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.
-
Baptist Health Medical Group Inc
501(c)(3) · Physician Services · KY · controlled entity
Directly controlled by BHS
-
Mercy Regional Emergency Medical Systems
501(c)(3) · Ambulance Service · KY · controlled entity
Directly controlled by BHS
-
Baptist Health Foundation Richmond Inc
501(c)(3) · Fundraising · KY · controlled entity
Directly controlled by BHS
-
Baptist Health Foundation Corbin Inc
501(c)(3) · Fundraising · KY · controlled entity
Directly controlled by BHS
-
Baptist Health Foundation Lexington Inc
501(c)(3) · Fundraising · KY · controlled entity
Directly controlled by BHS
-
Baptist Health Foundation Paducah Inc
501(c)(3) · Fundraising · KY · controlled entity
Directly controlled by BHS
-
Baptist Health Foundation Greater Louisville Inc
501(c)(3) · Fundraising · KY · controlled entity
Directly controlled by BHS
-
Baptist Healthcare Foundation Inc
501(c)(3) · Fundraising · KY · controlled entity
Directly controlled by BHS
-
Pattie A Clay Hospital Auxiliary
501(c)(3) · Hospital Support · KY
Directly controlled by BHS
-
501(c)(3) · Hospital · KY
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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