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BAYLOR ALL SAINTS MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BAYLOR ALL SAINTS MEDICAL CENTER (EIN 75-1008430)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201411349349306241
Schema version
2012v2.1
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)
Timestamp2014-05-14T15:08:12-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN751008430EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baylor All Saints Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAYLNameControl
Phone2148204135Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Bryan Street No 2200AddressLine1
CityDallasCity
StateTXState
ZIP Code752013005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLucy CatalaName
TitleVP-Finance/HFOTitle
Phone2148204135Phone
Date Signed2014-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteve NewtonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11400 Eighth AvenueAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts349545431GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.BaylorHealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1900YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionFaith based acute care hospital providing exemplary patient care to the residents of Tarrant County and the surrounding communities for more than 100 years.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees2275TotalNbrEmployees
Total Nbr Volunteers130TotalNbrVolunteers
Total Gross UBI101482TotalGrossUBI
Net Unrelated Business Txbl Income34396NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1537283ContributionsGrantsPriorYear
Contributions Grants Current Year3254827ContributionsGrantsCurrentYear
Program Service Revenue Prior Year384453336ProgramServiceRevenuePriorYear
Program Service Revenue CY334304147ProgramServiceRevenueCY
Investment Income Prior Year1653852InvestmentIncomePriorYear
Investment Income Current Year2454014InvestmentIncomeCurrentYear
Other Revenue Prior Year47576OtherRevenuePriorYear
Other Revenue Current Year104234OtherRevenueCurrentYear
Total Revenue Prior Year387692047TotalRevenuePriorYear
Total Revenue Current Year340117222TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year59318GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY14388881GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year146969837SalariesEtcPriorYear
Salaries Etc Current Year130537432SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year242747606OtherExpensePriorYear
Other Expenses Current Year178599591OtherExpensesCurrentYear
Total Expenses Prior Year389776761TotalExpensesPriorYear
Total Expenses Current Year323525904TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2084714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16591318RevenuesLessExpensesCY
Total Assets BOY307431868TotalAssetsBOY
Total Assets EOY288824126TotalAssetsEOY
Total Liabilities BOY140680028TotalLiabilitiesBOY
Total Liabilities EOY101023104TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY166751840NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY187801022NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFounded as a Christian ministry of healing, Baylor All Saints Medical Center exists to serve all people through exemplary health care, education, research and community service.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense291185338Expense
Grants14388881Grants
Revenue334319944Revenue
DescriptionSee Schedule OBaylor All Saints Medical Center at Fort Worth (Baylor All Saints) is a faith-based, non-profit, acute care hospital providing exemplary patient care to the residents of Tarrant County and the surrounding communities for more than 100 years. Originally founded as All Saints Episcopal Hospital, Baylor All Saints Medical Center at Fort Worth is a comprehensive community medical center with 574 licensed beds located in the medical district of Fort Worth. Baylor All Saints is an affiliate of Baylor Health Care System (BHCS), a 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 North Texas region. Baylor All Saints provides access to quality medical services including areas of excellence such as cardiology, neuroscience, transplantation, orthopedics, oncology, women's services, outpatient care, bariatrics and behavioral health. Baylor All Saints serves its patients through their primary care clinics, a rehabilitation and fitness center and a variety of specialty medical services. Some of these services are provided despite a financial loss to Baylor All Saints. During the fiscal year ended June 30, 2013, Baylor All Saints admitted 30,105 inpatients resulting in a total of 83,338 days of care, delivered 5,598 babies and had 40,816 emergency department visits. As part of its commitment to the community, Baylor All Saints has developed a comprehensive women's health program that includes the Paul and Judy Andrews Women's Hospital, specifically designed to offer the next generation of women's health care and includes a midwife center and primary care for normal maternity, newborn and gynecological care. The midwife center was created to extend services from all walks of life including family planning, well-woman gynecology, prescriptions, prenatal care, labor and delivery management, pain management, social services, postpartum and counseling in all areas of women's health maintenance. As part of its charitable mission, Baylor All Saints is committed to providing free and/or subsidized care to both financially and medically indigent patients in the community. During the year, Baylor All Saints reported community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $84,787,863. Baylor All Saints provided community benefits (as reported on the Internal Revenue Service Form 990, Schedule H) of $29,561,787 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $47,433,480 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.Baylor All Saints also provided nursing supervision for the training of future nurses in an effort to increase the supply of health care professionals nationwide. Assisting with the preparation of future nurses at entry and advanced levels of nursing is critical to establishing a workforce of qualified nurses. Baylor strengthened and increased the number of affiliations with schools of nursing through their work with five Tarrant County schools of nursing. During the fiscal year ended June 30, 2013, Baylor All Saints invested time and resources in the training of 380 nursing students at an unreimbursed cost of $822,195.Description
Total Program Service Expense291185338TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096252NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2275NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLucy CatalaNamePerson
Telephone Number8179221957TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11400 Eighth AvenueAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Ron Carter
Trustee1.007.00X05830
Roy Lamkin
Chairman1.007.00X05870
Paul Madeley MD
Trustee1.0040.00X075894272210
George McCleskey
Trustee1.007.00X000
J Kent Newsom
Trustee1.007.00X000
Trudi Stafford
VP/CNO40.00174226021240X
David Klein MD
Interim President40.00366162071114X
Steven Newton
President40.006219620148118X
Preshie Wilson
VP Finance/Hosp. Fin. Off.40.00259578027802X
William Boyd
Secretary1.0040.0001236471220519X
Janice Walker
VP/CNO40.0040.009152617198227906X
Janice Whitmire
VP Administration40.0040.007681618187935776X
Rebecca Hardie
VP Administration40.00178798031433X
Robert Watson MD
Medical Director28.00263111030103X
Richard Myers
Director Pharmacy40.00190057028295X
Kurt Voss DO
Medical Director31.00189899026813X
Nancy Lum
Clinical Pharmacist42.00160936025219X
Susan Hall-Jones
Director Acute Care40.00156360025080X
Jason Whitfield
Former Officer0.0040.00030122863450X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2729431TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2651672TotalReportableCompFrmRltdOrgs
Total Other Compensation855078TotalOtherCompensation
Number Individuals GT100 K105NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Baylor Health Care System
2001 Bryan St Ste 2200DallasTX75201Management Services52284010
Aramark Services Inc
P O Box 651009CharlotteNC282651009Engineering/Food Serv6895767
BIR JV LLP
P O Box 677466DallasTX75267Staffing/Mgmt Services5055511
HealthTexas Provider Network
2001 Bryan St Ste 2200DallasTX75201Clinical/Admin Services3749123
Med Fusion LLC
PO Box 222137DallasTX75222Lab Services3032890
FieldValueIRS element (for citing)
Number Of Contractors GT100 K42NumberOfContractorsGT100K
Related Organizations3254827RelatedOrganizations
Total Contributions3254827TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Patient Care Revenue621990326574597326574597
EHR Incentive90009936435773643577
Cafeteria7222101671352$1,671,352
Rent53112015413941541394
Rehab & Fitness Center713940356645356645

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column516582TotalRevenueColumn
Related Or Exempt Function Income141321RelatedOrExemptFunctionIncome
Unrelated Business Revenue101482UnrelatedBusinessRevenue
Exclusion$273,779ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue334304147TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column717381TotalRevenueColumn
Related Or Exempt Function Income15797RelatedOrExemptFunctionIncome
Exclusion$701,584ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column104234TotalRevenueColumn
Exclusion$104,234ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11024805Securities
Other140037Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9424483Securities
Other3726Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1600322Securities
Other136311Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1736633TotalRevenueColumn
Exclusion$1,736,633ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column340117222TotalRevenueColumn
Related Or Exempt Function Income332273331RelatedOrExemptFunctionIncome
Unrelated Business Revenue101482UnrelatedBusinessRevenue
Exclusion$4,487,582ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total14388881Total
Program Services14388881ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1516257Total
Management And General1516257ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102302025Total
Program Services101915348ProgramServices
Management And General386677ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3290171Total
Program Services3271343ProgramServices
Management And General18828ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16070681Total
Program Services15991848ProgramServices
Management And General78833ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7358298Total
Program Services7329083ProgramServices
Management And General29215ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total988964Total
Program Services988964ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58181Total
Management And General58181ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69511268Total
Program Services40154821ProgramServices
Management And General29356447ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total119115Total
Program Services36534ProgramServices
Management And General82581ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7463865Total
Program Services7047424ProgramServices
Management And General416441ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17539341Total
Program Services17539341ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13689611Total
Program Services13566900ProgramServices
Management And General122711ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total170665Total
Program Services160552ProgramServices
Management And General10113ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total259062Total
Program Services258683ProgramServices
Management And General379ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total27707Total
Program Services27707ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15177473Total
Program Services15177473ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total125005Total
Management And General125005ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies5285837552858375
Recruiting223929223634295
Special Functions1289648390745057
Federal Income Tax1758017580

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total240486Total
Program Services146940ProgramServices
Management And General93546ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total323525904Total
Program Services291185338ProgramServices
Management And General32340566ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13898BOY
EOY13402EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11558BOY
EOY11088EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28535543BOY
EOY36229413EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY221545BOY
EOY109640EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7332831BOY
EOY7221061EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4598BOY
EOY423223EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis375923739LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec210266299LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY178457004BOY
EOY165657440EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY47800146BOY
EOY33040455EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2210110BOY
EOY2210110EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY42844635BOY
EOY43908294EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY307431868BOY
EOY288824126EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28221455BOY
EOY19725717EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY169504BOY
EOY52275EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY112289069BOY
EOY81245112EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY140680028BOY
EOY101023104EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY125091784BOY
EOY144035125EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21028208BOY
EOY21638325EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20631848BOY
EOY22127572EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY166751840BOY
EOY187801022EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY307431868BOY
EOY288824126EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16591318ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1475980ReconciliationUnrealizedInvest
Reconcilation Other Changes2981884ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$4,668GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$73,882DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB78550TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationStatement Regarding Legislative Activity Health care policy is critical to all Americans, and Baylor All Saints Medical Center ("BASMC") 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. BASMC has established relationships with persons and industry associations that often communicate BASMC's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, BASMC may attempt to educate the local community on certain legislative initiatives that may impact BASMC'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. BASMC has not intervened in any political campaign.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7926112OtherCostOrOtherBasis
Book Value7926112BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis232144409OtherCostOrOtherBasis
Depreciation96554018Depreciation
Book Value135590391BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis135853218OtherCostOrOtherBasis
Depreciation113712281Depreciation
Book Value22140937BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings165657440TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BASMC Assets at ASH Foundation43756190
Physician Guarantee Receivable152104
FieldValueIRS element (for citing)
Total Book Value Other Assets43908294TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Physician Guarantee Liability$152,104
Note Payable to Related Organization$81,093,008
FieldValueIRS element (for citing)
Total Of Amounts81245112TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationThe filing organization does not have separate individual audited financial statements; however, the organization is included in Baylor Health Care System's combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2013 and 2012, the System had no material gross unrecognized tax benefits.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense16108401TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense16108401NetCommunityBenefitExpense
Percent Of Total Expense0.04980PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense34136237TotalCommunityBenefitExpense
Direct Offsetting Revenue24860671DirectOffsettingRevenue
Net Community Benefit Expense9275566NetCommunityBenefitExpense
Percent Of Total Expense0.02870PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense50244638TotalCommunityBenefitExpense
Direct Offsetting Revenue24860671DirectOffsettingRevenue
Net Community Benefit Expense25383967NetCommunityBenefitExpense
Percent Of Total Expense0.07850PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense546839TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense546839NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense822412TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense822412NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense10000NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense223593TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense223593NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2574976TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2574976NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4177820TotalCommunityBenefitExpense
Net Community Benefit Expense4177820NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense54422458TotalCommunityBenefitExpense
Direct Offsetting Revenue24860671DirectOffsettingRevenue
Net Community Benefit Expense29561787NetCommunityBenefitExpense
Percent Of Total Expense0.09140PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,491,551BadDebtExpenseAmount
Amount Reimbursed By Medicare93346616AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare100677491CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7330875MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BASMC at Fort WorthBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11400 Eighth AvenueAddressLine1
CityFort WorthCity
StateTXState
ZIP Code76104ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.baylorhealth.comWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Baylor All Saints Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed1AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent500.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Baylor All Saints Imaging Center
1701 W RosedaleFort WorthTX76104Imaging Center
Baylor Wound Management Program
1650 West Magnolia Suite 117Fort WorthTX76104Wound Management
Baylor Ctr for Pain Mgmt at Burleson
12608 S FreewayBurlesonTX76028Pain Management
Bariatric Excellence Program
5801 Oakbend Trail Suite 220Fort WorthTX76132Bariatric Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 providers in relation to the patient's annual income. Pursuant to the charity care policy, a patient's total balance due will not exceed 10% of total annual income if the patient qualifies as medically indigent. The organization also provides discounted care to those individuals whose amount of total bills, after all payments from third parties, exceeds 50% of the patient's annual income (regardless of the level of income) if the patient is unable to pay the remaining bill.
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 www.baylorhealth.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, Line 7i, Column (c): Includes charity care payments of $2,477,032 that are made directly to or on the behalf of a local public hospital and/or other nonprofit organizations for the treatment of indigent patients of those organizations.
Part I, L7 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 organization maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The organization 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 receivable. Bad debt does not include amounts for patients who are known to qualify under the organizations 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. Using the same methodology to calculate the unreimbursed cost of providing charity care and Medicaid (using applicable Schedule H Worksheets) would result in a shortfall of $24,071,107, which is $16,740,232 higher than the shortfall reported on Part III, Section B, Line 7. 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 debt collection policy and procedures prohibit any collection efforts for the portion of the patient account balance that qualifies for financial assistance under the organization's charity care policy. For any remaining balances due, the same collection policy and procedures are applied equally to all patient types.
Part V, Section B, Line 3: Creating healthy communities requires a high level of mutual understanding and collaboration with community individuals and partner groups. The development of the community health needs assessment brought together information from community health leaders and providers along with local residents for the purposes of researching, prioritizing and documenting the community health needs for the geographies served by the hospital facility.As an affiliate of Baylor Health Care System (BHCS), the hospital facility conducted its community health needs assessment with the assistance and direction of BHCS and the guidance of the BHCS Community Benefit Committee. The mission and role of the BHCS Community Benefit Committee is to assist the BHCS Board of Trustees in setting direction, identifying priorities, and monitoring performance in mission and vision integration into community benefits across the BHCS hospital system. The Committee is comprised of trustees (current System and community board members) and other community representatives appointed by the BHCS board of trustees. The hospital facilitys community health needs assessment brings together information from a variety of sources. This assessment consolidates information from recent community health needs assessments conducted for the Texas Regional Healthcare Partnerships, the Dallas County Community Health Needs Assessment and the Consumer Health Report conducted by the National Research Corporation (NRC) for the hospital facility. Members from Baylor Health Care System participated in the development of these reports with other health care providers, community groups and others throughout the Dallas/Fort Worth Metroplex. These reports used a variety of methods to gather and assess the community including, but not limited to, surveys, meetings, and interviews. The hospital has also fostered continued community participation and outreach activities through membership in the Dallas Fort Worth Hospital Council. They have used data from this collaboration of health care providers, including data that served as the basis for this CHNA. This datadrawn from a variety of local, state and federal sourcesrepresents the most recent evaluation of Dallas/Fort Worth residents health status and the assets available to the community for improving health.In addition, data was drawn from the Healthy North Texas website (www.healthytexas.org), which was created under the direction of the Dallas Fort Worth Hospital Council Foundations Community Health Collaborative. The website features data regarding overall population health. It boasts more than 100 local health indicators that can be compared across other Texas regions and the nation. The information can be used to expose crucial health concerns in North Texas, including incidents of diabetes, breast cancer and suicide. The site also has a database of information detailing ways to combat these health ailments. Sponsors of the site include Blue Cross Blue Shield of Texas, Communities Foundation of Texas, HCA North Texas, JPS Health Network, Methodist Health System, Texas Health Resources, University of North Texas Health Science Center and Baylor Health Care System.More detailed information can be found in the hospital community health needs assessment and community benefit plan located at the following website: http://www.baylorhealth.com/About/Community/Assessments/Pages/Default.aspxBaylor All Saints Medical Center
Part V, Section B, Line 4: As an affiliate of Baylor Health Care System, the hospital facility conducted its community health needs assessment with other related hospital facilities and with the assistance and direction of Baylor Health Care System. These related hospital facilities included the following: Baylor University Medical Center, Baylor All Saints Medical Center, Baylor Medical Center at Garland, Baylor Regional Medical Center at Grapevine, Baylor Regional Medical Center at Plano, Baylor Medical Center at Waxahachie, Baylor Medical Center at McKinney, Baylor Medical Center at Irving, Baylor Medical Center at Carrollton, Baylor Specialty Hospital, Our Childrens House at Baylor, Baylor Heart and Vascular Hospital, The Heart Hospital Baylor Plano, Baylor Medical Center at Frisco, Baylor Medical Center at Uptown, Irving/Coppell Surgical Hospital, Baylor Orthopedic and Spine Hospital at Arlington, Baylor Surgical Hospital at Fort Worth, Baylor Medical Center at Trophy Club, North Central Surgical Center, Baylor Institute for Rehabilitation at Dallas, Baylor Institute for Rehabilitation at Frisco, Baylor Institute for Rehabilitation at Northwest Dallas, Baylor Institute for Rehabilitation at Fort Worth, and Baylor Emergency Medical Center at Aubrey. Additionally, Baylor Health Care System also participated in numerous workgroups and studies used for other community health needs assessments conducted throughout the twelve county North Texas Region. The data and results of these various community health needs assessments were used by Baylor Health Care System and its affiliated hospital facilities to conduct their own community health needs assessments. Other hospital facilities in the community including county hospitals such as Parkland Memorial Hospital, John Peter Smith Hospital and other hospitals participated in these other community health needs assessments.Baylor All Saints Medical Center
Part V, Section B, Line 11: 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 providers in relation to the patient's annual income. Pursuant to the charity care policy, a patient's total balance due will not exceed 10% of total annual income if the patient qualifies as medically indigent. The organization also provides discounted care to those individuals whose amount of total bills, after all payments from third parties, exceeds 50% of the patient's annual income (regardless of the level of income) if the patient is unable to pay the remaining bill.Baylor All Saints Medical Center
Part V, Section B, Line 12h: The hospital has adopted a financial assistance policy written in accordance with Texas Health and Safety Code Chapter 311. In general, that statute defines charity care as providing, funding or otherwise financially supporting health care services to a person classified by the hospital as financially or medically indigent; or providing funding or otherwise financially supporting health care services provided to financially indigent persons through other nonprofit or public clinics, hospitals or hospital organizations. To determine if a patient meets the definition of financially or medically indigent in the statute, the number in the household is required. Additionally, although assets and other resources are not included in the calculation to determine whether a patient is financially or medically indigent, the organization's policy reserves the right to allow the patient's assets or other resources to be considered when determining if financial assistance will be granted.Baylor All Saints Medical Center
Part V, Section B, Line 14g: 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 charity care policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's charity care program in the local newspapers: 3) information regarding financial assistance, including the organization's charity care 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 provides free financial counselors to help patients 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 charity care 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. Though the most often needed alternate language is Spanish, the organization can accommodate multiple languages including American Sign Language.Baylor All Saints Medical Center
Part V, Section B, Line 20d: The organizations financial assistance policy is developed to provide discounted care to those qualifying for financial assistance to where the amount charged under the policy will always be equal to or lower than the average of the three largest (by volume) negotiated commercial insurance rates. However, for those qualifying as medically indigent and whose income level is from 200% to 500% of the federal poverty level shall not be billed more than 10% of their annual income which is generally lower than the methodology listed above and the three methods listed in Question Part V, Line 20ac.Baylor All Saints Medical Center
Part VI, Line 2: During the fiscal year ending June 30, 2013, 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 Organizations website at the following address: www.BaylorHealth.com/Community.
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 charity care policy in the emergency departments, admitting areas and business offices located throughout the organization: 2) annual posting regarding the organization's charity care program in the local newspapers: 3) information regarding financial assistance, including the organization's charity care 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 provides free financial counselors to help patients 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 charity care 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. Though the most often needed alternate language is Spanish, the organization can accommodate multiple languages including American Sign Language.
Part VI, Line 4: The hospitals community is defined and summarized below. Additional information regarding the community can also be found in the hospitals community health needs assessment and implementation strategy located on the organizations website at www.BaylorHealth.com/Community.Baylor All Saints Medical Center (Baylor All Saints) is located in Tarrant County and its total service area includes zip codes primarily from the urban/suburban areas of Tarrant, Parker, Hood and Johnson counties covering more than 1,196,000 residents. The average household income is $64,678 with 11.5 percent living below the federal poverty level. Additionally, 11.8 percent is uninsured and 16.6 percent of the population is enrolled in Medicaid. There are three designated medically underserved areas in the Baylor All Saints service area. In addition to Baylor All Saints, there are 21 other hospitals providing hospital care to the service area.
Part VI, Line 5: With the oversight of an independent volunteer community board and Baylor Health Care System, the organization's sole member, the organization has promoted health and benefited the community by providing access to more than 20 specialty centers designed to treat a range of medical conditions. The organization's governing body is comprised 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 System. 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. Surplus funds are continuously utilized to maintain access to limited patient services or expand access points of care to patients throughout the community including, but not limited to, the following: The organization provides access to quality medical services including areas of excellence such as cardiology, neuroscience, transplantation, orthopaedics, oncology, women's services, outpatient care, bariatrics, and behavioral health. The organization serves more than 108,000 people annually through its community medical center which include a rehabilitation and fitness center, and a variety of specialty medical services. Some of those services are provided despite a financial loss to the organization.The organization operates an emergency department accepting all patients without the regard for the ability to pay. The emergency room is operated 24 hours a day, seven days a week.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 Organizations Financial Assistance Policy which can be located on the Baylor Health Care System website at BaylorHealth.com/FinancialAssistance.As part of its commitment to the community, the organization has developed a comprehensive women's health program including a facility (Paul and Judy Andrews Women's Hospital) specifically designed to offer the next generation in women's health including a midwife center which provides primary care for normal maternity, newborn and gynecological care. The midwife center was created to extend services from all walks of life including family planning, well woman gynecology, prescriptions, prenatal care, labor and delivery management, pain management, social services, and post partum and counseling in all areas of women's health maintenance. The American College of Nurse-Midwives Benchmarking Program has identified the organization as a "best practice" facility for operative vaginal births. The program enables the organization to compare itself to other high volume midwife practices and obstetrics providers of similar size. Benchmarking is on part of the organizations internal quality assurance program. The organization is also committed to promoting the health and well being of individuals and families beyond the health activities of the traditional hospital or clinic setting through its community outreach programs. These programs are targeted to positively altering the health of the community through outreach and education on such topics as adult nutrition, childhood obesity, and support groups for individuals suffering with diseases such as diabetes, cardiovascular and pulmonary diseases, and cancer.Designated by the Health Resources and Services Administration as a medically underserved area, medical education is a crucial part of the organization's mission. During a nurses training, clinical skills and professional competencies are developed to provide the nurse with the ability to take on increasing responsibility for patient care. Quality teaching programs add many dimensions to the organization's ability to serve patients. Teaching programs also aid attending teaching nurse staff in keeping their own knowledge current. Upon completion of their education programs at the organization, many nurses remain in North Texas, providing a continuous supply of well-trained medical professionals for the region.
Part VI, Line 6: The organization is part of a large faith based integrated health care delivery system ("System") serving the health care needs of the twelve county Dallas-Fort Worth metroplex area. The System exists to serve all people through exemplary health care, education, research and community service. Community benefits are provided through the provision of charity care, 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 $638,100,000. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) in excess of $352,700,000 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $269,600,000 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H. The System is comprised of separate legal entities including philanthropic foundations, a research institute, a physician network, acute care hospitals, short-stay hospitals, specialty hospitals, ambulatory surgery centers and other health care providers all which fall under the common control of Baylor Health Care System, the organization's sole member. 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 Baylor Health Care System, the organization's sole member, which helps ensures consistency across the System.
TXReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistance
Tarrant County Indigent Care Corporation
612 East Lamar BlvdArlingtonTX76011260548532501(c)(3)2991246N/AN/AIndigent Care
North Texas Area Community Health Centers
2100 N Main Suite 107Fort WorthTX761648511542117989501(c)(3)6882N/AN/AIndigent Care
Cornerstone Assistance Network
3500 Noble AveFort WorthTX761117524176463075N/AN/AIndigent Care
All Saints Health Foundation
1400 Eighth AveFort WorthTX76104751947007501(c)(3)11010000N/AN/AGeneral Support
Grand Prairie Wellness Center
1710 Small StreetGrand PrairieTX75050752877107501(c)(3)4634N/AN/AIndigent Care
Grapevine Relief and Community Exchange
PO Box 412GrapevineTX76099752195702501(c)(3)4119N/AN/AIndigent Care
Healing Shepherd Clinic
1350 E LancasterFort WorthTX76102264350657501(c)(3)5020N/AN/AIndigent Care
Mansfield Caring Place
990 Hwy 287 N106-145MansfieldTX76063270537258501(c)(3)3347N/AN/AIndigent Care
Mission Arlington Mission Metroplex
212 w South StreetArlingtonTX76010752354962501(c)(3)4377N/AN/AIndigent Care
Muslim Community Center of Human Services
10 Homeplace CtArlingtonTX76016752580088501(c)(3)4377N/AN/AIndigent Care
Baylor Research Institute
2001 Bryan Street Suite 2200DallasTX75201751921598501(c)(3)351554N/AN/AResearch0
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, 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 Baylor'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 Baylor Health Care System (BHCS) or a third party (such as Community Health Check Up or by the United Way) and adopted as a priority by BHCS's Community Service Advisory Council, (2) Serves an under-served community or group of people through medical mission work to improve their health status. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BHCS 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Paul Madeley MD
Trustee042271801786033443805489301731708311520299220
Trudi Stafford
VP/CNO13503503919100069790142610195466000
David Klein MD
Interim President2770590762180128850420030291110437276000
Steven Newton
President411928019645001358401273030208150770080000
Preshie Wilson
VP Finance/Hosp. Fin. Off.211968047610000107980170040287380000
William Boyd
Secretary0561174029188003834170194567025952014569900360186
Janice Walker
VP/CNO4702416790144502004081242104626208599857319284100
Janice Whitmire
VP Administration767661282190526525010087785173560106358460120987000
Rebecca Hardie
VP Administration145455033293050078100236230210231000
Robert Watson MD
Medical Director26311100000125000176030293214000
Richard Myers
Director Pharmacy16073702932000083870199080218352000
Kurt Voss DO
Medical Director1898990000097030171100216712000
Nancy Lum
Clinical Pharmacist16091400022064770187420186155000
Susan Hall-Jones
Director Acute Care13372902263100069530181270181440000
Jason Whitfield
Former Officer0242604048078010546036644026806036467800

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aTax indemnification and gross up payments - The organization provides tax indemnification where an authorized member of management 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. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1aDiscretionary 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. Two of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 4bIn order to recruit and retain key talent, Baylor Health Care System ("BHCS") 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 BHCS' supplemental non qualified retirement plan during the tax year: Jason Whitfield, Steve Newton, William Boyd ($253,486), Paul Madeley, M.D. ($299,220), Janice Whitmire and David Klein. Also, select certain officers, as designated by BHCS's governing body, are eligible to participate in a Long Term Incentive Plan that is designed to recognize the key senior leaders value and contribution to BHCS as well as align their compensation to the long term strategy of BHCS. 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 BHCS'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 BHCS's governing body for participants. Payouts are partially made in cash and the remainder vests over an additional two year period. The following individuas participated in and/or received payments (noted in parenthesis) from this plan during the tax year: Steven Newton ($66,902) and William Boyd ($214,839).
Part I, Line 7The organization has adopted and implemented BHCS's, the organization's sole member, Performance Award 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 BHCS's 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 financal stewardship. BHCS's governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
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 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 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.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Fort Worth Surgicare Partners Ltd (FWSP)
Steve Newton, organization's President, serves as a board member of FWSP.139976Purchased Services0
Fort Worth Surgicare Partners Ltd (FWSP)
David Klein, organization's COO, serves as a board member of FWSP.139976Purchased Services0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSchedule L, Part IV, Transactions with Interested Persons:Identifier
ExplanationThe interested person listed above in Part IV, Fort Worth Surgicare Partners, Ltd, is a controlled affiate of Baylor Health Care System (BHCS), the organization's sole member. The organization's employees were appointed by BHCS to serve as board members of the controlled affilate.The individuals were appointed by BHCS to serve as board representatives of the controlled affiliate to ensure they are operated in a charitable manner and in accordance with BHCS's and the organization's mission and tax exempt status. The appointment of the board representatives to serve on the governing body of the related partnership is consistent with IRS guidance such as Revenue Ruling 98-15 and other related rulings requiring the exempt organization to maintain control of partnerships and joint ventures. In those instances, the board representatives do not have a financial interest in the organization or the related partnership, do not receive any financial benefit from transactions between the organization and the related partnerhsip, and serve only in a voluntary capacity as a board member.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor Health Care System ("BHCS"), 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: The sole member, BHCS, elects and removes the members of the governing body.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: All rights and powers are reserved to the sole member, BHCS, 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, the member's 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.
Form 990, Part VI, Section B, line 11Process used to review the Form 990: The Form 990 is prepared and reviewed by BHCS's 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 the 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 BHCS Board of Trustees Audit and Compliance Committee and the BHCS Corporate Compliance Committee reviewed 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 BHCS, 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 BHCS 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 Performance Award Program, works to put 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 BHCS Board of Trustees and its Compensation and Governance Committee (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 4985 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 BHCS Board of Trustees and Committee, on behalf of the organization, work directly with 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 Committee is made up of members of the BHCS Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(s), the Committee approves and recommends to the BHCS 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 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 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 Committee minutes which are timely reviewed and approved by the 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 BHCS 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 11gIntercompany Expenses: Program service expenses 5,938,160. Management and general expenses 215,328. Fundraising expenses 0. Total expenses 6,153,488. Contract Labor : Program service expenses 12,420,680. Management and general expenses 3,954. Fundraising expenses 0. Total expenses 12,424,634. Other Purchased Services: Program service expenses 9,459,540. Management and general expenses 440,880. Fundraising expenses 0. Total expenses 9,900,420. Repairs : Program service expenses 2,724,391. Management and general expenses 9,181. Fundraising expenses 0. Total expenses 2,733,572. Professional Fees : Program service expenses 6,118,095. Management and general expenses 620,404. Fundraising expenses 0. Total expenses 6,738,499. Lab Fees : Program service expenses 3,493,955. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,493,955. Corporate Overhead : Program service expenses 0. Management and general expenses 28,066,700. Fundraising expenses 0. Total expenses 28,066,700.Other Fees
Form 990, Part XI, line 9:Change in Net Assets Held at BHCS Foundation 2,107,617. FAS 87 Amortized 3,660,315. Volunteer Auxiliary 8,475. Transfer to/from BHCS-Liability Reserve -2,794,523.Changes in Net Assets or Fund Balances:
Supplemental Information: IRC Section 6038 Statement:Baylor All Saints is controlled by BHCS, Employer Identification Number 75-1812652. BHCS also owns Health Care Insurance Company of Texas, Ltd. (HCIC). HCIC is a controlled foreign corporation. BHCS furnishes all information required of Baylor All Saints by IRC Section 6038 and the regulations thereunder with respect to HCIC. Therefore, pursuant to Treasury Regulation Sec. 1.6038-2(j)(2), Baylor All Saints is excepted from providing such information. BHCS files its Return of Organization Exempt from Income Tax in Ogden, Utah.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Baylor Health Care System
2001 Bryan Street Suite 2200DallasTX75201751812652Management ServicesTX501(c)(3)11, Type IIIN/A0
Baylor University Medical Center
2001 Bryan Street Suite 2200DallasTX75201751837454Acute Care HospitalTX501(c)(3)31Baylor Health Care System
Baylor Medical Centers at Garland and McKinney
2001 Bryan Street Suite 2200DallasTX75201751037591Acute Care HospitalTX501(c)(3)31Baylor Health Care System
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200DallasTX75201752586857Acute Care HospitalTX501(c)(3)31Baylor Health Care System
Baylor Medical Center at Waxahachie
2001 Bryan Street Suite 2200DallasTX75201751844139Acute Care HospitalTX501(c)(3)31Baylor Health Care System
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200DallasTX75201820551704Acute Care HospitalTX501(c)(3)31Baylor Health Care System
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200DallasTX75201751777119Acute Care HospitalTX501(c)(3)31Baylor Health Care System
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200DallasTX75201751037226Rehabilitation HospitalTX501(c)(3)31Baylor Health Care System
Baylor Specialty Health Centers
2001 Bryan Street Suite 2200DallasTX75201751765385Long Term Care HospitalsTX501(c)(3)31Baylor Health Care System
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200DallasTX75201751606705FundraisingTX501(c)(3)71Baylor Health Care System
All Saints Health Foundation
2001 Bryan Street Suite 2200DallasTX75201751947007FundraisingTX501(c)(3)71Baylor All Saints Medical Center
HealthTexas Provider Network
2001 Bryan Street Suite 2200DallasTX75201752536818Physician PracticesTX501(c)(3)31Baylor Health Care System
Baylor Health Services
2001 Bryan Street Suite 2200DallasTX75201751917311InactiveTX501(c)(3)31Baylor Health Care System
Baylor Research Institute
2001 Bryan Street Suite 2200DallasTX75201751921898ResearchTX501(c)(3)41Baylor Health Care System
Southern Sector Health Initiative
2001 Bryan Street Suite 2200DallasTX75201263087442Diabetes Health & Wellness CenterTX501(c)(3)11, Type I1Baylor University Medical Center
Baylor Health Care System Employee Benefit Trust
2001 Bryan Street Suite 2200DallasTX75201751848557VEBATX501(c)(9)1Baylor Health Care System
Irving Healthcare Foundation
2001 Bryan Street Suite 2200DallasTX75201751570933FundraisingTX501(c)(3)71Baylor Medical Center at Irving
Tarrant County Indigent Care Corporation
612 East Lamar BlvdArlingtonTX76011260548532Indigent CareTX501(c)(3)11, Type I0Baylor All Saints Medical Center
Healthy Tarrant County Collaboration
1301 Pennslyvania AveFort WorthTX76104432087946Health PromotionTX501(c)(3)11, Type I0Baylor All Saints Medical Center
Baylor Medical Center at Carrollton
2001 Bryan Street Suite 2200DallasTX75201454510252Acute Care HospitalTX501(c)(3)31Baylor Health Care System

Form990 Schedule R Part III Form990ScheduleRPartIII (45 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MEDCO Construction LLC
2001 Bryan Street Suite 2200DallasTX75201205965871ConstructionTXN/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
Texas Heart Hospital of the Southwest LLP
2001 Bryan Street Suite 2200DallasTX75201412101361Specialty HospitalTXN/A
HealthTexas Provider Network-Gastro Serv LLP
2001 Bryan St Ste 2200DallasTX75201731697736Ambulatory Surgery CenterTXN/A
Texas Health Venture Group LLC
15305 Dallas Parkway Suite 1600AddisonTX75001752696845Holds interests in ASCs/ Short Stay HospitalsTXN/A
Dallas Surgical Partners LLC
15305 Dallas Parkway Suite 1600AddisonTX75001722183815Ambulatory Surgery CenterTXN/A
Valley View Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752900902Ambulatory Surgery CenterTXN/A
Denton Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752708579Ambulatory Surgery CenterTXN/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562297308Ambulatory Surgery CenterTXN/A
Grapevine Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752854711Ambulatory Surgery CenterTXN/A
Lewisville Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752862263Ambulatory Surgery CenterTXN/A
North Garland Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562399993Ambulatory Surgery CenterTXN/A
Garland Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752764855Ambulatory Surgery CenterTXN/A
Arlington Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752748040Ambulatory Surgery CenterTXN/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001205506447Ambulatory Surgery CenterTXN/A
Metroplex Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752567179Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano LLC
15305 Dallas Parkway Suite 1600AddisonTX75001260308454Ambulatory Surgery CenterTXN/A
RockwallHeath Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001200334166Ambulatory Surgery CenterTXN/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Parkway Suite 1600AddisonTX75001542086863Short Stay HospitalTXN/A
North Central Surgical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001201508140Short Stay HospitalTXN/A
Trophy Club Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001481260190Short Stay HospitalTXN/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752658178Short Stay HospitalTXN/A
Frisco Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752865177Short Stay HospitalTXN/A
MSH Partners LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752829613Short Stay HospitalTXN/A
Arlington Ortho & Spine Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001261578178Short Stay HospitalTXN/A
University Surgical Partners of Dallas LLP
15305 Dallas Pkwy Suite 1600AddisonTX75001550823809Ambulatory 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
Physicians Surgical Center of Ft Worth LLP
15305 Dallas Parkway Suite 1600AddisonTX75001208303422Ambulatory Surgery CenterTXN/A
Desoto Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752592508Ambulatory Surgery CenterTXN/A
Metrocrest Surgery Center LP
15305 Dallas Parkway Suite 1600AddisonTX75001030380493Ambulatory Surgery CenterTXN/A
Lone Star Endoscopy Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001273635726Ambulatory Surgery CenterTXN/A
Tuscan Surgery Center at Las Colinas LLC
15305 Dallas Parkway Suite 1600AddisonTX75001273578014Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Ennis LLC
15305 Dallas Parkway Suite 1600AddisonTX75001274202856Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano Parkway LLC
15305 Dallas Parkway Suite 1600AddisonTX75001274282604Ambulatory Surgery CenterTXN/A
BIR JV LLP
4714 Gettysburg RdMechanicsburgPA17055274586141Rehabilitation HospitalsTXN/A
Park Cities Surgery Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001562357079Ambulatory Surgery CenterTXN/A
GlobalRehab LP
4714 Gettysburg RdMechanicsburgPA17055288077072Rehabilitation HospitalsTXN/A
GlobalRehab-Fort Worth LP
4714 Gettysburg RdMechanicsburgPA17055205558682Rehabilitation HospitalsTXN/A
EBD JV LLP
10077 Grogans Mill Rd Suite 100The WoodlandsTX77380455434614Free-standing ER'sTXN/A
BTDI JV LLP
5214 Maryland Way Suite 200BrentwoodTN37207462908086Imaging CentersTXN/A
THVG Bariatric LLC
15305 Dallas Parkway Suite 1600AddisonTX75001383894636Holds interests in Ambulatory Surgery CentersTXN/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

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssets
Baylor Health Enterprises LP
2001 Bryan Street Suite 2200DallasTX75201751997378Fitness Center/Pharmacy/ HotelTXN/AC1
Baylor Health Network Inc
2001 Bryan Street Suite 2200DallasTX75201752463251Billing/ CollectionTXN/AC1
BMP Incorporated
2001 Bryan Street Suite 2200DallasTX75201751436779Post OfficeTXN/AC1
Health Care Insurance Company of Texas Ltd
980403182InvestmentsN/AC1PO Box GT 720 W Bay RdGrand CaymanCJCJ
Baylor Med Ctr at Grapevine Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752747555Condo AssociationTXN/AC1
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752897806Condo AssociationTXN/AC1
Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201261661900Condo AssociationTXC1Baylor All Saints Medical Center1.00000
Baylor Quality Health Care Alliance LLC
2001 Bryan Street Suite 2200DallasTX75201454015863ACOTXN/AC10.12500438181366352
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Baylor Regional Medical Center at Plano
A101899GAAP
HealthTexas Provider Network
A281861GAAP
All Saints Health Foundation
C3222002GAAP
Baylor Health Care System
M49713823GAAP
Baylor Research Institute
L124819GAAP
Baylor University Medical Center
M597663GAAP
HealthTexas Provider Network
M4137768GAAP
MEDCO Construction LLC
M602730GAAP
Baylor Health Care System
P867921GAAP
Baylor Health Care System
R7176411GAAP
BIR JV LLP
M5020508GAAP
Baylor Health Enterprises LP
M167752GAAP
All Saints Health Foundation
B11010000GAAP
Baylor Regional Medical Center at Grapevine
M132192GAAP
Baylor Research Institute
B351554GAAP
BIR JV LLP
A338910GAAP