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      <SupplementalInformationDetail>
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          <AddressLine1Txt>1025 New Moody Lane</AddressLine1Txt>
          <CityNm>La Grange</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40031</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.baptisthealth.com</WebsiteAddressTxt>
        <StateLicenseNum>100575</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>8</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Baptist Health Richmond</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>801 Eastern Bypass</AddressLine1Txt>
          <CityNm>Richmond</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40475</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.baptisthealth.com</WebsiteAddressTxt>
        <StateLicenseNum>100322</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Baptist Healthcare System Inc</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>23</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>See Part V, Section C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>See Part V, Section C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>300.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>See Part V, Section C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Section C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>See Part V, Section C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A consists of:</FormAndLineReferenceDesc>
        <ExplanationTxt>- Facility 1: Baptist Health Lexington, - Facility 2: Baptist Health Louisville, - Facility 3: Baptist Health Hardin, - Facility 4: Baptist Health Paducah, - Facility 5: Baptist Health Floyd, - Facility 6: Baptist Health Corbin, - Facility 7: Baptist Health La Grange, - Facility 8: Baptist Health Richmond</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Baptist Health Lexington Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Lexington Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with the Baptist Health Lexington Hospital President and various hospital and System department staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Lexington should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health Lexington serves patients from over 60 counties in Kentucky, the majority of which live in Fayette and Jessamine counties. Data from the Lexington-Fayette Community Health Assessment and the Jessamine County Health Department Community Health Status Assessment was used as a basis for identifying specific health care needs in our communities and those initiatives were considered throughout the process of determining the goals for the Baptist Health Lexington Community Health Needs Assessment. The Lexington-Fayette County Health Department, with support from Baptist Health Lexington hospital, administered a public survey to gather input on health issues prevalent in the community. The Health Department and hospital clinical care providers also participated in community conversations to identify health concerns.Secondary data obtained from national, state and local demographic and socioeconomic sources was used, including information from the United States Census Bureau, the Centers for Disease Control and Prevention, County Health Rankings and Roadmaps, and the county Health Departments. Data regarding the community's demographics, quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for the primary counties in Baptist Health Lexington's service area was analyzed. Baptist Health Lexington also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website.The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Baptist Health Lexington Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) was to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helps Baptist Health Lexington prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be the highest public health priority for the Baptist Health Lexington service area. Substance use is a common crisis throughout the state and directly within our local community. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco use have significant impacts on overall health and can lead to other co-morbidities. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. We have worked to reduce the number of opioids prescribed by physicians and are educating our nursing staff on opioid utilization through the development of the hospital Opioid Stewardship Committee. Baptist Health Lexington employs an Addiction Nurse Coordinator and an Addiction Treatment Navigator to link patients suffering from substance use health issues to available treatment options. Hospital staff have actively engaged in partnerships with local agencies to assist in education efforts throughout our community and lead support groups and cessation classes. The Baptist Health Lexington community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis.Mental health was the second most significant health concern for the Lexington community based on CHNA data analysis. There have been notable increases in the number of people directly impacted by mental health illnesses each year since the 2018 CHNA was completed. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while also factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating mental/behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have created new avenues for people to receive care and expanded access to care. The Baptist Health Behavioral Health Resource Connection hotline was established to give individuals in need a dedicated phone line, staffed seven days a week, where they can get help navigating access to behavioral health resources in Kentucky and southern Indiana. Additional behavioral health risk assessment tools and expanded treatment options are embedded into Baptist Health Medical Group primary care locations and Baptist Health has the support of an extensive network of providers who collaborate with treatment teams to ensure the highest quality of personalized care is provided. Hospital staff lead numerous support groups and promote and participate in community awareness events. Working with various community agencies and a focus on education, prevention and treatment will continue to be priorities. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones. It is not within the scope of Baptist Health Lexington's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Lexington works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Baptist Health Lexington Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- Baptist Health Lexington Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Baptist Health Louisville Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Louisville Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with the Baptist Health Louisville Hospital President and various hospital and System department staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Louisville should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health Louisville serves patients from over 40 counties in Kentucky and Indiana, the majority of whom live in Jefferson County, Kentucky. Primary data from past and current surveys conducted by the Louisville Metro Department of Public Health and Wellness was used to identify key health care needs in our communities and to help set goals for the Baptist Health Louisville Community Health Needs Assessment. Secondary data obtained from national, state and local demographic and socioeconomic sources was analyzed, including information from the United States Census Bureau, the Centers for Disease Control and Prevention and Unite Us, a community referral program that serves vulnerable persons and provides data on the most frequently requested resources by members of the community. Data regarding the community's demographics, quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for Jefferson County, the primary county in Baptist Health Louisville's service area, was analyzed. Baptist Health Louisville also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website.The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Baptist Health Louisville Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helps Baptist Health Louisville prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be the highest public health priority for the Baptist Health Louisville service area. Substance abuse is a common crisis throughout the state and directly within our local community. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco usage have significant impacts on overall health and can lead to other co-morbidities. The care plan in the Baptist Health Louisville Substance Abuse Intensive Outpatient Program (IOP) provides stabilization, assessment services, personalized treatment options, group therapy, and support groups. We have worked to reduce the number of opioids prescribed by physicians and are educating our nursing staff on opioid utilization through development of the hospital Opioid Stewardship Committee. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. Baptist Health Louisville community pharmacies offer a drug disposal program to help eliminate any unused drugs from homes. Baptist Health Louisville staff have actively engaged in community education partnerships, working with several local agencies to assist in educating the community, and staff members lead support groups and smoking cessation classes that are available on the hospital campus. Expanding access to substance use services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis. Together, these efforts help reduce the flow of opioids into the community and support broader initiatives to address addiction.Mental health was the second most significant health concern for the community based on the CHNA data analysis. Over the last decade, there have been notable increases in the number of people who have been directly impacted by mental health illnesses and opioid use, highlighting the need for patient education, treatment options and continued care. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have created new avenues for people to receive care and expanded access to care. The Baptist Health Behavioral Health Resource Connection hotline was established to give individuals in need a dedicated phone line, staffed seven days a week, where they can get help navigating access to behavioral health resources in Kentucky and southern Indiana. Additional behavioral health risk assessment tools and expanded treatment options are embedded into Baptist Health Medical Group primary care locations and Baptist Health supports an extensive network of providers who work in collaboration with treatment teams to ensure the highest quality of care is provided. The hospital and staff offer numerous support groups and promote and participate in community awareness events. Working with various community agencies and a focus on education, prevention and treatment will continue to be priorities. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones. It is not within the scope of Baptist Health Louisville's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Louisville works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Baptist Health Louisville Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- Baptist Health Louisville Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Baptist Health Paducah Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Paducah Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with Baptist Health Paducah Hospital leadership and System department staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Paducah should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health Paducah serves patients from over 15 counties in Kentucky, eight counties in Illinois, and three counties in Tennessee. McCracken, Graves and Marshall counties in Kentucky represent the primary hospital service area. Data from the Purchase District Health Department, (McCracken County), and the Graves and Marshall County Health Departments was used to identify key health care needs in our communities and to help set goals for the Baptist Health Paducah Community Health Needs Assessment. Secondary data obtained from national, state and local demographic and socioeconomic sources was analyzed, including information from the United States Census Bureau, the Centers for Disease Control and Prevention and Unite Us, a community referral program that serves vulnerable persons and provides data on the most frequently requested resources by members of the community. Data regarding the community's demographics, quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for the Paducah service area was analyzed. Baptist Health Paducah also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website. The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Baptist Health Paducah Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helped Baptist Health Paducah prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Based on the information analyzed, obesity and related illness prevention was identified as the primary health concern in the Paducah community. Obesity can cause serious health problems, including Type 2 diabetes, heart disease, high cholesterol, high blood pressure, asthma, osteoarthritis and several forms of cancer. Failing to diminish obesity in the community will lead to higher mortality rates, increased healthcare costs and a decrease in the quality of life for families in our community. To increase awareness of obesity as a health threat to our service area residents and to encourage healthier living through diet, exercise and other means remains a top priority. Baptist Health Paducah provides resources to meet this need through its bariatric surgery and metabolic disease management programs; by providing health screenings; supporting fitness programs in area schools; participating in local events to promote education and screenings, and internal programs to improve employees' health. Mental health was identified as the second most significant health concern in the Paducah community based on the CHNA data analysis. Baptist Health Paducah continues to make mental/behavioral health care a priority as the number of people who have been directly impacted by mental health illnesses has increased and the community need for assistance continues to grow. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have expanded access and created new avenues for people to receive care. These efforts include the Baptist Health Behavioral Health Resource Connection hotline, a dedicated phone line staffed seven days a week to help individuals access behavioral health resources in Kentucky and southern Indiana, and a network of providers who work in collaboration with our treatment teams. Additional behavioral health risk assessment tools and expanded treatment options are embedded into Baptist Health Medical Group primary care locations. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones.Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be the third public health priority for the Baptist Health Paducah service area. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco usage have significant impacts on overall health and can lead to other co-morbidities. Despite not having the resources other agencies have to address substance abuse directly, Baptist Health Paducah works to meet the needs of the community in ways that support the efforts of other agencies and care facilities, such as the regional Agency for Substance Abuse Policy Coalition (ASAP), and facilitating the annual Addiction Symposium, which focuses on training clinicians on the physical and mental health issues surrounding addiction. The educational program has been a catalyst to provide caregivers with an increased knowledge of the disease of addiction and the care and resources available for those suffering from this disease. Baptist Health Paducah continues to utilize the Opioid Stewardship Committee, which works to reduce the number of opioids prescribed by physicians and educate nursing staff on opioid utilization. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. The Baptist Health Paducah community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Tobacco cessation clinics and group support clinics are offered by the hospital and hospital staff have actively engaged in community education partnerships, working with several local agencies to assist in supporting the community. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis.It is not within the scope of Baptist Health Paducah's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Paducah works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Baptist Health Paducah Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 4 -- Baptist Health Paducah Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 5 -- Baptist Health Floyd Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Floyd Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with Baptist Health Floyd senior hospital leadership and hospital and System staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Floyd should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities. Baptist Health Floyd serves patients from more than twelve counties in Indiana and four counties in Kentucky. Patients from Floyd and Clark counties in Indiana account for more than 67% of hospital visits. Floyd County is the primary hospital service area for purposes of the CHNA data analysis. Data gathered from a public survey distributed via social media, (Baptist Health Floyd Community Survey), and from focus groups conducted with the Floyd County Nutrition and Physical Activity Coalition and the Floyd County Tobacco Prevention and Cessation Coalition were referenced to identify and measure key health care needs in our community and to help set goals for the Baptist Health Floyd Community Health Needs Assessment. Secondary data from national, state and local demographic and socioeconomic sources was obtained, including information from the United States Census Bureau, the Centers for Disease Control and Prevention, the Indiana Department of Health and the County Health Rankings and Roadmaps database. County-level data regarding the community's quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for the Floyd service area was analyzed. Baptist Health Floyd also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website. The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 5 -- Baptist Health Floyd Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helped Baptist Health Floyd prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Mental health illnesses and their related health effects on individuals and families were the most prevalent community health concerns based on the data analyzed for the CHNA. Baptist Health Floyd continues to make mental/behavioral health care a priority as the number of people who have been directly impacted by mental health illnesses has increased and the community need for assistance continues to grow. Mental illness has a significant impact on overall health and well-being and can contribute to other health issues such as obesity and substance abuse disorders. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have expanded access and created new avenues for people to receive care. We have a network of providers who work in collaboration with our treatment teams and we have additional behavioral health risk assessment tools and expanded treatment options that are embedded into Baptist Health Medical Group primary care practices. Other community outreach efforts include the Baptist Health Behavioral Health Resource Connection hotline which is staffed seven days a week and provides assistance to anyone seeking treatment options throughout Kentucky and Indiana. The hospital has implemented the use of the PHQ2 and PHQ9 depression screenings to address any potential mental health needs in patients being treated for non-mental health issues. Free counseling services are offered to students at three public schools, hospital staff host numerous support groups and participate in community events to raise awareness and provide educational materials. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones.Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be the second public health priority for the Baptist Health Floyd service area. Substance abuse is a common crisis throughout the state and within our community. High smoking rates cause higher occurrences of lung cancer, heart disease and stroke. Baptist Health Floyd is working to reduce the high rate of smoking and tobacco use by providing tobacco cessation classes, health screenings and educational resources for community members. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco usage have significant impacts on overall health and can lead to other co-morbidities. Despite not having the resources other agencies have to address substance abuse directly, Baptist Health Floyd works to meet the needs of the community in ways that support the efforts of other agencies and care facilities. Baptist Health Floyd has an educational program that has been a catalyst to provide caregivers with an increased knowledge of the disease of addiction and the care and resources available for those suffering from this disease. Baptist Health Floyd continues to utilize the Opioid Stewardship Committee, which works to reduce the number of opioids prescribed by physicians and educate nursing staff on opioid utilization. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as the available treatment options. The Baptist Health Floyd community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Tobacco cessation clinics and group support clinics are offered by the hospital and hospital staff have actively engaged in community education partnerships, working with several local agencies to help bring awareness and knowledge to the community. Hospital staff led 12 sessions of the county-wide Suicide Overdose Fatality Review Workshops to review gaps in care and improve treatment protocols with over 200 representatives from community partners. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis.It is not within the scope of Baptist Health Floyd's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Floyd works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Indiana Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 5 -- Baptist Health Floyd Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 5 -- Baptist Health Floyd Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 6 -- Baptist Health Corbin Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Corbin Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with the Baptist Health Corbin hospital president and System department staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Corbin should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health Corbin serves patients from more than 24 counties in Kentucky and six counties in Tennessee. Patients from Whitley, Knox and Laurel counties in Kentucky account for more than 70% of hospital visits. The primary hospital service area is Whitley County for purposes of the CHNA data analysis. The Whitley County Health Department Community Health Assessment and Community Health Improvement Plan was referenced to identify and measure key health care needs in our community, and to help set goals for the Baptist Health Corbin Community Health Needs Assessment. Secondary data obtained from national, state and local demographic and socioeconomic sources was analyzed, including information from the United States Census Bureau, the Centers for Disease Control and Prevention, the University of Kentucky Community Assessment, and Unite Us, a community referral program that serves vulnerable persons and provides data on the most frequently requested resources by members of the community. Data regarding the community's demographics, quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for the Corbin service area was analyzed. Baptist Health Corbin also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website. The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 6 -- Baptist Health Corbin Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helped Baptist Health Corbin prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be the highest public health priority for the Baptist Health Corbin service area. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco usage have significant impacts on overall health and can lead to other co-morbidities. Baptist Health Corbin operates an inpatient Detox Recovery Unit that provides medically managed and monitored detoxification services, an Adult Chemical Dependency Intensive Outpatient Program, and offers medication-assisted therapy (MAT). Hospital staff participate in monthly Quick Response Teams to model community response to drug overdoses, and educational programs for hospital staff members have been a catalyst to provide caregivers with an increased knowledge of the disease of addiction and the care and resources available for those suffering from this disease. Baptist Health Corbin clinicians work to reduce the number of opioids prescribed and educate nursing staff on opioid utilization. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. The Baptist Health Corbin community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Tobacco cessation clinics and numerous support groups are offered by the hospital and hospital staff have actively engaged in community education partnerships, working with several local agencies to assist in educating and supporting community members. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis. Mental health was identified as the second most important health concern in the Corbin community based on the CHNA data analysis. Baptist Health Corbin continues to make mental/behavioral health care a priority as the number of people who have been directly impacted by mental health illnesses has increased and the community need for assistance continues to grow. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have expanded access and created new avenues for people to receive care. Baptist Health Corbin operates an Inpatient Adolescent Psychiatric Unit and a Behavioral Health Intensive Outpatient Program and has a network of providers who work in collaboration with those treatment teams. A Community Behavioral Health Liaison is employed to assist those in need of treatment and the Baptist Health Behavioral Health Resource Connection hotline is staffed seven days a week and provides additional assistance with treatment options throughout Kentucky. Baptist Health Corbin hosted a Behavioral Health Summit for community members and works with FAIR (Families and Adolescents in Recovery) teams from surrounding counties to help incarcerated youth get behavioral health treatment. Additional behavioral health risk assessment tools and expanded treatment options are embedded into Baptist Health Medical Group primary care locations, and virtual behavioral care has been integrated into Baptist Health primary care clinics. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones.Obesity and related illness prevention remain a top community health concern in the Corbin community. Obesity can have a significant impact on other health issues, including Type 2 diabetes, heart disease, high cholesterol, high blood pressure, asthma, osteoarthritis, joint deterioration and several forms of cancer. Kentucky has some of the highest rates in the nation for preventable health conditions and for behaviors that have been identified as unhealthy. Failing to diminish obesity in the community will lead to higher mortality rates, increased healthcare costs and a decrease in the quality of life for families in our community. To increase the awareness of obesity as a health threat to area residents and to encourage healthier living through diet, exercise and other means remains a top priority. To underscore the need to address these issues, Baptist Health Corbin holds heart healthy and stroke screening events that provide blood pressure screenings, peripheral vascular disease education and healthy eating tips; provides diabetes management classes and educational materials to community members, and staff members have provided meals to the Corbin Senior Citizens Center.It is not within the scope of Baptist Health Corbin's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Corbin works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 6 -- Baptist Health Corbin Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 6 -- Baptist Health Corbin Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 7 -- Baptist Health La Grange Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health La Grange Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with Baptist Health La Grange hospital and System department staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health La Grange should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health La Grange serves patients from more than seven counties in Kentucky. Patients from Oldham, Henry and Carroll counties account for more than 71% of hospital visits. The primary hospital service area is Oldham County for purposes of the CHNA data analysis. The Oldham County Community Health Assessment/Community Health Improvement Plan and the Three Rivers District Health Department Community Health Improvement Plan, (covering Carroll County), were referenced to identify and measure key health care needs in our community, and to help set goals for the Baptist Health La Grange Community Health Needs Assessment. Secondary data obtained from national, state and local demographic and socioeconomic sources was obtained, including information from the United States Census Bureau, the Centers for Disease Control and Prevention, and the County Health Rankings and Roadmaps database. County-level data regarding the community's quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for the La Grange service area was analyzed. Baptist Health La Grange also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website. The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 7 -- Baptist Health La Grange Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helps Baptist Health La Grange prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes.Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be a public health priority for the Baptist Health Hardin service area. Substance abuse is a common crisis throughout the state and within our community. High smoking rates cause higher occurrences of lung cancer, heart disease and stroke. Baptist Health La Grange is working to reduce the high rate of smoking and tobacco use by providing tobacco cessation classes, health screenings and educational resources for community members. Staff members participated in DAWN, a nationwide public health surveillance system that tracks substance abuse related emergency department visits, and lead support groups and smoking cessation classes. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco usage have significant impacts on overall health and can lead to other co-morbidities. Baptist Health La Grange has an inpatient behavioral health unit and physicians that are board certified in addiction medicine to offer treatment options for our patients. Educational programs for hospital staff members have been a catalyst to provide caregivers with an increased knowledge of the disease of addiction and the care and resources available for those suffering from this disease. Baptist Health La Grange clinicians work to reduce the number of opioids prescribed and educate nursing staff on opioid utilization. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. The Baptist Health La Grange community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Numerous support groups are offered by the hospital and hospital staff have actively engaged in community education partnerships, working with several local agencies, including the Kentucky Statewide Opioid Stewardship Group to assist in educating and supporting community members. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis. Mental and behavioral health illnesses and their related health effects on individuals and families were identified as the second most important community health concerns. Baptist Health La Grange continues to make mental/behavioral health care a priority as the number of people who have been directly impacted by mental health illnesses has increased and the community need for assistance continues to grow. The secondary data shows that mortality related to mental and behavioral health disorders for every county in the service area is above the national and state incidence rate. Mental illness has a significant impact on overall health and well-being and can contribute to other health issues such as obesity and substance abuse disorders. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have improved access to outpatient mental health wellness programs and provide additional risk assessment tools and expanded treatment options. Baptist Health La Grange operates an Inpatient Behavioral Health Unit to complement the hospital's comprehensive outpatient support services and has a network of providers who work in collaboration with treatment teams. The unit includes 11 private rooms, a secure outdoor area and dedicated spaces for specialized therapy, designed from the ground up as a healing environment. The nearly $10 million project expanded access to mental health services by creating the only publicly available inpatient behavioral health beds in Oldham, Henry, Trimble, Carroll and Shelby counties, along with critically needed outpatient resources. The Baptist Health Behavioral Health Resource Connection hotline, which is staffed seven days a week, provides assistance to anyone seeking available treatment options throughout the state. Clinicians participated in the Oldham County Mental Health Force, and numerous support groups are offered throughout the community. Additional behavioral health risk assessment tools and expanded treatment options are embedded into Baptist Health Medical Group primary care locations. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones.It is not within the scope of Baptist Health La Grange's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health La Grange works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 7 -- Baptist Health La Grange Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 7 -- Baptist Health La Grange Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 8 -- Baptist Health Richmond Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Richmond Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with the Baptist Health Richmond Hospital President and various hospital and System department staff members. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Richmond should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health Richmond serves patients from over 15 counties in Kentucky. Madison and Estill counties account for over 80% of hospital admissions. Primary data from the Madison County Health Department Community Health Assessment and Improvement Plan and communication with the Estill County Health Department was used to identify key health care needs in our communities and to help set goals for the Baptist Health Richmond Community Health Needs Assessment. Secondary data obtained from national, state and local demographic and socioeconomic sources was analyzed, including information from the United States Census Bureau, the Centers for Disease Control and Prevention and Unite Us, a community referral program that serves vulnerable persons and provides data on the most frequently requested resources by members of the community. Data regarding the community's demographics, quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for Madison and Estill counties, the primary counties in Baptist Health Richmond's service area, was analyzed. Baptist Health Richmond also solicited comments from the general public on the hospital's CHNA report via the Baptist Health website.The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 8 -- Baptist Health Richmond Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helps Baptist Health Richmond prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be the highest public health priority for the Baptist Health Richmond service area. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco usage have significant impacts on overall health and can lead to other co-morbidities. The hospital offers medication-assisted treatment (MAT) for addiction; operates an Adult Chemical Dependency Intensive Outpatient Program (IOP) that provides stabilization and assessment services, treatment options, and IOP group therapy; employs a Behavioral Health Community Outreach Navigator that develops relationships between the hospital, community members and local agencies to help provide education and prevention resources. We have worked to reduce the number of opioids prescribed by physicians and are educating our nursing staff on opioid utilization. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. The Baptist Health Richmond community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Baptist Health Richmond staff have actively engaged in community education partnerships, working with several local agencies to assist in educating the community. A pharmacist-led tobacco cessation clinic and numerous other support groups are offered by the hospital. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis. Mental health was the second most significant health concern for the community based on the CHNA data analysis. Baptist Health Richmond made behavioral/mental health a priority as the number of people who have been directly impacted by mental health illnesses has increased significantly and the community need for assistance continues to grow. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors, rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. The Thrive Center at Baptist Health Richmond, a $5.5 million behavioral health inpatient and outpatient expansion project, provides an interdisciplinary team approach to behavioral health care for patients and their families. Our team members include psychiatrists, registered nurses, licensed clinical counselors, therapists and social workers, recreational therapists and mental health technicians. Services include psychiatric evaluation and treatment; 24-hour nursing care; individual, group and family therapy and psychoeducation; individualized treatment and aftercare planning; therapeutic recreational activities; access to peer support and case management, and referrals to community resources. Crisis behavioral health consultations are also available 24 hours a day, seven days a week in the Clinical Decision Unit within the Baptist Health Richmond Emergency Department. This unit is a newly renovated space designed to provide a safe, private environment for patients experiencing a mental health crisis and has been a very beneficial community health initiative. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have created new avenues for people to receive care and expanded access to care. The Baptist Health Behavioral Health Resource Connection hotline was established to give individuals in need a dedicated phone line, staffed seven days a week, where they can get help navigating access to behavioral health resources in Kentucky and southern Indiana. Additional behavioral health risk assessment tools and expanded treatment options are embedded into Baptist Health Medical Group primary care locations. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones.It is not within the scope of Baptist Health Richmond's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Richmond works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 8 -- Baptist Health Richmond Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 8 -- Baptist Health Richmond Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Baptist Health Hardin Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Baptist Health Hardin Community Health Needs Assessment (CHNA) was conducted utilizing community partners and resources to gather, disseminate and prioritize community health data. A community-driven plan of action engages the public and develops partnerships that help promote wellness and healthier communities.The Community Health Needs Assessment was conducted by the Baptist Healthcare System Director of Community Health and Engagement, in collaboration with the Baptist Health Hardin Hospital President and System department staff members. The methodologies used to accumulate and analyze the relevant CHNA data was approved by the CHNA Steering Committee, which was comprised of local public health experts; civic, business and government leaders; and Baptist Health Hardin Hospital and System department leaders. Information gathered through the primary and secondary data sources combined with the information obtained through other community partners helped to determine the most pressing community health needs. These needs were then prioritized to determine how and where Baptist Health Hardin should concentrate its resources over the next three years to most effectively address the health needs that create hardships for our residents and stress on agencies throughout our communities.Baptist Health Hardin serves patients from more than 18 counties in Kentucky. Patients from Hardin County, the primary hospital service area for purposes of the CHNA data analysis, account for more than 60% of all hospital visits. The Lincoln Trail District Health Department, a strong community and hospital partner, serves a six-county area including Hardin, LaRue, Marion, Meade, Nelson and Washington counties and was a valuable resource for this CHNA. The department provides environmental, preventive, curative and health maintenance services to our community through direct healthcare, health education, counseling and the enforcement of laws that protect health and the environment. Through these contacts and a public survey commissioned by Baptist Health Hardin and the Lincoln Trail District Health Department, Baptist Health Hardin collected primary data and feedback on the health issues confronting its service area. Secondary data obtained from national, state and local demographic and socioeconomic sources was analyzed, including information from the United States Census Bureau, the Centers for Disease Control and Prevention, and Unite Us, a community referral program that serves vulnerable persons and provides data on the most frequently requested resources by members of the community. Data regarding the community's demographics, quality of life, health behaviors and outcomes, clinical care availability, socioeconomic factors and physical environment risks for the Hardin service area was analyzed. Baptist Health Hardin also solicited comments from the general public on the hospital's CHNA via the Baptist Health website. The final Community Health Needs Assessment and Strategic Implementation Plan were approved by the Baptist Healthcare System Board of Directors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Baptist Health Hardin Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the Community Health Needs Assessment (CHNA) is to identify health challenges and risk factors that can be modified or prevented to improve the health of our community. The CHNA helped Baptist Health Hardin prioritize the health concerns and needs for our service area that can be addressed and affected by implementing programs, providing educational support, sponsoring preventive screenings and collaborating with other community partners to eliminate health disparities and improve health outcomes. Mental health was identified as the most important health concern in the Hardin community based on the CHNA data analysis. Baptist Health Hardin continues to make mental/behavioral health care a priority as the number of people who have been directly impacted by mental health illnesses has increased and the community need for assistance continues to grow. Mental illness can encompass a wide range of conditions that are most evident in a person's feelings, thought patterns and behaviors; rather than in physical injury or ailments. Mental health issues such as anxiety, depression and drug and alcohol dependency are treatable through numerous therapeutic methods, while factoring in the physical, psychological, social, cultural, and hereditary roots of the disorder. To drive improved quality outcomes for our patients, Baptist Health recognizes the importance of integrating behavioral health care into all aspects of care. We also realize the importance of reducing the stigma of seeking behavioral health care services. As a result, we have expanded access and created new avenues for people to receive care. Baptist Health Hardin operates an Inpatient Behavioral Health Unit and has a network of providers who work in collaboration with treatment teams. The Baptist Health Behavioral Health Resource Connection hotline is staffed seven days a week and provides assistance to anyone seeking treatment options throughout Kentucky. Additional behavioral health risk assessment tools and expanded treatment options are embedded in Baptist Health Medical Group primary care locations. Baptist Health Hardin hosted two Mental Health First Aid classes for community members, and leads numerous support groups for patients, caregivers and loved ones. The combined efforts of medical professionals, schools, churches and government agencies will enhance our efforts to reduce the stigma around mental health care and will help to engage, educate and encourage individuals to seek care for themselves and their loved ones.Based on the data gathered through the CHNA process, substance use, (including the use of drugs, alcohol and tobacco), was determined to be a public health priority for the Baptist Health Hardin service area. Substance abuse is a common crisis throughout the state and within our community. The Hardin service area has very high smoking rates and higher occurrences of lung cancer, heart disease and stroke. Baptist Health is working to improve Kentuckians' health by reducing the rate of smoking and tobacco use by providing tobacco cessation classes, health screenings and educational resources for community members. Staff members provided anti-vaping educational support to over 4,900 students and lead the Better Breathers support group. Opioid abuse has become an epidemic across the country and locally we are seeing a similar surge of opioid-related emergency department encounters and hospital admissions. Opioid, alcohol and tobacco use have significant impacts on overall health and can lead to other co-morbidities. Baptist Health Hardin has an inpatient behavioral health unit and physicians that are board certified in addiction medicine to offer treatment options for our patients. Educational programs for hospital staff members have been a catalyst to provide caregivers with an increased knowledge of the disease of addiction and the care and resources available for those suffering from this disease. Baptist Health Hardin clinicians work to reduce the number of opioids prescribed and educate nursing staff on opioid utilization. Our providers continue to monitor health trends to ensure compliance with best practices for prescribing opioids and to educate patients and family members about the warning signs and risks of addiction, as well as available treatment options. Hospital staff were leaders on the Hardin County Youth Prevention Task Force and led overdose simulations for hundreds of high school students. The Baptist Health Hardin community pharmacy offers a drug disposal program to help eliminate any unused drugs from homes. Numerous support groups are offered by the hospital and hospital staff have actively engaged in community education partnerships, working with several local agencies to assist in educating and supporting community members. Expanding access to substance abuse services throughout the community and reducing the stigma surrounding treatment are important steps to mitigating this public health crisis. Access to healthcare was also one of the top health concerns in the Hardin community. Baptist Health Hardin has a very low admission rate from patients who come to their Emergency Department, which indicates that patients do not see a primary care physician in a timely manner. This is an area that Baptist Health Hardin and the Baptist Health Medical Group continue to address through the expansion of services and staff. Construction on the new Medical Pavilion directly to the northwest of the hospital was completed in the fall of 2024 and houses a comprehensive cancer center, twelve new surgical suites including a hybrid operating room, three new cardiac cath labs, multidisciplinary outpatient clinics, and patient-centered spaces designed to promote emotional and spiritual wellness. Active recruitment of additional primary care physicians and advanced care providers, coupled with easier access to more services and providers, is helping significantly to address these community health concerns. Hospital staff are active in the community, staffing over 80 health fairs and screenings; providing in-school health education to thousands of students and participating in the Hypertension Quality Improvement Initiative. It is not within the scope of Baptist Health Hardin's services, expertise or resources to be able to address all of the risk factors that have been identified as influencers of our community's health status. However, it is through networking, partnerships and collaboration with other community stakeholder organizations and agencies that these issues are being addressed. Increasing communication between community service providers, enhancing the public's awareness of the agencies and services available and promoting assistance provided by local community partners is a common goal of our healthcare and civic leaders. Baptist Health Hardin works collaboratively with other community resources to provide support and to serve as a referral source to address the additional identified health needs that fall below the significant prevalence level for our service area. Impact issues such as unemployment and uninsured populations are being managed by economic development groups, the Kentucky Chamber of Commerce, city and county governments and county health departments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Baptist Health Hardin Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on the information provided in the Financial Assistance Policy, (FAP), application and/or through the presumptive eligibility process, a patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the FAP after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A full FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation. A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted (until that time, the application is to be pended). A partial FAP discount represents gross charges less the amount paid by all other healthcare resources and, as applicable, any uninsured discounts or contractual discounts with third-party payers. Refunds will be made if a patient pays more than is owed under this calculation.Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed [AGB] to individuals who have insurance covering such care. Baptist Health will disregard the first five thousand ($5,000) of liquid assets of the household for purposes of calculating eligibility for financial assistance pursuant to the FAP.All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed [AGB] by each hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 3 -- Baptist Health Hardin Part V, Section B, line 20e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health will not engage in extraordinary collection actions (ECAs) against a patient or guarantor until Baptist Health has first made reasonable efforts to determine whether the individual is eligible for assistance under the Financial Assistance Policy.Prior to referring individuals to a collection agency, Baptist Health processes all self-pay accounts through an external scoring application to determine additional eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Line 3e</FormAndLineReferenceDesc>
        <ExplanationTxt>Every Baptist Health hospital did include a prioritized list of the community's significant health needs in its CHNA report.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Lines 16 a,b,c</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.baptisthealth.com/patients-visitors/after-your-visit/billing-information/financial-assistance</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Lines 7a and 10a</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.baptisthealth.com/connect-learn/community-health-outreach/community-health-needs-assessments</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B, Line 22</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Healthcare System utilizes the look-back method to determine Amounts Generally Billed (AGB). AGB is calculated annually using claims allowed by Medicare fee-for-service and all private health insurers during a preceding 12-month period. Information regarding the calculation of AGB and the current AGB percentages is available free of charge by contacting Baptist Health Patient Financial Services. Individuals eligible for financial assistance under this policy will not be charged more than AGB for emergency or other medically necessary care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY:Financial Assistance at Cost is calculated on Schedule H, Worksheet 1. Gross patient charges written off under the Financial Assistance Policy, (FAP), and uninsured discounts are reported from financial reporting systems. The cost-to-charge ratio applied is calculated on Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. The community benefit for unreimbursed Medicaid is calculated on Schedule H, Worksheet 3, Medicaid and Other Means-Tested Government Health Programs. Gross Medicaid patient charges and Medicaid net patient service revenue are as reported on the Centers for Medicare &amp; Medicaid Services, (CMS), cost reports.Subsidized services are calculated using patient level cost accounting information. All patient segments, payer plans and clinical services are separately identified and factored in to the calculations. The cost of charity care, bad debts and Medicaid are removed from the calculation of the loss on subsidized services.Much care is taken to ensure that costs used for community benefit reporting are directly related to exempt-purpose patient care and that costs are reported accurately.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES:In order to meet the health and wellness needs of communities we serve throughout Kentucky, Indiana and Illinois, Baptist Healthcare System, (BHS), provides grants to Baptist Health Medical Group, Inc., (BHMG), a nonprofit Section 501(c)(3) entity that is organized and operated to provide healthcare facilities and services. These grants allow BHMG to continue to provide support and care for Medicaid and charity care patients through primary care centers, rural health centers, urgent care centers and specialty health centers that meet a demonstrated community need. BHS makes these grants on the condition that BHMG use the grant funds only for the following activities:1. To provide care for patients participating in Medicaid and other government health programs, including but not limited to the Kentucky Children's Health Insurance (KCHIP) program.2. To provide care, for free or at discounted rates, to low-income patients who cannot afford the cost of care.3. To fund the operations of rural health centers, primary care centers and urgent care centers that provide care for the patients described above.4. To engage in community activities and programs in response to demonstrated community needs to improve community health, including but not limited to health screenings, wellness care, vaccinations and community health education. The expenses related to the above activities are included in Schedule H, Part I, Line 7g; Subsidized Health Services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule H, Part I, Line 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>Each hospital within Baptist Healthcare System, Inc. (BHS), (61-0444707), prepares a Community Benefit Report. In addition, a summary Community Benefit Report is prepared on a consolidated basis for all entities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY SUPPORT: The entire Baptist Health organization is committed to our mission to positively impact the health of our communities. We are dedicated to clinical excellence, patient safety and continued growth to best meet the needs of our patients and the unique needs of each of the communities we serve. We believe it is our responsibility to improve the health and wellness of our communities through a continuum of accessible healthcare, effective community education and the continuous quality improvement of our services in a manner that is financially responsible in the structure and delivery of healthcare services. Our providers remain focused on helping people get well and stay well. We strive to maintain the highest quality safety standards; we seek new outreach and wellness initiatives to create a culture of health in each community; we grow our programs and facilities to help eliminate health disparities and to make comprehensive care more accessible; we embrace new research and clinical trials and seek new opportunities to connect with our patients through comprehensive, safe and personalized care. In 2024 Baptist Health celebrated 100 years of caring with over 175 days of service that flowed into each of our communities. That strong commitment to service and dedication to excellence continue to guide Baptist Health as we care for our patients, our communities, our caregivers, our employees and our future. COALITION BUILDING: As a not-for-profit health care provider, Baptist Health has made a commitment to our communities to provide care and services that go far beyond what is expected of a hospital, including charity care, education, community partnerships and a wide variety of special programs and services. Improving the health of those in our communities at a grassroots level requires partnerships with other like-minded local and national organizations to further enhance and support successful initiatives and programs. Working together with our community partners allows us to maximize the scope of assistance we can all provide, as well as the collective impact. Baptist Health, Norton Healthcare and U of L Health have collaborated with Indiana University Southeast to establish a historic five-year workforce development partnership that will build a degree program to fill in-demand laboratory science healthcare positions. The hospital groups will support the program's development by providing faculty and operational support, supplying laboratory equipment, remodeling campus laboratory spaces, and offering students hands-on clinical experience through internships. Baptist Health regularly partners with county, city and state health departments and leaders; local schools and universities; the Centers for Disease Control and Prevention (CDC); the Kentucky and Indiana Hospital Associations, and other healthcare providers. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: Baptist Health continues to offer a variety of outreach programs across our communities, including educational classes, health fairs and screenings, support groups and coalitions with local schools and government agencies that align with our mission, vision and values. Baptist Health's Wellness team is constantly seeking new opportunities to change the health of our communities for the better, one individual at a time. The team creates a culture of health and accountability, effectively engaging participants to reach their health and wellness goals. Baptist Health's innovative, award-winning wellness programs include smoking-cessation classes, substance abuse education, weight-management programs, diabetes prevention, stress management and physical activity programs. Dozens of support groups are offered that allow for expert-lead discussions in a caring environment, fostering a sense of connection and community among the participants. Baptist Health places great importance on educational and preventive programs, recognizing that knowledge is critical to the health of our communities. Classes are available in person and virtually and cover a wide range of health-related topics from childbirth to advanced care planning. The Baptist Health website offers a vast library of information that is easily accessible. Increasing awareness of prevention and early detection opportunities is vital to our neighbors, especially in underserved communities. Preventative screenings and advanced diagnostic testing are available at all Baptist Health hospitals. RESEARCH: At Baptist Health, our leadership in clinical research, an essential scientific tool to evaluate the latest and most advanced therapies and diagnostic methods, is directly linked to our organizational mission to best serve the healthcare needs of our patients. Medical research represents the future of healthcare, and we recognize the potential for immediate and future health benefits by offering our patients the opportunity to participate in clinical trials. Our goal is to provide the latest innovations and the newest treatment options in a community-based setting. Our ability to better understand and more effectively diagnose, monitor, treat and prevent disease hinges upon vigorous research programs and the commitment of healthcare organizations like Baptist Health. Clinical trials conducted within Baptist Health hospitals play a significant role in the development of new and improved opportunities to diagnose, treat and prevent disease. Our research studies allow patients to stay in their own community and continue to see the healthcare providers they are familiar with while taking advantage of new drugs or therapies being tested on a national level, and they are at the forefront of patient care.The Baptist Health Office of Research Administration works to find new ways to deliver financially responsible health services in a changing healthcare environment through collaboration with health professionals and other organizations seeking similar outcomes. Baptist Health research teams offer services that are vital to the success of clinical research that include: coordinating participation in federal and commercially sponsored research trials; matching patients to trials and studies; collaborating with other medical facilities to find the best fit for patients and research initiatives; screening patients daily to provide treatment options that go beyond standard levels of care, and providing that care close to home, allowing patients to remain near family and trusted care providers. Clinicians in Baptist Health facilities are currently engaged in hundreds of clinical studies. These studies include Phase I/II/III/IV/PAS, investigational drugs, humanitarian use devices (HUD), biospecimen, registry, observational and investigational procedures. Therapeutic areas include cardiology, vascular diseases, immunology, infectious diseases, nephrology, obstetrics, gynecology, oncology, neonatology, pharmacology, toxicology and many others. The Baptist Health Cancer Research Network, (BHCRN), is a collaborative effort to improve cancer care through research, and to support patient access to National Cancer Institute (NCI) oncology research trials at facilities throughout our care region. The BHCRN offers Phase II, III and quality-of-life trials for a variety of cancers, including breast, lung and lymphoma. The BHCRN selects trials based on patient and physician interest; develops a quality monitoring system to assure compliance with National Cancer Institute (NCI) guidelines; ensures proper researcher training and is committed to working with the NCI and the Guardian Research Network (GRN) to bring a broader range of clinical trials to the network. The GRN is a nationwide consortium of health systems that created a unique platform to accelerate cures for cancer by identifying and placing patients in clinical trials as quickly as possible, cutting crucial weeks off enrollment timelines. The network also houses a searchable database that reports comprehensive data and testing results.Baptist Health received national recognition for participation in the CREST-2 registry, who's primary objective is to promote rapid enrollment into randomized clinical trials for the treatment of carotid artery occlusive disease, a leading cause of strokes. Sponsored by the National Institute of Neurological Disorders and Stroke (NINDS) through the NIH, the principal investigator for the trial is a cardiologist at BH Lexington, which is the top enroller among over 100 participating facilities. BH Lexington has the specific resources available to treat the most complex stroke cases and is designated as a Comprehensive Stroke Center, (CSC), by the American Heart Association. Clinical research expands the knowledge and experience of our care providers, allowing us to gain a better understanding of effective treatments. The research studies of today can become the standard treatments of tomorrow.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE:As a result of certain changes required by Accounting Standards Update(ASU) 2014-09, the majority of Baptist Health's provision for uncollectible accounts is recorded as a direct reduction to net patient service revenue instead of being presented as a separate line on the consolidated statements of operations. The core principle of the guidance in ASU No. 2014-09 is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. For Baptist Health's healthcare operations, the adoption of ASU No. 2014-09 resulted in changes to the presentation for and disclosure of revenue related to uninsured and underinsured patients. Under ASU No. 2014-09, the estimated uncollectible amounts due from these patients are generally considered an implicit price concession and are a direct reduction to patient service revenue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER BAD DEBT REPORTED IN COMMUNITY BENEFIT:No other bad debt amounts have been included as community benefit. The hospitals educate patients with limited ability to pay regarding financial assistance and for this reason, the organization believes it accurately captures all charity care deductions provided according to the financial assistance policy, and the amount of bad debt expense attributable to patients eligible under the organization's charity care policy is negligible.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE FOOTNOTE:A separate footnote for bad debt expense is not included in the audited financial statements. However, beginning in 2012 Baptist Health reported the provision for uncollectible accounts related to patient service revenue as a deduction from patient service revenue. The costing methodology of bad debt is outlined in Schedule H, Part VI, Line 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COSTING METHODOLOGYMedicare 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION PRACTICES:No individual determined to be eligible for financial assistance will be billed for more than the amount specified in the Financial Assistance Policy (FAP) and if an overpayment is made on hospital accounts, it will be refunded. Patients or guarantors who have an ability to pay for medical services and who have been determined to be ineligible for financial assistance or have not submitted an application for assistance under the FAP will be billed based on the following guidelines: - Patients or guarantors may be provided an opportunity to pay an estimated patient liability at point of service. - Baptist Health will accept and file claims for all insurances assigned to the organization with adequate proof of coverage. This assignment does not relieve the patient or guarantor of responsibility for payment if the third-party payer fails to pay as prescribed by regulation, statute or patient-insurance contract. Deductibles, co-payments and non-covered services will be the responsibility of patient or guarantor. - Billing statements will be sent to the guarantor once patient liability is determined for insured or uninsured patients and necessary billing follow-up telephone calls will be made by a Baptist Health call center staff member and/or a designated external early out vendor for at least 120 days. If applicable, efforts 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 an itemized bill. Baptist Health Patient Financial Services will provide all patients the same information concerning services and charges.- Patient accounts not resolved at the end of this period will be considered for referral to external collection agencies subject to requirements and limitations. Collection agencies will pursue patient balances while maintaining compliance with the Fair Debt Collection Practices Act and the ACA International's Code of Ethics and Professional Responsibility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENT:In compliance with the Patient Protection and Affordable Care Act of 2010, Baptist Health conducts a tri-annual planning process that is driven by our mission to improve the health of our communities and the strategic vision to be the health care leader in Kentucky and Indiana. Key industry and community issues, (such as prominent health conditions prevalent within each community, medically underserved areas and underprovided clinical services), are considered and analyzed for their impact on each of our eight hospitals, our entire system of healthcare providers, and most importantly, our communities and patients. Leadership and staff from each hospital collaborate with Community partners to define immediate and long-term health needs that must be addressed, as well as effective development goals, plans and strategies to improve the health of our communities. These goals help us to effectively allocate both human and financial resources and are foundational to our patient care focus.The Community Health Needs Assessment and the Strategic Implementation Plans are shared with and approved by the administrative Board of Directors of each hospital and the System Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:The 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 Emergency Department 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 Baptist Health sponsored charity care program policy is posted in key areas of each hospital and on the website of each hospital and the System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATION: Baptist Healthcare System, Inc.(BHS)BHS is comprised of eight regional hospitals, each serving a unique and diverse geographic area in Kentucky and Indiana.Baptist Health Lexington (BHLEX) is an award-winning acute, skilled care facility and major medical research and education center. Established in 1954, BHLEX is recognized for its excellence in maternity, heart and cancer care and the groundbreaking research conducted at the Clinical Research Center. Specialized comprehensive services include: neurosciences/stroke care; CyberKnife treatment; genetic counseling; orthopedics; rehab and occupational health. BHLEX serves as a regional referral center for tertiary care services not offered by other area hospitals. Over 500 physicians and advanced practitioners are on staff supporting more than 50 medical specialties at numerous points of care in the region.BHLEX is located five miles from I-75 and I-64, providing access for Lexington metro patients and those from central and eastern Kentucky. The primary geographic service area accounts for approximately 78% of BHLEX's inpatients and is comprised of Fayette and seven other counties. Approximately 14.7% of the population of the local area is over 65 and the 2025 unemployment rate averaged approximately 3.8%, compared to 4.6% for Kentucky and 4.3% nationally.Baptist Health Louisville (BHLOU) opened in 1975 and serves as a general acute care facility, specializing in cardiovascular and comprehensive rehabilitation services. Area residents benefit from emergency services, including special teams for heart attack and stroke care. The hospital's cancer services include freestanding radiation centers and the Osborn Cancer Center that includes a resource center and a multidisciplinary lung care clinic. Women's health services include digital mammography, ultrasound and bone-density scanning. Other areas of expertise include orthopedics, neurosurgery, and behavioral health. The Innovative Learning and Development Department supports educational programs for community healthcare providers, physicians, clinicians and employees. BHLOU is located in St. Matthews in Jefferson County, five miles east of downtown Louisville, near Interstate 64, a main access to downtown, and Interstate 264, a main beltway around Louisville. The primary geographic service area for BHLOU consists of Jefferson and four surrounding counties, where approximately 75% of BHLOU's inpatients reside. Approximately 17.8% of the population of the local area is over 65 and the average 2025 unemployment rate was approximately 4.5%, compared to 4.6% for Kentucky and 4.3% nationally.Baptist Health Hardin (BHHAR) is a tertiary acute care hospital located in Elizabethtown, KY in Hardin County. BHHAR opened in February 1954 as Hardin Memorial Health, a county-owned hospital. BHS managed the facility for over twenty years before purchasing the hospital in 2020. Area residents benefit from compassionate care provided with advanced innovative technology available in over 40 specialty services including cancer care, cardiology, pulmonary care, women's health services and obstetrics, and a Level II Neonatal Intensive Care Unit (NICU). The new Medical Pavilion was completed in the fall of 2024 and houses the comprehensive cancer center, surgical suites, a hybrid operating room, cardiac cath labs, and outpatient clinics.BHHAR is located in central Kentucky at the crossroads of Interstate 65 and the Bluegrass and Western Kentucky Parkways. Service areas include Hardin and nine other Kentucky counties. Over 60% of BHHAR's acute care patients are residents of Hardin County, where BHHAR is the market share leader. Approximately 15.9% of area residents are over the age of 65 and the average 2025 unemployment rate was approximately 4.9%, compared to 4.6% for Kentucky and 4.3% nationally. Baptist Health Paducah (BHPAD) opened in 1953 in Paducah, KY, and is a tertiary acute care hospital. A respected regional medical and referral center, BHPAD offers over 45 points of care providing a full range of services, including cardiac care; diagnostic imaging; women's and children's services; surgery; rehabilitation; transitional care and wound care. BHPAD offers the region's only cancer center, the only Joint Commission certified Advanced Primary Stroke Center, the only Level III NICU and the only certified robotic surgeons, using the region's first da Vinci robotic surgical system. BHPAD is one of only two hospitals located in Paducah, the largest city in BHPAD's service area. The primary service area for BHPAD consists of McCracken and five other Kentucky counties and Massac County in Illinois, with a total service area of 18 counties. Approximately 75% of BHPAD's patients reside in the primary service area. Approximately 17.7% of the local population is over 65 and the average 2025 unemployment rate was approximately 5.4%, compared to 4.6% for Kentucky and 4.3% nationally.Baptist Health Floyd (BHF) was acquired by BHS in 2016. Since its inception in 1953, BHF, located in New Albany, IN, has grown to be an outstanding regional healthcare provider. BHF is a general acute care facility, specializing in cardiovascular services, cancer care and comprehensive rehabilitation services. BHF has a 24-hour ED, inpatient and outpatient surgery, lab, pharmacy and imaging capabilities. The BHF primary service area includes Floyd, Clark, and four other counties in Indiana. Over 60% of the patients served come directly from Floyd and Clark counties. BHF is conveniently located minutes from downtown Louisville. Approximately 18.4% of the population of the local area is over 65 and the average 2025 unemployment rate was approximately 2.9%, compared to 3.5% for Indiana and 4.3% nationally.Baptist Health Corbin (BHCOR) opened in 1986 in Corbin, KY and is a general acute care facility, offering 25 points of care in a full continuum of care and is a vital part of its community offering outreach, educational and screening programs. Patient services include robotic surgery; palliative care; outpatient diagnostic centers; occupational medicine and physical therapy clinics; expanding cancer, cardiac and neurologic programs; a women's center; advanced MRI and microsurgery technologies and behavioral health services. BHCOR is located less than one mile off Interstate 75, near U.S. Highway 25, providing access from several surrounding communities. BHCOR primarily serves the Tri County area that includes Whitley, Knox and Laurel counties along with five additional counties in Kentucky and Jellico, Tennessee. Over 90% of BHCOR's inpatients originate from these counties. Approximately 19.5% of the population of the local area is over 65 and the average 2025 unemployment rate was approximately 5.6%, compared to 4.6% for Kentucky and 4.3% nationally.Baptist Health La Grange (BHLAG) opened as Tri-County Community Hospital in 1987, and after joining BHS in 1992 expanded facilities and services to meet the needs of a growing community. The hospital offers an ED that is stroke certified by the Joint Commission; inpatient and outpatient surgery; imaging and MRI services; 3D mammography and stereotactic breast biopsy; occupational therapy and a five-star rated Skilled and Rehab Care Center. BHLAG recently completed a $2.5 million renovation of the Rawlings Women's Center, new cardiac and infusion centers and modernized pre- and post-op areas.BHLAG is located off Interstate 71, 20 minutes northeast of Louisville. Over 80% of BHLAG's inpatients come from Oldham, Henry, Trimble and Carroll counties. Approximately 14.2% of the local population is over 65 and the average 2025 unemployment rate was approximately 3.9%, compared to 4.6% for Kentucky and 4.3% nationally.Baptist Health Richmond (BHR) was founded in 1892 and joined BHS in 2012. BHR is a rural, acute care hospital that has served its community for more than 130 years. The hospital offers 19 points of care in a full continuum with a vast network of providers. Services include cardiac surgery and rehab; orthopedics; occupational, physical and respiratory therapy; women's health and childbirth services; cancer care; diabetic treatment; infusion services; MRI and radiologic imaging, and nuclear medicine. Staff and board-certified emergency physicians in the ED train for disaster preparedness annually with the federal Chemical Stockpile Emergency Preparedness Program (CSEPP).BHR is located in Madison County, in the Appalachian region. BHR is 26 miles south of Lexington and 103 miles southeast of Louisville. More than 30% of BHR's patients are from low-income or underserved populations. Approximately 78% of BHR's patients reside in Madison County and 97% live in Appalachia. Approximately 15.1% of the local population is over 65 and the average 2025 unemployment rate was approximately 4.7%, compared to 4.6% for Kentucky and 4.3% nationally.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH:The Baptist Health Board of Directors is comprised of local representatives who, along with the System's management and employees, understand the responsibility of providing high quality health care services to the communities we serve. Operating healthcare facilities in our current environment requires a delicate balance between producing a sufficient margin to allow for adequate staffing and investment in new facilities and technologies, while also providing enough resources to absorb the cost of care for patients who do not have the ability to pay for services. During fiscal year 2025, Baptist Health was able to re-invest over $274 million into our communities in new technology, construction, renovations and systems improvements. The quantifiable amount of community benefits provided by Baptist Health does not capture the economic benefit of Baptist Health being one of the largest employers in the state. Employee wages have a substantial impact on local economies, influencing expenditures on food, housing, services, and other goods.Baptist Health reaches out to the community in many ways through: - Hosting educational programs that include pre-natal, CPR, and smoking cessation classes; AED training; nutrition, fitness, substance abuse and safe sitter programs. - Promoting and providing preventive and early diagnostic care services. - 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, Dare to Care, and the American Red Cross. - Providing resources for support groups and donating hospital space for community group meetings. - Participating with community health assessment teams dedicated to identifying and addressing local health needs in each of the counties we serve. - Maintaining necessary but unprofitable services that meet community needs. - Helping to recruit physicians to underserved areas and extending medical staff privileges to qualified physicians.- Helping patients coordinate services with other healthcare providers. - Monitoring clinical outcomes to ensure quality care and committing resources to improve safety and processes of care. - Providing services conveniently accessible by patients. - Mentoring students to promote healthcare careers.Baptist Health leaders and staff participated in a "Stuff the Ambulance" event, which was held as part of the Baptist Health Medical Group Quality &amp; Patient Experience Summit. The event supported "Books Across the Bluegrass," a statewide campaign dedicated to promoting literacy and providing resources to underserved communities. The International Book Project, a Lexington-based nonprofit, will distribute most of the collected books to various charitable organizations in Kentucky, and medical textbooks will be sent to Bosnia to support medical personnel.Baptist Health Paducah is committed to empowering the next generation of healthcare leaders by providing students with experiential learning opportunities through student shadowing and volunteer positions, allowing students to explore careers in healthcare while developing professional skills and gaining real-world experience in a hospital setting. Baptist Health team members continue to commit hundreds of hours of service to commemorate the Baptist Health legacy and the milestone achievement of over 100 years of exceptional care to our communities. Through health fairs, screening and educational events, local clean-up efforts, food drives, community partnerships and healthcare career camps, Baptist Health employees embody our culture of giving back and make the communities served by Baptist Health better places to live and work.Baptist Health remains committed to investing in diverse initiatives focused on improving the quality and accessibility of healthcare in our communities. Our goal is to deliver personalized care that is both efficient and proactive. Access to health care resources is about more than just physical growth - community outreach and connection are vital for meaningful and impactful expansion. Baptist Health continues to enhance access to the right care, in the right place, at the right time, through partnerships that respond directly to community needs.Baptist Health Corbin is expanding to meet the growing healthcare needs of their community. This transformative project represents a major investment in access, quality, and patient-centered care for the region and will be completed in 2027. Project highlights include an expanded Emergency Department with modern trauma and triage areas; a new Intensive Care Unit, (ICU), that will provide space for additional patients and enhanced technology; a helipad located directly above the new Emergency Department; a pedway connector to link the new facilities with the hospital; an expanded Neonatal Intensive Care Unit, (NICU), and improvements to the power plant. This project strengthens emergency response capacity in the region, increases access to critical care, and positions Baptist Health Corbin as a vital center for advanced inpatient services in southeastern Kentucky.Baptist Health recently opened its third ER and Urgent Care facility in partnership with Intuitive Health. This operational model supports access to high-quality care while making care more aordable by helping patients avoid the higher costs of emergency services when timely, eective treatment can be provided in an urgent care setting. Three more locations are under construction. The Sellersburg site will also serve as a clinical training hub for Ivy Tech Community College nursing and health sciences students, helping prepare the next generation of caregivers.Baptist Health formed a joint venture with national home health leader Alternate Solutions Health Network to expand services across Kentucky, southern Indiana and southern Illinois. As the need for home-based care grows with an aging population, technology is playing a key role. Tools such as at-home patient monitoring helps individuals stay on track with recovery and enable care teams to respond quickly when needs arise.Throughout the COVID-19 epidemic, Baptist Health played a lead role in advising state and local leaders as they developed policies that would ensure the safety of patients, healthcare staff, first responders, childcare workers, nursing home residents and the community at large. Baptist Health leaders continue to foster these important alliances with state and local governments, community leaders, executives from other health systems and the Kentucky and Indiana Hospital Associations. Navigating the COVID-19 pandemic accelerated the growth and development of innovations in the delivery of healthcare services that will positively affect how care is provided in the future. Baptist Health continuously monitors public health data, statistics, trends, clinical information and research to reevaluate current policies and procedures to maintain the highest safety standards and provide peak levels of care to our patients in any public health emergency.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. All Baptist Health hospitals operate emergency departments that are open 24 hours a day, 365 days a year. During fiscal year 2025, Baptist Health emergency departments treated over 424,000 patients. Each emergency department posts the Baptist Health policy 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, Baptist Health may verify insurance prior to rendering services in the emergency department. Under no circumstances is emergency care delayed by discussions regarding insurance coverage or the ability to pay for services. In addition, Baptist Health does not convey or intimate in any way to any emergency medical transportation service an unwillingness to treat any patient in need of medical attention.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTH CARE SYSTEM:Baptist Healthcare System, Inc., (BHS), is a nonprofit, tax-exempt organization that owns and operates eight hospitals in Kentucky and Indiana. Effective 9/1/2021, Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. formed the joint venture Baptist Health Deaconess, LLC., which owns and operates Baptist Health Deaconess Madisonville Inc. hospital and Baptist Health Deaconess Medical Group, Inc. which operates physician practices and outpatient clinics. Through this joint venture, Baptist Healthcare System, Inc. and Deaconess Health Kentucky, Inc. bring capital and expertise that will provide enhanced health care services to the Madisonville community. (Baptist Health Madisonville, Inc. is a nonprofit, tax-exempt former affiliate of BHS that owns and operates a hospital in Madisonville, KY. Through 8/31/2021, Baptist Health Madisonville was 100% owned and operated by Baptist Healthcare System, Inc.)Baptist Health Medical Group, Inc. is a nonprofit, tax-exempt affiliate that owns and operates physician practices and other healthcare facilities. Baptist Healthcare Foundation, Inc., Baptist Health Foundation of Greater Louisville, Inc., Baptist Health Foundation Corbin, Inc., Baptist Health Foundation Richmond, Inc., Baptist Health Foundation Lexington, Inc., Baptist Health Foundation Floyd, Inc., Baptist Health Foundation Oldham, and Baptist Health Foundation Paducah, Inc. are nonprofit, tax-exempt affiliate corporations. Baptist-Physicians' Surgery Center is a limited liability corporation, of which Baptist Healthcare System Inc. owns 58.87%. Baptist Health Surgery Center Eastpoint, (formerly known as Eastpoint Surgery Center, LLC. and owned 84% by BHS), is a non-profit limited liability corporation of which Baptist Healthcare System, Inc. owns 100% after purchasing the remaining interest on 1/1/2020. Baptist Health Surgery Center LLC. is a limited liability corporation formed in 2020 to purchase an existing surgery center in Lexington, KY. Baptist Healthcare System Inc. was the sole member through December 2021 and now owns 93% of the entity.Baptist Health Cumberland Valley Surgical Center, LLC. is a limited liability corporation located in Corbin, KY. Baptist Healthcare System, Inc. owns 51%.Baptist Health Surgery Center Breckenridge LLC. is a non-profit limited liability corporation that was formed in 2022. Baptist Healthcare System, Inc. is the sole member and owns 100%.Baptist Health Network Partners, LLC. (BHNP), (formerly known as Purchase Health Quality Collaborative, LLC "PHQC"), formed in 2011, is a non-profit limited liability company whose sole member is BHS. BHNP was formed to support a physician/hospital network established by PHP, working with Baptist Health Paducah to engage in clinical integration activities. Baptist Health Care Partners, LLC. (BHCP), formed in 2015, is a non-profit limited liability company whose sole member is BHS. BHCP was formed to support physician/hospital clinically integrated networks, working in conjunction with Baptist Health to engage in the process of clinical integration to promote the health of a broad cross-section of the community in a manner which furthers the charitable purposes of Baptist Health. BHCP will improve the quality, efficiency, and cost-effectiveness of health care for the benefit of the communities served by BHCP and Baptist Health.Mercy Regional Emergency Medical System, LLC ("MREMS"), formed in 1996, is a non-profit corporation which owns and operates an ambulance service in McCracken County, Kentucky in the service area of Baptist Health Paducah. BHS owns a 50% interest in MREMS and the remaining 50% interest is owned by Mercy Health System, Inc. D.B.A. Lourdes Hospital. Baptist Health Intuitive of Kentucky and Southern Indiana, LLC. is a joint venture and was formed in 2020 to manage and staff freestanding emergency departments. Baptist Healthcare System, Inc. owns 51%.Baptist Health Assurance Group LTD, (BHAG) was formed in July 2022 as an offshore captive insurance company which holds all self-insured liabilities and trusteed assets related to medical malpractice and workers compensation. Baptist Healthcare System, Inc. is the sole member of BHAG. All related entities are located in the Commonwealth of Kentucky or the state of Indiana. The entities described in Schedule H, Part VI, Line 6 contributed a combined community benefit amount as follows: Charity Care at Cost $84,412,000 Community Health Improvement 3,867,000 Health Professions Education 5,473,000 Subsidized Health Services 275,517,000 Cash and In-Kind Contributions 4,008,000 Total Community Benefit $373,277,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>KY,IN</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>1504 College Way</AddressLine1Txt>
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          <AddressLine1Txt>2214 Bank Street</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
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          <BusinessNameLine1Txt>Baptist Health Foundation Floyd Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1901 Campus Place</AddressLine1Txt>
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          <BusinessNameLine1Txt>Baptist Health Foundation Hardin Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>913 N Dixie Avenue</AddressLine1Txt>
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          <BusinessNameLine1Txt>Baptist Health Foundation Lexington Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1901 Campus Place</AddressLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Baptist Health Foundation Paducah Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1901 Campus Place</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
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          <ZIPCd>40299</ZIPCd>
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        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Baptist Health Foundation Richmond Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>1901 Campus Place</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>Baptist Health Medical Group Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1901 Campus Place</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40299</ZIPCd>
        </USAddress>
        <RecipientEIN>205497203</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>233990019</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Subsidize Services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Baptist Healthcare Foundation Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1901 Campus Place</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40299</ZIPCd>
        </USAddress>
        <RecipientEIN>311122867</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>4175794</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bellarmine University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2001 Newburg Road</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40205</ZIPCd>
        </USAddress>
        <RecipientEIN>610482955</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Build Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5100 W Harrison Street</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60644</ZIPCd>
        </USAddress>
        <RecipientEIN>237022085</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Colon Cancer Prevention Project</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 4039</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40204</ZIPCd>
        </USAddress>
        <RecipientEIN>201510713</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Commerce Lexington Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>330 E Main Street</AddressLine1Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40507</ZIPCd>
        </USAddress>
        <RecipientEIN>610258800</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater Louisville Medical Society Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4949 Brownsboro Road</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40222</ZIPCd>
        </USAddress>
        <RecipientEIN>610598020</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater Louisville Sports Commission</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 W Main Street Suite 2200</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>611365860</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Greater Paducah Economic Development Center Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 1155</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42002</ZIPCd>
        </USAddress>
        <RecipientEIN>611181577</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Guess Anti-Bullying Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 Rosebower Church Road</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <RecipientEIN>811728061</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Have a Heart Foundation Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>310 E Broadway</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>261433114</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hope Health Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1025 Sanibel Way</AddressLine1Txt>
          <CityNm>La Grange</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40031</ZIPCd>
        </USAddress>
        <RecipientEIN>465509958</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>96419</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Services</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hope Scarves Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2010 Cherokee Parkway</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40204</ZIPCd>
        </USAddress>
        <RecipientEIN>453578278</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Indiana University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 500</AddressLine1Txt>
          <CityNm>Bloomington</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47402</ZIPCd>
        </USAddress>
        <RecipientEIN>356018940</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>126500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ironcology II Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1185 Indian Mound Road</AddressLine1Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40502</ZIPCd>
        </USAddress>
        <RecipientEIN>825111678</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Jeffersontown Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10434 Watterson Trail</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40299</ZIPCd>
        </USAddress>
        <RecipientEIN>616032051</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Junior Achievement of Kentuckiana</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1401 Muhammad Ali Blvd</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40203</ZIPCd>
        </USAddress>
        <RecipientEIN>610476694</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Kentucky and Southern Indiana Stroke Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3425 Stony Brook Circle</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40220</ZIPCd>
        </USAddress>
        <RecipientEIN>611335267</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Kentucky Derby Museum</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>704 Central Avenue</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40208</ZIPCd>
        </USAddress>
        <RecipientEIN>311023459</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Knox Regional Development Alliance Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 1621</AddressLine1Txt>
          <CityNm>Elizabethtown</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42702</ZIPCd>
        </USAddress>
        <RecipientEIN>208105293</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Kosair Charities</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>982 Eastern Parkway</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40217</ZIPCd>
        </USAddress>
        <RecipientEIN>610514703</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LaRue County Kentucky</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>209 West High Street</AddressLine1Txt>
          <CityNm>Hodgenville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42478</ZIPCd>
        </USAddress>
        <RecipientEIN>000000000</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>190000</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Appraisal &amp; Book Value</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Land</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Lincoln Heritage Council Boy Scouts of America</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12001 Sycamore Station Place</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40299</ZIPCd>
        </USAddress>
        <RecipientEIN>610445839</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>26500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Louisville Economic Development Alliance</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 S 4th Street</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>993865784</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>March of Dimes</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>196 W Lowry Lane</AddressLine1Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40503</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Market House Theatre of Paducah Kentucky Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>132 Market House Square</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42001</ZIPCd>
        </USAddress>
        <RecipientEIN>310994059</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>McCracken County Community Career Endowment</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 South 3rd Street</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <RecipientEIN>861156557</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>McCracken County High School</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6530 Old Highway 60</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42001</ZIPCd>
        </USAddress>
        <RecipientEIN>463183133</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Midway University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>512 East Stephens Street</AddressLine1Txt>
          <CityNm>Midway</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40347</ZIPCd>
        </USAddress>
        <RecipientEIN>610444708</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mission Lexington</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 S MLK Boulevard</AddressLine1Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40508</ZIPCd>
        </USAddress>
        <RecipientEIN>202824933</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Murray State University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 Heritage Hall</AddressLine1Txt>
          <CityNm>Murray</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42071</ZIPCd>
        </USAddress>
        <RecipientEIN>616053844</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Oldham County Chamber and Economic Development</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>112 S First Avenue</AddressLine1Txt>
          <CityNm>La Grange</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40031</ZIPCd>
        </USAddress>
        <RecipientEIN>611243293</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>8700</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>One Southern Indiana</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4100 Charlestown Road</AddressLine1Txt>
          <CityNm>New Albany</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47150</ZIPCd>
        </USAddress>
        <RecipientEIN>204176026</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>26000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Paducah Area Chamber of Commerce</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 South 3rd Street</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42002</ZIPCd>
        </USAddress>
        <RecipientEIN>610210420</RecipientEIN>
        <IRCSectionDesc>501 (c)(6)</IRCSectionDesc>
        <CashGrantAmt>14630</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Paducah Interfaith Ministry Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>402 Legion Drive</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <RecipientEIN>610873781</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>20250</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Paducah Symphony Orchestra</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>222 Kentucky Avenue</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42003</ZIPCd>
        </USAddress>
        <RecipientEIN>610965156</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Refuge Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2349 Richmond Road 220</AddressLine1Txt>
          <CityNm>Lexington</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40502</ZIPCd>
        </USAddress>
        <RecipientEIN>371547506</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Region 10 Workforce Board Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 6712</AddressLine1Txt>
          <CityNm>New Albany</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47150</ZIPCd>
        </USAddress>
        <RecipientEIN>204981068</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOS International</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 Arlington Avenue</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40206</ZIPCd>
        </USAddress>
        <RecipientEIN>272624272</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <NonCashAssistanceAmt>1412913</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical Supplies &amp; Equipment</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Carson Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 Kentucky Avenue</AddressLine1Txt>
          <CityNm>Paducah</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42001</ZIPCd>
        </USAddress>
        <RecipientEIN>611293428</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>17500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Uniting Partners for Women and Children</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>425 S 2nd Street</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>823049204</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHAS Crusade For Children</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>520 W Chestnut Street</AddressLine1Txt>
          <CityNm>Louisville</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40202</ZIPCd>
        </USAddress>
        <RecipientEIN>237075524</RecipientEIN>
        <IRCSectionDesc>501 (c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>45</Total501c3OrgCnt>
      <TotalOtherOrgCnt>7</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Healthcare System provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>In order to meet the health and wellness needs of our communities throughout Kentucky and Indiana, Baptist Healthcare System, Inc. (BHS), provides grants to Baptist Health Medical Group, Inc., (BHMG) that allow BHMG to continue to provide support and care for Medicaid and charity care patients. Care is provided through primary care centers, rural health clinics, urgent care centers and specialty health clinics in areas that are designated by the Health Resources and Services Administration,(HRSA), as Health Professional Shortage Areas, (HPSA), or Medically Underserved Areas, (MUA), or meet a demonstrated community need. These amounts are reported in various lines of Form 990, Part IX, Statement of Functional Expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gerard J Colman PhD</PersonNm>
        <TitleTxt>System President, CEO &amp; Dir</TitleTxt>
        <BaseCompensationFilingOrgAmt>1775200</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3612076</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>284531</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>127579</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>39358</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>5838744</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Falvey</PersonNm>
        <TitleTxt>System Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>1044511</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>881376</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>63717</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>172377</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11889</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2173870</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard F Carrico</PersonNm>
        <TitleTxt>CFO, Treasurer, VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>849088</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>487888</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>278038</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37304</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1666118</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Isaac Myers MD</PersonNm>
        <TitleTxt>Chief Health Integration Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>721949</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>463321</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>135215</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28140</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1362425</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Janet Norton</PersonNm>
        <TitleTxt>Chief Legal Officer, VP, Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>663360</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>425349</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>123232</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26810</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1252551</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Angela Mannino</PersonNm>
        <TitleTxt>Chief HR, Marketing &amp; Comm Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>572814</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>420095</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>82798</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>41798</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31630</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1149135</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Roty</PersonNm>
        <TitleTxt>Hospital President</TitleTxt>
        <BaseCompensationFilingOrgAmt>641246</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>291484</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17093</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34256</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>997879</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tricia Julian</PersonNm>
        <TitleTxt>Chief Information Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>537463</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>340528</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4922</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20548</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>917261</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>One officer and director, Gerard J. Colman PhD, received a gross up. As part of the split dollar arrangement, there was a small amount of forgiven interest which was reported as compensation and was grossed up in accordance with the plan. The amount of the gross up was $194 and was treated as taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Three officers and/or executives who participated in the Supplemental Executive Retirement Plan accrued amounts for 2024 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 participate in and accrued amounts from the Supplemental Executive Retirement Plan: Angela Mannino $27,998 Gerard J. Colman, PhD $113,779 Patrick Falvey $158,577 The following individuals received a payout from the Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan: Patrick Falvey $47,995 Angela Mannino $68,776 Janet Norton $99,734 Isaac Myers, MD $111,717 Richard F. Carrico $254,540 Gerard J. Colman, PhD $265,974 The following individual participates in a split dollar life insurance arrangement and received the following amount: Gerard J. Colman, PhD $1,156 See Schedule L, Part V, for a broader description of the arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>KY Economic Development Finance Authority 2017B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>610600439</BondIssuerEIN>
        <CUSIPNum>49126KLD1</CUSIPNum>
        <BondIssuedDt>2017-05-31</BondIssuedDt>
        <IssuePriceAmt>234927003</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Indiana Finance Authority 2017A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351602316</BondIssuerEIN>
        <CUSIPNum>45471CAZ1</CUSIPNum>
        <BondIssuedDt>2017-05-31</BondIssuedDt>
        <IssuePriceAmt>89818149</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Kentucky Economic Development Finance Authority 2022A-1 &amp; A-2</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>610600439</BondIssuerEIN>
        <BondIssuedDt>2022-04-01</BondIssuedDt>
        <IssuePriceAmt>284435000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Indiana Finance Authority 2016A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351602316</BondIssuerEIN>
        <BondIssuedDt>2016-09-30</BondIssuedDt>
        <IssuePriceAmt>43365000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>1</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>234927003</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>2108234</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>20077563</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>212763739</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>89818149</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>818149</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>89000000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>284435000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>284435000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2022</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>43365000</RetiredAmt>
        <TotalProceedsAmt>43365000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>43365000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>0</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00100</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Date Rebate Computation Performed</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer Name: KY Economic Development Finance Authority 2017B Date the Rebate Computation was Performed: 05/31/2020 Issuer Name: Indiana Finance Authority 2016A Date the Rebate Computation was Performed: 09/30/2017</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>The Series 2017B Bond was issued primarily for the purpose of paying and reimbursing the costs of construction, acquisition, installation, renovation and equipping health care and health related properties and facilities, and to pay all or a portion of the costs of issuance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line B</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2017A Revenue Bonds were issued to refinance the original bridge loan used as a component of the financing for the Baptist Health Floyd acquisition.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line C</FormAndLineReferenceDesc>
        <ExplanationTxt>The series 2022A Hospital Revenue Refunding Bonds were issued to refinance the Series 2009B-1, 2009B-2, 2009B-3 and 2009B-4 Variable Rate Demand Hospital Revenue Bonds issued.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line D</FormAndLineReferenceDesc>
        <ExplanationTxt>The Series 2016A Revenue Bonds were issued to refinance the Series 2012 Variable Rate Indiana Healthcare Facility Financing Authority Hospital Refunding Revenue Bonds issued by Baptist Health Floyd.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>The Series 2025A Kentucky Hospital Revenue Bonds were issued primarily for the financing, refinancing and reimbursement of new projects and certian outstanding commercial paper and for paying certain costs of issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line B</FormAndLineReferenceDesc>
        <ExplanationTxt>The Series 2025B Kentucky Hospital Revenue Bonds were issued primarily for the financing, refinancing and reimbursement of new projects and certian outstanding commercial paper and for paying certain costs of issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line C</FormAndLineReferenceDesc>
        <ExplanationTxt>The Series 2025D Kentucky Hospital Revenue Bonds were issued primarily for the financing, refinancing and reimbursement of new projects and certian outstanding commercial paper and for paying certain costs of issue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Line D</FormAndLineReferenceDesc>
        <ExplanationTxt>The Series 2025C Indiana Hospital Revenue Bonds were issued primarily for the financing, refinancing and reimbursement of new projects and certian outstanding commercial paper and for paying certain costs of issue and to refinance all of the 2016A Bonds.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3, Column A</FormAndLineReferenceDesc>
        <ExplanationTxt>The difference between Part I, Column (E), and Part II, Line 3, is due to investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 7-8, Column A</FormAndLineReferenceDesc>
        <ExplanationTxt>The amounts reported on the 8038 represented estimates of the issuance costs and the credit enhancement fees. The amounts reported here are actual amounts paid from the proceeds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Kentucky Bond Development Corporation 2025A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>610600439</BondIssuerEIN>
        <CUSIPNum>49121DAC6</CUSIPNum>
        <BondIssuedDt>2025-02-25</BondIssuedDt>
        <IssuePriceAmt>142302731</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Kentucky Bond Development Corporation 2025B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>610600439</BondIssuerEIN>
        <CUSIPNum>49121DAD4</CUSIPNum>
        <BondIssuedDt>2025-02-25</BondIssuedDt>
        <IssuePriceAmt>125000000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Kentucky Bond Development Corporation 2025D</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>610600439</BondIssuerEIN>
        <BondIssuedDt>2025-02-25</BondIssuedDt>
        <IssuePriceAmt>100000000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Indiana Finance Authority 2025C</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>351602316</BondIssuerEIN>
        <CUSIPNum>45471CDR6</CUSIPNum>
        <BondIssuedDt>2025-02-25</BondIssuedDt>
        <IssuePriceAmt>65675000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>142302731</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>1293297</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>137473227</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>3536207</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2025</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>125000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>726198</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>121157288</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>3116514</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2025</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>100000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>272575</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>97226480</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>2500945</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2025</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <TotalProceedsAmt>65675000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>420660</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>34989340</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>30265000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2025</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.10000</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.10000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
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        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Gerard J Colman PhD</PersonNm>
        <RelationshipWithOrgTxt>Officer and Director</RelationshipWithOrgTxt>
        <LoanPurposeTxt>See Part V</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1725000</OriginalPrincipalAmt>
        <BalanceDueAmt>1728088</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>1728088</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jacob Carlson</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family of Director</RelationshipDescriptionTxt>
        <TransactionAmt>38196</TransactionAmt>
        <TransactionDesc>Wages</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Natalie Fultz</PersonNm>
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        <RelationshipDescriptionTxt>Family of Director</RelationshipDescriptionTxt>
        <TransactionAmt>68083</TransactionAmt>
        <TransactionDesc>Wages</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Healthcare System, Inc. provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "Collateral Assignment Split-Dollar" (CASD). The organization deposits funds into a cash value life insurance policy on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against the cash surrender value in the policy to supplement retirement income. Policy performance is closely monitored and if policy performance lags, the executive's borrowing rights are reduced to protect the organization's recovery rights. At the executive's death, the policy death proceeds are first used to repay the organization its outlay plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any projected retirement borrowing the executive did not access during life. Any remaining death proceeds are available to be paid to the executive's beneficiaries.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a, Description of Program Services:</FormAndLineReferenceDesc>
        <ExplanationTxt>Since its inception in 1924, Baptist Healthcare System, Inc. ("Baptist Health") has been dedicated to providing accessible, quality healthcare to all patients regardless of their ability to pay. The hospitals owned and operated by Baptist Healthcare System, Inc. under tax identification number 61-0444707 include: Baptist Health Corbin, located in Corbin, Kentucky; Baptist Health Floyd, located in New Albany, Indiana Baptist Health Hardin, located in Elizabethtown, Kentucky Baptist Health La Grange, located in La Grange, Kentucky, Baptist Health Lexington, located in Lexington, Kentucky; Baptist Health Louisville, located in Louisville, Kentucky; Baptist Health Paducah, located in Paducah, Kentucky; and Baptist Health Richmond, located in Richmond, Kentucky. MISSION: As indicated by its mission statement, "Baptist Health demonstrates the love of Christ by providing and coordinating care and improving health in our communities", Baptist Health endeavors to faithfully continue its Christian heritage of service. Baptist Health is organized and operated exclusively for the benefit of each community that we serve, and each hospital is considered a respected and valuable community asset. Over the last 100 years, Baptist Health has earned a strong reputation for providing compassionate, safe, high quality, cost efficient, and patient-friendly care. The Baptist Health Board of Directors is comprised of local representatives who, along with the Systems' management and employees, understand that they are responsible to their communities for the fulfillment of the Baptist Health mission to provide the highest quality healthcare services that enhance the physical, emotional and spiritual health and well-being of all. Both the mission and vision of Baptist Health are engrained into the culture of the entire organization. Baptist Health will live out its Christ-centered mission and achieve its vision guided by integrity, respect, stewardship, excellence, collaboration, compassion and joy. VISION: The vision of Baptist Health is to be the premier source for healthcare in Kentucky and Indiana, leading in clinical excellence, providing compassionate care and pursuing a growth model that best meets the needs of our communities and our patients. Our goal is to provide efficient, effective and affordable high-value services through dedicated, skilled teams that are focused on clinical excellence, and more importantly, the health and happiness of the people in the communities we serve. This commitment has further elevated performance across the organization as we seek new outreach, wellness and growth initiatives. Baptist Health is expanding programs and facilities to improve access to comprehensive care, pursuing data-driven and technological advances, embracing research and clinical trials, strengthening connections with patients, and striving to deliver the highest level of care. Operational excellence is central to our vision, supported by consistent care, reliable outcomes, quality and safety, a better patient experience, and lasting trust from patients and families. The Baptist Health family includes more than 480 points of care at eight wholly owned and two joint venture acute care hospitals; three freestanding emergency departments; over 100 clinic and diagnostic locations and more than 400 physician offices and treatment facilities; offering inpatient, outpatient, urgent care, home and hospice care, rehabilitation care and many other services. Baptist Health services are available in more than 35 Kentucky counties, four counties in Illinois and seven counties in southern Indiana. Our physician network of more than 3,000 employed and affiliated physicians, representing over 84 specialties, continues to grow as we strive to improve access to healthcare and improve the health of our communities. To ensure that Baptist Health is prepared to meet the growing needs of its patients and is well positioned for the next generation of healthcare, we are working to build on our high-quality and readily accessible network of care. This multifaceted strategy will enhance existing facilities, build upon our sustainability goals, expand the availability of services and provide a locally convenient continuum of care. Through collaboration and purposeful partnerships that enhance services and care options in our communities, Baptist Health is creating more opportunities for patients to receive the right care, in the right place, at the right time. Investing in the areas where patients live, work and play - and want to receive care - will help Baptist Health have an even greater and more positive impact on the health of the populations we serve. Because of our strong reputation for providing excellent patient care that utilizes the latest in medical technology and a vast network of community access points, patients seek out Baptist Health facilities for their health and wellness needs. According to state statistics for the period ended 9/30/2025, Baptist Health is one of the largest healthcare providers in the Commonwealth of Kentucky, providing more services than any other health system. KENTUCKY FY 2025 HOSPITAL STATISTICS: LICENSED BEDS: 2,277 beds - the second largest number of beds of any health system in Kentucky. EMPLOYEES: 21,376 employees during calendar year 2024 - one of the top employers in Kentucky. INPATIENT CARE: 98,321 admissions/472,545 days - the largest number of admissions in Kentucky at a system-owned or managed hospital. One out of every six inpatients receiving care in Kentucky received care at a system-owned or managed hospital. OBSTETRIC (DELIVERIES): 13,323 babies - the largest number of babies delivered in Kentucky at a system-owned or managed hospital. Almost one in four babies in Kentucky was delivered at a Baptist Health owned or managed hospital. EMERGENCY VISITS: 424,936 registrations - the largest number of emergency visits in Kentucky at a system-owned or managed hospital. One in eight Emergency Department patients was treated at a system-owned or managed hospital. OUTPATIENT VISITS: 2,434,948 hospital visits - one in six outpatients in Kentucky receiving care in an acute-care setting was seen at a system-owned or managed hospital. Baptist Health is the first health system in the U.S. to have all its hospitals recognized by the American Nursing Credentialing Center with either a Magnet or Pathway to Excellence designation for nursing excellence. RESPONSIVE TO COMMUNITY NEEDS: Operating healthcare facilities in today's environment requires a delicate balance between producing a sufficient margin to allow for adequate staffing and an 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. During the 2025 fiscal year, Baptist Health was able to re-invest over $274 million into our communities in new technology, construction, renovations and systems improvements. Because of the need to generate a modest margin while caring for all patients, Baptist Health 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" later in this section for further discussion). Baptist Health facilities consistently provide the highest levels of quality care to every patient and improve the health of the people it serves through health and educational programs, health screenings, medical research, community engagement and the training of health professionals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>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 to ensure quality care - Committing resources to improving safety and processes of care - Providing services that are conveniently accessible by patients - Partnering with state and local agencies and governments to safely and effectively respond to public health emergencies - Collaborating with local organizations to effectively and efficiently serve the community. In addition, Baptist Health employees continue our strong history of dedicated service by volunteering thousands of hours in community service and leadership. Baptist Health's support for community activities and educational opportunities underscores its commitment to improving the health and happiness of our neighbors. We offer a variety of outreach programs, educational classes, health screenings and support groups, and forge coalitions with numerous local agencies that align with our mission, vision, and values. Because Baptist Health and its employees contribute so much of their time, talent and resources to serve others, communities served by Baptist Health are better places to live and work. The Statement of Program Service Accomplishments does not adequately reflect the broader economic benefit that Baptist Health provides to the communities it serves. (The community benefits provided by Baptist Health are detailed and quantified later in this section). As one of the largest employers in the state, Baptist Health contributes materially to local economies through the payment of employee wages and related compensation. This spending generates significant economic activity within our communities, including spending on housing, food, services, and other essential goods. CHARITY CARE POLICY: To further the Baptist Health mission of enhancing the health and wellness of the people and communities it serves, Baptist Health provides medically necessary inpatient and outpatient care to patients regardless of race, religion, sex, national origin, disability, age or their ability to pay. Baptist Health offers charity care, discounts, and other financial assistance to eligible patients who may not have the financial ability to pay for medically necessary health care services and who otherwise may not be able to receive such services. Baptist Health 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 Health facility. Patients are transferred only when Baptist Health does not provide the specialized service that is medically required, or by specific request of the patient. Baptist Health has notices posted throughout the hospital that clearly communicate Baptist Health's charity care policy. Baptist Health 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 Financial Assistance Policy provides that: -- A patient or guarantor whose income plus liquid assets is less than or equal to 300% of the current Federal Poverty Guideline for his or her family size is eligible for a full discount under the Financial Assistance Policy (FAP) after all other healthcare resources have been utilized and exhausted. -- A patient or guarantor whose income plus liquid assets is between 301% and 400% of the current Federal Poverty Guideline for his or her family size is eligible for a 50% discount of the amount for which the patient or guarantor is responsible, after all other healthcare resources have been utilized and exhausted. -- All uninsured patients receiving emergency or medically necessary care are given a discount from gross charges that limit payment responsibility to the amounts generally billed (AGB) by each hospital. Insured patients receiving emergency or medically necessary care that is not allowed by the patient's insurance policy may also be given a discount from gross charges that limits payment responsibility to the amounts generally billed (AGB) by each hospital. If eligible for a discount under the FAP, a patient or guarantor will receive the discount regardless of whether he or she pays or has paid the balance on the billing statement, provided all other healthcare resources are first exhausted. Under no circumstances will an individual who is determined to be eligible for either full or partial financial assistance be charged more for emergency or other medically necessary care than the amounts generally billed (AGB) to individuals who have insurance covering such care. In accordance with the provisions of Section 501(r), 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 a patient's ability to pay for services received. All Baptist Healthcare System hospitals operate emergency departments that are open 24 hours a day, 365 days a year. Over 424,000 emergency patients were treated during fiscal year 2025. Baptist Health 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 patient, Baptist Health 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, Baptist Health does not convey or intimate in any way to any emergency medical transportation service an unwillingness to treat any person in need of medical attention. ACCOUNTABILITY TO THE BROADER COMMUNITY: The Baptist Health Board of Directors develops and monitors adherence to the mission, vision, and value statements of Baptist Health; approves strategic and capital plans for Baptist Health and its affiliated entities; oversees the quality of care and services provided to patients; and guides the overall management of Baptist Health operations. The Board of Directors meets quarterly to provide oversight and strategic direction on how to best serve each community. The following committees meet as needed and as directed by the Chairperson: - Audit &amp; Enterprise Risk Committee - Executive Committee - Compensation Committee - Finance Committee - Governance Effectiveness Committee - Safety, Quality and Patient Experience Committee - Hospital Mission Committee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>One of the key functions of the Board of Directors is to ensure that Baptist Health not only utilizes sound financial management but also embraces a culture of compliance that permeates throughout our entire healthcare system. This is best demonstrated by Baptist Health's commitment of resources to compliance activities, including the designation of a Compliance Officer. The System Compliance Officer has reporting responsibilities to the Audit and Enterprise Risk Committee. The Audit and Enterprise Risk Committee is comprised of at least three members of the Board of Directors who are not also members of the Finance Committee. Generally, at least one member of the Committee will have accounting and/or financial expertise. Another key function of the Board of Directors is to ensure that compensation paid to executives is reasonable and meets the guidelines set forth by the Internal Revenue Service. Through the Compensation Committee, the Board of Directors ensures that: 1) members of the Compensation Committee do not have any conflicts of interest, i.e., they are not employed or receive compensation subject to approval by the executives, 2) the compensation is approved in advance by the Committee, 3) the Committee obtains and relies upon appropriate comparability data in making decisions, 4) every form of compensation and benefit is included in the comparisons, 5) the Committee documents the basis for its decision concurrently with making the decision, and 6) based upon the data, the compensation is reasonable. The following is a summary of Baptist Health's community service for the fiscal year ended August 31, 2025, in terms of services to the poor and indigent and the benefits provided to the communities it serves. QUANTIFIABLE COMMUNITY BENEFIT: As a not-for-profit health care provider, Baptist Health made a vow to the communities served to provide care and services that go far beyond what is expected of a hospital, including charity care, education, community involvement and partnerships, and a wide variety of special programs and services. Baptist Health is fully committed to its responsibility as a charitable organization and allocates extensive resources to fulfill that obligation to the community. Baptist Health prioritizes giving back to our patients in need, assisting our staff through difficult times, providing opportunities for higher education to employees, advancing our service lines with updated technology and equipment, making healthcare services more easily accessible and more. Baptist Health supports community clinics that serve the disadvantaged and aids local agencies in tackling social issues such as food insecurity, addiction, and physical and sexual abuse. We help in small ways close to home by vaccinating residents in underserved neighborhoods, providing needed supplies to new mothers and school children, setting up and donating to food pantries, honoring veterans, and praying for our communities. The Baptist Health mission of dedication and service has been strong for over 100 years. To the extent possible, Baptist Health has quantified the benefits provided to the communities it serves: Benefits for the Poor and Indigent: Unreimbursed Cost of Charity Care $84,412,000 Benefits for the Broader Community: Net Loss on Subsidized Health Services $259,642,000 Community Health Improvement Services $3,867,000 Health Professions Education $5,473,000 Financial &amp; In-Kind Contribution $4,013,000 Total Quantifiable Community Benefit $357,407,000 GLOSSARY OF COMMUNITY BENEFIT TERMS: BENEFITS FOR THE POOR AND INDIGENT: Describes services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured. This includes those patients that qualify for Charity, Medicaid, Kentucky's Children Health Insurance Program (KCHIP), Kentucky Hospital Care Program (KHCP) and other persons whose income is inadequate (based on each patient's individual circumstances). Unreimbursed cost of charity care describes the services provided to persons who cannot afford to pay. It also includes the Health Care Provider Tax (Kentucky Revised Statutes 142.303) that is assessed on all hospital patient revenues received for the purpose of funding state Medicaid, KHCP and KCHIP programs. The amounts reflect the net cost of these services after reducing the costs for contributions and other revenues received by Baptist Health as direct assistance for the provision of care. Unreimbursed cost of Medicaid reflects costs of treating Medicaid beneficiaries not reimbursed by government programs. BENEFITS FOR THE BROADER COMMUNITY: Describes services provided to other needy populations that may not qualify as indigent but that need special services and support. The benefits include the cost of health promotion and education, health clinics and screenings, and medical research that benefits the community. 1. Net loss on subsidized health services reflects the loss from services that would be discontinued if the decision were based on profit motives only. 2. Other community benefit includes costs incurred by Baptist Health to provide support and coordination of health education and awareness events as well as the cost of employees paid time to attend, staff, and coordinate these activities. 3. Baptist Health makes cash and in-kind donations to respected community agencies and to special funds used for charitable purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY BUSINESS RELATIONSHIPS: The following individual has a business relationship with other members of the Board of Directors because he serves on the Board of Directors of the organization and is an officer and/or director of a related organization: Gerard Colman.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS: Baptist Healthcare System, Inc. amended and restated its Articles of Incorporation and Bylaws on 3/27/2025. The amendments do not effect the management or operations of Baptist Healthcare System, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS: The internally prepared Form 990 is reviewed by an outside accounting firm. A copy of the IRS Form 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: 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, (any director, officer, non-director member of a committee with governing board delegated powers or other person in a similar position of authority over BHS, including executive management and medical staff presidents) 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. Each BHS covered person shall annually complete and furnish to the BHS Chief Legal Officer a conflict of interest questionnaire listing then-known existing and potential conflicts of interest. Such statement shall affirm that the person has received a copy of the BHS Conflict of Interest policy, has read and understands this policy, has agreed to comply with this policy, and understands that BHS is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. The fact that a conflict of interest questionnaire has been completed does not relieve an individual of the duty to disclose a conflict of interest before action is taken on any contract, transaction, or arrangement to which that conflict of interest may be relevant. The completed questionnaires are reviewed by the Board of Directors or the Governance Effectiveness Committee for any potential conflicts. 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. If, subsequent to completion of the annual questionnaire, any covered person becomes aware of a financial or special interest that could give rise to a conflict of interest with respect to a proposed contract, transaction, or arrangement involving BHS, the covered person will promptly disclose the interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION PROCESS: The Compensation Committee consists of at least three Directors who are independent members and who have no financial relationship or other potential conflict of interest with Baptist Health or any Officer of Baptist Health. The Board of Directors has delegated the following duties to the Compensation Committee: (1) recommending and administering the executive compensation program approved by the Board of Directors; (2) reviewing and approving Baptist Health executive compensation and benefits for the Baptist Heath Chief Executive Officer; (3) reviewing, approving and assessing Baptist Health incentive compensation goals established each year, and determining when performance goals have been achieved; and (4) selecting independent outside counsel and/or compensation consultants to advise the Committee when appropriate. The Committee retains a Compensation Consultant to advise the Committee and who provides data regarding comparable compensation for similarly qualified persons in functionally comparable positions at similarly structured healthcare organizations. The decisions of the Committee regarding compensation are contemporaneously documented in the minutes of the Committee. The Committee will meet at least two times annually and will report at least annually to the Board of Directors on matters delegated to the Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, &amp; FINANCIAL STATEMENTS TO GENERAL PUBLIC: In adherence to the Master Trust Indenture among Baptist Healthcare System, Inc., Baptist Health Medical Group, Inc. and U.S. Bank National Association, as Master Trustee, dated as of April 1, 2022, BHS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>HOURS WORKED FOR RELATED ORGANIZATION: Baptist Healthcare System officers provide services to Baptist Health 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 Baptist Health entities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>JV Fund Distribution 3,268,516. Physician Entity Funding -51,068,230. Other Changes 582,561. IS Depreciation -3,389,353. Post Retirement Change 1,096,901.</ExplanationTxt>
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