2022-11-10T13:49:22-06:00 2021-12-31 990 2021-01-01 822794853 Scott & White Care Plans SCOT 2542159256 301 N Washington Ave Dallas TX 75246 Stephen Bush Chief Financial Officer 2542159256 2022-11-10 Stephen Bush 999009999 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Baylor Scott & White Care Plans Jeffrey C Ingrum 301 N Washington Ave Dallas TX 75246 299316284 0 X www.swhp.org X 2016 TX Scott & White Care Plans, dba Baylor Scott & White Care Plan (SWCP), is wholly owned by Scott and White Health Plan (SWHP) and was created in 2016 as a Texas nonprofit HMO. It was formed with a social welfare purpose with the intent to offer Medicare, Medicare Advantage, Medicaid and other HMO plans. Together with SWHP, SWCP's service area encompasses 171 counties and SWCP provides coverage to over 35,000 enrollees in North, Central and West Texas. SWCP is part of Baylor Scott & White Health (BSWH), a Texas nonprofit, faith-based integrated health care delivery system that provides 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 BSWH has over 1,200 access points including 51 hospitals, 590 specialty care clinics, 254 outpatient clinics, 158 primary care clinics, 31 pharmacies, 30 ambulatory surgery centers, and over 7,000 active physicians. 9 8 0 8 0 0 0 0 310383325 266145403 2307120 2327376 0 0 312690445 268472779 0 0 0 0 0 0 0 0 0 291043456 266955430 291043456 266955430 21646989 1517349 137706612 135559330 33891306 27840301 103815306 107719029 X SWCP was formed with a social welfare purpose with the intent to offer Medicare and Medicare Advantage, Medicaid and other HMO plans. 0 0 248997608 266145403 See Schedule OSWCP makes available a variety of health benefit plans to employer groups, and it participates in government public programs to make coverage available to Medicare Advantage participants. SWCP, with its parent SWHP, has demonstrated a commitment to the health and well-being of not only its enrollees but the community as a whole through a number of directed programs of varying purpose Some of these programs are designed to engage enrollees in their own care or encourage a healthy lifestyle. Other programs offer support and help coordinate the delivery of care at the right place, the right time, and from the right provider, especially for those enrollees with complex or chronic care issues. Finally, SWCP offers wellness programs designed to create wellness and awareness, identify social determinants of health and to benefit the entire community. A sampling of the programs that it offers to enrollees and the community at large are:The Wellness Assessment: The Wellness Assessment is a free online tool available to enrollees and the community. Through a series of questions concerning family health history, personal health history, substance abuse, stress/coping, physical activity and nutrition an assessment is produced with advice to help that individual make healthier choices. Expecting the Best, Maternity Case Management Program:SWCP offers its Expecting the Best Maternity Program to all enrolled members who are pregnant and provides health screening, education, care coordination, perinatal/postpartum depression interventions, and telephonic case management support, with the goal of helping to improve health outcomes for at-risk pregnant women and neonates. Comprehensive Medical and Behavioral Health Case Management Program:SWCP offers a comprehensive case management program to help enrollees receive needed care, services, equipment, and medications. Licensed nurses and social workers work with enrollees and their providers to help achieve desired health outcomes by assisting with care coordination and condition management. Case managers also assess enrollees for possible social determinant of health barriers they may be experiencing and refer those individuals to community programs and resources. Baby Showers:SWCP offers pregnant women enrolled in its Medicaid product a virtual baby shower. The baby shower program provides educational information on pregnancy, parenting and health information, and other resources to help bridge social determinate of health gaps. Incentives of nominal value are provided to enrollees to attend the virtual program and receive prenatal care. Value-Added Services for Medicaid Enrollees:SWCP offers or makes available to enrollees in its Medicaid product a variety of health education programs and incentives to obtain preventative care. Examples of incentives include gift cards of nominal value, vision exams for adults, eyewear allowances, basic dental services for pregnant women, behavioral health resources, and transportation assistance. Step-Up, Scale-Down:For enrollees in its Medicaid product, SWCP offers Step Up, Scale Down. Step Up, Scale Down is a 12-week program featuring nutrition and exercise education. Each week a different topic is featured, including such topics as goal setting, reading nutrition labels, meal planning, and starting or stepping up an exercise program. The classes are taught by nurses and wellness professionals with expertise in exercise and nutrition. 248997608 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 584 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 TX X Stephen Bush 2542983568 1206 West Campus Drive Temple TX 76502 Robert A Probe MD Director/Vice Chair 1.00 40.00 X X 0 673380 36976 Lyndon L Olson Jr Director/Chair 1.00 1.00 X X 0 0 0 Louis S Casey Jr Director/Treasurer 1.00 2.00 X X 0 0 0 Donald R Grobowsky Director 1.00 2.00 X 0 0 0 Phil Adams Director 1.00 1.00 X 0 0 0 Brandon S Fryar Director 1.00 1.00 X 0 0 0 Terry Maness Director 1.00 2.00 X 0 0 0 Steve R Youso Director 1.00 1.00 X 0 0 0 Carl King Director 1.00 1.00 X 0 0 0 Jeffrey Ingrum President/CEO 1.00 40.00 X 0 1199294 306206 Stephen Bush Treasurer 1.00 40.00 X 0 555802 143934 Jennifer Brown Secretary 1.00 40.00 X 0 1333684 336254 Swaminathan Ramalingam MD Chief Medical Officer 1.00 40.00 X 0 645109 98197 0 4407269 921567 0 0 1 0 UnitedHealth Group PO Box 88765 Los Angeles CA 900888765 PBM 67082578 Scott & White Memorial Hospital 301 N Washington Ave Dallas TX 75246 Medical 46177368 Scott & White Clinic 301 N Washington Ave Dallas TX 75246 Medical 31186627 Baylor Health Enterprises 301 N Washington Ave Dallas TX 75246 Pharmacy 30808615 Scott and White Health Plan 301 N Washington Ave Dallas TX 75246 Administrative 17969002 57 HMO 524114 266145403 266145403 266145403 1025587 1025587 32145294 30843505 1301789 1301789 1301789 268472779 266145403 0 2327376 160189 160189 106365 106365 19567736 2201971 17365765 15002 15002 125944 125944 Medical expense 242774048 242774048 Claims expense 2080290 2080290 Premium tax 1362362 1362362 Bad debt 416880 416880 346614 147055 199559 266955430 248997608 17957822 0 31772495 29399318 27029875 20514928 78377888 83101058 526354 2544026 137706612 135559330 417984 3103028 33473322 24737273 33891306 27840301 X 0 0 0 0 103815306 107719029 103815306 107719029 137706612 135559330 X 1517349 2682520 -296146 X 0 1 X 1 0 0 Advanced premiums 2336073 Other liabilities 75162 Claims unpaid 20269053 Unpaid claims adj exp 472000 I/C payable 149704 Pending investment trades 1435281 24737273 268366414 -106365 -106365 268472779 0 268472779 266849065 0 266849065 106365 106365 266955430 Part XI, Line 2d - Other Adjustments: Investment fees -106,365. Part XII, Line 4b - Other Adjustments: Investment fees 106,365. 0 1 0 0 0 0 0 0 0 Jennifer Brown Secretary 0 660133 0 634569 0 38982 0 322328 0 13926 0 1669938 0 72174 Jeffrey Ingrum President/CEO 0 596765 0 560703 0 41826 0 277067 0 29139 0 1505500 0 142939 Swaminathan Ramalingam MD Chief Medical Officer 0 452928 0 161894 0 30287 0 75268 0 22929 0 743306 0 0 Robert A Probe MD Director/Vice Chair 0 457654 0 179712 0 36014 0 14500 0 22476 0 710356 0 175376 Stephen Bush Treasurer 0 350831 0 182448 0 22523 0 115095 0 28839 0 699736 0 0 Part I, Line 4b 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: Jeffrey Ingrum, Jennifer Brown, Robert A. Probe, M.D., Stephen Bush and Swaminathan Ramalingam, M.D. 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. Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit organization in which Scott & White Health Plan (SWHP), 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: 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, the member's 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. 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 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 BSW 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 BSW 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 BSW Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers held by BSW Holdings, works directly with an independent compensation expert(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 management reviewing all officers and key employees listed on the Form 990 during the current tax year. Any individual whose direct compensation exceeded the projected compensation from prior year, any new individual whose position has not been reviewed by the Compensation Committee during the prior 2 years, or any individual whose responsibilities or scope of operations expanded during the current year were reviewed by the Compensation Committee during the current tax year. The Compensation Committee is made up of members of the BSW Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(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 expert(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 articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization's financial statements are made available through NAIC (National Association of Insurance Commissioners) and the Texas Department of Insurance upon request. The organization's other governing documents and conflicts of interest policy are not made available to the public. Form 990, Part XI, line 9: Change in non-admitted assets -296,146. 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 Ave. 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 Ave 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 Ave Dallas TX 75246 751008430 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Health Care System 301 N Washington Ave 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 Ave Dallas TX 75246 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 Baylor Health Care System Foundation 301 N Washington Ave Dallas TX 75246 751606705 Fundraising TX 501(c)(3) Line 7 Baylor Health Care System 1 Baylor Institute for Rehabilitation at Gaston Episcopal Hospital 301 N Washington Ave 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 Ave Dallas TX 75246 454510252 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Irving 301 N Washington Ave Dallas TX 75246 752586857 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Waxahachie 301 N Washington Ave Dallas TX 75246 751844139 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Centers at Garland and McKinney 301 N Washington Ave 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 Ave 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 Ave Dallas TX 75246 820551704 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Research Institute 301 N Washington Ave Dallas TX 75246 751921898 Research TX 501(c)(3) Line 4 Baylor Health Care System 1 Baylor Scott & White Health 301 N Washington Ave 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 Ave Dallas TX 75246 463130985 Parent TX 501(c)(3) Line 12b, II N/A 0 Baylor Scott & White Medical Center - Centennial 301 N Washington Ave Dallas TX 75246 824052186 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Scott & White Medical Centers-Capitol Area 301 N Washington Ave Dallas TX 75246 813040663 Hospital TX 501(c)(3) Line 3 Baylor Scott & White Health 1 Baylor University Medical Center 301 N Washington Ave Dallas TX 75246 751837454 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Century Integrated Partners Inc 301 N Washington Ave Dallas TX 75246 810872075 Physician Services/Emergency Care TX 501(c)(3) Line 3 Baylor University Medical Center 1 HealthTexas Provider Network 301 N Washington Ave Dallas TX 75246 752536818 Physician Services TX 501(c)(3) Line 3 Baylor Health Care System 1 Hillcrest Baptist Medical Center 301 N Washington Ave Dallas TX 75246 741161944 Hospital TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 301 N Washington Ave Dallas TX 75246 742730350 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 301 N Washington Ave Dallas TX 75246 742967081 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 301 N Washington Ave Dallas TX 75246 751570933 Fundraising TX 501(c)(3) Line 7 Baylor Medical Center at Irving 1 Scott & White Clinic 301 N Washington Ave Dallas TX 75246 742958277 Physician Services TX 501(c)(3) Line 10 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 301 N Washington Ave 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 Ave Dallas TX 75246 753242749 Emergency Transport TX 501(c)(3) Line 10 Scott & White Memorial Hospital 1 Scott & White Foundation-Brenham 301 N Washington Ave Dallas TX 75246 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Scott and White Health Plan 301 N Washington Ave Dallas TX 75246 742052197 HMO TX 501(c)(4) Baylor Scott & White Holdings 1 Scott & White Healthcare 301 N Washington Ave 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 Ave Dallas TX 75246 273513154 Fundraising TX 501(c)(3) Line 7 Scott & White Healthcare 1 Scott & White Hospital-Brenham 301 N Washington Ave Dallas TX 75246 742519752 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 301 N Washington Ave Dallas TX 75246 274434451 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Marble Falls 301 N Washington Ave Dallas TX 75246 464007700 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 301 N Washington Ave Dallas TX 75246 203749695 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Taylor 301 N Washington Ave Dallas TX 75246 741595711 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Memorial Hospital 301 N Washington Ave Dallas TX 75246 741166904 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Southern Sector Health Initiative 301 N Washington Ave Dallas TX 75246 263087442 Diabetes Health & Wellness Center TX 501(c)(3) Line 12a, I Baylor University Medical Center 1 Lake Pointe Operating Company LLC 301 N Washington Ave Dallas TX 75246 260194016 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Arlington Ortho & Spine Hospital LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 261578178 Hospital TX N/A 0 0 Baylor Affiliated Services LLC 301 N Washington Ave Dallas TX 75246 260614730 Benefit Plans TX N/A 0 0 Baylor Heart and Vascular Center LLP 301 N Washington Ave Dallas TX 75246 752834135 Specialty Hospital TX N/A 0 0 Baylor Surgicare at Baylor Plano LLC 15305 Dallas Parkway Ste 1600 Addison TX 75001 813127185 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Blue Star LLC 15305 Dallas Parkway Ste 1600 Addison TX 75001 814638201 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Ennis LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274202856 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Granbury LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 263896477 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at Mansfield LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 271835675 Ambulatory Surgery Center TX N/A 0 0 Baylor Surgicare at North Dallas LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 752900902 Ambulatory Surgery Center TX N/A 0 0 Baylor 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