2015-07-14T15:40:05-05:00 2014-08-31 ERNST & YOUNG US LLP 1900 SCRIPPS CENTER 312 WALNUT ST CINCINNATI OH 45202 990 2013-09-01 610654587 Baptist Health Madisonville Inc % BAPTIST HEALTH MADISONVILLE BAPT 2708255201 900 HOSPITAL DRIVE Suite MADISONVILLE KY 42431 CARL HERDE TREASURER 2708255201 2015-07-13 true TRICIA M JOHNSON P00627205 2708255201 2013 2016-02-25 16:41:14Z carl herde 900 Hospital Drive Madisonville KY 42431 200120820 false X WWW.BAPTISTHEALTHMADISONVILLE.COM X 1956 KY TO OPERATE AN ACUTE CARE HOSPITAL AND MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE SERVING RURAL COMMUNITIES IN KENTUCKY. OUR MISSION IS TO PROVIDE EXCELLENT CARE, EVERY TIME. 12 9 2146 68 78833 28424 1239714 1858859 92529474 137878944 801203 1292945 17256534 41542131 111826925 182572879 36120 1057428 0 0 66043011 101411461 0 0 0 49528576 83906916 115607707 186375805 -3780782 -3802926 197112914 175988754 55185049 45837091 141927865 130151663 X TO OPERATE AN ACUTE CARE HOSPITAL AND MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE SERVING RURAL COMMUNITIES IN KENTUCKY. 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THE ORGANIZATION HAS DISCLOSED A LOBBYING ALLOCATION OF $22,388 PER FORM 990. THESE ASSOCIATIONS INCLUDE THE AMERICAN MEDICAL ASSOCIATION, KENTUCKY HOSPITAL ASSOCIATION, KENTUCKY MEDICAL ASSOCIATION, AS WELL AS VARIOUS OTHERS. 164559 4023 4094 164488 159404 9552 4397 164559 153560 197043 191199 159404 153226 12778 12444 153560 116582 47270 10626 153226 1.00000 false false 9902460 9902460 87387289 46790319 40596970 25967 25967 180893396 157539269 23354127 7178529 4104861 3073668 76927225 0 ACCRUED INTEREST ON BONDS 110312 AMTS. PAYABLE TO MEDICARE/MEDICAID 5054900 MCC BUILDING PLEDGE 750000 WORKERS COMPENSATION ACCRUAL 1254684 OTHER LIABILITIES 92252 7262148 Schedule D, Part V, Line 4 Intended use of endowment funds PATIENT CARE, HOSPICE BEREAVEMENT CAMP, MAHR CANCER CENTER, AND OTHER PATIENT CARE INITIATIVES. true true true X true X true true true false false 6267923 1117538 5150385 0.02780 20614286 15519633 5094653 0.02750 26882209 16637171 10245038 0.05530 644352 644352 0.00350 5626978 735659 4891319 0.02640 25227 25227 0.00010 2226428 2226428 0.01200 8522985 735659 7787326 0.04200 35405194 17372830 18032364 0.09730 1203 1203 0.00000 35210 35210 0.00000 36412 36412 0.00000 72825 72825 0.00000 true 8542456 55719051 61862526 -6143475 X true true 1 1 BAPTIST HEALTH MADISONVILLE 900 HOSPITAL DRIVE MADISONVILLE KY 42431 www.baptisthealthmadisonville.com X X X baptist health madisonville 1 true X X X X X X X X 12 true false true X WWW.BAPTISTHEALTHMADISONVILLE.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 true false X X X X true X false false Schedule H, Part V, Line 3 Input from community representatives INTERVIEWS WITH 25 KEY INFORMANTS WERE CONDUCTED OVER A THREE DAY PERIOD. INTERVIEWEES WERE DETERMINED BASED ON THEIR A) SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH B) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS, OR INDUSTRY OR C) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY, BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY, OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT HOPKINS, WEBSTER AND MUHLENBERG COUNTY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES, AND DELINEATION OF THE MOST IMPORTANT HEALTHCARE ISSUES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THESE ISSUES. NAME AND ORGANIZATIONAL AFFILIATIONS WERE NOT CONNNECTED TO THE INFORMATION PRESENTED IN THE REPORT. KEY INFORMANTS FROM THE COMMUNITY WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES: SOCIAL SERVICE AGENCIES, LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE, LOCAL CITY AND COUNTY GOVERNMENT, PUBLIC HEALTH AGENCIES, INDUSTRY, FAITH COMMUNITY, AND MEDICAL PROVIDERS. Schedule H, Part V, section b, Line 5c Availibility 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, section b, Line 7 Needs not addressed THE HOSPITAL HAS ENTERED INTO A SERVICES AGREEMENT WITH HORIZON HEALTH TO ASSIST IN OPENING A 20 BED INPATIENT ADULT BEHAVIORAL HEALTH UNIT AT THE HOSPITAL. THE UNIT IS ANTICIPATED TO OPEN IN THE SUMMER OF 2015 PENDING EMPLOYMENT OF A PSYCHIATRIST. 5 BAPTIST MEDICAL MANAGEMENT ASSOCIATES 200 CLINIC DRIVE MADISONVILLE KY 42431 PHYSICIAN OFFICES BAPTIST HEALTH HOME CARE 107 EAST MAIN STREET MADISONVILLE KY 42431 HOME HEALTH AGENCY BAPTIST HEALTH SPORTS MEDICINE AND REHAB 500 CLINIC DRIVE MADISONVILLE KY 42431 REHAB SERVICES BAPTIST HEALTH HOSPICE 418 NORTH SCOTT STREET MADISONVILLE KY 42431 HOSPICE BAPTIST HEALTH TRANSITIONAL CARE 900 HOSPITAL DRIVE MADISONVILLE KY 42431 SKILLED NURSING FACILITY Schedule H, Part I, Line 7 COSTING METHODOLOGY A COST-TO-CHARGE RATIO BASED ON THE MOST RECENT AS FILED MEDICAID COST REPORT WAS USED TO CALCULATE THE AMOUNTS REPORTED IN EACH LINE OF THE TABLE. SCHEDULE H, PART II, LINE 10 COMMUNITY BUILDING ACTIVITIES THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH OPEN MEDICAL STAFF, SERVICE ON COMMUNITY BOARDS, 24 HOUR EMERGENCY DEPARTMENT, OCCUPATIONAL MEDICINE PROGRAM, FREE ATHLETIC PHYSICALS, HEALTH FAIRS AND SCREENINGS, COURTESY MEMBERSHIP TO FITNESS FOR ATHLETES, POLICE OFFICERS AND FIRE DEPARTMENT, EDUCATIONAL PROGRAMS, ATHLETIC TRAINERS AT SCHOOL EVENTS, AND A CENTERING PREGNANCY PROGRAM. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE FOOTNOTE PER THE FINANCIAL STATEMENTS OF BAPTIST HEALTHCARE SYSTEM (WHICH INCLUDE THE ACTIVITY OF BAPTIST HEALTH MADISONVILLE) THERE IS NO BAD DEBT FOOTNOTE FOR THE CURRENT YEAR. THE AMOUNT ON LINE 2 WAS CALCULATED USING A COST-TO-CHARGE RATIO. SCHEDULE H, PART III, LINE 8 TREATMENT OF MEDICARE SHORTFALL AS COMMUNITY BENEFIT 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 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. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR CHARITY CARE, THE PATIENT IS CLASSIFIED AS SUCH FOR THREE MONTHS. IF THE PATIENT RETURNS FOR SERVICES WITHIN THREE MONTHS, THEY ARE AUTOMATICALLY QUALIFIED FOR CHARITY CARE, WHICH IMPROVES THEIR ACCESS TO HEALTHCARE SERVICES. SCHEDULE H, PART VI NEEDS ASSESSMENT THE COMMUNITY SERVED BY THE HOSPITAL WAS DEFINED BY UTILIZING INPATIENT AND OUTPATIENT DATA REGARDING PATIENT ORIGIN. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. AN INVENTORY OF HEALTH CARE FACILITIES AND RESOURCES WERE PREPARED AND THE ESTIMATED DEMAND FOR PHYSICIAN AND HOSPITAL SERVICES WERE EVALUATED. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMATION INTERVIEWS AND SURVEYS. INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD AND THEN PRIORITIZED TAKING INTO ACCOUNT THE PERCEIVED DEGREE OF INFLUENCE THE HOSPITAL HAS TO IMPACT THE NEED. INFORMATION GAPS WERE IDENTIFIED DURING THE PRIORITIZATION PROCESS AND WERE REPORTED. SCHEDULE H, PART VI PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION IDENTIFIES UNINSURED PATIENTS BY REQUESTING INSURANCE INFORMATION AT THE TIME OF THE APPOINTMENT REQUEST. IF THE PATIENT HAS NO INSURANCE BENEFITS, APPOINTMENT SCHEDULING STAFF WILL INFORM THE PATIENT OF THE SELF-PAY POLICY. EXCEPT FOR EMERGENCY ROOM VISITS, NEW PATIENTS WHO ARE UNABLE TO PAY AT THE TIME OF SERVICE ARE PROVIDED SERVICES BY FINANCIAL COUNSELORS FOR EDUCATION AND ASSISTANCE. EMERGENCY ROOM PATIENTS ARE NOT ASKED FOR PAYMENT OR INSURANCE UPON REGISTRATION OR ADMISSION. DURING FINANCIAL COUNSELING, PATIENTS WILL BE INFORMED OF THE KENTUCKY PHYSICIANS CARE PROGRAM (KPC) IN COORDINATION WITH THE DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM. THEY WILL ALSO BE COUNSELED ON POTENTIAL ELIGIBILITY FOR MEDICAID AND DISABILITY PROGRAMS. PATIENTS WILL ALSO BE ADVISED OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS WILL BE PROVIDED. SCHEDULE H, PART VI COMMUNITY INFORMATION THE ORGANIZATION IS BASED IN MADISONVILLE, KENTUCKY (HOPKINS COUNTY) NEAR INTERSTATE 69, APPROXIMATELY 50 MILES SOUTH OF EVANSVILLE, IN. THE BULK OF THE COMMUNITY'S POPULATION IS CONCENTRATED IN AND AROUND THE CITY OF MADISONVILLE, WITH PORTIONS OF THE NEARBY COUNTIES OF WEBSTER AND MUHLENBERG ALSO HAVING SIGNIFICANT DISCHARGE NUMBERS. APPROXIMATELY 37% OF THE COMMUNITY'S POPULATION FALLS IN THE 15-44 AGE RANGE AND 28% IN THE 45-64 AGE RANGE WITH THE REMAINDER OF THE SPLIT UNDER 15 YEARS AND OVER 65 YEARS BASED ON 2011 DATA. APPROXIMATELY 51% ARE FEMALE AND 49% ARE MALE BASED ON 2011 DATA. SCHEDULE H, PART VI PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY THROUGH OPEN MEDICAL STAFF, SERVICE ON COMMUNITY BOARDS, 24 HOUR EMERGENCY DEPARTMENT, OCCUPATIONAL MEDICINE PROGRAM, FREE ATHLETIC PHYSICALS, HEALTH FAIRS AND SCREENINGS, COURTESY MEMBERSHIP TO FITNESS FOR ATHLETES, POLICE OFFICERS AND FIRE DEPARTMENT, EDUCATIONAL PROGRAMS, ATHLETIC TRAINERS AT SCHOOL EVENTS, AND A CENTERING PREGNANCY PROGRAM. SCHEDULE H, PART VI AFFILIATED HEALTH CARE SYSTEM ON NOVEMBER 1, 2012, TROVER HEALTH SYSTEM SIGNED A MEMBERSHIP SUBSTITUTION AGREEMENT WITH BAPTIST HEALTH SYSTEM BASED IN LOUISVILLE, KY AND EFFECTIVELY BECAME BAPTIST HEALTH MADISONVILLE. BAPTIST HEALTH SYSTEM, ALSO A NON-PROFIT ORGANIZATION, SHARES A SIMILAR MISSION AND SUPPORTS THE PROMOTION OF HEALTH IN THE LOCAL COMMUNITIES SERVICED BY THE ORGANIZATION AS A WHOLE. SCHEDULE H, PART VI STATE FILING OF COMMUNITY BENEFIT REPORT KENTUCKY true CITY OF MADISONVILLE PO BOX 705 MADISONVILLE KY 42431 131788491 gov't 10000 GENERAL SUPPORT MADISONVILLE COMMUNITY COLLEGE 2000 COLLEGE DRIVE MADISONVILLE KY 42431 610561820 gov't 10000 GENERAL SUPPORT HOPKINS COUNTY COMMUNITY CLINIC PO BOX 1794 MADISONVILLE KY 42431 611710391 501(c)(3) 11010 GENERAL SUPPORT 3 Schedule I, Part I, Line 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THERE IS ONE STAFF MEMBER WHO IS RESPONSIBLE FOR APPROVING ALL DONATIONS. THEY SELECT THE ORGANIZATION BASED ON NONPROFIT CRITERIA. AN ANNUAL BUDGET IS ESTABLISHED TO DETERMINE THE TOTAL AMOUNT OF FUNDS TO BE DISTRIBUTED EACH YEAR. X true true X X X X X true true false false false false false true false TIMOTHY DUKES SENIOR VP AND COO 166483 0 20250 0 22519 0 33747 0 17561 0 260560 0 0 0 BERTON E WHITAKER FORMER PRESIDENT 286756 0 53071 0 317187 0 35190 0 10183 0 702387 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 ALI KENBAR MD PHYSICIAN 637853 0 0 0 20 0 0 0 12437 0 650310 0 0 0 THOMAS STANFIELD MD PHYSICIAN 535861 0 16667 0 16520 0 35190 0 13303 0 617541 0 0 0 WAYNE LIPSON MD PHYSICIAN 524558 0 0 0 53290 0 0 0 13303 0 591151 0 0 0 KEVIN WILLIAMS MD PHYSICIAN 491575 0 2500 0 20 0 6900 0 19083 0 520078 0 0 0 JOHN DACOSTA MD PHYSICIAN 729534 0 0 0 20 0 6900 0 21209 0 757663 0 0 0 TOMMY SMITH SYSTEM CEO (THRU 3/25/13) 0 859287 0 0 0 188294 0 5560 0 29779 0 1082920 0 103049 STEPHEN C HANSON SYSTEM CEO (EFF 3/26/13) 0 702441 0 230000 0 26610 0 748 0 20329 0 980128 0 0 MARK FITZMAURICE MD DIRECTOR/PHYSICIAN 282879 0 0 0 17520 0 35190 0 16388 0 351977 0 0 0 ANDY SEARS VICE CHAIRMAN 0 321607 0 0 0 21246 0 70658 0 31885 0 445396 0 0 KIMBERLY ASHBY VP, FINANCE 135589 0 14237 0 34421 0 28073 0 955 0 213275 0 0 0 C THOMAS MOORE FORMER CFO 44220 0 0 0 350750 0 23448 0 11830 0 430248 0 0 0 Schedule J, Part I, Line 1a SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION PAYS COUNTRY CLUB MEMBERSHIP DUES FOR THE CHIEF OPERATING OFFICER AND ROTARY CLUB DUES FOR THE PRESIDENT. USE OF THE COUNTRY CLUB MEMBERSHIP IS EXCLUSIVELY FOR BUSINESS PURPOSE. Schedule J, Part I, Line 4a DURING THE YEAR, THE FORMER PRESIDENT (BERTON WHITAKER) AND FORMER CFO (C. THOMAS MOORE) RECEIVED SEVERANCE PAYMENTS IN ACCORDANCE TO THEIR CONTRACT. Schedule J, Part I, Line 4b supplemental compensation information During calendar year 2013, FOUR officers of BHS (one OF WHICH is an OFFICER OF Baptist Health Madisonville) 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: - TOMMY SMITH - 103,049 In addition, THREE officers (one OF WHICH is an OFFICER OF Baptist Health Madisonville) 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: - Carl Herde - 45,666 Schedule J, Part I, Line 7 SEVERAL PHYSICIANS ARE COMPENSATED BASED UPON AN INCENTIVE COMPENSATION PLAN. THE INCENTIVE COMPENSATION PAYMENTS ARE NOT CONTINGENT UPON GROSS REVENUES OR NET EARNINGS OF THE ORGANIZATION, BUT ARE BASED UPON THE PHYSICIANS'S INDIVIDUAL PRODUCTIVITY AND QUALITY MEASURES. A CITY OF MADISONVILLE KENTUCKY 616001864 2010-12-21 25780000 SEE PART VI false false false A 4632500 0 25780000 0 0 0 234600 0 0 0 25545000 0 2011 true false false true A false true true false 0.02190 0.02190 false false false false A false true false false true false 0 false 0 false false A false schedule k, part I, LINE A DESCRIPTION OF PURPOSE THE PURPOSE OF THE BOND ISSUE WAS TO REFUND CERTAIN SERIES 2006 BONDS. A PORTION OF THE PROCEEDS WERE ALSO USED TO finance the construction, rehabilitation and equipping of certain Facilities. schedule k, part vi procedures to undertake corrective action The organization is in the process of establishing FORMAL WRITTEN PROCEDURES; HOWEVER, IN THE EVENT REMEDIATION ISSUES ARISE, THE ORGANIZATION SEEKS THE ADVICE OF LEGAL COUNSEL. CHRISTY MILLS FAMILY MEMBER OF DIRECTOR 172384 COMPENSATION false ELIZABETH EVELAND FAMILY MEMBER OF DIRECTOR 60038 COMPENSATION false GAIL EVELAND FAMILY MEMBER OF DIRECTOR 42372 COMPENSATION false TIMOTHY DUKES BMMSI OFFICER 1304411 CONTRACT SERVICES false Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS TIMOTHY DUKES IS AN OFFICER OF BAPTIST MEDICAL MANAGEMENT SERVICES, INC., A SUBSIDIARY OF BAPTIST HEALTH MADISONVILLE, INC., AND A KEY EMPLOYEE OF BAPTIST HEALTH MADISONVILLE, INC. BAPTIST HEALTH MADISONVILLE PROVIDES CONTRACTED SERVICES FOR BAPTIST HEALTH MEDICAL MANAGEMENT SERVICES, INC. THUS, THE AMOUNT DISCLOSED FOR BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FOR TIMOTHY DUKES REPRESENTS THE AMOUNT OF CONTRACTED SERVICES BETWEEN THESE TWO ENTITIES. Form 990, Part III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS a. Baptist Health Madisonville is an acute care hospital serving numerous rural communities and offering a broad range of inpatient and outpatient services. Baptist Health Madisonville provides a substantial amount of charity care as detailed below in the Community Service section. Baptist Health Madisonville provided care for 9,042 inpatient adult, pediatric, and nursery admissions from during fiscal year 2014. Patient days totaled 41,748. There were 949 live births, of which over 58% were Medicaid births. Surgery visits totaled 6,049 for fiscal year 2014. Baptist Health Madisonville's Mahr Cancer Center is approved by the American College of Surgeons' Commission on Cancer, receiving the No. 1 overall rating. The Mahr Center provided services to over 44,942 patient visits during fiscal year 2014 and is affiliated with the James Graham Brown Cancer Center at the University of Louisville. b. Baptist Health Medical Associates is a multi-specialty physician group practice with over 50 providers offering a broad range of medical services including specialty and subspecialty services. Baptist Health Medical Associates operated five clinics in rural communities bringing healthcare to medically underserved areas. Baptist Health Medical Associates provided a total of 253,314 patient encounters during fiscal year 2014. c. Trover Foundation Residency Program is an educational program in which Foundation physicians instruct and work with Residents. The Residency Program is affiliated with the University Of Louisville School Of Medicine. 24 residents were involved in the Residency Program during 2014. d. The Dr. Loman C. Trover Medical Education and Research Center (Trover Education and Research Center) provides numerous educational programs that benefit the communities of Western Kentucky. In addition to the Family Practice Residency Program, the Trover Education and Research Center collaborates with Murray State University to offer a graduate degree in nurse anesthesia. The program is dedicated to graduating nurse anesthetists of the highest professional competence who are committed to returning to rural areas to practice. Baptist Health Madisonville serves as the primary clinical site. The Trover Education and Research Center also coordinates the West Area Health Education Center (AHEC) program, connecting the academic health centers at the University of Kentucky and University of Louisville with medically underserved communities throughout the state, in an effort to address Kentucky health care access problems. The Foundation is a regional campus for the University Of Louisville School Of Medicine through the Foundation's Off-Campus Teaching Center. The Center provides individualized clinical training in a small-town environment, with a goal towards increasing the number of physicians in rural areas. The Trover Education and Research Center is a location for the University of Kentucky's Center for Rural Health, created to improve the health status of the rural population of the state. The Trover Education and Research Center sponsors the Delta Project for 20 counties in the state of Kentucky. The goal of the Delta Project is to improve the health status and health care system in each county served. During the fiscal year 2014, 29,126 students were contacted in approximately 67 different schools. e. Green River Hospice is a program assisting terminally ill patients and their families through the death and bereavement process. The Hospice provided service for 10,980 hospice days during the fiscal year. 2014 COMMUNITY SERVICE Service Detail Hours No. of Events Community Contacts -------------------------------------------------------------------------- Educational and Health Improvement Events 16,552 1,310 499,768 Community Events 2,032 43 134,423 Donations/Support 5,347 4,681 1,203,818 Total 23,931 6,034 1,838,009 Total Events 6,034 Total Employee Hours 23,931 Total Community Contacts 1,838,009 CHARITY AND COMMUNITY BENEFIT CARE Baptist Health Madisonville provides care to patients who meet guidelines established in the organization's charity care policy at no charge or at charges less than established rates. Other uncompensated care relates principally to contractual allowances for government payors, discounts taken by commercial payors and bad debts. The Foundation provided uncompensated care, based on established rates, for fiscal year 2014 in the amount of $365,365,000. This represents approximately 67% of total revenue determined from Foundation's established rates in 2014. The following summary quantifies additional community benefit expense in terms of uncompensated care, services to the indigent and benefits to the broader community during 2014: Uncompensated care: Bad debt expense (at cost) $ 2,495,000 Benefits for the poor: Traditional charity care $ 6,268,000 Unpaid costs of Medicaid $ 20,614,000 Total quantifiable benefits for the poor $ 26,882,000 Benefits for the broader community: Educational and Health Improvement Events $ 442,000 Community Events $ 134,000 Donations/Support $ 2,278,000 Research $ 78,000 Total quantifiable benefits for the broader community $ 2,932,000 Total quantifiable community benefits $ 32,309,000 Community benefits expense represents approximately 17% of the total organization's expense for the period ended August 31, 2014. In addition to the above, Baptist Health Madisonville provides a wide range of community benefits including coordination of charitable activities by organization's staff. EDUCATIONAL EVENTS Baptist Health Madisonville's mission is excellent care every time. In order to support this mission, the organization strives to be involved in numerous educational programs. The Family Practice Residency Program completed training for six Family Practice physicians. Total number of residents in training during 2014 was 24. The Certified Registered Nurse Anesthesia Program has trained 232 nurses to become CRNAs since the program's inception. The University of Louisville/ Trover Education and Research Center's Medical Campus provided training for 24 3rd and 4th year medical students. It provided educational activities for high school students interested in a medical career, including shadowing and enhancement classes. Centering Pregnancy Smiles is a partnership between UK, Trover Education and Research Center, the Hopkins County Health Department, the national Centering Pregnancy initiative and other federal, state, and local leaders. The alliance, established to end the cycle of preterm births, low birth weight, and poor oral health in Kentucky, has already saved Kentucky more than $2.0 million in medical procedures needed by those babies at birth. The program assisted over 218 local mothers during 2014. In over 1,200 different events, the Foundation offered everything from tours to seminars to participation in community educational events. Thousands of students in western Kentucky benefited in some way from the Foundation's efforts. Over 13,000 hours were dedicated to educational events involving over 83,500 individuals throughout the service area. Baptist Health Madisonville physicians also participated in a Women's Health Forum sponsored in part by the organization. Physicians gave presentations on women's health issues. There were also exhibits about women's health. This event attracted approximately 75 participants. Baptist Health Madisonville also participates in the World's Greatest Baby Showers throughout the service area, with over 500 participants. These events are held to help educate expectant mothers about their pregnancy and about taking care of their babies. An OB/GYN, a Family Practice physician, or a pediatrician typically participates. Baptist Health Madisonville sponsors an annual Asthma Camp, a week-long day camp for children ages 6 to 12 who have documented asthma. A variety of supervised activities are planned for children whose asthma might prevent them from attending summer camp. Asthma education is an important component of the camp, with breathing exercises, relaxation techniques, proper use of medications, and monitoring routines among the topics covered. The organization provides two to three respiratory therapists each day of the camp. Baptist Health Madisonville maintains a website for consumer health education topics in both English and Spanish. The website includes daily consumer health news and interactive consumer health tools such as quizzes and calculators. The fees for maintaining this website were $12,000 in 2014. Other educational events sponsored or supported by the organization include the first Step Nursing Program, Rural Health Scholar Program, shadowing opportunities for students, and Breast Cancer Awareness Bingo in Muhlenberg County. Baptist Health Madisonville served over 3,400 individuals through health fairs and screenings in 2014. The Foundation provided blood sugar and blood pressure screenings regu FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS BAPTIST HEALTHCARE SYSTEM IS THE SOLE CORPORATE MEMBER OF BAPTIST HEALTH MADISONVILLE. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS THE BOARD OF DIRECTORS IS TO BE APPOINTED BY BAPTIST HEALTHCARE SYSTEM. POWER TO ELECT OR APPOINT MEMBERS To THE BOARD OF DIRECTORS IS TO BE APPOINTED BY BAPTIST HEALTHCARE SYSTEM. FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS THE CONSENT & APPROVAL OF THE SOLE MEMBER SHALL BE REQUIRED FOR ALL MAJOR CORPORATE ACTIONS, AND ANY ACT THE RESULT OF WHICH WOULD BE TO: A. APPROVE THE MISSION, VISION, AND VALUE OF THE CORPORATION AND AMENDMENTS THERETO; B. APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE CORPORATION; C. APPROVE THE STRATEGIC PLAN OF THE CORPORATION; D. APPROVE THE TRANSFER OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S 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; E. APPROVE THE CAPITAL EXPENDITURE AND OPERATING BUDGETS OF THE CORPORATION, AND ANY UNBUDGETED EXPENDITURES OVER $500,000; F. SELECTION OF THE CORPORATION'S AUDITOR; G. 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; H. 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; I. 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 CORPORATION'S BOARD; J. 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 CORPORATION'S BOARD; K. 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; L. 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. THE FORM 990 IS THEN PRESENTED AT A MONTHLY MEETING OF THE HOSPITAL'S BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY CONFLICT OF INTEREST STATEMENTS ARE COMPLETED FOR EACH BOARD MEMBER, PRINCIPAL OFFICER, AND COMMITTEE MEMBER WITH BOARD DELEGATED POWERS. THE CHAIRMAN OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR BEING FAMILIAR WITH THE STATEMENTS AND IDENTIFYING EXISTING OR CONTEMPLATED TRANSACTIONS OR RELATIONSHIPS WHICH MAY GIVE RISE TO A CONFLICT OF INTEREST. AFFECTED BOARD MEMBERS, OFFICERS, AND COMMITTEE MEMBERS ARE ALSO RESPONSIBLE FOR BRINGING CONFLICTS WHICH THEY MAY BE A PART OF TO THE ATTENTION OF THE BOARD. SUCH AFFECTED PARTIES ARE REQUIRED TO WITHDRAW FROM THE MEETINGS FOR THE TIME IN WHICH THE MATTER CONTINUES UNDER DISCUSSION. IF THE MATTER IS BROUGHT TO A VOTE, THE AFFECTED PARTY WILL NOT VOTE ON IT. IF THE MATTER REQUIRES A SPECIAL CALLED MEETING, THE AFFECTED PARTY WILL NOT BE COUNTED IN ESTABLISHING A QUORUM. THE BOARD WILL ALSO APPOINT A NON-INTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. FORM 990, PART VI, SECTion B, LINE 15A & 15B COMPENSATION DETERMINATION PROCESS EXECUTIVE COMPENSATION FOR BHM IS REVIEWED ANNUALLY IN SEPTEMBER. THE LAST REVIEW WAS PERFORMED IN 2012. THIS REVIEW WAS ALSO INCLUDED IN THE REVIEW PERFORMED AT THE SYSTEM LEVEL. COMPENSATION PACKAGES FOR ORGANIZATION EXECUTIVES AND OTHER OFFICERS ARE COMPARED WITH INDEPENDENT SURVEYS AND RECOMMENDATIONS OF CONSULTANTS. COMPENSATION IS ULTIMATELY APPROVED BY THE COMPENSATION COMMITTEE AND DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST IN THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11g OTHER FEES EXCEEDING 10% Purchased Services $23,207,290 Purchased Maintenance $ 412,393 Consultant Services $ 452,131 Outside Professional $ 2,596,351 Contract Personnel $ 648,631 Maintenance Agreements $ 1,448,018 Recruiting $ 256,847 Locums & Physician Services $ 3,888,099 Collection Expense $ 518,337 total $33,428,097 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS INTERCOMPANY PAYABLE AND RECEIVABLES RECLASSIFIED AS EQUITY $(12,820,769) NET ASSET TRANSFERS TO Baptist Healthcare System $ 4,187,590 ------------- TOTAL $ (8,633,179) 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 KRESEGE 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 RICHMOND INC PO Box 1600 RICHMOND KY 40476 610461940 HOSPITAL KY 501(c)(3) line 3 bhsi true 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 MUHLENBERG MEDICAL CENTER 200 CLINIC DR MADISONVILLE KY 42431 200108053 RENTAL KY bmmsi UNRELATED false false 0.19350 BAPTIST EASTMILESTONE LLC 750 CYPRESS STATION DR LOUISVILLE KY 40207 611355065 FITNESS CENTER KY bapt vntrs inc EXCLUDED false false BAPTIST PHYSICIANS' SRGRY CNTR LLC 1720 NICHOLASVILLE Rd 101 LEXINGTON KY 405031490 043665929 AMBULATORY SRGRY KY bchs RELATED false false BAPTIST EASTPOINT SRGRY CNTR LLC 2400 EASTPOINT PARKWAY LOUISVILLE KY 40223 260834852 AMBULATORY SRGRY KY bchs RELATED false false MEDICAL ASSOCS OF MIDDLETOWN LLC 4000 KRESEGE WAY LOUISVILLE KY 40207 200399400 MDCL OFFiCe BLDG KY bhsi RELATED false false PETCT MANAGEMENT LLC 7807 SHELBYVILLE RD STE 201 LOUISVILLE KY 40222 200154982 MGMT AND EQPMNT KY bhsi RELATED false false ST MATtHEWS SURGERY CENTER LLC 4130 DUTCHMANS LN STE 300 LOUISVILLE KY 40207 453714318 AMBULATORY SRGRY KY bchs RELATED false false BAPTIST VENTURES INC 2701 EASTPOINT PARKWAY LOUISVILLE KY 40223 611217018 MANAGEMENT KY bhsi C Corp 1.00000 true BLUEGRASS FAMILY HEALTH INC 651 PERIMETER PARK STE 300 LEXINGTON KY 40223 611241101 INSURANCE KY bhsi C Corp 1.00000 true baptist health network inc 4000 KRESGE WAY LOUISVILLE KY 402074604 272939694 ACO KY bhsi C Corp 1.00000 true MUTUAL CREDIT SERVICES INC PO BOX 149 MADISONVILLE KY 42431 610660705 COLLECTION AGNCY KY BHSI C CORP 4414 801497 1.00000 true baptist medical management svcs 900 hospital drive madisonville KY 42431 371519513 hc mso KY bhsi c corp 122698 611867 1.00000 true true false false false false false false false false false false false false false false true true true false MEDICAL CENTER AMBULANCE SERVICES INC a 4916 COST/FMV BAPTIST MEDICAL MANAGEMENT SERVICES INC p 1304411 COST/FMV MEDICAL CENTER AMBULANCE SERVICES q 7748 COST/FMV MUTUAL CREDIT SERVICES INC q 503851 COST/FMV MUTUAL CREDIT SERVICES INC p 503851 COST/FMV MS COMMUNITY HEALTH LLC r 400000 COST/FMV MS COMMUNITY HEALTH LLC q 36501 COST/FMV BAPTIST MEDICAL MANAGEMENT SERVICES INC q 4108 cost/fmv