2019-05-15T09:41:03-05:00 2018-06-30 990 2017-07-01 273026151 Scott & White Hospital - Llano SCOT 2542159256 2401 South 31st Street Temple TX 76508 Jennie L Campbell VP Finance/CFO 8302018674 2019-05-13 198.205.17.200 2019-05-13 10:27:14 CD P 0E4C15207DC127BDB52450F77D4060F40C3F1AE4 5D794220C68C161820A811785299AFD302F4C684 2017 2019-02-21 02:37:17Z Baylor Scott & White Medical Center-Llano Tim Ols 200 W Ollie Street Llano TX 78643 24530433 0 X www.bswhealth.com X 2010 TX Faith based acute care hospital providing exemplary patient care, medical education, medical research and community service to residents of the Central Texas region since the 1950s. 18 9 223 9 0 1961 17103 83284 29435775 23514946 382 733381 660 973 29453920 24332584 1000 500 0 0 10270309 9539062 0 0 0 14110035 15007319 24381344 24546881 5072576 -214297 6749128 7424646 1917399 2835172 4831729 4589474 X Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. 0 0 22184739 500 23514946 See Schedule OScott & White Hospital - Llano dba Baylor Scott & White Medical Center- Llano (BSW Llano) is a faith-based, nonprofit 27-bed acute care hospital providing exemplary patient care services to the residents of Llano County and the surrounding communities since the 1950s. BSW Llano 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 includes 50 hospitals, over 1,100 patient care sites, more than 7,500 active physicians, approximately 48,000 employees and the Scott & White Health Plan.During the fiscal year, BSW Llano admitted 185 patients resulting in 474 patient days of care and received 4,836 emergency department visits. Additionally, BSW Llano provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $6,050,540 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $2,012,415 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $2,210,077 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.See Schedule H for more information regarding these services and how BSW Llano promotes the health of the communities. 22184739 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 40 0 1 223 1 1 1 0 0 0 0 0 0 0 0 0 X 18 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Laurie Hengst 2542159259 2401 S 31st Street Temple TX 76508 Madhava R Beeram MD Trustee 1.00 40.00 X 0 703945 103488 Erin Bird MD Trustee 1.00 40.00 X 0 636922 48398 Timothy Bittenbinder MD Trustee 1.00 40.00 X 0 879917 113040 Thomas Burdett Trustee 1.00 1.00 X 0 0 0 Angel Caldera MD Trustee 1.00 40.00 X 0 624778 45859 Louis S Casey Jr Trustee 1.00 2.00 X 0 0 0 Wayne Fisher Trustee/Chair 1.00 1.00 X X 0 0 0 Morris E Foster Trustee 1.00 1.00 X 0 0 0 Robert Garriott Trustee 1.00 1.00 X 0 0 0 Donald R Grobowsky Trustee 1.00 2.00 X 0 0 0 Jim Kruse Trustee 1.00 2.00 X 0 0 0 Drayton McLane III Trustee 1.00 1.00 X 0 0 0 Tresa McNeal MD Trustee 1.00 40.00 X 0 294515 36106 Michael L Middleton MD Trustee 1.00 40.00 X 0 410382 47627 James H Mills Trustee 1.00 1.00 X 0 0 0 Mark Montgomery MD Trustee 1.00 40.00 X 0 673305 47441 Michael D Reis MD Trustee 1.00 40.00 X 0 686368 100066 William Rogers Trustee/Vice Chair 1.00 1.00 X X 0 0 0 Robin W Watson MD Trustee 1.00 40.00 X 0 749256 115521 Jennie Campbell VP Finance/CFO/Sec/Treas 1.00 40.00 X 0 211597 24689 Tim Ols President/CEO 1.00 40.00 X 0 296595 53282 Paul Cook MD Chief Medical Officer 1.00 40.00 X 0 452481 76365 R Bramer Owens Chief Operations Officer 1.00 40.00 X 0 214684 37612 Betsy Patterson Chief Nursing Officer 1.00 40.00 X 0 210342 36432 Reta Hunt Director Nursing 40.00 0.00 X 136550 0 26759 Blake E Jamail Director Clinic Op 40.00 0.00 X 102195 0 30708 Judy Landers Nurse Manager 36.00 0.00 X 111540 0 14978 Kay Snider Registered Nurse 41.00 0.00 X 100632 0 14806 Thomas Watson Former Officer 0.00 40.00 X 0 242280 24181 Randall J Grimshaw MD Former Key Employee 0.00 40.00 X 0 154678 27917 450917 7442045 1025275 4 1 1 0 Scott & White Hospital-Marble Falls 2401 S 31st Street Temple TX 76508 Medical Services 1012341 Aramark Services Inc PO Box 651009 Charlotte NC 282651009 Engineering/Food Services 242728 Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 Medical Services 111252 3 74926 8358 83284 Patient Care 622110 21773497 21773497 Ambulance Transport 621910 1604581 1604581 Pharmacy Rebates 900099 125940 125940 Prop Damage Settlement 900099 7398 7398 Rent 531120 3530 3530 23514946 88 88 931142 197849 733293 733293 733293 Vending 722514 973 973 973 24332584 23514946 0 734354 X 500 500 7623611 6862613 760998 218964 197107 21857 1174121 1056919 117202 522366 470223 52143 15267 15267 9173 9173 8067403 6724082 1343321 25343 17588 7755 215154 210094 5060 1887270 1886801 469 1001594 1000687 907 19383 15787 3596 8481 7056 1425 7190 7190 767871 767871 21629 21629 LPPF Expense 1592228 1592228 Medical Supplies 1280705 1280705 Non-Medical Supplies 71505 71505 Dues & Memberships 3521 3471 50 13602 12312 1290 24546881 22184739 2362142 0 784637 271678 1569580 3617684 320374 296171 60312 63524 8756175 5642811 3983333 3113364 30892 62225 6749128 7424646 1917399 2835172 1917399 2835172 X 4809644 4536056 22085 53418 4831729 4589474 6749128 7424646 X -214297 -27958 X 0 1 X 1 1 1 X 0 1 0 0 0 1 6133 1 9173 0 0 15306 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. 106448 106448 3266357 1738841 1527516 5383370 3903970 1479400 3113364 X 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. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 1952589 0 1952589 0.07950 4074088 5940419 0 0.00000 55914 22724 33190 0.00140 6082591 5963143 1985779 0.08090 24509 0 24509 0.00100 2726 600 2126 0.00010 0 0 0.00000 0 0 0.00000 0 0 0.00000 27235 600 26635 0.00110 6109826 5963743 2012414 0.08200 1 395851 0 2508722 3558128 -1049406 X 1 1 1 1 Baylor Scott & White Med Ctr - Llano 200 W Ollie Street Llano TX 78643 www.bswhealth.com 100090 X X X X Baylor Scott & White Medical Ctr - Llano 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X http://communityneeds.bswhealth.com/ X 1 15 1 http://communityneeds.bswhealth.com/ 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X https://www.bswhealth.com/financialassistance X https://www.bswhealth.com/financialassistance X https://www.bswhealth.com/financialassistance X X X X X X X 1 X 0 X X X X 1 X 0 0 Baylor Scott & White Medical Ctr - Llano Part V, Section B, Line 5: Focus groups with a total of nine (9) participants, as well as five (5) key informant interviews, were conducted September through November 2015 in order to take into account the input of persons representing the broad interests of the community served. The focus groups and interviews were conducted to solicit feedback from leaders and representatives who serve the community and have insight into community needs. The focus group is designed to familiarize participants with the CHNA process and gain a better understanding of priority health needs from the community's perspective. Focus groups were formatted for individual as well as small group feedback and also helped identify other community organizations already addressing health needs in the community. Truven Health also conducted key informant interviews for the community served. The interviews were designed to help understand and gain insight into how participants feel about the general health status of the community and the various drivers contributing to health issues. In order to qualitatively assess the health needs for the community, participation was solicited from at least one state, local, tribal, 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 serving and/or representing the interests of medically underserved, low-income, and minority populations in the community. In order to ensure the input received also represented the broad interests of the community served, participation was also sought from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers (including physicians). The following is a list of the groups consulted: Town of Marble Falls, Catholic Charities of Central Texas, Burleson County Health Resource Commission, Texas Housing Foundation, Community Resource Centers of Texas, Department of State Health Services-Region 7, Highland Lakes Interagency, Texas Department of State Health Services, Texas A&M Agrilife Extension Services, Highland Lakes Family Crisis Center, Heart of Hope Counseling Mediation, Highland Lakes Health Partnership, Methodist Healthcare Ministry, Lake Falls Church, Seton Highland Lakes Hospital & Clinics, HLHealth Partnership Board, Seton Healthcare Baylor Scott & White Medical Ctr - Llano Part V, Section B, Line 6a: Baylor Scott & White Medical Center-Marble FallsBaylor Scott & White Medical Center - Llano:Part V, Section B, Line 9: The hospital adopted its most recent Implementation Strategy before November 15, 2016, the 15th day of the fifth month after the 2015 tax year as described in IRS Regulation Section 1.501(r)-3(c)(5). Baylor Scott & White Medical Ctr - Llano Part V, Section B, Line 11: The hospital is committed to serving the community by adhering to its 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 in the community to complete a joint community health needs assessment and develop a joint implementation strategy to meet certain federal and state requirements. These hospitals will address significant community health needs based on their intersection with the stated mission and key clinical strengths. Below are key actions that were taken during the year to address the following needs: Cancer, Heart Disease and Stroke, Prenatal Care, Car Crash Deaths, Mental Health Resources and Diabetes.Lung Cancer and Breast Cancer Health Screenings - The hospital offers health screenings throughout the year to assist in the prevention and early identification of potential disease states. Some screenings are provided on a one time basis or as a special event in the community and are available to those who are under insured. Community Health Education - Community health education is provided at various Health Fairs in Marble Falls including proper screening techniques and proper ways to check breasts. This service draws attendees from the Hill Country Region counties and includes but is not limited to: Highland Lakes Healthcare Partnership, American Cancer Society Relay for Life Event and -Marble Falls Staff Back to School Health Fair. For Women For Life - For Women for Life event targets the women of the Hill Country Region counties. This event provides education such as proper screening techniques and proper ways to check breasts. In addition, on-site Medical Specialists provide consultation, education, and lectures regarding this topic. These Specialists include, but are not limited to: OB/GYN, General Surgeon, Dietician, and Radiologist.Exploring Opportunities for Additional Specialists - To provide better access to Hematology/Oncology services, the Clinic plans to partner with BSWH system Radiation Oncologists. This will enhance the continuum of care by proving a joint service that would eliminate the need for patients from Hill Country Region to travel great distances for follow-up appointments. Currently, many patients must make a 1.5 - 2 hour drive to see their respective Radiation Oncologist. In addition, to support increased volumes and patient needs an additional exam room has been built out to utilize as a procedure room. Throughout the development of this service to the area, there will be ongoing evaluation of additional resource and services based on patient needs.Cancer Nurse Navigation - Decreasing hospital admissions related to Neutropenia - Due to identification of increased hospital admissions related to Neutropenia, the Hematology/Oncology department at Marble Falls Specialty Clinic aims to develop a Nurse Navigator program. This program will generate teaching aids for newly diagnosed patients in the community outlining neutropenic precautions, preventative measures, and foster understanding of difference between emergency and managed care. Additionally, the Nurse Navigator will incorporate standard follow up guidelines to communicate with patient in between office visits and chemotherapy. The Nurse Navigator program will also develop triage aids and provide education to additional nurses when triaging in Extended Care and Call Center environments. This is important as these nurses do not have the specialized training and skill set, so this program will expand the awareness and education to staff.Resources for the Uninsured - Treatment options for cancer patients are very costly and often patients do not know what financial resources or options are available to them. The department seeks to establish a Financial Counselor within the Hematology/Oncology department. This team will assist patients in navigating and evaluating their financial resource options in the selected treatment plan. Additionally, the Financial Counselor will provide navigation assistance to patients if needed.Community Education Events - Community education relative to heart disease and prevention measures is provided at various health fairs including annual men and women health events. In addition, further education is provided to the Hill Country Region through Provider led community talks about heart disease. For further growth in this particular service to the Region, considerations are being made for an education program for Advanced Heart Failure and Congestive Heart Failure.Access to Specialty Care - Increase the ability for community members to get access to care from specialists where there has been a shortage in the geographic area. Expand the access to Cardiology Specialists by increasing the number of Cardiology Providers at Marble Falls Specialty Clinic. These Providers will service the counties included in the Hill Country Region. In addition to the current Cardiologist, Marble Falls Specialty Clinic will have 1 General Cardiologist, 1 Non-Invasive Interventionalist, and 2 Advanced Practice Providers by November 2016.Development of Diagnostic Cath Lab - The Diagnostic Cath Lab is projected to open in late fall of 2016 at Baylor Scott & White Medical Center - Marble Falls. This will assist in developing the continuum of care for cardiology needs in the community, eliminating the need to drive distances for diagnostic Cath lab procedures.Community Education Events - Community education will be provided at various Senior Health Fairs in Marble Falls and the surrounding area including annual men and woman health events. Information and education provided at these events includes warning signs of strokes. In addition, further education is provided to the Hill Country Region through Provider led community talks about heart disease.Decreasing CHF and Pneumonia Hospital Readmissions - An innovative approach has been developed to address Congestive Heart Failure (CHF) and Pneumonia (PN) in patients/families and provide them with tools and resources in an effort to decrease admissions at Baylor Scott & White - Marble Falls and Baylor Scott & White - Llano. Using an interdisciplinary team approach, patients are evaluated during their in-patient stay by case management, Hospitalists, pharmacists, etc. In addition, when discharged, patients receive post- acute phone calls 24-72 hours, invitations to attend a cooking demonstration and a shop with an Expert so they can learn more about food labels and healthy items in the grocery store. CHF patients learn about items with hidden salt and patients with pneumonia learn about ways to be healthy after losing weight in the hospital which occurs with pneumonia. In-patient services such as Respiratory, Dietary, Pharmacy, Case Management, Social Work and the nursing department will continue to work together to meet patient needs. An assessment of needs would be documented in the EPIC chart for each patient. Coordination of services (Home Health, Skilled Nursing, et.), depending on patient need, (Dietary, etc.) would also be a part of the Standard Work Process for Care Management staff. In addition, physicians will be reminded to consider the Pneumovax vaccine for patients over 65 years of age and/or have a weakened immune system such as cancer or patients without a spleen. The Pneumovax vaccine can prevent some of the serious complications of pneumonia, such as infection in the bloodstream (bacteremia) or throughout the body (septicemia). Access to Specialists - In August of 2016, 2 female OB/GYN specialists started at Marble Falls Specialty Clinic. This is the first time that the Hill Country Region Counties have had access to this specialty. Prior to these physicians starting, only family medicine doctors who also provided obstetrics served the Hill Country Region. Development of this service will see the addition of one more OB/GYN in the year 2017.Pursuing Stroke Certification - Due to the increased number of patients who present to Baylor Scott & White Medical Center - Marble Falls for stroke, it has been identified that the facility needs to pursue stroke certification. The process for pursing stroke certification is expected to begin in 2017.Additional actions can be found in the joint implementation strategy that is made widely available on the website listed in Schedule H, Part V, Section B, Line 10a. The following identified need has not been addressed in the joint community benefit implementation plan because there are multiple other community and state agencies whose expertise and infrastructure are better suited for addressing these needs: Car Crash Deaths, Mental Health Resources and Diabetes. Baylor Scott & White Medical Ctr - Llano Part V, Section B, Line 16j: Measures to publicize the policy within the community served by the hospital facility, include but are not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital may receive help from a financial counselor. These services are also offered through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. 8 1 - BSW Clinic-Marble Falls 706 Avenue G Marble Falls TX 78654 Rural Health Clinic 2 - BSW Clinic-Kingsland 105 FM 2342 Kingsland TX 78639 Rural Health Clinic/Rehab 3 - BSW Clinic-Llano 102 E Young Street Llano TX 78643 Rural Health Clinic 4 - BSW Clinic-San Saba 2005 W Wallace San Saba TX 76877 Rural Health Clinic 5 - BSW Clinic-Burnet 101 E Jackson Burnet TX 78611 Rural Health Clinic 6 - BSW Clinic-Horseshoe Bay 100 Pecan Crossing Horseshoe Bay TX 78657 Rural Health Clinic 7 - BSW Clinic-Johnson City 208 Haley Rd Johnson City TX 78636 Rural Health Clinic 8 - BSW Outpatient Rehab-Llano 1100 Ford Street Llano TX 78643 Rural Health Rehab Clinic 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 http://communityneeds.bswhealth.com/ 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 7b, Column (d): Includes payments from the State 1115 Medicaid Waiver Program for uncompensated care, which funds are to be used to expand indigent care. 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. The organization believes that all of the shortfall should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely increase at, and rest on the shoulders of, nonprofit hospitals or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. Part III, Line 9b: The organization's patient billing and collection policy prohibits any collection efforts for the portion of the account balance that qualifies for financial assistance under the organization's financial assistance policy. For any remaining balances due, the same policy contains the actions that may be taken in the event of nonpayment, which are applied equally to all patient types. The policy is made widely available to the public on the organization's website https://www.bswhealth.com/financialassistance. Part VI, Line 2: During the fiscal year ending June 30, 2016, 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: http://communityneeds.bswhealth.com/. Part VI, Line 3: The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the financial assistance policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's financial assistance program in the local newspapers: 3) information regarding financial assistance, including the organization's financial assistance policy, is posted on the organization's website: 4) notices about the organization's financial assistance policy is posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance: and 5) the organization may provide free financial counselors to help inpatients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's financial assistance program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. The organization has the 501(r) policies available on its website in eight languages: English, Spanish, Russian, Korean, Vietnamese, Arabic, French and Chinese. The organization can also accommodate other languages including American Sign Language as needed. Part VI, Line 4: The organization operates a hospital facility that primarily serves the geographical area of Blanco, Burnet, Llano and San Sabas counties. Additional information regarding the community can also be found below, and in the hospital's community health needs assessment and implementation strategy located on the organization's website at http://communityneeds.bswhealth.com/. This community was older and less diverse when compared to other the overall state of Texas and the nation. The community had a lower unemployment rate than the other benchmarks but also a lower median income. The population of this community was on par with the benchmarks for other social barriers (limited English and no high school diploma).The population in the community served is expected grow almost 5% by 2020, increasing the population by just over 3,700 people. This growth rate is lower than Texas overall (6.7%) but higher than the entire U.S. (3.5%). The largest increases will be in Bertram (9.6%), Kingsland (6.8%), and Horseshoe Bay (6.6%). A few markets are projected to have a slight population decline by 2010, including Briggs, Tow, and Bluffton. The sixty-five plus cohort made up 25% of this market, more than double the percentage for Texas (12%). The senior population is also expected to experience the most growth over the next five years, estimated to increase 28,000 over the next five years. Growth in this population will likely contribute to increased utilization of services as the population continues to age. Children were the smallest age cohort and 5 year projected growth is flat, while the age 18-44 population is anticipated to increase by 1,500 people in the same timeframe. The age 45-64 cohort is expected to decline over the next 4 years.The community was 88% white in 2015, and the population growth rate is expected to remain relatively flat. Diversity in the community will increase as minority populations are expected to have the highest growth rates. The Hispanic population is expected to grow more than five times faster than the non-Hispanic population. In 2015, 20% of the population identified as Hispanic and 80% of the Hispanic population resided in Burnet and Llano counties. The projected growth rate of minority populations is much greater than that of the white population, but the overall proportion of minorities will only increase by 2% in 2020 (from 11% of total population to 13%).The median household income for the community served was $42,657. In 2015, 51% of the community was commercially insured, 11% was covered by Medicaid, 14% was uninsured, and 24% was covered by Medicare or Medicare dual eligible. The population purchasing insurance through the health insurance exchange marketplace is expected to increase from 3% to 5% by 2020. The uninsured is not expected to change over the next 5 years. The largest growth in any one insurance category for all counties will be in Medicare, which is driven by the aging population.The community includes seventeen (17) Health Professional Shortage Areas and four (4) 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 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: http://communityneeds.bswhealth.com/. 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 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 https://www.bswhealth.com/financialassistance.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.The organization and its employees are active members in the communities it serves. In FY 18, the organization supported these communities through numerous blood drives, breast feeding classes, nutrition events, health education classes, health fairs, health screenings, and many other financial and in-kind donations. 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 $9.5 Billion and total assets of $12.1 billion based on the fiscal year ended June 30, 2018. Today, BSWH includes 50 hospitals, over 1,100 patient care sites, more than 7,500 active physicians, approximately 48,000 employees and the Scott & White Health Plan. 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) in excess of $954,038,000. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) in excess of $532,010,000 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $380,665,000 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. Part VI, Line 7, Reports Filed With States TX X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Madhava R Beeram MD Trustee 0 505954 0 186148 0 11843 0 82501 0 20987 0 807433 0 0 Erin Bird MD Trustee 0 634646 0 0 0 2276 0 21600 0 26798 0 685320 0 0 Timothy Bittenbinder MD Trustee 0 641200 0 230736 0 7981 0 102049 0 10991 0 992957 0 0 Angel Caldera MD Trustee 0 623713 0 0 0 1065 0 21600 0 24259 0 670637 0 0 Tresa McNeal MD Trustee 0 293459 0 0 0 1056 0 21600 0 14506 0 330621 0 0 Michael L Middleton MD Trustee 0 407777 0 0 0 2605 0 21600 0 26027 0 458009 0 0 Mark Montgomery MD Trustee 0 669404 0 0 0 3901 0 21600 0 25841 0 720746 0 0 Michael D Reis MD Trustee 0 499059 0 179321 0 7988 0 79719 0 20347 0 786434 0 0 Robin W Watson MD Trustee 0 548178 0 197782 0 3296 0 86247 0 29274 0 864777 0 0 Jennie Campbell VP Finance/CFO/Sec/Treas 0 169973 0 40683 0 941 0 0 0 24689 0 236286 0 0 Tim Ols President/CEO 0 216543 0 51845 0 28207 0 30793 0 22489 0 349877 0 0 Paul Cook MD Chief Medical Officer 0 332990 0 117049 0 2442 0 51877 0 24488 0 528846 0 0 R Bramer Owens Chief Operations Officer 0 172404 0 41300 0 980 0 9247 0 28365 0 252296 0 0 Betsy Patterson Chief Nursing Officer 0 169445 0 39464 0 1433 0 8833 0 27599 0 246774 0 0 Reta Hunt Director Nursing 113346 0 21540 0 1664 0 5928 0 20831 0 163309 0 0 0 Thomas Watson Former Officer 0 196116 0 44973 0 1191 0 10067 0 14114 0 266461 0 0 Randall J Grimshaw MD Former Key Employee 0 146763 0 0 0 7915 0 10530 0 17387 0 182595 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. Four of the persons listed in the Form 990, Part VII, Section A, received this benefit from the organization 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: Angel Caldera, M.D., Erin Bird, M.D., Madhava R. Beeram, M.D., Mark Montgomery, M.D., Michael D. Reis, M.D., Michael L. Middleton, M.D., Paul Cook, M.D., Randall J. Grimshaw, M.D., Robin W. Watson M.D., Tim Ols, Timothy Bittenbinder, M.D. and Tresa McNeal, M.D. 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. Form 990, Part VI, Section A, line 2 Business relationship: Drayton McLane III and Wayne Fisher. Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit membership organization in which SWHC, a tax exempt, Texas nonprofit corporation, is the sole member. Form 990, Part VI, Section A, line 7a Election of members of governing body by members, stockholders, or other persons: BSW Holdings, a tax exempt, Texas nonprofit corporation is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: All rights and powers are reserved to the organization's ultimate parent, BSW Holdings, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, 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 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 IX, line 11g Other Purchased Services: Program service expenses 823,006. Management and general expenses 228,745. Fundraising expenses 0. Total expenses 1,051,751. Contract Labor: Program service expenses 42,805. Management and general expenses 0. Fundraising expenses 0. Total expenses 42,805. Laboratory: Program service expenses 519,300. Management and general expenses 0. Fundraising expenses 0. Total expenses 519,300. Repairs & Maintenance: Program service expenses 105,178. Management and general expenses 0. Fundraising expenses 0. Total expenses 105,178. Patient Care: Program service expenses 5,233,293. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,233,293. Professional Fees: Program service expenses 500. Management and general expenses 16,000. Fundraising expenses 0. Total expenses 16,500. Corporate Overhead : Program service expenses 0. Management and general expenses 1,098,576. Fundraising expenses 0. Total expenses 1,098,576. Form 990, Part XI, line 9: Self Insurance Liability Reserve -59,291. Change in Net Assets of Related Foundation 31,333. 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 TX 76508 202850920 Long Term Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White EMS Inc 2401 S 31st Street Temple TX 76508 753242749 Emergency Transport TX 501(c)(3) Line 10 Scott & White Memorial Hospital 1 Scott & White Foundation-Brenham 2401 S 31st Street Temple TX 76508 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Scott & White Health Plan 2401 S 31st Street Temple TX 76508 742052197 HMO/Insurance TX 501(c)(4) Baylor Scott & White Holdings 1 Scott & White Healthcare 2401 S 31st Street Temple TX 76508 264532547 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Scott & White Healthcare Foundation 2401 S 31st Street Temple TX 76508 273513154 Fundraising TX 501(c)(3) Line 7 Scott & White Healthcare 1 Scott & White Hospital-Brenham 2401 S 31st Street Temple TX 76508 742519752 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 2401 S 31st Street Temple TX 76508 274434451 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Marble Falls 2401 S 31st Street Temple TX 76508 464007700 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 2401 S 31st Street Temple TX 76508 203749695 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Taylor 2401 S 31st Street Temple TX 76508 741595711 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 741166904 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Southern Sector Health Initiative 2001 Bryan Street Suite 2200 Dallas TX 75201 263087442 Diabetes Health & Wellness Center TX 501(c)(3) Line 12a, I Baylor University Medical Center 1 Baylor Scott & White Medical Centers- Capitol Area 2401 S 31st Street Temple TX 76508 813040663 Hospital TX 501(c)(3) Line 3 Baylor Scott & White Health 1 Century Integrated Partners Inc 2001 Bryan Street Ste 2200 Dallas TX 75201 810872075 Physician Services/Emergency Care TX 501(c)(3) Line 3 Baylor University Medical Center 1 Baylor Scott & White Medical Center - Centennial 2001 Bryan Street Ste 2200 Dallas TX 75201 824052186 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Scott & White Care Plans 2401 S 31st St Temple TX 76508 822794853 HMO/Insurance TX 501(c)(4) Scott & White Health Plan 1 Arlington Ortho & Spine Hospital LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 261578178 Hospital TX N/A Arlington Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752748040 Ambulatory Surgery Center TX N/A Baylor Affiliated Services LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 260614730 Benefit Plans TX N/A Baylor Heart and Vascular Center LLP 2001 Bryan Street Suite 2200 Dallas TX 75201 752834135 Specialty Hospital TX N/A Baylor Surgicare at Ennis LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274202856 Ambulatory Surgery Center TX N/A Baylor Surgicare at Granbury LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 263896477 Ambulatory Surgery Center TX N/A Baylor Surgicare at Mansfield LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 271835675 Ambulatory Surgery Center TX N/A Baylor Surgicare at Plano Parkway LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274282604 Ambulatory Surgery Center TX N/A Baylor Surgicare at Plano LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 260308454 Ambulatory Surgery Center TX N/A Bellaire Outpatient Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 562297308 Ambulatory Surgery Center TX N/A BIR JV LLP 4714 Gettysburg Rd Mechanicsburg PA 17055 274586141 Rehabilitation Hospitals TX N/A BTDI JV LLP 1431 Perrone Way Franklin TN 37069 462908086 Outpatient Imaging Centers TX N/A Dallas Surgical Partners LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 722183815 Ambulatory Surgery Center TX N/A Denton Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752708579 Ambulatory Surgery Center TX N/A Desoto Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752592508 Ambulatory Surgery Center TX N/A EBD JV LLP 8686 New Trails Dr Suite 100 The Woodlands TX 77381 455434614 Free Standing Emergency Hospitals TX N/A ESWCT LLC 8686 New Trails Dr Suite 100 The Woodlands TX 77381 900899017 Free Standing Emergency Hospitals TX N/A Frisco Medical Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 752865177 Hospital TX N/A Ft Worth Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752658178 Hospital TX N/A Garland Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752764855 Ambulatory Surgery Center TX N/A Grapevine Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752854711 Ambulatory Surgery Center TX N/A HealthTexas Provider Network-Gastro Serv LLP 2001 Bryan St Ste 2200 Dallas TX 75201 731697736 Ambulatory Surgery Center TX N/A Heritage Park Surgical Hospital LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 611762781 Hospital TX N/A Irving Coppell Surgical Hospital LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 542086863 Hospital TX N/A Lewisville Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752862263 Ambulatory Surgery Center TX N/A Lone Star Endoscopy Center LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273635726 Ambulatory Surgery Center TX N/A MEDCO Construction LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 205965871 Construction TX N/A Metrocrest Surgery Center LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 030380493 Ambulatory Surgery Center TX N/A Metroplex Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752567179 Ambulatory Surgery Center TX N/A MSH Partners LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 752829613 Hospital TX N/A North Central Surgical Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 201508140 Hospital TX N/A North Garland Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 562399993 Ambulatory Surgery Center TX N/A Park Cities Surgery Center LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 562357079 Ambulatory Surgery Center TX N/A Physicians Surgical Center of Ft Worth LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 208303422 Ambulatory Surgery Center TX N/A Rockwall Ambulatory Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 205506447 Ambulatory Surgery Center TX N/A Rockwall-Heath Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 200334166 Ambulatory Surgery Center TX N/A SeniorCare Associates LP 4714 Gettysburg Rd Mechanicsburg PA 17055 201937212 Rehabilitation Hospitals TX N/A Specialty Surgery Center of Fort Worth LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 201942281 Inactive TX N/A Surgery Center of Richardson Phys Pship LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 200606781 Inactive TX N/A Texas Endoscopy Centers LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 470985876 Ambulatory Surgery Center TX N/A Texas Health Ventures Group LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 752696845 Holds interests in ASCs/ Short Stay Hospitals TX N/A Texas Heart Hospital of the Southwest LLP 2001 Bryan Street Suite 2200 Dallas TX 75201 412101361 Specialty Hospital TX N/A THVG Bariatric LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 383894636 Holds interests in Ambulatory Surgery Centers TX N/A Trophy Club Medical Center LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 481260190 Hospital TX N/A Tuscan Surgery Center at Las Colinas LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273578014 Ambulatory Surgery Center TX N/A University Surgical Partners of Dallas LLP 15305 Dallas Pkwy Suite 1600 Addison TX 75001 550823809 Ambulatory Surgery Center TX N/A Baylor Surgicare at North Dallas LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 752900902 Ambulatory Surgery 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