STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SCOTT & WHITE HOSPITAL ROUND ROCK: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SCOTT & WHITE HOSPITAL ROUND ROCK (EIN 20-3749695)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-14
IRS object ID
202121349349303777
Schema version
2019v5.2
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)
Return2021-05-14T14:26:43-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203749695EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott & White Hospital Round RockBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCOTBusinessNameControlTxt
Phone2148204135PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJason ColePersonNm
Person TitleVP CFOPersonTitleTxt
Phone2148204135PhoneNum
Signature2021-05-13SignatureDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Baylor Scott & White Medical Center-Round RockBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJay FoxPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 University BlvdAddressLine1Txt
CityRound RockCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78665ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$418,230,374GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bswhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionFaith based acute care hospital providing exemplary patient care, medical education, medical research and community service to residents of the Central Texas region since 2005.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2272TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$13,213TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,982NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,149,233PYContributionsGrantsAmt
CY Contributions Grants$14,123,396CYContributionsGrantsAmt
PY Program Service Revenue$381,119,988PYProgramServiceRevenueAmt
CY Program Service Revenue$401,073,366CYProgramServiceRevenueAmt
PY Investment Income$1,600,088PYInvestmentIncomeAmt
CY Investment Income$260,254CYInvestmentIncomeAmt
PY Other Revenue$901,634PYOtherRevenueAmt
CY Other Revenue$835,431CYOtherRevenueAmt
PY Total Revenue$385,770,943PYTotalRevenueAmt
CY Total Revenue$416,292,447CYTotalRevenueAmt
PY Grants And Similar Paid$6,172,808PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,230,406CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$103,192,243PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$113,784,887CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$216,409,940PYOtherExpensesAmt
CY Other Expenses$245,384,528CYOtherExpensesAmt
PY Total Expenses$325,774,991PYTotalExpensesAmt
CY Total Expenses$364,399,821CYTotalExpensesAmt
PY Revenues Less Expenses$59,995,952PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,892,626CYRevenuesLessExpensesAmt
Total Assets BOY$265,455,903TotalAssetsBOYAmt
Total Assets EOY$422,965,051TotalAssetsEOYAmt
Total Liabilities BOY$87,486,049TotalLiabilitiesBOYAmt
Total Liabilities EOY$265,799,692TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$177,969,854NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$157,165,359NetAssetsOrFundBalancesEOYAmt
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$287,430,195ExpenseAmt
Grant$5,230,406GrantAmt
Revenue$401,074,700RevenueAmt
DescSee Schedule OScott & White Hospital - Round Rock is a faith-based, nonprofit, hospital facility providing exemplary patient care services to the residents of Williamson and Travis Counties and the surrounding communities since 2005. Locations include Baylor Scott & White Medical Center - Round Rock (BSW Round Rock), a 101-bed acute care hospital, Baylor Scott & White Medical Center - Lakeway (BSW Lakeway), a 106-bed acute care hospital serving the residents of Lakeway and Baylor Scott & White Emergency Medical Center Cedar Park, a 8-bed standalone emergency department.This hospital 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 1,000 patient care sites including 52 hospitals, 562 specialty care clinics, 195 outpatient clinics, 172 primary care clinics, 31 pharmacies, 26 ambulatory surgery centers, and approximately 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 906,000 lives.BSW Round Rock was established in 2007 and provides access to quality medical services including areas of excellence such as cardiology, orthopedics, women's services and outpatient care. BSW Round Rock introduced much needed specialty expertise into Williamson County and North Austin. An 86,000 square-foot medical office building containing subspecialty physicians is attached to the hospital and an additional 100,000 square feet of subspecialty physician office space exists in a medical office building located across the street from the main campus. BSW Round Rock's operations include a freestanding cancer center located on the main campus and a network of 32 primary care clinics located in the Austin metroplex.BSW Lakeway is a full-service hospital that offers a new level of hospitality and comfortable amenities, while providing quality care across more than 20 medical specialties, including complex brain and spine, orthopedics, women's health and more. It features a 24/7 Emergency Department with patient satisfaction levels among the highest in the nation, Level IV Trauma Center, Level II NICU, Primary Stroke Center, an intensive care unit, 3-D mammography, and a full range of personalized diagnostic and treatment services featuring forward-thinking technologies.Baylor Scott & White Emergency Medical Center Cedar Park is a standalone emergency department that focuses solely on providing comprehensive emergency care to patients of all ages.During the fiscal year, the hospital facility admitted 10,129 patients resulting in 36,847 days of care; delivered 1,032 babies and received 40,797 emergency department visits. Additionally, the hospital provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $35,244,244 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $20,451,140 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $9,543,703 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.See Schedule H for more information regarding these services and how the hospital facility promotes the health of the communities.Desc
Total Program Service Expenses$287,430,195TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
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 Document169IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2272EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Angie HutsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2148201075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Washington AvenueAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75246ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Patricia M Currie
Former Officer0.0040.00Yes (X)$0$1,542,848$341,787
Madhava R Beeram MD
Trustee1.0040.00$0$1,194,404$36,194Yes (X)
Jay Fox
President/CEO40.000.00$906,456$0$185,744Yes (X)
John Erwin III MD
Trustee (thru 4/18/20)1.0040.00$0$912,261$115,183Yes (X)
Robin W Watson MD
Trustee1.0040.00$0$778,591$118,773Yes (X)
Michael D Reis MD
Trustee1.0040.00$0$746,241$104,249Yes (X)
Mark Montgomery MD
Trustee1.0040.00$0$755,278$49,354Yes (X)
Philippe Bochaton
President - Lakeway40.000.00$617,677$0$140,115Yes (X)
Angel Caldera MD
Trustee1.0040.00$0$700,006$49,422Yes (X)
Erin Bird MD
Trustee1.0040.00$0$598,778$51,861Yes (X)
Tresa McNeal MD
Trustee1.0040.00$0$369,551$38,466Yes (X)
Bradley Berg MD
Former Officer0.0040.00Yes (X)$0$350,152$56,205
Enid Wade
Secretary1.0040.00$0$342,833$59,040Yes (X)
Leslie Gembol
Former Key Employee40.0040.00Yes (X)$60,919$287,255$45,299
Jason Cole
VP CFO40.000.00$282,290$0$37,833Yes (X)
Joseph Brown
VP Hospital Ops - ARR Reg40.000.00$261,051$0$23,883Yes (X)
John Lampert
VP Operations40.000.00$207,082$0$33,081Yes (X)
Jason Sciple
Director Radiology40.000.00$209,185$0$30,394Yes (X)
Kevin Hadacek
Director Nursing40.000.00$206,974$0$18,484Yes (X)
Cynthia Puente
CNO - Lakeway (thru 8/2/19)40.000.00$219,229$0$6,060Yes (X)
Jeff Pick
VP Patient Care40.000.00$197,895$0$22,621Yes (X)
Lana Delashaw
Registered Nurse81.000.00$204,672$0$8,640Yes (X)
Thomas Burdett
Trustee1.002.00$0$0$0Yes (X)
Louis S Casey Jr
Trustee1.002.00$0$0$0Yes (X)
Bill DiGaetano
Trustee1.001.00$0$0$0Yes (X)
Wayne Fisher
Trustee1.002.00$0$0$0Yes (X)
Morris E Foster
Trustee1.002.00$0$0$0Yes (X)
Donald R Grobowsky
Trustee1.002.00$0$0$0Yes (X)
Jim Kruse
Trustee/Vice Chair1.002.00$0$0$0Yes (X)Yes (X)
Terry Maness
Trustee1.002.00$0$0$0Yes (X)
Drayton McLane III
Trustee1.002.00$0$0$0Yes (X)
James H Mills
Trustee1.002.00$0$0$0Yes (X)
William Rogers
Trustee/Chair1.002.00$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,373,430TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,578,198TotReportableCompRltdOrgAmt
Total Other Compensation$1,572,688TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K120IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Scott & White Clinic
301 N Washinton AveDallasTX75246Clinical/Administrative Svcs$10,664,561
Aramark Services Inc
PO Box 651009CharlotteNC282651009Engineering/Food Services$7,805,000
KDK Group LLC
1779 Wells Branch Pkwy Suite 110BAustinTX78728Construction Services$1,904,006
BIR JV LLP
P O Box 677466DallasTX752677466Staffing/Mgmt Services$799,347
Fry Construction Company Inc
3212 Commander DriveCarrolltonTX75006Construction Services$770,480
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Related Organizations$1,539,565RelatedOrganizationsAmt
Government Grants$12,583,631GovernmentGrantsAmt
All Other Contributions$200AllOtherContributionsAmt
Noncash Contributions$185,218NoncashContributionsAmt
Total Contributions$14,123,396TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Care622110$398,661,259$398,661,259
Shared Savings622110$1,863,888$1,863,888
Rent531120$528,775$515,562$13,213
Education611710$5,736$5,736
Rebates & Refunds900099$3,385$3,385

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,323TotalRevenueColumnAmt
Related Or Exempt Func Income$10,323RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$401,073,366TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,015TotalRevenueColumnAmt
Related Or Exempt Func Income$1,334RelatedOrExemptFuncIncomeAmt
Exclusion$191,681ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,005,166SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,937,927SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$67,239SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,239TotalRevenueColumnAmt
Exclusion$67,239ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria/Vending722514$633,569$633,569
Gift Shop/Retail453220$201,862$201,862
FieldValueIRS element (for citing)
Other Revenue Total$835,431OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$416,292,447TotalRevenueColumnAmt
Related Or Exempt Func Income$401,061,487RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$13,213UnrelatedBusinessRevenueAmt
Exclusion$1,094,351ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,230,406TotalAmt
Program Services$5,230,406ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,463,775TotalAmt
Management And General$2,463,775ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$90,850,522TotalAmt
Program Services$82,585,094ProgramServicesAmt
Management And General$8,265,428ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,537,033TotalAmt
Program Services$3,214,681ProgramServicesAmt
Management And General$322,352ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,040,837TotalAmt
Program Services$8,217,600ProgramServicesAmt
Management And General$823,237ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,892,720TotalAmt
Program Services$7,325,364ProgramServicesAmt
Management And General$567,356ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,135TotalAmt
Program Services$8,135ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,214TotalAmt
Management And General$12,214ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,640TotalAmt
Management And General$60,640ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$83,312,785TotalAmt
Program Services$23,628,809ProgramServicesAmt
Management And General$59,683,976ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$193,652TotalAmt
Program Services$74,357ProgramServicesAmt
Management And General$119,295ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,014,447TotalAmt
Program Services$1,847,174ProgramServicesAmt
Management And General$167,273ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,589,467TotalAmt
Program Services$15,573,208ProgramServicesAmt
Management And General$16,259ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,575,026TotalAmt
Program Services$28,759,904ProgramServicesAmt
Management And General$3,815,122ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$344,770TotalAmt
Program Services$286,702ProgramServicesAmt
Management And General$58,068ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$228,977TotalAmt
Program Services$184,015ProgramServicesAmt
Management And General$44,962ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$58,111TotalAmt
Program Services$58,111ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,393,755TotalAmt
Program Services$13,393,755ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,457TotalAmt
Management And General$57,457ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$88,219,466$88,219,466
LPPF Expense$4,607,814$4,607,814
Non-Medical Supplies$2,324,411$1,994,446$329,965
Federal Income Tax-$26,884-$26,884

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,410,285TotalAmt
Program Services$2,248,038ProgramServicesAmt
Management And General$162,247ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$364,399,821TotalAmt
Program Services$287,430,195ProgramServicesAmt
Management And General$76,969,626ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$30,427BOYAmt
EOY$590,690EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,117,746BOYAmt
EOY$3,164,932EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,801,041BOYAmt
EOY$36,576,834EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$21,531BOYAmt
EOY$4,405EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,975,949BOYAmt
EOY$8,942,162EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$48,437BOYAmt
EOY$47,862EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$288,201,973LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$156,759,144LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$136,412,202BOYAmt
EOY$131,442,829EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,000,000BOYAmt
EOY$5,204,424EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,210,315BOYAmt
EOY$2,072,571EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$54,966,961BOYAmt
EOY$54,966,961EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,871,294BOYAmt
EOY$179,951,381EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$265,455,903BOYAmt
EOY$422,965,051EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,182,664BOYAmt
EOY$20,137,952EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$48,371,971EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,190,662BOYAmt
EOY$192,026,095EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,112,723BOYAmt
EOY$5,263,674EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,486,049BOYAmt
EOY$265,799,692EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$176,098,560BOYAmt
EOY$155,331,921EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,871,294BOYAmt
EOY$1,833,438EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$177,969,854BOYAmt
EOY$157,165,359EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$265,455,903BOYAmt
EOY$422,965,051EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$51,892,626ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$43,201NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$72,740,322OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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$19,220GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$60,640DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$79,860TotalLobbyingExpendituresAmt
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$108,313BeginningYearBalanceAmt
Investment Earnings Or Losses$1,160InvestmentEarningsOrLossesAmt
End Year Balance$109,473EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$105,200BeginningYearBalanceAmt
Investment Earnings Or Losses$3,113InvestmentEarningsOrLossesAmt
End Year Balance$108,313EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$100,000BeginningYearBalanceAmt
Investment Earnings Or Losses$5,200InvestmentEarningsOrLossesAmt
End Year Balance$105,200EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$100,000BeginningYearBalanceAmt
End Year Balance$100,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$100,000ContributionsAmt
End Year Balance$100,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.91350PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08650TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,558,387OtherCostOrOtherBasisAmt
Depreciation$57,500,501DepreciationAmt
Book Value$102,057,886BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$128,594,626OtherCostOrOtherBasisAmt
Depreciation$99,258,643DepreciationAmt
Book Value$29,335,983BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,960OtherCostOrOtherBasisAmt
Book Value$48,960BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$131,442,829TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets of Related Foundation$1,833,438
Operating Lease Assets$178,117,943
FieldValueIRS element (for citing)
Total Book Value Other Assets$179,951,381TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNote Payable to Related OrganizationDesc
Amt$5,263,674Amt
FieldValueIRS element (for citing)
Total Liability$5,263,674TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Baylor Scott & White-Central Texas Foundation endowments provide support for the activities and purposes of BSW Holdings and its affiliated entities (collectively, "BSWH"). They enable BSWH to advance its medical objective and mission, including sponsorship of patient care, research, and educational and training programs.
Part X, Line 2:The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes". As of June 30, 2020 and 2019, the System had no material gross unrecognized tax benefits.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,737,516TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,737,516NetCommunityBenefitExpnsAmt
Total Expense0.02950TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,373,165TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,444,067DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$955,891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$710,045DirectOffsettingRevenueAmt
Net Community Benefit Expns$245,846NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,066,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,154,112DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,983,362NetCommunityBenefitExpnsAmt
Total Expense0.03020TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,177TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,110DirectOffsettingRevenueAmt
Net Community Benefit Expns$90,067NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,231,397TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,395,644DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,835,753NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,541,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,541,958NetCommunityBenefitExpnsAmt
Total Expense0.01800TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,865,532TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,397,754DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,467,778NetCommunityBenefitExpnsAmt
Total Expense0.02600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,932,104TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,551,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,451,140NetCommunityBenefitExpnsAmt
Total Expense0.05620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$21,144,372BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$96,545,726ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$96,352,644CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$193,082MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Baylor Scott&White Med Ctr-Round RockBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 University BlvdAddressLine1Txt
CityRound RockCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78665ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bswhealth.comWebsiteAddressTxt
State License008526StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Baylor Scott & White Medical Center-RounBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.BSWHealth.com/CommunityNeedsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.BSWHealth.com/CommunityNeedsStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.bswhealth.com/financialassistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.bswhealth.com/financialassistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.bswhealth.com/financialassistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Baylor Scott & White Medical Center-Round RockPart V, Section B, Line 5: Three (3) focus groups with a total of 39 participants, as well as seventeen (17) key informant interviews, were conducted July through September 2018 to take into account the input of persons representing the broad interests of the community served. The focus groups and interviews solicited feedback from leaders and representatives who serve the community and have insight into community needs. Prioritization sessions were also held with hospital clinical leadership and/or other community leaders to identify significant health needs from the assessment and prioritize them. Focus groups familiarized participants with the CHNA process and solicited input to understand health needs from the community's perspective. Focus groups, formatted for individual as well as small group feedback, helped identify barriers and social determinants influencing the community's health needs. Barriers and social determinants were new topics added to the 2019 community input sessions. Watson Health conducted key informant interviews for the community served by the hospital facilities. The interviews aided in gaining understanding and insight into participants concerns about the general health status of the community and the various drivers that contributed to health issues.Participation in the qualitative assessment included at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers (including physicians) ensured that the input received represented the broad interests of the community served.The following is a list of groups consulted: Austin Child Guidance Center, Austin Clubhouse, Inc., Baylor Scott & White Health, Bluebonnet Trails Community Services, Cardinal 360, LLC, Carebox Program, Central Texas Catholic Charities, Central Texas Food Bank, Christ Fellowship Church and Interagency of EWC, City of Buda, Community Care Collaborative, Community Resource Center of Texas Inc., Coordinator, East Wilco Collaborative, East Williamson County Cooperative, Executive Director, Georgetown Health Foundation, Georgetown Public Library, Go! Austin / Vamos! Austin (Gava), Greater Austin Hispanic Chamber of Commerce, Hays County, Hays County ISD, Hays Food Bank, Interagency of Eastern Wilco Board, Lake Travis Independent School District, Lifepark Center, Lone Star Circle of Care, Manos De Cristo, Mobile Outreach Team Williamson County Emergency Services, Pavilion, People's Community Clinic, Re: Cancer, Retired, Sacred Heart Clinic, Seton/Ascension, Shepherd's Heart Food Pantry and Community Ministries, City of Taylor, Taylor Housing Authority, Taylor Press, Texas Department of State Health Services - HSR 7, The Arc of The Capital Area, The Caring Place, The College of Health Care Professions, Tripp Center, United Seniors of Taylor, United Way of Williamson County, Williamson County and Cities Health District Pass, and Women's Health and Family Planning Association of Texas.
Baylor Scott & White Medical Center-Round RockPart V, Section B, Line 6a: Baylor Scott & White Medical Center - Taylor, Baylor Scott & White Emergency Medical Center-Cedar Park, Baylor Scott & White Medical Center-Pflugerville, and Baylor Scott & White Institute for RehabilitationBaylor Scott & White Medical Center-Round Rock:Part V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2019, the 15th day of the fifth month after the 2018 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5).
Baylor Scott & White Medical Center-Round RockPart V, Section B, Line 11: The hospital is committed to serving the community by adhering to its charitable mission, using its skills and capabilities, and remaining a strong organization which continues to provide a wide range of important health care services and community benefits. The hospital has teamed up with other hospital facilities and/or other health care organizations in the community to complete a joint community health needs assessment and develop a joint implementation strategy to address the health needs of the community while meeting certain federal and state requirements. These hospitals will address all significant community health needs (except the need(s) listed below) based on the anticipated impact to the community, hospital resources available, and the expertise of each respective hospital facility. Specific actions can be found in the joint implementation strategy that is made widely available on the hospital's website at www.BSWHealth.com/CommunityNeeds.The following identified need has not been addressed in the joint community benefit implementation plan: Severe Housing Problems.There are multiple community and state agencies whose expertise and infrastructure are better suited for meeting the needs not addressed in the Community Health Implementation Strategies. Therefore, BSWH leadership has opted to focus its resources on the listed priorities for the betterment of the community.
Baylor Scott & White Medical Center-Round RockPart V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed.
Baylor Scott & White Medical Center-Round RockPart V, Section B, Line 20e: A copy of the Plain Language Summary is included on the back of every billing statement.
FieldValueIRS element (for citing)
Facility13FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BSW Clinic-Round Rock 302 University
302 University BlvdRound RockTX78665Specialty clinic
2 - BSW Clinic-Round Rock 425 University
425 University BlvdRound RockTX78665General and specialty clinic
3 - BSW Clinic-Cedar Park
910 E Whitestone BlvdCedar ParkTX78613General and specialty clinic
4 - BSW Clinic-Georgetown
4945 Williams DrGeorgetownTX78633General and specialty clinic
5 - BSW Clinic-Pflugerville Central
1701 Pflugerville ParkwayPflugervilleTX78660General and specialty clinic
6 - BSW Clinic-Georgetown Central
1507 Rivery BlvdGeorgetownTX78626Family medicine
7 - BSW Cancer Center-Round Rock
300 University Blvd Bldg ARound RockTX78665Cancer Center
8 - BSW Clinic-Round Rock South
1800 S AW Grimes RdRound RockTX78664Family medicine
9 - BSW SportsMed&Rehab Clinic-Georgetown
5353 Williams DriveGeorgetownTX78633General and specialty clinic
10 - BSW Avery Ranch Clinic
10526 West Parmer Lane Bldg 4AustinTX78717Family medicine
11 - BSW Clinic-Hutto
120 Ed Schmidt BlvdHuttoTX78634Family medicine
12 - BSW Clinic-Leander
1007 S US Hwy 183LeanderTX78641General and specialty clinic
13 - BSW Clinic-Round Rock West
16420 RR 620 Suite 104Round RockTX78681General and specialty clinic

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:and Line 3b: In addition to providing free care to financially indigent patients at 200% of the federal poverty guidelines ("FPG"), the organization provides discounted care to the medically indigent which is based on both the FPG (up to 500%) and the percentage of the patient's total bills from all Baylor Scott & White Health related providers in relation to the patient's annual income.
Part I, Line 6a:The organization prepares and files an Annual Report of Community Benefit Plan with the Texas Department of State Health Services. This report is made available through the organization's website at www.BSWHealth.com/CommunityNeeds.
Part I, Line 7:A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7d. For amounts reported on lines 7e - 7k, actual expenses for each community benefit activity are tracked and reported using both community benefit software and/or the organization's cost accounting system.Part I, Line 7i, Column (c): Includes charity care payments of $6,060,000 that are made directly to or on the behalf of a local public hospital and/or other nonprofit organizations for the treatment of indigent patients of those organizations.
Part I, Ln 7 Col(f):The amount of bad debt expense included on Form 990, Part IX, line 25, but removed for Schedule H, Part I, Line 7, Column (f) totaled $0.
Part III, Line 4:As stated in the combined audited financial statements, "The System maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The System assesses the reasonableness of the allowance account based on the historical write-offs, cash collections, the aging of the accounts and other economic factors. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowance associated with its receivables." Bad debt does not include amounts for patients who are known to qualify under the organization's charity care policy. The amount of bad debt attributable to patient's accounts is net of contractual allowance, payments received and recoveries of bad debt previously written off. The Organization has entered zero on Schedule H, Part III, Line 3; however, based on prior experience and certain demographics and other information obtained during admission, the organization believes a portion of the bad debt expenses (estimated to range from 1-5%) would be attributable to patients that would otherwise qualify for charity care. Despite all of the effort and ways the organization educates patients about qualifying for its charity care program as demonstrated in Part VI, question 3 below, many uninsured patients either refuse or fail to complete a charity care application or provide sufficient information at the time of admission, during their stay or after being discharged to qualify for assistance under the organization's charity care policy.
Part III, Line 8:The amount reported on Part III, Section B, line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost report based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to providing quality care to these patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded as allowable cost in the cost reports. Using the same methodology to calculate the unreimbursed cost of providing charity care and Medicaid (using applicable Schedule H Worksheets) would result in a shortfall of $24,605,634, which is $24,798,716 higher than the shortfall reported on Part III, Section B, Line 7. The organization believes that Medicare should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely increase at, and rest on the shoulders of, nonprofit hospitals or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas.
Part III, Line 9b:The organization's patient billing and collection policy prohibits any collection efforts for the portion of the account balance that qualifies for financial assistance under the organization's financial assistance policy. For any remaining balances due, the same policy contains the actions that may be taken in the event of nonpayment, which are applied equally to all patient types. The policy is made widely available to the public on the organization's website https://www.bswhealth.com/financialassistance.
Part VI, Line 2:During the fiscal year ending June 30, 2019, the Organization conducted a Community Health Needs Assessment (CHNA) to assess the health care needs of the community for each of its licensed hospital facilities and developed an implementation strategy to address the needs identified in the CHNAs. The CHNAs were conducted in accordance with state and federal guidelines including Internal Revenue Code Section 501(r) and the Texas Health and Safety Code Section 311. These CHNAs and implementation strategies have been made widely available to the public and are located on the Organization's website at the following address: www.BSWHealth.com/CommunityNeeds.
Part VI, Line 3:The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policy is posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed.
Part VI, Line 4:The organization operates multiple hospital facilities that primarily serve the geographical area of Hays, Travis and Williamson counties. Additional information regarding the community can be found below, and in each of the hospital's community health needs assessment and implementation strategy located on the organization's website at www.BSWHealth.com/CommunityNeeds. The population is approximately 2,014,860 with a median household income for the ZIP codes within this community ranging from $14,318 to $164,276. There were ten ZIP codes with median household incomes less than $50,200 twice the 2018 Federal Poverty Limit for a family of four.The population of the community served is expected to grow 9.6% by 2023, an increase of more than 190,000 people. The 9.6% projected population growth is higher than the state's 5-year projected growth rate (7.1%) and higher compared to the national projected growth rate (3.5%). The ZIP codes expected to experience the most growth in five years are 78660 Pflugerville 10,592 people and 78613 Leander-Cedar Park 8,923 people.The community's population skewed younger with 40.7% of the population ages 18-44 and 24.5% under age 18. The largest cohort (18-44) was the largest and is expected to grow by 35,908 people by 2023. Meanwhile, the age 65 plus cohort was the smallest, but is expected to experience the fastest growth (30.7%) over the next five years, adding 67,310 seniors to the community. Growth in the senior population will likely contribute to increased utilization of services as the population continues to age.Population statistics can be analyzed by race and by Hispanic ethnicity. The community was primarily white and non-Hispanic, and this is expected to change over the next five years due to projected growth of minority populations. The expected growth rate of the Hispanic population (all races) is over 79,000 people (12.2%) by 2023. The non-Hispanic white population is expected to have the slowest growth (5.8%) while the non-Hispanic black, Asian/Pacific Islander, multi-racial, and American Indian/Native American populations are expected to experience a total growth of 16.8% or 53,109 people in the next five years.A majority of the population (56%) were insured through employer sponsored health coverage, while a small population remained without health insurance (14%). The remainder of the population was fairly equally divided between Medicaid, Medicare, and private market (the purchasers of coverage directly or through the health insurance marketplace).The community includes 14 Health Professional Shortage Areas and three (3) Medically Underserved Areas as designated by the U.S. Department of Health and Human Services Health Resources Services Administration.
Part VI, Line 5:With the oversight of the organization's board and Baylor Scott & White Holdings, the organization's ultimate parent, the organization's hospital facilities and/or other health care facilities have promoted health and benefited the community by providing exemplary health care, medical education, research and other community services. The organization's governing body includes volunteer community representatives that provide leadership and governance for the organization. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for the organization. The members are well respected residents and/or own businesses in the organization's primary or secondary service area and understand the needs of the community. The medical staff of the organization is open to all physicians in the community who meet membership and clinical privilege requirements. As a nonprofit organization surplus funds are continuously invested back to the community and are utilized to maintain access to limited patient care services or expand access points of care to patients throughout the community. These efforts are generally targeted to meet the community health needs identified in the community health needs assessment conducted by each of the hospital facilities. More information of these efforts can be found in the written implementation strategies that have been made widely available to the public and are located on the organization's website at the following address: www.BSWHealth.com/CommunityNeeds. Below are summaries of a few of the hospital's key patient care services or community benefit programs designed to promote the health of the community. The organization provides financial assistance in the form of charity care to patients who are indigent and satisfy certain eligibility requirements. Additionally, the organization is committed to treating patients who are eligible for means tested government programs such as Medicaid and other government sponsored programs including Medicare, which is provided regardless of the reimbursement shortfall, and thereby relieves the state and federal government of the burden of paying the full cost of care for these patients. Often, patients are unaware of the federal, state and local programs open to them for financial assistance, or they are unable to access them due to the cumbersome enrollment process required to receive these benefits. The organization offers assistance in enrollment to these government programs or extends financial assistance in the form of charity care through the organization's Financial Assistance Policy which can be located on the organization's website at www.bswhealth.com/financialassistance.The organization provides access to quality medical services including areas of excellence such as cardiology, orthopedics, women's services and outpatient care. The organization operates an emergency department accepting all patients without the regard for the ability to pay. The emergency room is operated 24 hours a day, seven days a week. Recently, the organization opened a new cancer facility offering comprehensive diagnostic, treatment, and support services in one location, using a single electronic medical record. The new 38,741 square-foot facility is the only cancer center, located adjacent to its medical center, in a five-county market and will serve the growing needs of patients in the Round Rock, Williamson County and surrounding areas.The organization is also committed to promoting the health and well-being of individuals and families beyond the health activities of the traditional hospital or clinic setting through its community outreach programs. These programs are targeted to positively alter the health of the community through outreach and education on such topics as adult nutrition, childhood obesity, behavioral health and support groups for individuals suffering with chronic diseases such as diabetes, cardiovascular and pulmonary diseases, and cancer. Throughout the year the organization offers free preventive health services to the community such as health screenings, health fairs, immunizations and many other community education programs. At these events, the organization's staff and physicians educate the public on various health-related preventive measures and healthy lifestyle choices.During the year, the organization had to shift its focus and efforts to fighting the unexpected COVID-19 pandemic with detailed planning and preparations. From the beginning, teams began securing costly personal protection equipment and finding new innovative ways to adapt. The organization's patient-centric focus motivated it to be one of the first private hospitals (along with other Baylor Scott & White hospitals) to offer online screening for COVID-19, eVisits and drive-thru lab specimen collection sites. This kept patients from crowding emergency departments, helping limit the virus' spread and preserving scarce resources needed to care for those severely impacted by the pandemic. In May 2020, the organization launched Safe Care to create a safe environment for the organization's caregivers, patients and their loved ones, which supplemented previously updated surgery and safety protocols, all designed to limit spread in the community. From the start of the pandemic, the organization along with other Baylor Scott & White affiliates have invested and devoted many resources in developing and expanding its capabilities and infrastructure to care for the community during the pandemic.
Part VI, Line 6:The organization is affiliated with Baylor Scott & White Health (BSWH or the System), a faith based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the communities of North and Central Texas. BSWH is the largest not-for-profit health care system in the State of Texas and one of the largest in the United States as measured by total operating revenue of $10.5 Billion and total assets of $15.1 Billion based on the fiscal year ended June 30, 2020. Today, BSWH has over 1,000 patient care sites including 52 hospitals, 562 specialty care clinics, 195 outpatient clinics, 172 primary care clinics, 31 pharmacies, 26 ambulatory surgery centers, and approximately 7,300 active physicians. The System includes a robust spectrum of owned, operated, ventured and affiliated philanthropic foundations, a research institute, physician clinics and networks, acute care hospitals, short-stay hospitals, specialty hospitals, ambulatory surgery centers, free standing emergency medical centers, free standing imaging centers, retail pharmacies, an accountable care organization, a health plan and other health care providers all which fall under the common control of BSW Holdings. Under the guidance of an independent community board, the System follows one single mission, vision and values focusing on quality patient centered care while meeting the demands of health care reform, the changing needs of patients and extraordinary recent advances in clinical care. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation's exemplary health care organizations.Community benefits are provided through the provision of financial assistance, governmental sponsored programs (such as Medicaid and Medicare), medical research, medical education, community health improvement services, donations to other nonprofit health care providers, and many other community service activities. During the year, the affiliated nonprofit hospitals reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) of $768 Million. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) of $421 Million during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $262 Million of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H. As part of the System, certain affiliates make grants and/or contributions to other related nonprofit affiliates to help financially support and/or fund worthy community benefits activities. The System has also established a patient transfer system among the affiliated hospitals allowing patients needing a particular level of care to be transferred as needed to a related hospital that can provide that service in an efficient and effective manner. As part of the System, all hospitals and other affiliated health care providers are required to adhere to high standards for medical quality, patient safety and patient satisfaction. These standards are set forth by BSW Holdings, the organization's parent, which helps ensures consistency across the System.Technology is rapidly changing the way consumers and health care providers connect, which has enabled the development of new and innovative solutions that enhance the patient experience and support wellness and quality health care. The System is integrating these new technologies, programs and resources into the health information technology infrastructure through the Consumer Digital Experience. This initiative enhances the way consumers discover, decide and connect with the System; improves wellness and care outcomes through digitization and analytics; and enables support for specific measures for availability, geographic use and capacity needs. The Consumer Digital Experience includes video visits, mobile device apps and patient portals, putting a variety of health and wellness tools into the patient's hands. The growth strategy in this area is to create a virtual health capability where users can book an appointment, be treated on demand through a video or electronic visit, assemble their information and personalized profile, and find out where the nearest urgent walk-in clinic might be.
Part VI, Line 7, Reports Filed With StatesTX

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Scott & White Clinic
301 N Washington AvenueDallasTX75246742958277501 (C)(3)$5,000,000N/AN/AIndigent Care
Long Center
701 Riverside DrAustinTX78704742867681501 (C)(3)$30,000N/AN/AGeneral Support
Zach Theatre
1510 Toomey RdAustinTX78704741369410501 (C)(3)$25,000N/AN/AGeneral Support
CASA of Williamson County TX
805 W University Ave Ste 111GeorgetownTX78626264371605501 (C)(3)$6,000N/AN/AGeneral Support
Texas Medical Association Foundation
401 W 15th StreetAustinTX78701746073346501 (C)(3)$6,876N/AN/AGeneral Support
Health Alliance for Austin Musicians
3010 S Lamar Blvd Suite 200AustinTX78704800147620501 (C)(3)$25,000N/AN/AGeneral Support
Central Texas Food Bank
6500 Metropolis DrAustinTX78744742217350501 (C)(3)$6,000N/AN/AGeneral Support
Age of Central Texas
3710 Cedar StreetAustinTX78705742431028501 (C)(3)$7,500N/AN/AGeneral Support
American Heart Association
10900-B Stonelake Blvd 320AustinTX78759135613797501 (C)(3)$10,000N/AN/AGeneral Support
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationMonitoring Grants & Other Assistance: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of the organization's charitable mission and one of the following criteria for use of these funds is met: (1) Fulfills a need identified by a community needs assessment conducted by the organization and/or outlined in an implementation strategy, (2) Serves an under-served community or group of people through medical mission work to improve their health status (3) promotes health in the community, (4) supports community buildings activities that protect or improves the community's health or safety and/or (5) provides positive visibility and good community relations with other organization serving the health needs of the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BSWH which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are typically monitored by personal inspection. Examples include providing assistance to entities where the filing organization's employee serves as a Board Member for the recipient organization or through attendance at community events where the filing organization employees work as volunteers or to help coordinate these events. Community Benefit grants and/or contributions provided to unrelated organizations are given as a restricted gift and the receiving organization must return a signed receipt indicating the funds were used for that purpose.ExplanationTxt

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 (22 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
Patricia M Currie
Former Officer$0$746,270$0$772,995$0$23,583$0$319,807$0$21,980$0$1,884,635$0$173,232
Madhava R Beeram MD
Trustee$0$536,930$0$237,265$0$420,209$0$14,000$0$22,194$0$1,230,598$0$284,674
Jay Fox
President/CEO$512,978$0$378,676$0$14,802$0$172,443$0$13,301$0$1,092,200$0$79,312$0
John Erwin III MD
Trustee (thru 4/18/20)$0$622,377$0$276,202$0$13,682$0$85,384$0$29,799$0$1,027,444$0$9,680
Robin W Watson MD
Trustee$0$559,050$0$216,931$0$2,610$0$88,994$0$29,779$0$897,364$0$0
Michael D Reis MD
Trustee$0$512,849$0$221,908$0$11,484$0$81,939$0$22,310$0$850,490$0$0
Mark Montgomery MD
Trustee$0$708,779$0$33,750$0$12,749$0$22,400$0$26,954$0$804,632$0$9,333
Philippe Bochaton
President - Lakeway$401,287$0$202,413$0$13,977$0$110,247$0$29,868$0$757,792$0$0$0
Angel Caldera MD
Trustee$0$662,157$0$0$0$37,849$0$22,400$0$27,022$0$749,428$0$9,548
Erin Bird MD
Trustee$0$535,154$0$40,000$0$23,624$0$22,400$0$29,461$0$650,639$0$10,132
Tresa McNeal MD
Trustee$0$349,225$0$10,000$0$10,326$0$22,400$0$16,066$0$408,017$0$9,960
Bradley Berg MD
Former Officer$0$332,099$0$3,125$0$14,928$0$22,400$0$33,805$0$406,357$0$9,014
Enid Wade
Secretary$0$253,041$0$87,757$0$2,035$0$39,355$0$19,685$0$401,873$0$0
Leslie Gembol
Former Key Employee$60,777$210,687$0$76,055$142$513$4,731$9,269$8,377$22,922$74,027$319,446$0$0
Jason Cole
VP CFO$224,497$0$57,385$0$408$0$11,721$0$26,112$0$320,123$0$0$0
Joseph Brown
VP Hospital Ops - ARR Reg$208,192$0$52,680$0$179$0$10,772$0$13,111$0$284,934$0$0$0
John Lampert
VP Operations$172,070$0$34,871$0$141$0$9,003$0$24,078$0$240,163$0$0$0
Jason Sciple
Director Radiology$141,510$0$14,348$0$53,327$0$6,990$0$23,404$0$239,579$0$0$0
Kevin Hadacek
Director Nursing$171,619$0$34,318$0$1,037$0$8,772$0$9,712$0$225,458$0$0$0
Cynthia Puente
CNO - Lakeway (thru 8/2/19)$102,036$0$46,719$0$70,474$0$5,144$0$916$0$225,289$0$0$0
Jeff Pick
VP Patient Care$159,571$0$30,528$0$7,796$0$7,852$0$14,769$0$220,516$0$0$0
Lana Delashaw
Registered Nurse$197,740$0$2,737$0$4,195$0$0$0$8,640$0$213,312$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. Two of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Discretionary spending account-The organization provides eligible employees certain monthly expense allowances in lieu of reimbursement for actual expenses under the organization's business travel and expense reimbursement policy. This may include providing an auto expense allowance for business mileage for those who travel frequently in their personal vehicle or a cell phone allowance for individuals who are required to use their mobile phone for business purposes. All expense allowances are treated as taxable compensation. Three of the persons listed in the Form 990, Part VII, Section A, received these benefits 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. 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 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.
Part I, Lines 4a-bSeverance or Change of Control Payments: Cynthia Puente received a severance payment in the amount of $70,096. 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: Angel Caldera, M.D., Bradley Berg, M.D., Enid Wade, Erin Bird, M.D., Jay Fox, John Erwin, III, M.D., Madhava R. Beeram, M.D. ($402,528), Mark Montgomery, M.D., Michael D. Reis, M.D., Patricia M. Currie, Philippe Bochaton, Robin W. Watson, M.D. and Tresa McNeal, M.D.
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. These benefits may include reimbursement for certain reasonable expenses paid on behalf of the member's spouse while accompanying the member on business travel on behalf of the 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Grahutt Investment Ltd (Grahutt)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDonald Grobowsky, Board Member, is more than 35% owner of GrahuttRelationshipDescriptionTxt
Transaction$129,125TransactionAmt
TransactionLease of BuildingTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCOVID Related DonationsDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$185,218NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe Orgainization is reporting based on the number of contributions, not the number of items contributed. Form 990, Schedule M, Part II, Supplemental Information: During the tax year the organization received various non-cash donations from members of the community to support the organization and its clinical workers treating patients impacted by the COVID-19 pandemic. Examples include, but are not limited to, personal protective equipment, food and beverages, hand sanitizer, and clothing and household goods.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Business relationship: Drayton McLane III and Wayne Fisher.
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which Scott & White Healthcare, 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: 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 7bGoverning body decisions subject to approval: All rights and powers are reserved to the organization's ultimate parent, BSW Holdings, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, BSW Holdings' substantial reserved rights and powers include, without limitation, approval of the organization's certificate of formation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose.
Form 990, Part VI, Section B, line 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 15Process 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 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 and are attached to this return. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part VII, Hours Devoted to Related Organizations:During the year, employees may transfer to or from a related organization. In those cases, 40 hours per week is reflected at both the reporting organization and related organizations to reflect the average of hours they devoted to each respective organization before and after the transfer.
Form 990, Part IX, line 11gOther Purchased Services: Program service expenses 12,172,754. Management and general expenses 2,450,417. Fundraising expenses 0. Total expenses 14,623,171. Contract Labor: Program service expenses 1,943,445. Management and general expenses 11,966. Fundraising expenses 0. Total expenses 1,955,411. Laboratory: Program service expenses 6,954,930. Management and general expenses 2,354. Fundraising expenses 0. Total expenses 6,957,284. Repairs & Maintenance: Program service expenses 1,894,506. Management and general expenses 101,882. Fundraising expenses 0. Total expenses 1,996,388. Patient Care: Program service expenses 367,748. Management and general expenses 0. Fundraising expenses 0. Total expenses 367,748. Professional Fees: Program service expenses 295,426. Management and general expenses 13,193,892. Fundraising expenses 0. Total expenses 13,489,318. Corporate Overhead: Program service expenses 0. Management and general expenses 43,923,465. Fundraising expenses 0. Total expenses 43,923,465.
Form 990, Part XI, line 9:Transfers Between Entities Under Common Control 1,400,000. Net Assets Received from Merger of Single Member LLC -824,507. Self Insurance Liability Reserve -1,641,940. Distribution to/from Tax Exempt Affiliate -70,250,000. Change in Net Assets of Related Foundation -37,855. Cumulative Effect Change in Accounting Principle -1,386,020.
Supplemental Information: IRC Section 6038 Statement:Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Forms 5471 for this CFCs 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 Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ESWCT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Washington AvenueAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75246ZIPCd
FieldValueIRS element (for citing)
EIN900899017EIN
Primary ActivitiesHospitalPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Scott & White Hospital Round RockBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (41 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 Health Services
301 N Washington AvenueDallasTX75246751917311InactiveTX501(c)(3)Line 3Baylor 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 AvenueDallasTX75246454510252HospitalTX501(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 AvenueDallasTX75246741161944HospitalTX501(c)(3)Line 3Scott & White Memorial HospitalYes (1)
Hillcrest Family Health Center
301 N Washington AvenueDallasTX75246742730350Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Hillcrest Physician Services
301 N Washington AvenueDallasTX75246742967081Physician 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 AvenueDallasTX75246742958277Physician ServicesTX501(c)(3)Line 10Scott & White HealthcareYes (1)
Scott & White Continuing Care Hospital
301 N Washington AvenueDallasTX75246202850920Long Term Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White EMS Inc
301 N Washington AvenueDallasTX75246753242749Emergency TransportTX501(c)(3)Line 10Scott & White Memorial HospitalYes (1)
Scott & White Foundation-Brenham
301 N Washington AvenueDallasTX75246742460815FundraisingTX501(c)(3)Line 7Scott & White Hospital-BrenhamYes (1)
Scott and White Health Plan
301 N Washington AvenueDallasTX75246742052197HMOTX501(c)(4)Baylor Scott & White HoldingsYes (1)
Scott & White Healthcare
301 N Washington AvenueDallasTX75246264532547Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Scott & White Healthcare Foundation
301 N Washington AvenueDallasTX75246273513154FundraisingTX501(c)(3)Line 7Scott & White HealthcareYes (1)
Scott & White Hospital-Brenham
301 N Washington AvenueDallasTX75246742519752HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-College Station
301 N Washington AvenueDallasTX75246274434451HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Llano
301 N Washington AvenueDallasTX75246273026151HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Marble Falls
301 N Washington AvenueDallasTX75246464007700HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Taylor
301 N Washington AvenueDallasTX75246741595711HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Memorial Hospital
301 N Washington AvenueDallasTX75246741166904HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Southern Sector Health Initiative
301 N Washington AvenueDallasTX75246263087442Diabetes Health & Wellness CenterTX501(c)(3)Line 12a, IBaylor University Medical CenterYes (1)
Baylor Scott & White Medical Centers-Capitol Area
301 N Washington AvenueDallasTX75246813040663HospitalTX501(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 AvenueDallasTX75246822794853HMOTX501(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 (52 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Arlington Ortho & Spine Hospital LLC
14201 Dallas ParkwayDallasTX75254261578178HospitalTXN/A
Baylor Affiliated Services LLC
301 N Washington AvenueDallasTX75246260614730Benefit PlansTXN/A
Baylor Heart and Vascular Center LLP
301 N Washington AvenueDallasTX75246752834135Specialty HospitalTXN/A
Baylor Surgicare at Ennis LLC
14201 Dallas ParkwayDallasTX75254274202856Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Granbury LLC
14201 Dallas ParkwayDallasTX75254263896477Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Mansfield LLC
14201 Dallas ParkwayDallasTX75254271835675Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano Parkway LLC
14201 Dallas ParkwayDallasTX75254274282604Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano LLC
14201 Dallas ParkwayDallasTX75254260308454Ambulatory Surgery CenterTXN/A
Bellaire Outpatient Surgery Center LLP
14201 Dallas ParkwayDallasTX75254562297308Ambulatory Surgery CenterTXN/A
BIR JV LLP
4714 Gettysburg RdMechanicsburgPA17055274586141Rehabilitation HospitalsTXN/A
BTDI JV LLP
1431 Perrone WayFranklinTN37069462908086Outpatient Imaging CentersTXN/A
Dallas Surgical Partners LLC
14201 Dallas ParkwayDallasTX75254722183815Ambulatory Surgery CenterTXN/A
Denton Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752708579Ambulatory Surgery CenterTXN/A
Desoto Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752592508Ambulatory Surgery CenterTXN/A
EBD JV LLP
8686 New Trails Dr Suite 100The WoodlandsTX77381455434614Free Standing Emergency HospitalsTXN/A
Frisco Medical Center LLP
14201 Dallas ParkwayDallasTX75254752865177HospitalTXN/A
Ft Worth Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752658178HospitalTXN/A
Garland Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752764855Ambulatory Surgery CenterTXN/A
Grapevine Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752854711Ambulatory Surgery CenterTXN/A
HealthTexas Provider Network-Gastro Serv LLP
301 N Washington AvenueDallasTX75246731697736Ambulatory Surgery CenterTXN/A
Heritage Park Surgical Hospital LLC
14201 Dallas ParkwayDallasTX75254611762781HospitalTXN/A
Irving Coppell Surgical Hospital LLP
14201 Dallas ParkwayDallasTX75254542086863HospitalTXN/A
Lewisville Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752862263Ambulatory Surgery CenterTXN/A
Lone Star Endoscopy Center LLC
14201 Dallas ParkwayDallasTX75254273635726Ambulatory Surgery CenterTXN/A
MEDCO Construction LLC
301 N Washington AvenueDallasTX75246205965871ConstructionTXN/A
Metrocrest Surgery Center LP
14201 Dallas ParkwayDallasTX75254030380493Ambulatory Surgery CenterTXN/A
Metroplex Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752567179Ambulatory Surgery CenterTXN/A
MSH Partners LLC
14201 Dallas ParkwayDallasTX75254752829613HospitalTXN/A
North Central Surgical Center LLP
14201 Dallas ParkwayDallasTX75254201508140HospitalTXN/A
North Garland Surgery Center LLP
14201 Dallas ParkwayDallasTX75254562399993Ambulatory Surgery CenterTXN/A
Park Cities Surgery Center LLC
14201 Dallas ParkwayDallasTX75254562357079Ambulatory Surgery CenterTXN/A
Physicians Surgical Center of Ft Worth LLP
14201 Dallas ParkwayDallasTX75254208303422Ambulatory Surgery CenterTXN/A
Rockwall Ambulatory Surgery Center LLP
14201 Dallas ParkwayDallasTX75254205506447Ambulatory Surgery CenterTXN/A
Specialty Surgery Center of Fort Worth LP
14201 Dallas ParkwayDallasTX75254201942281InactiveTXN/A
Surgery Center of Richardson Phys Pship LP
14201 Dallas ParkwayDallasTX75254200606781InactiveTXN/A
Texas Endoscopy Centers LLC
14201 Dallas ParkwayDallasTX75254470985876Ambulatory Surgery CenterTXN/A
Texas Health Ventures Group LLC
14201 Dallas ParkwayDallasTX75254752696845Holds interests in ASCs/ Short Stay HospitalsTXN/A
Texas Heart Hospital of the Southwest LLP
301 N Washington AvenueDallasTX75246412101361Specialty HospitalTXN/A
THVG Bariatric LLC
14201 Dallas ParkwayDallasTX75254383894636Holds interests in Ambulatory Surgery CentersTXN/A
Trophy Club Medical Center LP
14201 Dallas ParkwayDallasTX75254481260190HospitalTXN/A
Tuscan Surgery Center at Las Colinas LLC
14201 Dallas ParkwayDallasTX75254273578014Ambulatory Surgery CenterTXN/A
University Surgical Partners of Dallas LLP
14201 Dallas ParkwayDallasTX75254550823809Ambulatory Surgery CenterTXN/A
Baylor Surgicare at North Dallas LLC
14201 Dallas ParkwayDallasTX75254752900902Ambulatory Surgery CenterTXN/A
BT East Dallas JV LLP
301 N Washington AvenueDallasTX75246475119983Former Hospital/Wind DownTXN/A
BT Garland JV LLP
301 N Washington AvenueDallasTX75246475009342Former Hospital/Wind DownTXN/A
Blue Stone JV LLP
1431 Perrone WayFranklinTN37069474798129Outpatient Imaging CentersTXN/A
Baylor Surgicare at Baylor Plano LLC
14201 Dallas ParkwayDallasTX75254813127185Ambulatory Surgery CenterTXN/A
Blue Stone Frisco JV LLP
1431 Perrone WayFranklinTN37069812480586Outpatient Imaging CentersTXN/A
Centennial ASC LLC
14201 Dallas ParkwayDallasTX75254352199232Ambulatory Surgery CenterTXN/A
Texas Regional Medical Center LLC
14201 Dallas ParkwayDallasTX75254510570864HospitalTXN/A
Texas Spine and Joint Hospital LLC
14201 Dallas ParkwayDallasTX75254752951355HospitalTXN/A
Baylor Surgicare at Blue Star LLC
14201 Dallas ParkwayDallasTX75254814638201HospitalTXN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress 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 AvenueDallasTX75246752463251Health Care Consulting ServicesTXN/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)$4,999,442$2,488,2140.08330
BMP Incorporated
301 N Washington AvenueDallasTX75246751436779Post OfficeTXN/ACYes (1)
BUMCRoberts Condominium Owners Association Inc
301 N Washington AvenueDallasTX75246752897806Condo AssociationTXN/ACYes (1)
Charitable Remainder Trust (51)
InvestmentTXN/AT0
Charitable Lead Trust (3)
InvestmentTXN/AT0
Hillcrest Health Holdings Inc
301 N Washington AvenueDallasTX75246742793367InactiveTXN/ACYes (1)
Insurance Company of Scott & White
301 N Washington AvenueDallasTX75246743092083InsuranceTXN/ACYes (1)
Baylor Scott & White Assurance SPC
980589956InvestmentN/ACYes (1)23 Lime Tree BayGrand CaymanCJCJ
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 RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BIR JV LLP
A$184,552GAAP
Scott & White Healthcare
B$70,250,000GAAP
Scott & White Clinic
B$5,000,000GAAP
Baylor Medical Center at Carrollton
C$148,256GAAP
Scott & White Healthcare Foundation
C$1,391,309GAAP
Scott & White Memorial Hospital
K$47,462GAAP
Baylor Scott & White Medical Centers - Capitol Area
L$62,754GAAP
Scott and White Health Plan
L$35,959,818GAAP
Baylor Quality Health Care Alliance LLC
L$1,863,888GAAP
Scott & White Clinic
L$6,843,966GAAP
Scott & White Hospital - Marble Falls
L$68,295GAAP
Scott & White Hospital - Taylor
L$293,965GAAP
Scott & White Memorial Hospital
L$105,056GAAP
Baylor Health Enterprises LP
M$247,667GAAP
Baylor Quality Health Care Alliance LLC
M$1,242,110GAAP
Baylor Scott & White Health
M$61,036,585GAAP
BIR JV LLP
M$766,920GAAP
Scott & White Clinic
M$12,151,981GAAP
Scott & White Memorial Hospital
M$527,994GAAP
Scott & White Memorial Hospital
P$665,821GAAP
BIR JV LLP
Q$233,374GAAP
Scott & White Memorial Hospital
Q$57,794GAAP
Baylor Scott & White Health
R$1,641,939GAAP
Baylor Scott & White Holdings
R$911,497GAAP
ESWCT LLC
S$824,507GAAP