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      <MissionDescription>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>
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      <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. 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        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Western Baptist Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>11</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Baptist Regional Medical Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>11</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>400.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>true</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part I, Line 6a</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part I, Line 7g</Identifier>
        <Explanation>No physician clinic costs are included in the costs of subsidized health services.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part I, Line 7</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part III, Line 4</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part III, Line 8</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part III, line 9b</Identifier>
        <Explanation>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 &amp; 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, line 2</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, line 3</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, line 4</Identifier>
        <Explanation>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%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, line 5</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Schedule H, Part VI, line 6</Identifier>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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          <AddressLine1>4000 Kresge Way</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40207</ZIPCode>
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        <EINOfRecipient>200292291</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>513168</AmountOfCashGrant>
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          <BusinessNameLine1>PADUCAH JUNIOR COLLEGE</BusinessNameLine1>
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          <AddressLine1>PO Box 7380</AddressLine1>
          <City>Paducah</City>
          <State>KY</State>
          <ZIPCode>42002</ZIPCode>
        </AddressUS>
        <EINOfRecipient>616001156</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>101000</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <AddressLine1>2501 Kentucky Ave</AddressLine1>
          <City>Paducah</City>
          <State>KY</State>
          <ZIPCode>42003</ZIPCode>
        </AddressUS>
        <EINOfRecipient>264057759</EINOfRecipient>
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        <AmountOfCashGrant>95880</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>REFUGE MINISTRIES INC</BusinessNameLine1>
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          <AddressLine1>PO Box 25007</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40524</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>90000</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>CHILDREN'S CHARITY FUND OF THE BLUEGRASS INC</BusinessNameLine1>
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          <AddressLine1>2724 Martinique Ln</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>UNIVERSITY OF KENTUCKY HOSPITAL</BusinessNameLine1>
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          <AddressLine1>PO Box 119</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40501</ZIPCode>
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          <AddressLine1>PO Box 6</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
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          <BusinessNameLine1>ST NICHOLAS FAMILY CLINIC</BusinessNameLine1>
        </RecipientNameBusiness>
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          <State>KY</State>
          <ZIPCode>42001</ZIPCode>
        </AddressUS>
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        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>AMERICAN HEART ASSOC</BusinessNameLine1>
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          <City>Louisville</City>
          <State>KY</State>
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        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>42500</AmountOfCashGrant>
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          <BusinessNameLine1>LEXINGTON STRIDES AHEAD COMM LXNGTN INC</BusinessNameLine1>
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          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40507</ZIPCode>
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        <EINOfRecipient>611322448</EINOfRecipient>
        <IRCSection>501(c)(6)</IRCSection>
        <AmountOfCashGrant>39500</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>GREATER PADUCAH ECON DEV CNCL</BusinessNameLine1>
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          <City>Paducah</City>
          <State>KY</State>
          <ZIPCode>42002</ZIPCode>
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        <IRCSection>501(c)(6)</IRCSection>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
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        <EINOfRecipient>610549873</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>37423</AmountOfCashGrant>
        <PurposeOfGrant>Conference co-sponsor</PurposeOfGrant>
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          <BusinessNameLine1>MISSION LEXINGTON</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>1321 Trent Blvd</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40517</ZIPCode>
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        <EINOfRecipient>202824933</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>35500</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>1504 College Way</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40502</ZIPCode>
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        <EINOfRecipient>640329009</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>30900</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>HEARTLAND CARES INC</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>619 North 30th St</AddressLine1>
          <City>Paducah</City>
          <State>KY</State>
          <ZIPCode>42001</ZIPCode>
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        <EINOfRecipient>311525402</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>WOMEN LEADING KENTUCKY</BusinessNameLine1>
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          <AddressLine1>PO Box 961</AddressLine1>
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          <State>KY</State>
          <ZIPCode>40511</ZIPCode>
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        <EINOfRecipient>861120254</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>MARCH OF DIMES</BusinessNameLine1>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
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        <EINOfRecipient>610444680</EINOfRecipient>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <BusinessNameLine1>FUND FOR THE ARTS</BusinessNameLine1>
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          <AddressLine1>623 W Main St</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
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          <City>Louisville</City>
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          <ZIPCode>40202</ZIPCode>
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          <BusinessNameLine1>FOUR RIVERS CENTER FOR THE PERFORMING ARTS</BusinessNameLine1>
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          <State>KY</State>
          <ZIPCode>42002</ZIPCode>
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          <AddressLine1>500 N Watterson Trl</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40243</ZIPCode>
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          <BusinessNameLine1>RETREAT AND REFRESH STROKE CAMP</BusinessNameLine1>
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          <AddressLine1>425 W Giles</AddressLine1>
          <City>Peoria</City>
          <State>IL</State>
          <ZIPCode>61614</ZIPCode>
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        <PurposeOfGrant>General support</PurposeOfGrant>
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          <State>TX</State>
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          <State>KY</State>
          <ZIPCode>40502</ZIPCode>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>50688</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>31042</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6125</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25984</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>544710</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>15421</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carl Herde</NamePerson>
        <BaseCompensationFilingOrg>512188</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>99830</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>48816</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>62683</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>32221</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>755738</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Janet Norton</NamePerson>
        <BaseCompensationFilingOrg>372228</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>76085</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>68128</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22992</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29502</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>568935</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Lou Tipgos</NamePerson>
        <BaseCompensationFilingOrg>107004</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6756</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11932</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16778</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>167470</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Gray</NamePerson>
        <BaseCompensationFilingOrg>445797</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>32412</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>37695</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>21522</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>32879</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>570305</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John R Barton MD</NamePerson>
        <BaseCompensationFilingOrg>540890</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22992</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>32699</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>596581</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Douglas A Milligan MD</NamePerson>
        <BaseCompensationFilingOrg>531580</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20052</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25309</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>576941</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David Rhodes</NamePerson>
        <BaseCompensationFilingOrg>333755</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>54461</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>34282</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25932</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30143</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>478573</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Preston Nunnelley MD</NamePerson>
        <BaseCompensationFilingOrg>362841</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>41471</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14642</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18582</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>24964</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>462500</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Bernard Tamme</NamePerson>
        <BaseCompensationFilingOrg>310142</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>63781</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16571</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>24462</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>433107</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>KY Economic Development Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>610600439</IssuerEIN>
        <CUSIPNumber>49126KFM8</CUSIPNumber>
        <DateIssued>2009-02-19</DateIssued>
        <IssuePrice>502227848</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>KY Economic Development Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>610600439</IssuerEIN>
        <CUSIPNumber>49126KHR5</CUSIPNumber>
        <DateIssued>2011-12-14</DateIssued>
        <IssuePrice>136101238</IssuePrice>
        <DescriptionOfPurpose>See Part VI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>9145000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>502247678</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>4753545</IssuanceCostsFromProceeds>
        <CreditEnhancement>661234</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>99994925</CapitalExpenditures>
        <OtherSpentProceeds>396837974</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>136426657</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>1458951</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>42216000</CapitalExpenditures>
        <OtherSpentProceeds>1617</OtherSpentProceeds>
        <AmountUnspent>92750089</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00100</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00100</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>Schedule K, Part I, Line A</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>Description of Purpose Series 2009A and 2009B Revenue Bonds were issued to redeem the 1/99, 1/05 &amp; 12/05 Bonds and for the costs of acquiring and constructing hospital facilities and equipment.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>Schedule K, Part I, Line B</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Juanita Baker</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of director</Relationship>
        <AmountOfTransaction>27363</AmountOfTransaction>
        <DescriptionOfTransaction>Wages</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Nicole Jackson-Gary</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of director</Relationship>
        <AmountOfTransaction>39073</AmountOfTransaction>
        <DescriptionOfTransaction>Wages</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Family Practice Properties</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Director is owner</Relationship>
        <AmountOfTransaction>683379</AmountOfTransaction>
        <DescriptionOfTransaction>Lease agreement</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BBT Insurance Services</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Director is officer</Relationship>
        <AmountOfTransaction>276595</AmountOfTransaction>
        <DescriptionOfTransaction>Insurance brokering services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Baptist Physicians Surgery Center</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board member</Relationship>
        <AmountOfTransaction>1044979</AmountOfTransaction>
        <DescriptionOfTransaction>Lease agreement</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Brandon Sisson</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of officer</Relationship>
        <AmountOfTransaction>34379</AmountOfTransaction>
        <DescriptionOfTransaction>Wages</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PETCT Management</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board member</Relationship>
        <AmountOfTransaction>1086415</AmountOfTransaction>
        <DescriptionOfTransaction>Equipment services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Baptist Eastpoint Surgery Center L</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board member</Relationship>
        <AmountOfTransaction>906335</AmountOfTransaction>
        <DescriptionOfTransaction>Mgmt fees &amp; lease agreement</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Susan D White Consulting</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family member of director</Relationship>
        <AmountOfTransaction>124282</AmountOfTransaction>
        <DescriptionOfTransaction>Consulting services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <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&amp;T INSURANCE SERVICES (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DANNY MCMAHAN, DIRECTOR OF BHS IS AN OFFICER OF BB&amp;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>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>600000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>fair market value</MethodOfDeterminingRevenues>
      </RealEstateCommercial>
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <NumberOf8283Received>1</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Description of Relationships</Identifier>
        <ReturnReference>Form 990, Part VI, Sect A, line 2</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>Form 990, Part VI, Sect B, line 11b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>Form 990, Part VI, Sect B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION PROCESS</Identifier>
        <ReturnReference>Form 990, Part VI, Sect B, line 15a &amp; 15b</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>Form 990, Part VI, Sect C, line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS WORKED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>Form 990, Part VII</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Changes in Net Assets</Identifier>
        <ReturnReference>Form 990, Part XI, line 5</ReturnReference>
        <Explanation>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</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Purchase Health Quality Collaborative</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2501 Kentucky Avenue</AddressLine1>
          <City>Paducah</City>
          <State>KY</State>
          <ZIPCode>42001</ZIPCode>
        </AddressUS>
        <EIN>454290974</EIN>
        <PrimaryActivities>Phys Ntwrk</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <TotalIncome>-470172</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHSI</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baptist Healthcare Affiliates Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2701 Eastpoint Parkway</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
        </AddressUS>
        <EIN>611226399</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHSI</BusinessNameLine1>
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          <BusinessNameLine1>Baptist Community Health Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2701 Eastpoint Parkway</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
        </AddressUS>
        <EIN>611141242</EIN>
        <PrimaryActivities>Med SRVCS</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>BHSI</BusinessNameLine1>
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          <BusinessNameLine1>Baptist Medical Associates Inc</BusinessNameLine1>
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          <AddressLine1>2701 Eastpoint Parkway</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
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        <EIN>205497203</EIN>
        <PrimaryActivities>Phys SRVCS</PrimaryActivities>
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        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHSI</BusinessNameLine1>
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          <BusinessNameLine1>Baptist Physicians Lexington Inc</BusinessNameLine1>
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          <AddressLine1>2701 Eastpoint Parkway</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
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        <EIN>205494939</EIN>
        <PrimaryActivities>Phys SRVCS</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
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          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
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        <EIN>260766344</EIN>
        <PrimaryActivities>Phys SRVCS</PrimaryActivities>
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          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
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        <EIN>611194899</EIN>
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        <ControlledOrg>true</ControlledOrg>
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          <AddressLine1>2701 Eastpoint Parkway</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40223</ZIPCode>
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        <EIN>311122867</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1>BHSI</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40207</ZIPCode>
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          <BusinessNameLine1>BHSI</BusinessNameLine1>
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          <City>Lexington</City>
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          <City>Paducah</City>
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          <BusinessNameLine1>BHSI</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Reg Emergency Med Sys LLC</BusinessNameLine1>
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          <AddressLine1>126 Lone Oak Rd</AddressLine1>
          <City>Paducah</City>
          <State>KY</State>
          <ZIPCode>42001</ZIPCode>
        </AddressUS>
        <EIN>611310466</EIN>
        <PrimaryActivities>Amb SRVCS</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
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        <PublicCharityStatus>Line 11a</PublicCharityStatus>
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          <BusinessNameLine1>Baptist EastMilestone LLC</BusinessNameLine1>
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          <AddressLine1>750 Cypress Station Dr</AddressLine1>
          <City>Louisville</City>
          <State>KY</State>
          <ZIPCode>40207</ZIPCode>
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        <EIN>611355065</EIN>
        <PrimaryActivity>Fitness center</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
      </Form990ScheduleRPartIII>
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          <BusinessNameLine1>Baptist Physicians' Surgery Center LLC</BusinessNameLine1>
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          <ZIPCode>40503</ZIPCode>
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        <PredominantIncomeType>N/A</PredominantIncomeType>
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          <ZIPCode>40207</ZIPCode>
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          <BusinessNameLine1>Baptist Physicians Lexington Inc</BusinessNameLine1>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>PETCT Management LLC</BusinessNameLine1>
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          <BusinessNameLine1>Baptist Health Network</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Baptist Physicians Lexington Inc</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Baptist Physicians Southeast Inc</BusinessNameLine1>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Baptist Healthcare Affiliates Inc</BusinessNameLine1>
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          <BusinessNameLine1>Baptist Community Health Services Inc</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Baptist Hospital Foundation of Greater Louisv</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baptist Ventures Inc</BusinessNameLine1>
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          <BusinessNameLine1>PETCT Management LLC</BusinessNameLine1>
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        <MethodOfAmtDetermination>cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Western Baptist Hospital Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>