Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 09-01-2012 , 2012, and ending 08-31-2013
BCheck if applicable:
CName of organization
Baptist Health Richmond Inc
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO Box 1600
Suite
Room/suite
City or town, state or country, and ZIP + 4
Richmond, KY404762603
D Employer identification number

61-0461940
E Telephone number

G Gross receipts $ 67,070,245
F Name and address of principal officer:
CHRISTOPHER T JONES
PO BOX 1600
RICHMOND,KY404762603
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.baptisthealthrichmond.com
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1892
M State of legal domicile: KY
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF BAPTIST HEALTH RICHMOND IS TO PROVIDE QUALITY HEALTH CARE BY A TEAM OF HIGHLY-SKILLED PHYSICIANS AND STAFF THrOUGH NURTURING, PERSONALIZED SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 705
6 Total number of volunteers (estimate if necessary) ............. 6 28
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 295,567 593,588
9 Program service revenue (Part VIII, line 2g) ......... 47,413,931 61,748,145
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -153,198 101,008
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,785,189 3,315,721
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 49,341,489 65,758,462
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 60,000
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 22,466,704 33,724,673
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 28,790,018 32,889,620
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 51,256,722 66,674,293
19 Revenue less expenses. Subtract line 18 from line 12....... -1,915,233 -915,831
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 65,573,813 61,128,601
21 Total liabilities (Part X, line 26)............. 35,345,469 34,316,336
22 Net assets or fund balances. Subtract line 21 from line 20..... 30,228,344 26,812,265
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: The mission of Baptist Health is to exemplify our Christian heritage of providing quality healthcare services by enhancing the health of the people and communities we serve.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 58,172,010 including grants of $ 60,000 ) (Revenue $ 61,748,145 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet58,172,010
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
55
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
705
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
KY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletCHRISTOPHER T JONES801 EASTERN BYPASSRICHMONDKY40475 (859) 623-3131
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) AARON THOMPSON PhD........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(2) EARL BALDWIN........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(3) HELEN FARDO........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(4) JEFFREY FULTZ........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(5) HARRY MOBERLY JR........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(6) DOUGLAS G OWEN DMD........................................................................
DIRECTOR MEMBER AT LARGE
2.0
.......................  
X           0 0 0
(7) MARCIA RIDINGS........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(8) WILLIAM SISSON........................................................................
DIRECTOR
2.0
.......................40.0
X           0 970,218 113,787
(9) LAURA S STEIDLE........................................................................
DIRECTOR
2.0
.......................  
X           0 0 0
(10) CHRISTOPHER T JONES........................................................................
PRESIDENT
40.0
.......................  
    X       299,793 0 38,948
(11) CHRIS McCLURG........................................................................
CFO (THRU 7/1/13)
40.0
.......................  
    X       145,806 0 18,481
(12) TAMMY SULLIVAN........................................................................
CNO
40.0
.......................  
    X       118,863 0 22,544
(13) PATRICIA OLDS........................................................................
VP SUPPORT SERVICES
40.0
.......................  
    X       138,934 0 15,480
(14) ROSHAN PAIS MD........................................................................
CHIEF MeDiCAL OFFCR EX-OFFicio
40.0
.......................  
      X     221,785 0 20,588
(15) THOMAS D CERVONI........................................................................
PHYSICIAN
40.0
.......................  
        X   502,780 0 28,816
(16) RICHARD A SHELTON........................................................................
PHYSICIAN
40.0
.......................  
        X   216,889 0 20,530
(17) OLUBUNMI ADEGBOYEGA........................................................................
PHYSICIAN
40.0
.......................  
        X   204,679 0 20,314
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ELIJAH V KAKANI........................................................................
PHYSICIAN
40.0
.......................  
        X   194,315 0 18,113
(19) HANAN BUDEIRI........................................................................
PHYSICIAN
40.0
.......................  
        X   201,541 0 16,811






















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 2,245,385 970,218 334,412
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet20
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ARAMARK CORPORATION, 12483 COLLECTIONS CENTER DRCHICAGOIL60693 EQpmnt maintenance 1,278,206
ANESTHESIA SERVICE, 789 EASTERN BYPASSRICHMONDKY40475 ANESTHESIA SERVICES 1,124,055
MORRISON MANAGEMENT SPECIALISTS, PO BOX 102289ATLANTAGA30368 NUTRITIONAL SERVICES 500,535
SOFTSCRIPT, 1801 W OLYMPIC BLVDPASADENACA91199 MeDiCaL TRNSCRPTn 457,673
LOGANS, PO BOX 643858CINCINNATIOH45264 LINEN SERVICES 318,096
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet26
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 0
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
593,588
g Noncash contributions included in lines
1a-1f:$
0
h Total. Add lines 1a-1f.......MediumBullet 593,588
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 623990 61,748,145 61,748,145 0 0
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 61,748,145
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 142,922     142,922
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 443,112  
b Less: rental expenses 312,616  
c Rental income or (loss) 130,496 0
d Net rental income or (loss).......MediumBullet 130,496     130,496
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 957,253 0
b Less: cost or other basis and sales expenses 981,064 18,103
c Gain or (loss) -23,811 -18,103
d Net gain or (loss)..........MediumBullet -41,914     -41,914
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a EHR INCENTIVE REVENUE 900099 1,853,297 0 0 1,853,297
b PHARMACY REVENUE 900099 769,960 0 0 769,960
c CAFETERIA REVENUE 900099 183,679 0 0 183,679
d All other revenue .... 378,289 0 0 378,289
e Total. Add lines 11a–11d ...... MediumBullet 3,185,225
12 Total revenue. See Instructions......MediumBullet 65,758,462 61,748,145 0 3,416,729
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 60,000 60,000
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 899,815 0 899,815 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0 0
7 Other salaries and wages 27,517,993 25,812,465 1,705,528 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 825,498 825,498 0 0
9 Other employee benefits ....... 2,433,859 2,433,859 0 0
10 Payroll taxes ........... 2,047,508 2,047,508 0 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 168,924 0 168,924 0
c Accounting ........... 96,273 0 96,273 0
d Lobbying ........... 0 0 0 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 2,670,904 2,670,904 0 0
12 Advertising and promotion .... 133,189 133,189 0 0
13 Office expenses ....... 13,769,147 13,396,534 372,613 0
14 Information technology ...... 0 0 0 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 4,167,368 2,934,548 1,232,820 0
17 Travel ............ 105,011 6,822 98,189 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 0 0 0 0
20 Interest ........... 694,543 694,543 0 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 3,187,902 3,187,902 0 0
23 Insurance .............. 1,077,613 94,924 982,689 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PURCHASED SERVICES 6,208,100 3,856,971 2,351,129 0
b PHYSICIAN RECRUITMENT 386,837 0 386,837 0
c DUES & SUBSCRIPTIONS 91,361 16,343 75,018 0
d ALL OTHER EXPENSES 132,448 0 132,448 0
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 66,674,293 58,172,010 8,502,283 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 6,447,052 1 4,956,161
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 5,709,925 4 7,692,648
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 463,663 7 286,763
8 Inventories for sale or use .............. 2,523,656 8 2,830,300
9 Prepaid expenses and deferred charges .......... 280,686 9 580,099
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 75,045,525
b Less: accumulated depreciation ..... 10b 52,404,070 32,296,134 10c 22,641,455
11 Investments—publicly traded securities .......... 372,223 11 296,392
12 Investments—other securities. See Part IV, line 11 ..... 15,341,836 12 17,608,317
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 1,000,000
15 Other assets. See Part IV, line 11 ........... 2,138,638 15 3,236,466
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 65,573,813 16 61,128,601
Liabilities 17 Accounts payable and accrued expenses ......... 7,382,256 17 5,971,749
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 3,706,387 23 2,751,890
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 24,256,826 25 25,592,697
26 Total liabilities. Add lines 17 through 25......... 35,345,469 26 34,316,336
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 11,195,263 27 7,239,645
28 Temporarily restricted net assets ........... 3,691,245 28 1,964,304
29 Permanently restricted net assets ........... 15,341,836 29 17,608,316
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 30,228,344 33 26,812,265
34 Total liabilities and net assets/fund balances ........ 65,573,813 34 61,128,601
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
65,758,462
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
66,674,293
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-915,831
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
30,228,344
5
Net unrealized gains (losses) on investments ...............
5
430,539
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-2,930,787
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
26,812,265
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data


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SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
0
d
Mailings to members, legislators, or the public? .........................
 
No
0
e
Publications, or published or broadcast statements? .......................
 
No
0
f
Grants to other organizations for lobbying purposes? .......................
 
No
0
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
0
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
0
i
Other activities? ..........................
Yes
 
5,875
j
Total. Add lines 1c through 1i ...............................
5,875
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C, Part II-B, Line 1 Lobbying Activity THE ABOVE AMOUNT REPRESENTS THE PORTION OF ANNUAL DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES CARRIED OUT BY the KENTUCKY HOSPITAL ASSOCIATION.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 19,033,081 4,031,844 4,499,897 4,704,618 5,226,569
b Contributions ........   14,173,819   357,693 31,281
c Net investment earnings, gains, and losses 2,266,481 1,168,017   -62,205 -28,741
d Grants or scholarships .....       42,118 68,878
e Other expenditures for facilities
and programs ........
275,134 340,599 468,053 458,091 455,613
f Administrative expenses ....          
g End of year balance ...... 21,024,428 19,033,081 4,031,844 4,499,897 4,704,618
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet19.390 %
b
Permanent endowment SchDMd Bullet80.610 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   211,415 211,415
b Buildings ................   34,748,382 21,249,695 13,498,687
c Leasehold improvements ............   144,559 110,592 33,967
d Equipment ................   39,653,094 31,043,783 8,609,311
e Other .................   288,076   288,076
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 22,641,456
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) PERPTUL TRUSTS HLD BY TRUSTEES
17,608,317 F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 17,608,317
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER RECEIVABLES 1,438,756
(2) OTHER ASSETS 1,797,710







Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 3,236,466
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
THIRD PARTY PAYABLE -114,327
PENSION LIABILITY 4,815,808
LONG TERM RELATED PARTY DEBT 14,757,110
TAX-EXEMPT BOND LIABILITIES 6,134,106





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 25,592,697
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ASSETS WHOSE USE IS LIMITED INCLUDE ASSETS SET ASIDE BY THE HOSPITAL'S BOARD OF DIRECTORS FOR LONG-TERM USES, OVER WHICH THE BOARD RETAINS CONTROL AND MAY AT ITS DISCRETION SUBSEQUENTLY USE FOR OTHER PURPOSES. THE PERMANENTLY RESTRICTED NET ASSETS REPRESENT THE HOSPITAL'S BENEFICIAL INTEREST IN PERPETUAL TRUSTS.
Schedule D (Form 990) 2012

Additional Data


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Software Version:  




SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    3,368,894 1,239,733 2,129,161 3.190 %
b Medicaid (from Worksheet 3,
column a) ....
    10,775,295 10,064,666 710,629 1.070 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    14,144,189 11,304,399 2,839,790 4.260 %
Other Benefits
14 33,715 29,384   29,384 0.040 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
16 275 182,127   182,127 0.270 %
g Subsidized health services
(from Worksheet 6) ..
           
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
173 2,557 13,227   13,227 0.020 %
j Total. Other Benefits .. 203 36,547 224,738   224,738 0.330 %
k Total. Add lines 7d and 7j . 203 36,547 14,368,927 11,304,399 3,064,528 4.590 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 3 36 1,012   1,012 0 %
3 Community support 168 2,323 10,120   10,120 0 %
4 Environmental improvements            
5 Leadership development and training for community members 20 347 1,196   1,196 0 %
6 Coalition building            
7 Community health improvement advocacy 1 500 12,000   12,000 0 %
8 Workforce development 4   202   202 0 %
9 Other            
10 Total 196 3,206 24,530   24,530 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
3,413,269
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
18,849,468
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
19,845,961
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-996,493
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 BAPTIST HEALTH RICHMOND INC
801 EASTERN BYPASS
RICHMOND,KY40475
WWW.BAPTISTHEALTHRICHMOND.COM
X           X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BAPTIST HEALTH RICHMOND INC
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address Type of Facility (describe)
1 INSTANT CARE CENTER
648 UNIVERSITY SHOPPING CENTER
RICHMOND,KY40475
NON-EMERGENT AMBULATORY CARE CENTER
2 OCCUPATIONAL MEDICINE CENTER
646 UNIVERSITY SHOPPING CENTER
RICHMOND,KY40475
OCCUPATIONAL MEDICINE
3 WOUND CARE CENTER
114 BIG HILL AVENUE
RICHMOND,KY40475
WOUND CARE
4 OUTPATIENT LAB
114 BIG HILL AVENUE
RICHMOND,KY40475
OUTPATIENT LAB
5 HEALTH AND EDUCATION CENTER
HARPERS SQ 2150 LEXINGTON RD
RICHMOND,KY40475
HEALTH CENTER
6
7
8
9
10
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
Schedule H, Part I, Line 3c Criteria for Determining eligibility for free or discounted care AS PROVIDED FOR IN THE WRITTEN CHARITY CARE POLICY, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CONDITIONS TO QUALIFY FOR CHARITY: A. THE INDIVIDUAL IS A RESIDENT OF KENTUCKY B. THE INDIVIDUAL IS NOT ELIGIBLE FOR MEDICAID C. THE INDIVIDUAL IS NOT COVERED BY A 3RD PARTY PAYOR D. THE INDIVIDUAL IS NOT IN THE CUSTODY OF A UNIT OF GOVERNMENT WHICH IS RESPONSIBLE FOR COVERAGE OF THE ACUTE CARE NEEDS OF THE INDIVIDUAL. THE INDIVIDUAL MEETS THE FOLLOWING INCOME AND RESOURCES CRITERIA: HOUSEHOLD SIZE MONTHLY INCOME LIMIT ANNUAL INCOME LIMIT 1 $903.00 $10,830.00 2 $1,214.00 $14,570.00 3 $1,526.00 $18,310.00 4 $1,837.00 $22,050.00 5 $2,149.00 $25,790.00 FOR EACH ADDITIONAL MEMBER ADD $311 MONTHLY AND $3,740 ANNUALly. SCHEDULE H, PART I, LINE 7 BHR utilizes a cost accounting system that identifies the cost of delivering care at the individual procedure and item (supply) level for direct costs and a detailed step-down methodology to allocate overhead costs as accurately as possible. Costs are determined for each patient based upon the specific procedures performed and items used for each patient. Additionally, BHR uses a cost-to-charge ratio, derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. Patients are also categorized by: 1.patient type (inpatient and outpatient), 2.payer plan (42 unique categories of payer plans. Charity, State-sponsored charity and the Uninsured are among the uniquely identified payer plans), and 3.clinical service (53 unique clinical services). The cost of care for uninsured patients who qualify for "full" charity care (under a State-sponsored or BHR sponsored charity program) is determined by calculating the cost of each uninsured charity patient (at the procedure and item level) and accumulating the cost of each patient. For insured patients who also qualify for partial charity under the BHS sponsored charity program, costs are allocated to each portion (insurance, partial charity, patient payments and bad debt) using the patient's payer plan cost-to-charge ratio (CCR). For example, this CCR is multiplied by the charges covered by insurance to determine the cost of insurance, multiplied by charges covered by partial charity to determine the cost of partial charity, multiplied by patient payments to determine the cost of paid services and multiplied by unpaid charges to determine the cost of bad debt. The cost of care for uninsured patients who do NOT qualify for charity care (full or partial bad debt accounts) are allocated to each portion (patient paid portion and unpaid portion) using the patient's uninsured payer plan CCR. For example, this CCR is multiplied by patient payments to determine the cost of paid services and multiplied by unpaid charges to determine the cost of bad debt. Much care is taken to ensure that costs used for community benefit reporting are directly related to exempt-purpose patient care (excluding physician-related costs) and that costs are reported accurately. For example, the cost of charity and Medicaid are removed from the calculation of the loss on subsidized services. schedule h, part iii, line 2 EXPLANATION FOR COSTING METHODOLOGY THE COST TO CHARGE RATIO IS THE METHODOLOGY USED IN DETERMINING BAD DEBT EXPENSE AT COST. schedule h, part iii, line 3 RATIONALe FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE AND FOR THIS REASON, THE ORGANIZATION BELIEVES IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY, AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY IS NEGLIGIBLE.
Schedule H, Part III, Line 4 bad debt expense footnote in organization's financial statements THE HOSPITAL ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF THE AGING OF THE ACCOUNTS, HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THEIR SERVICE AREA AND THE HEALTHCARE INDUSTRY. SCHEDULE H, PART III, LINE 8 MEDICARE COSTING METHODOLOGY MEDICARE REVENUES AND ALLOWABLE COSTS WERE TAKEN FROM THE AS FILED MEDICARE COST REPORT. MUCH CARE IS TAKEN TO ENSURE THAT ALL ADJUSTMENTS TO REMOVE NON-ALLOWABLE COSTS ARE TAKEN. DUE TO THE FACT THAT MEDICARE RATES ARE NON-NEGOTIABLE AND ARE ESTABLISHED BY THE GOVERNMENT, ALL OF THE SHORTFALL FOR MEDICARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES Patients and guarantors who qualify for a "full" charity discount will not be billed once the charity determination is made. Patients and guarantors who qualify for a "partial" charity discount will be billed only for the non-discounted portion of their account. Guarantors who have an ability to pay for services will be billed based on the following guidelines. - Patients or guarantors may be asked to pay an estimated patient liability at point of service. - BHr facilities will accept and file claims for all insurances assigned to the organization with adequate proof of coverage. This assignment does not relieve the guarantor of responsibility for payment if the insurer fails to pay as prescribed by regulation, statute or patient-insurance contract. Deductibles, co-payments and non-covered services will be the responsibility of guarantors. - Statements will be sent to guarantors once patient liability is determined for insured or uninsured patients and necessary billing follow-up calls will be made by BHr Patient Financial Services and/or a designated external early out vendor over a period of time averaging from 90 to 120 days. All statements will contain information regarding the availability of financial assistance. If applicable, effort will be made to assist uninsured patients to secure coverage through any governmental or other assistance programs. - Patients requesting detailed charge information will be provided with an itemized bill. - BHr Patient Financial Services will provide all patients the same information concerning services and charges. - Patient accounts not resolved at the end of this cycle will be considered for placement with external collection agencies. Collection agencies will continue to pursue patient balances while maintaining compliance with the Fair Debt Collection Practices Act and the ACA International's Code of Ethics and Professional Responsibility. SCHEDULE H, PART V, LINE 5C AVAILABILITY OF CHNA REPORT COPIES OF THE CHNA WERE ALSO DISTRIBUTED INTERNALLY AND EXTERNALLY TO THOSE WHO PARTICIPATED IN THE NEEDS ASSESSMENT (INDIVIDUALS AND ORGANIZATIONS).
Schedule H, Part V, Line 7 NEEDS NOT ADDRESSED Mental Health Services Psychiatric care is not central to the hospitals core services. Provision of mental health services would require renovation of the hospital to build and equip an inpatient psychiatric wing and recruitment of psychiatrists, psychologists and/or other mental health professionals. We do not have the resources or capital to pursue mental health services at this time. Schedule H, Part V, Line 11 Criteria used to determine eligibility for providing discounted care AS PROVIDED FOR IN THE WRITTEN CHARITY CARE POLICY, AN INDIVIDUAL MUST MEET ALL OF THE FOLLOWING CONDITIONS TO QUALIFY FOR CHARITY: A. THE INDIVIDUAL IS A RESIDENT OF KENTUCKY B. THE INDIVIDUAL IS NOT ELIGIBLE FOR MEDICAID C. THE INDIVIDUAL IS NOT COVERED BY A 3RD PARTY PAYOR D. THE INDIVIDUAL IS NOT IN THE CUSTODY OF A UNIT OF GOVERNMENT WHICH IS RESPONSIBLE FOR COVERAGE OF THE ACUTE CARE NEEDS OF THE INDIVIDUAL. THE INDIVIDUAL MEETS THE FOLLOWING INCOME AND RESOURCES CRITERIA: HOUSEHOLD SIZE MONTHLY INCOME LIMIT ANNUAL INCOME LIMIT 1 $903.00 $10,830.00 2 $1,214.00 $14,570.00 3 $1,526.00 $18,310.00 4 $1,837.00 $22,050.00 5 $2,149.00 $25,790.00 FOR EACH ADDITIONAL MEMBER ADD $311 MONTHLY AND $3,740 ANNUALly. FOR EACH ADDITIONAL MEMBER ADD $311 MONTHLY AND $3,740 ANNUALly.
Schedule H, Part VI, Needs assessment Needs assessment Baptist Health Richmond, Inc. ("BHR") ASSESSES THE HEALTH CARE NEEDS OF OUR SERVED COMMUNITIES IN A VARIETY OF WAYS. ONE EXAMPLE IS COMMUNITY WORK GROUPS, WHICH MEET MONTHLY TO DISCUSS VARIOUS CURRENT AND EMERGING COMMUNITY HEALTH ISSUES, ULTIMATELY DETERMINING TREATMENT AND EDUCATION PROTOCOLS. THIS GROUP IS COMPRISED OF HOSPITAL CLINICAL PROFESSIONALS, SCHOOL ADMINISTRATORS, LOCAL COLLEGE ADMINISTRATORS, EMERGENCY PREPAREDNESS OFFICIALS AND LOCAL HEALTH DEPARTMENT OFFICIALS, TO NAME A FEW. ANOTHER ASSESSMENT bhr CONDUCTS IS A PHYSICIAN NEEDS ANALYSIS ON A REGULAR BASIS TO ENSURE THE COMMUNITY HAS ADEQUATE PHYSICIAN COVERAGE IN ALL NEEDED DISCIPLINES.
Schedule H, Part VI, Patient education Patient education of eligibility for assistance Following is a list of various methods/processes used to inform/educate patients on the availability of financial assistance: - financial counselors advise and/or screen uninsured patients before or during hospital services, - a third party vendor advises and/or screens uninsured patients during hospital services, - financial counselors provide follow-up contact for patients missed during services, - the State-sponsored DSH form is provided to all ER uninsured patients, - telephone calls and in-person visits are handled by staff trained to discuss financial assistance, - information regarding financial assistance is included in patient statements. - The BHR sponsored charity care program policy is posted in key areas of each hospital. - The BHR sponsored charity care program policy is posted on the website of each hospital and the System.
Schedule H, Part VI, Community information Community information BHR IS LOCATED IN THE FOOTHILLS OF APPALACHIA, IN CENTRAL KENTUCKY IN THE COMMUNITY OF RICHMOND. LIKE MANY OTHER REGIONAL FACILITIES THROUGHOUT THE COUNTRY, BHR PROVIDES HEALTHCARE SERVICES TO A NUMBER OF COUNTIES. BHRS IMMEDIATE SERVICE AREA IS MADISON, ESTILL, GARRARD, AND JACKSON COUNTIES. IN ADDITION, PEOPLE FROM OVER TEN SURROUNDING COUNTIES COME TO BHR TO TAKE ADVANTAGE OF THE WIDE VARIETY OF SPECIALTY MEDICAL SERVICES. BHR IS LOCATED IN MADISON COUNTY. FROM THE 2010 CENSUS, THERE WERE 82,916 PEOPLE, 29,720 HOUSEHOLDS, AND 18,812 FAMILIES RESIDING IN THE COUNTY. THERE WERE 33,806 HOUSING UNITS. THE RACIAL MAKEUP OF THE COUNTY WAS 91.6% WHITE, 4.4% BLACK OR AFRICAN AMERICAN, 0.28% NATIVE AMERICAN, 0.3% ASIAN, 0.34% FROM OTHER RACES, AND 2.0% FROM TWO OR MORE RACES. 2.12% OF THE POPULATION WAS HISPANICS OR LATINOS OF ANY RACE. THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $40,241. THE PER CAPITA INCOME FOR THE COUNTY WAS $20,649. ABOUT 19.2% OF THE POPULATION WAS BELOW THE POVERTY LINE.
Schedule H, Part VI, Promotion of community Promotion of community health THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH HAVING A MAJORITY OF INDEPENDENT GOVERNING BODY MEMBERS WHO ALL RESIDE IN THE HOSPITALS PRIMARY SERVICE AREA; HAVING AN OPEN MEDICAL STAFF; AND RE-INVESTING ANY OPERATING SURPLUS TO CONTINUE PROVIDING QUALITY HEALTHCARE TO ALL IN THE HOSPITALS SERVICE AREA.
Schedule H, Part VI, Affiliated health care Affiliated health care system THE ORGANIZATION IS PART OF BAPTIST HEALTHCARE SYSTEM, INC. ("BHS").
Schedule H, Part VI, State filing State filing of community benefit report kentucky
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number
61-0461940
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) MADISON COUNTY SCHOOLS
550 S Keeneland Drive
Richmond,KY40475
gov't 10,000       general support
(2) MADISON COUNTY HEALTH DEPARTMENT
214 Boggs Lane
Richmond,KY40475
gov't 50,000       general support




















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, LINE 2 Baptist Health Richmond, Inc. provides only direct contributions and other general support; therefore, no monitoring of charitable contributions is performed.
Schedule I (Form 990) 2012


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)CHRISTOPHER T JONESPRESIDENT (i)
(ii)
234,778
0
52,272
0
12,743
0
12,688
0
26,260
0
338,741
0
0
0
(2)CHRIS McCLURGCFO (THRU 7/1/13) (i)
(ii)
137,392
0
0
0
8,414
0
4,088
0
14,393
0
164,287
0
0
0
(3)PATRICIA OLDSVP SUPPORT SERVICES (i)
(ii)
129,682
0
0
0
9,252
0
4,660
0
10,820
0
154,414
0
0
0
(4)THOMAS D CERVONIPHYSICIAN (i)
(ii)
479,703
0
0
0
23,077
0
14,423
0
14,393
0
531,596
0
0
0
(5)RICHARD A SHELTONPHYSICIAN (i)
(ii)
197,024
0
0
0
19,865
0
6,137
0
14,393
0
237,419
0
0
0
(6)OLUBUNMI ADEGBOYEGAPHYSICIAN (i)
(ii)
192,083
0
0
0
12,596
0
6,020
0
14,294
0
224,993
0
0
0
(7)ELIJAH V KAKANIPHYSICIAN (i)
(ii)
154,699
0
25,000
0
14,616
0
5,683
0
12,430
0
212,428
0
0
0
(8)HANAN BUDEIRIPHYSICIAN (i)
(ii)
186,926
0
0
0
14,615
0
5,991
0
10,820
0
218,352
0
0
0
(9)ROSHAN PAIS MDCHIEF MeDiCAL OFFCR EX-OFFicio (i)
(ii)
216,992
0
0
0
4,793
0
6,195
0
14,393
0
242,373
0
0
0
(10)WILLIAM SISSONDIRECTOR (i)
(ii)
0
595,012
0
159,000
0
216,206
0
78,356
0
35,431
0
1,084,005
0
37,523
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4b During calendar year 2012, FIVE officerS of BHs (ONE OF WHICH WAS AN OFFICER OF bhr) received a payout from a Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan. The Plan is offered to a select group of management as determined by the BHs Executive Benefits Committee. The amounts paid during 2012 were previously reported as compensation on the 990 and were included in W-2 wages in 2012, reported in Schedule J, Part II, column (F) and is a portion of the amount reported in column B (iii). The following individual received a payout from a Supplemental Executive Retirement Plan, a nonqualified deferred compensation plan: William Sisson 37,523 In addition, ALL FIVE officerS (ONE OF WHICH WAS AN OFFICER OF BHR) who participate in the Supplemental Executive Retirement Plan accrued amounts for 2013 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 individual participated in and accrued amounts from the Supplemental Executive Retirement Plan: William Sisson 52,043
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Identifier Return Reference Explanation
FORM 990, PART III, LINE 4A PROGRAM ACCOMPLISHMENTS BAPTIST HEALTH RICHMOND, INC. ("BHR") REALIZES THAT NOT ALL PATIENTS HAVE FINANCIAL RESOURCES TO PAY THEIR BILL. IN LIGHT OF THIS, BHR HAS CHARITY CARE POLICIES AND PROCEDURES IN PLACE TO DETERMINE A PATIENTS ABILITY TO PAY FOR SERVICES. FOLLOWING THE CHARITY CARE POLICY, BHR PROVIDED $6,961,634 OF UN-REIMBURSED CHARITY CARE CHARGES FOR THE TWELVE MONTHS ENDED AUGUST 31, 2013. UN-REIMBURSED CHARITY CARE CHARGES REPRESENT 3.8% OF NET PATIENT SERVICE REVENUE FOR THE YEAR. BHR OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY, EVERY DAY. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR PAYMENT ABILITY. BHR EXPERIENCED 30,155 EMERGENCY DEPARTMENT VISITS FOR THE TWELVE MONTHS ENDED AUGUST 31, 2013. BHR PROVIDED INPATIENT SERVICES TO THE CITIZENS OF MADISON AND SURROUNDING COUNTIES. A TOTAL OF 3,179 INPATIENTS WERE ADMITTED DURING THE TWELVE MONTHS ENDED AUGUST 31, 2013 RESULTING IN 12,000 INPATIENT DAYS. BHR PROVIDED OBSTETRIC SERVICES TO THE CITIZENS OF MADISON AND SURROUNDING COUNTIES. A TOTAL OF 768 DELIVERIES WERE PERFORMED DURING TWELVE MONTHS ENDED AUGUST 31, 2013. BHR PROVIDED SURGICAL SERVICES TO 6,333 PATIENTS DURING TWELVE MONTHS ENDED AUGUST 31, 2013. IN ADDITION TO THE LARGEST PROGRAM SERVICES, BHR ALSO PROVIDES OR SUPPORTS THE FOLLOWING COMMUNITY PROGRAMS AT FREE OR SUBSTANTIALLY REDUCED COST TO THE COMMUNITY: COMMUNITY HEALTH FAIR: PROVIDE FREE BLOOD PRESSURE, HEIGHT AND WEIGHT, PULMONARY FUNCTION, BODY FAT ANALYSIS, OSTEOPOROSIS SCREENING, PSA, BLOOD TYPING, BLOOD GLUCOSE, ANEMIA SCREENING, POSTURE, GLAUCOMA, COUNSELING, EDUCATIONAL MATERIALS. (APPROXIMATELY 200 PARTICIPANTS) TAKE YOUR HEALTH TO HEART PROGRAM AND SPONSORSHIP OF THE HOT WOMEN AND HEALTH SERIES WHERE WE BRING IN REGIONAL OR NATIONAL SPEAKERS TO DISCUSS THE WARNING SIGNS OF DECLINING HEART HEALTH. (APPROXIMATELY 200 PARTICIPANTS ANNUALLY) GREAT EXPECTATIONS IS AN ANNUAL MATERNITY FAIR DESIGNED TO PROVIDE EDUCATION AND RESOURCES FOR THOSE EXPECTING A CHILD. THE EVENT PROVIDES EDUCATION ON SHAKEN BABY SYNDROME, INFANT CPR, MOTHER/BABY NUTRITION, AND BREASTFEEDING IN ADDITION TO PRIZES ANSurNEEDED ITEMS FOR ATTENDEES. (APPROXIMATELY 250 ATTENDEES) FREE PROSTATE CANCER SCREENING AND PSAS: FREE PSA BLOOD WORK AND DIGITAL RECTAL EXAM BY A UROLOGIST. (APPROXIMATELY 55 PARTICIPANTS) COMMUNITY BASED EDUCATIONAL PROGRAMS: HIP/KNEE SCREENING WITH ORTHOPEDIC SURGEON, CHILDBIRTH CLASSES, BREAST FEEDING CLASSES, SAFE DRIVING CLASSES, SMOKING CESSATION CLASSES, NUTRITION, DIABETES EDUCATION, AND STRESS MANAGEMENT. SUPPORT OF CITY AND COUNTY PROJECTS: PROVIDED PLANT OPERATIONS SUPPORT FOR VARIOUS CITY AND COUNTY FUNCTIONS; SERVED ON ECONOMIC DEVELOPMENT COMMITTEES AND ENROLLED A MEMBER OF MANAGEMENT TEAM IN LEADERSHIP mADISON COUNTY. PARTICIPATION IN OTHER HEALTH FAIRS: PROVIDE STAFFING AND EDUCATIONAL MATERIALS FOR VARIOUS HEALTH FAIRS IN THE COMMUNITY. (MORE THAN 2,500 COMMUNITY MEMBERS SERVED) PROVIDE SPEAKERS ON HEALTH CAREERS AND TOURS OF THE HOSPITAL: THIS COMMUNITY SERVICE BENEFITS APPROXIMATELY 500 STUDENTS. STARLIGHT MILE AND 5K WALK/RUN: PROVIDE FUNDING FOR ONE MILE AND 5K WALK/RUN FOR CHILDREN AND ADULTS TO PROMOTE HEALTHY LIFESTYLES. (APPROXIMATELY 500 PARTICIPANTS) LEADERSHIP MADISON COUNTY: PROVIDE CLASSES FOR PARTICIPANTS, FOODS, SPACE, ETC. (APPROXIMATELY 40 LEADERS SERVED) FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S SOLE MEMBER IS BAPTIST HEALTHCARE SYSTEM, INC. ("BHS"), A NON-PROFIT, TAX EXEMPT CORPORATION ORGANIZED UNDER AND PURSUANT TO THE PROVISIONS OF THE LAW OF THE COMMONWEALTH OF KENTUCKY.
Form 990, Part VI, Line 7a Power to elect or appoint members BOARD OF DIRECTORS ARE APPOINTED BY RESOLUTION OF THE ORGANIZATIONS SOLE MEMBER, bhs.
Form 990, Part VI, Line 7b Decisions reserved to members or stockholders THE SOLE MEMBER, BHS, HAS THE FOLLOWING RESERVED POWERS ACTING THROUGH ITS BOARD INCLUDING: (I) APPROVE THE MISSION, VISION, AND VALUES OF THE CORPORATION AND AMENDMENTS THERE TO. (II) APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THE BYLAWS. (III) APPROVE THE STRATEGIC PLAN OF THE CORPORATION. (IV) APPROVE THE TRANSFER OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS OR INVESTMENT OR INTEREST IN ANY BUSINESS ENTERPRISE; ANY MERGER, COMBINATION, OR REORGANIZATION OF THE CORPORATION; ANY LIQUIDATION, REORGANIZATION, OR RECAPITALIZATION OF THE CORPORATION; OR ANY AGREEMENT TO DO THE FOREGOING. (V) APPROVE THE CAPITAL EXPENDITURE AND OPERATING BUDGETS OF THE CORPORATION, AND ANY UNBUDGETED EXPENDITURES OVER $500,000. (VI) SELECTION OF THE CORPORATIONS AUDITOR. (VII) APPROVE THE INCURRENCE OF DEBT OF THE CORPORATION ABOVE $500,000 OR OTHER AMOUNT ESTABLISHED BY BHS AND THE MAKING OF ANY CAPITAL EXPENDITURE ABOVE $500,000 OR OTHER AMOUNT ESTABLISHED BY BHS. (VIII) APPROVE THE APPOINTMENT, REMOVAL, AND EVALUATION OF THE PRESIDENT OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION ACTING THROUGH THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BHS. (IX) APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. APPOINTMENT AND REMOVAL SHALL NOT REQUIRE A RECOMMENDATION OF THE CORPORATIONS BOARD. (X) APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR OF THE BOARD OF THE CORPORATION. APPOINTMENT AND REMOVAL SHALL NOT REQUIRE A RECOMMENDATION OF THE CORPORATIONS BOARD. (XI) AUTHORIZE EXECUTION OF ANY CONTRACT, AGREEMENT, OR SIMILAR INSTRUMENT BY WHICH THE CORPORATION MAY BE OBLIGATED TO PAY MORE THAN AN AMOUNT ESTABLISHED BY BHS. (XII) ACQUIRE ANY STOCK OF ANY CORPORATION OR ANY EQUITY IN ANOTHER CORPORATE FORM, OR INVEST IN OR ACQUIRE ANY INTEREST IN ANY BUSINESS ENTERPRISE. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE INTERNALLY PREPARED FORM 990 IS REVIEWED AND APPROVED BY TAX CONSULTANTS. COPIES ARE GIVEN TO EACH VOTING MEMBER OF THE BOARD PRIOR TO FILING FOR THEIR REVIEW.
Form 990, Part VI, Line 12c Monitoring and enforcement of compliance with conflict of interest policy ANNUALLY, THE SECRETARY OF BHS SENDS OUT A CONFLICT OF INTEREST QUESTIONNAIRE TO EACH OF THE DIRECTORS AND OFFICERS SERVING ON THE BOARD OF BHr. AFTER COMPLETION, THEY ARE RETURNED TO THE SECRETARY AND REVIEWED BY THE BOARD OR THE GOVERNANCE EFFECTIVENESS COMMITTEE FOR ANY POTENTIAL CONFLICTS. A CONFLICT OF INTEREST IS ANY CIRCUMSTANCE, RELATIONSHIP (FINANCIAL OR OTHERWISE), ACTIVITY OR DECISION (MADE IN THE COURSE OF GOVERNANCE, MANAGEMENT OR PROFESSIONAL RESPONSIBILITIES OR OTHERWISE) THAT ADVERSELY INFLUENCES OR APPEARS TO ADVERSELY INFLUENCE THE ABILITY OF A COVERED PERSON TO: 1) MAKE OBJECTIVE DECISIONS ON BEHALF OF BHA AND/OR 2) ACT IN THE BEST INTERESTS OF BHr IN A MANNER CONSISTENT WITH THE TAX-EXEMPT PURPOSES OF BHr. THE BOARD OR COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF DISINTERESTED DIRECTORS WHETHER THE DISCLOSED FINANCIAL OR SPECIAL INTEREST MAY RESULT IN A CONFLICT OF INTEREST.
Form 990, Part VI, Line 15 Process for determining compensation ORGANIZATION'S DIRECTOR OF HUMAN RESOURCES (HR) COMPLETES AN ANNUAL SALARY SURVEY. DATA IS COMPILED FROM TWO SOURCES: THE KENTUCKY SOCIETY OF HEALTHCARE HUMAN RESOURCES ADMINISTRATORS (KSHHRA) AND THE KENTUCKY HOSPITAL ASSOCIATION (KHA). BOTH OF THESE RESOURCES USE A THIRD PARTY TO RETRIEVE AND ANALYZE DATA. KHA USES COMPDATA AND KSHHRA USES HR ADVANTAGE. THE DIRECTOR OF HR TAKES EVERY POSITION WITHIN THE ORGANIZATION AND MATCHES A POSITION FROM EACH GROUP. THE DIRECTOR THEN COMPARES WHAT THE CURRENT COMPENSATION RATES ARE WITH THE SURVEY RESULTS AND ANALYZES EACH POSITION TO DETERMINE WHERE THE ORGANIZATION IS COMPARED TO THE MARKET. A LIST IS COMPILED FOR POSITIONS IN WHICH THE ORGANIZATION IS COMPENSATING LOWER THAN THE MARKET WITH RECOMMENDATIONS TO INCREASE THE COMPENSATION FOR THOSE POSITIONS. THE LIST AND RECOMMENDATIONS ARE GIVEN TO THE ADMINISTRATIVE TEAM. AFTER REVIEWING THE DATA PRESENTED AND THE RECOMMENDATIONS, THE ADMINISTRATIVE TEAM WILL OFFER ITS SUGGESTIONS AND MAKE A FINAL RECOMMENDATION TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MAKES THE FINAL DECISION ON CHANGES TO THE ANNUAL COMPENSATION PACKAGE. THE ANNUAL COMPENSATION ADJUSTMENT FOR THE CEO IS ALWAYS PUT IN WRITING AS APPROVED BY THE BOARD AND FILED IN THE HR DEPARTMENT. FOR NEW EMPLOYEES, A RANGE IS SET FOR ALL POSITIONS WITH THE EXCEPTION OF DEPARTMENT DIRECTORS AND THOSE IN HIGHER POSITIONS. THE SALARIES FOR DEPARTMENT DIRECTORS AND ABOVE ARE DETERMINED BY THE VICE-PRESIDENT OVER THAT PARTICULAR AREA WITH INPUT FROM THE HR DIRECTOR BASED ON INFORMATION FROM THE SURVEYS MENTIONED ABOVE. THE DETERMINED COMPENSATION RATE IS COMMUNICATED TO THE NEW EMPLOYEE VIA AN OFFER LETTER AND DOCUMENTED ON THE REQUEST TO HIRE IN HIS/HER PERSONNEL FILE.
Form 990, Part VI, Line 19 Process for making documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN MINIMUM PENSION LIABILITY $3,700,980 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS $2,266,481 BAPTIST HEALTHCARE SYSTEM, INC. ASSET ACQUISITION ($8,623,114) FAIR MARKET VALUE ADJUSTMENT 9-1-12 CHANGE IN TEMPORAILY RESTRICTED NET ASSETS ($275,134) -------------- TOTAL ($2,930,787)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
Baptist Health Richmond Inc
 
Employer identification number

61-0461940
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) PATTIE A CLAY HOSPITAL AUXILIARY

PO BOX 1600

RICHMOND,KY40475
51-0172717
SUPPORT BHR KY 501(c)(3) LINE 11A BHS
 
Yes
 
(2) BAPTIST HEALTH FOUNDATION RICHMOND INC

PO BOX 1600

RICHMOND,KY40475
31-1506378
Fundraising KY 501(c)(3) Line 11a BHS
 
Yes
 
(3) BAPTIST HEALTHCARE SYSTEM INC

2701 EASTPOINTE PARKWAY

LOUISVILLE,KY40223
61-0444707
HOSPITAL KY 501(c)(3) LINE 3 NA
 
 
No
(4) MEDICAL CENTER AMBULANCE SERVICES INC

629 LAFOON STREET

MADISONVILLE,KY42431
61-0946210
AMBULANCE SVC KY 501(C)(3) LINE 9 NA
 
Yes
 
(5) BAPTIST HEALTHCARE AFFILIATES INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
61-1226399
HOSPITAL KY 501(C)(3) LINE 3 BHS
 
Yes
 
(6) BAPTIST COMMUNITY HEALTH SERVICES INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
61-1141242
MEDICAL SVCS KY 501(C)(3) LINE 11A BHS
 
Yes
 
(7) BAPTIST MEDICAL ASSOCIATES INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
20-5497203
PHYSICIAN SVC KY 501(C)(3) LINE 3 BHS
 
Yes
 
(8) BAPTIST PHYSICIANS LEXINGTON INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
20-5494939
PHYSICIAN SVC KY 501(C)(3) LINE 3 BHS
 
Yes
 
(9) BAPTIST PHYSICIANS SOUTHEAST INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
26-0766344
PHYSICIAN SVC KY 501(C)(3) LINE 3 BHS
 
Yes
 
(10) WESTERN BAPTIST MEDICAL VENTURES INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
61-1194899
PHYSICIAN SVC KY 501(C)(3) LINE 3 BHS
 
Yes
 
(11) BAPTIST HEALTHCARE FOUNDATION INC

2701 EASTPOINT PARKWAY

LOUISVILLE,KY40223
31-1122867
FUNDRAISING KY 501(C)(3) LINE 11A BHS
 
Yes
 
(12) BAPTIST HOSP FND OF GRT LOUISVILLE INC

4000 KRESEGE WAY

LOUISVILLE,KY40207
20-0292291
FUNDRAISING KY 501(C)(4) LINE 11A BHS
 
Yes
 
(13) BAPTIST HEALTH FOUNDATION LEXINGTON INC

1740 NICHOLASVILLE ROAD

LEXINGTON,KY40503
61-1480774
FUNDRAISING KY 501(C)(3) LINE 11A BHS
 
Yes
 
(14) LEXINGTON CARDIAC RESEARCH FND INC

1740 NICHOLASVILLE ROAD

LEXINGTON,KY40503
20-4242792
MEDICAL RSRCH KY 501(C)(3) LINE 11A BHS
 
Yes
 
(15) BAPTIST HEALTH FOUNDATION PADUCAH INC

2501 KENTUCKY AVENUE

PADUCAH,KY42003
26-4057759
FUNDRAISING KY 501(C)(3) LINE 11A BHS
 
Yes
 
(16) MERCY REGIONAL EMERGENCY MEDICAL SYSTEMS

126 LONE OAK ROAD

PADUCAH,KY42001
61-1310466
AMBULANCE SVC KY 501(C)(3) LINE 11A BHS
 
Yes
 
(17) Baptist Health Madisonville Inc

900 Hospital Dr

Madisonville,KY42431
61-0654587
Hospital KY 501(c)(3) Line 11a BHSI
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Baptist EastMilestone LLC

750 Cypress Station Dr
Louisville,KY40207
61-1355065
FITNESS CENTER KY Bapt Vntrs Inc
 
EXCLUDED       No     No  
(2) Baptist Physicians' Srgry CNTR

1720 Nicholasville Rd 101
Lexington,KY40503
04-3665929
AMBULATORY SRGRY KY bchs
 
related       No     No  
(3) Baptist Eastpoint Surgery Cntr LLC

2400 Eastpoint Parkway
LOUISVILLE,KY40223
26-0834852
AMBULATORY SRGRY KY BCHS
 
RELATED       No     No  
(4) MEdIcAl AssOCS of Middletown

4000 Kresge Way
Louisville,KY40207
20-0399400
MDCL OFFICE BLDG KY BHS
 
RELATED       No     No  
(5) PETCT Management LLC

7807 Shelbyville Rd Ste 201
Louisville,KY40222
20-0154982
MGMT AND EQPMNT KY BHS
 
RELATED       No     No  
(6) St Matthews Surgery Cntr LLC

4130 Dutchmans Ln Ste 300
Louisville,KY40207
45-3714318
AMBULATORY SRGRY KY BCHS
 
RELATED       No     No  
(7) Muhlenberg Medical Center

200 Clinic Dr
Madisonville,KY42431
20-0108053
RENTAL KY BHS
 
UNRELATED       No     No 19.350 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Baptist Ventures Inc

2701 Eastpoint Parkway
LOUISVILLE,KY40223
61-1217018
MANAGEMENT KY BHS
 
C CORP     100.000 %   No
(2) Bluegrass Family Health Inc

651 Perimeter Park Ste 300
Lexington,KY40517
61-1241101
INSURANCE KY BHS
 
C CORP     100.000 %   No
(3) Baptist Health Network Inc

4000 Kresge Way
Louisville,KY40207
27-2939694
ACO KY BHS
 
C CORP     100.000 %   No
(4) Mutual Credit Services Inc

PO Box 149
Madisonville,KY42431
61-0660705
COLLECTION AGNCY KY BHS
 
C CORP     100.000 %   No
(5) Baptist Medical Management SVCS

900 Hospital Drive
Madisonville,KY42431
37-1519513
HC MSO KY BHS
 
C CORP     100.000 %   No
(6) Regional Surgical Alliance LLC

900 HOSPITAL DRIVE
MADISONVILLE,KY42431
HEALTHCARE SVCS KY BHS
 
C CORP     100.000 %   No


Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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