2019-05-15T09:41:03-05:00 2018-06-30 990 2017-07-01 273513154 Scott & White Healthcare Foundation SCOT 2542159256 2401 S 31st Street Temple TX 76508 Jana Sharpley President 2542159256 2019-05-13 198.205.17.200 2019-05-13 20:16:49 CD P 0E4C15207DC127BDB52450F77D4060F40C3F1AE4 0EB4CE1ACD44DB279B6C2D9A8476B20948576B96 2017 2019-02-21 02:37:17Z Baylor Scott & White-Central Texas Foundation Jana Sharpley 2401 S 31st Street Temple TX 76508 68670574 0 X https://giving.sw.org/ X 2010 TX To establish relationships and develop an understanding of and a belief in Baylor Scott & White's missions and vision in order to obtain philanthropic financial resources to meet the needs of the network of clinics, acute care hospitals and related health care entities it serves. 18 10 36 11 49161 34361 17270066 24388359 0 0 8660351 8468891 239384 312509 26169801 33169759 19727780 12199553 0 0 3249641 3207716 124987 93778 2004504 2341214 1793666 25443622 17294713 726179 15875046 196775053 215130647 14204217 12409513 182570836 202721134 X To establish relationships and develop an understanding of and a belief in Baylor Scott & White's mission and vision in order to obtain philanthropic financial resources to meet the needs of those it serves. 0 0 13681952 12199553 0 See Schedule OScott & White Healthcare Foundation dba Baylor Scott & White-Central Texas Foundation (Foundation) raises and manages charitable funds to support Baylor Scott & White Health and its charitable affiliates. Established as a nonprofit organization exempt under 501(c)(3) on July 22, 2010, the Foundation has distributed more than $123 million to Baylor Scott & White Health, helping the healthcare system achieve its mission of serving all people by promoting the well-being of all individuals, families and communities. Our generous donors are philanthropic partners who believe in Baylor Scott & White's mission, providing support to enhance specialty care services, improve access to primary care, and advance medical technology through innovation. Significant support from the Foundation equips Baylor Scott & White Health to embrace new changes, continue to excel in the delivery of quality services to its patients, and develop new models of care to meet the needs of a growing population. Through the support of generous donors, the Foundation is helping Baylor Scott & White Health improve lives in Central Texas and beyond in many tangible, lasting ways. During the fiscal year, the Foundation distributed more than $12.6 million for priority programs and initiatives across Baylor Scott & White Health. 13681952 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 22 0 1 36 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA FL GA IL KS KY MD MA MI MN MS NH NJ NM NY NC OR PA RI SC TN UT VA WV WI X Amy Martin 2148202677 3600 Gaston Ave Suite 100 Dallas TX 75246 Andrejs Avots-Avotins MD Director 1.00 40.00 X 0 577232 89368 Madhava R Beeram MD Director 1.00 40.00 X 0 703945 103488 Erin Bird MD Director 1.00 40.00 X 0 636922 48398 Timothy Bittenbinder MD Director 1.00 40.00 X 0 879917 113040 Thomas Burdett Director/Vice Chair 1.00 1.00 X X 0 0 0 Louis S Casey Jr Director 1.00 2.00 X 0 0 0 Wayne Fisher Director/Chair 1.00 1.00 X X 0 0 0 Morris E Foster Director 1.00 1.00 X 0 0 0 Robert Garriott Director 1.00 1.00 X 0 0 0 Donald R Grobowsky Director 1.00 2.00 X 0 0 0 Jim Kruse Director 1.00 2.00 X 0 0 0 Drayton McLane III Director 1.00 1.00 X 0 0 0 Drayton McLane Jr Director 1.00 3.00 X 0 2550 0 Michael L Middleton MD Director 1.00 40.00 X 0 410382 47627 James H Mills Director 1.00 1.00 X 0 0 0 Mark Montgomery MD Director 1.00 40.00 X 0 673305 47441 Michael D Reis MD Director 1.00 40.00 X 0 686368 100066 William Rogers Director 1.00 1.00 X 0 0 0 Robin W Watson MD Director 1.00 40.00 X 0 749256 115521 Francis P Anderson Secretary/Treasurer 1.00 40.00 X 0 457509 64770 Amy Martin VP Finance/CFO 1.00 40.00 X 0 270495 37206 Jana Sharpley President 40.00 0.00 X 442116 0 71044 Susan Fergus VP Stewardship 40.00 0.00 X 144447 0 21646 Jeremy J Ksionda Director Philanthropy 40.00 0.00 X 120193 0 33296 Stephen Maher Director Philanthropy 40.00 0.00 X 126507 0 18531 Michael Moore VP Philanthropy & Commmunications 40.00 0.00 X 242334 0 29020 Christopher Beck Director Philanthropy 40.00 0.00 X 136561 0 17343 Cynthia C Newton Former Officer 0.00 40.00 X 0 157854 21974 Robert A Probe MD Former Officer 0.00 40.00 X 0 1310630 272222 1212158 7516365 1252001 8 1 1 0 Bornes VDM 1610 14th Ave SE Watertown SD 57201 Professional Fundraising Svcs 159525 Korzenowski Design Inc 266 W Lake St Elmhurst IL 60126 Event Production/Design Svcs 114147 2 58371 5343110 18986878 59613 24388359 2897014 2897014 353468 49161 304307 41024108 35452231 5571877 5571877 5571877 7625 58371 48584 -40959 -40959 33169759 0 49161 8732239 12129838 12129838 69715 69715 495166 99033 99033 297100 2251361 826988 613829 810544 79683 29270 21725 28688 188254 69151 51327 67776 193252 66098 50567 76587 34547 34547 4236 4236 93778 93778 1077561 218158 606628 252775 27486 9401 7192 10893 110801 37897 28993 43911 109827 37564 28738 43525 21664 7409 5669 8586 23121 7908 6050 9163 2156 738 564 854 151269 51738 39582 59949 518 177 136 205 Donor Recognition Fndrs 185861 185861 Special Functions 17499 5985 4579 6935 Dues & Memberships 8665 2964 2267 3434 Federal Income Tax 8518 8518 9937 3402 2595 3940 17294713 13681952 1608257 2004504 7609105 10011321 824936 0 9988533 17750183 48999 251030 3272771 1253736 2170305 2019035 176122675 183787203 10500 1311875 196775053 215130647 11235594 9879209 900000 600000 2068623 1930304 14204217 12409513 X 61241980 68867767 74906334 86804366 46422522 47049001 182570836 202721134 196775053 215130647 X 15875046 4286055 -10803 X 0 1 X 1 0 X 8830386 17989194 26944935 17270066 16576854 87611435 8830386 17989194 26944935 17270066 16576854 87611435 4915344 82696091 3015746 2946060 2999230 2940489 3201321 15102846 12178 -588 -10107 7619 34191 43293 102757574 128549 0.80480 0.76890 X 0 1 0 0 0 1 2405 1 4236 0 0 6641 0 Part II-B, Line 1: Statement Regarding Legislative Activity: Health care policy is critical to all Americans, and the Organization believes that health care providers must participate in forming health care policy by interacting with national, state and local representatives and their staff members to help them better understand the complexities and ramifications of key health care policies including, without limitation, those related to uninsured and indigent patient needs as well as the legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. The Organization has established relationships with persons and industry associations that often communicate the Organization's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, the Organization may attempt to educate the local community on certain legislative initiatives that may impact the Organization's ability to provide quality health care services to the community through direct mailings, media advertising or broadcast statements. The amount of resources (time and money) involved in these activities is insubstantial. The Organization has not intervened in any political campaign. 112467588 107317 13658656 3922744 122310817 113119337 421608 5349112 6422469 112467588 111029792 2770649 698951 1380055 113119337 108800734 1669291 2753620 2193853 111029792 94507428 2606093 13322037 1634824 108800734 0.51800 0.32170 0.16030 0 0 610050 610050 1649950 842091 807859 1012771 411645 601126 2019035 Trusts Due to Unrelated Beneficiaries 1930304 1930304 X Part V, Line 4: Endowment funds and income from endowment investments are used to provide funding for program activities of Baylor Scott & White Health. 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, 2018 and 2017, the System had no material gross unrecognized tax benefits. X X X X X X X 1 Bornes VDM 1610 14th Avenue SE Watertown SD 57201 Direct Mail 0 0 93778 -93778 93778 -93778 AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY DC Dove Hunt 54046 46721 7325 4815 11024 7809 5300 4909 Boots & Bandanas 11950 11650 300 11596 3131 0 65996 58371 7625 4815 22620 7809 5300 8040 48584 -40959 1 Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 741166904 501 (c) (3) 9291610 N/A N/A Medical research,education, and other patient programs and services Hillcrest Baptist Medical Center 2401 S 31st Street Temple TX 76508 741161944 501 (c) (3) 705141 N/A N/A Education and other patient programs and services Scott & White Hospital-College Station 2401 S 31st Street Temple TX 76508 274434451 501 (c) (3) 9720 N/A N/A Education and other patient programs and services Scott & White Hospital-Marble Falls 2401 S 31st Street Temple TX 76508 464007700 501 (c) (3) 1043646 N/A N/A Education and other patient programs and services Scott & White Hospital-Brenham 2401 S 31st Street Temple TX 76508 742519752 501 (c) (3) 8593 N/A N/A Education and other patient programs and services Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 501 (c) (3) 682967 N/A N/A Education and other patient programs and services Baylor Scott & White Health 2001 Bryan Street Ste 2200 Dallas TX 752013005 463131350 501 (c) (3) 228069 N/A N/A Education and other patient programs and services Scott & White Hospital-Round Rock 2401 S 31st Street Temple TX 76508 203749695 501 (c) (3) 18645 N/A N/A Education and other patient programs and services Hillcrest Family Health Center 2401 S 31st Street Temple TX 76508 742730350 501 (c) (3) 14279 N/A N/A Education and other patient programs and services Hillcrest Physician Services 2401 S 31st Street Temple TX 76508 742967081 501 (c) (3) 8800 N/A N/A Education and other patient programs and services Baylor Research Institute 2001 Bryan Street Ste 2200 Dallas TX 752013005 751921898 501 (c) (3) 41441 N/A N/A Medical Research Scott & White Hospital-Llano 2401 S 31st Street Temple TX 76508 273026151 501 (c) (3) 74927 N/A N/A Education and other patient programs and services 12 0 Scholarships 5 69715 Part I, Line 2: Monitoring Grants & Other Assistance: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of the organization's charitable mission and one of the following criteria for use of these funds is met: (1) Fulfills a need identified by a community needs assessment conducted by the organization and/or outlined in an implementation strategy, (2) Serves an under-served community or group of people through medical mission work to improve their health status (3) promotes health in the community, (4) supports community buildings activities that protect or improves the community's health or safety and/or (5) provides positive visibility and good community relations with other organization serving the health needs of the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BSWH which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are typically monitored by personal inspection. Examples include providing assistance to entities where the filing organization's employee serves as a Board Member for the recipient organization or through attendance at community events where the filing organization employees work as volunteers or to help coordinate these events. 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. X X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Andrejs Avots-Avotins MD Director 0 444334 0 122026 0 10872 0 68701 0 20667 0 666600 0 0 Madhava R Beeram MD Director 0 505954 0 186148 0 11843 0 82501 0 20987 0 807433 0 0 Erin Bird MD Director 0 634646 0 0 0 2276 0 21600 0 26798 0 685320 0 0 Timothy Bittenbinder MD Director 0 641200 0 230736 0 7981 0 102049 0 10991 0 992957 0 0 Michael L Middleton MD Director 0 407777 0 0 0 2605 0 21600 0 26027 0 458009 0 0 Mark Montgomery MD Director 0 669404 0 0 0 3901 0 21600 0 25841 0 720746 0 0 Michael D Reis MD Director 0 499059 0 179321 0 7988 0 79719 0 20347 0 786434 0 0 Robin W Watson MD Director 0 548178 0 197782 0 3296 0 86247 0 29274 0 864777 0 0 Francis P Anderson Secretary/Treasurer 0 357319 0 91773 0 8417 0 53922 0 10848 0 522279 0 0 Amy Martin VP Finance/CFO 0 213216 0 55323 0 1956 0 32702 0 4504 0 307701 0 0 Jana Sharpley President 332853 0 79690 0 29573 0 51665 0 19379 0 513160 0 0 0 Susan Fergus VP Stewardship 121169 0 21533 0 1745 0 6328 0 15318 0 166093 0 0 0 Jeremy J Ksionda Director Philanthropy 102232 0 16703 0 1258 0 5461 0 27835 0 153489 0 0 0 Michael Moore VP Philanthropy & Commmunications 204351 0 35838 0 2145 0 10535 0 18485 0 271354 0 0 0 Christopher Beck Director Philanthropy 124683 0 11109 0 769 0 2516 0 14827 0 153904 0 0 0 Cynthia C Newton Former Officer 0 116891 0 39758 0 1205 0 6092 0 15882 0 179828 0 0 Robert A Probe MD Former Officer 0 764549 0 526100 0 19981 0 236361 0 35861 0 1582852 0 0 Part I, Line 1a Tax 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. Six 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 who travel frequently in their personal vehicle an auto expense allowance in lieu of reimbursement for business mileage under the organization's business travel and expense reimbursement policy. All auto expense allowances are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Part I, Line 3 Process for determining compensation: The organization, a controlled affiliate of BSW Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the BSW Holdings Board of Trustees and its Compensation Committee to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the BSW Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers held by BSW Holdings, works directly with an independent compensation expert(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and other officers and key employees to ensure total compensation is within a fair market range. The annual review included management reviewing all officers and key employees listed on the Form 990 during the current tax year. Any individual whose direct compensation exceeded the projected compensation from prior year, any new individual whose position has not been reviewed by the Compensation Committee during the prior 2 years, or any individual whose responsibilities or scope of operations expanded during the current year were reviewed by the Compensation Committee during the current tax year. The Compensation Committee is made up of members of the BSW Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Compensation Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision making process, the Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings. Part I, Line 4b 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: Amy Martin, Andrejs Avots-Avotins, M.D., Erin Bird, M.D., Francis P. Anderson, Jana Sharpley, Madhava R. Beeram, M.D., Mark Montgomery, M.D., Michael D. Reis, M.D., Michael L. Middleton, M.D., Robert A. Probe, M.D., Robin W. Watson, M.D. and Timothy Bittenbinder, M.D. Also, certain senior officers, as designated by the BSW Holdings' governing body, are eligible to participate in a Long Term Incentive Plan that is designed to recognize key senior leader's value and contribution to BSWH as well as align their compensation to the long term strategy of BSWH. Performance targets are based upon a percentage of the participant's base salary and are developed by independent third party expert(s) using market competitive data within the guides of reasonableness. The plan is based on BSWH's three-year performance against its peers, determined based on peer rankings or percentile rankings in quality, patient satisfaction and financial performance. At the end of three years, awards are determined by BSW Holdings' governing body for participants. Payouts are partially made in cash and the remainder vests over an additional two year period. The following individual(s) participated in and/or received payments (noted in parenthesis) from this plan during the tax year: Robert A. Probe, M.D. ($109,222). Part I, Line 7 The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BSW Holdings' governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data. Form 990, Schedule J, Part III Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. 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. X 8968 Fair Market Value X 6 45830 Avg FMV on Date of Trans X Auction Items 1 4815 Fair Market Value 0 0 1 0 Part I, Column (b): The Organization is reporting based on the number of contributions, not the number of items contributed. Form 990, Part VI, Section A, line 2 Business relationship: Drayton McLane III and Wayne Fisher. Family relationship: Drayton McLane Jr. and Drayton McLane III. Form 990, Part VI, Section A, line 6 Members 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 7a Election of members of governing body by members, stockholders, or other persons: Baylor Scott & White Holdings (BSW Holdings), a tax exempt, Texas nonprofit corporation is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: All rights and powers are reserved to the organization's ultimate parent, BSW Holdings, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, BSW Holdings' substantial reserved rights and powers include, without limitation, approval of the organization's certificate of formation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section B, line 11b Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Process used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements, employed physicians and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings' Board of Trustees Audit and Compliance Committee and the BSW Holdings' Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual. Form 990, Part VI, Section B, line 15 Process for determining compensation: The organization, a controlled affiliate of BSW Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the BSW Holdings Board of Trustees and its Compensation Committee to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the BSW Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers held by BSW Holdings, works directly with an independent compensation expert(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and other officers and key employees to ensure total compensation is within a fair market range. The annual review included management reviewing all officers and key employees listed on the Form 990 during the current tax year. Any individual whose direct compensation exceeded the projected compensation from prior year, any new individual whose position has not been reviewed by the Compensation Committee during the prior 2 years, or any individual whose responsibilities or scope of operations expanded during the current year were reviewed by the Compensation Committee during the current tax year. The Compensation Committee is made up of members of the BSW Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Compensation Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision making process, the Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings. Form 990, Part VI, Section C, line 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's certificate of formation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BSW Holdings that are made available to the public by the posting of those documents through DAC Bond. The organization's other governing documents and conflicts of interest policy are not made available to the public. Form 990, Part XI, line 9: Self Insurance Liability Reserve -5,752. Uncollectible Pledges -190,841. Unrestricted Split Int Agreements 135,943. Prior Period Adjustment 88,332. Transfer Between Entities Under Common Control -38,485. 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 CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 2001 Bryan Street Suite 2200 Dallas, TX 75201 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed All Saints Health Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751947007 Fundraising TX 501(c)(3) Line 7 Baylor All Saints Medical Center 1 Baylor All Saints Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751008430 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Health Care System 2001 Bryan Street Suite 2200 Dallas TX 75201 751812652 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Health Care System Employee Benefit Trust 2001 Bryan Street Suite 2200 Dallas TX 75201 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 Baylor Health Care System Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751606705 Fundraising TX 501(c)(3) Line 7 Baylor Health Care System 1 Baylor Health Services 2001 Bryan Street Suite 2200 Dallas TX 75201 751917311 Inactive TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Institute for Rehabilitation at Gaston Episcopal Hospital 2001 Bryan Street Suite 2200 Dallas TX 75201 751037226 Rehabilitation Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Carrollton 2001 Bryan Street Suite 2200 Dallas TX 75201 454510252 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Irving 2001 Bryan Street Suite 2200 Dallas TX 75201 752586857 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Waxahachie 2001 Bryan Street Suite 2200 Dallas TX 75201 751844139 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Centers at Garland and McKinney 2001 Bryan Street Suite 2200 Dallas TX 75201 751037591 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Grapevine 2001 Bryan Street Suite 2200 Dallas TX 75201 751777119 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Plano 2001 Bryan Street Suite 2200 Dallas TX 75201 820551704 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Research Institute 2001 Bryan Street Suite 2200 Dallas TX 75201 751921898 Research TX 501(c)(3) Line 4 Baylor Health Care System 1 Baylor Scott & White Health 2001 Bryan Street Suite 2200 Dallas TX 75201 463131350 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Scott & White Holdings 2001 Bryan Street Suite 2200 Dallas TX 75201 463130985 Parent TX 501(c)(3) Line 12b, II N/A 0 Baylor Specialty Health Centers 2001 Bryan Street Suite 2200 Dallas TX 75201 751765385 Long Term Acute Care Hospitals TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor University Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751837454 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 HealthTexas Provider Network 2001 Bryan Street Suite 2200 Dallas TX 75201 752536818 Physician Services TX 501(c)(3) Line 3 Baylor Health Care System 1 Hillcrest Baptist Medical Center 100 Hillcrest Medical Blvd Waco TX 76712 741161944 Hospital TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 100 Hillcrest Medical Blvd Waco TX 76712 742730350 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 100 Hillcrest Medical Blvd Waco TX 76712 742967081 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751570933 Fundraising TX 501(c)(3) Line 7 Baylor Medical Center at Irving 1 Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 Physician Services TX 501(c)(3) Line 10 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 2401 S 31st Street Temple 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