STRATEGY STUDIO / PUBLIC DATA EXPLORER

SOUTHERN SECTOR HEALTH INITIATIVE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN SECTOR HEALTH INITIATIVE (EIN 26-3087442)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202241369349308494
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T13:32:10-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263087442EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Southern Sector Health InitiativeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone2148204135PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Washington AvenueAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75246ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVenita OwensPersonNm
Person TitlePresidentPersonTitleTxt
Phone2148204135PhoneNum
Signature2022-05-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstVenitaPersonFirstNm
Person LastOwensPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Baylor Scott & White Health and Wellness CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerVenita OwensPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 Spring AveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,886,442GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bswhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionFaith based community health and wellness center providing exemplary patient care to people with diabetes by creating a new care model focused on health care, education, and research in South Dallas.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee80TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,790,376PYContributionsGrantsAmt
CY Contributions Grants$5,687,922CYContributionsGrantsAmt
PY Program Service Revenue$198,545PYProgramServiceRevenueAmt
CY Program Service Revenue$173,649CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$43,422PYOtherRevenueAmt
CY Other Revenue-$23,268CYOtherRevenueAmt
PY Total Revenue$5,945,499PYTotalRevenueAmt
CY Total Revenue$5,838,303CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,842,206PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,213,065CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,812,560PYOtherExpensesAmt
CY Other Expenses$2,467,859CYOtherExpensesAmt
PY Total Expenses$6,654,766PYTotalExpensesAmt
CY Total Expenses$5,684,924CYTotalExpensesAmt
PY Revenues Less Expenses-$709,267PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$153,379CYRevenuesLessExpensesAmt
Total Assets BOY$2,587,970TotalAssetsBOYAmt
Total Assets EOY$2,976,114TotalAssetsEOYAmt
Total Liabilities BOY$979,020TotalLiabilitiesBOYAmt
Total Liabilities EOY$587,761TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,608,950NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,388,353NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFounded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,614,669ExpenseAmt
Grant$4,000GrantAmt
Revenue$172,667RevenueAmt
DescSee Schedule OSouthern Sector Health Initiative (SSHI) operates under its dba name, the Baylor Scott & White Health and Wellness Center at Juanita J Craft Recreation Center (BSW HWC), formerly known as the Diabetes Health and Wellness Institute at the Juanita J. Craft Recreation Center. BSW HWC is located in southern Dallas and serves a population comprising 60% African-Americans and 40% Hispanics. SSHI is organized to improve care for people with chronic conditions, including diabetes, by operating a new care model focused on clinical care, education and wellness in South Dallas. The Center, a public-private partnership between Baylor Scott & White Health and the City of Dallas, took on the challenge of the alarming growth rate of diabetes in the southern sector. The strategy included addressing the social and physical determinants that affect population health, and the removal or reduction of various barriers to health improvements in this community. Building an atmosphere of inclusion, fostering trust, credibility, culture, adaptability, and commitment was needed to accomplish this task. SSHI 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.As stated in its Mission Statement "Founded as a Christian Ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. The Ambition Statement is "to be the trusted leader, educator, and innovator in value-based care delivery, customer experience and affordability". The BSWH vision is: "To be the most trusted name in giving and receiving safe, quality, compassionate healthcare."The initial vision statement of BSW HWC, laid the foundation for shaping a care model fulfilling the mission - "improving the lives of people with diabetes by creating a new care model focused on health care, education and research". The platform to achieve the vision required forward-thinking leaders whose adherence to the stated vision and careful selection of a Board of Trustees set BSW HWC on a course to create a diabetes 'Center of Excellence' for the southern sector Dallas community. Core Principles for this new model of care included: 1) Trust: To build a foundation of trust with community members and community organizations, 2) Partners: To work alongside community organizations and residents of south Dallas as collaborative partners together in developing programs and services, 3) Empowerment: To develop programs and services that enable residents to have better control of their health and their health outcomes so that healthy behaviors are woven into the fabric of the community, 4) Support: To provide preventative and health management resources to help the community to grow healthier and get better, 5) Culture: To consider and seek to understand the culture of the community addressing their health and wellness needs, and 6) Access: To provide access to clinical care, preventive health and wellness programs.The success of BSW HWC was insured through the infusion of the voice of the community, a voice crucial to the acceptance and success of the programs and services developed to achieve the vision. The voice of the community is incorporated by key stakeholders via the Centers' Ministerial Advisory Board (MAB) and Community Advisory Board (CAB), which where both established at inception of the facility.BSW HWC's integrative care model includes an on-site physician and nurse practitioner, visiting medical specialists, referral coordinators for specialty and ancillary care, diabetes management educators, access to affordable chronic disease and diabetes medications, nutrition and healthy cooking classes and physical activity programs including aerobics, walking clinics and weight training. One analysis (of a five-year study) showed a 21% reduction in emergency room use among a sample of BSW HWC members using a pre/post-enrollment comparison. A 37% reduction was shown for inpatient visits among a sample of BSW HWC members using the same pre/post-enrollment comparison and the data was published in Health Affairs. The BSW HWC enlists the assistance of Community Health Workers (CHW), also known as Diabetes PEERS (Prevention, Empowerment, Education, Resources, Support). These trained community members act as mediators between health care, social services and the community to assist with outreach, patient navigation/follow-up, community health education/information, informal counseling, social support, advocacy and participation in clinical research. The Diabetes PEERS program allows the BSW HWC to tackle the myths about chronic diseases including diabetes and provides education and support in the prevention and management of chronic disease in high-risk communities. BSW HWC provides 160 hours of fee-based CHW and Instructor training and CHW Continuing Education Units (CEUs) certified by the State of Texas and approved by the Texas Department of State Health Services. During the pandemic, BSWH HWC adapted programs and services to virtual platforms, including online ordering and curb-side pickup for the Farm Stand at its flagship location and one church location, which reported a total of 24,246 pounds distributed to the community. The Farm Stand program, which has expanded to nine locations within the community, was forced to reduce locations during the pandemic, but still provide service to the community. These Farm Stands address the lack of local healthy food options by offering fresh fruits and vegetables at low-cost to residents of the community. Poor food access is a major contributor to health disparities, disproportionately high rates of disease, and other health problems among low-income communities. In 2020 the BSW HWC's Farm Stands offered pre-bagged produce items as well as healthy recipes with tasting samples to 6,736 visiting patrons with the goal of promoting healthy cooking and eating at home. In 2021 the Farm Stand remained a viable source for the community with 3,049 Farm Stand encounters. In 2021 the growth continues and the efforts have paid huge dividends for this underserved population, with more than 7,401 community members participating in BSW HWC programs. By 2021 BSW HWC increased its impact in the community, where its cumulative outreach encounters reached 139,162 including special events. BSW HWC is among the few programs in Texas fully recognized by the Centers for Disease Control for its Diabetes Prevention Programs. In addition to this recognition, national and local awards include: the Healthcare Leadership Council's Wellness Frontiers Award for its public-private partnership with the City of Dallas; the American Hospital Associations' Nova Award for community-based innovation; and the D CEO Magazines' Excellence in Healthcare Achievement in Community Outreach, and The Morehouse School of Medicine, National Center for Primary Care Partnership for Diabetes Health Equity Award. BSW HWC has established itself as an incubator for population health with a goal to improve the health of the city one person, one family, and one community at a time.Desc
Total Program Service Expenses$4,614,669TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee80EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAngie HutsonPersonNm
Phone2148201075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Washington AvenueAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75246ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Scott Peek
Director1.0040.00Yes (X)$0$1,015,976$212,013
Christina Norris
Director1.000.00Yes (X)$0$0$0
David H Cain
Director1.000.00Yes (X)$0$0$0
Debbie Dennis
Director/Chair1.000.00Yes (X)$0$0$0Yes (X)
Robert Estrada
Director1.000.00Yes (X)$0$0$0
Ron E Calhoun MD
Director1.000.00Yes (X)$0$0$0
Sharon King
Director/Secretary1.000.00Yes (X)$0$0$0Yes (X)
Tiffinni A Young
Director/Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Wendy Parnell MD
Director1.000.00Yes (X)$0$0$0
Yolanda Lawson MD
Director1.000.00Yes (X)$0$0$0
Venita Owens
President40.000.00$256,849$0$36,037Yes (X)
Heather Kitzman Carmichael
Director Clinical Research40.000.00$146,391$0$31,182Yes (X)
Andrea Harris
Director Operations40.000.00$119,323$0$5,848Yes (X)
Donald Wesson MD
Former Officer40.000.00$571,250$0$48,530Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,093,813TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,015,976TotReportableCompRltdOrgAmt
Total Other Compensation$333,610TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HealthTexas Provider Network
301 N Washington AveDallasTX75246Clinical/Administrative$892,857
Kelly Services
P O Box 530437AtlantaGA303530437Staffing Services$123,259
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$98,450FundraisingAmt
Related Organizations$5,589,472RelatedOrganizationsAmt
Total Contributions$5,687,922TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCommunity EducationDesc
Business611710BusinessCd
Total Revenue Column$173,649TotalRevenueColumnAmt
Related Or Exempt Func Income$173,649RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$173,649TotalProgramServiceRevenueAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$98,450ContriRptFundraisingEventAmt
Fundraising Direct Expenses$22,286FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,286TotalRevenueColumnAmt
Exclusion-$22,286ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$24,871GrossSalesOfInventoryAmt
Cost Of Goods Sold$25,853CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$982TotalRevenueColumnAmt
Related Or Exempt Func Income-$982RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,838,303TotalRevenueColumnAmt
Related Or Exempt Func Income$172,667RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$22,286ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$366,091TotalAmt
Program Services$256,264ProgramServicesAmt
Management And General$109,827ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,195,107TotalAmt
Program Services$1,858,183ProgramServicesAmt
Management And General$336,924ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$80,795TotalAmt
Program Services$67,150ProgramServicesAmt
Management And General$13,645ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$376,631TotalAmt
Program Services$313,020ProgramServicesAmt
Management And General$63,611ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$194,441TotalAmt
Program Services$165,870ProgramServicesAmt
Management And General$28,571ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,614TotalAmt
Management And General$1,614ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,660,517TotalAmt
Program Services$1,146,235ProgramServicesAmt
Management And General$514,282ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,078TotalAmt
Program Services$68,078ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,771TotalAmt
Program Services$57,916ProgramServicesAmt
Management And General$855ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$213,908TotalAmt
Program Services$213,861ProgramServicesAmt
Management And General$47ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$117,596TotalAmt
Program Services$117,596ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,308TotalAmt
Program Services$1,241ProgramServicesAmt
Management And General$67ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,415TotalAmt
Program Services$3,415ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$230,509TotalAmt
Program Services$230,509ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$709TotalAmt
Management And General$709ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Non-Medical Supplies$61,869$61,869
Special Functions$22,717$22,717
Medical Supplies$21,527$21,527
Dues & Memberships$3,885$3,885

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,436TotalAmt
Program Services$1,333ProgramServicesAmt
Management And General$103ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,684,924TotalAmt
Program Services$4,614,669ProgramServicesAmt
Management And General$1,070,255ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,050BOYAmt
EOY$1,050EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$128,250BOYAmt
EOY$268,381EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$164,599BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,241,996LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,743,832LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,719,037BOYAmt
EOY$1,498,164EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$575,034BOYAmt
EOY$1,208,519EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,587,970BOYAmt
EOY$2,976,114EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$979,020BOYAmt
EOY$587,761EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$979,020BOYAmt
EOY$587,761EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,033,916BOYAmt
EOY$1,179,834EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$575,034BOYAmt
EOY$1,208,519EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,608,950BOYAmt
EOY$2,388,353EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,587,970BOYAmt
EOY$2,976,114EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$153,379ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$626,024OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Baylor University Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN751837454EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$395GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,614DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$2,009TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationStatement 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.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,515,069OtherCostOrOtherBasisAmt
Depreciation$2,136,836DepreciationAmt
Book Value$1,378,233BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$726,927OtherCostOrOtherBasisAmt
Depreciation$606,996DepreciationAmt
Book Value$119,931BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,498,164TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescInterest in Net Assets of Related FoundationDesc
Book Value$1,208,519BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,208,519TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Chef Cook OffEvent1Nm
Gross Receipts Event1$98,450GrossReceiptsEvent1Amt
Charitable Contri Event1$98,450CharitableContriEvent1Amt
Non Cash Prizes Event1$3,621NonCashPrizesEvent1Amt
Other Direct Expenses Event1$18,665OtherDirectExpensesEvent1Amt
Gross Receipts Total$98,450GrossReceiptsTotalAmt
Charitable Contributions Tot$98,450CharitableContributionsTotAmt
Non Cash Prizes Total Events$3,621NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events$18,665OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$22,286DirectExpenseSummaryEventsAmt
Net Income Summary-$22,286NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Scott Peek
Director$0$533,686$0$468,874$0$13,416$0$183,234$0$28,779$0$1,227,989$0$77,027
Donald Wesson MD
Former Officer$163,309$0$0$0$407,941$0$38,372$0$10,158$0$619,780$0$0$0
Venita Owens
President$196,269$0$59,621$0$959$0$9,847$0$26,190$0$292,886$0$0$0
Heather Kitzman Carmichael
Director Clinical Research$116,187$0$30,029$0$175$0$6,272$0$24,910$0$177,573$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax indemnification and gross-up payments-The organization provides tax indemnification where the BSW Holdings' CEO, COO or CFO determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Discretionary spending account-The organization provides eligible employees who travel frequently in their personal vehicle an auto expense allowance in lieu of reimbursement for business mileage under the organization's business travel and expense reimbursement policy. All auto expense allowances are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Health or social club dues or initiation fees-The organization may reimburse eligible employees for dues for a health club and/or a social club where there is a bona fide business need for the membership. For example, as part of the organization's promotion of health, the organization will cover a portion of any employees' fitness center club membership dues paid to an affiliated entity that owns and operates a fitness center. All employees are eligible for this benefit. Such reimbursements are treated as taxable compensation to the extent any part of the membership is used for personal use. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 3Process 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-bSeverance or Change of Control Payments: Donald Wesson, M.D. received a severance payment of $348,863 from the organization. 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: Donald Wesson, M.D. (298,525) and Scott Peek.
Part I, Line 7The 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 IIISupplemental 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor University Medical Center ("BUMC"), a tax exempt, Texas nonprofit corporation, is the sole member.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: The sole member, BUMC, appoints and removes the members of the governing body.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: The sole member, BUMC, has final authority over certain decisions/powers of the organization such as approval of the organization's certificate of formation and bylaws and amendments thereto, appointment and removal of the members of the governing body, approval of dissolutions and mergers, and other similar decisions/powers over the organization.
Form 990, Part VI, Section B, line 11bProcess 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 12cProcess 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 15aProcess 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 19Process 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. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part IX, line 11gContract Labor: Program service expenses 53,172. Management and general expenses 17,722. Fundraising expenses 0. Total expenses 70,894. Other Purchased Services: Program service expenses 125,525. Management and general expenses 120. Fundraising expenses 0. Total expenses 125,645. Repairs & Maintenance: Program service expenses 8,276. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,276. Professional Fees: Program service expenses 77,596. Management and general expenses 0. Fundraising expenses 0. Total expenses 77,596. Indigent Care: Program service expenses 881,666. Management and general expenses 0. Fundraising expenses 0. Total expenses 881,666. Corporate Overhead: Program service expenses 0. Management and general expenses 496,440. Fundraising expenses 0. Total expenses 496,440.
Form 990, Part XI, line 9:Changes in Net Assets of Related Foundation 633,485. Self Insurance Liability Reserve -7,461.
Supplemental Information: 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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
All Saints Health Foundation
301 N Washington AvenueDallasTX75246751947007FundraisingTX501(c)(3)Line 7Baylor All Saints Medical CenterYes (1)
Baylor All Saints Medical Center
301 N Washington AvenueDallasTX75246751008430HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Health Care System
301 N Washington AvenueDallasTX75246751812652Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Baylor Health Care System Employee Benefit Trust
301 N Washington AvenueDallasTX75246751848557VEBATX501(c)(9)Baylor Health Care SystemYes (1)
Baylor Health Care System Foundation
301 N Washington AvenueDallasTX75246751606705FundraisingTX501(c)(3)Line 7Baylor Health Care SystemYes (1)
Baylor Institute for Rehabilitation at Gaston Episcopal Hosp
301 N Washington AvenueDallasTX75246751037226Rehabilitation HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Carrollton
301 N Washington AvenueDallasTX75246454510252Former Hospital/Wind DownTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Irving
301 N Washington AvenueDallasTX75246752586857HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Waxahachie
301 N Washington AvenueDallasTX75246751844139HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Centers at Garland and McKinney
301 N Washington AvenueDallasTX75246751037591HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Grapevine
301 N Washington AvenueDallasTX75246751777119HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Plano
301 N Washington AvenueDallasTX75246820551704HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Research Institute
301 N Washington AvenueDallasTX75246751921898ResearchTX501(c)(3)Line 4Baylor Health Care SystemYes (1)
Baylor Scott & White Health
301 N Washington AvenueDallasTX75246463131350Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Baylor Scott & White Holdings
301 N Washington AvenueDallasTX75246463130985ParentTX501(c)(3)Line 12b, II0N/A
Baylor University Medical Center
301 N Washington AvenueDallasTX75246751837454HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
HealthTexas Provider Network
301 N Washington AvenueDallasTX75246752536818Physician ServicesTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Hillcrest Baptist Medical Center
301 N Washington AvenueWacoTX75246741161944HospitalTX501(c)(3)Line 3Scott & White Memorial HospitalYes (1)
Hillcrest Family Health Center
301 N Washington AvenueWacoTX75246742730350Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Hillcrest Physician Services
301 N Washington AvenueWacoTX75246742967081Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Irving Healthcare Foundation
301 N Washington AvenueDallasTX75246751570933FundraisingTX501(c)(3)Line 7Baylor Medical Center at IrvingYes (1)
Scott & White Clinic
301 N Washington AvenueTempleTX75246742958277Physician ServicesTX501(c)(3)Line 10Scott & White HealthcareYes (1)
Scott & White Continuing Care Hospital
301 N Washington AvenueTempleTX75246202850920Long Term Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White EMS Inc
301 N Washington AvenueTempleTX75246753242749Emergency TransportTX501(c)(3)Line 10Scott & White Memorial HospitalYes (1)
Scott & White Foundation-Brenham
301 N Washington AvenueTempleTX75246742460815FundraisingTX501(c)(3)Line 7Scott & White Hospital-BrenhamYes (1)
Scott and White Health Plan
301 N Washington AvenueTempleTX75246742052197HMOTX501(c)(4)Baylor Scott & White HoldingsYes (1)
Scott & White Healthcare
301 N Washington AvenueTempleTX75246264532547Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Scott & White Healthcare Foundation
301 N Washington AvenueTempleTX75246273513154FundraisingTX501(c)(3)Line 7Scott & White HealthcareYes (1)
Scott & White Hospital-Brenham
301 N Washington AvenueTempleTX75246742519752HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-College Station
301 N Washington AvenueTempleTX75246274434451HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Llano
301 N Washington AvenueTempleTX75246273026151HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Marble Falls
301 N Washington AvenueTempleTX75246464007700HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Round Rock
301 N Washington AvenueTempleTX75246203749695HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Taylor
301 N Washington AvenueTempleTX75246741595711HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Memorial Hospital
301 N Washington AvenueTempleTX75246741166904HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Baylor Scott & White Medical Centers-Capitol Area
301 N Washington AvenueTempleTX75246813040663HospitalTX501(c)(3)Line 3Baylor Scott & White HealthYes (1)
Century Integrated Partners Inc
301 N Washington AvenueDallasTX75246810872075Physician Services/Emergency CareTX501(c)(3)Line 3Baylor University Medical CenterYes (1)
Baylor Scott & White Medical Center - Centennial
301 N Washington AvenueDallasTX75246824052186HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Scott & White Care Plans
301 N Washington AvenueTempleTX75246822794853HMOTX501(c)(4)Scott and White Health PlanYes (1)
Lake Pointe Operating Company LLC
301 N Washington AvenueDallasTX75246260194016HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (55 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Arlington Ortho & Spine Hospital LLC
14201 Dallas ParkwayDallasTX75254261578178HospitalTXN/A00
Baylor Affiliated Services LLC
301 N Washington AvenueDallasTX75246260614730Benefit PlansTXN/A00
Baylor Heart and Vascular Center LLP
301 N Washington AvenueDallasTX75246752834135Specialty HospitalTXN/A00
Baylor Surgicare at Baylor Plano LLC
14201 Dallas ParkwayDallasTX75254813127185Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Blue Star LLC
14201 Dallas ParkwayDallasTX75254814638201Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Ennis LLC
14201 Dallas ParkwayDallasTX75254274202856Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Granbury LLC
14201 Dallas ParkwayDallasTX75254263896477Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Mansfield LLC
14201 Dallas ParkwayDallasTX75254271835675Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at North Dallas LLC
14201 Dallas ParkwayDallasTX75254752900902Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Plano Parkway LLC
14201 Dallas ParkwayDallasTX75254274282604Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Plano LLC
14201 Dallas ParkwayDallasTX75254260308454Ambulatory Surgery CenterTXN/A00
Bellaire Outpatient Surgery Center LLP
14201 Dallas ParkwayDallasTX75254562297308Ambulatory Surgery CenterTXN/A00
BIR JV LLP
4714 Gettysburg RdMechanicsburgPA17055274586141Rehabilitation HospitalsTXN/A00
Blue Stone Frisco JV LLP
1431 Perrone WayFranklinTN37069812480586Outpatient Imaging CentersTXN/A00
Blue Stone JV LLP
1431 Perrone WayFranklinTN37069474798129Outpatient Imaging CentersTXN/A00
BT East Dallas JV LLP
301 N Washington AvenueDallasTX75246475119983Former Hospital/Wind DownTXN/A00
BT Garland JV LLP
301 N Washington AvenueDallasTX75246475009342Former Hospital/Wind DownTXN/A00
BTDI JV LLP
1431 Perrone WayFranklinTN37069462908086Outpatient Imaging CentersTXN/A00
Centennial ASC LLC
14201 Dallas ParkwayDallasTX75254352199232Ambulatory Surgery CenterTXN/A00
Dallas Surgical Partners LLC
14201 Dallas ParkwayDallasTX75254722183815Ambulatory Surgery CenterTXN/A00
Denton Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752708579Ambulatory Surgery CenterTXN/A00
Desoto Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752592508Ambulatory Surgery CenterTXN/A00
EBD JV LLP
8686 New Trails Dr Suite 100The WoodlandsTX77381455434614Free Standing Emergency HospitalsTXN/A00
Frisco Medical Center LLP
14201 Dallas ParkwayDallasTX75254752865177HospitalTXN/A00
Ft Worth Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752658178HospitalTXN/A00
Garland Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752764855Ambulatory Surgery CenterTXN/A00
Grapevine Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752854711Ambulatory Surgery CenterTXN/A00
HealthTexas Provider Network-Gastro Serv LLP
301 N Washington AvenueDallasTX75246731697736Ambulatory Surgery CenterTXN/A00
Heritage Park Surgical Hospital LLC
14201 Dallas ParkwayDallasTX75254611762781HospitalTXN/A00
Irving Coppell Surgical Hospital LLP
14201 Dallas ParkwayDallasTX75254542086863HospitalTXN/A00
Lewisville Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752862263Ambulatory Surgery CenterTXN/A00
Lone Star Endoscopy Center LLC
14201 Dallas ParkwayDallasTX75254273635726Ambulatory Surgery CenterTXN/A00
MEDCO Construction LLC
301 N Washington AvenueDallasTX75246205965871InactiveTXN/A00
Metrocrest Surgery Center LP
14201 Dallas ParkwayDallasTX75254030380493Ambulatory Surgery CenterTXN/A00
Metroplex Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752567179Ambulatory Surgery CenterTXN/A00
MSH Partners LLC
14201 Dallas ParkwayDallasTX75254752829613HospitalTXN/A00
North Central Surgical Center LLP
14201 Dallas ParkwayDallasTX75254201508140HospitalTXN/A00
North Garland Surgery Center LLP
14201 Dallas ParkwayDallasTX75254562399993Ambulatory Surgery CenterTXN/A00
Park Cities Surgery Center LLC
14201 Dallas ParkwayDallasTX75254562357079Ambulatory Surgery CenterTXN/A00
Physicians Surgical Center of Ft Worth LLP
14201 Dallas ParkwayDallasTX75254208303422Ambulatory Surgery CenterTXN/A00
Rockwall Ambulatory Surgery Center LLP
14201 Dallas ParkwayDallasTX75254205506447Ambulatory Surgery CenterTXN/A00
Specialty Surgery Center of Fort Worth LP
14201 Dallas ParkwayDallasTX75254201942281InactiveTXN/A00
Surgery Center of Richardson Phys Pship LP
14201 Dallas ParkwayDallasTX75254200606781InactiveTXN/A00
Texas Endoscopy Centers LLC
14201 Dallas ParkwayDallasTX75254470985876Ambulatory Surgery CenterTXN/A00
Texas Health Ventures Group LLC
14201 Dallas ParkwayDallasTX75254752696845Holds interests in ASCs/ Short Stay HospitalsTXN/A00
Texas Heart Hospital of the Southwest LLP
301 N Washington AvenueDallasTX75246412101361Specialty HospitalTXN/A00
Texas Regional Medical Center LLC
14201 Dallas ParkwayDallasTX75254510570864HospitalTXN/A00
Texas Spine and Joint Hospital LLC
14201 Dallas ParkwayDallasTX75254752951355HospitalTXN/A00
THVG Bariatric LLC
14201 Dallas ParkwayDallasTX75254383894636Holds interests in Ambulatory Surgery CentersTXN/A00
Trophy Club Medical Center LP
14201 Dallas ParkwayDallasTX75254481260190HospitalTXN/A00
Tuscan Surgery Center at Las Colinas LLC
14201 Dallas ParkwayDallasTX75254273578014Ambulatory Surgery CenterTXN/A00
University Surgical Partners of Dallas LLP
14201 Dallas ParkwayDallasTX75254550823809Ambulatory Surgery CenterTXN/A00
SurgCenter of Plano LLC
14201 Dallas ParkwayDallasTX75254462873916Ambulatory Surgery CenterTXN/A00
Bear Creek Surgery Center LLC
14201 Dallas ParkwayDallasTX75254465530768Ambulatory Surgery CenterTXN/A00
Gateway Diagnostic JV LLC
1431 Perrone WayFranklinTX37069870891986Outpatient Imaging CentersTXN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Baylor All Saints Med Ctr at Ft Worth Condo Owners Assoc Inc
301 N Washington AvenueDallasTX75246261661900Condo AssociationTXN/ACYes (1)
Baylor Health Enterprises LP
301 N Washington AvenueDallasTX75246751997378Fitness Center/PharmacyTXN/ACYes (1)
Baylor Health Network Inc
301 N Washington AvenueDallasTX75246752463251InactiveTXN/ACYes (1)
Baylor Med Ctr at Grapevine Condo Owners Association Inc
301 N Washington AvenueDallasTX75246752747555Condo AssociationTXN/ACYes (1)
Baylor Quality Health Care Alliance LLC
301 N Washington AvenueDallasTX75246454015863ACOTXN/ACYes (1)
Baylor Scott & White Assurance SPC
980589956InvestmentN/ACYes (1)23 Lime Tree BayGrand CaymanCJCJ
BMP Incorporated
301 N Washington AvenueDallasTX75246751436779Post OfficeTXN/ACYes (1)
BUMCRoberts Condominium Owners Association Inc
301 N Washington AvenueDallasTX75246752897806Condo AssociationTXN/ACYes (1)
Charitable Lead Trusts (3)
InvestmentTXN/AT0
Charitable Remainder Trusts (51)
InvestmentTXN/AT0
Hillcrest Health Holdings Inc
301 N Washington AvenueDallasTX75246742793367InactiveTXN/ACYes (1)
Baylor Scott & White Insurance Company
301 N Washington AvenueDallasTX75246743092083InsuranceTXN/ACYes (1)
SHA LLC
301 N Washington AvenueDallasTX75246752569094HMOTXN/ACYes (1)
Southwest Life & Health Insurance Company
301 N Washington AvenueDallasTX75246751085046InsuranceTXN/ACYes (1)
APN
14201 Dallas ParkwayDallasTX75254320416211InactiveTXN/ACYes (1)
Spine & Joint Physician Associates
14201 Dallas ParkwayDallasTX75254473135825InactiveTXN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Baylor Health Care System Foundation
C$312,922GAAP
Baylor University Medical Center
C$5,375,000GAAP
Baylor Scott & White Health
M$1,007,360GAAP
HealthTexas Provider Network
M$881,666GAAP