2022-05-13T11:45:46-05:00 2021-06-30 990 2020-07-01 751844139 Baylor Medical Center at Waxahachie BAYL 2148204135 301 N Washington Avenue Dallas TX 75246 Sabrina Johnson VP CFO 2148204135 2022-05-13 Sabrina Johnson 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Baylor Scott & White Medical Center-Waxahachie Will Turner 2400 North I-35E Waxahachie TX 75165 286908415 0 X www.bswhealth.com X 1982 TX Faith based acute care hospital providing exemplary patient care, medical education, medical research and community service to Waxahachie, Texas and the surrounding communities. 12 8 971 56 0 0 4323555 7395489 205036982 237894356 1122336 3817948 567805 311977 211050678 249419770 60000 27500 0 0 68227851 66726730 0 0 0 118616571 126369461 186904422 193123691 24146256 56296079 267383771 302796293 69217357 37350815 198166414 265445478 X Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. 0 0 166952436 27500 237966312 See Schedule OBaylor Medical Center at Waxahachie dba Baylor Scott & White Medical Center - Waxahachie (BSW Waxahachie) is a faith-based, nonprofit, 129-bed acute care hospital providing exemplary patient care services to the residents of Ellis County and the surrounding rural communities in North Texas. BSW Waxahachie is affiliated with Baylor Scott & White Health (BSWH), a faith-based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the residents of North and Central Texas. As the largest not-for-profit health care system in Texas and one of the largest in the United States, BSWH was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare. Today, BSWH has over 1,100 patient access points including 51 hospitals, 561 specialty care clinics, 195 outpatient clinics, 160 primary care clinics, 32 pharmacies, 29 ambulatory surgery centers, and more than 7,300 active physicians. The system also includes a state certified health maintenance organization, the Scott and White Health Plan and the Baylor Scott & White Quality Alliance accountable care organization both covering over 983,000 lives.BSW Waxahachie has proudly served the residents of Ellis County for more than 100 years. The full-service medical center has multiple specialties and a 35-bed Emergency Department. Key service line offerings include cancer care, digestive disease, emergency services, cardiovascular care, imaging, neurosciences, orthopedics, women and infant services, and women's imaging. BSW Waxahachie is a Magnet recognized facility, a designated Primary Stroke Center, accredited by the Commission on Cancer, and holds Level IV Trauma and Level II Maternity Designations.During the fiscal year, BSW Waxahachie admitted 7,655 patients resulting in 31,552 days of care; delivered 1,130 babies and received 50,449 emergency department visits. Additionally, BSW Waxahachie provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $33,677,886 and provided community benefits (as reported on the IRS Form 990, Schedule H) of $17,570,879 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $18,558,237 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H. See Schedule H for more information regarding these services and how BSW Waxahachie promotes the health of the communities. 166952436 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 97 0 1 971 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Angie Hutson 2148201075 301 N Washington Avenue Dallas TX 75246 X Scott Peek Trustee 1.00 40.00 X 0 1015976 212013 Paul Madeley MD Trustee 1.00 40.00 X 0 437998 37961 Amy Wilson MD Trustee 1.00 40.00 X 0 432142 41347 Donald Wills Trustee 1.00 1.00 X 0 0 0 Erle Nye Trustee 1.00 1.00 X 0 0 0 George McCleskey Trustee 1.00 1.00 X 0 0 0 Harry Neil Dugger Trustee 1.00 1.00 X 0 0 0 J Kent Newsom Trustee 1.00 1.00 X 0 0 0 Jeffrey Schmeltekopf Trustee/Chair 1.00 1.00 X X 0 0 0 Marissa Hernandez Trustee 1.00 1.00 X 0 0 0 Rodrick Robinson Trustee 1.00 1.00 X 0 0 0 Vince Hawkins Trustee 1.00 1.00 X 0 0 0 William Turner President/CEO 40.00 0.00 X 438345 0 101240 Jason Whitfield VP CFO (thru 2/28/21) 1.00 40.00 X 0 385356 75542 Grant Teegarden Secretary 1.00 40.00 X 0 361273 65800 Sabrina Johnson VP CFO (eff 3/1/21) 40.00 40.00 X 0 114227 23216 Thomas G Ledbetter MD SVP CMO 40.00 40.00 X 542333 133617 40958 Elizabeth Ortiz VP CNO (eff 6/22/20) 40.00 0.00 X 203647 0 18525 Cindy Murray VP CNO (thru 7/4/20) 40.00 0.00 X 185071 0 12048 Robin McCommons Director Surgical Svcs 40.00 40.00 X 110230 87202 27054 Lynn Whitehair Director Cancer Center 40.00 0.00 X 202374 0 13932 Justin Pond Director Operations 40.00 0.00 X 182188 0 8943 Rebecca Hutchison Director Lab 40.00 0.00 X 175147 0 13936 Judith Williams Director Nursing Professional Development 40.00 0.00 X 171672 0 14354 Christopher York Former Officer 0.00 40.00 X 0 734672 176027 Cheryl McMullan Former Officer 0.00 40.00 X 0 206535 27905 2211007 3908998 910801 82 1 1 0 HealthTexas Provider Network 301 N Washington Ave Dallas TX 75246 Clinical/Administrative Svcs 7874190 Aramark Services Inc PO Box 651009 Charlotte NC 282651009 Engineering/Food Services 4066072 Shiftwise Inc 1800 S W 1st Ave STE 510 Portland OR 97201 Staffing Services 2080556 Med Fusion LLC PO Box 222137 Dallas TX 75222 Lab Services 1942384 BIR JV LLP PO Box 677466 Dallas TX 752677466 Staffing/Management Services 1157479 29 337879 7033855 23755 7395489 Patient Care 622110 235819426 235819426 Shared Savings 622110 1958065 1958065 Rent 531120 115387 115387 Medical Education 611710 1220 1220 Duplication Fees 561439 258 258 237894356 1440149 71956 1368193 6400 6400 39739414 127030 37468066 20579 2271348 106451 2377799 2377799 Cafeteria/Vending 722514 276702 276702 Gift Shop/Retail 453220 28875 28875 305577 249419770 237966312 0 4057969 X 27500 27500 1472982 1472982 106716 106716 52664160 51665122 999038 1763187 1729719 33468 6696826 6569748 127078 4022859 3948431 74428 20551 20551 10559 10559 1096 1096 53317 53317 52817787 30211904 22605883 120701 27326 93375 679491 602620 76871 8175356 8175167 189 6564403 6541137 23266 8563 7995 568 34875 34111 764 38583 38583 9238863 9238863 38274 38274 Medical Supplies 42537033 42537033 LPPF Expense 3819420 3819420 Non-Medical Supplies 1557160 1524823 32337 Recruiting 505330 23393 481937 148099 102274 45825 193123691 166952436 26171255 0 2706 2715 47006887 15934681 19782407 26192982 957795 547813 3843720 3988807 19035 201430811 78444157 125978671 122986654 63070250 123785450 1779073 1779073 2724294 2724294 2218933 4853824 267383771 302796293 4643165 11657368 21203698 19329311 1540494 6364136 41830000 0 69217357 37350815 X 196762448 264240576 1403966 1204902 198166414 265445478 267383771 302796293 X 56296079 12076005 -1093020 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 9141 1 53317 0 0 62458 0 Part II-B, Line 1: Statement Regarding Legislative Activity: Health care policy is critical to all Americans, and the Organization believes that health care providers must participate in forming health care policy by interacting with national, state and local representatives and their staff members to help them better understand the complexities and ramifications of key health care policies including, without limitation, those related to uninsured and indigent patient needs as well as the legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. The Organization has established relationships with persons and industry associations that often communicate the Organization's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, the Organization may attempt to educate the local community on certain legislative initiatives that may impact the Organization's ability to provide quality health care services to the community through direct mailings, media advertising or broadcast statements. The amount of resources (time and money) involved in these activities is insubstantial. The Organization has not intervened in any political campaign. 371152 300 99921 471373 369023 372 -1757 371152 362083 9431 2491 369023 295455 29506 -37122 362083 319245 23110 46900 295455 0.00000 0.58350 0.41650 0 1 1 312755 312755 116132245 19956906 96175339 84093291 58487251 25606040 892520 892520 122986654 X Part V, Line 4: The Baylor Scott & White Dallas Foundation endowments provide support for the charitable activities and purposes of BSW Holdings and its affiliated entities (collectively, "BSWH"). They enable BSWH to advance its medical objective and mission, including sponsorship of patient care, research, and educational and training programs. Part X, Line 2: The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2021 and 2020, the System had no material gross unrecognized tax benefits. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 9622066 6729 9615337 0.04980 15037513 9200972 5836541 0.03020 397986 453243 0 0.00000 25057565 9660944 15451878 0.08000 570367 0 570367 0.00300 643036 0 643036 0.00330 818463 0 818463 0.00420 0 0 87135 0 87135 0.00050 2119001 2119001 0.01100 27176566 9660944 17570879 0.09100 1 28740644 0 37261736 42843328 -5581592 X 1 1 1 1 Baylor Scott&White Med Ctr at Waxahachie 2400 North I-35E Waxahachie TX 75165 www.bswhealth.com 100275 X X X Baylor Scott & White Med Ctr at Waxahach 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X www.BSWHealth.com/CommunityNeeds X 1 18 1 www.BSWHealth.com/CommunityNeeds 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X https://bswhealth.com/financialassistance X X X X X X X 1 X 0 X X X X X 1 X 0 0 Baylor Scott & White Med Ctr at Waxahachie Part V, Section B, Line 5: One (1) focus group with a total of eight (8) participants, as well as two (2) key informant interviews, were conducted to take into account the input of persons representing the broad interests of the community served. The focus group and interviews solicited feedback from leaders and representatives who serve the community and have insight into community needs. Prioritization sessions were also held with hospital clinical leadership and/or other community leaders to identify significant health needs from the assessment and prioritize them.The focus group familiarized participants with the CHNA process and solicited input to understand health needs from the community's perspective. Focus groups, formatted for individual as well as small group feedback, helped identify barriers and social determinants influencing the community's health needs. Barriers and social determinants were new topics added to the 2019 community input sessions.Watson Health conducted key informant interviews for the community served by the hospital. The interviews aided in gaining understanding and insight into participants concerns about the general health status of the community and the various drivers that contributed to health issues. Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers (including physicians) ensured that the input received represented the broad interests of the community served.The following is a list of groups consulted: Baylor Scott & White Health, Cancer Care Services, City of Waxahachie, Daniel's Den, Dallas County Health and Human Services, Hope Clinic (Federally Qualified Health Clinic), Manna House, Meals on Wheels of Johnson and Ellis Counties, ,Metrocare Presbyterian Children's Homes and Services, Salvation Army, Waxahachie Care Services, and Waxahachie Senior Center. Baylor Scott & White Med Ctr at Waxahachie Part V, Section B, Line 6a: NonePart V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2019, the 15th day of the fifth month after the 2018 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5). Baylor Scott & White Med Ctr at Waxahachie Part V, Section B, Line 11: The hospital is committed to serving the community by adhering to its charitable mission, using its skills and capabilities, and remaining a strong organization which continues to provide a wide range of important health care services and community benefits. The hospital has completed a community health needs assessment and developed an implementation strategy to address the health needs of the community while meeting certain federal and state requirements. The hospital will address all significant community health needs (except the need(s) listed below) based on the anticipated impact to the community, hospital resources available, and the expertise of the hospital facility. Specific actions can be found in the implementation strategy that is made widely available on the hospital's website at www.BSWHealth.com/CommunityNeeds.The following identified needs have not been addressed in the community benefit implementation plan: Ratio of Population to One Mental Health Provider, Uninsured Children, and Ratio of Population to One DentistThere are multiple community and state agencies whose expertise and infrastructure are better suited for meeting the needs not addressed in the Community Health Implementation Strategies. Therefore, BSWH leadership has opted to focus its resources on the listed priorities for the betterment of the community. Baylor Scott & White Med Ctr at Waxahachie Part V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Baylor Scott & White Med Ctr at Waxahachie Part V, Section B, Line 20e: A copy of the Plain Language Summary is included on the back of every billing statement. 7 1 - BSW Sammons Cancer Center 2380 N I-35 E Waxahachie TX 75165 Cancer Center 2 - Surgery Center of Waxahachie 106 Lucas Street Waxahachie TX 75165 ASC 3 - BSW Sammons Cancer Center 310 E Hwy 67 Duncanville TX 75137 Cancer Center 4 - BSW Covid Vaccination HUB 122 Park Hills Drive Waxahachie TX 75165 Vaccination Center 5 - Cardiac Rehab at Baylor Waxahachie 2460 N I-35 E Suite 255 Waxahachie TX 75165 Cardiac Rehabilitation 6 - Wound Care at Baylor Waxahachie 2460 N I-35 E Suite 160 Waxahachie TX 75165 Wound Management 7 - Sleep Center at Baylor Waxahachie 2460 N I-35 E Suite 250 Waxahachie TX 75165 Sleep Center Part I, Line 3c: and Line 3b: In addition to providing free care to financially indigent patients at 200% of the federal poverty guidelines ("FPG"), the organization provides discounted care to the medically indigent which is based on both the FPG (up to 500%) and the percentage of the patient's total bills from all Baylor Scott & White Health related providers in relation to the patient's annual income. Part I, Line 6a: The organization prepares and files an Annual Report of Community Benefit Plan with the Texas Department of State Health Services. This report is made available through the organization's website at www.BSWHealth.com/CommunityNeeds. Part I, Line 7: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7d. For amounts reported on lines 7e - 7k, actual expenses for each community benefit activity are tracked and reported using both community benefit software and/or the organization's cost accounting system. Part I, Ln 7 Col(f): The amount of bad debt expense included on Form 990, Part IX, line 25, but removed for Schedule H, Part I, Line 7, Column (f) totaled $0. Part III, Line 4: As stated in the combined audited financial statements, "The System maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The System assesses the reasonableness of the allowance account based on the historical write-offs, cash collections, the aging of the accounts and other economic factors. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowance associated with its receivables." Bad debt does not include amounts for patients who are known to qualify under the organization's charity care policy. The amount of bad debt attributable to patient's accounts is net of contractual allowance, payments received and recoveries of bad debt previously written off. The Organization has entered zero on Schedule H, Part III, Line 3; however, based on prior experience and certain demographics and other information obtained during admission, the organization believes a portion of the bad debt expenses (estimated to range from 1-5%) would be attributable to patients that would otherwise qualify for charity care. Despite all of the effort and ways the organization educates patients about qualifying for its charity care program as demonstrated in Part VI, question 3 below, many uninsured patients either refuse or fail to complete a charity care application or provide sufficient information at the time of admission, during their stay or after being discharged to qualify for assistance under the organization's charity care policy. Part III, Line 8: The amount reported on Part III, Section B, line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost report based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to providing quality care to these patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded as allowable cost in the cost reports. Using the same methodology to calculate the unreimbursed cost of providing charity care and Medicaid (using applicable Schedule H Worksheets) would result in a shortfall of $12,622,389.The organization believes that all of the shortfall should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely increase at, and rest on the shoulders of, nonprofit hospitals or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. Part III, Line 9b: The organization's patient billing and collection policy prohibits any collection efforts for the portion of the account balance that qualifies for financial assistance under the organization's financial assistance policy. For any remaining balances due, the same policy contains the actions that may be taken in the event of nonpayment, which are applied equally to all patient types. The policy is made widely available to the public on the organization's website https://www.bswhealth.com/financialassistance. Part VI, Line 2: During the fiscal year ending June 30, 2019, the Organization conducted a Community Health Needs Assessment (CHNA) to assess the health care needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNAs. The CHNAs were conducted in accordance with state and federal guidelines including Internal Revenue Code Section 501(r) and the Texas Health and Safety Code Section 311. These CHNAs and implementation strategies have been made widely available to the public and are located on the Organization's website at the following address: www.BSWHealth.com/CommunityNeeds. Part VI, Line 3: The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policy is posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Part VI, Line 4: The organization operates a hospital facility that primarily serves the geographical area that includes certain zip codes spanning Dallas and Ellis Counties. Additional information regarding the community can be found below, and in the hospital's community health needs assessment and implementation strategy located on the organization's website at www.BSWHealth.com/CommunityNeeds.The population is approximately 237,186 with a median household income for the ZIP codes within this community ranging from $43,968 to $99,653. There were two ZIP Codes with median household incomes less than $50,200 twice the 2018 Federal Poverty Limit for a family of four.The population of the community served is expected to grow 8.1% by 2023, an increase by more than 19,000 people. The 8.1% projected population growth is slightly less than the state's 5-year projected growth rate (7.1%) but higher when compared to the national projected growth rate (3.5%). The ZIP codes expected to experience the most growth in five years are 75154 Red Oak 3,844 people, 76065 Midlothian 3,723 people and 75165 Waxahachie 3,393 people.The community's population skewed younger with 36.2% of the population ages 18-44 and 26.5% under age 18. The largest cohort (18-44) is expected to grow by 6,451 people by 2023. The age 65 plus cohort was the smallest but is expected to experience the fastest growth (28.4%) over the next five years, adding 8,102 seniors to the community. Growth in the senior population will likely contribute to increased utilization of services as the population continues to age.Population statistics are analyzed by race and by Hispanic ethnicity. The community was primarily non-Hispanic White (47.4%) and non-Hispanic Black (24.1%). The Hispanic population (all races) made up 25.8% of the health community, and is expected to increase 14.9% by 2023, an increase of 9,116 people. This exceeds the growth rate of non-Hispanics (all races), which was 5.8%.More than half of the population (52%) were insured through employer sponsored health coverage. The remainder of the population was fairly equally divided between Medicaid, Medicare, private market (the purchasers of coverage directly or through the health insurance marketplace), and those without health care insurance.The community includes three (3) Health Professional Shortage Areas and one (1) Medically Underserved Area as designated by the U.S. Department of Health and Human Services Health Resources Services Administration. Part VI, Line 5: With the oversight of an independent volunteer community board and Baylor Scott & White Holdings, the organization's ultimate parent, the organization's hospital facilities and/or other health care facilities have promoted health and benefited the community by providing exemplary health care, medical education, research and other community services. The organization's governing body is comprised of a majority of volunteer community representatives that provide leadership and governance for the organization. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for the organization. The members are well respected residents and/or own businesses in the organization's primary or secondary service area and understand the needs of the community. The medical staff of the organization is open to all physicians in the community who meet membership and clinical privilege requirements. As a nonprofit organization surplus funds are continuously invested back to the community and are utilized to maintain access to limited patient care services or expand access points of care to patients throughout the community. These efforts are generally targeted to meet the community health needs identified in the community health needs assessment conducted by each of the hospital facilities. More information of these efforts can be found in the written implementation strategies that have been made widely available to the public and are located on the organization's website at the following address: www.BSWHealth.com/CommunityNeeds. Below are summaries of a few of the hospital's key patient care services or community benefit programs designed to promote the health of the community. The organization provides financial assistance in the form of charity care to patients who are indigent and satisfy certain eligibility requirements. Additionally, the organization is committed to treating patients who are eligible for means tested government programs such as Medicaid and other government sponsored programs including Medicare, which is provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for these patients. Often, patients are unaware of the federal, state and local programs open to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. The organization offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy which can be located on the organization's website at www.bswhealth.com/financialassistance.The organization operates an emergency department accepting all patients without the regard for the ability to pay. The emergency room is operated 24 hours a day, seven days a week. Ellis County is one of the fastest growing areas in North Central Texas. Keeping its commitment to meet the health needs of a growing community, the organization built a new $175.5 million replacement hospital which opened in December 2014, the organization's 100th anniversary. Providing more than thirty services and specialties, the planned growth will bring new and expanded services to Waxahachie and the surrounding communities. The new campus is the home to Baylor Charles A. Sammons Cancer Center at Waxahachie, along with expanded facilities to increase services for women. The new facility also provides additional inpatient beds, operating rooms, and emergency and intensive care unit (ICU). In addition, the organization has committed significant funding to aid the operation of the Hope Clinic, a local community health clinic serving the medically underserved population. The Hope Clinic, operates as a community need driven, primary care clinic providing diagnostic laboratory & radiologic services, preventive health services, dental services, transportation assistance, pharmaceutical services, mental health and substance abuse services, patient case management services, health education and outreach. The clinic began with the identification of access to care needs for uninsured and indigent residents of Ellis County. In March 2009, Hope Clinic became a Federally Qualified Health Service Center for the provision of primary health care services in underserved and rural communities. The organization is also committed to promoting the health and well-being of individuals and families beyond the health activities of the traditional hospital or clinic setting through its community outreach programs. Community outreach and preventative health care are important areas of focus that fuel the organization's efforts to screen and educate local residents to improve the overall health and wellness of the community its services. Prevention leads to early detection and the ability to catch disease when treatment will be most reliable and effective. These programs are targeted to positively alter the health of the community by providing education on such topics as adult nutrition, childhood obesity, and behavioral health issues and to build support groups for individuals suffering with chronic diseases such as diabetes, cardiovascular and pulmonary diseases, and cancer. Throughout the year the organization offers free preventive health services to the community such as health screenings, health fairs, immunizations and many other community education programs. Equipping people with quality health information encourages individuals to make appropriate lifestyle changes to benefit their health. As part of a health system with renowned teaching facilities, the organization attracts first-rate medical specialists who help improve the level of medical care for the entire community. The organization is also committed to assisting with the preparation of future nurses at entry and advanced levels of the profession to establish a qualified workforce. During a nurses training, clinical skills and professional competencies are developed to provide the nurse with the ability to take on increasing responsibility for patient care. Quality teaching programs add many dimensions to the organization's ability to serve patients. The efforts are coordinated through strong affiliations with schools of nursing in Central and North Texas. The nurses trained at the organization's hospital facility are not obligated to join the staff although many remain in Texas to provide top quality nursing services to many health care institutions.During the year, the organization continued its focus and efforts in fighting the unexpected COVID-19 pandemic with detailed planning and preparations along with other Baylor Scott & White affiliated entities. From the beginning, teams began securing costly personal protection equipment and finding new innovative ways to adapt. The system's patient-centric focus began offering online screening for COVID-19, eVisits and drive-thru lab specimen collection sites performing over 769,000 COVID-19 tests across the system. This kept patients from crowding emergency departments, helping limit the virus' spread and preserving scarce resources needed to care for those severely impacted by the pandemic. From the start of the pandemic, the organization along with other Baylor Scott & White affiliates have invested and devoted many resources in developing and expanding its capabilities and infrastructure to care for the community during the pandemic. Baylor Scott & White facilities cared for over 25,000 COVID-19 admitted patients. As the vaccines were made available, the organization teamed up with other Baylor Scott & White affiliates to setup vaccination clinics and access points to administer over 573,000 vaccines doses to members of the North and Central Texas communities. Part VI, Line 6: The organization is affiliated with Baylor Scott & White Health (BSWH or the System), a faith based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the communities of North and Central Texas. BSWH is the largest not-for-profit health care system in the State of Texas and one of the largest in the United States as measured by total operating revenue of $11.7 Billion and total assets of $17.5 Billion based on the fiscal year ended June 30, 2021. Today, BSWH has over 1,100 patient care sites including 51 hospitals, 561 specialty care clinics, 195 outpatient clinics, 160 primary care clinics, 32 pharmacies, 29 ambulatory surgery centers, and more than 7,300 active physicians. The System includes a robust spectrum of owned, operated, ventured and other affiliated entities including philanthropic foundations, a research institute, physician clinics and networks, acute care hospitals, short-stay hospitals, specialty hospitals, ambulatory surgery centers, free standing emergency medical centers, free standing imaging centers, retail pharmacies, an accountable care organization, a health plan and other health care providers all which fall under the common control of Baylor Scott White Holdings. Under the guidance of an independent community board, the System follows one single mission, vision and values focusing on quality patient centered care while meeting the demands of health care reform, the changing needs of patients and extraordinary recent advances in clinical care. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation's exemplary health care organizations.Community benefits are provided through the provision of financial assistance, governmental sponsored programs (such as Medicaid and Medicare), medical research, medical education, community health improvement services, donations to other nonprofit health care providers, and many other community service activities. During the year, the affiliated nonprofit hospitals reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) of $930 Million. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) of $534 Million during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $459 Million of unreimbursed cost of Medicare as a community benefit that is not counted in the IRS Form 990, Schedule H. As part of the System, certain affiliates make grants and/or contributions to other related nonprofit affiliates to help financially support and/or fund worthy community benefits activities. The System has also established a patient transfer system among the affiliated hospitals allowing patients needing a particular level of care to be transferred as needed to a related hospital that can provide that service in an efficient and effective manner. As part of the System, all hospitals and other affiliated health care providers are required to adhere to high standards for medical quality, patient safety and patient satisfaction. These standards are set forth by Baylor Scott White Holdings, the organization's parent, which helps ensures consistency across the System.Technology is rapidly changing the way consumers and health care providers connect, which has enabled the development of new and innovative solutions that enhance the patient experience and support wellness and quality health care. The System is integrating these new technologies, programs and resources into the health information technology infrastructure through the Consumer Digital Experience. This initiative enhances the way consumers discover, decide and connect with the System; improves wellness and care outcomes through digitization and analytics; and enables support for specific measures for availability, geographic use and capacity needs. The Consumer Digital Experience includes video visits, mobile device apps and patient portals, putting a variety of health and wellness tools into the patient's hands. The growth strategy in this area is to create a virtual health capability where users can book an appointment, be treated on demand through a video or electronic visit, assemble their information and personalized profile, and find out where the nearest urgent walk-in clinic might be.As part of the large health system, resources can be shared across a large geographic footprint to reach large populations in a time of unprecedented need. For example, the system continued its focus and efforts in fighting the unexpected COVID-19 pandemic with detailed planning and preparations along with other Baylor Scott & White affiliated entities. From the beginning, BSWH teams began securing costly personal protection equipment and finding new innovative ways to adapt. The system's patient-centric focus began offering online screening for COVID-19, eVisits and drive-thru lab specimen collection sites performing over 769,000 COVID-19 tests across the system. This kept patients from crowding emergency departments, helping limit the virus' spread and preserving scarce resources needed to care for those severely impacted by the pandemic. From the start of the pandemic, the organization along with other Baylor Scott & White affiliates have invested and devoted many resources in developing and expanding its capabilities and infrastructure to care for the community during the pandemic. Baylor Scott & White facilities cared for over 25,000 COVID-19 admitted patients. As the vaccines were made available, the organization teamed up with other Baylor Scott & White affiliates to setup vaccination clinics and access points to administer over 573,000 vaccines doses to members of the North and Central Texas communities. Part VI, Line 7, Reports Filed With States TX 1 Ellis County Coalition for Health Options dba Hope Clinic 411 E Jefferson Street Waxahachie TX 75165 752813621 501(c)(3) 25000 N/A N/A Indigent Care 1 0 Part I, Line 2: Monitoring Grants & Other Assistance: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of the organization's charitable mission and one of the following criteria for use of these funds is met: (1) Fulfills a need identified by a community needs assessment conducted by the organization and/or outlined in an implementation strategy, (2) Serves an under-served community or group of people through medical mission work to improve their health status (3) promotes health in the community, (4) supports community buildings activities that protect or improves the community's health or safety and/or (5) provides positive visibility and good community relations with other organization serving the health needs of the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BSWH which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are typically monitored by personal inspection. Examples include providing assistance to entities where the filing organization's employee serves as a Board Member for the recipient organization or through attendance at community events where the filing organization employees work as volunteers or to help coordinate these events. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Scott Peek Trustee 0 533686 0 468874 0 13416 0 183234 0 28779 0 1227989 0 77027 Christopher York Former Officer 0 392345 0 308733 0 33594 0 148899 0 27128 0 910699 0 65517 Thomas G Ledbetter MD SVP CMO 406307 16488 92710 0 43316 117129 14433 2529 23070 926 579836 137072 33897 116697 William Turner President/CEO 290907 0 135728 0 11710 0 77261 0 23979 0 539585 0 0 0 Paul Madeley MD Trustee 0 364734 0 0 0 73264 0 14250 0 23711 0 475959 0 0 Amy Wilson MD Trustee 0 355508 0 75020 0 1614 0 14250 0 27097 0 473489 0 0 Jason Whitfield VP CFO (thru 2/28/21) 0 307604 0 76370 0 1382 0 46720 0 28822 0 460898 0 0 Grant Teegarden Secretary 0 263839 0 96050 0 1384 0 37564 0 28236 0 427073 0 0 Cheryl McMullan Former Officer 0 173116 0 32389 0 1030 0 9026 0 18879 0 234440 0 0 Robin McCommons Director Surgical Svcs 110019 56016 0 31071 211 115 1527 0 17620 7907 129377 95109 0 0 Elizabeth Ortiz VP CNO (eff 6/22/20) 172647 0 30356 0 644 0 8709 0 9816 0 222172 0 0 0 Lynn Whitehair Director Cancer Center 76113 0 0 0 126261 0 4051 0 9881 0 216306 0 0 0 Cindy Murray VP CNO (thru 7/4/20) 102078 0 58997 0 23996 0 6401 0 5647 0 197119 0 0 0 Justin Pond Director Operations 147242 0 34828 0 118 0 7423 0 1520 0 191131 0 0 0 Rebecca Hutchison Director Lab 58265 0 22832 0 94050 0 3141 0 10795 0 189083 0 0 0 Judith Williams Director Nursing Professional Develo 53717 0 0 0 117955 0 3500 0 10854 0 186026 0 0 0 Part I, Line 1a Discretionary spending account-The organization provides eligible employees certain monthly expense allowances in lieu of reimbursement for actual expenses under the organization's business travel and expense reimbursement policy. This may include providing an auto expense allowance for business mileage for those who travel frequently in their personal vehicle or a cell phone allowance for individuals who are required to use their mobile phone for business purposes. All expense allowances are treated as taxable compensation. Two of the persons listed in the Form 990, Part VII, Section A, received these benefits during the tax year. Part I, Line 3 Process for determining compensation: The organization, a controlled affiliate of Baylor Scott & White Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the Baylor Scott & White Holdings Board of Trustees and its Compensation Committee to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the Baylor Scott & White Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers explicitly held by Baylor Scott & White Holdings, works directly with an independent compensation consultant(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and other officers and key employees to ensure total compensation is within a fair market range. The annual review included reviewing certain officers and key employees listed on the Form 990 during the current tax year. The Compensation Committee is made up of members of the Baylor Scott & White Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation consultant(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Compensation Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision-making process, the Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation consultant(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings. Part I, Lines 4a-b Severance or Change of Control Payments: The following individuals received a severance payment from the organization: Judith Williams ($106,629), Lynn Whitehair ($125,960) and Rebecca Hutchison ($93,500). Supplemental Nonqualified Retirement Plan: In order to recruit and retain key talent, BSW Holdings and certain tax exempt affiliates (BSWH) offers a supplemental non-qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BSWH's supplemental non-qualified retirement plan during the tax year: Christopher York, Grant Teegarden, Jason Whitfield, Paul Madeley, M.D. ($73,265), Scott Peek, Thomas G Ledbetter, M.D. ($150,594) and William Turner. Part I, Line 7 The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BSW Holdings' governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data. Form 990, Schedule J, Part III Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable. Chris Ledbetter Family Member of Thomas G. Ledbetter, M.D. (key employee) 37759 Employee Compensation 0 Melanie P Turner Family Member of William Turner (officer) 68958 Employee Compensation 0 Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor Health Care System, a tax exempt, Texas nonprofit corporation, is the sole member. Form 990, Part VI, Section A, line 7a Election of members of governing body by members, stockholders, or other persons: Baylor Scott & White Holdings (BSW Holdings), a tax exempt, Texas nonprofit corporation, is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: All rights and powers are reserved to the organization's ultimate parent, BSW Holdings, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, BSW Holdings' substantial reserved rights and powers include, without limitation, approval of the organization's certificate of formation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section B, line 11b Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Process used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements, employed physicians, persons who participate in the design, coordination, conduct, or reporting of research on behalf of BSWH, and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings Board of Trustees Audit and Compliance Committee and the BSW Holdings Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual. Form 990, Part VI, Section B, line 15 Process for determining compensation: The organization, a controlled affiliate of Baylor Scott & White Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the Baylor Scott & White Holdings Board of Trustees and its Compensation Committee to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the Baylor Scott & White Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers explicitly held by Baylor Scott & White Holdings, works directly with an independent compensation consultant(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and other officers and key employees to ensure total compensation is within a fair market range. The annual review included reviewing certain officers and key employees listed on the Form 990 during the current tax year. The Compensation Committee is made up of members of the Baylor Scott & White Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation consultant(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Compensation Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision-making process, the Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation consultant(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings. Form 990, Part VI, Section C, line 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's certificate of formation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BSW Holdings that are made available to the public by the posting of those documents through DAC Bond and are attached to this return. The organization's other governing documents and conflicts of interest policy are not made available to the public. Form 990, Part VII, Hours Devoted to Related Organizations: During the year, employees may transfer to or from a related organization. In those cases, 40 hours per week is reflected at both the reporting organization and related organizations to reflect the average of hours they devoted to each respective organization before and after the transfer. Form 990, Part IX, line 11g Contract Labor: Program service expenses 5,870,574. Management and general expenses 3,993. Fundraising expenses 0. Total expenses 5,874,567. Other Purchased Services: Program service expenses 16,251,469. Management and general expenses 325,120. Fundraising expenses 0. Total expenses 16,576,589. Repairs & Maintenance: Program service expenses 288,711. Management and general expenses 0. Fundraising expenses 0. Total expenses 288,711. Professional Fees: Program service expenses 4,858,524. Management and general expenses 93,293. Fundraising expenses 0. Total expenses 4,951,817. Lab Fees: Program service expenses 2,942,348. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,942,348. Indigent Care: Program service expenses 278. Management and general expenses 0. Fundraising expenses 0. Total expenses 278. Corporate Overhead: Program service expenses 0. Management and general expenses 22,183,477. Fundraising expenses 0. Total expenses 22,183,477. Form 990, Part XI, line 9: Changes in Net Assets of Related Foundation -199,063. Self Insurance Liability Reserve -893,957. Supplemental Information: IRC Section 6038 Statement: Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Form 5471 for this CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 301 N. Washington Avenue, Dallas, TX 75246 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed All Saints Health Foundation 301 N Washington Avenue Dallas TX 75246 751947007 Fundraising TX 501(c)(3) Line 7 Baylor All Saints Medical Center 1 Baylor All Saints Medical Center 301 N Washington Avenue Dallas TX 75246 751008430 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Health Care System 301 N Washington Avenue Dallas TX 75246 751812652 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Health Care System Employee Benefit Trust 301 N Washington Avenue Dallas TX 75246 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 Baylor Health Care System Foundation 301 N Washington Avenue Dallas TX 75246 751606705 Fundraising TX 501(c)(3) Line 7 Baylor Health Care System 1 Baylor Institute for Rehabilitation at Gaston Episcopal Hosp 301 N Washington Avenue Dallas TX 75246 751037226 Rehabilitation Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Carrollton 301 N Washington Avenue Dallas TX 75246 454510252 Former Hospital/Wind Down TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Irving 301 N Washington Avenue Dallas TX 75246 752586857 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Centers at Garland and McKinney 301 N Washington Avenue Dallas TX 75246 751037591 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Grapevine 301 N Washington Avenue Dallas TX 75246 751777119 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Plano 301 N Washington Avenue Dallas TX 75246 820551704 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Research Institute 301 N Washington Avenue Dallas TX 75246 751921898 Research TX 501(c)(3) Line 4 Baylor Health Care System 1 Baylor Scott & White Health 301 N Washington Avenue Dallas TX 75246 463131350 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Scott & White Holdings 301 N Washington Avenue Dallas TX 75246 463130985 Parent TX 501(c)(3) Line 12b, II N/A 0 Baylor University Medical Center 301 N Washington Avenue Dallas TX 75246 751837454 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 HealthTexas Provider Network 301 N Washington Avenue Dallas TX 75246 752536818 Physician Services TX 501(c)(3) Line 3 Baylor Health Care System 1 Hillcrest Baptist Medical Center 301 N Washington Avenue Dallas TX 75246 741161944 Hospital TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 301 N Washington Avenue Dallas TX 75246 742730350 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 301 N Washington Avenue Dallas TX 75246 742967081 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 301 N Washington Avenue Dallas TX 75246 751570933 Fundraising TX 501(c)(3) Line 7 Baylor Medical Center at Irving 1 Scott & White Clinic 301 N Washington Avenue Dallas TX 75246 742958277 Physician Services TX 501(c)(3) Line 10 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 301 N Washington Avenue Dallas TX 75246 202850920 Long Term Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White EMS Inc 301 N Washington Avenue Dallas TX 75246 753242749 Emergency Transport TX 501(c)(3) Line 10 Scott & White Memorial Hospital 1 Scott & White Foundation-Brenham 301 N Washington Avenue Dallas TX 75246 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Scott and White Health Plan 301 N Washington Avenue Dallas TX 75246 742052197 HMO TX 501(c)(4) Baylor Scott & White Holdings 1 Scott & White Healthcare 301 N Washington Avenue Dallas TX 75246 264532547 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Scott & White Healthcare Foundation 301 N Washington Avenue Dallas TX 75246 273513154 Fundraising TX 501(c)(3) Line 7 Scott & White Healthcare 1 Scott & White Hospital-Brenham 301 N Washington Avenue Dallas TX 75246 742519752 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 301 N Washington Avenue Dallas TX 75246 274434451 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Llano 301 N Washington Avenue Dallas TX 75246 273026151 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Marble Falls 301 N Washington Avenue Dallas TX 75246 464007700 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 301 N Washington Avenue Dallas TX 75246 203749695 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Taylor 301 N Washington Avenue Dallas TX 75246 741595711 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Memorial Hospital 301 N Washington Avenue Dallas TX 75246 741166904 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Southern Sector Health Initiative 301 N Washington Avenue Dallas TX 75246 263087442 Diabetes Health & Wellness Center TX 501(c)(3) Line 12a, I Baylor University Medical Center 1 Baylor Scott & White Medical Centers-Capitol Area 301 N Washington Avenue Dallas TX 75246 813040663 Hospital TX 501(c)(3) Line 3 Baylor Scott & White Health 1 Century Integrated Partners Inc 301 N Washington Avenue Dallas TX 75246 810872075 Physician Services/Emergency Care TX 501(c)(3) Line 3 Baylor University Medical Center 1 Baylor Scott & White Medical Center - Centennial 301 N Washington Avenue Dallas TX 75246 824052186 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Scott & White Care Plans 301 N Washington Avenue Dallas TX 75246 822794853 HMO TX 501(c)(4) Scott and White Health Plan 1 Lake Pointe Operating Company LLC 301 N Washington Avenue Dallas TX 75246 260194016 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Arlington Ortho & Spine Hospital LLC 14201 Dallas Parkway Dallas TX 75254 261578178 Hospital TX N/A 0 0 Baylor Affiliated Services LLC 301 N Washington Avenue Dallas TX 75246 260614730 Benefit Plans TX N/A 0 0 Baylor Heart and Vascular Center LLP 301 N Washington Avenue Dallas TX 75246 752834135 Specialty Hospital TX N/A 0 0 Baylor Surgicare at Ennis LLC 14201 Dallas Parkway Dallas TX 75254 274202856 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Granbury LLC 14201 Dallas Parkway Dallas TX 75254 263896477 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Mansfield LLC 14201 Dallas Parkway Dallas TX 75254 271835675 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Plano Parkway LLC 14201 Dallas Parkway Dallas TX 75254 274282604 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Plano LLC 14201 Dallas Parkway Dallas TX 75254 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