BAPTIST HEALTHCARE SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BAPTIST HEALTHCARE SYSTEM INC (EIN 61-0444707)
Tax period: 2011-09-01 to 2012-08-31
Filed: 2013-05-06
IRS object ID: 201301269349301390
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-06T22:07:19-05:00	Timestamp
Tax Period End Date	2012-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1100 HUNTINGTON CTR 41 S HIGH ST	AddressLine1
City	COLUMBUS	City
State	OH	State
ZIP Code	43215	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	610444707	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Baptist Healthcare System Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% CARL G HERDE	InCareOfName
Name Control	BAPT	NameControl
Phone	5028965000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2701 Eastpoint Parkway	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40223	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CARL HERDE	Name
Title	TREASURER/CFO	Title
Date Signed	2013-05-01	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6142245678	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	Tommy J Smith	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2701 EASTPOINT PARKWAY	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40223	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	7874877611	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bhsi.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1918	YearFormation
State Legal Domicile	KY	StateLegalDomicile
Activity Or Mission Description	Provide quality healthcare services by enhancing the health of the people/communities we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	11111	TotalNbrEmployees
Total Nbr Volunteers	1157	TotalNbrVolunteers
Total Gross UBI	1224188	TotalGrossUBI
Net Unrelated Business Txbl Income	200455	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1079118	ContributionsGrantsPriorYear
Contributions Grants Current Year	2553850	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1252332725	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1258044780	ProgramServiceRevenueCY
Investment Income Prior Year	44405120	InvestmentIncomePriorYear
Investment Income Current Year	10250514	InvestmentIncomeCurrentYear
Other Revenue Prior Year	19803870	OtherRevenuePriorYear
Other Revenue Current Year	19547173	OtherRevenueCurrentYear
Total Revenue Prior Year	1317620833	TotalRevenuePriorYear
Total Revenue Current Year	1290396317	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1343288	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1737842	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	577757045	SalariesEtcPriorYear
Salaries Etc Current Year	597648595	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	641766996	OtherExpensePriorYear
Other Expenses Current Year	600782063	OtherExpensesCurrentYear
Total Expenses Prior Year	1220867329	TotalExpensesPriorYear
Total Expenses Current Year	1200168500	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	96753504	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	90227817	RevenuesLessExpensesCY
Total Assets BOY	1973372046	TotalAssetsBOY
Total Assets EOY	2235043484	TotalAssetsEOY
Total Liabilities BOY	726972964	TotalLiabilitiesBOY
Total Liabilities EOY	848848005	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1246399082	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1386195479	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	The mission of Baptist Healthcare System (BHS) is to exemplify our Christian heritage of providing quality healthcare services by enhancing the health of the people and the communities we serve. The vision of BHS is to be nationally recognized as the healthcare leader in Kentucky. BHS will live out its Christ-centered mission and achieve its vision guided by: Integrity, Respect, Stewardship, Excellence and Collaboration.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1062898314	Expense
Grants	1737842	Grants
Revenue	1266819602	Revenue
Description	Since its inception in 1924, Baptist Healthcare System, Inc. ("Baptist") is dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. The hospitals owned and operated by Baptist under tax identification number 61-0444707 include: Hospital Location Baptist Hospital East Louisville, Kentucky Baptist Regional Medical Center Corbin, Kentucky Central Baptist Hospital Lexington, Kentucky Western Baptist Hospital Paducah, Kentucky VISION The vision of Baptist is to be the healthcare leader in Kentucky. Having earned a reputation of providing high quality patient care and utilizing the latest in medical technology, patients seek out Baptist facilities for their care. According to state statistics in 2011, Baptist is one of the largest healthcare providers in the state. Kentucky 2011 Hospital Statistics Licensed Beds 1,548 Beds - Second largest number of beds of any health system in Kentucky Employees 9,760 Employees at end of fiscal year - One of the top employers in Kentucky Inpatient Care 70,462 Admissions/331,316 Days - Largest number of admissions in Kentucky at a system-owned or managed hospital - One out of every eight inpatients receiving care in Kentucky received care at a system-owned or managed hospital Obstetric (Deliveries) 9,035 Babies - Largest number of babies delivered in Kentucky at a system-owned or managed hospital - One in five babies in Kentucky was delivered at Baptist hospitals at a system-owned or managed hospital Cardiology (Open heart surgeries) 786 Cases - Second largest number of open-heart surgeries performed by any system-owned or managed hospital in Kentucky - One in seven open-heart surgeries in Kentucky was performed at a system-owned or managed hospital Emergency Visits 162,637 Registrations - The second largest number of emergency visits in Kentucky at a system-owned or managed hospital - One in thirteen ER patients was treated at a system-owned or managed hospital Outpatient Visits 732,670 Hospital Visits - One in eleven outpatients in Kentucky receiving care in an acute-care setting was seen at a system-owned or managed hospital MISSION As indicated by its mission statement, Baptist strives to continue its "Christian heritage of service and to enhance the health of the people and the communities we serve." Baptist is organized and operated exclusively for the benefit of each community and each hospital is considered a valuable community asset. The Baptist Boards of Directors are comprised of local representatives who, along with the hospitals' management and employees, understand that they are responsible to the communities for providing high quality health care services. Over the years, Baptist has gained a reputation for providing compassionate, high quality, cost efficient, patient friendly care. RESPONSIVE TO COMMUNITY NEED Operating healthcare facilities in today's environment requires a delicate balance between producing a sufficient margin to allow for adequate staffing and investment in new technologies, while also providing enough resources to absorb the cost of care for those patients who do not have the ability to pay for the services. In 2012, because of its ability to produce a modest operating margin, Baptist was able to re-invest over $120 million into the communities in new technology, construction, renovation and systems improvement. Because of the need to generate a modest margin while caring for all patients, Baptist strives to fulfill its community responsibility of collecting appropriate reimbursement from all patients who have the necessary resources while providing a generous, yet accountable charity care policy to assist those patients who do not have the means to pay for the services rendered. (See "Charity Care Policy" on the next page for further discussion). From a broad perspective, Baptist hospitals consistently provide a high level of quality care to every patient and enhance the health of the people it serves through health promotions, health screenings, medical research, and training of health professionals. Other community benefits include: - Maintaining necessary, but unprofitable services that meet community needs - Helping to recruit physicians to underserved areas - Helping patients coordinate services with other healthcare providers - Providing resources for support groups - Promoting and providing preventive care services - Monitoring clinical outcomes in order to ensure quality care - Committing resources to improving safety and processes of care - Providing services conveniently accessible by patients In addition, Baptist employees volunteer thousands of hours in community services and leadership. Baptist's support for community activities underscores its commitment to improving the lives of those served. Because Baptist and its employees contribute so much of their time, talents and resources to serve others, communities served by Baptist are better places to live and work. Quantification of many of the community benefits is detailed further in "Part III - Statement of Program Service Accomplishments". However, what the Statement of Program Service Accomplishments doesn't measure is the economic benefit derived by each community from Baptist being one of the largest employers in the state. The economic impact of the wages paid to Baptist employees is significant considering the dollars they spend on food, housing, services, and other products. CHARITY CARE POLICY To further the mission of enhancing the health of the people and communities it serves, Baptist provides medically necessary inpatient and outpatient care to patients regardless of race, religion, sex, national origin, disability, age or their ability to pay. Recognizing that not all patients have the ability to pay, Baptist has a charity care policy to accurately evaluate a patient's ability to pay for services received. Baptist relies solely on the physician order to determine whether treatment is medically necessary and whether the patient is treated on an inpatient or outpatient basis. Neither the patient's financial condition nor their ability to pay for services has any bearing upon whether, or how, the patient is treated in a Baptist facility. Patients are transferred only when Baptist does not provide the specialized service that is required, or by specific request of the patient. Baptist has notices posted throughout the hospital that clearly communicate Baptist's charity care policy. Baptist employees are instructed in the application of the charity care policy and are trained to recognize situations that indicate the financial resources of a patient may be inadequate. These employees freely and willingly volunteer information regarding the charity care policy to any patient who may express a concern regarding the ability to pay for services. The policy provides that: 1. Patients/guarantors with resources of less than 200% of the Poverty Guideline for their family size will receive full charity. 2. Patients/guarantors with resources of 200% but less than 400% of the Poverty Guideline for their family size will qualify for partial charity. The ratio of resources up to 400% of the Poverty Guideline determines the percentage of the bill that will be the responsibility of the applicant. However, the liability is capped at 10% of the resources. 3. Patients/guarantors with resources of 400% of the Poverty Guideline for their family size but no more than 1200% of the Poverty Guideline for their family of one will qualify for partial charity if the liability exceeds 20% of their resources. In these situations, the patient/guarantor will be responsible for an amount not to exceed 20% of their resources. 4. If eligible for a charity discount, a patient will receive the discount regardless of whether they pay the balance on the bill. If necessary, payment arrangements may be made on the balance of the patient's bill in accordance with hospital procedures. After reasonable efforts have been made, if charity care eligibility cannot be determined, good stewardship requires that the hospital initially begin the collection process. However, immediately upon determining that the guarantor is eligible for charity care, collection efforts on the balance eligible for charity will cease and the appropriate balance will be designated as charity. TAX-EXEMPT STATUS REQUIREMENTS The Internal Revenue Service Revenue Ruling 69-545 provides that a hospital can demonstrate it has met the community benefit standard by having a full-time emergency room open to the public regardless of ability to pay for services received. Baptist operates Emergency Departments that are open 24 hours a day, 365 days a year and treated 162,637 emergency patients during fiscal year 2012. Baptist facilities and emergency departments post policies stating that patients will be treated regardless of their ability to pay. Depending on the severity of a patient's condition, as a service to the pat	Description
Total Program Service Expense	1062898314	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	714	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	11111	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CARL G HERDE	NamePerson
Telephone Number	5028965011	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2701 EASTPOINT PARKWAY	AddressLine1
City	Louisville	City
State	KY	State
ZIP Code	40223	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Robert Baker
Director	1.0	X	3000	0	0
William H Brigance
Director	1.0	X	3000	0	0
Tom Davis
Director (Effective 1/1/12)	1.0	X	0	0	0
Tommy Elliott
Director (Effective 1/1/12)	1.0	X	0	0	0
Frances V Hamilton
Director	1.0	X	3000	0	0
Brenda Hammons
Director	1.0	X	3000	0	0
Jeff Holland
Director	1.0	X	3000	0	0
Robert L Hook Jr
Director	1.0	X	3000	0	0
Chris Hutson
Director	1.0	X	3000	0	0
Lindsey Ingram Jr
Director	1.0	X	3000	0	0
Glenn Leveridge
Director	1.0	X	3000	0	0
John Logan
Director	1.0	X	3000	0	0
Danny McMahan
Director	1.0	X	3000	0	0
Frank R Purdy III
Director	1.0	X	3000	0	0
Steven Reed
Director	1.0	X	3000	0	0
James D Rickard
Director	1.0	X	3000	0	0
Marcia Milby Ridings
Director (Effective 1/1/12)	1.0	X	0	0	0
Edmund C Roberts Jr
Director	1.0	X	3000	0	0
Judge Eugene Siler Jr
Director (Effective 1/1/12)	1.0	X	0	0	0
Don Walker
Director	1.0	X	3000	0	0
Thelma White
Director thru 12-31-11	1.0	X	3000	0	0
Victoria Buster
Director thru 12-31-11	1.0	X	3000	0	0
William T Daniel II MD
Director thru 12-31-11	1.0	X	3000	0	0
W Jeffrey Foxx MD
Director thru 12-31-11	1.0	X	3000	0	0
Tommy Smith
President/CEO	40.0		1282364	0	154202	X
William Sisson
Vice President	40.0		697528	0	92895	X
Larry Barton
Vice President	40.0		601806	0	80732	X
Sue Stout Tamme
Vice President	40.0		465032	0	61735	X
John Henson
Vice President	40.0		512601	0	32109	X
Carl Herde
Treasurer/CFO	40.0		660834	0	94904	X
Janet Norton
Secretary	40.0		516441	0	52494	X
Mary Lou Tipgos
Assistant Secretary	40.0		138760	0	28710	X
David Gray
Vice President	40.0		515904	0	54401	X
John R Barton MD
Physician	40.0		540890	0	55691		X
Douglas A Milligan MD
Physician	40.0		531580	0	45361		X
David Rhodes
VP Human Resources	40.0		422498	0	56075		X
Preston Nunnelley MD
VP-Chief Medical Officer	40.0		418954	0	43546		X
Bernard Tamme
VP Managed Care	40.0		390494	0	42613		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7755686	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	895468	TotalOtherCompensation
Number Individuals GT100 K	344	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Executive Health Resources
PO Box 822688	PHILADELPHIA	PA	19182	Clinical compliance	2127923
PET CT Management LLC
7807 Shelbyville Rd Ste 201	LOUISVILLE	KY	40222	Mgmt & Eqpt Svcs	1132025
Kentucky Anesthesia Group
425 LEWIS HARGETTE CIRCLE	LEXINGTON	KY	40503	Anesthesia services	1429403
Anesthesiology of Paducah
2507 Broadway	PADUCAH	KY	42001	Anesthesia services	2310613
Central Ky Anesthesia
1800 Nicholasville Rd Ste 104	LEXINGTON	KY	40504	Anesthesia services	2726462

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	82	NumberOfContractorsGT100K
Related Organizations	791250	RelatedOrganizations
Government Grants	69725	GovernmentGrants
All Other Contributions	1692875	AllOtherContributions
Noncash Contributions	600000	NoncashContributions
Total Contributions	2553850	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
INS. & PATIENT PMTS.	621300	651104140	650318211	785929
MEDICARE/MEDICAID PMTS	621300	584604586	584604586
INTERCO. INT/MOB RENT	900099	10781015	10781015
OTHER PROGRAM SVC REV	900099	7372364	7372364
MGMT. FEES-EXEMPT REV	561000	4182675	4182675

Field	Value	IRS element (for citing)
Total Program Service Revenue	1258044780	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13985693	TotalRevenueColumn
Exclusion	$13,985,693	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	6579965283	Securities
Other	780832	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	6583881842	Securities
Other	599452	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-3916559	Securities
Other	181380	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-3735179	TotalRevenueColumn
Exclusion	-$3,735,179	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFE & COFFEE SHOPS	722100	6291102	$6,291,102
PURCHASING PTRSHP REV	900099	4075357		4021573	53784
DAY CARE CENTERS	624410	2263676	$2,076,484		187192

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6917038	TotalRevenueColumn
Related Or Exempt Function Income	5539178	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	197283	UnrelatedBusinessRevenue
Exclusion	$1,180,577	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	19547173	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1290396317	TotalRevenueColumn
Related Or Exempt Function Income	1266819602	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1224188	UnrelatedBusinessRevenue
Exclusion	$19,798,677	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1737842	Total
Program Services	1737842	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	6717743	Total
Management And General	6717743	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	100815	Total
Program Services	100815	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	460821769	Total
Program Services	413014852	ProgramServices
Management And General	47806917	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	21469240	Total
Program Services	18965154	ProgramServices
Management And General	2504086	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	76730148	Total
Program Services	66621887	ProgramServices
Management And General	10108261	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	31808880	Total
Program Services	28098820	ProgramServices
Management And General	3710060	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1829574	Total
Program Services	13208	ProgramServices
Management And General	1816366	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	167559	Total
Management And General	167559	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	173977	Total
Management And General	173977	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25139559	Total
Program Services	14568525	ProgramServices
Management And General	10571034	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	6814152	Total
Program Services	121095	ProgramServices
Management And General	6693057	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	52113692	Total
Program Services	45031802	ProgramServices
Management And General	7081890	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	10282081	Total
Management And General	10282081	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	21148407	Total
Program Services	20279169	ProgramServices
Management And General	869238	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2995108	Total
Program Services	1828006	ProgramServices
Management And General	1167102	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	397161	Total
Program Services	166645	ProgramServices
Management And General	230516	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12703452	Total
Program Services	12703452	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	2437483	Total
Program Services	1989944	ProgramServices
Management And General	447539	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	83873293	Total
Program Services	65411403	ProgramServices
Management And General	18461890	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	9999504	Total
Program Services	9999504	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	301460626	300781583	679043
PURCHASED SVC-NON MEDICAL	33748542	31345287	2403255
PROVIDER TAX	20208849	20208849
INCOME TAX	152404		152404

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	15136640	Total
Program Services	9910472	ProgramServices
Management And General	5226168	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1200168500	Total
Program Services	1062898314	ProgramServices
Management And General	137270186	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	38117	BOY
EOY	37943	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	197045900	BOY
EOY	152179118	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	151528361	BOY
EOY	166776381	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	22713527	BOY
EOY	24619744	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	13990715	BOY
EOY	13968232	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1698420684	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1004587594	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	659085369	BOY
EOY	693833090	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	646175299	BOY
EOY	703565221	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	133572539	BOY
EOY	201101568	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	13275904	BOY
EOY	13371904	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	135946315	BOY
EOY	265590283	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1973372046	BOY
EOY	2235043484	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	132345796	BOY
EOY	131458337	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	483385434	BOY
EOY	609969366	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	111241734	BOY
EOY	107420302	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	726972964	BOY
EOY	848848005	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1243827293	BOY
EOY	1383316027	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2571789	BOY
EOY	2879452	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1246399082	BOY
EOY	1386195479	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1973372046	BOY
EOY	2235043484	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	90227817	ReconcilationRevenueExpenses
Reconcilation Other Changes	49568580	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$87,451	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$86,526	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	173977	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Grants to other organizations for lobbying purposes	Part II-B Line 1f	Lobbying portion of Ky. Hospital Assoc & American Hospital Assoc dues.
Direct Contact	Part II-B line 1g	Fees paid for lobbyist and related expenses.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	646175298	BeginningOfYearBalance
Contributions	10698499	Contributions
Investment Earnings Or Losses	58290845	InvestmentEarningsOrLosses
Other Expenditures	9462014	OtherExpenditures
Administrative Expenses	2137407	AdministrativeExpenses
End Of Year Balance	703565221	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	596233194	BeginningOfYearBalance
Contributions	3759866	Contributions
Investment Earnings Or Losses	69420829	InvestmentEarningsOrLosses
Other Expenditures	18794907	OtherExpenditures
Administrative Expenses	1871845	AdministrativeExpenses
End Of Year Balance	648747137	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	556012808	BeginningOfYearBalance
Contributions	14427582	Contributions
Investment Earnings Or Losses	40798181	InvestmentEarningsOrLosses
Other Expenditures	13347504	OtherExpenditures
Administrative Expenses	1657873	AdministrativeExpenses
End Of Year Balance	596233194	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	638807978	BeginningOfYearBalance
Contributions	788978	Contributions
Investment Earnings Or Losses	-42097691	InvestmentEarningsOrLosses
Other Expenditures	40094347	OtherExpenditures
Administrative Expenses	1392110	AdministrativeExpenses
End Of Year Balance	556012808	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.99000	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.01000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	86831731	OtherCostOrOtherBasis
Book Value	86831731	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	757949709	OtherCostOrOtherBasis
Depreciation	421088210	Depreciation
Book Value	336861499	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	784790709	OtherCostOrOtherBasis
Depreciation	583499384	Depreciation
Book Value	201291325	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	68848535	OtherCostOrOtherBasis
Book Value	68848535	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	693833090	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN BCHS	26989066	C
INVESTMENT IN BMA	52120383	C
INVESTMENT IN WBMV	19368817	C
INVESTMENT IN BPL	64928566	C
INVESTMENT IN AEIX	14175200	C
INVESTMENT IN BPS	12503463	C
OTHER	11016073	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	201101568	TotalOfBookValueProgramRelated

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
OTHER CURRENT ASSETS	13710799
DUE FROM AFFILIATES	64812504
TRUSTEE FUNDS-MALPRACTICE	48856799
TRUSTEE FUNDS-WORKERS COMP	13121479
TRUSTEE FUNDS-BOND INDENTURE	92750089
INVESTMENTS IN JOINT VENTURES	2003740
UNAMORTIZED ISSUE COSTS	4389467
OTHER ASSETS	14802956
THIRD PARTY RECEIVABLE	11142450

Field	Value	IRS element (for citing)
Total Book Value Other Assets	265590283	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
MALPRACTICE LIABILITY	$65,473,301
WORKERS COMP LIABILITY	$13,092,133
ACCRUED POST RETIREMENT/MISC.	$28,854,868

Field	Value	IRS element (for citing)
Total Of Amounts	107420302	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Endowment Funds	Identifier
Return Reference	Schedule D, Part V, Line 4	ReturnReference
Explanation	The endowment funds are used to support & enhance patient care at the hospitals, finance capital improvements, and provide educational & financial assistance to hospital employees.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	38993	PersonsServed
Total Community Benefit Expense	47007357	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9170506	DirectOffsettingRevenue
Net Community Benefit Expense	37836851	NetCommunityBenefitExpense
Percent Of Total Expense	0.03150	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	26204	PersonsServed
Total Community Benefit Expense	107387051	TotalCommunityBenefitExpense
Direct Offsetting Revenue	87792048	DirectOffsettingRevenue
Net Community Benefit Expense	19595003	NetCommunityBenefitExpense
Percent Of Total Expense	0.01630	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	65197	PersonsServed
Total Community Benefit Expense	154394408	TotalCommunityBenefitExpense
Direct Offsetting Revenue	96962554	DirectOffsettingRevenue
Net Community Benefit Expense	57431854	NetCommunityBenefitExpense
Percent Of Total Expense	0.04780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	74424	PersonsServed
Total Community Benefit Expense	2888917	TotalCommunityBenefitExpense
Direct Offsetting Revenue	197179	DirectOffsettingRevenue
Net Community Benefit Expense	2691738	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	379832	TotalCommunityBenefitExpense
Net Community Benefit Expense	379832	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	18359	PersonsServed
Total Community Benefit Expense	55164075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40467430	DirectOffsettingRevenue
Net Community Benefit Expense	14696645	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1016468	TotalCommunityBenefitExpense
Net Community Benefit Expense	1016468	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	92783	PersonsServed
Total Community Benefit Expense	59449292	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40664609	DirectOffsettingRevenue
Net Community Benefit Expense	18784683	NetCommunityBenefitExpense
Percent Of Total Expense	0.01550	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	157980	PersonsServed
Total Community Benefit Expense	213843700	TotalCommunityBenefitExpense
Direct Offsetting Revenue	137627163	DirectOffsettingRevenue
Net Community Benefit Expense	76216537	NetCommunityBenefitExpense
Percent Of Total Expense	0.06330	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$14,042,820	BadDebtExpenseAmount
Amount Attributable To	3906361	AmountAttributableTo
Amount Reimbursed By Medicare	379214389	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	429847751	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-50633362	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
Baptist Hospital East
1	4000 Kresge Way	Louisville	KY	40207	X	X	X
Central Baptist Hospital
2	1740 Nicholasville Rd	Lexington	KY	40503	X	X	X
Western Baptist Hospital
3	2501 Kentucky Ave	Paducah	KY	42003	X	X	X
Baptist Regional Medical Center
4	1 Trillium Way	Corbin	KY	40701	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Baptist Hospital East
1	true	X	X	X	X	X	X	X	X	X	11	true	false	true	X	X	X	X	X	true	true	true	200.	true	400.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	false	true	X	false	false
Central Baptist Hospital
2	true	X	X	X	X	X	X	X	X	X	11	true	false	true	X	X	X	X	X	false	true	true	200.	true	400.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	false	true	X	false	false
Western Baptist Hospital
3	true	X	X	X	X	X	X	X	X	X	11	true	false	true	X	X	X	X	X	false	true	true	200.	true	400.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	false	true	X	false	false
Baptist Regional Medical Center
4	true	X	X	X	X	X	X	X	X	X	11	true	false	true	X	X	X	X	X	false	true	true	200.	true	400.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	true	X	false	false

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule H, Part I, Line 6a	Each hospital within Baptist Healthcare System (61-0444707) prepares a community benefits report. In addition, a summary community benefits report is prepared on a consolidated basis for all entities within Baptist Healthcare System, Inc.
Schedule H, Part I, Line 7g	No physician clinic costs are included in the costs of subsidized health services.
Schedule H, Part I, Line 7	Baptist Healthcare System utilizes a sophisticated 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. 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 BHS 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 Baptist Healthcare System 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 4	A separate footnote for bad debt expense is not included in the audited financial statements. However, beginning in 2012 BHS reported the provision for uncollectible accounts related to patient service revenue as a deduction from patent service revenue. Costing methodology of bad debt is outlined in Schedule H, Part VI, line 1 The estimated amount of bad debt expense attributable to patients eligible under the organization's FAP was determined using a historical percent to total of net amounts written off as bad debt for those patients with a low propensity to pay or low income to total net amounts written off as bad debt.
Schedule H, Part III, Line 8	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	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. - BHS 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 BHS 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. - BHS 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 V, Section B, Line 3 - Baptist Hospital East Contacts were made with the Health Departments responsible for the counties in the service area. There are four health departments responsible for the counties BHE serves: Louisville Metro Public Health & Wellness (Jefferson County); the Bullitt County Health Department; the Oldham County Public Health Department; and the North Central District Health Department, which serves both Shelby and Spencer Counties. Through these contacts, the public meetings that were held, and public surveys conducted in Jefferson and Oldham Counties, BHE solicited primary feedback on the health issues confronting its service area. Schedule H, Part V, Section B, Line 3 - Central Baptist Hospital Community input was provided through: 1)The Matrix Group was retained to conduct a perception study within our community. This was completed in 2011. 2) Fayette County Health Department 3)From the larger community stakeholders group, an eight(8) member CHIP Advisory Council was formed. Schedule H, Part V, Section B, Line 3 - Western Baptist Hospital Primary data was collected from a survey and a focus group. Primary data was collected through the survey of McCracken County residents, including the hospital employee base. Our committee hosted a community leader focus group Feb. 17, 2012, including 16 key informants representing broad interests of the community. Schedule H, Part V, Section B, Line 3 - Baptist Regional Medical Center Primary data was obtained by Baptist Regional Medical Center through surveys targeting the community considered in the assessment. The survey data was obtained over a four month time period. Surveys were also conducted through the Whitley County Health Department and Laurel County Health Department/St. Joseph Hospital of London. Meetings were conducted with representatives from the local hospitals and health departments from Knox, Laurel and Whitley. Schedule H, Part V, Section B, Line 7 - Central Baptist Hospital Central Baptist Hospital works collaboratively with other community resources to provide, support and serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. It is not within the scope of Central Baptist Hospitals services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our communitys health status. But it is through networking and partnerships with other community stakeholder organizations and agencies that these issues are being addressed. Impact issues such as unemployment and uninsured populations are being dealt with by economic development groups, Commerce Lexington, Kentucky Chamber of Commerce, Lexington Fayette Urban County Government, and County Health Departments. Safe neighborhoods/safe community issues are being examined by Lexington Fayette County Police Department, Department of Parks and Recreation, Safe Kids Coalition, and Kentucky Department of Transportation. Schedule H, Part V, Section B, Line 7 - Western Baptist Hospital The use of illicit drugs or the abuse of prescription or over-the-counter medications for purposes other than those for which they are indicated or in a manner or in quantities other than directed is a growing problem in McCracken County. This particular issue presents a need that cannot be met by Western Baptist Hospital, but is better met by services already in the community including those at Four Rivers Behavioral Health. Schedule H, Part V, Section B, Line 7 - Baptist Regional Medical Center Community needs were identified and prioritized for the primary counties that we serve including Whitley, Knox and Laurel. Baptist Regional Medical Center can address and impact several of these needs by implementing programs, education and preventative screenings. Baptist Regional Medical Center will not be able to address all of the identified needs (i.e. teen births) of our community and may have to partner with other sources that are positioned better to address the remaining needs of our community.
Schedule H, Part VI, line 2	Baptist Healthcare System (BHS) conducts a tri-annual planning process that is driven by the strategic vision to be the health care leader in Kentucky. Key industry and community issues (such as prominent health conditions present within each community, underserved areas and underprovided clinical services) are considered and analyzed for their impact on BHS and the four hospitals. Frequently, outside experts reaffirm the assessment and assist in the development of plans to address the community need. A course of action, including key strategies and goals, are shared with and approved by the BHS Board and the Hospital's administrative Boards.
Schedule H, Part VI, line 3	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 BHS sponsored charity care program policy is posted in key areas of each hospital. - The BHS sponsored charity care program policy is posted on the website of each hospital and the System.
Schedule H, Part VI, line 4	Baptist Healthcare System is comprised of four regional hospitals. Each one serves a unique and separate geographic area within Kentucky. Baptist Hospital East (BHE) opened in 1975 and is located in St. Matthews, approximately five miles east of downtown Louisville area. BHE is strategically located near Interstate 64, a main access to downtown, and Interstate 264, a main beltway around Louisville. The primary geographic service area for BHE consists of Jefferson, Oldham and Bullitt Kentucky counties. BHE serves as a general acute care facility, specializing in services such as cardiovascular services, cancer care and comprehensive rehabilitation services that are much needed in the area. In addition, BHE operates one of the busiest emergency rooms in the State of Kentucky. Approximately 13.4% of the population of the local area surrounding the hospital is over 65 and the unemployment rate is 8.8%, as compared to the national average of 8.2%. Approximately 5% of the patients seeking care at BHE are Medicaid and approximately 3% are uninsured. Baptist Regional Medical Center (BRMC) opened in 1986 in Corbin, Kentucky. It is located one-half mile off of Interstate 75, approximately three miles from downtown Corbin and near U.S. Highway 25, which is a main access to several of the surrounding communities. The primary geographic service area for BRMC consists of the counties of Knox, Laurel and Whitley in Kentucky. BRMC serves as a general acute care facility, specializing in services such as psychiatric, substance abuse, comprehensive rehabilitation and emergency care services. The psychiatric program at BRMC has grown over the past several years and BRMC has plans to continue its growth. Approximately 48% of the psychiatric program serves the Medicaid and uninsured populations. Overall, approximately 28% and 12% of the patients seeking care at BRMC are Medicaid and uninsured, respectively. Approximately 13.5% of the population of the local area surrounding the hospital is over 65 and the unemployment rate is 9.8%, as compared to the national average of 8.2%. Central Baptist Hospital (CBH) opened in 1954 in Lexington, the second largest city in Kentucky. It is located approximately five miles from Interstate 75 and Interstate 64 which provide access for the immediate Lexington metro area patients as well as patients from other areas of central and eastern Kentucky which the hospital serves. The primary geographic service area for CBH consists of the Kentucky counties of Bourbon, Clark, Fayette, Franklin, Jessamine, Madison, Scott and Woodford. In addition, Central serves as a regional referral center with approximately 38% of its discharges coming from Kentucky counties outside of the primary service area. As such, CBH provides tertiary care services not offered by many hospitals in the surrounding areas including specialty cardiovascular, orthopedic and intensive care services. Approximately 15% and 4% of the patients seeking care at CBH are Medicaid and uninsured, respectively. Approximately 10.8% of the population of the local area surrounding the hospital is over 65 and the unemployment rate is 6.7%, as compared to the national average of 8.2%. Western Baptist Hospital (WBH) was opened in 1953 in Paducah, Kentucky, the largest city in Western's service area. The hospital is located approximately one and one-half miles from Interstate 24. Western is one of only two hospitals located in Paducah. The primary geographic service area for Western consists of Ballard, Carlisle, Graves, Livingston, Lyon, Marshall and McCracken Counties in Kentucky and Massac County in Illinois. WBH draws nearly 83% of its discharges from the primary service area. WBH serves as a general acute care facility, specializing in services such as cardiovascular services, cancer care and skilled nursing that are much needed in the area. Approximately 12% and 6% of the patients seeking care at WBH are Medicaid and uninsured, respectively. Approximately 16.6% of the population of the local area surrounding the hospital is over 65 and the unemployment rate is 8.0%, as compared to the national average of 8.2%.
Schedule H, Part VI, line 5	The BHS Board of Directors is comprised of local representatives who, along with the hospital's management and employees, understand that they are responsible to provide high quality health care services to the communities they serve. Operating healthcare facilities in today's environment requires a delicate balance between producing a sufficient margin to allow for adequate staffing and investment in new technologies, while also providing enough resources to absorb the cost of care for those patients who do not have the ability to pay for the services. In 2012, because of its ability to produce a modest operating margin, BHS was able to re-invest nearly $120 million into the communities in new technology, construction, renovation and systems improvement. BHS hospitals reach out to the community in many ways through: - Conducting health fairs for local schools, businesses and churches. - Participating in fund-raising and other events to help local agencies such as the American Heart Association, Metro United Way, American Cancer Society, Big Brothers and Big Sisters and the American Red Cross. - Donating hospital space for community group meetings. - Participating on community health assessment teams that are dedicated to identifying and addressing local health needs in each of the counties we serve. - Hosting educational programs, including our pre-natal classes, and Safe Sitter program. - Maintaining necessary, but unprofitable services that meet community needs. - Helping to recruit physicians to underserved areas. - Helping patients coordinate services with other healthcare providers. - Providing resources for support groups, such as cancer recovery groups. - Promoting and providing preventive care services. - Monitoring clinical outcomes in order to ensure quality care. - Committing resources to improving safety and processes of care. - Providing services conveniently accessible by patients. In addition, BHS employees volunteer thousands of hours in community services and leadership. BHS's support for community activities underscores its commitment to improving the lives of those served. Because BHS and its employees contribute so much of their time, talents and resources to serve others, communities served by BHS are better places to live and work. Quantification of many of the community benefits is detailed elsewhere in this schedule. However, what the quantifiable amount doesn't measure is the economic benefit derived by the community from BHS being one of the major employers in the area. The economic impact of the wages paid to BHS employees is significant considering the dollars they spend on food, housing, services, and other products. The Internal Revenue Service Revenue Ruling 69-545 provides that a hospital can demonstrate it has met the community benefit standard by having a full-time emergency room open to the public regardless of ability to pay for services received. BHS hospitals operate an Emergency Department that is open 24 hours a day, 365 days a year and treated over 162,000 emergency patients during fiscal year 2012. BHS and its emergency department posts policies stating that patients will be treated regardless of their ability to pay. Depending on the severity of a patient's condition, as a service to the patient BHS may verify insurance prior to rendering services in the emergency department. Under no circumstances is emergency care delayed by discussions regarding insurance coverage or ability to pay for services. In addition, BHS does not convey or intimate in any way to any emergency medical transportation service an unwillingness to treat any particular patient in need of medical attention.
Schedule H, Part VI, line 6	Baptist Healthcare System, Inc. is a nonprofit, tax-exempt organization that owns and operates four hospitals. Baptist Healthcare Affiliates, Inc. is a nonprofit, tax-exempt affiliate that owns and operates an additional hospital. Baptist Community Health Services, Inc. is a nonprofit, tax-exempt affiliate that owns and operates rehabilitation centers, urgent care centers, and occupational and physical therapy clinics within the regions surrounding the hospitals. Baptist Medical Associates, Inc., Baptist Physicians Lexington, Inc., Baptist Physicians Southeast, Inc. and Western Baptist Medical Ventures, Inc. are nonprofit, tax-exempt affiliates that own and operate physician practices. Baptist Healthcare Foundation, Inc., Baptist Hospital Foundation of Greater Louisville, Inc., Central Baptist Hospital Foundation, Inc., Lexington Cardiac Research Foundation, Inc., and Western Baptist Hospital Foundation, Inc. are nonprofit, tax-exempt affiliate corporations. Bluegrass Family Health, Inc. (BFH) is a nonprofit, taxable affiliate health maintenance organization. Baptist Ventures, Inc. is a for-profit, affiliate corporation. Baptist Physicians' Surgery Center is a for-profit limited liability corporation, of which Baptist Community Health Services, Inc. owns 53%. PET/CT Management, LLC is a for-profit limited liability corporation, of which Baptist Healthcare System, Inc. owns 83%. Corbin Long Term Acute Care, LLC is a limited liability corporation of which Baptist Community Health Services, Inc. is the sole member. Baptist Eastpoint Surgery Center, LLC is a limited liability company which as of August 31, 2012 Baptist Community Health Services, Inc. owns 77%. Baptist Health Network, Inc. (BHN), formed in 2010, is a non-profit corporation in which BHS is the sole member. BHN is a network of healthcare providers, hospitals and physicians. BHN's activities and purposes serve to support the charitable activities and operations of BHS. Purchase Health Quality Collaborative, LLC ("PHQC"), formed in 2011, is a non-profit limited liability company whose sole member is BHS. PHQC was formed to support a physician/hospital network established by PHP, working with Western to engage in clinical integration activities. St. Matthews Surgery Center, LLC is a limited liability company formed in October 2011 which as of August 31, 2012 Baptist Community Health Services, Inc. owns 51%. Mercy Regional Emergency Medical System, LLC ("MREMS"), formed in 1996, is a non-profit taxable corporation, which owns and operates an ambulance service in McCracken County, Kentucky in the service area of Western. BHS owns a 50% interest in MREMS and the remaining 50% interest is owned by Mercy Health System, Inc. d.b.a. Lourdes Hospital. All entities are located in the Commonwealth of Kentucky. All entities described in Schedule H, Part VI, line 6 contributed a combined community benefit amount as follows: Charity care at cost $41,631,000 Unreimbursed Medicaid 27,201,000 Community health improvement 2,963,000 Health professions education 380,000 Subsidized health services 16,805,000 Cash and in-kind contributions 1,077,000 ----------- Total community benefit $90,057,000 Other items that also contribute to the benefit of the community: Bad debt at cost $21,049,000 Unreimbursed Medicare $89,034,000

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable (38 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
BAPTIST HOSP FND OF GTR LOUISVILLE
4000 Kresge Way	Louisville	KY	40207	200292291	501(c)(3)	513168	General support
PADUCAH JUNIOR COLLEGE
PO Box 7380	Paducah	KY	42002	616001156	501(c)(3)	101000	General support
WESTERN BAPTIST HOSPITAL FOUNDATION
2501 Kentucky Ave	Paducah	KY	42003	264057759	501(c)(3)	95880	General support
REFUGE MINISTRIES INC
PO Box 25007	Lexington	KY	40524	371547506	501(c)(3)	90000	General support
CHILDREN'S CHARITY FUND OF THE BLUEGRASS INC
2724 Martinique Ln	Lexington	KY	40509	311078176	501(c)(3)	66667	General support
UNIVERSITY OF KENTUCKY HOSPITAL
PO Box 119	Lexington	KY	40501	999999999	501(c)(3)	66667	General support
HOPE CENTER
PO Box 6	Lexington	KY	40588	611107296	501(c)(3)	50000	General support
ST NICHOLAS FAMILY CLINIC
1733 Broadway	Paducah	KY	42001	611260945	501(c)(3)	49000	General support
AMERICAN HEART ASSOC
240 Whittington Pkwy	Louisville	KY	40222	135613797	501(c)(3)	42500	General support
LEXINGTON STRIDES AHEAD COMM LXNGTN INC
330 E Main St Ste 205	Lexington	KY	40507	611322448	501(c)(6)	39500	General support
GREATER PADUCAH ECON DEV CNCL
PO Box 1155	Paducah	KY	42002	611181577	501(c)(6)	37500	General support
KENTUCKY BAPTIST CONVENTION
13420 Eastpoint Ctr Dr	Louisville	KY	40223	610549873	501(c)(3)	37423	Conference co-sponsor
MISSION LEXINGTON
1321 Trent Blvd	Lexington	KY	40517	202824933	501(c)(3)	35500	General support
AMERICAN CANCER SOCIETY
1504 College Way	Lexington	KY	40502	640329009	501(c)(3)	30900	General support
HEARTLAND CARES INC
619 North 30th St	Paducah	KY	42001	311525402	501(c)(3)	25000	General support
WOMEN LEADING KENTUCKY
PO Box 961	Lexington	KY	40511	861120254	501(c)(3)	25000	General support
MARCH OF DIMES
196 W Lowry ln	Lexington	KY	40503	131846366	501(c)(3)	19000	General support
METRO UNITED WAY
334 E Broadway	Louisville	KY	40202	610444680	501(c)(3)	17000	General support
FUND FOR THE ARTS
623 W Main St	Louisville	KY	40202	610479626	501(c)(3)	16000	General support
AMERICAN DIABETES ASSOC
PO Box 21903	Lexington	KY	40522	131623888	501(c)(3)	15500	General support
GREATER LOUISVILLE INC
614 W Main St Ste 600	Louisville	KY	40202	237084835	501(c)(4)	15460	General support
FOUR RIVERS CENTER FOR THE PERFORMING ARTS
PO Box 2194	Paducah	KY	42002	611293428	501(c)(3)	15100	General support
ACADEMY OF PREACHERS
500 N Watterson Trl	Louisville	KY	40243	999999999	501(c)(3)	15000	General support
RETREAT AND REFRESH STROKE CAMP
425 W Giles	Peoria	IL	61614	640954851	501(c)(3)	15000	General support
KOMEN FOR THE CURE
5005 LBJ Freeway	Dallas	TX	75244	751835298	501(c)(3)	13100	General support
SUPPLIES OVER SEAS
1500 Arlington Ave	Louisville	KY	40206	999999999	501(c)(3)	12500	General support
JCTC FOUNDATION
109 East Broadway	Louisville	KY	40202	237035648	501(c)(3)	11500	General support
FRATERNAL ORDER OF POLICE
1097 Duval St	Lexington	KY	40515	616019386	501(c)(8)	10400	General support
LEXINGTON AFF OF SGK FOR THE CURE
PO Box 998	Lexington	KY	40588	752854969	501(c)(3)	10000	General support
LEXINGTON CANCER FOUNDATION
1504 College Way	Lexington	KY	40502	562472701	501(c)(3)	10000	General support
PACA CHARITY BALL
PO Box 2108	Richmond	KY	40475	510172717	501(c)(3)	10000	Charity ball
HOMES FOR OUR TROOPS
6 Main St	Taunton	MA	02780	542143612	501(c)(3)	10000	Swings for Soldiers Classic
GOD'S PANTRY
1685 Jaggie Fox Way	Lexington	KY	40511	310979404	501(c)(3)	8000	General support
LEXINGTON MEDICAL SOCIETY
2628 Wilhite Ct Ste 201	Lexington	KY	40503	616032171	501(c)(6)	7000	General support
PADUCAH SYMPHONY
2101 Broadway	Paducah	KY	42001	610965156	501(c)(3)	6000	General support
PADUCAH AREA CHAMBER OF COMMERCE
PO Box 810	Paducah	KY	42001	610210420	501(c)(6)	5573	General support
CENTER FOR WOMEN & FAMILIES
PO Box 2048	Louisville	KY	40201	610444846	501(c)(3)	5500	General support
AMERICAN LUNG ASSN OF THE MIDLAND STATES
1950 Arlingate ln	Columbus	OH	43228	314379531	501(c)(3)	5080	General support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	32	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Description of Organization's Procedures for Monitoring the Use of Grants	Identifier
Return Reference	Form 990, Schedule I, Part I, Line 2	ReturnReference
Explanation	Baptist Healthcare System provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Tommy Smith
912570	0	243713	0	126081	0	118149	0	36053	0	1436566	0	89386	0
William Sisson
495120	0	109764	0	92644	0	63455	0	29440	0	790423	0	33320	0
Larry Barton
455283	0	90023	0	56500	0	52608	0	28124	0	682538	0	29260	0
Sue Stout Tamme
372655	0	47126	0	45251	0	44042	0	17693	0	526767	0	30058	0
John Henson
430871	0	50688	0	31042	0	6125	0	25984	0	544710	0	15421	0
Carl Herde
512188	0	99830	0	48816	0	62683	0	32221	0	755738	0	0	0
Janet Norton
372228	0	76085	0	68128	0	22992	0	29502	0	568935	0	0	0
Mary Lou Tipgos
107004	0	25000	0	6756	0	11932	0	16778	0	167470	0	0	0
David Gray
445797	0	32412	0	37695	0	21522	0	32879	0	570305	0	0	0
John R Barton MD
540890	0	0	0	0	0	22992	0	32699	0	596581	0	0	0
Douglas A Milligan MD
531580	0	0	0	0	0	20052	0	25309	0	576941	0	0	0
David Rhodes
333755	0	54461	0	34282	0	25932	0	30143	0	478573	0	0	0
Preston Nunnelley MD
362841	0	41471	0	14642	0	18582	0	24964	0	462500	0	0	0
Bernard Tamme
310142	0	63781	0	16571	0	24462	0	18151	0	433107	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Compensation Information	Identifier
Return Reference	Schedule J, Line 4b	ReturnReference
Explanation	During calendar year 2011, five officers of BHS 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 2011 were previously reported as compensation on the 990 and were included in W-2 wages in 2011, 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: Larry Barton 29,260 William Sisson 33,320 Susan Stout Tamme 30,058 John Henson 15,421 Tommy Smith 89,386 In addition, five officers who participate in the Supplemental Executive Retirement Plan accrued amounts for 2012 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: Tommy Smith 92,217 William Sisson 37,523 Susan Stout Tamme 18,110 Larry Barton 31,086 Carl Herde 38,221	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
KY Economic Development Finance Authority
610600439	49126KFM8	2009-02-19	502227848	See Part VI	false	false	false
KY Economic Development Finance Authority
610600439	49126KHR5	2011-12-14	136101238	See Part VI	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
9145000	0	502247678	0	0	0	4753545	661234	0	99994925	396837974	0	2010	true	false	true	true
0	0	136426657	0	0	0	1458951	0	0	42216000	1617	92750089		false	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	true	false	0.00100	0.00000	0.00100	true
false	false	false		false	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0
false	true	false	false	0	false	true
0
false	false	false	false	0	false	true

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule K, Part I, Line A	0	Description of Purpose Series 2009A and 2009B Revenue Bonds were issued to redeem the 1/99, 1/05 & 12/05 Bonds and for the costs of acquiring and constructing hospital facilities and equipment.
Schedule K, Part I, Line B	0	Description of Purpose Series 2011 Fixed Rate Hospital Revenue Bonds were issued for the costs of certain hospital projects, including a portion of the costs of constructing and equipping a new medical structure connected to the existing hospital building at Central Baptist Hospital.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Juanita Baker
Family member of director	27363	Wages	false
Nicole Jackson-Gary
Family member of director	39073	Wages	false
Family Practice Properties
Director is owner	683379	Lease agreement	false
BBT Insurance Services
Director is officer	276595	Insurance brokering services	false
Baptist Physicians Surgery Center
Board member	1044979	Lease agreement	false
Brandon Sisson
Family member of officer	34379	Wages	false
PETCT Management
Board member	1086415	Equipment services	false
Baptist Eastpoint Surgery Center L
Board member	906335	Mgmt fees & lease agreement	false
Susan D White Consulting
Family member of director	124282	Consulting services	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Explanation	ALL TRANSACTIONS REPORTED ON PART IV ARE REPORTED AS ARMS-LENGTH FOR FAIR MARKET VALUE. (A) NAME OF PERSON: JUANITA BAKER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ROBERT BAKER, DIRECTOR OF BHS HAS A FAMILY MEMBER EMPLOYED BY BHS. (A) NAME OF PERSON: NICOLE JACKSON-GARY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FRANCES HAMILTON, DIRECTOR OF BHS HAS A FAMILY MEMBER EMPLOYED BY BHS. (A) NAME OF PERSON: FAMILY PRACTICE PROPERTIES (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JEFFREY FOXX, DIRECTOR OF BHS IS AN OWNER OF FAMILY PRACTICE PROPERTIES. (A) NAME OF PERSON: BB&T INSURANCE SERVICES (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DANNY MCMAHAN, DIRECTOR OF BHS IS AN OFFICER OF BB&T INSURANCE SERVICES. (A) NAME OF PERSON: BAPTIST PHYSICIANS SURGERY CENTER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WILLIAM SISSON, OFFICER OF BHS IS A BOARD MEMBER OF BAPTIST PHYSICIANS SURGERY CENTER, A FOR-PROFIT LIMITED LIABILITY CORPORATION. (A) NAME OF PERSON: BRANDON SISSON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: WILLIAM SISSON, OFFICER OF BHS HAS A FAMILY MEMBER EMPLOYED BY BHS. (A) NAME OF PERSON: PET/CT MANAGEMENT (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUE STOUT TAMME, OFFICER OF BHS IS A BOARD MEMBER OF PET/CT MANAGEMENT, A FOR-PROFIT LIMITED LIABILITY CORPORATION. (A) NAME OF PERSON: BAPTIST EASTPOINT SURGERY CENTER, LLC (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUE STOUT TAMME, OFFICER OF BHS IS A BOARD MEMBER OF BAPTIST EASTPOINT SURGERY CENTER, LLC. (A) NAME OF PERSON: SUSAN D WHITE CONSULTING (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: VICTORIA BUSTER, DIRECTOR OF BHS HAS A FAMILY MEMBER WHO IS A VENDOR OF BHS.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	600000	NoncashContribsRptdF990
Method Of Determining Revenues	fair market value	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Number Of8283 Received	1	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Relationships	Form 990, Part VI, Sect A, line 2	The Board of Directors is made up of executives from related organizations. The following individuals have a business relationship in that they serve on the Board of Directors of the organization and are officers and/or directors of a related organization: Tommy Smith, William Sisson, Susan Stout Tamme, Carl Herde, Janet Norton, David Gray, Robert Baker, Lindsey Ingram Jr, Victoria Buster, and John Logan.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990	Form 990, Part VI, Sect B, line 11b	A copy of the 990 is provided to the board of directors prior to the filing of the return. Any questions or comments are addressed by explanation or a change to the form.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	Form 990, Part VI, Sect B, line 12c	Annually the secretary of Baptist Healthcare System, Inc. (BHS) sends out a conflict of interest questionnaire to each of the directors and officers serving on the board of BHS. 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 BHS and/or 2) act in the best interests of BHS in a manner consistent with the tax-exempt purposes of BHS. 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.
COMPENSATION DETERMINATION PROCESS	Form 990, Part VI, Sect B, line 15a & 15b	Annually in September, the Baptist Healthcare System, Inc. Compensation Committee reviews the compensation, including base compensation and incentive compensation for the CEO and all officers and key employees of Baptist Healthcare System, Inc. except for the Secretary and Assistant Secretary. Compensation for these employees is reviewed and approved by the CEO of Baptist Healthcare System, Inc. The Baptist Healthcare System, Inc. Compensation Committee is comprised of independent Board Members. The Committee retains a Compensation Consultant to advise the Committee and who provides data as to comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated healthcare organizations. The Committee reviews this information in approving annual base and incentive compensation and other items of reportable compensation described on Schedule J of the IRS Form 990. The decisions of the Committee regarding compensation are contemporaneously documented in the minutes of the Committee. Annually, the Committee Chairperson and the Compensation Consultant provide a report on executive compensation to the full Board of Directors of Baptist Healthcare System, Inc.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	Form 990, Part VI, Sect C, line 19	In adherence to the Master Trust Indenture among Baptist Healthcare System, Inc., Baptist Healthcare Affiliates, Inc. and U.S. Bank National Association, as Master Trustee, Dated as of February 1, 2009, Baptist Healthcare System, Inc. reports its financial results on a quarterly basis to the Master Trustee who in turn makes them available through Electronic Municipal Market Access. Additionally, the organization will provide any documents open to public inspection upon request.
HOURS WORKED FOR RELATED ORGANIZATION	Form 990, Part VII	Officers for Baptist Healthcare System, Inc. provide services to Baptist Healthcare System, Inc. and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore, all officers' hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities.
Other Changes in Net Assets	Form 990, Part XI, line 5	Net unrealized gain on investments 50,459,020 Capital Distribution-Baptist Community Hlth Svcs 1,310,000 Capital Distribution-PET/CT Management LLC 329,590 Funding for Strategic and Capital Needs 882,378 Post Retirement Change (3,414,696) ---------- Total to Form 990, Part XI, Line 5 49,566,292

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Purchase Health Quality Collaborative	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2501 Kentucky Avenue	AddressLine1
City	Paducah	City
State	KY	State
ZIP Code	42001	ZIPCode

Field	Value	IRS element (for citing)
EIN	454290974	EIN
Primary Activities	Phys Ntwrk	PrimaryActivities
Legal Domicile State	KY	LegalDomicileState
Total Income	-470172	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	BHSI	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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	Med SRVCS	KY	501(c)(3)	Line 11a	BHSI	true
Baptist Medical Associates Inc
2701 Eastpoint Parkway	Louisville	KY	40223	205497203	Phys SRVCS	KY	501(c)(3)	Line 3	BHSI	true
Baptist Physicians Lexington Inc
2701 Eastpoint Parkway	Louisville	KY	40223	205494939	Phys SRVCS	KY	501(c)(3)	Line 3	BHSI	true
Baptist Physicians Southeast Inc
2701 Eastpoint Parkway	Louisville	KY	40223	260766344	Phys SRVCS	KY	501(c)(3)	Line 3	BHSI	true
Western Baptist Medical Ventures Inc
2701 Eastpoint Parkway	Louisville	KY	40223	611194899	Phys SRVCS	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
Central Baptist Hospital Foundation Inc
1740 Nicholasville Rd	Lexington	KY	40503	611480774	Fundraising	KY	501(c)(3)	Line 11a	BHSI	true
Lexington Cardiac Research Fnd Inc
1740 Nicholasville Rd	Lexington	KY	40503	204242792	Med research	KY	501(c)(3)	Line 11a	BHSI	true
Western Baptist Hospital Foundation Inc
2501 Kentucky Ave	Paducah	KY	42003	264057759	Fundraising	KY	501(c)(3)	Line 11a	BHSI	true
Mercy Reg Emergency Med Sys LLC
126 Lone Oak Rd	Paducah	KY	42001	611310466	Amb SRVCS	KY	501(c)(3)	Line 11a	BHSI	true

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Baptist EastMilestone LLC
750 Cypress Station Dr	Louisville	KY	40207	611355065	Fitness center	KY	NA	N/A
Baptist Physicians' Surgery Center LLC
1720 Nicholasville Rd 101	Lexington	KY	40503	043665929	Amb Surg Ctr	KY	NA	N/A
Baptist Eastpoint Surgery Center LLC
2400 Eastpoint Parkway	Louisville	KY	40223	260834852	Amb Surg Ctr	KY	NA	N/A
Medical Associates of Middletown LLC
4000 Kresge Way	Louisville	KY	40207	200399400	Med Office Bldg	KY	BHSI	Related	22679	1213419	false	true	0.35000
PETCT Management LLC
7807 Shelbyville Rd Ste 201	Louisville	KY	40222	200154982	MGMT/EQUIP SVCS	KY	BHSI	Related	326002	521581	false	false	0.82920
St Matthews Surgery Center LLC
4130 Dutchmans Lane Ste 200	Louisville	KY	40207	453714318	Amb Surg Ctr	KY	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Baptist Ventures Inc
2701 Eastpoint Parkway	Louisville	KY	40223	611217018	Management Co.	KY	BHSI	C Corp	305834	3602588	1.00000
Baptist Health Network Inc
4000 Kresge Way	Louisville	KY	40207	272939694	ACO	KY	BHSI	C Corp	-547675	0	1.00000
Bluegrass Family Health Inc
651 Perimeter Park Ste 300	Lexington	KY	40517	611241101	Insurance	KY	BHSI	C CORP	184276237	79747627	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (27 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Baptist Ventures Inc
a	59706	Cost
Baptist Hospital Foundation of Greater Louisv
b	513168	Cost
Western Baptist Hospital Foundation
c	137812	cost
Baptist Hospital Foundation of Greater Louisv
c	647688	cost
Baptist Ventures Inc
d	90594	cost
Baptist Community Health Services Inc
i	2344591	cost
Baptist Physicians Lexington Inc
i	793027	cost
Baptist Physicians Lexington Inc
j	266900	cost
PETCT Management LLC
o	1086415	cost
Baptist Medical Associates Inc
o	6938312	cost
Baptist Healthcare Affiliates Inc
p	5454625	cost
Baptist Community Health Services Inc
p	3340233	cost
Baptist Physicians Lexington Inc
p	3654574	cost
Western Baptist Medical Ventures Inc
p	82676	cost
Baptist Healthcare Affiliates Inc
q	379342	cost
Baptist Health Network
q	547675	cost
Baptist Community Health Services Inc
q	9859434	cost
Western Baptist Medical Ventures Inc
q	5692068	cost
Baptist Medical Associates Inc
q	20073291	cost
Baptist Physicians Lexington Inc
q	28452653	cost
Baptist Physicians Southeast Inc
q	6573681	cost
Baptist Healthcare Affiliates Inc
r	1489001	cost
Baptist Community Health Services Inc
r	1320000	cost
Baptist Hospital Foundation of Greater Louisv
r	85908	cost
Baptist Ventures Inc
r	74265	cost
PETCT Management LLC
r	329590	cost
Western Baptist Hospital Foundation
b	95880	cost