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Scott & White Hospital Medical Plan: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Scott & White Hospital Medical Plan (EIN 74-2866102)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201633209349307733
Schema version
2015v2.1
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)
Return2016-11-15T12:51:46-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742866102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott & White Hospital Medical PlanBusinessNameLine1Txt
Business Name Line2TrustBusinessNameLine2Txt
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)
PersonJohn LacyPersonNm
Person TitleChief Human Resources OfficerPersonTitleTxt
Phone2542159256PhoneNum
Signature2016-11-14SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn LacyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1Txt
CityTempleCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76508ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$131,259,682GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.baylorscottandwhite.comWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1998FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionProvides medical benefits to employees of Baylor Scott & White Health and its affiliates.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$87,755,062PYProgramServiceRevenueAmt
CY Program Service Revenue$131,259,682CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$87,755,062PYTotalRevenueAmt
CY Total Revenue$131,259,682CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$87,422,363PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$130,322,258CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$0CYOtherExpensesAmt
PY Total Expenses$87,422,363PYTotalExpensesAmt
CY Total Expenses$130,322,258CYTotalExpensesAmt
PY Revenues Less Expenses$332,699PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$937,424CYRevenuesLessExpensesAmt
Total Assets BOY$1,180,034TotalAssetsBOYAmt
Total Assets EOY$2,117,458TotalAssetsEOYAmt
Total Liabilities BOY$5,738,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,005,000TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,557,966NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,887,542NetAssetsOrFundBalancesEOYAmt
MissionNoneMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$130,322,258ExpenseAmt
Revenue$131,259,682RevenueAmt
DescProvides medical benefits to employees of Baylor Scott & White Health and its affiliates.Desc
Total Program Service Expenses$130,322,258TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
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
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1044IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
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 Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bank of AmericaBusinessNameLine1Txt
FieldValueIRS element (for citing)
TitleTrusteeTitleTxt
Average Hours Per Week1.00AverageHoursPerWeekRt
Institutional TrusteeYes (X)InstitutionalTrusteeInd
Reportable Comp From Org$0ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Scott & White Memorial Hospital
2401 S 31st StreetTempleTX765080001Medical Services$46,223,446
Scott & White Clinic
2401 S 31st StreetTempleTX765080001Medical Services$14,393,349
Scott & White Hospital-Round Rock
300 University BlvdRound RockTX786651032Medical Services$9,746,714
Hillcrest Baptist Medical Center
100 Hillcrest Medical BlvdWacoTX76712Medical Services$6,090,090
Scott & White Hospital-College Station
700 Scott and White DrCollege StationTX778456441Medical Services$5,771,788
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K49CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Employer Contributions525100$88,819,909$88,819,909
Employee Contributions525100$42,439,773$42,439,773
FieldValueIRS element (for citing)
Total Program Service Revenue$131,259,682TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,259,682TotalRevenueColumnAmt
Related Or Exempt Func Income$131,259,682RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$130,322,258TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,322,258TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,114,407BOYAmt
EOY$1,996,069EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$65,627BOYAmt
EOY$121,389EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,180,034BOYAmt
EOY$2,117,458EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,738,000BOYAmt
EOY$11,005,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,738,000BOYAmt
EOY$11,005,000EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,557,966BOYAmt
EOY-$8,887,542EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,557,966BOYAmt
EOY-$8,887,542EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,180,034BOYAmt
EOY$2,117,458EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$937,424ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$5,267,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescClaims PayableDesc
Amt$11,005,000Amt
FieldValueIRS element (for citing)
Total Liability$11,005,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$131,259,682TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$131,259,682RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$131,259,682TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$130,322,258TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$130,322,258ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$130,322,258TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The Form 990 is prepared and reviewed by the Baylor Scott & White Health Tax Services Department. The return is then sent to the Chief Human Resources Officer for final review.
Form 990, Part VI, Section C, line 19The trust documents are available to the participants upon request.
Form 990, Part VI, Line 9 Contact Addresses for Officers, Directors, Etc:Bank of America, N.A. - 515 Congress Ave 10th Floor Austin, TX 78701
Form 990, Part XI, line 9:Changes in claims payable and claims incurred but not reported -5,267,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Scott & White Healthcare
2401 S 31st StreetTempleTX76508264532547Management ServicesTX501(c)(3)Line 11b, IIBaylor Scott & White HoldingsYes (1)
Baylor Scott & White Health
2001 Bryan Street Suite 2200DallasTX75201463131350Management ServicesTX501(c)(3)Line 11b, IIBaylor Scott & White HoldingsYes (1)
Baylor Scott & White Holdings
2001 Bryan Street Suite 2200DallasTX75201463130985ParentTX501(c)(3)Line 11b, II0N/A
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 11a, IHillcrest Baptist Medical CenterYes (1)
Hillcrest Physician Services
100 Hillcrest Medical BlvdWacoTX76712742967081Physician ServicesTX501(c)(3)Line 11a, IHillcrest Baptist Medical CenterYes (1)
Scott & White Clinic
2401 S 31st StreetTempleTX76508742958277Physician ServicesTX501(c)(3)Line 9Scott & 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 9Scott & White Memorial HospitalYes (1)
Scott & White Foundation-Brenham
2401 S 31st StreetTempleTX76508742460815FundraisingTX501(c)(3)Line 7Scott & White Hospital-BrenhamYes (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 Hospital-College Station
2401 S 31st StreetTempleTX76508274434451Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Memorial Hospital
2401 S 31st StreetTempleTX76508741166904Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Scott & White HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeSTransactionTypeTxt
Involved$88,819,909InvolvedAmt
Method Of Amount DeterminationGeneral LedgerMethodOfAmountDeterminationTxt