patients requesting detailed charge information will be provided with an itemized bill. - BHr Patient Financial Services will provide all patients the same information concerning services and charges. - Patient accounts not resolved at the end of this cycle will be considered for placement with external collection agencies. Collection agencies will continue to pursue patient balances while maintaining compliance with the Fair Debt Collection Practices Act and the ACA International's Code of Ethics and Professional Responsibility. Schedule H, Part VI Needs assessment Baptist Health Richmond, Inc. ("BHR") ASSESSES THE HEALTH CARE NEEDS OF OUR SERVED COMMUNITIES IN A VARIETY OF WAYS. ONE EXAMPLE IS COMMUNITY WORK GROUPS, WHICH MEET MONTHLY TO DISCUSS VARIOUS CURRENT AND EMERGING COMMUNITY HEALTH ISSUES, ULTIMATELY DETERMINING TREATMENT AND EDUCATION PROTOCOLS. THIS GROUP IS COMPRISED OF HOSPITAL CLINICAL PROFESSIONALS, SCHOOL ADMINISTRATORS, LOCAL COLLEGE ADMINISTRATORS, EMERGENCY PREPAREDNESS OFFICIALS AND LOCAL HEALTH DEPARTMENT OFFICIALS, TO NAME A FEW. ANOTHER ASSESSMENT bhr CONDUCTS IS A PHYSICIAN NEEDS ANALYSIS ON A REGULAR BASIS TO ENSURE THE COMMUNITY HAS ADEQUATE PHYSICIAN COVERAGE IN ALL NEEDED DISCIPLINES. Schedule H, Part VI Patient education of eligibility for assistance Following is a list of various methods/processes used to inform/educate patients on the availability of financial assistance: - financial counselors advise and/or screen uninsured patients before or during hospital services, - a third party vendor advises and/or screens uninsured patients during hospital services, - financial counselors provide follow-up contact for patients missed during services, - the State-sponsored DSH form is provided to all ER uninsured patients, - telephone calls and in-person visits are handled by staff trained to discuss financial assistance, - information regarding financial assistance is included in patient statements. - The BHR sponsored charity care program policy is posted in key areas of each hospital. - The BHR sponsored charity care program policy is posted on the website of each hospital and the System. Schedule H, Part VI Community Information BHR IS LOCATED IN THE FOOTHILLS OF APPALACHIA, IN CENTRAL KENTUCKY IN THE COMMUNITY OF RICHMOND. LIKE MANY OTHER REGIONAL FACILITIES THROUGHOUT THE COUNTRY, BHR PROVIDES HEALTHCARE SERVICES TO A NUMBER OF COUNTIES. BHRS IMMEDIATE SERVICE AREA IS MADISON, ESTILL, GARRARD, AND JACKSON COUNTIES. IN ADDITION, PEOPLE FROM OVER TEN SURROUNDING COUNTIES COME TO BHR TO TAKE ADVANTAGE OF THE WIDE VARIETY OF SPECIALTY MEDICAL SERVICES. BHR IS LOCATED IN MADISON COUNTY. FROM THE 2010 CENSUS, THERE WERE 82,916 PEOPLE, 29,720 HOUSEHOLDS, AND 18,812 FAMILIES RESIDING IN THE COUNTY. THERE WERE 33,806 HOUSING UNITS. THE RACIAL MAKEUP OF THE COUNTY WAS 91.6% WHITE, 4.4% BLACK OR AFRICAN AMERICAN, 0.28% NATIVE AMERICAN, 0.3% ASIAN, 0.34% FROM OTHER RACES, AND 2.0% FROM TWO OR MORE RACES. 2.12% OF THE POPULATION WAS HISPANICS OR LATINOS OF ANY RACE. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $40,241. THE PER CAPITA INCOME FOR THE COUNTY WAS $20,649. ABOUT 19.2% OF THE POPULATION WAS BELOW THE POVERTY LINE. Schedule H, Part VI Promotion of community health THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH HAVING A MAJORITY OF INDEPENDENT GOVERNING BODY MEMBERS WHO ALL RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA; HAVING AN OPEN MEDICAL STAFF; AND RE-INVESTING ANY OPERATING SURPLUS TO CONTINUE PROVIDING QUALITY HEALTHCARE TO ALL IN THE HOSPITALS SERVICE AREA. Schedule H, Part VI Affiliated health care system THE ORGANIZATION IS PART OF BAPTIST HEALTHCARE SYSTEM, INC. ("BHS"). Schedule H, Part VI State filing of community benefit report kentucky X X X X X X false true false false false false false false false ROSHAN PAIS MD CHIEF MeDiCAL OFFCR EX-OFFicio 244736 0 0 0 0 0 4895 0 23537 0 273168 0 0 0 WILLIAM SISSON DIRECTOR 0 592853 0 0 0 70616 0 224458 0 35970 0 923897 0 52043 CHRISTOPHER T JONES PRESIDENT 237208 0 0 0 12030 0 16202 0 26387 0 291827 0 0 0 THOMAS D CERVONI PHYSICIAN 491627 0 0 0 0 0 9833 0 29219 0 530679 0 0 0 RICHARD A SHELTON PHYSICIAN 219343 0 0 0 0 0 4387 0 24885 0 248615 0 0 0 ELIJAH V KAKANI PHYSICIAN 215325 0 0 0 0 0 4307 0 23090 0 242722 0 0 0 CHRIS MCCLURG CFO (THRU 7/1/13) 102808 0 0 0 0 0 2056 0 16120 0 120984 0 0 0 CARL HERDE TREASURER 0 572751 0 0 0 11632 0 177730 0 36496 0 798609 0 0 JANET NORTON SECRETARY 0 407994 0 0 0 19565 0 90790 0 33795 0 552144 0 0 STEPHEN C HANSON SYSTEM CEO (EFF 3/26/13) 0 702441 0 230000 0 26610 0 748 0 20329 0 980128 0 0 TOMMY SMITH SYSTEM CEO (THRU 3/25/13) 0 859287 0 0 0 188294 0 5560 0 29779 0 1082920 0 103049 DAVID SHAFRAN PHYSICIAN 230438 0 0 0 0 0 4609 0 26421 0 261468 0 0 0 Schedule J, Part I, Line 4b supplemental compensation information During calendar year 2013, FOUR officers of BHS (TWO OF WHICH ARE OFFICERS OF BHR) received a payout from a Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan. The Plan is offered to a select group of management as determined by the BHS Executive Benefits Committee. The amounts paid during 2013 were previously reported as compensation on the 990 and were included in W-2 wages in 2013, reported in Schedule J, Part II, column (F) and is a portion of the amount reported in column B (iii). The following individuals received a payout from a Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan: - William Sisson - 52,043 - TOMMY SMITH - 103,049 In addition, THREE officers (TWO OF WHICH ARE OFFICERS OF BHR) who participate in the Supplemental Executive Retirement Plan accrued amounts for 2014 which is a portion of the amount reported as deferred compensation in Schedule J, column C. Other retirement and deferred compensation reported in Schedule J, column C include amounts for the Retirement Accumulation Plan and Thrift Plan. The following individuals participated in and accrued amounts from the Supplemental Executive Retirement Plan: - William Sisson - 80,593 - CARL HERDE - 45,666 FORM 990, PART III, LINE 4A PROGRAM ACCOMPLISHMENTS BAPTIST HEALTH RICHMOND, INC. ("BHR") REALIZES THAT NOT ALL PATIENTS HAVE FINANCIAL RESOURCES TO PAY THEIR BILL. IN LIGHT OF THIS, BHR HAS CHARITY CARE POLICIES AND PROCEDURES IN PLACE TO DETERMINE A PATIENTS ABILITY TO PAY FOR SERVICES. UN-REIMBURSED CHARITY CARE CHARGES REPRESENT 3.8% OF GROSS PATIENT SERVICE REVENUE FOR THE YEAR. BHR OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY, EVERY DAY. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR PAYMENT ABILITY. BHR EXPERIENCED 30,948 EMERGENCY DEPARTMENT VISITS FOR THE TWELVE MONTHS ENDED AUGUST 31, 2014. BHR PROVIDED INPATIENT SERVICES TO THE CITIZENS OF MADISON AND SURROUNDING COUNTIES. A TOTAL OF 3,202 INPATIENTS WERE ADMITTED DURING THE TWELVE MONTHS ENDED AUGUST 31, 2014 RESULTING IN 12,585 INPATIENT DAYS. BHR PROVIDED OBSTETRIC SERVICES TO THE CITIZENS OF MADISON AND SURROUNDING COUNTIES. A TOTAL OF 754 DELIVERIES WERE PERFORMED DURING TWELVE MONTHS ENDED AUGUST 31, 2014. BHR PROVIDED SURGICAL SERVICES TO 7,079 PATIENTS DURING TWELVE MONTHS ENDED AUGUST 31, 2014. IN ADDITION TO THE LARGEST PROGRAM SERVICES, BHR ALSO PROVIDES OR SUPPORTS THE FOLLOWING COMMUNITY PROGRAMS AT FREE OR SUBSTANTIALLY REDUCED COST TO THE COMMUNITY: Community Wellness Event: provide free blood pressure, height and weight, body fat analysis, osteoporosis screening, blood glucose, anemia screening, diabetes risk assessment, heart risk assessment, nutritional counseling and educational materials. (Approximately 200 community participants) Annual Paint the Town Pink campaign: a month long breast cancer awareness campaign that promotes the importance of early detection in preventing cancer. The Annual campaign hosts more than four community events, including Mammogram and a Movie where a physician panel leads a question and answer discussion about breast cancer screening, diagnosis and treatment. (Approximately 5,000 community members participate in the awareness campaign) Heart health education and campaign: a series of education events and outreach are hosted to educate all demographics on the signs and symptoms of a heart attack and the importance of calling 9-1-1. This includes Save-A-Heart, where heart patients and physicians describe their experience and the benefits of life saving heart care; Cold Heart Truth, a lunch and learn session on a heart healthy diet and the impact that your lifestyle has on your heart health; and community and student educational classes where members of the heart care team visit schools and businesses teaching individuals how to recognize the signs and symptoms of a heart attack. Community based educational programs: childbirth classes, breastfeeding classes, smoking cessation classes, nutritional and diabetes education and stress management classes. Participation in other health fairs: provide health education materials, free screening and health risk assessments for various health fairs in the community. (More than 3,000 community members served) Support of community projects: served on a variety of community action committees, participated in economic development discussions and enrolled at least one member of the management team in Leadership Madison County annually. Provide speakers on health careers and tours of the hospital. (benefits approximately 300 students annually) Leadership Madison County: provide classes for participants, food, meeting space, etc. (Approximately 30 leaders served) FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S SOLE MEMBER IS BAPTIST HEALTHCARE SYSTEM, INC. ("BHS"), A NON-PROFIT, TAX EXEMPT CORPORATION ORGANIZED UNDER AND PURSUANT TO THE PROVISIONS OF THE LAW OF THE COMMONWEALTH OF KENTUCKY. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS BOARD OF DIRECTORS ARE APPOINTED BY RESOLUTION OF THE ORGANIZATIONS SOLE MEMBER, bhs. FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE SOLE MEMBER, BHS, HAS THE FOLLOWING RESERVED POWERS ACTING THROUGH ITS BOARD INCLUDING: (I) APPROVE THE MISSION, VISION, AND VALUES OF THE CORPORATION AND AMENDMENTS THERE TO. (II) APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THE BYLAWS. (III) APPROVE THE STRATEGIC PLAN OF THE CORPORATION. (IV) APPROVE THE TRANSFER OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS OR INVESTMENT OR INTEREST IN ANY BUSINESS ENTERPRISE; ANY MERGER, COMBINATION, OR REORGANIZATION OF THE CORPORATION; ANY LIQUIDATION, REORGANIZATION, OR RECAPITALIZATION OF THE CORPORATION; OR ANY AGREEMENT TO DO THE FOREGOING. (V) APPROVE THE CAPITAL EXPENDITURE AND OPERATING BUDGETS OF THE CORPORATION, AND ANY UNBUDGETED EXPENDITURES OVER $500,000. (VI) SELECTION OF THE CORPORATIONS AUDITOR. (VII) APPROVE THE INCURRENCE OF DEBT OF THE CORPORATION ABOVE $500,000 OR OTHER AMOUNT ESTABLISHED BY BHS AND THE MAKING OF ANY CAPITAL EXPENDITURE ABOVE $500,000 OR OTHER AMOUNT ESTABLISHED BY BHS. (VIII) APPROVE THE APPOINTMENT, REMOVAL, AND EVALUATION OF THE PRESIDENT OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION ACTING THROUGH THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BHS. (IX) APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. APPOINTMENT AND REMOVAL SHALL NOT REQUIRE A RECOMMENDATION OF THE CORPORATIONS BOARD. (X) APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR OF THE BOARD OF THE CORPORATION. APPOINTMENT AND REMOVAL SHALL NOT REQUIRE A RECOMMENDATION OF THE CORPORATIONS BOARD. (XI) AUTHORIZE EXECUTION OF ANY CONTRACT, AGREEMENT, OR SIMILAR INSTRUMENT BY WHICH THE CORPORATION MAY BE OBLIGATED TO PAY MORE THAN AN AMOUNT ESTABLISHED BY BHS. (XII) ACQUIRE ANY STOCK OF ANY CORPORATION OR ANY EQUITY IN ANOTHER CORPORATE FORM, OR INVEST IN OR ACQUIRE ANY INTEREST IN ANY BUSINESS ENTERPRISE. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE INTERNALLY PREPARED FORM 990 IS REVIEWED AND APPROVED BY TAX CONSULTANTS. COPIES ARE GIVEN TO EACH VOTING MEMBER OF THE BOARD PRIOR TO FILING FOR THEIR REVIEW. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ANNUALLY, THE SECRETARY OF BHS SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH OF THE DIRECTORS AND OFFICERS SERVING ON THE BOARD OF BHr. AFTER COMPLETION, THEY ARE RETURNED TO THE SECRETARY AND REVIEWED BY THE BOARD OR THE GOVERNANCE EFFECTIVENESS COMMITTEE FOR ANY POTENTIAL CONFLICTS. A CONFLICT OF INTEREST IS ANY CIRCUMSTANCE, RELATIONSHIP (FINANCIAL OR OTHERWISE), ACTIVITY OR DECISION (MADE IN THE COURSE OF GOVERNANCE, MANAGEMENT OR PROFESSIONAL RESPONSIBILITIES OR OTHERWISE) THAT ADVERSELY INFLUENCES OR APPEARS TO ADVERSELY INFLUENCE THE ABILITY OF A COVERED PERSON TO: 1) MAKE OBJECTIVE DECISIONS ON BEHALF OF BHA AND/OR 2) ACT IN THE BEST INTERESTS OF BHr IN A MANNER CONSISTENT WITH THE TAX-EXEMPT PURPOSES OF BHr. THE BOARD OR COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS WHETHER THE DISCLOSED FINANCIAL OR SPECIAL INTEREST MAY RESULT IN A CONFLICT OF INTEREST. FORM 990, PART VI, LINE 15 PROCESS FOR DETERMINING COMPENSATION ORGANIZATION'S DIRECTOR OF HUMAN RESOURCES (HR) COMPLETES AN ANNUAL SALARY SURVEY. DATA IS COMPILED FROM TWO SOURCES: THE KENTUCKY SOCIETY OF HEALTHCARE HUMAN RESOURCES ADMINISTRATORS (KSHHRA) AND THE KENTUCKY HOSPITAL ASSOCIATION (KHA). BOTH OF THESE RESOURCES USE A THIRD PARTY TO RETRIEVE AND ANALYZE DATA. KHA USES COMPDATA AND KSHHRA USES HR ADVANTAGE. THE DIRECTOR OF HR TAKES EVERY POSITION WITHIN THE ORGANIZATION AND MATCHES A POSITION FROM EACH GROUP. THE DIRECTOR THEN COMPARES WHAT THE CURRENT COMPENSATION RATES ARE WITH THE SURVEY RESULTS AND ANALYZES EACH POSITION TO DETERMINE WHERE THE ORGANIZATION IS COMPARED TO THE MARKET. A LIST IS COMPILED FOR POSITIONS IN WHICH THE ORGANIZATION IS COMPENSATING LOWER THAN THE MARKET WITH RECOMMENDATIONS TO INCREASE THE COMPENSATION FOR THOSE POSITIONS. THE LIST AND RECOMMENDATIONS ARE GIVEN TO THE ADMINISTRATIVE TEAM. AFTER REVIEWING THE DATA PRESENTED AND THE RECOMMENDATIONS, THE ADMINISTRATIVE TEAM WILL OFFER ITS SUGGESTIONS AND MAKE A FINAL RECOMMENDATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MAKES THE FINAL DECISION ON CHANGES TO THE ANNUAL COMPENSATION PACKAGE. THE ANNUAL COMPENSATION ADJUSTMENT FOR THE CEO IS ALWAYS PUT IN WRITING AS APPROVED BY THE BOARD AND FILED IN THE HR DEPARTMENT. FOR NEW EMPLOYEES, A RANGE IS SET FOR ALL POSITIONS WITH THE EXCEPTION OF DEPARTMENT DIRECTORS AND THOSE IN HIGHER POSITIONS. THE SALARIES FOR DEPARTMENT DIRECTORS AND ABOVE ARE DETERMINED BY THE VICE-PRESIDENT OVER THAT PARTICULAR AREA WITH INPUT FROM THE HR DIRECTOR BASED ON INFORMATION FROM THE SURVEYS MENTIONED ABOVE. THE DETERMINED COMPENSATION RATE IS COMMUNICATED TO THE NEW EMPLOYEE VIA AN OFFER LETTER AND DOCUMENTED ON THE REQUEST TO HIRE IN HIS/HER PERSONNEL FILE. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN MINIMUM PENSION LIABILITY (2,093,366) CHANGE IN BENEFICIAL INTEREST PERPETUAL TRUSTS 3,100,797 CHANGE IN TEMPORARILY RESTRICTED NET ASSETS (275,128) NET ASSET TRANSFERS INTER-COMPANY (3,460,699) PRIOR PERIOD ADJUSTMENT RECLASSING INTERCO RECEIVABLES (1,774,779) -------------- TOTAL (4,503,175) MEDICAL CENTER AMBULANCE SERVICES INC 629 LAFOON STREET MADISONVILLE KY 42431 610946210 ambulance svc KY 501(c)(3) line 9 na true BAPTIST HEALTHCARE AFFILIATES INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 611226399 HOSPITAL KY 501(c)(3) line 3 bhsi true BAPTIST COMMUNITY HEALTH SERVICES INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 611141242 MEDICAL svcs KY 501(c)(3) line 11a bhsi true Baptist Medical Associates Inc 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 205497203 PHYSICIAN svc KY 501(c)(3) line 3 bhsi true BAPTIST PHYSICIANS LEXINGTON INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 205494939 PHYSICIAN Svc KY 501(c)(3) line 3 bhsi true BAPTIST PHYSICIANS SOUTHEAST INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 260766344 PHYSICIAN Svc KY 501(c)(3) line 3 bhsi true WESTERN BAPTIST MEDICAL VENTURES INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 611194899 PHYSICIAN Svc KY 501(c)(3) line 3 bhsi true BAPTIST HEALTHCARE FOUNDATION INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 311122867 FUNDRAISING KY 501(c)(3) line 11a bhsi true BAPTIST HOSP Fnd OF GRt LOUisville inc 4000 KRESGE WAY LOUISVILLE KY 40207 200292291 FUNDRAISING KY 501(c)(3) line 11a bhsi true BAPTIST HEALTH FOUNDATION LEXINGTON INC 1740 NICHOLASVILLE ROAD LEXINGTON KY 40503 611480774 FUNDRAISING KY 501(c)(3) line 11a bhsi true LEXINGTON CARDIAC RESEARCH Fnd Inc 1740 NICHOLASVILLE ROAD LEXINGTON KY 40503 204242792 MEDICAL RSrch KY 501(c)(3) line 11a bhsi true BAPTIST HEALTH FOUNDATION PADUCAH INC 2501 KENTUCKY AVENUE PADUCAH KY 42003 264057759 FUNDRAISING KY 501(c)(3) line 11a bhsi true MERCY REGIONAL EMERGENCY MEDICAL SYSTEMS 126 LONE OAK ROAD PADUCAH KY 42001 611310466 AMBULANCE Svc KY 501(c)(3) line 11a bhsi true BAPTIST HEALTHCARE SYSTEM INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 610444707 HOSPITAL KY 501(c)(3) line 3 NA false BAPTIST HEALTH FOUNDATION RICHMOND INC PO BOX 1600 RICHMOND KY 40476 311506378 FUNDRAISING KY 501(c)(3) line 11a bhsi true PATTIE A CLAY HOSPITAL AUXILIARY PO BOX 1600 RICHMOND KY 40476 510172717 SUPPORT HOSP KY 501(c)(3) line 11a bhsi true BAPTIST HEALTH MADISONVILLE 900 HOSPITAL DR MADISONVILLE KY 42431 610654587 HOSPITAL KY 501(c)(3) line 3 bhsi true MUHLENBERG MEDICAL CENTER 200 CLINIC DR MADISONVILLE KY 42431 200108053 RENTAL KY bmmsi UNRELATED BAPTIST EASTMILESTONE LLC 750 CYPRESS STATION DR LOUISVILLE KY 40207 611355065 FITNESS CENTER KY bapt vntrs inc EXCLUDED BAPTIST PHYSICIANS' SRGRY CNTR LLC 1720 NICHOLASVILLE Rd 101 LEXINGTON KY 405031490 043665929 AMBULATORY SRGRY KY bchs RELATED BAPTIST EASTPOINT SRGRY CNTR LLC 2400 EASTPOINT PARKWAY LOUISVILLE KY 40223 260834852 AMBULATORY SRGRY KY bchs RELATED MEDICAL ASSOCS OF MIDDLETOWN LLC 4000 KRESGE WAY LOUISVILLE KY 40207 200399400 MDCL OFFiCe BLDG KY bhsi RELATED PETCT MANAGEMENT LLC 7807 SHELBYVILLE RD STE 201 LOUISVILLE KY 40222 200154982 MGMT AND EQPMNT KY bhsi RELATED ST MATtHEWS SURGERY CENTER LLC 4130 DUTCHMANS LN STE 300 LOUISVILLE KY 40207 453714318 AMBULATORY SRGRY KY bchs RELATED BAPTIST VENTURES INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 611217018 MANAGEMENT KY bhsi C Corp true BLUEGRASS FAMILY HEALTH INC 651 PERIMETER PARK STE 300 LEXINGTON KY 40223 611241101 INSURANCE KY bhsi C Corp true baptist health network inc 4000 KRESGE WAY LOUISVILLE KY 402074604 272939694 ACO KY bhsi C Corp true MUTUAL CREDIT SERVICES INC PO BOX 149 MADISONVILLE KY 42431 610660705 COLLECTION AGNCY KY BHSI C CORP true baptist medical management svcs 900 hospital drive madisonville KY 42431 371519513 hc mso KY bhsi c corp true false false false false false false false false false true false false false false false true false true true Baptist Physicians Lexington Inc j 69139 cost Baptist Healthcare System Inc p 5762385 cost Baptist Healthcare System Inc r 9760505 cost Baptist Community Health Services Inc r 151246 cost