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Nonprofiteer
← Baptist Healthcare System Inc Workers Compensation Trust

Form 990 for tax year 2022

Filed by Baptist Healthcare System Inc Workers Compensation Trust.

Totals

Total revenue
$4,138,216
Total expenses
$4,148,479
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$4,128,667
Investment income
$9,549
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$3,940,451
Management and general expenses
$208,028
Fundraising expenses
$0
Program service expenses (Part III)
$3,940,451

Program services were 95.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Employer Contributions

    total $4,128,667 · related or exempt $4,128,667

  • 3 · Investment income

    total $9,549 · excluded $9,549

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $1,733 · management and general $1,733

  • 11g · Fees: other

    total $206,295 · management and general $206,295

  • 23 · Insurance

    total $676,900 · program services $676,900

  • 24a · Other expenses: Workers comp claims pai

    total $3,242,227 · program services $3,242,227

  • 24b · Other expenses: Other

    total $21,324 · program services $21,324

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    end of year $0

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $962,738 · end of year $0

  • 12 · Investments: other securities

    end of year $0

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $962,738 · end of year $0

Mission and programs · 2022

Mission

The sole purpose for establishment of the Trust was to enable Baptist Healthcare System, Inc.(61-0444707),a 501(c)(3) corporation, to provide workers compensation benefits, as required by KY statute, directly through self-insurance & through excess insurance policies.

Activities or mission (Part I)

To provide workers compensation benefits through a self-funded trust and excess insurance.

  • The Workers Compensation Trust provides workers compensation benefits to numerous related organizations. Payments are made to various healthcare providers for medical services and to employees for lost wages.

    Expenses $3,940,451 · Revenue $4,128,667

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gerard J Colman

    CEO & Director

    Total calculated
    $3,563,038
    From this org
    $0
    From related orgs
    $3,233,092
    Other
    $329,946
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,440,569 related
    Bonus
    $0 + $1,773,891 related
    Other
    $0 + $18,632 related
    Deferred
    $0 + $298,326 related
    Nontaxable benefits
    $0 + $31,620 related
    Filer's total
    $0 + $3,563,038 related
  • Aaron Thompson PHD

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Bonnie Stith

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Dr Terry T Lester

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Dwain Morris

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Glenn Leveridge

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Kerry Stemler

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Linda J Thomas PHD

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Ramsey Nassar MD

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Jenny Oldham

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Robert Hook Jr

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Tammy Zimmerman

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Victoria D Buster

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Peter E Locken III MD

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • William B Shircliff

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • William Jeffrey Fultz

    Director

    Total calculated
    $3,000
    From this org
    $0
    From related orgs
    $3,000
    Other
    $0
    Hours/week
    1 + 1 related
  • Stephen R Oglesby

    CFO, VP, Treasurer

    Total calculated
    $1,665,241
    From this org
    $0
    From related orgs
    $1,627,181
    Other
    $38,060
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $687,277 related
    Bonus
    $0 + $459,500 related
    Other
    $0 + $480,404 related
    Deferred
    $0 + $8,700 related
    Nontaxable benefits
    $0 + $29,360 related
    Filer's total
    $0 + $1,665,241 related
  • Janet M Norton

    VP & Secretary

    Total calculated
    $1,128,468
    From this org
    $0
    From related orgs
    $1,089,048
    Other
    $39,420
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $583,644 related
    Bonus
    $0 + $394,044 related
    Other
    $0 + $111,360 related
    Deferred
    $0 + $8,700 related
    Nontaxable benefits
    $0 + $30,720 related
    Filer's total
    $0 + $1,128,468 related
  • William G Sisson

    Vice President

    Total calculated
    $992,018
    From this org
    $0
    From related orgs
    $969,533
    Other
    $22,485
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $645,201 related
    Bonus
    $0 + $292,796 related
    Other
    $0 + $31,536 related
    Deferred
    $0 + $8,700 related
    Nontaxable benefits
    $0 + $13,785 related
    Filer's total
    $0 + $992,018 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
Baptist Healthcare System, Inc., (BHS), a related organization of Baptist Healthcare Workers Compensation Trust, uses the following to establish the compensation of BHS's CEO: --Compensation Committee --Independent compensation consultant --Form 990 of other organizations --Written employment contract --Compensation survey or study --Approval by the Board of Directors or Compensation Committee
Part I, Line 4b
During calendar year 2022, two officers of Baptist Healthcare System, Inc., a related entity of Baptist Healthcare System, Inc. Workers Compensation Trust, 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 in 2022 were recorded as wages in 2022 and reported on Schedule J, Part II, Column (B)(iii).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Baptist East Milestone Fitness Center

    N/A · Fitness Center · KY

  • Baptist Physicians Surgery Center

    N/A · Ambulatory Surgery Center · KY

  • Medical Associates of Middletown

    N/A · Medical Office Building · KY

  • Cumberland Valley Surgical Center LLC

    N/A · Ambulatory Surgery Center · KY

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Baptist Health Assurance Group LTD

    T · Captive Insurance Company · CJ · controlled entity

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

  • Baptist Health Assurance Group LTD

    $952,475

    Liquidation · Cash · Aug 31, 2022 · Captive Insurance Company

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202343199349322309

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