BAPTIST HEALTH SYSTEM INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BAPTIST HEALTH SYSTEM INC (EIN 63-0312913)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-13
IRS object ID: 201111339349302286
Schema version: 2009v1.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-13T10:40:18-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WarrenAverettKimbrough & MarinoLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2500 Acton Road	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35243	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	630312913	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BAPTIST HEALTH SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BAPT	NameControl
Phone	2057155738	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 830605	AddressLine1
City	BIRMINGHAM	City
State	AL	State
ZIP Code	352830605	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PRINGLE RAMSEY	Name
Title	SVP/CFO	Title
Phone	2057155738	Phone
Date Signed	2011-05-04	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2059794100	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	R PRINGLE RAMSEY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 830605	AddressLine1
City	BIRMINGHAM	City
State	AL	State
ZIP Code	352830605	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	565974137	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.BHSALA.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1922	YearFormation
State Legal Domicile	AL	StateLegalDomicile
Activity Or Mission Description	"AS A WITNESS TO THE LOVE OF GOD, REVEALED THROUGH JESUS CHRIST, THE BAPTIST HEALTH SYSTEM IS COMMITTED TO MINISTRIES THAT ENHANCE THE HEALTH, DIGNITY, AND WHOLENESS OF THOSE WE SERVE, THROUGH INTEGRITY, COMPASSION, ADVOCACY, RESOURCEFULNESS, AND EXCELLENCE."	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	5306	TotalNbrEmployees
Total Nbr Volunteers	339	TotalNbrVolunteers
Total Gross UBI	-21379	TotalGrossUBI
Net Unrelated Business Txbl Income	-21379	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2809788	ContributionsGrantsPriorYear
Contributions Grants Current Year	2081246	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	476984507	ProgramServiceRevenuePriorYear
Program Service Revenue CY	549745985	ProgramServiceRevenueCY
Investment Income Prior Year	-4866074	InvestmentIncomePriorYear
Investment Income Current Year	-2437336	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7750425	OtherRevenuePriorYear
Other Revenue Current Year	5167411	OtherRevenueCurrentYear
Total Revenue Prior Year	482678646	TotalRevenuePriorYear
Total Revenue Current Year	554557306	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	163568719	SalariesEtcPriorYear
Salaries Etc Current Year	203379968	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	323985869	OtherExpensePriorYear
Other Expenses Current Year	353123147	OtherExpensesCurrentYear
Total Expenses Prior Year	487554588	TotalExpensesPriorYear
Total Expenses Current Year	556503115	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-4875942	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1945809	RevenuesLessExpensesCY
Total Assets BOY	687655388	TotalAssetsBOY
Total Assets EOY	735186596	TotalAssetsEOY
Total Liabilities BOY	485594813	TotalLiabilitiesBOY
Total Liabilities EOY	517565811	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	202060575	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	217620785	NetAssetsOrFundBalancesEOY
Mission Description	"AS A WITNESS TO THE LOVE OF GOD, REVEALED THROUGH JESUS CHRIST, THE BAPTIST HEALTH SYSTEM IS COMMITTED TO MINISTRIES THAT ENHANCE THE HEALTH, DIGNITY, AND WHOLENESS OF THOSE WE SERVE, THROUGH INTEGRITY, COMPASSION, ADVOCACY, RESOURCEFULNESS, AND EXCELLENCE."	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	455959900	Expense
Revenue	500826264	Revenue
Description	PATIENT SERVICES -- BAPTIST HEALTH SYSTEM, INC. ("BHS"), CONTINUES IN ITS CHARITABLE MISSION, WHICH BEGAN IN 1922, OF PROVIDING MEDICAL AND EDUCATIONAL SERVICES TO THE COMMUNITY THROUGH ITS FOUR HOSPITALS AND OTHER PATIENT CARE FACILITIES. ONE OF THE HOSPITALS IS LOCATED WITHIN THE CITY LIMITS OF BIRMINGHAM, AL, WHICH ENABLES BHS TO PROVIDE SERVICES TO AREAS OF THE CITY WHICH MIGHT OTHERWISE BE UNDERSERVED. THE CORPORATION ALSO OWNS AND OPERATES HOSPITALS IN TALLADEGA, JASPER, AND ALABASTER, AL. SEVERAL OF THESE HOSPITALS SERVE RURAL COMMUNITIES WHICH, PRIOR TO BHS' INVOLVEMENT, WERE IN NEED OF STABLE HEALTH CARE FACILITIES. THESE RURAL HOSPITALS PROVIDE MUCH NEEDED SERVICES (SUCH AS OBSTETRICS), TO AREAS OF ALABAMA THAT WOULD OTHERWISE BE UNDERSERVED. BHS EXPERIENCES LOSSES FROM THE OPERATIONS OF SOME OF THESE HOSPITALS, WHICH FURTHER DEMONSTRATES ITS COMMITMENT TO SERVING THESE COMMUNITIES. EACH HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. BHS EXPERIENCES LARGE CONTRACTUAL ADJUSTMENTS DUE TO THE LIMITED REIMBURSEMENT PROVIDED BY THE GOVERNMENTAL PROGRAMS. THE FOLLOWING CHART INCLUDES THE NUMBER OF PATIENT DAYS PROVIDED BY THESE GOVERNMENTAL PROGRAMS:PROGRAM PATIENT DAYS PERCENTAGEMEDICARE 70,592 42.82%MEDICARE HMO 36,622 22.21%MEDICAID 20,374 12.36%TRICARE 942 0.57%OTHER 36,328 22.04%TOTAL 164,858 100.00%ADDITIONALLY, EACH HOSPITAL PARTICIPATES IN VARIOUS OTHER STATE AND LOCAL MEDICAL PROGRAMS. THIS PARTICIPATION IMPROVES ACCESS TO PATIENT CARE FOR THE COMMUNITIES SERVED BY BHS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	14542165	Expense
Revenue	7911402	Revenue
Description	CHARITY CARE -- THE BHS HOSPITALS PROVIDE A SIGNIFICANT AMOUNT OF CHARITY CARE TO THEIR COMMUNITIES. NOTICES ARE POSTED IN EACH HOSPITAL TO INFORM PATIENTS THAT QUALITY HEALTH CARE SERVICES ARE AVAILABLE REGARDLESS OF A PERSON'S ABILITY TO PAY.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	60701889	Expense
Revenue	41700458	Revenue
Description	GOVERNMENT SPONSORED HEALTHCARE -- GOVERNMENT SPONSORED HEALTHCARE INCLUDES UNPAID COSTS OF PUBLIC PROGRAMS, WHICH REPRESENTS THE SHORTFALL CREATED WHEN REIMBURSEMENTS ARE LESS THAN COSTS OF PROVIDING SERVICES. BHS RECORDS SERVICES PROVIDED TO MEDICAID RECIPIENTS AFTER ANNUAL MEDICAID BENEFITS ARE EXHAUSTED AS CHARITY CARE.	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	RevenueRevenue	DescriptionDescription
6661803	3750946	EDUCATION AND RESEARCH -- BHS IS ACTIVELY INVOLVED IN MEDICAL EDUCATION AND CLINICAL PASTORAL EDUCATION. BHS CURRENTLY HAS APPROXIMATELY 87 RESIDENCY POSITIONS IN TRANSITIONAL YEAR, INTERNAL MEDICINE, PATHOLOGY, RADIOLOGY, AND GENERAL SURGERY PROGRAMS. THE CLINICAL PASTORAL EDUCATION PROVIDES TRAINING FOR 10 RESIDENTS AS WELL AS NUMEROUS PART-TIME STUDENTS. THIS TRAINING EQUIPS STUDENTS TO PROVIDE A BETTER LEVEL OF SPIRITUAL CARE TO PATIENTS. IN ADDITION, BHS, IN CONJUNCTION WITH SAMFORD UNIVERSITY SCHOOL OF NURSING, PROVIDES TRAINING FOR NURSES THAT ARE HIRED THROUGHOUT THE SOUTHEASTERN UNITED STATES.
573212	0	BHS CONTINUALLY PROVIDES MANY SERVICES IN HEALTH PROMOTION AND SCREENING TO THE PUBLIC FREE OF CHARGE, OR AT A NOMINAL COST. SUCH SERVICES ARE PROVIDED THROUGH SCHOOLS, EMPLOYERS, AND FACILITIES THAT ARE EASILY ACCESSIBLE BY THE GENERAL PUBLIC. EMPLOYEES ARE ENCOURAGED TO DEVOTE SERVICES TO OTHER CHARITABLE ORGANIZATIONS IN THE COMMUNITY, AS WELL AS TO PROVIDE FINANCIAL SUPPORT. EMPLOYEES AND OTHER COMMUNITY MEMBERS HAVE ALSO PROVIDED SIGNIFICANT SUPPORT OF BHS' CHARITABLE ACTIVITIES--EVIDENCING THE COMMUNITIES' WILLINGNESS TO ACKNOWLEDGE AND SUPPORT THE MISSION OF BAPTIST HEALTH SYSTEM, INC.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	7235015	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	3750946	TotalOfOtherProgramServiceRev
Total Program Service Expense	538438969	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	433	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5306	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BB	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	R PRINGLE RAMSEY SVPCFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2057155332	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3201 4TH AVENUE SOUTH	AddressLine1
City	BIRMINGHAM	City
State	AL	State
ZIP Code	35222	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
MICHAEL SHANE SPEES
PRES & CEO/EXO-NONVOTING	40.00	X	X	659995	0	111449
WAYNE PATE
CHAIRMAN	3.00	X		0	0	0
DORIS K SEWELL
VICE CHAIRMAN	3.00	X		0	0	0
RANDY ATKINSON
SECRETARY	3.00	X		0	0	0
CLEMENT COTTER MD
TRUSTEE	3.00	X		0	0	0
RICHARD FARRAR
TRUSTEE	3.00	X		0	0	0
JOHN HOLCOMB
TRUSTEE	3.00	X		0	0	0
JO MORRIS
TRUSTEE	3.00	X		0	0	0
ROGER PUTNAM
TRUSTEE	3.00	X		0	0	0
SHEFTON RIGGINS MD
TRUSTEE	3.00	X		0	0	0
ANDY WESTMORELAND EDD
TRUSTEE	3.00	X		0	0	0
NEAL TEMPLETON MD
TRUSTEE	3.00	X		0	0	0
JIM EMACK
EX-OFFICIO	3.00	X		0	0	0
BOB TERRY
EX-OFFICIO	3.00	X		0	0	0
PRINGLE RAMSEY
SR VP & CFO	40.00		X	434998	0	13488
CHARLES ALAN BRADFORD
VP & CHIEF HR OFFICER	40.00		X	243906	0	40308
KEITH PARROTT
ADMINISTRATOR	40.00			416342	0	62243	X
DAVID WILSON
ADMINISTRATOR	40.00			299554	0	48234	X
RICHARD SHIREY
CHIEF INFORMATION OFFICE	40.00			307297	0	54688		X
ELIZABETH ENNIS
VP MED ED/RESEARCH	40.00			331425	0	46217		X
GREG JOHNSTON
VP FINANCE	40.00			271339	0	37838		X
WILLIAM JAMES TAPSCOTT
DIRECTOR OF RESIDENCY PR	40.00			278918	0	19538		X
SCOTT FENN
CHIEF INTEGRATION OFFICE	40.00			347410	0	40256		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3591184	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	474259	TotalOtherCompensation
Number Individuals GT100 K	95	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ROBINS & MORTON GROUP
400 SHADES CREEK PARKWAY	BIRMINGHAM	AL	35209	CONSTRUCTION	27887856
SIEMENS MEDICAL SOLUTIONS USA INC
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	IT SERVICES	5181503
SUNRISE HEALTHCARE MANAGEMENT
PO BOX 1670	BOONE	NC	23607	MEDICAL SERVICES	4541387
GENERAL ELECTRIC MEDICAL SYSTEMS
PO BOX 402076	ATLANTA	GA	303842076	MAINTENANCE SVCS/CONSULTING	4411764
ANESTHESIOLOGISTS ASSOCIATED PC
801 PRINCETON AVE	BIRMINGHAM	AL	35211	MEDICAL SERVICES	3853056

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	98	NumberOfContractorsGT100K
All Other Contributions	2081246	AllOtherContributions
Total Contributions	2081246	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SERVICE RE	Description
Business Code	900099	BusinessCode
Total Revenue Column	549745985	TotalRevenueColumn
Related Or Exempt Function Income	549745985	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	549745985	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5919744	TotalRevenueColumn
Exclusion	$5,919,744	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2972602	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2427513	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	545089	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	545089	TotalRevenueColumn
Related Or Exempt Function Income	-179237	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-21379	UnrelatedBusinessRevenue
Exclusion	$745,705	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	105835	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	8453098	Securities
Other	9817	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-8453098	Securities
Other	96018	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-8357080	TotalRevenueColumn
Exclusion	-$8,357,080	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	513731	GrossSalesOfInventory
Cost Of Goods Sold	526403	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-12672	TotalRevenueColumn
Related Or Exempt Function Income	-12672	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DIETARY/CAFETERIA	900099	1218570	1218570
VARIOUS	900099	976780	976780
BHF EQUITY INVESTMENT	900099	638343	638343

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1801301	TotalRevenueColumn
Related Or Exempt Function Income	1801301	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	4634994	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	554557306	TotalRevenueColumn
Related Or Exempt Function Income	554189070	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-21379	UnrelatedBusinessRevenue
Exclusion	-$1,691,631	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2330517	Total
Management And General	2330517	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	169521209	Total
Program Services	159415005	ProgramServices
Management And General	10106204	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2401879	Total
Program Services	2401879	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29126363	Total
Program Services	28361690	ProgramServices
Management And General	764673	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19921003	Total
Program Services	18619169	ProgramServices
Management And General	1301834	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14033615	Total
Program Services	11939882	ProgramServices
Management And General	2093733	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	30765118	Total
Program Services	30363512	ProgramServices
Management And General	401606	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES AND OTHER EXPE	178767126	177719885	1047241
BAD DEBT	100117974	100117974
LEASE EXPENSE	9518311	9499973	18338

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	556503115	Total
Program Services	538438969	ProgramServices
Management And General	18064146	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	230263	BOY
EOY	545914	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	46426564	BOY
EOY	71034459	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3457606	BOY
EOY	5272676	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9318082	BOY
EOY	10763116	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4287916	BOY
EOY	4256303	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	655149047	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	357411516	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	300655331	BOY
EOY	297737531	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	240613518	BOY
EOY	268338432	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	54095410	BOY
EOY	52719523	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	15071606	BOY
EOY	14348169	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	13499092	BOY
EOY	10170473	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	687655388	BOY
EOY	735186596	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	48527474	BOY
EOY	70777213	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	414043	BOY
EOY	6236194	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	294833724	BOY
EOY	297785770	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	360859	BOY
EOY	347231	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	24130745	BOY
EOY	29656855	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	117327968	BOY
EOY	112762548	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	485594813	BOY
EOY	517565811	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	168956657	BOY
EOY	182659533	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10779000	BOY
EOY	11859310	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22324918	BOY
EOY	23101942	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	202060575	BOY
EOY	217620785	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	687655388	BOY
EOY	735186596	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	116163	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	116163	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	556386952	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	556503115	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	109825	CurrentYearMinus3
Current Year Minus2	129240	CurrentYearMinus2
Current Year Minus1	123009	CurrentYearMinus1
Current Year	116163	CurrentYear
Total	478237	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41934535	OtherCostOrOtherBasis
Book Value	41934535	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	294540605	OtherCostOrOtherBasis
Depreciation	118389544	Depreciation
Book Value	176151061	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3107643	OtherCostOrOtherBasis
Depreciation	1801123	Depreciation
Book Value	1306520	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	292119689	OtherCostOrOtherBasis
Depreciation	225802445	Depreciation
Book Value	66317244	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23446575	OtherCostOrOtherBasis
Depreciation	11418404	Depreciation
Book Value	12028171	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	297737531	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	INVESTMENTS IN SUBSIDIARIES	Description
Book Value	52719523	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	52719523	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (11 entries)

DescriptionDescription	AmountAmount
MINIMUM PENSION LIABILITY	$88,713,386
DEFERRED GAINS	$1,713,838
ACCRUED COMPENSATION AND BENEFIT LIABILITIES	$2,303,438
LONG-TERM WORKERS' COMP LIABILITY	$6,873,768
LONG-TERM MALPRACTICE LIABILITY	$3,769,525
PENSION PLAN LIABILITY	$3,908,650
1ST COMM. PATIENT LOAN PROGRAM	$57,744
SECURITY DEPOSITS	$1,125
CAPITAL LEASES	$1,401,649
LEASE CONTINGENCY	$1,088,531
COST PAYER ACCRUED PAYABLES, NET	$2,930,894

Field	Value	IRS element (for citing)
Total Of Amounts	112762548	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14542165	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7911402	DirectOffsettingRevenue
Net Community Benefit Expense	6630763	NetCommunityBenefitExpense
Percent Of Total Expense	0.01450	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60701889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41700458	DirectOffsettingRevenue
Net Community Benefit Expense	19001431	NetCommunityBenefitExpense
Percent Of Total Expense	0.04160	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	75244054	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49611860	DirectOffsettingRevenue
Net Community Benefit Expense	25632194	NetCommunityBenefitExpense
Percent Of Total Expense	0.05610	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	573212	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	573212	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6661803	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3750946	DirectOffsettingRevenue
Net Community Benefit Expense	2910857	NetCommunityBenefitExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	382846	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	382846	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7617861	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3750946	DirectOffsettingRevenue
Net Community Benefit Expense	3866915	NetCommunityBenefitExpense
Percent Of Total Expense	0.00850	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82861915	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53362806	DirectOffsettingRevenue
Net Community Benefit Expense	29499109	NetCommunityBenefitExpense
Percent Of Total Expense	0.06460	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	5282	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5282	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	14365	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	14365	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	37327	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	37327	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	3281	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3281	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	4087	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4087	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	11203	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	11203	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2447	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2447	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	77992	TotalCommunityBuildingExpense
Net Community Building Expense	77992	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$10,726,316	BadDebtExpenseAmount
Amount Attributable To	1992149	AmountAttributableTo
Amount Reimbursed By Medicare	141033360	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	130309691	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	10723669	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (7 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
HEALTHNET INC
PPO NETWORK	0.50000	0.00000	0.00000
SURGICAL SPECIALIST GROUP
OPERATES AMBULATORY SURGERY CENTER	0.30000	0.00000	0.70000
SSG REAL ESTATE
OWNS LAND AND REAL ESTATE	0.30000	0.00000	0.70000
SHELBY BAPTIST AMBULATORY SURGERY CENTER
OPERATES AMBULATORY SURGERY CENTER	0.52000	0.00000	0.48000
REGENCY HEALTHCARE GROUP LTD
HOSPICE CARE	0.04450	0.00000	0.00000
MEDICAL CENTER ASSOCIATES LTD
MANAGES PROFESSIONAL OFFICE BUILDINGS	0.30000	0.00000	0.00000
BAPTIST WELLNESS VENTURES
OWNS SPORTSFIRST VACANT BUILDING AND LAND	0.50000	0.00000	0.00000

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours
CITIZENS BAPTIST MEDICAL CENTER
604 STONE AVENUE	TALLADEGA	AL	35161	X	X	X
PRINCETON BAPTIST MEDICAL CENTER
701 PRINCETON AVENUE SW	BIRMINGHAM	AL	35211	X	X	X
SHELBY BAPTIST MEDICAL CENTER
1000 FIRST STREET NORTH	ALABASTER	AL	35007	X	X	X
WALKER BAPTIST MEDICAL CENTER
3400 US HIGHWAY 78 EAST	JASPER	AL	35501	X	X	X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	Part I, Line 7: As prescribed in the instructions to Schedule H, total expenses were reduced by the amount of bad debt expense from Part IX. The amount is $100,117,974 (Part IX Line 24b).	CostingMethodUsed
Bad Debt Footnote	Part III, Line 4: The bad debt expense at cost was calculated using a cost to charge ratio as prescribed in the instructions to Schedule H.Subsequent to the period covered by this return, BHS implemented a tool known as the "Payment Assistance Rank Order" (PARO) with the purpose of identifying patients who have failed to apply for charity care that may be eligible to receive financial assistance. As a result of this implementation, a portion of patient care revenue that would otherwise be reserved as bad debt is now being recorded as charity care. In order to estimate the amount of bad debt expense, BHS utilized information from the PARO scoring system and resulting amounts that were charged as charity care.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8:	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: The following is found in the charity care policy regarding billing and collections:1. BHS ensures that all patient accounts are processed fairly and consistently. 2. BHS has implemented written policies for defining and delineating the circumstances under which and under whose authority a patient account is advanced for collection to a third-party collection agency.3. BHS defines the standards and scope of practices to be used by third-party collection agents acting on its behalf such that any standards and scope of practices, at a minimum, are consistent with the BHS Missions and Values. BHS obtains written agreements from each third-party collection agent to ensure adherence to such Mission and Values.4. At the time of billing BHS provides to all low-income uninsured patients the same information concerning services and charges provided to all other patients who receive care at BHS.5. When sending a bill to a patient, BHS includes a) a statement that indicates if the patient meets certain income requirements, the patient may be eligible for a government-sponsored program (i.e. Medicaid) or for financial assistance from BHS; and b) a statement that provides the patient with the name and telephone number of a BHS financial counselor or the Central Business Office from whom or where the patient may obtain information about BHS's financial assistance policies for patients and how to apply for such assistance.6. Any patient or patient's legal representative seeking financial assistance from BHS will complete a financial needs assessment (FNA). A completed FNA provides BHS information concerning a patient's insurance coverage, financial status and any other information that is necessary for BHS to make a determination regarding the patient's status relative to BHS's charity care policy, discounted payment policy or eligibility for government-sponsored programs (i.e. Medicaid).7. For patients who have an FNA pending for either government-sponsored coverage or for BHS's own charity care and financial assistance program, BHS does not send that patient's account to a collection agency prior to 120 days from the time of initial billing.8. If a patient qualifies for assistance under BHS's Financial Assistance Policy and is reasonably cooperating with BHS in an effort to settle an outstanding account, BHS does not send the account to any outside collection agency.9. BHS or outside collection agencies operating on behalf of BHS do not, in dealing with low-income uninsured patients, use liens on primary residences as a means of collecting an unpaid patient account. BHS instructs both its associates and outside collection agencies that tactics such as charging interest, requiring patients or patient guarantors to incur debt or loans with recourse to the patient's personal or real property assets (recourse indebtedness) or so called "body attachments" (i.e. the arrest or jailing of patients in default on their accounts, such as for missed court appearances) are strictly prohibited.10. Eligibility for charity care and discount payments may be determined at any time BHS is in receipt of all information (i.e. completed FNA) needed to determine the patient's eligibility for its financial assistance programs.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: As a not-for-profit health care provider, Baptist Health System (BHS) is committed to ministering quality health care - physically, mentally, and spiritually - while serving as a witness to the love of God as revealed through Christ Jesus. In order to achieve this commitment, it is important to identify the needs of the community to which we are ministering. During various planning meetings, BHS management consults a variety of market experts, physicians, local health officials, as well as historical data trends based on internal/external data in order to determine emerging needs in the community. Information regarding the community is compiled through health screenings, questionnaires, and patient interviews offered to the public.BHS has partnered with a consultant (Nowak and Associates) in order to perform a community health needs assessment. The needs assessment will be performed in the primary service area for each of the four hospitals operated by BHS. BHS regularly conducts community needs assessments, and the next assessment is scheduled to be completed in 2012.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Communication of BHS Financial Assistance Policies with Patients and the Public:BHS posts notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the facility including patient access/registration, the cashier/billing office, the emergency department and other appropriate settings. Every posted notice regarding financial assistance contains a statement indicating that the facility has a financial assistance policy for low-income patients who may not be able to pay their bill and brief instructions regarding how to apply for charity care or a discounted bill. The notices include a contact name and telephone number that can be used by a patient or family member who is requesting additional information.BHS ensures that staff members in the patient access/registration areas and in the Central Business Office are knowledgeable about the existence of financial assistance policies. Training is provided to staff members who directly interact with patients regarding their bills for health care services. In communication with patients and families regarding financial assistance policies, BHS attempts to communicate in the primary language of the patient, or his/her family, if reasonably possible. This is done in a manner consistent with all applicable federal and state laws and regulations. A written notice on the billing statement informs the patient that financial assistance may be available either from a government program or through the BHS Financial Assistance Policy.At the time of billing, BHS will provide to all uninsured patients the same information on services and charges that is provided to all other patients receiving care at a BHS entity. When sending a bill to an uninsured patient, the following information is included with the bill:* A statement that indicates that if the patient meets certain income requirements, the patient may be eligible for a government-sponsored program or for financial assistance for help in paying for the services that were provided; and* A statement that provides the patient with a contact resource about the BHS Financial Assistance Policy for low-income uninsured patients and how to apply for such assistance for the payment of services that were provided. BHS will provide information to all patients informing them of their responsibility to provide documentation for verification of eligibility for financial assistance.	PatientEducationAssistance
Community Information	Part VI, Line 4: Baptist Health System owns and operates four acute care hospitals located in Jefferson, Shelby, Talladega, and Walker counties. These counties account for approximately 78% of inpatient admissions. Additionally, other counties which provide a significant amount of admissions but are not considered to be part of the primary service area include Winston, Cullman, Chilton, and Bibb counties. Admissions from Jefferson (Princeton Baptist Medical Center) and Shelby (Shelby Baptist Medical Center) counties accounted for 69% of total admissions in FY 2010. The major competitors in the market include UAB Hospital (University of Alabama System), Trinity Hospital (Community Health), Brookwood Hospital (Tenet Healthcare), and St. Vincents Hospital (Ascension Healthcare). Each hospital is located in an area that has been designated as a Medically Underserved Area/Population by the Health Resources and Services Administration (HRSA). This is primarily due to low income designations given to the surrounding populations. Furthermore, all facilities except Shelby Baptist Medical Center reside in an area designated by the HRSA as a "Primary Care Health Professional Shortage Area" and a "Mental Health Professional Shortage Area". Based on payor data from FY 2010, Medicare/Medicare HMO was the Corporation's largest source of patient revenue at 53% of gross charges. Other significant sources of patient revenue included Blue Cross at 24% and Medicaid at 11% of gross charges.	CommunityInformation
Community Building Activities	Part VI, Line 5: Community Building Activities address the causes of community health problems by offering the System's health care expertise and resources. Examples of such activities include:A. Physical Improvements and Housing,B. Economic Development,C. Community Support,D. Leadership Development and Leadership Training,E. Coalition Building,F. Workforce Enhancement.Costs in this area include items such as staff time, supplies donated and materials. Staff time is calculated USING the number of hours employees provided multiplied by an average hourly rate and an employee benefit factor. Supplies donated and materials used are valued at cost.	CommunityBuildingActivities
Other Information	Part VI, Line 6: The board of directors for Baptist Health System is comprised of independent community leaders who reside in the System's primary service area. In addition, BHS operates an open medical staff and actively recruits physician specialties based on the needs of the community. All surplus funds are used to improve patient care through improvements in facilities, service offerings, and training medical staff.Each hospital operates a full-time emergency room open to patients regardless of their ability to pay. Active involvement in community service is one of the many ways BHS lives true to its mission of being committed to ministries that enhance the health, dignity, and wholeness of those we serve. Examples of this include opportunities for students to spend time shadowing clinicians at BHS facilities, internship programs, free health screenings, partnering with local churches to provide medical care to those experiencing difficult circumstances, and providing aid to BHS employees who are involved in mission related volunteer activities.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: BHS, as reported in Schedule H, furthers its faith-based mission through its affiliation with the Baptist Health Centers (BHC) and the Baptist Health Foundation (BHF). Baptist Health Centers, Inc. is a wholly owned subsidiary of Baptist Health Systems, Inc. that specializes in physician practice management. BHC was formed and operates to expand access to quality healthcare across Alabama.The Baptist Health Foundation exists to support the faith-based mission of BHS by working to provide the charitable and community resources necessary for its operation. The foundation supports a wide array of health related activities including pastoral care ministries, medical education, medical research and charity care as well as clinical programs such as heart and cancer care, obstetrics, women's services and orthopedic rehabilitation.	AffiliatedHealthCareSystem
Reports Filed With States	AL	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL SHANE SPEES
571569	0	81201	0	7225	0	97892	0	15413	0	773300	0	0	0
PRINGLE RAMSEY
337821	0	40512	0	56665	0	0	0	14716	0	449714	0	0	0
CHARLES ALAN BRADFORD
221521	0	22360	0	25	0	20124	0	21077	0	285107	0	0	0
KEITH PARROTT
375897	0	40000	0	445	0	45738	0	18027	0	480107	0	0	0
DAVID WILSON
280779	0	18750	0	25	0	31468	0	17908	0	348930	0	0	0
RICHARD SHIREY
278587	0	28685	0	25	0	34422	0	21411	0	363130	0	0	0
ELIZABETH ENNIS
305400	0	26000	0	25	0	45467	0	6960	0	383852	0	0	0
GREG JOHNSTON
246335	0	24979	0	25	0	22481	0	16354	0	310174	0	0	0
WILLIAM JAMES TAPSCOTT
278893	0	0	0	25	0	0	0	20514	0	299432	0	0	0
SCOTT FENN
268804	0	13742	0	64864	0	25453	0	15853	0	388716	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

Travel for Companions: The BHS travel policy does not allow for reimbursement of travel expenses for companions. However, the Corporation will make exceptions for instances in which executive spouses are required to attend seminars/training. In accordance with IRS Regulation section 1.162(c), BHS pays reasonable travel expenses as the attendance of the spouses is required in order to perform the substantive duties of the employee's business.

Part I, Line 7

BHS OFFERS AN ANNUAL INCENTIVE PLAN TO MEMBERS OF THE MANAGEMENT TEAM AND SUBSTANTIALLY ALL FULL TIME EMPLOYEES. PAYOUT UNDER THE INCENTIVE PLAN IS APPROVED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES USING THE FOLLOWING CRITERIA: 1.) OVERALL SYSTEM AND FACILITY SPECIFIC TARGETS. 2.) CRITICAL SUCCESS FACTORS INCLUDING FINANCIAL TARGETS, EMPLOYEE RETENTION, QUALITY, OPERATIONAL GROWTH, AS WELL AS INDIVIDUAL GOALS AND OBJECTIVES. ANY BONUS PAYOUTS ARE CALCULATED BASED ON INDIVIDUAL BASE PAY AT THE END OF THE FISCAL YEAR.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
SEE SCHEDULE O
630847033	091104GG8	2005-11-29	248260262	seE SCHEDULE O	0	0
sEE SCHEDULE O
630847033	notapplic	2009-12-15	4858500	SEE SCHEDULE O	0	0
sEE SCHEDULE O
630847033	notapplic	2009-12-31	25141500	seE SCHEDULE O	0	0
sEE SCHEDULE O
630847033	notapplic	2010-05-06	6371900	seE SCHEDULE O	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
256966925	18267252	2995749	59839233	2009	1	1	1	1
4858500		97170			1	0	1	1
25141500		141500			1	0	1	1
6371900		44330			1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1
1	1	1
1	1	1
1	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
NA
0	0	0	1	SEE SCHEDULE O	2.800000000000	1	1	0
nA
0	1	0	0	NA			0	1
NA
0	1	0	0	NA			0	1
NA
0	1	0	0	NA			0	1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
THORACIC CARDIAC AND VASCULAR SURGERY OF ALABAMA
SHEFTON RIGGINS, M.D., TRUSTEE, HOLDS AN OWNERSHIP INTEREST	444680	CONTRACT SERVICES	0
ROBINS AND MORTON
BILL MORTON, FORMER TRUSTEE, IS PRESIDENT AND CEO	27887856	CONSTRUCTION CONTRACTING WORK	0
ROBINS AND MORTON
WAYNE PATE, CHAIRMAN, SON IS A PROJECT MANAGER	27887856	CONSTRUCTION CONTRACTING WORKCONSTRUCTION CONTRACTING WORK	0
GOLDEN FLAKE SNACK FOODS INC
WAYNE PATE, STOCKHOLDER, DIRECTOR & RETIRED OFFICER	22692	FOOD SERVICES	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 7a	PURSUANT TO THE RESTATED ARTICLES OF INCORPORATION OF BAPTIST HEALTH SYSTEM, INC., THE BIRMINGHAM BAPTIST ASSOCIATION, AN ALABAMA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ELECTS THE BOARD OF TRUSTEES OF BAPTIST HEALTH SYSTEM, INC. FROM A SLATE PRESENTED BY BAPTIST HEALTH SYSTEM, INC.
Form 990, Part VI, Section A, line 7b	ANY AMENDMENT TO THE BAPTIST HEALTH SYSTEM, INC. ARTICLES OF INCORPORATION MUST BE APPROVED BY THE BIRMINGHAM BAPTIST ASSOCIATION AND ANY MORTGAGE PLACED ON ANY PART OR PORTION OF REAL PROPERTY OWNED BY BAPTIST HEALTH SYSTEM, INC. MUST BE APPROVED BY THE BIRMINGHAM BAPTIST ASSOCIATION.
Form 990, Part VI, Section B, line 11	THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND IS AN AGENDA ITEM AT A REGULARLY SCHEDULED GOVERNANCE COMMITTEE MEETING (A SUB COMMITTEE OF THE BOARD OF DIRECTORS) AND IS OPEN FOR ANY DISCUSSION BEFORE THE RETURN IS FILED.
Form 990, Part VI, Section B, line 12c	THE CORPORATION, DEDICATED TO ITS FAITH BASED HEALTH CARE MINISTRY, HAS DEMONSTRATED THE VALUE OF INTEGRITY BY SETTING FORTH A POLICY PROHIBITING CONFLICT OF INTEREST AND PROVIDING A MECHANISM FOR REPORTING POTENTIAL CONFLICT OF INTEREST SITUATIONS. THE PURPOSE OF THIS CONFLICT OF INTEREST POLICY IS TO PROTECT THE CORPORATION'S INTEREST WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, BOARD COMMITTEE MEMBER, HOSPITAL ADVISORY COUNCIL MEMBER, OFFICER, DIRECTOR, OR MANAGER OF BHS. THIS POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE ANY APPLICABLE FEDERAL OR ALABAMA LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE ORGANIZATIONS. THE CORPORATION CONDUCTS AN ANNUAL CONFLICT OF INTEREST SURVEY FOR ALL OF ITS BOARD MEMBERS, OFFICERS, DIRECTORS, AND MANAGERS TO ENSURE THAT ALL POTENTIAL CONFLICTS ARE REPORTED AND ADDRESSED. THE CORPORATION ALSO HAS A TRAVEL POLICY IN PLACE THAT ALLOWS FOR THE REIMBURSEMENT OF TRAVEL EXPENSES THAT ARE REASONABLE IN AMOUNT AND ARE CONSIDERED ORDINARY, NECESSARY, AND APPROPRIATE TO THE CONDUCT OF THE CORPORATION'S BUSINESS. THE REIMBURSEMENT GUIDELINES ARE IN ACCORDANCE WITH INTERNAL REVENUE REGULATIONS. THE AMOUNT OF FUNDS EXPENDED EACH YEAR RELATED TO TRAVEL IS BUDGETED. EMPLOYEES AND TRUSTEES OF THE CORPORATION ARE NOT COMPENSATED THROUGH EXPENSE ALLOWANCES. TO BE REIMBURSED FOR TRAVEL, EMPLOYEES AND TRUSTEES MUST SUBMIT A SIGNED EXPENSE REPORT FORM AND PROVIDE DOCUMENTATION IN THE FORM OF RECEIPTS FOR ANY EXPENSE OF $20 OR MORE.
Form 990, Part VI, Section B, line 15	THE ANNUAL PROCESS OF REVIEWING COMPENSATION FOR EXECUTIVES CLASSIFIED AS DISQUALIFIED PERSONS UNDER IRS INTERMEDIATE SANCTIONS GUIDELINES INCLUDES THE FOLLOWING STEPS. THE GOVERNANCE COMMITTEE (A SUB COMMITTEE OF THE BOARD OF DIRECTORS) REVIEWS AND APPROVES BASE SALARY, INCENTIVES, FRINGE AND OTHER BENEFITS, AND RETIREMENT AND/OR DEFERRED COMPENSATION BENEFITS. THE GOVERNANCE COMMITTEE EMPLOYS A THIRD PARTY CONSULTANT TO PROVIDE THE INDEPENDENT MARKET DATA AND UTILIZES A DOCUMENTED TOTAL COMPENSATION PHILOSOPHY TO GUIDE IN THE DECISION MAKING. PEER GROUP MARKET DATA AND ANALYSIS IS UTILIZED FOR COMPARISON OF THE TOTAL COMPENSATION PACKAGE. MEETING MINUTES ARE MAINTAINED WHICH REFLECT THE CONSIDERATION OF PHILOSOPHY, PERFORMANCE, AND MARKET DATA. THE ANNUAL PROCESS FOR EXECUTIVES NOT CLASSIFIED AS DISQUALIFIED PERSONS UNDER IRS INTERMEDIATE SANCTIONS GUIDELINES INCLUDE THE FOLLOWING. THE BHS PRESIDENT AND CEO REVIEWS AND APPROVES ALL COMPENSATION DECISIONS. THIRD PARTY CONSULTANTS AND TOTAL COMPENSATION SURVEYS ARE UTILIZED TO PROVIDE INDEPENDENT MARKET DATA. A DOCUMENTED TOTAL COMPENSATION PHILOSOPHY IS UTILIZED TO GUIDE IN THE DECISION MAKING. PEER GROUP MARKET DATA AND ANALYSIS IS UTILIZED FOR COMPARISON OF THE TOTAL COMPENSATION PACKAGE. THE GOVERNANCE COMMITTEE REVIEWS AND APPROVES INCENTIVES, FRINGE BENEFITS, AND RETIREMENT AND/OR DEFERRED COMPENSATION BENEFITS.
Form 990, Part VI, Section C, line 19	AS A GENERAL RULE, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST BY THE PUBLIC WOULD BE REVIEWED AND ACTED UPON BY THE BOARD. However, BHS files quarterly financial statements with DACBOND as required by the continuing disclosure agreement of the Master Trust Indenture.
FORM 990, PART XI, LINE 2C:	THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
SCHEDULE K, PART I, LINE A	ISSUER NAME: THE SPECIAL CARE FACILITIES FINANCING AUTHORITY OF THE CITY OF BIRMINGHAM - BAPTIST MEDICAL CENTERS DESCRIPTION OF PURPOSE: REFINANCE OLD BONDS AND IMPROVEMENTS FOR HEALTHCARE FACILITIES. THE REFUNDED BONDS WERE ISSUED ON THE FOLLOWING DATES: Hospital Revenue Bonds (Walker Regional MAY 25, 1993 Medical Center, Inc. Project), Series 1993, issued by ThE Medical Clinic Board of the City of Jasper Tax-Exempt Revenue Bonds (The Baptist Medical MAY 12, 1993 Centers), Series 1993-A, issued by The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Revenue Bonds, Series 1995-B (Baptist Health MAY 2, 1995 System, Inc.), issued by The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Revenue Bonds, Series 1996-A (Baptist Health OCTOBER 1, 1996 System,Inc.), issued by The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Revenue Bonds, Series 2000A-2 (Baptist MARCH 30, 2000 Health System, Inc.), issued by The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Revenue Bonds, Series 2000-C (Baptist Health MAY 31, 2000 System, Inc.), issued by The Special Care Facilities Financing Authority of The City of Birmingham - Baptist Medical Centers To Construct & Equip a Hospital Bed Tower To Construct & Equip a Hospital Energy Plant To Relocate a Hospital Emergency Room To Construct a Hospital Parking Deck	ISSUER NAME AND DESCRIPTION OF PURPOSE
SCHEDULE K, PART I, LINE B	Issuer Name: The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Description of Purpose: To Refund Portion of Prior Issued Bond On June 25, 2009, the Corporation consummated a tender offer transaction, in connecton with which the Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers (the "Authority") issued its $4,858,500 Revenue Bond (Baptist Health System, Inc.) Series 2009-A1 (the "Series 2009-A1 Bond") and its $6,371,900 Revenue Bond (Baptist Health System, Inc.), Series 2009-A2 (the "Series 2009-A2 Bonds"). Proceeds from the Series 2009-A1 Bonds and the Series 2009-A2 Bonds were used to purchase $14,580,000 of the Authority's Revenue Bonds (Baptist Health Sysyem, Inc.), Series 2005-A (the "Series 2005-A Bonds") at a discount to their principal amount. The Series 2009-A1 Bond initially was issued on May 6, 2009 in a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A1 Bond was includable in gross income. On December 15, 2009,the Series 2009-A1 Bond was converted to a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A1 Bond is excludable from gross income. The Series 2009-A2 Bond initially was issued on May 6, 2009 in a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A2 Bond was includable in gross income. On May 6, 2010, the Series 2009-A2 Bond was converted to a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A2 Bond is excludable from gross income. The above-described tender offer transaction and series of conversion transactions constituted a "current refunding" of $14,580,000 of the Series 2005-A Bonds for purposes of the provision of the Internal Revenue Code of 1986 relating to tax-exempt obligations. The Refunded Bond Was Issued on the Following Date: Revenue Bond, Series 2005-A (Baptist Health NOVEMBER 29, 2005 System, Inc.), issued by The Special Care Facilities Financing Authority of The City of Birmingham - Baptist Medical Centers	ISSUER NAME AND DESCRIPTION OF PURPOSE
SCHEDULE K, PART I, LINE C	Issuer Name: The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Description of Purpose: To Refund Prior Issued Bond The Refunded Bond Was Issued on the Following Date: Revenue Bond, Series 2007-A (Baptist Health System, MARCH 16, 2007 Inc.), issued by The Special Care Facilities Financing Authority of The City of Birmingham - Baptist Medical Centers	ISSUER NAME AND DESCRIPTION OF PURPOSE
SCHEDULE K, PART I, LINE D	Issuer Name: The Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers Description of Purpose: To Refund Portion of Prior Issued Bond On June 25, 2009, the Corporation consummated a tender offer transaction, in connecton with which the Special Care Facilities Financing Authority of the City of Birmingham - Baptist Medical Centers (the "Authority") issued its $4,858,500 Revenue Bond (Baptist Health System, Inc.) Series 2009-A1 (the "Series 2009-A1 Bond") and its $6,371,900 Revenue Bond (Baptist Health System, Inc.), Series 2009-A2 (the "Series 2009-A2 Bonds"). Proceeds from the Series 2009-A1 Bonds and the Series 2009-A2 Bonds were used to purchase $14,580,000 of the Authority's Revenue Bonds (Baptist Health Sysyem, Inc.), Series 2005-A (the "Series 2005-A Bonds") at a discount to their principal amount. The Series 2009-A1 Bond initially was issued on May 6, 2009 in a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A1 Bond was includable in gross income. On December 15, 2009, the Series 2009-A1 Bond was converted to a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A1 Bond is excludable from gross income. The Series 2009-A2 Bond initially was issued on May 6, 2009 in a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A2 Bond was includable in gross income. On May 6, 2010, the Series 2009-A2 Bond was converted to a mode so that, for purposes of federal income taxation, the interest accrued on the Series 2009-A2 Bond is excludable from gross income. The above-described tender offer transaction and series of conversion transactions constituted a "current refunding" of $14,580,000 of the Series 2005-A Bonds for purposes of the provision of the Internal Revenue Code of 1986 relating to tax-exempt obligations. The Refunded Bond Was Issued on the Following Date: Revenue Bond, Series 2005-A (Baptist Health NOVEMBER 29, 2005 System, Inc.), issued by The Special Care Facilities Financing Authority of The City of Birmingham - Baptist Medical Centers	ISSUER NAME AND DESCRIPTION OF PURPOSE
SCHEDULE K, PART II, LINE 1, COLUMN A	Total proceeds include the following: Proceeds from issue: Proceeds used for bond issuance costs $2,995,065 Proceeds allocated to reserve fund 18,996,125 Proceeds used to currently refund prior issues 113,860,398 Proceeds used to advance refund prior issues 58,666,213 Total proceeds from issue: $194,517,802 Nonrefunding proceeds of the issue (Acquisition Fund): $53,742,460 Acquisition Fund Earnings: $6,096,773 Cost of Issuance Fund Earnings: $683 Reserve Fund Earnings: $2,609,208 Total Proceeds: $256,966,925 Earnings on investments in the Acquisition Fund and the Costs of Issuance Fund were allocated to capital projects and costs of issue in accordance with Section 148 of the Internal Revenue Code of 1986, as amended, and Section 1.148-6(d)(1)(i) of the Treasury Regulations promulgated thereunder. Earnings on investments in the Reserve Fund and excess sale and investment proceeds in the Reserve Fund were allocated to the payment of principal or interest on the Series 2005-A Bonds in accordance with Section 148 of the Internal Revenue Code of 1986, as amended, and either Section 1.148-6(d)(3)(ii)(A)(6) or Section 1.148-6(d)(3)(ii)(A)(7) of the Treasury Regulations promulgated thereunder. Total proceeds exclude earnings on investments in the defeasance escrow funds established in connection with the Series 2005-A Bonds. These investments were structured so that the yield on investments allocable to the Series 2005-A Bond proceeds did not exceed the yield on the Series 2005-A Bond.	TOTAL PROCEEDS OF ISSUE
SCHEDULE K, PART II, COLUMN B, LINE 8	The Series 2009-A1 Bond issue was a Refunding Only
Schedule K, Part II Column C, Line 8	The Series 2009-B Bond issue was a Refunding Only
Schedule K, Part II Column D, Line 8	The Series 2009-A2 Bond issue was a Refunding Only
SCHEDULE K, PART IV, COLUMN A, LINE 4(B), 4(C), AND 4(D)	Proceeds of the Series 2005-A Bonds (Acquisition Fund Proceeds) were invested in two (2) GICs as listed below: First GIC: (b) Name of Provider: Transamerica Life Insurance Company (c) Term of GIC: December 15,2005 to March 1, 2007 (D) YES Second GIC: (b) Name of Provider: Hypo Public Finance Bank (c) Term of GIC: March 23, 2007 to November 28, 2008 Elected to terminate the GIC on October 20, 2008 (D) YES
SCHEDULE K, PART IV, COLUMN A, LINE 5	A portion of the proceeds of the Series 2005-A Bonds was deposited in an Acquisition Fund for expenditure on new BHS capital projects. At the time of issuance of the 2005-A Bonds, BHS expected to meet the general 3-year temporary period for capital projects contemplated by Section 148(c) of the Internal Revenue Code of 1986, as amended, and Section 1.148-2(e) (2) of the Treasury Regulations promulgated thereunder. In other words, BHS expected to spend all proceeds in the Acquisition Fund by November 29, 2008 and otherwise comply with the rEquirements of the general 3-year temporary period. After issuance of the Series 2005-A Bonds, BHS determined that it was in its best interest and best served its healthcare mission to redirect a larger portion of the proceeds of the 2005-A Bonds from capital projects at BHS's Shelby Baptist Medical Center. The process of redirecting proceeds to Shelby Baptist Medical Center caused delays that caused BHS to invest proceeds in the Acquisition Fund beyond the temporary period exception contemplated by Section 148(c) of the Internal Revenue Code of 1986, as amended, and Section 1.148-2(e) (2) of the Treasury Regulations promulgated thereunder. All proceeds in the Acquisition Fund were expended by June 2, 2009.
FORM 990, PART VI, SECTION B, LINES 16A & B:	BHS is directly involved in two joint ventures - Healthnet of alabama, Inc. and Medical Center Associates, ltd. Healthnet of alabama, Inc. is a joint venture between BHS and another tax exempt entity. Medical Center Associates, Ltd. is a joint venture between BHS and a developer. BHS is also indirectly involved in several joint ventures through a for-profit subsidiary. BHS Affinity, Inc. is a for-profit subsidiary of BHS, and is the parent company of Walker Baptist Affinity, LLC (30% interest in Surgical Specialist Group, llc and SSG Real Estate, llc), Shelby Baptist Affinity, LLC (52% interest in Shelby Ambulatory Surgical Center, llc), and Regency Holdings, LLC (4.45% interest in Regency Healthcare Group, LTD).

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
SHELBY BAPTIST AFFINITY LLC
PO BOX 830605	BIRMINGHAM	AL	352830605	203150646	HOLDING COMPANY	AL	7978028	2299869	BHS AFFINITY INC
HOOVER BAPTIST MEDICAL CENTER LLC
pO BOX 830605	BIRMINGHAM	AL	352830605	205417206	LEASE MEDICAL FACILITIES	AL	368671	14775591		N/A
REGENCY HOLDINGS LLC
PO BOX 830605	BIRMINGHAM	AL	352830605	205136737	HOLDING COMPANY	AL	46640	1091208	BHS AFFINITY INC
WALKER BAPTIST AFFINITY LLC
PO BOX 830605	BIRMINGHAM	AL	352830605	203864809	HOLDING COMPANY	AL	-156823	2712825	BHS AFFINITY INC
PRISON HEALTHCARE LLC
PO BOX 830605	BIRMINGHAM	AL	352830605	203437722	HEALTHCARE SERVICES FOR PRISONERS	AL	367923	0		N/A
BHC-TALLADEGA PEDIATRICS LLC
pO BOX 830605	BIRMINGHAM	AL	352830605	331178239	PEDIATRIC HEALTHCARE SERVICE	AL	3869930	0	BAPTIST HEALTH CENTERS INC

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	BAPTIST PARTNERSHIP HOLDINGS INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 830605	AddressLine1
City	BIRMINGHAM	City
State	AL	State
ZIP Code	352830605	ZIPCode

Field	Value	IRS element (for citing)
EIN	630963324	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivities
Legal Domicile State	AL	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	509(A)(2)	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	SHELBY BAPTIST AMBULATORY SURGERY CENTER LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1010 FIRST STREET NORTH	AddressLine1
City	ALABASTER	City
State	AL	State
ZIP Code	35007	ZIPCode

Field	Value	IRS element (for citing)
EIN	203150946	EIN
Primary Activity	MEDICAL CLINIC	PrimaryActivity
Legal Domicile State	AL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SHELBY BAPTIST AFFINITY LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	UNRELATED	PredominantIncomeType
Share Of Total Income	3997822	ShareOfTotalIncome
Share Of EOY Assets	1186042	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
BHS AFFINITY INC
PO BOX 830605	BIRMINGHAM	AL	352830605	631111454	HOLDING COMPANY	AL	N/A	C	616468	27938205	1.00000
BAPTIST HEALTH CENTERS INC
pO BOX 830605	BIRMINGHAM	AL	352830605	630925859	PHYSICIANS PRACTICES	AL		C	43300710	27680689	1.00000	BHS AFFINITY INC
AFFINITY SOUTHEAST INSURANCE INC
				980462365	INSURANCE			C	581413	13262779	1.00000	BHS AFFINITY INC	ICB BUILDING UPPER ROEBUCK STREET	BRIDGETOWN, BARBADOS	BB	BB

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
BAPTIST HEALTH CENTERS INC
A	690511
SHELBY BAPTIST AMBULATORY SURGERY CENTER LLC
A	603727
AFFINITY SOUTHEAST INSURANCE INC
C	1500000
BAPTIST HEALTH CENTERS INC
K	4206874
AFFINITY SOUTHEAST INSURANCE INC
K	220138
BAPTIST HEALTH CENTERS INC
O	4349910
BAPTIST HEALTH CENTERS INC
P	3400796
AFFINITY SOUTHEAST INSURANCE INC
Q	3989254
BAPTIST HEALTH CENTERS INC
R	6791598