2018-05-15T14:24:32-05:00 2017-06-30 990 2016-07-01 273513154 Scott & White Healthcare Foundation SCOT 2542159256 2401 S 31st Street Temple TX 76508 Jana Sharpley President/CEO 2542159256 2018-05-14 2016 2022-09-23 18:48:47Z Jana Sharpley 2401 S 31st Street Temple TX 76508 78769384 0 X https://giving.sw.org/ X 2010 TX To establish relationships and develop an understanding of and a belief in Baylor Scott & White's missions and vision in order to obtain philanthropic financial resources to meet the needs of the network of clinics, acute care hospitals and related health care entities it serves. 20 12 37 12 35395 6619 26944935 17270066 0 0 3393198 8660351 309604 239384 30647737 26169801 18576682 19727780 0 0 3245217 3249641 190344 124987 2386340 2463416 2341214 24475659 25443622 6172078 726179 188628208 196775053 15345293 14204217 173282915 182570836 X To establish relationships and develop an understanding of and a belief in Baylor Scott & White's mission and vision in order to obtain philanthropic financial resources to meet the needs of those it serves. 0 0 21398792 19727780 0 See Schedule OScott & White Healthcare Foundation dba Baylor Scott & White-Central Texas Foundation (Foundation) raises and manages charitable funds to support Baylor Scott & White Health and its charitable affiliates. Established as a nonprofit organization exempt under 501(c)(3) on July 22, 2010, the Foundation has distributed more than $110M to Baylor Scott & White Health, helping the healthcare system achieve its mission of serving all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. The Foundation is supported by more than 16,000 active donors, including individuals, corporations and other private foundations.Through thoughtful relationship development and interaction with supporters who believe in Baylor Scott & White's mission, the Foundation strives to develop resources for enhanced services, clinical research, training and education for the next generation of healthcare professionals, and state-of-the-art facilities in which to deliver care. The Foundation raises money through a variety of campaigns, direct mail solicitation, major gift fundraising, and fundraising events, all geared toward certain areas of need such as cancer care, heart and vascular, medical education, palliative care, nursing, neuroscience and other areas. Each event is designed to reach out to the community, educating citizens on various health issues, the System's mission, and actions that are essential for providing quality healthcare for the communities in which we serve. Significant support from the Foundation equips Baylor Scott & White Health to embrace new changes, continue to excel in the delivery of quality services to its patients, and develop new models of care to meet the needs of a growing population. Through the support of generous donors, the Foundation is helping Baylor Scott & White Health improve lives in Central Texas and beyond in many tangible, lasting ways. During the fiscal year, the Foundation distributed more than $19,650,000 for priority programs and initiatives across Baylor Scott & White Health. Through the support of the Foundation, and as part of their charitable mission, Baylor Scott & White Health's nonprofit hospitals provided community benefits in excess of $866,880,000 in fiscal year 2017, which includes the unreimbursed cost of charity care, Medicaid and Medicare, medical education, medical research and other community benefits. 21398792 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 9 0 1 37 1 1 1 0 0 0 0 1 1 0 0 0 0 X 20 12 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA CT FL GA IL KS KY MD MA MI MN MS NH NJ NM NY NC OR PA RI SC TN UT VA WV WI X Amy Martin 2148202677 3600 Gaston Ave Suite 100 Dallas TX 75246 Andrejs Avots-Avotins MD Director 1.00 40.00 X 0 575805 84846 Madhava R Beeram MD Director 1.00 40.00 X 0 708226 99322 Thomas Burdett Director 1.00 1.00 X 0 0 0 Louis S Casey Jr Director 1.00 2.00 X 0 0 0 Wayne Fisher Director/Chair 1.00 1.00 X X 0 0 0 Morris E Foster Director 1.00 1.00 X 0 0 0 Robert Garriott Director 1.00 1.00 X 0 0 0 Donald R Grobowsky Director 1.00 2.00 X 0 0 0 Jim Kruse Director 1.00 2.00 X 0 0 0 Drayton McLane III Director 1.00 1.00 X 0 0 0 Drayton McLane Jr Director 1.00 3.00 X 0 1525 0 Michael L Middleton MD Director/Secretary 1.00 40.00 X X 0 407436 40792 James H Mills Director 1.00 1.00 X 0 0 0 Mark Montgomery MD Director 1.00 40.00 X 0 661761 41384 Anita Perry Director 1.00 3.00 X 0 0 0 Michael D Reis MD Director 1.00 40.00 X 0 681095 93082 William Rogers Director 1.00 1.00 X 0 0 0 Glen E Roney Director 1.00 1.00 X 0 0 0 Stephen Sibbitt MD Director 1.00 40.00 X 0 730943 105100 Robin W Watson MD Director/Treasurer 1.00 40.00 X X 0 726789 105241 Timothy Bittenbinder MD Director 1.00 40.00 X 0 827748 112638 Erin Bird MD Director 1.00 40.00 X 0 621464 43456 Jana Sharpley President/CEO 40.00 0.00 X 430861 0 61675 Amy Martin VP Finance/CFO 1.00 40.00 X 0 270673 35794 Susan Fergus VP Stewardship 40.00 0.00 X 144457 0 21003 Rhonda Luker Director Philanthropy 40.00 0.00 X 122600 0 18056 Stephen Maher Director Philanthropy 40.00 0.00 X 123169 0 14122 Michael Moore VP Philanthropy & Communications 40.00 0.00 X 240742 0 16585 Jeremy J Ksionda Director Philanthropy 40.00 0.00 X 117581 0 27395 Francis P Anderson Former Officer 0.00 40.00 X 0 446087 61188 Cynthia C Newton Former Officer 0.00 40.00 X 0 210891 26351 Robert A Probe MD Former Officer 0.00 40.00 X 0 1262746 167550 1179410 8133189 1175580 7 1 1 0 Medco Construction LLC 2001 Bryan St Ste 2200 Dallas TX 75201 Construction Services 326626 Bornes VDM 1610 14th Ave SE Watertown SD 57201 Professional Fundraising 136823 Korzenowski Design Inc 266 W Lake St Elmhurst IL 60126 Event Production/Design 132614 Ruffalo Noel Levitz LLC PO Box 3018 Cedar Rapids IA 52406 Consulting Services 102222 4 320928 6799622 10149516 50 17270066 2643002 2643002 332882 35395 297487 58476296 52458947 6017349 6017349 6017349 47138 320928 140636 -93498 -93498 26169801 0 35395 8864340 19657998 19657998 69782 69782 525886 105177 105177 315532 2245003 800062 568581 876360 68681 24476 17395 26810 222354 79241 56315 86798 187717 62994 51688 73035 36625 36625 13210 13210 124987 124987 1189746 292556 558004 339186 74998 25168 20651 29179 231546 77702 63757 90087 111593 37449 30727 43417 18355 6160 5054 7141 41965 14083 11555 16327 16740 5618 4609 6513 366809 123094 101002 142713 410 137 113 160 Donor Recognition 188275 188275 Dues & Memberships 18001 6040 4957 7004 Non-Medical Supplies 16391 5501 4513 6377 Meals & Entertainment 6119 2053 1685 2381 10431 3501 2872 4058 25443622 21398792 1658490 2386340 14281658 7609105 503874 824936 9347710 9988533 48999 3272771 1102466 2537114 2170305 161947352 176122675 10500 10500 188628208 196775053 11918420 11235594 1200000 900000 2226873 2068623 15345293 14204217 X 55768724 61241980 71532448 74906334 45981743 46422522 173282915 182570836 188628208 196775053 X 726179 8338363 223379 X 0 1 X 1 0 X 26224239 8830386 17989194 26944935 17270066 97258820 26224239 8830386 17989194 26944935 17270066 97258820 10637311 86621509 3450996 3015746 2946060 2999230 2975884 15387916 12178 -588 -10107 7619 9102 112655838 0.76890 0.73380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 166 1 13210 0 0 13376 0 Part II-B, Line 1: Statement Regarding Legislative Activity: Health care policy is critical to all Americans, and the Organization believes that health care providers must participate in forming health care policy by interacting with national, state and local representatives and their staff members to help them better understand the complexities and ramifications of key health care policies including, without limitation, those related to uninsured and indigent patient needs as well as the legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. The Organization has established relationships with persons and industry associations that often communicate the Organization's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, the Organization may attempt to educate the local community on certain legislative initiatives that may impact the Organization's ability to provide quality health care services to the community through direct mailings, media advertising or broadcast statements. The amount of resources (time and money) involved in these activities is insubstantial. The Organization has not intervened in any political campaign. 113119337 421608 5349112 6422469 112467588 111029792 2770649 698951 1380055 113119337 108800734 1669291 2753620 2193853 111029792 94507428 2606093 13322037 1634824 108800734 84929025 3916915 8084720 2423232 94507428 0.51720 0.34720 0.13560 0 0 610050 610050 1649950 698486 951464 1012771 403980 608791 2170305 Trusts Due to Unrelated Beneficiaries 2068623 2068623 X Part V, Line 4: Endowment funds and income from endowment investments are used to provide funding for program activities of Baylor Scott & White Health. Part X, Line 2: The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes". As of June 30, 2017 and 2016, the System had no material gross unrecognized tax benefits. X X X X X X X 1 Bornes VDM 1610 14th Avenue SE Watertown SD 57201 Direct Mail 0 0 124987 -124987 124987 -124987 CA CO CT FL GA IL KS KY MD ME MI MN MS NJ NM NY OK OR PA RI SC TN UT VA WI WV AL AK AR MA MO ND NH NC NV OH WA Dove Hunt 78675 43857 34818 15400 15911 8527 855 Boots & Bandanas 289391 277071 12320 45650 699 47482 6112 0 368066 320928 47138 15400 61561 9226 47482 6967 140636 -93498 1 Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 741166904 501 (c) (3) 12867813 To fund research,education, and priority programs and services. Hillcrest Baptist Medical Center 2401 S 31st Street Temple TX 76508 741161944 501 (c) (3) 584658 General Support Scott & White Hospital-College Station 2401 S 31st Street Temple TX 76508 274434451 501 (c) (3) 230310 General Support Scott & White Hospital-Marble Falls 2401 S 31st Street Temple TX 76508 464007700 501 (c) (3) 655414 General Support Scott & White Hospital-Brenham 2401 S 31st Street Temple TX 76508 742519752 501 (c) (3) 38950 General Support Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 501 (c) (3) 428836 General Support Baylor Scott & White Health 2001 Bryan Street Ste 2200 Dallas TX 752013005 463131350 501 (c) (3) 48910 General Support Scott & White Hospital-Round Rock 2401 S 31st Street Temple TX 76508 203749695 501 (c) (3) 4713865 General Support Hillcrest Family Health Center 2401 S 31st Street Temple TX 76508 742730350 501 (c) (3) 34438 General Support Hillcrest Physician Services 2401 S 31st Street Temple TX 76508 742967081 501 (c) (3) 46543 General Support 10 0 Scholarships 4 69782 Part I, Line 2: Monitoring Grants & Other Assistance: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of the organization's charitable mission and one of the following criteria for use of these funds is met: (1) Fulfills a need identified by a community needs assessment conducted by the organization and/or outlined in an implementation strategy, (2) Serves an under-served community or group of people through medical mission work to improve their health status (3) promotes health in the community, (4) supports community buildings activities that protect or improves the community's health or safety and/or (5) provides positive visibility and good community relations with other organization serving the health needs of the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BSWH which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are typically monitored by personal inspection. Examples include providing assistance to entities where the filing organization's employee serves as a Board Member for the recipient organization or through attendance at community events where the filing organization employees work as volunteers or to help coordinate these events. Community Benefit grants and/or contributions provided to unrelated organizations are given as a restricted gift and the receiving organization must return a signed receipt indicating the funds were used for that purpose. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Andrejs Avots-Avotins MD Director 0 428558 0 136107 0 11140 0 67857 0 16989 0 660651 0 0 Madhava R Beeram MD Director 0 491209 0 204466 0 12551 0 82022 0 17300 0 807548 0 0 Michael L Middleton MD Director/Secretary 0 405172 0 0 0 2264 0 21200 0 19592 0 448228 0 0 Mark Montgomery MD Director 0 658704 0 0 0 3057 0 21200 0 20184 0 703145 0 0 Michael D Reis MD Director 0 472719 0 200014 0 8362 0 76815 0 16267 0 774177 0 0 Stephen Sibbitt MD Director 0 510294 0 216036 0 4613 0 85166 0 19934 0 836043 0 0 Robin W Watson MD Director/Treasurer 0 508806 0 214728 0 3255 0 84553 0 20688 0 832030 0 0 Timothy Bittenbinder MD Director 0 586544 0 232541 0 8663 0 93384 0 19254 0 940386 0 0 Erin Bird MD Director 0 618978 0 0 0 2486 0 21200 0 22256 0 664920 0 0 Jana Sharpley President/CEO 318745 0 106337 0 5779 0 45648 0 16027 0 492536 0 0 0 Amy Martin VP Finance/CFO 0 205010 0 64255 0 1408 0 32200 0 3594 0 306467 0 0 Susan Fergus VP Stewardship 116762 0 26278 0 1417 0 6139 0 14864 0 165460 0 0 0 Michael Moore VP Philanthropy & Communications 198423 0 40173 0 2146 0 1608 0 14977 0 257327 0 0 0 Francis P Anderson Former Officer 0 332975 0 104530 0 8582 0 52491 0 8697 0 507275 0 0 Cynthia C Newton Former Officer 0 164700 0 44701 0 1490 0 8587 0 17764 0 237242 0 0 Robert A Probe MD Former Officer 0 768706 0 469692 0 24348 0 138833 0 28717 0 1430296 0 0 Part I, Line 1a Tax indemnification and gross-up payments-The organization provides tax indemnification where the BSW Holdings' CEO, COO or CFO determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. Six of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Part I, Line 3 Process for determining compensation: The organization, a controlled affiliate of BSW Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy, 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 4b In order to recruit and retain key talent, BSW Holdings and certain tax exempt affiliates (BSWH) offers a supplemental non-qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BSWH's supplemental non-qualified retirement plan during the tax year: Amy Martin, Andrejs Avots-Avotins, M.D., Erin Bird, M.D., Francis Anderson, Jana Sharpley, Madhava R. Beeram, M.D., Mark Montgomery, M.D., Michael D. Reis, M.D., Michael Middleton, M.D., Robin W. Watson, M.D., Stephen Sibbitt, M.D. and Timothy Bittenbinder, M.D. Part I, Line 7 The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BSW Holdings' governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data. Form 990, Schedule J, Part III Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. These benefits may include reimbursement for certain reasonable expenses paid on behalf of the member's spouse while accompanying the member on business travel on behalf of the related organization 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. Form 990, Part VI, Section A, line 2 Business relationship: Drayton McLane III and Wayne Fisher. Family relationship: Drayton McLane Jr. and Drayton McLane III. Form 990, Part VI, Section A, line 4 Significant Changes to Organizational Documents: The organization's bylaws were changed to reflect certain governance changes and the division of authority between the boards of the organization and Baylor Scott & White Holdings, the organization's ultimate parent. The material changes included the following: granted the organization the ability to fund system wide initiative of Baylor Scott & White Holdings; delegated grant funding authority to the organization's governing board up to certain dollar limits; aligned the organization's governing body term limit to be 3-year terms consistent with Baylor Scott & White Holdings; and transferred the chief executive authority to the organization's president. Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit membership organization in which Scott & White Healthcare, a tax exempt, Texas nonprofit corporation, is the sole member. Form 990, Part VI, Section A, line 7a Election of members of governing body by members, stockholders, or other persons: Baylor Scott & White Holdings (BSW Holdings), a tax exempt, Texas nonprofit corporation is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: All rights and powers 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 11b Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Process used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings' Board of Trustees Audit and Compliance Committee and the BSW Holdings' Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual. Form 990, Part VI, Section B, line 15 Process for determining compensation: The organization, a controlled affiliate of BSW Holdings, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the BSW Holdings' Board of Trustees and its Compensation 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 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BSW Holdings that are made available to the public by the posting of those documents through DAC Bond. The organization's other governing documents and conflicts of interest policy are not made available to the public. Form 990, Part XI, line 9: Self Insurance Liability Reserve -6,122. Transfers Between Entities Under Common Control 55,239. Uncollectible Pledges -317,435. Unrestricted Split Int Agreements 491,697. Supplemental Information: IRC Section 6038 Statement: Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Forms 5471 for this CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 2001 Bryan Street Suite 2200 Dallas, TX 75201 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed All Saints Health Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751947007 Fundraising TX 501(c)(3) Line 7 Baylor All Saints Medical Center 1 Baylor All Saints Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751008430 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Health Care System 2001 Bryan Street Suite 2200 Dallas TX 75201 751812652 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Health Care System Employee Benefit Trust 2001 Bryan Street Suite 2200 Dallas TX 75201 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 Baylor Health Care System Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751606705 Fundraising TX 501(c)(3) Line 7 Baylor Health Care System 1 Baylor Health Services 2001 Bryan Street Suite 2200 Dallas TX 75201 751917311 Inactive TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Institute for Rehabilitation at Gaston Episcopal Hospital 2001 Bryan Street Suite 2200 Dallas TX 75201 751037226 Rehabilitation Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Carrollton 2001 Bryan Street Suite 2200 Dallas TX 75201 454510252 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Irving 2001 Bryan Street Suite 2200 Dallas TX 75201 752586857 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Waxahachie 2001 Bryan Street Suite 2200 Dallas TX 75201 751844139 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Centers at Garland and McKinney 2001 Bryan Street Suite 2200 Dallas TX 75201 751037591 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Grapevine 2001 Bryan Street Suite 2200 Dallas TX 75201 751777119 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Plano 2001 Bryan Street Suite 2200 Dallas TX 75201 820551704 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Research Institute 2001 Bryan Street Suite 2200 Dallas TX 75201 751921898 Research TX 501(c)(3) Line 4 Baylor Health Care System 1 Baylor Scott & White Health 2001 Bryan Street Suite 2200 Dallas TX 75201 463131350 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Scott & White Holdings 2001 Bryan Street Suite 2200 Dallas TX 75201 463130985 Parent TX 501(c)(3) Line 12b, II N/A 0 Baylor Specialty Health Centers 2001 Bryan Street Suite 2200 Dallas TX 75201 751765385 Long Term Acute Care Hospitals TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor University Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751837454 Acute Care Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 HealthTexas Provider Network 2001 Bryan Street Suite 2200 Dallas TX 75201 752536818 Physician Services TX 501(c)(3) Line 3 Baylor Health Care System 1 Hillcrest Baptist Medical Center 100 Hillcrest Medical Blvd Waco TX 76712 741161944 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 100 Hillcrest Medical Blvd Waco TX 76712 742730350 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 100 Hillcrest Medical Blvd Waco TX 76712 742967081 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751570933 Fundraising TX 501(c)(3) Line 3 Baylor Medical Center at Irving 1 Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 Physician Services TX 501(c)(3) Line 10 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 2401 S 31st Street Temple TX 76508 202850920 Long Term Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White EMS Inc 2401 S 31st Street Temple TX 76508 753242749 Emergency Transport TX 501(c)(3) Line 10 Scott & White Memorial Hospital 1 Scott & White Foundation-Brenham 2401 S 31st Street Temple TX 76508 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Scott & White Health Plan 2401 S 31st Street Temple TX 76508 742052197 HMO/Insurance TX 501(c)(4) Baylor Scott & White Holdings 1 Scott & White Healthcare 2401 S 31st Street Temple TX 76508 264532547 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Scott & White Hospital-Brenham 2401 S 31st Street Temple TX 76508 742519752 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 2401 S 31st Street Temple TX 76508 274434451 Acute Care Hospital TX 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