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BAPTIST HEALTHCARE SYSTEM, INC.

Headquarter

Company Details

Name: BAPTIST HEALTHCARE SYSTEM, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 17 Sep 1918 (106 years ago)
Organization Date: 17 Sep 1918 (106 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Organization Number: 0003848
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40299
City: Louisville, Jeffersontown
Primary County: Jefferson County
Principal Office: 1901 CAMPUS PLACE, LOUISVILLE, KY 40299
Place of Formation: KENTUCKY

Links between entities

Type Company Name Company Number State
Headquarter of BAPTIST HEALTHCARE SYSTEM, INC., ILLINOIS CORP_57640901 ILLINOIS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
P9GNKZLQ29F1 2024-08-02 1 TRILLIUM WAY, CORBIN, KY, 40701, 8426, USA 1 TRILLIUM WAY, CORBIN, KY, 40701, 8727, USA

Business Information

URL www.bhsi.com
Division Name BAPTIST HEALTH CORBIN
Congressional District 05
State/Country of Incorporation KY, USA
Activation Date 2023-08-07
Initial Registration Date 2013-06-18
Entity Start Date 1986-07-23
Fiscal Year End Close Date Aug 31

Service Classifications

NAICS Codes 622110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KELLY MILLER
Role DIRECTOR OF HOSPITAL FINANCIAL OPERATIONS
Address 1 TRILLIUM WAY, CORBIN, KY, 40701, 8426, USA
Government Business
Title PRIMARY POC
Name ANTHONY POWERS
Role PRESIDENT
Address 1 TRILLIUM WAY, CORBIN, KY, 40701, 8426, USA
Past Performance
Title PRIMARY POC
Name LEE RICHARDSON
Role SYSTEM BEHAVIORAL HEALTH OUTREACH DIRECTOR
Address 1 TRILLIUM WAY, CORBIN, KY, 40701, USA

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
9QPHD303U5DXQ0IMWZ80 0003848 US-KY GENERAL ACTIVE 1918-09-17

Addresses

Legal C/O JANET M. NORTON, 1901 CAMPUS PLACE, LOUISVILLE, US-KY, US, 40299
Headquarters 1901 CAMPUS PLACE, Louisville, US-KY, US, 40299

Registration details

Registration Date 2012-11-19
Last Update 2024-06-26
Status ISSUED
Next Renewal 2025-06-26
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 0003848

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAPTIST HEALTH RETIREMENT ACCUMULATION PLAN 2021 610444707 2022-10-15 BAPTIST HEALTHCARE SYSTEM INC. 16580
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1993-03-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 15394
Retired or separated participants receiving benefits 82
Other retired or separated participants entitled to future benefits 1418
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 30
Number of participants with account balances as of the end of the plan year 7673
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 15

Signature of

Role Plan administrator
Date 2022-10-15
Name of individual signing SHARON MEHLING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-15
Name of individual signing SHARON MEHLING
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH MEDICAL PLAN 2018 610444707 2019-07-29 BAPTIST HEALTHCARE SYSTEM INC. 12435
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 12435
Retired or separated participants receiving benefits 189
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
MANAGEMENT DISABILITY PLAN 2018 610444707 2019-07-29 BAPTIST HEALTHCARE SYSTEM, INC 931
File View Page
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
DENTAL PLAN 2018 610444707 2019-07-29 BAPTIST HEALTHCARE SYSTEM, INC. 28255
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 28255
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
ACCIDENT PLAN 2018 610444707 2019-07-30 BAPTIST HEALTHCARE SYSTEM INC. 5861
File View Page
Three-digit plan number (PN) 514
Effective date of plan 2018-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 5861
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
VISION PLAN 2018 610444707 2019-07-30 BAPTIST HEALTHCARE SYSTEM, INC. 20045
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 20045
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
BUSINESS TRAVEL ACCIDENT 2018 610444707 2019-07-30 BAPTIST HEALTHCARE SYSTEM, INC. 1209
File View Page
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 1209
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
GROUP DISABILITY PLAN 2018 610444707 2019-07-29 BAPTIST HEALTHCARE SYSTEM, INC. 15577
File View Page
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 15577
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
CANCER PLAN 2018 610444707 2019-07-30 BAPTIST HEALTHCARE SYSTEM, INC. 4937
File View Page
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 4937
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
SEVERANCE PLAN 2018 610444707 2019-07-29 BAPTIST HEALTHCARE SYSTEM, INC. 16482
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 16482
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/30/20190730144913P030385784263001.pdf
Three-digit plan number (PN) 513
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 3770
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2019-07-30
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/29/20190729144737P040423927457001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 5945
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/11/21/20181121100659P030058312023001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Number of participants with account balances as of the end of the plan year 0

Signature of

Role Plan administrator
Date 2018-11-21
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010133255P030233173431001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 1209
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010135637P030233228775001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 4632

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010140541P040159725677001.pdf
Three-digit plan number (PN) 513
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 3308

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010134339P040086093023001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 20479

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009145438P040157861197001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 29054
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009144521P040157852237001.pdf
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 11873

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009151021P030230501783001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 13110
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009134119P040157766077001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965051
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 886

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009153212P030168355165001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 4768
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/09/20181009131336P030252540401001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-09
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/08/20181008150755P030228575223001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 12684
Retired or separated participants receiving benefits 176
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2018-10-08
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/11/21/20181121093823P030058259191001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 2527
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 1309
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 3766
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 197

Signature of

Role Plan administrator
Date 2018-11-21
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/31/20170731114833P030057109501001.pdf
Three-digit plan number (PN) 518
Effective date of plan 2016-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 4104

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/31/20170731112433P040060151901001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 4346

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/31/20170731113559P030057081757001.pdf
Three-digit plan number (PN) 513
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 2596

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/31/20170731115608P040060190045001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 325

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728151533P040062124663001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 20203

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728140901P040062053751001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 886

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728144803P030054551645001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 17118

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728141953P040062066919001.pdf
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 12713

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728150153P030054582141001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028963000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 4834

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728100649P040061640023001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 15493
Retired or separated participants receiving benefits 1625

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/28/20170728143948P030054532269001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 25103

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/17/20161017092240P040030565415001.pdf
Three-digit plan number (PN) 517
Effective date of plan 1994-02-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010090806P040016227191001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/28/20160928100259P030015670033001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Signature of

Role Plan administrator
Date 2016-09-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010085150P030018570017001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/13/20161013142717P030023721335001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 857

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/13/20161013134621P040014066253001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 14840
Retired or separated participants receiving benefits 1512

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/13/20161013143723P030016217645001.pdf
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 11529
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/13/20161013095838P030023077319001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 1226
Retired or separated participants receiving benefits 6

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/13/20161013133431P040023230055001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/13/20161013094427P040025230737001.pdf
Three-digit plan number (PN) 516
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 2670
Retired or separated participants receiving benefits 30

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/12/20161012144626P040023718305001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028986500
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/12/20161012145743P030021466375001.pdf
Three-digit plan number (PN) 515
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/11/20161011104020P040021115889001.pdf
Three-digit plan number (PN) 513
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/11/20161011102203P030018443911001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-10-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010083800P030011990317001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 402234166

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714133739P030112296593001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 1100
Retired or separated participants receiving benefits 6

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714151856P030112467281001.pdf
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715094728P040114820785001.pdf
Three-digit plan number (PN) 516
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 2643
Retired or separated participants receiving benefits 25

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715092433P040093150823001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715104339P030114105713001.pdf
Three-digit plan number (PN) 517
Effective date of plan 1994-02-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714132629P030096413367001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 5612
Retired or separated participants receiving benefits 100
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715093437P040035901725001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714141233P040113235681001.pdf
Three-digit plan number (PN) 515
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 424
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714142659P040091469479001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 10505
Retired or separated participants receiving benefits 989
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715085936P030002050889001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714144445P040113313681001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 2396
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714150401P030031377773001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715101821P030031832685001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PKWY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715083834P030031712765001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715084807P040093066055001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/15/20150715095933P030097927191001.pdf
Three-digit plan number (PN) 513
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/23/20150723102339P030112486647001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1994-02-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 1134
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728143427P030060629687001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 3404
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728130745P040003026825001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 315
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728134041P040019324399001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 19983
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729102803P040026306173001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 2475
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729103410P040061304791001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5058965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 320
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728150408P040019452047001.pdf
Three-digit plan number (PN) 513
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 650
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728132022P030023431805001.pdf
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 8972
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728135031P030023459789001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 12444
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-28
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729151303P040026482461001.pdf
Three-digit plan number (PN) 516
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965051
Plan sponsor’s DBA name BAPTIST HEALTH LEXINGTON
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 2654
Retired or separated participants receiving benefits 14
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729145515P030020219327001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name BAPTIST REGIONAL MEDICAL CENTER
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 1160
Retired or separated participants receiving benefits 8
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729153541P040026496141001.pdf
Three-digit plan number (PN) 515
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5058965000
Plan sponsor’s DBA name BAPTIST HEALTH RICHMOND
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 431
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729144315P030062552423001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 5482
Retired or separated participants receiving benefits 84
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-29
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/23/20140723125706P040052260439001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 11033
Retired or separated participants receiving benefits 975
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-23
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/23/20140723144430P030053188231001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 12637
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2014-07-23
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015110400P040015013861001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 11933
Retired or separated participants receiving benefits 40
Other retired or separated participants entitled to future benefits 961
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 8
Number of participants with account balances as of the end of the plan year 10360
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 242

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015110811P040002267680001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1993-03-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 11988
Retired or separated participants receiving benefits 35
Other retired or separated participants entitled to future benefits 975
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 13
Number of participants with account balances as of the end of the plan year 9303
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 221

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/15/20130715103532P040304339891001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 5346
Retired or separated participants receiving benefits 98

Signature of

Role Plan administrator
Date 2013-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711144346P040107852437001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 3465
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711141156P040038916919001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 225
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711135138P030292918931001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2012-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 7963
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711140407P030107543061001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 12008
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711132208P040379785185001.pdf
Three-digit plan number (PN) 505
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 8797
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711142813P030107560405001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 5731
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711102000P040379495313001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 12515
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711092059P030292600083001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 12515
Retired or separated participants receiving benefits 975

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711122625P040299025859001.pdf
Three-digit plan number (PN) 504
Effective date of plan 2009-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 215
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-11
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/12/20130712101356P030108195333001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1998-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223
Plan sponsor’s address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223

Number of participants as of the end of the plan year

Active participants 2435
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2013-07-12
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015111127P030007394033001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1993-03-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 11562
Retired or separated participants receiving benefits 42
Other retired or separated participants entitled to future benefits 1015
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 13
Number of participants with account balances as of the end of the plan year 9278
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 277

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015092332P030016528466001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 11397
Retired or separated participants receiving benefits 43
Other retired or separated participants entitled to future benefits 973
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 6
Number of participants with account balances as of the end of the plan year 9539
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 258

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/16/20120716091328P040004250466001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1997-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name BAPTIST REGIONAL MEDICAL CENTER
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 311593064
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 967
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-16
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714171716P040003237522001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 3519
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714170106P030010204288001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 11090
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714164513P030010177312001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1993-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 2391
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714162516P040003215602001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 211
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714161948P030001577905001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 11444
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714161240P040003210338001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 7204
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714155217P030010092656001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 622000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Number of participants as of the end of the plan year

Active participants 8252
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714154238P040003197426001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1979-09-01
Business code 622000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Number of participants as of the end of the plan year

Active participants 220
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714152429P040003194466001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Number of participants as of the end of the plan year

Active participants 10482
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/14/20120714150546P040003187778001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Number of participants as of the end of the plan year

Active participants 11444
Retired or separated participants receiving benefits 966
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-14
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/16/20120716142113P030005704690001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 4995
Retired or separated participants receiving benefits 150
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2012-07-16
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10992
Retired or separated participants receiving benefits 39
Other retired or separated participants entitled to future benefits 847
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 8832
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 201

Signature of

Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10992
Retired or separated participants receiving benefits 39
Other retired or separated participants entitled to future benefits 847
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 8832
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 201

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10992
Retired or separated participants receiving benefits 39
Other retired or separated participants entitled to future benefits 847
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 8832
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 201

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017141325P040154976529001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10992
Retired or separated participants receiving benefits 39
Other retired or separated participants entitled to future benefits 847
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 4
Number of participants with account balances as of the end of the plan year 8832
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 201

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/17/20111017140814P040154971713001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1993-03-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10132
Retired or separated participants receiving benefits 44
Other retired or separated participants entitled to future benefits 1915
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 5
Number of participants with account balances as of the end of the plan year 9002
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 266

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726101318P040103578177001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 8099
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726151251P040032538359001.pdf
Three-digit plan number (PN) 512
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 3519
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726140137P040468488496001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 220
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726102429P040103586641001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 10562
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726094406P030014751538001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 7913
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726145919P040103759921001.pdf
Three-digit plan number (PN) 511
Effective date of plan 2010-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 5041
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726142058P040103724289001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1993-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 2130
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725144208P040015200818001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1979-09-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 215
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1979-09-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 215
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 11066
Retired or separated participants receiving benefits 0

Signature of

Role Employer/plan sponsor
Date 2011-07-25
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725143317P040103063201001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 11066
Retired or separated participants receiving benefits 0

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/15/20110715131333P030094145537001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 10100
Retired or separated participants receiving benefits 966

Signature of

Role Plan administrator
Date 2011-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 510
Effective date of plan 1993-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 2328
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715131651P040091810264001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 9596
Retired or separated participants receiving benefits 966

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014165120P070027520497001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1993-03-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 9522
Retired or separated participants receiving benefits 49
Other retired or separated participants entitled to future benefits 1513
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 8564
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 215

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1993-03-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 9522
Retired or separated participants receiving benefits 49
Other retired or separated participants entitled to future benefits 1513
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 8564
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 215

Signature of

Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name BAPTIST REGIONAL MEDICAL CENTER
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 311593064
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 1057
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715135310P040091823064001.pdf
Three-digit plan number (PN) 506
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 6229
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014164757P070027513665001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10569
Retired or separated participants receiving benefits 38
Other retired or separated participants entitled to future benefits 834
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 7984
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 176

Signature of

Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10569
Retired or separated participants receiving benefits 38
Other retired or separated participants entitled to future benefits 834
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 7984
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 176

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965050
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965050

Number of participants as of the end of the plan year

Active participants 10569
Retired or separated participants receiving benefits 38
Other retired or separated participants entitled to future benefits 834
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 7984
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 176

Signature of

Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 510
Effective date of plan 1993-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 2328
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 3019
Retired or separated participants receiving benefits 80
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 506
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 6229
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name BAPTIST REGIONAL MEDICAL CENTER
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 311593064
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 1057
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 507
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 4750
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 10562
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 211
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 9596
Retired or separated participants receiving benefits 966

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 9596
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 504
Effective date of plan 1979-09-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 215
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/14/20100714131709P030373807969001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 7488
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing MICHAEL DAUGHERTY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715133020P040091815112001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 9596
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715134146P040376753249001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1979-09-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 215
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715125338P030127044818001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1988-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 4750
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715125300P070012241560001.pdf
Three-digit plan number (PN) 508
Effective date of plan 1991-03-26
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 10562
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715123333P040013685573001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name BAPTIST REGIONAL MEDICAL CENTER
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 311593064
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 1057
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715124503P070016680194001.pdf
Three-digit plan number (PN) 510
Effective date of plan 1993-01-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 2328
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715125851P030127048786001.pdf
Three-digit plan number (PN) 509
Effective date of plan 1968-04-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 211
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/16/20100716100210P040121954786001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1993-06-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Signature of

Role Plan administrator
Date 2010-07-16
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715131120P030040011347001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1983-03-01
Business code 622000
Sponsor’s telephone number 5028965000
Plan sponsor’s DBA name SAME
Plan sponsor’s mailing address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Plan sponsor’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207

Plan administrator’s name and address

Administrator’s EIN 610444707
Plan administrator’s name BAPTIST HEALTHCARE SYSTEM, INC.
Plan administrator’s address 4007 KRESGE WAY, LOUISVILLE, KY, 40207
Administrator’s telephone number 5028965000

Number of participants as of the end of the plan year

Active participants 3019
Retired or separated participants receiving benefits 80
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing PATRICIA BLAIR
Valid signature Filed with authorized/valid electronic signature

Secretary

Name Role
JANET M NORTON Secretary

Director

Name Role
BONNIE STITH Director
JENNIFER THOMAS Director
TAMMY ZIMMERMAN Director
HOMER D. COGGINS Director
C.H. RICHARDSON, JR. Director
GEORGE N. GRAHAM Director
TOMMY SMITH Director
BILL MATHIS Director
JONELDA COLE Director
LAURA MELIUS Director

Registered Agent

Name Role
JANET M. NORTON Registered Agent

Incorporator

Name Role
MAY M SMITH Incorporator
C.H. RICHARDSON Incorporator
SUSAN B. WALKER Incorporator
ANNIE WALTERS Incorporator
FANNIE SMITH Incorporator
M.W. BENNETT Incorporator

Vice President

Name Role
JANET M NORTON Vice President
RICHARD CARRICO Vice President

Officer

Name Role
GERARD COLMAN PHD (CEO) Officer

Treasurer

Name Role
RICHARD CARRICO Treasurer

Former Company Names

Name Action
BAPTIST HEALTH RICHMOND, INC. Merger
BAPTIST HEALTHCARE AFFILIATES, INC. Merger
BAPTIST HOSPITALS, INC. Old Name
PATTIE A. CLAY INFIRMARY ASSOCIATION Old Name
BAPTIST HOSPITAL SOUTHEAST, INC. Merger
BHI MANAGEMENT CORPORATION Merger
KENTUCKY BAPTIST HOSPITAL Old Name

Assumed Names

Name Status Expiration Date
HEALTH DATA NETWORK Inactive -
LOUISVILLE BAPTIST HOSPITALS, AS AN UNINCORPORATED DIVISION Inactive -
PRIME CARE CENTER Inactive -
FAMILY COUNSELING CENTER, AS AN UNINCORPORATED DIVISION Inactive -
BAPTIST HOSPITAL HIGHLANDS Inactive -
BAPTIST HOSPITALS SOUTHEAST, INC. Inactive -
KENTUCKY BAPTIST HOSPITAL SCHOOL OF NURSING Inactive -
BAPTIST HEALTHCARE SYSTEM, INC. Inactive -
BAPTIST HEALTH EMS Active 2029-08-26
BAPTIST HEALTH HARDIN PAVILION COMMUNITY PHARMACY Active 2029-06-28

Filings

Name File Date
Certificate of Assumed Name 2024-08-26
Certificate of Assumed Name 2024-06-28
Annual Report 2024-03-25
Certificate of Assumed Name 2024-02-27
Certificate of Assumed Name 2024-02-27
Name Renewal 2024-02-27
Certificate of Assumed Name 2024-02-01
Certificate of Assumed Name 2024-01-03
Certificate of Assumed Name 2024-01-03
Certificate of Assumed Name 2023-12-08

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DJBP0409LB230299 2012-07-02 2012-07-24 2012-07-24
Unique Award Key CONT_AWD_DJBP0409LB230299_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title IGF::OT::IGF OTHER FUNCTIONS MEDICAL - PURNELL, BRANDON - #08124-025 - 7-2-12
NAICS Code 621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS
Product and Service Codes Q201: MEDICAL- GENERAL HEALTH CARE

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
PO AWARD DJBMANKVB210052 2010-12-17 2011-05-02 2011-05-02
Unique Award Key CONT_AWD_DJBMANKVB210052_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title 151060 HOSPITAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
PO AWARD DJBP0409KB230011 2010-10-18 2010-10-18 2010-10-18
Unique Award Key CONT_AWD_DJBP0409KB230011_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title MEDICAL - ESPINO - #41677-424 - 10-1-10 - 10-3-10
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
PURCHASE ORDER AWARD W91YTZ10P0669 2010-09-10 2010-10-27 2015-10-26
Unique Award Key CONT_AWD_W91YTZ10P0669_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 2500.00
Current Award Amount 2500.00
Potential Award Amount 22500.00

Description

Title CLIN 0001 RADIOLOGY SVC CHEST XRAYS
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI JB8LQNB7CVB8
Recipient Address 801 EASTERN BYPASS, RICHMOND, MADISON, KENTUCKY, 404752751, UNITED STATES
PO AWARD DJBMANKVB210003 2010-09-05 2011-05-02 2011-05-02
Unique Award Key CONT_AWD_DJBMANKVB210003_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title 151060 HOSPITAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
PO AWARD DJBMANJVB210166 2010-05-12 2010-10-25 2010-10-25
Unique Award Key CONT_AWD_DJBMANJVB210166_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title 151060 HOSPITAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
PO AWARD DJBMANJVB210175 2010-03-23 2010-10-25 2010-10-25
Unique Award Key CONT_AWD_DJBMANJVB210175_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title 151060 HOSPITAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
PO AWARD DJBMANJVB210123 2010-03-17 2010-10-25 2010-10-25
Unique Award Key CONT_AWD_DJBMANJVB210123_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title 151060 HOSPITAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES
No data IDV W912QR10A0016 2009-12-16 No data No data
Unique Award Key CONT_IDV_W912QR10A0016_9700
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 20000.00

Description

Title PHYSICALS
NAICS Code 624310: VOCATIONAL REHABILITATION SERVICES
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, MCCRACKEN, KENTUCKY, 420033813, UNITED STATES
PURCHASE ORDER AWARD W91YTZ10P0086 2009-11-10 2009-11-10 2009-11-10
Unique Award Key CONT_AWD_W91YTZ10P0086_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 4185.00
Current Award Amount 4185.00
Potential Award Amount 4185.00

Description

Title CHEST X-RAYS AND EVALUATIONS
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes 6525: X-RAY EQ SUPPLIES - MED, DENTAL & V

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI JB8LQNB7CVB8
Legacy DUNS 055839104
Recipient Address 801 EASTERN BYPASS, RICHMOND, MADISON, KENTUCKY, 404752751, UNITED STATES
Unique Award Key CONT_AWD_W91YTZ10P0048_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts

Obligated Amount 10000.00
Current Award Amount 10000.00
Potential Award Amount 10000.00

Description

Title RADIOLOGY SERVICES X-RAYS
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI JB8LQNB7CVB8
Legacy DUNS 055839104
Recipient Address 801 EASTERN BYPASS, RICHMOND, MADISON, KENTUCKY, 404752751, UNITED STATES
Unique Award Key CONT_AWD_DJBMARIVB240279_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description

Title MEDICAL
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes AN43: HEALTH SERVICES (ADVANCED)

Recipient Details

Recipient BAPTIST HEALTHCARE SYSTEM, INC.
UEI L5MEVT9PHBH8
Legacy DUNS 079661963
Recipient Address 2501 KENTUCKY AVE, PADUCAH, 420033813, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C76HF15168 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2009-09-01 2010-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient BAPTIST HEALTHCARE SYSTEM, INC.
Recipient Name Raw PATTIE A. CLAY INFIRMARY ASSOCIATION REGIONAL
Recipient UEI JB8LQNB7CVB8
Recipient DUNS 055839104
Recipient Address 789 EASTERN BY-PASS, RICHMOND, MADISON, KENTUCKY, 40475, UNITED STATES
Obligated Amount 188100.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF11010 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2008-09-01 2009-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient BAPTIST HEALTHCARE SYSTEM, INC.
Recipient Name Raw PATTIE A. CLAY INFIRMARY ASSOCIATION REGIONAL
Recipient UEI JB8LQNB7CVB8
Recipient DUNS 055839104
Recipient Address 789 EASTERN BY-PASS, RICHMOND, MADISON, KENTUCKY, 40475
Obligated Amount 236367.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
61-0444707 Corporation Unconditional Exemption 1901 CAMPUS PL, LOUISVILLE, KY, 40299-2308 1937-01
In Care of Name % CARL G HERDE
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-08
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Aug
Asset Amount 4563630785
Income Amount 3741207341
Form 990 Revenue Amount 3692771906
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 202208
Filing Type E
Return Type 990T
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 202108
Filing Type E
Return Type 990T
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 202108
Filing Type E
Return Type 990
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 202008
Filing Type P
Return Type 990T
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201908
Filing Type P
Return Type 990T
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201908
Filing Type E
Return Type 990
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201808
Filing Type E
Return Type 990
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201808
Filing Type P
Return Type 990T
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201708
Filing Type P
Return Type 990
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201708
Filing Type P
Return Type 990T
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201608
Filing Type P
Return Type 990
File View File
Organization Name BAPTIST HEALTHCARE SYSTEM INC
EIN 61-0444707
Tax Period 201608
Filing Type P
Return Type 990T
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
1756902 Intrastate Non-Hazmat 2018-10-26 5000 2018 1 5 Private(Property)
Legal Name BAPTIST HEALTHCARE SYSTEM INC
DBA Name -
Physical Address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223, US
Mailing Address 2701 EASTPOINT PARKWAY, LOUISVILLE, KY, 40223, US
Phone (502) 253-4700
Fax (502) 253-4759
E-mail BHSSUPPLYCHAINCORPORATE@BHSI.COM

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 0
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 0
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 0
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Contracts

Branch Contract Id Procurement Type Begin Date End Date Amount
Executive 2000005734 Standard Goods and Services 2020-01-01 2020-12-31 16.32
Department Behavioral Health, Developmental & Intellectual Disabilities
Category (850) TEXTILES, FIBERS, HOUSEHOLD LINENS, AND PIECE GOODS
Authorization Small Purchase-Goods and Services

Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
GIA/BSSC Inactive 22.84 $0 $75,000 8830 0 2011-09-28 Final
GIA/BSSC Inactive 24.50 $0 $75,000 6620 24 2010-07-30 Final
GIA/BSSC Inactive 22.75 $0 $75,000 4666 4 2009-07-31 Final
GIA/BSSC Inactive 20.55 $0 $75,000 1731 0 2008-07-25 Final

Sources: Kentucky Secretary of State