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SCOTT & WHITE HOSPITAL - COLLEGE STATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SCOTT & WHITE HOSPITAL - COLLEGE STATION (EIN 27-4434451)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201801359349309005
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T14:24:32-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274434451EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott & White Hospital-College StationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCOTBusinessNameControlTxt
Phone2542159256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1Txt
CityTempleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76508ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonClayton KolodziejczykPersonNm
Person TitleCFOPersonTitleTxt
Phone2542159256PhoneNum
Signature2018-05-14SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Baylor Scott & White Medical Center-College StationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJason JenningsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 Scott White DrAddressLine1Txt
CityCollege StationCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77845ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$174,159,942GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bswhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionFaith based acute care hospital providing exemplary patient care, medical education, medical research and community service to residents of the Central Texas region since 2013.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1419TotalEmployeeCnt
Total Volunteers171TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$188,516PYContributionsGrantsAmt
CY Contributions Grants$230,310CYContributionsGrantsAmt
PY Program Service Revenue$161,853,325PYProgramServiceRevenueAmt
CY Program Service Revenue$173,210,981CYProgramServiceRevenueAmt
PY Investment Income$470PYInvestmentIncomeAmt
CY Investment Income-$194,931CYInvestmentIncomeAmt
PY Other Revenue$716,722PYOtherRevenueAmt
CY Other Revenue$718,331CYOtherRevenueAmt
PY Total Revenue$162,759,033PYTotalRevenueAmt
CY Total Revenue$173,964,691CYTotalRevenueAmt
PY Grants And Similar Paid$126,750PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,635,750CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$52,453,447PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$56,808,085CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$80,295,265PYOtherExpensesAmt
CY Other Expenses$86,138,227CYOtherExpensesAmt
PY Total Expenses$132,875,462PYTotalExpensesAmt
CY Total Expenses$144,582,062CYTotalExpensesAmt
PY Revenues Less Expenses$29,883,571PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,382,629CYRevenuesLessExpensesAmt
Total Assets BOY$264,389,685TotalAssetsBOYAmt
Total Assets EOY$287,515,745TotalAssetsEOYAmt
Total Liabilities BOY$201,041,156TotalLiabilitiesBOYAmt
Total Liabilities EOY$195,792,596TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$63,348,529NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$91,723,149NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBaylor Scott & White Health exists to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$124,319,441ExpenseAmt
Grant$1,635,750GrantAmt
Revenue$173,210,981RevenueAmt
DescSee Schedule OScott & White Hospital - College Station dba Baylor Scott & White Medical Center - College Station (BSW College Station) is a faith-based, nonprofit, 119 -bed acute care hospital providing exemplary patient care to the residents of Brazos County and the surrounding communities since 2013. BSW College Station 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 48 hospitals, approximately 1,000 patient care sites, more than 7,800 active physicians, over 48,000 employees and the Scott & White Health Plan.BSW College Station provides a Level III neonatal intensive care unit (NICU), neurosurgery, intraoperative robotic surgery, plastic surgery, orthopedics, comprehensive cardiac services, endoscopic, labor and delivery, pharmacy, and imaging.During the fiscal year, BSW College Station admitted 6,137 patients resulting in 20,851 patient days; delivered 1,182 babies, and received 25,743 emergency department visits. Additionally, BSW College Station provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $21,713,179 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $5,621,706 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $10,873,766 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 College Station promotes the health of the communities.Desc
Total Program Service Expenses$124,319,441TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document92IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1419EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laurie HengstBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2542159259PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1Txt
CityTempleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76508ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Madhava R Beeram MD
Trustee1.0040.00Yes (X)$0$708,226$99,322
Thomas Burdett
Trustee1.001.00Yes (X)$0$0$0
Louis S Casey Jr
Trustee1.002.00Yes (X)$0$0$0
Wayne Fisher
Trustee/Chair1.001.00Yes (X)$0$0$0Yes (X)
Morris E Foster
Trustee1.001.00Yes (X)$0$0$0
Robert Garriott
Trustee1.001.00Yes (X)$0$0$0
Donald R Grobowsky
Trustee1.002.00Yes (X)$0$0$0
Jim Kruse
Trustee1.002.00Yes (X)$0$0$0
Drayton McLane III
Trustee1.001.00Yes (X)$0$0$0
Michael L Middleton MD
Trustee1.0040.00Yes (X)$0$407,436$40,792
James H Mills
Trustee1.001.00Yes (X)$0$0$0
Mark Montgomery MD
Trustee1.0040.00Yes (X)$0$661,761$41,384
Michael D Reis MD
Trustee1.0040.00Yes (X)$0$681,095$93,082
William Rogers
Trustee/Vice Chair1.001.00Yes (X)$0$0$0Yes (X)
Glen E Roney
Trustee1.001.00Yes (X)$0$0$0
Stephen Sibbitt MD
Trustee1.0040.00Yes (X)$0$730,943$105,100
Robin W Watson MD
Trustee1.0040.00Yes (X)$0$726,789$105,241
Timothy Bittenbinder MD
Trustee1.0040.00Yes (X)$0$827,748$112,638
Erin Bird MD
Trustee1.0040.00Yes (X)$0$621,464$43,456
Patricia M Currie
Secretary/Treasurer1.0040.00$0$1,109,360$294,288Yes (X)
Jason Jennings
President/CEO40.000.00$626,625$0$152,584Yes (X)
Clayton Kolodziejczyk
VP Finance/CFO40.000.00$232,890$0$26,113Yes (X)
Tammy Spohn
Chief Nursing Officer40.000.00$235,558$0$16,736Yes (X)
William L Rayburn MD
Chief Medical Officer1.0040.00$0$820,201$113,366Yes (X)
Geoffrey Christian
VP Operations40.000.00$168,888$0$12,151Yes (X)
Ada Braly
Hospital Charge Nurse55.000.00$161,296$0$10,610Yes (X)
Rachel Crowder
Director Pharmacy40.000.00$176,321$0$30,953Yes (X)
Rodney Light MD
Associate CMO40.000.00$325,755$0$34,437Yes (X)
Linda S Clark
VP Clinic Operations40.000.00$232,992$0$19,382Yes (X)
Jason Kurtz
Director Human Resources40.000.00$156,481$0$20,970Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,316,806TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,295,023TotReportableCompRltdOrgAmt
Total Other Compensation$1,372,605TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Scott & White Clinic
2401 S 31st StreetTempleTX76508Clinical/Administrative$2,264,893
Scott & White Memorial Hospital
2401 S 31st StreetTempleTX76508Medical Services$1,781,804
Kitchell Contractors Inc
1707 E Highland Ste 200PhoenixAZ85016Construction Services$1,209,757
Chappell Hill Construction Co
PO Box 602BrenhamTX778340602Construction Services$594,239
Angelica Corporation
PO Box 535122AtlantaGA303535122Laundry Service$552,390
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Related Organizations$230,310RelatedOrganizationsAmt
Total Contributions$230,310TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Care622110$172,851,446$172,851,446
EHR Incentive622110$348,264$348,264
Shared Savings622110$9,709$9,709
Education611710$1,562$1,562
FieldValueIRS element (for citing)
Total Program Service Revenue$173,210,981TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$320TotalRevenueColumnAmt
Exclusion$320ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$88TotalRevenueColumnAmt
Exclusion$88ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$195,251OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$195,251OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$195,251TotalRevenueColumnAmt
Exclusion-$195,251ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria/Vending722514$488,319$488,319
Gift Shop/Retail453220$229,924$229,924
FieldValueIRS element (for citing)
Other Revenue Total$718,243OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$173,964,691TotalRevenueColumnAmt
Related Or Exempt Func Income$173,210,981RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$523,400ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,635,750TotalAmt
Program Services$1,635,750ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,519,789TotalAmt
Management And General$1,519,789ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$144,821TotalAmt
Program Services$144,821ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,405,360TotalAmt
Program Services$41,220,005ProgramServicesAmt
Management And General$2,185,355ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,510,716TotalAmt
Program Services$1,434,666ProgramServicesAmt
Management And General$76,050ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,133,719TotalAmt
Program Services$5,824,710ProgramServicesAmt
Management And General$309,009ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,093,680TotalAmt
Program Services$3,900,466ProgramServicesAmt
Management And General$193,214ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$71,127TotalAmt
Management And General$71,127ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,096,862TotalAmt
Program Services$9,151,588ProgramServicesAmt
Management And General$14,945,274ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$65,451TotalAmt
Program Services$52,476ProgramServicesAmt
Management And General$12,975ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,787,929TotalAmt
Program Services$1,727,048ProgramServicesAmt
Management And General$60,881ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,609,113TotalAmt
Program Services$6,534,162ProgramServicesAmt
Management And General$74,951ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,753,226TotalAmt
Program Services$4,413,326ProgramServicesAmt
Management And General$339,900ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$190,092TotalAmt
Program Services$168,099ProgramServicesAmt
Management And General$21,993ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$70,126TotalAmt
Program Services$62,102ProgramServicesAmt
Management And General$8,024ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,995,374TotalAmt
Program Services$11,995,374ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$189,895TotalAmt
Management And General$189,895ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$30,962,256$30,962,256
LPPF Expenses$3,579,181$3,579,181
Non-Medical Supplies$1,429,295$1,401,802$27,493
Special Functions$118,871$8,140$110,731

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$219,429TotalAmt
Program Services$103,469ProgramServicesAmt
Management And General$115,960ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$144,582,062TotalAmt
Program Services$124,319,441ProgramServicesAmt
Management And General$20,262,621ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$339,820BOYAmt
EOY$470,517EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$83,444,022BOYAmt
EOY$106,132,637EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,842,764BOYAmt
EOY$4,776,321EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$307,026BOYAmt
EOY$1,699,519EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$219,754,057LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$48,352,951LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$174,719,880BOYAmt
EOY$171,401,106EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,250,000BOYAmt
EOY$1,630,817EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$1,035,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$486,173BOYAmt
EOY$369,828EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$264,389,685BOYAmt
EOY$287,515,745EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,336,199BOYAmt
EOY$7,163,269EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$189,704,957BOYAmt
EOY$188,629,327EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$201,041,156BOYAmt
EOY$195,792,596EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,862,356BOYAmt
EOY$91,353,321EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$486,173BOYAmt
EOY$369,828EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,348,529BOYAmt
EOY$91,723,149EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$264,389,685BOYAmt
EOY$287,515,745EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$29,382,629ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,008,009OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$4,564GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$71,127DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$75,691TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationStatement Regarding Legislative Activity: Health care policy is critical to all Americans, and the Organization believes that health care providers must participate in forming health care policy by interacting with national, state and local representatives and their staff members to help them better understand the complexities and ramifications of key health care policies including, without limitation, those related to uninsured and indigent patient needs as well as the legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. The Organization has established relationships with persons and industry associations that often communicate the Organization's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, the Organization may attempt to educate the local community on certain legislative initiatives that may impact the Organization's ability to provide quality health care services to the community through direct mailings, media advertising or broadcast statements. The amount of resources (time and money) involved in these activities is insubstantial. The Organization has not intervened in any political campaign.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$675,255OtherCostOrOtherBasisAmt
Book Value$675,255BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$157,133,574OtherCostOrOtherBasisAmt
Depreciation$18,037,271DepreciationAmt
Book Value$139,096,303BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,852,612OtherCostOrOtherBasisAmt
Depreciation$30,315,680DepreciationAmt
Book Value$31,536,932BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,616OtherCostOrOtherBasisAmt
Book Value$92,616BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$171,401,106TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNote Payable to Related OrganizationDesc
Amt$188,629,327Amt
FieldValueIRS element (for citing)
Total Liability$188,629,327TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes". As of June 30, 2017 and 2016, the System had no material gross unrecognized tax benefits.ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,351,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,351,832NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,273,191TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,377,383DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$127,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$90,209DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,250NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,752,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,467,592DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,389,082NetCommunityBenefitExpnsAmt
Total Expense0.01660TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,015,106TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,015,106NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$935TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$935NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$216,582TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$216,582NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,232,623TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,232,623NetCommunityBenefitExpnsAmt
Total Expense0.02240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,985,105TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,467,592DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,621,705NetCommunityBenefitExpnsAmt
Total Expense0.03900TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$16,210,056BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$53,589,613ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$70,558,885CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,969,272MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Baylor S&W Med Ctr-College StationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 Scott White DriveAddressLine1Txt
CityCollege StationCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77845ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bswhealth.comWebsiteAddressTxt
State License100206StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Baylor S&W Med Ctr - College StationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://communityneeds.bswhealth.com/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://communityneeds.bswhealth.com/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.bswhealth.com/financialassistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.bswhealth.com/financialassistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.bswhealth.com/financialassistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Baylor S&W Med Ctr - College StationPart V, Section B, Line 5: Focus groups with a total of six (6) participants, as well as nine (9) 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: Clinic Patients, Burleson County Health Resource Commission, City of College Station, Central Health, Catholic Charities of Central Texas, Texas Department of State Health Services, Helping Hands Ministry-Belton, Texas A&M Agrilife Extension Services, College Station ISD, Bryan ISD, S&W Brenham Community Health Clinic, Faith Mission, Faith Mission Community Health Clinic, Faith Mission WIC Program, Health for All, Community Health Clinic.
Baylor S&W Med Ctr - College StationPart V, Section B, Line 6a: Baylor Scott & White Medical Center - BrenhamBaylor Scott & White Medical Center - College Station: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 S&W Med Ctr - College StationPart 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 will address significant community health needs based on its intersection with its stated mission and key clinical strengths. Specific 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: Access to specialty care and Resources for the elderly.
Baylor S&W Med Ctr - College StationPart 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.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Rock Prairie-Specialty Clinic
800 Scott White DrCollege StationTX77845Specialty Clinic
2 - College Station Clinic
1700 University Dr EastCollege StationTX778402642General and Family medicine
3 - Boonville Clinic
748 N Earl Rudder FreewayBryanTX778022914General and Family medicine
4 - Arrington Road Clinic
1296 Arrington RdCollege StationTX77845General and Family medicine

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:and Line 3b: In addition to providing free care to financially indigent patients at 200% of the federal poverty guidelines ("FPG"), the organization provides discounted care to the medically indigent which is based on both the FPG (up to 500%) and the percentage of the patient's total bills from all Baylor Scott & White Health related providers in relation to the patient's annual income.
Part I, Line 6a:The organization prepares and files an Annual Report of Community Benefit Plan with the Texas Department of State Health Services. This report is made available through the organization's website at 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 Austin, Burleson, Brazos, Grimes, Waller and Washington 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/. According to population statistics, the community served is fairly representative of Texas overall. The area does differ somewhat from the state as it relates to socioeconomic barriers. The community served has fewer Medicaid beneficiaries and more uninsured individuals than the state. The median household income is lower in the community served with Brazos County having a significantly higher percent of people living in poverty when compared to the state.The population of the community served is expected to grow 6% by 2020, an increase by more than 40,000 people, by 2020. The 6% population growth is minimally lower than the state's growth rate (6.7%) and higher compared to the national growth rate (4%). The ZIP Codes expected to experience the most growth in five years are: 77845 College Station - 5,343 people and 77840 College Station - 2,381 people. The sixty-five plus cohort was the smallest but is expected to experience the most growth over the next five years, adding nearly 8,000 seniors to the community. Growth in this population will likely contribute to increased utilization of services as the population continues to age. Meanwhile, 45 and 64 year old cohort is expected to decrease except in Brazos County where it is expected to grow by 2,500 lives.Diversity in the community will increase as minority populations are expected to grow the fastest. The white population is expected to remain relatively flat; however, the black population is projected to decline by 4.4% over the next 5 years. The Asian / Pacific Islander, multi-racial and American Indian / Native American populations are all expected to experience growth over the next 5 years. Total population can be analyzed by race or by Hispanic ethnicity. The graphs below display the community's total population breakdown by race (including all ethnicities) and also by ethnicity (including all races). The growth of the Hispanic population in the community is projected to far exceed that of the non-Hispanic population with 24,012 Hispanic individuals being added to the community over the next 5 years.The median household income for the community served was $45,802. Forty-one percent (41%) of the community was privately insured, which is equivalent to 165,363 covered lives. The population purchasing insurance through the health insurance exchange marketplace is expected to increase from 10% of the privately insured to 20% by 2020. Medicaid covers 39,927 (11%) lives, 154,382 (39%) are uninsured, and 41,231 (10%) are covered by Medicare or are Medicare Dual Eligible. The uninsured population is not projected to experience any change over the next 5 years.
Part VI, Line 5:With the oversight of an independent volunteer community 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 is comprised of a majority of 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 provides a Level III Neonatal Intensive Care Unit (NICU), neurosurgery, intraoperative robotic surgery, plastic surgery, orthopedics, comprehensive cardiac services, endoscopic, labor and delivery, pharmacy, and imaging. The organization serves its community by providing specially trained Forensic Nurses to provide sexual assualt nurse examination evidence collection, and local law enforcement partners by providing legal blood draws in the Emergency Department. The organization also provides free childbirth preparation, newborn care, and breastfeeding classes.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. Community outreach and preventative health care are important areas of focus that fuel the organization's efforts to screen and educate local residents to improve the overall health and wellness of the community its services. Prevention leads to early detection and the ability to catch disease when treatment will be most reliable and effective. These programs are targeted to positively alter the health of the community by providing education on such topics as adult nutrition, childhood obesity, and behavioral health issues and to build 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. Equipping people with quality health information encourages individuals to make appropriate life style changes to benefit their health.
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 $9.1 Billion and total assets of $11.1 billion based on the fiscal year ended June 30, 2017. Today, BSWH includes 48 hospitals, approximately 1,000 patient care sites, more than 7,800 active physicians, over 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 $866,880,000. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) in excess of $512,031,000 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $327,382,000 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 StatesTX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BCS Marathon
PO Box 3005BryanTX77805452725005501 (c)(3)$18,000General Support
American Heart Association
801 Dellwood Street PMB 111BryanTX77805133561379501 (c)(3)$26,000General Support
March of Dimes
515 Madison Ave 20th FloorNew YorkNY10022131846366501 (c)(3)$7,000General Support
Scott & White Clinic
2401 S 31st StreetTempleTX76508742958277501 (c)(3)$1,500,000Indigent Care
Health For All
3030 East 29th Street Suite 111BryanTX77802742624477501 (c)(3)$40,000General Support
Junior League of Bryan-College Station
PO Box 2623BryanTX77805742243301501 (c)(3)$12,500General Support
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Madhava R Beeram MD
Trustee$0$491,209$0$204,466$0$12,551$0$82,022$0$17,300$0$807,548$0$0
Michael L Middleton MD
Trustee$0$405,172$0$0$0$2,264$0$21,200$0$19,592$0$448,228$0$0
Mark Montgomery MD
Trustee$0$658,704$0$0$0$3,057$0$21,200$0$20,184$0$703,145$0$0
Michael D Reis MD
Trustee$0$472,719$0$200,014$0$8,362$0$76,815$0$16,267$0$774,177$0$0
Stephen Sibbitt MD
Trustee$0$510,294$0$216,036$0$4,613$0$85,166$0$19,934$0$836,043$0$0
Robin W Watson MD
Trustee$0$508,806$0$214,728$0$3,255$0$84,553$0$20,688$0$832,030$0$0
Timothy Bittenbinder MD
Trustee$0$586,544$0$232,541$0$8,663$0$93,384$0$19,254$0$940,386$0$0
Erin Bird MD
Trustee$0$618,978$0$0$0$2,486$0$21,200$0$22,256$0$664,920$0$0
Patricia M Currie
Secretary/Treasurer$0$627,176$0$461,809$0$20,375$0$277,936$0$16,352$0$1,403,648$0$0
Jason Jennings
President/CEO$382,752$0$230,686$0$13,187$0$132,052$0$20,532$0$779,209$0$0$0
Clayton Kolodziejczyk
VP Finance/CFO$182,171$0$49,592$0$1,127$0$8,393$0$17,720$0$259,003$0$0$0
Tammy Spohn
Chief Nursing Officer$179,767$0$47,760$0$8,031$0$9,174$0$7,562$0$252,294$0$0$0
William L Rayburn MD
Chief Medical Officer$0$568,620$0$240,584$0$10,997$0$95,042$0$18,324$0$933,567$0$0
Geoffrey Christian
VP Operations$118,721$0$31,524$0$18,643$0$6,055$0$6,096$0$181,039$0$0$0
Ada Braly
Hospital Charge Nurse$159,453$0$400$0$1,443$0$4,389$0$6,221$0$171,906$0$0$0
Rachel Crowder
Director Pharmacy$142,499$0$32,769$0$1,053$0$7,817$0$23,136$0$207,274$0$0$0
Rodney Light MD
Associate CMO$247,774$0$66,292$0$11,689$0$13,250$0$21,187$0$360,192$0$0$0
Linda S Clark
VP Clinic Operations$182,900$0$48,923$0$1,169$0$9,398$0$9,984$0$252,374$0$0$0
Jason Kurtz
Director Human Resources$131,647$0$23,895$0$939$0$3,021$0$17,949$0$177,451$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax indemnification and gross-up payments-The organization provides tax indemnification where the BSW Holdings' CEO, COO or CFO determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. Nine 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. The organization provides temporary housing to eligible employees under the organization's moving and relocation reimbursement policy. All temporary housing provided to any employee is 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 3Process for determining compensation: The organization, a controlled affiliate of BSW Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy, known as the Annual Incentive Plan, 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 and Governance Committee (C&G 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 similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The BSW Holdings' Board of Trustees and C&G Committee, on behalf of the organization, work 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 key employees. The C&G 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 C&G Committee approves and recommends to the BSW Holdings' Board of Trustees salary increases, earned incentives, and 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 C&G 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 C&G Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the C&G Committee minutes which are timely reviewed and approved by the C&G Committee.
Part I, Line 4bIn 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: Erin Bird, M.D., Jason Jennings, Madhava R. Beeram, M.D., Mark Montgomery, M.D., Michael D. Reis, M.D., Michael Middleton, M.D., Patricia Currie, Robin W. Watson, M.D., Stephen Sibbitt, M.D., Timothy Bittenbinder, M.D. and William Rayburn, 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: Jason Jennings ($67,879) and Patricia Currie ($164,999).
Part I, Line 7The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BSW Holdings' governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Form 990, Schedule J, Part IIISupplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. These benefits may include reimbursement for certain reasonable expenses paid on behalf of the member's spouse while accompanying the member on business travel on behalf of the related organization and/or a wellness physical. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Joseph Spohn
Family member of Tammy Spohn, Key Employee$127,921Employee Compensation0
Robert Spohn
Family member of Tammy Spohn, Key Employee$16,900Employee Compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Business relationship: Drayton McLane III and Wayne Fisher.
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which Scott & White Healthcare, a tax exempt, Texas nonprofit corporation, is the sole member.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: BSW Holdings, a tax exempt, Texas nonprofit corporation is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: All rights and powers were 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 articles of incorporation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose.
Form 990, Part VI, Section B, line 11bProcess used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProcess used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings' Board of Trustees Audit and Compliance Committee and the BSW Holdings' Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.
Form 990, Part VI, Section B, line 15Process for determining compensation: The organization, a controlled affiliate of BSW Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the BSW Holdings' Board of Trustees and its Compensation and Governance Committee (C&G 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 similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The BSW Holdings' Board of Trustees and C&G Committee, on behalf of the organization, 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 system's top management officials and key employees. The C&G 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 C&G Committee approves and recommends to the BSW Holdings' Board of Trustees salary increases, 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 C&G 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 C&G Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the C&G Committee minutes which are timely reviewed and approved by the C&G Committee.
Form 990, Part VI, Section C, line 19Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization 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 11gOther Purchased Services: Program service expenses 2,234,592. Management and general expenses 899,937. Fundraising expenses 0. Total expenses 3,134,529. Contract Labor : Program service expenses 104,957. Management and general expenses 103,187. Fundraising expenses 0. Total expenses 208,144. Laboratory : Program service expenses 1,568,300. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,568,300. Repairs & Maintenance: Program service expenses 656,793. Management and general expenses 25,574. Fundraising expenses 0. Total expenses 682,367. Patient Care: Program service expenses 18,307. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,307. Professional Fees : Program service expenses 4,568,639. Management and general expenses 415,306. Fundraising expenses 0. Total expenses 4,983,945. Corporate Overhead: Program service expenses 0. Management and general expenses 13,501,270. Fundraising expenses 0. Total expenses 13,501,270.
Form 990, Part XI, line 9:Transfers Between Entities Under Common Control -160,843. Self Insurance Liability Reserve -730,821. Change in Net Assets of Related Foundation -116,345.
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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
All Saints Health Foundation
2001 Bryan Street Suite 2200DallasTX75201751947007FundraisingTX501(c)(3)Line 7Baylor All Saints Medical CenterYes (1)
Baylor All Saints Medical Center
2001 Bryan Street Suite 2200DallasTX75201751008430Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Health Care System
2001 Bryan Street Suite 2200DallasTX75201751812652Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Baylor Health Care System Employee Benefit Trust
2001 Bryan Street Suite 2200DallasTX75201751848557VEBATX501(c)(9)Baylor Health Care SystemYes (1)
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200DallasTX75201751606705FundraisingTX501(c)(3)Line 7Baylor Health Care SystemYes (1)
Baylor Health Services
2001 Bryan Street Suite 2200DallasTX75201751917311InactiveTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200DallasTX75201751037226Rehabilitation HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Carrollton
2001 Bryan Street Suite 2200DallasTX75201454510252Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200DallasTX75201752586857Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Waxahachie
2001 Bryan Street Suite 2200DallasTX75201751844139Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Centers at Garland and McKinney
2001 Bryan Street Suite 2200DallasTX75201751037591Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200DallasTX75201751777119Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200DallasTX75201820551704Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Research Institute
2001 Bryan Street Suite 2200DallasTX75201751921898ResearchTX501(c)(3)Line 4Baylor Health Care SystemYes (1)
Baylor Scott & White Health
2001 Bryan Street Suite 2200DallasTX75201463131350Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Baylor Scott & White Holdings
2001 Bryan Street Suite 2200DallasTX75201463130985ParentTX501(c)(3)Line 12b, II0N/A
Baylor Specialty Health Centers
2001 Bryan Street Suite 2200DallasTX75201751765385Long Term Acute Care HospitalsTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor University Medical Center
2001 Bryan Street Suite 2200DallasTX75201751837454Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
HealthTexas Provider Network
2001 Bryan Street Suite 2200DallasTX75201752536818Physician ServicesTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Hillcrest Baptist Medical Center
100 Hillcrest Medical BlvdWacoTX76712741161944Acute Care HospitalTX501(c)(3)Line 3Scott & White Memorial HospitalYes (1)
Hillcrest Family Health Center
100 Hillcrest Medical BlvdWacoTX76712742730350Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Hillcrest Physician Services
100 Hillcrest Medical BlvdWacoTX76712742967081Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Irving Healthcare Foundation
2001 Bryan Street Suite 2200DallasTX75201751570933FundraisingTX501(c)(3)Line 3Baylor Medical Center at IrvingYes (1)
Scott & White Clinic
2401 S 31st StreetTempleTX76508742958277Physician ServicesTX501(c)(3)Line 10Scott & White HealthcareYes (1)
Scott & White Continuing Care Hospital
2401 S 31st StreetTempleTX76508202850920Long Term Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White EMS Inc
2401 S 31st StreetTempleTX76508753242749Emergency TransportTX501(c)(3)Line 10Scott & White Memorial HospitalYes (1)
Scott & White Foundation-Brenham
2401 S 31st StreetTempleTX76508742460815FundraisingTX501(c)(3)Line 7Scott & White Hospital-BrenhamYes (1)
Scott & White Health Plan
2401 S 31st StreetTempleTX76508742052197HMO/InsuranceTX501(c)(4)Baylor Scott & White HoldingsYes (1)
Scott & White Healthcare
2401 S 31st StreetTempleTX76508264532547Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Scott & White Healthcare Foundation
2401 S 31st StreetTempleTX76508273513154FundraisingTX501(c)(3)Line 7Scott & White HealthcareYes (1)
Scott & White Hospital-Brenham
2401 S 31st StreetTempleTX76508742519752Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Llano
2401 S 31st StreetTempleTX76508273026151Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Marble Falls
2401 S 31st StreetTempleTX76508464007700Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Round Rock
2401 S 31st StreetTempleTX76508203749695Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Taylor
2401 S 31st StreetTempleTX76508741595711Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Medical Plan Trust
2401 S 31st StreetTempleTX76508742866102VEBATX501(c)(9)Scott & White HealthcareYes (1)
Scott & White Memorial Hospital
2401 S 31st StreetTempleTX76508741166904Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Southern Sector Health Initiative
2001 Bryan Street Suite 2200DallasTX75201263087442Diabetes Health & Wellness CenterTX501(c)(3)Line 12a, IBaylor University Medical CenterYes (1)
Baylor Scott & White Medical Centers-Capitol Area
2401 S 31st StreetTempleTX76508813040663Acute Care HospitalTX501(c)(3)Line 3Baylor Scott & White HealthYes (1)
Century Integrated Partners Inc
2001 Bryan Street Ste 2200DallasTX75201810872075Physician Services/Emergency CareTX501(c)(3)Line 3Baylor University Medical CenterYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (59 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Arlington Ortho & Spine Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001261578178Short Stay HospitalTXN/A
Arlington Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752748040Ambulatory Surgery CenterTXN/A
Baylor Affiliated Services LLC
2001 Bryan Street Suite 2200DallasTX75201260614730Benefit PlansTXN/A
Baylor Heart and Vascular Center LLP
2001 Bryan Street Suite 2200DallasTX75201752834135Specialty HospitalTXN/A
Baylor Surgicare at Ennis LLC
15305 Dallas Parkway Suite 1600AddisonTX75001274202856Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Granbury LLC
15305 Dallas Parkway Suite 1600AddisonTX75001263896477Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Mansfield LLC
15305 Dallas Parkway Suite 1600AddisonTX75001271835675Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano Parkway LLC
15305 Dallas Parkway Suite 1600AddisonTX75001274282604Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano LLC
15305 Dallas Parkway Suite 1600AddisonTX75001260308454Ambulatory Surgery CenterTXN/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562297308Ambulatory Surgery CenterTXN/A
BIR JV LLP
4714 Gettysburg RdMechanicsburgPA17055274586141Rehabilitation HospitalsTXN/A
BTDI JV LLP
5214 Maryland Way Suite 200BrentwoodTN37207462908086Imaging CentersTXN/A
Dallas Surgical Partners LLC
15305 Dallas Parkway Suite 1600AddisonTX75001722183815Ambulatory Surgery CenterTXN/A
Denton Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752708579Ambulatory Surgery CenterTXN/A
Desoto Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752592508Ambulatory Surgery CenterTXN/A
EBD JV LLP
10077 Grogans Mill Rd Suite 100The WoodlandsTX77380455434614Free Standing Emergency HospitalsTXN/A
ESWCT LLC
10077 Grogans Mill Rd Ste 100The WoodlandsTX77380900899017Free Standing Emergency HospitalsTXN/A
Frisco Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752865177Short Stay HospitalTXN/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752658178Short Stay HospitalTXN/A
Garland Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752764855Ambulatory Surgery CenterTXN/A
GlobalRehab LP
4714 Gettysburg RdMechanicsburgPA17055288077072Rehabilitation HospitalsTXN/A
GlobalRehab-Fort Worth LP
4714 Gettysburg RdMechanicsburgPA17055205558682Rehabilitation HospitalsTXN/A
Grapevine Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752854711Ambulatory Surgery CenterTXN/A
HealthTexas Provider Network-Gastro Serv LLP
2001 Bryan St Ste 2200DallasTX75201731697736Physician ServicesTXN/A
Heritage Park Surgical Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001611762781Short Stay HospitalTXN/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Parkway Suite 1600AddisonTX75001542086863Short Stay HospitalTXN/A
Lewisville Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752862263Ambulatory Surgery CenterTXN/A
Lone Star Endoscopy Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001273635726Ambulatory Surgery CenterTXN/A
MEDCO Construction LLC
2001 Bryan Street Suite 2200DallasTX75201205965871ConstructionTXN/A
Metrocrest Surgery Center LP
15305 Dallas Parkway Suite 1600AddisonTX75001030380493Ambulatory Surgery CenterTXN/A
Metroplex Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752567179Ambulatory Surgery CenterTXN/A
MSH Partners LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752829613Short Stay HospitalTXN/A
North Central Surgical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001201508140Short Stay HospitalTXN/A
North Garland Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562399993Ambulatory Surgery CenterTXN/A
Park Cities Surgery Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001562357079Ambulatory Surgery CenterTXN/A
Physicians Surgical Center of Ft Worth LLP
15305 Dallas Parkway Suite 1600AddisonTX75001208303422Ambulatory Surgery CenterTXN/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001205506447Ambulatory Surgery CenterTXN/A
Rockwall-Heath Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001200334166Ambulatory Surgery CenterTXN/A
SeniorCare Associates LP
4714 Gettysburg RdMechanicsburgPA17055201937212Rehabilitation HospitalsTXN/A
Specialty Surgery Center of Fort Worth LP
15305 Dallas Parkway Suite 1600AddisonTX75001201942281Ambulatory Surgery CenterTXN/A
Surgery Center of Richardson Phys Pship LP
15305 Dallas Parkway Suite 1600AddisonTX75001200606781Ambulatory Surgery CenterTXN/A
Texas Endoscopy Centers LLC
15305 Dallas Parkway Suite 1600AddisonTX75001470985876Ambulatory Surgery CenterTXN/A
Texas Health Ventures Group LLC
15305 Dallas Parkway Suite 1600AddisonTX75001752696845Holds interests in ASCs/ Short Stay HospitalsTXN/A
Texas Heart Hospital of the Southwest LLP
2001 Bryan Street Suite 2200DallasTX75201412101361Specialty HospitalTXN/A
THVG Bariatric LLC
15305 Dallas Parkway Suite 1600AddisonTX75001383894636Holds interests in Ambulatory Surgery CentersTXN/A
Trophy Club Medical Center LP
15305 Dallas Parkway Suite 1600AddisonTX75001481260190Short Stay HospitalTXN/A
Tuscan Surgery Center at Las Colinas LLC
15305 Dallas Parkway Suite 1600AddisonTX75001273578014Ambulatory Surgery CenterTXN/A
University Surgical Partners of Dallas LLP
15305 Dallas Pkwy Suite 1600AddisonTX75001550823809Ambulatory Surgery CenterTXN/A
Baylor Surgicare at North Dallas LLC
15305 Dallas Parkway Suite 1600AddisonTX75001752900902Ambulatory Surgery CenterTXN/A
BT East Dallas JV LLP
1445 Ross Ave Suite 1400DallasTX75202475119983Acute Care HospitalTXN/A
BT Garland JV LLP
2300 Marie Curie BlvdGarlandTX75042475009342Acute Care HospitalTXN/A
Lake Pointe Operating Company LLC
1445 Ross Ave Suite 1400DallasTX75202260194016Acute Care HospitalTXN/A
Lake Pointe Partners Ltd
1445 Ross Ave Suite 1400DallasTX75202752713337Holding CompanyTXN/A
Tenet Frisco Ltd
1445 Ross Ave Suite 1400DallasTX75202460477873Acute Care HospitalTXN/A
Blue Stone JV LLP
1431 Perrone WayFranklinTN37069474798129Outpatient Imaging CentersTXN/A
Baylor Surgicare at Baylor Plano LLC
15305 Dallas Parkway Ste 1600AddisonTX75001813127185Ambulatory Surgery CenterTXN/A
Blue Stone Frisco JV LLP
1431 Perrone WayFranklinTN37069812480586Outpatient Imaging CentersTXN/A
Centennial ASC LLC
15305 Dallas Parkway Ste 1600AddisonTX75001352199232Ambulatory Surgery CenterTXN/A
Texas Regional Medical Center LLC
1445 Ross Ave Ste 1400DallasTX75202510570864HospitalTXN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201261661900Condo AssociationTXN/ACYes (1)
Baylor Health Enterprises LP
2001 Bryan Street Suite 2200DallasTX75201751997378Fitness Center/Pharmacy/ HotelTXN/ACYes (1)
Baylor Health Network Inc
2001 Bryan Street Suite 2200DallasTX75201752463251Health Care Consulting ServicesTXN/ACYes (1)
Baylor Med Ctr at Grapevine Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752747555Condo AssociationTXN/ACYes (1)
Baylor Quality Health Care Alliance LLC
2001 Bryan Street Suite 2200DallasTX75201454015863ACOTXN/ACYes (1)$2,194,667$1,240,2110.08330
BMP Incorporated
2001 Bryan Street Suite 2200DallasTX75201751436779Post OfficeTXN/ACYes (1)
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752897806Condo AssociationTXN/ACYes (1)
Charitable Remainder Trust (64)
InvestmentTXN/ATYes (1)
Charitable Lead Trust (2)
InvestmentTXN/ATYes (1)
Hillcrest Health Holdings Inc
3000 Herring StWacoTX76708742793367Management ServicesTXN/ACYes (1)
Insurance Company of Scott & White
2401 S 31st StreetTempleTX76508743092083InsuranceTXN/ACYes (1)
Scott & White Properties Holdings Inc
2401 S 31st StreetTempleTX76508452920596InvestmentTXN/ACYes (1)
Scott & White Properties Inc
2401 S 31st StreetTempleTX76508742497061Hotel ServicesTXN/ACYes (1)
Baylor Scott & White Assurance
980589956InvestmentN/ACYes (1)23 Lime Tree BayGrand CaymanCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Scott & White Clinic
B$1,500,000GAAP
Baylor Quality Health Care Alliance LLC
B$380,817GAAP
Scott & White Healthcare Foundation
C$230,310GAAP
Scott & White Health Plan
L$17,689,952GAAP
Scott & White Memorial Hospital
M$1,569,370GAAP
Baylor Scott & White Health
M$20,850,999GAAP
Baylor Scott & White Health
R$729,311GAAP
Scott & White Clinic
M$4,529,786GAAP