BAYLOR MEDICAL CENTER AT WAXAHACHIE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BAYLOR MEDICAL CENTER AT WAXAHACHIE (EIN 75-1844139)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201431349349306503
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T15:08:12-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	751844139	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Baylor Medical Center at Waxahachie	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BAYL	NameControl
Phone	2148204135	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 Bryan Street No 2200	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	752013005	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Cheryl McMullan	Name
Title	VP Finance/Hosp Fin off	Title
Phone	2148204135	Phone
Date Signed	2014-05-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Jay Fox	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1405 W Jefferson	AddressLine1
City	Waxahachie	City
State	TX	State
ZIP Code	75165	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	83886305	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.BaylorHealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	Faith based acute care hospital providing exemplary patient care to Waxahachie, Texas and the surrounding communities.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	416	TotalNbrEmployees
Total Nbr Volunteers	160	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	185246	ContributionsGrantsPriorYear
Contributions Grants Current Year	732745	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	75194846	ProgramServiceRevenuePriorYear
Program Service Revenue CY	65562439	ProgramServiceRevenueCY
Investment Income Prior Year	2309479	InvestmentIncomePriorYear
Investment Income Current Year	3270795	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	77689571	TotalRevenuePriorYear
Total Revenue Current Year	69565979	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	555536	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	233430	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	26984368	SalariesEtcPriorYear
Salaries Etc Current Year	26206055	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	47239571	OtherExpensePriorYear
Other Expenses Current Year	34155083	OtherExpensesCurrentYear
Total Expenses Prior Year	74779475	TotalExpensesPriorYear
Total Expenses Current Year	60594568	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2910096	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8971411	RevenuesLessExpensesCY
Total Assets BOY	77009813	TotalAssetsBOY
Total Assets EOY	87145466	TotalAssetsEOY
Total Liabilities BOY	3476095	TotalLiabilitiesBOY
Total Liabilities EOY	2927963	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	73533718	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	84217503	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Founded as a Christian ministry of healing, Baylor Medical Center at Waxahachie exists to serve all people through exemplary health care, education, research, and community service.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	52447385	Expense
Grants	233430	Grants
Revenue	65562439	Revenue
Description	See Schedule OBaylor Medical Center at Waxahachie (Baylor Waxahachie) is a faith-based, non-profit, 57 bed acute care hospital providing exemplary patient care to residents of Ellis County and the surrounding rural communities of North Texas. Baylor Waxahachie 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 meet the health needs of Ellis County (one of the fastest growing areas in North Central Texas), Baylor Waxahachie is building a $175.5 million campus on the new site located at northwest corner of the intersection of I-35 and Hwy 287. The new campus will also be the home to Baylor Charles A. Sammons Cancer Center at Waxahachie, along with expanded facilities to increase services for women. The new facility also will provide additional inpatient beds, operating rooms, and emergency and intensive care unit (ICU). The first phase of the project, a 75,000-square-foot medical office building housing physicians and health care related programs, is slated to open in December 2013. The larger campus project is expected to open in November 2014Baylor Waxahachies 100th anniversary.Baylor Waxahachie provides inpatient and outpatient medical services to treat individuals with diseases, illness and injuries of varying complexities. These services include, but are not limited to, asthma care, cancer care, diabetes and endocrinology, fitness and wellness, heart and vascular, men's health, neuroscience, orthopedics, spine care, scoliosis care, sleep disturbances, pulmonology, palliative care, physical medicine, digestive diseases, metabolic diseases, emergency care, surgical services, intensive care services, urology, urogynecology, weight management and weight surgery, and women's services. Some of these services are provided despite a financial loss to Baylor Waxahachie. During the fiscal year ending June 30, 2013, Baylor Waxahachie admitted 8,213 inpatients resulting in 12,095 days of care, and there were 40,786 emergency department visits. Baylor Waxahachie works to improve the health of the communities it serves through expansion in medical technology and equipment, such as: an electronic health record, a telemedicine robot to provide specialty physician consults, a patient lift system, the Pneumatic Tube Transfer System, digital mammography at two breast imaging locations, a web-based imaging system that gives instant-access to X-rays and other digital radiology images, a CT/nuclear medicine hybrid scanning technology (the fourth of its kind in the United States) and an upgraded emergency department that includes an additional nine beds. As part of its charitable mission, Baylor Waxahachie is committed to providing free and/or subsidized care to both financially and medically indigent patients in the community. During the year, Baylor Waxahachie reported community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $26,778,454. Baylor Waxahachie provided community benefits (as reported on the IRS Form 990, Schedule H) of $11,124,380 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $11,772,397 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.Baylor Waxahachie also provided supervisory education programs 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 levels of nursing is critical to establishing a workforce of qualified nurses. During the year, Baylor Waxahachie invested in the training of 195 undergraduate nurses. Total unreimbursed cost of this nursing education program is $404,117.	Description
Total Program Service Expense	52447385	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	79	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	416	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Cheryl McMullan	NamePerson
Telephone Number	9729238056	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1405 West Jefferson	AddressLine1
City	Waxahachie	City
State	TX	State
ZIP Code	75165	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Ron Carter
Trustee	1.00	10.00	X	0	583	0
Roy Lamkin
Chairman	1.00	10.00	X	0	587	0
Paul Madeley MD
Trustee	1.00	40.00	X	0	758942	72210
George McCleskey
Trustee	1.00	7.00	X	0	0	0
J Kent Newsome
Trustee	1.00	7.00	X	0	0	0
Cindy Murray
CNO/COO	40.00			218309	0	23470	X
Jay Fox
President	40.00			407995	0	101532	X
William Boyd
Secretary	1.00	40.00		0	1236471	220519	X
Cheryl McMullan
VP Finance/Hosp Fin Off	40.00			186108	0	23121	X
Marva Goins
Director Pharmacy	40.00			165350	0	24951		X
Donna Drain
Clinical Pharmacist	40.00			137052	0	19467		X
Elizabeth Ortiz
Director Acute Care	40.00			135870	0	22153		X
Laura Mobley
Director Clinical Informatics	40.00			125335	0	27614		X
Faye Collins
Director Education	40.00			129635	0	19879		X
Stephen Roussel
Former Officer	0.00			0	216701	24152			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1505654	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2213284	TotalReportableCompFrmRltdOrgs
Total Other Compensation	579068	TotalOtherCompensation
Number Individuals GT100 K	37	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Baylor Health Care System
2001 Bryan St Ste 2200	Dallas	TX	75201	Management Services	11956221
Medco Construction LLC
2001 Bryan St Ste 2200	Dallas	TX	75201	Construction	3032838
HealthTexas Provider Network
2001 Bryan St Ste 2200	Dallas	TX	75201	Clinical/Administrative	1830213
Aramark Services Inc
P O Box 651009	Charlotte	NC	282651009	Engineering/Food Serv	1369524
Med Fusion LLC
P O Box 222137	Dallas	TX	75222	Lab Services	777519

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	15	NumberOfContractorsGT100K
Related Organizations	724801	RelatedOrganizations
All Other Contributions	7944	AllOtherContributions
Total Contributions	732745	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Patient Care Revenue	621990	62642290	62642290
EHR Incentive	900099	1708111	1708111
Rent	531120	943344	943344
Cafeteria	722210	220146		$220,146
Duplication Fees	900099	42005	42005

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6543	TotalRevenueColumn
Related Or Exempt Function Income	6543	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	65562439	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1035357	TotalRevenueColumn
Exclusion	$1,035,357	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	16543690	Securities
Other	12074	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	14142266	Securities
Other	178060	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2401424	Securities
Other	-165986	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2235438	TotalRevenueColumn
Exclusion	$2,235,438	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	69565979	TotalRevenueColumn
Related Or Exempt Function Income	65342293	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,490,941	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	233430	Total
Program Services	233430	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1053855	Total
Management And General	1053855	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	20236935	Total
Program Services	20084242	ProgramServices
Management And General	152693	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	655223	Total
Program Services	647589	ProgramServices
Management And General	7634	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2835078	Total
Program Services	2816221	ProgramServices
Management And General	18857	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1424964	Total
Program Services	1413282	ProgramServices
Management And General	11682	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	23194	Total
Program Services	23194	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	63703	Total
Management And General	63703	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	16042126	Total
Program Services	9401498	ProgramServices
Management And General	6640628	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	9912	Total
Program Services	1621	ProgramServices
Management And General	8291	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1434380	Total
Program Services	1372382	ProgramServices
Management And General	61998	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3782767	Total
Program Services	3782767	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2757189	Total
Program Services	2757189	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	53753	Total
Program Services	29267	ProgramServices
Management And General	24486	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	55627	Total
Program Services	24502	ProgramServices
Management And General	31125	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5828	Total
Program Services	5828	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2794042	Total
Program Services	2794042	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	25683	Total
Management And General	25683	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	6998210	6998210
Dues & Memberships	57764	41348	16416
Special Functions	34755	10511	24244
Meals & Entertainment	3897	1896	2001

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	12253	Total
Program Services	8366	ProgramServices
Management And General	3887	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	60594568	Total
Program Services	52447385	ProgramServices
Management And General	8147183	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8979	BOY
EOY	19596	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	151647	BOY
EOY	152968	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3604512	BOY
EOY	1234361	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1303096	BOY
EOY	1204008	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	59356	BOY
EOY	158091	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	75598802	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	46647991	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	18252407	BOY
EOY	28950811	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	51244065	BOY
EOY	52380553	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	625000	BOY
EOY	625000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1760751	BOY
EOY	2420078	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	77009813	BOY
EOY	87145466	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2488443	BOY
EOY	2103596	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	893601	BOY
EOY	785854	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	94051	BOY
EOY	38513	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3476095	BOY
EOY	2927963	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	71687580	BOY
EOY	81710717	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1486063	BOY
EOY	2145390	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	360075	BOY
EOY	361396	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	73533718	BOY
EOY	84217503	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	77009813	BOY
EOY	87145466	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8971411	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2196901	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-484527	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$833	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$14,292	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	15125	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1268879	OtherCostOrOtherBasis
Book Value	1268879	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48312807	OtherCostOrOtherBasis
Depreciation	26004168	Depreciation
Book Value	22308639	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	26017116	OtherCostOrOtherBasis
Depreciation	20643823	Depreciation
Book Value	5373293	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	28950811	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X, Line 2:	ReturnReference
Explanation	Part X, Line 2: The 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

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8037428	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	8037428	NetCommunityBenefitExpense
Percent Of Total Expense	0.13260	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3900221	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1772001	DirectOffsettingRevenue
Net Community Benefit Expense	2128220	NetCommunityBenefitExpense
Percent Of Total Expense	0.03510	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	67361	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62845	DirectOffsettingRevenue
Net Community Benefit Expense	4516	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12005010	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1834846	DirectOffsettingRevenue
Net Community Benefit Expense	10170164	NetCommunityBenefitExpense
Percent Of Total Expense	0.16780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	221529	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1400	DirectOffsettingRevenue
Net Community Benefit Expense	220129	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	404117	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	404117	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	329970	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	329970	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	955616	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1400	DirectOffsettingRevenue
Net Community Benefit Expense	954216	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12960626	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1836246	DirectOffsettingRevenue
Net Community Benefit Expense	11124380	NetCommunityBenefitExpense
Percent Of Total Expense	0.18360	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,035,716	BadDebtExpenseAmount
Amount Reimbursed By Medicare	17426353	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	22338624	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4912271	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Baylor Medical Center at Waxahachie	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1505 W Jefferson	AddressLine1
City	Waxahachie	City
State	TX	State
ZIP Code	75165	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.baylorhealth.com	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Baylor Medical Center at Waxahachie	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	500.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Baylor Imaging & Diag Ctr at Red Oak
305 E Ovilla Rd	Red Oak	TX	75154	Radiology
Sleep Center at Baylor Waxahachie
1510 W Jefferson	Waxahachie	TX	75165	Sleep Center
Baylorworx Waxahachie
507 N Hwy 77	Waxahachie	TX	75165	Diabetes, Bariatrics

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return 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. These reports are 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 $306,718 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 $3,765,809. 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.aspx	Baylor Medical Center at Waxahachie
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 Medical Center at Waxahachie
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 Medical Center at Waxahachie
Part V, Section B, Line 12h: Baylor Medical Center at Waxahachie has had a financial assistance policy written in accordance with Texas Health and Safety Code Chapter 311. In general that regulation defines charity care as providing, funding or otherwise financially supporting health care services to a person cliassifed 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 nonporfot or public clinics, hospital 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 Medical Center at Waxahachie
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 Medical Center at Waxahachie
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 Medical Center at Waxahachie
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 Medical Center at Waxahachie (Baylor Waxahachie) is located in Ellis County and its total service area includes zip codes primarily from the suburban areas of Ellis County covering more than 162,000 residents. The average household income is $69,386 with 9.3 percent living below the federal poverty level. Additionally, 8.1 percent is uninsured and 11.9 percent of the population is enrolled in Medicaid. The vast majority of Ellis County is designated as underserved by the Texas Department of State Health Services except for the Midlothian community. In addition to Baylor Waxahachie, there is one other hospital 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 exemplary health care, medical education, research and other community services. 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 privileges 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 operates an emergency department accepting all patients without the regard for the ability to pay. In order to keep up with the growth of the community and the need for emergency services, the organization recently expanded the emergency department in FY 2010 by adding 9 beds and new equipment. This included the addition of the minor emergency E-clinic that provides patients quick access to minor emergency care with a private waiting area resulting in an average patient turnaround time just over one hour. 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.The organization is committed to promoting an environment of wellness in its community and coaches residents to intentionally adopt healthier lifestyles to reduce the number of deaths associated with chronic disease. Throughout the year the organization offers free preventive health services to the community such as health screenings, health fairs, immunizations and community education. These efforts are targeted to meet the community health needs identified in the community health needs assessment conducted by the hospital. The organization is one of only five health organizations to be selected by the Advantage division of the American Society of Health System Pharmacists (ASHP) to participate in a national institutional impact venous thromboembolism (VTE) mentored quality initiative. VTE occurs when a blood clot forms in a vein. The organizations' pharmacist led a multidisciplinary team focused on preventing VTE, which is considered the most preventable cause of mortality in hospitalized patients. Experts recommend integrated, system wide, inter-professional approaches that include interventions along the continuum of care, extensive education of health care providers, measuring performance and providing feedback. The organization was selected after a competitive application process and their work resulted in remarkable gains including very significant increases in the percentage of patients who had a documented VTE risk assessment and who received an appropriate prophylactic strategy within the 24 hour period prior to chart audit. In addition, the organization has committed significant funding to aid the operation of the Hope Clinic, a local community health clinic serving the medically underserved population. The Hope Clinic, operates as a community need driven, primary care clinic providing diagnostic laboratory & radiologic services, preventive health services, dental services, transportation assistance, pharmaceutical services, mental health and substance abuse services, patient case management services, health education and outreach. The clinic began with the identification of access to care needs for uninsured and indigent residents of Ellis County. In March 2009, Hope Clinic became a Federally Qualified Health Service Center for the provision of primary health care services in underserved and rural communities.
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.
TX	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
Ellis County Indigent Care Corporation
1405 W Jefferson	Waxahachie	TX	75165	455449299	N/A	165343	N/A	N/A	Indigent Care
Dallas County Indigent Care Corporation
PO Box 655999	Dallas	TX	75265	260610562	501(c)(3)	68087	N/A	N/A	Indigent Care

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Paul Madeley MD
Trustee	0	422718	0	1786	0	334438	0	54893	0	17317	0	831152	0	299220
Cindy Murray
CNO/COO	181217	0	37092	0	0	0	9131	0	14339	0	241779	0	0	0
Jay Fox
President	274048	0	121866	0	12081	0	84425	0	17107	0	509527	0	0	0
William Boyd
Secretary	0	561174	0	291880	0	383417	0	194567	0	25952	0	1456990	0	360186
Cheryl McMullan
VP Finance/Hosp Fin Off	151493	0	31631	0	2984	0	7702	0	15419	0	209229	0	0	0
Marva Goins
Director Pharmacy	144966	0	20259	0	125	0	1530	0	23421	0	190301	0	0	0
Donna Drain
Clinical Pharmacist	136530	0	0	0	522	0	6683	0	12784	0	156519	0	0	0
Elizabeth Ortiz
Director Acute Care	118961	0	15953	0	956	0	6022	0	16131	0	158023	0	0	0
Laura Mobley
Director Clinical Informatics	108688	0	16497	0	150	0	5795	0	21819	0	152949	0	0	0
Stephen Roussel
Former Officer	0	178944	0	34286	0	3471	0	9056	0	15096	0	240853	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Discretionary spending account - The organization provides eligible employees who travel frequently in their personal vehicle an auto expense allowance in lieu of reimbursement for business mileage under the organization's business travel and expense reimbursement policy. All auto expense allowances are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1a	Health or social club dues or initiation fees-The organization may reimburse eligible employees for dues for a health club and/or a social club where there is a bona fide business need for the membership. For example, as part of the organization's promotion of health, the organization will cover a portion of any employees' fitness center club membership dues paid to an affiliated entity that owns and operates a fitness center. All employees are eligible for this benefit. Such reimbursements are treated as taxable compensation to the extent any part of the membership is used for personal use. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1a	Tax 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 4b	In 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: Jay Fox, Paul Madeley, M.D. ($299,220), and William Boyd ($253,486). 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 the BHCS. Performance targets are based upon a percentage of the participants 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 individuals participated in and/or received payments (noted in parenthesis) from this plan during the tax year: Jay Fox ($43,567) and William Boyd ($214,839).
Part I, Line 7	The 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 III	Supplemental Information: Governing body compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members 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 O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	Members 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 7a	Election 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 7b	Governing 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 11	Process 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 12c	Process 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 15	Process 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 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The 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 19	Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of 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 11g	Intercompany Expenses : Program service expenses 2,994,438. Management and general expenses 57,448. Fundraising expenses 0. Total expenses 3,051,886. Contract Labor : Program service expenses 2,488,532. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,488,532. Other Purchased Services : Program service expenses 695,330. Management and general expenses 86,143. Fundraising expenses 0. Total expenses 781,473. Repairs : Program service expenses 1,364,617. Management and general expenses 407. Fundraising expenses 0. Total expenses 1,365,024. Professional Fees : Program service expenses 1,103,462. Management and general expenses 50,888. Fundraising expenses 0. Total expenses 1,154,350. Lab Fees : Program service expenses 755,119. Management and general expenses 0. Fundraising expenses 0. Total expenses 755,119. Corporate Overhead : Program service expenses 0. Management and general expenses 6,445,742. Fundraising expenses 0. Total expenses 6,445,742.	Other Fees
Form 990, Part XI, line 9:	Transfers Between Entities Under Common Control -422,510. Change in Net Assets Held at BHCS Foundation 659,327. Transfer to/from BHCS-Liability Reserve -721,344.	Changes in Net Assets or Fund Balances:
IRC Section 6038 Statement:	Baylor Waxahachie 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 Waxahachie by IRC Section 6038 and the regulations thereunder with respect to HCIC. Therefore, pursuant to Treasury Regulation Sec. 1.6038-2(j)(2), Baylor Waxahachie 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 (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Baylor Health Care System
2001 Bryan Street Suite 2200	Dallas	TX	75201	751812652	Management Services	TX	501(c)(3)	11, Type III	N/A	0
Baylor University Medical Center
2001 Bryan Street Suite 2200	Dallas	TX	75201	751837454	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Medical Centers at Garland and McKinney
2001 Bryan Street Suite 2200	Dallas	TX	75201	751037591	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200	Dallas	TX	75201	752586857	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200	Dallas	TX	75201	820551704	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200	Dallas	TX	75201	751777119	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200	Dallas	TX	75201	751037226	Rehabilitation Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Specialty Health Centers
2001 Bryan Street Suite 2200	Dallas	TX	75201	751765385	Long Term Care Hospitals	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor All Saints Medical Center
2001 Bryan Street Suite 2200	Dallas	TX	75201	751008430	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200	Dallas	TX	75201	751606705	Fundraising	TX	501(c)(3)	7		1	Baylor Health Care System
All Saints Health Foundation
2001 Bryan Street Suite 2200	Dallas	TX	75201	751947007	Fundraising	TX	501(c)(3)	7		1	Baylor All Saints Medical Center
HealthTexas Provider Network
2001 Bryan Street Suite 2200	Dallas	TX	75201	752536818	Physician Practices	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Health Services
2001 Bryan Street Suite 2200	Dallas	TX	75201	751917311	Inactive	TX	501(c)(3)	3		1	Baylor Health Care System
Baylor Research Institute
2001 Bryan Street Suite 2200	Dallas	TX	75201	751921898	Research	TX	501(c)(3)	4		1	Baylor Health Care System
Southern Sector Health Initiative
2001 Bryan Street Suite 2200	Dallas	TX	75201	263087442	Diabetes Health & Wellness Center	TX	501(c)(3)	11, Type I		1	Baylor University Medical Center
Baylor Health Care System Employee Benefit Trust
2001 Bryan Street Suite 2200	Dallas	TX	75201	751848557	VEBA	TX	501(c)(9)			1	Baylor Health Care System
Irving Healthcare Foundation
2001 Bryan Street Suite 2200	Dallas	TX	75201	751570933	Fundraising	TX	501(c)(3)	7		1	Baylor Medical Center at Irving
Baylor Medical Center at Carrollton
2001 Bryan Street Suite 2200	Dallas	TX	75201	454510252	Acute Care Hospital	TX	501(c)(3)	3		1	Baylor Health Care System

Form990 Schedule R Part III Form990ScheduleRPartIII (45 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
MEDCO Construction LLC
2001 Bryan Street Suite 2200	Dallas	TX	75201	205965871	Construction	TX	N/A
Baylor Affiliated Services LLC
2001 Bryan Street Suite 2200	Dallas	TX	75201	260614730	Benefit Plans	TX	N/A
Baylor Heart and Vascular Center LLP
2001 Bryan Street Suite 2200	Dallas	TX	75201	752834135	Specialty Hospital	TX	N/A
Texas Heart Hospital of the Southwest LLP
2001 Bryan Street Suite 2200	Dallas	TX	75201	412101361	Specialty Hospital	TX	N/A
HealthTexas Provider Network-Gastro Serv LLP
2001 Bryan St Ste 2200	Dallas	TX	75201	731697736	Ambulatory Surgery Center	TX	N/A
Texas Health Venture Group LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752696845	Holds interests in ASCs/ Short Stay Hospitals	TX	N/A
Dallas Surgical Partners LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	722183815	Ambulatory Surgery Center	TX	N/A
Valley View Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752900902	Ambulatory Surgery Center	TX	N/A
Denton Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752708579	Ambulatory Surgery Center	TX	N/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	562297308	Ambulatory Surgery Center	TX	N/A
Grapevine Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752854711	Ambulatory Surgery Center	TX	N/A
Lewisville Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752862263	Ambulatory Surgery Center	TX	N/A
North Garland Surgery Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	562399993	Ambulatory Surgery Center	TX	N/A
Garland Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752764855	Ambulatory Surgery Center	TX	N/A
Arlington Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752748040	Ambulatory Surgery Center	TX	N/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	205506447	Ambulatory Surgery Center	TX	N/A
Metroplex Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752567179	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Plano LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	260308454	Ambulatory Surgery Center	TX	N/A
RockwallHeath Surgery Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	200334166	Ambulatory Surgery Center	TX	N/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	542086863	Short Stay Hospital	TX	N/A
North Central Surgical Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	201508140	Short Stay Hospital	TX	N/A
Trophy Club Medical Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	481260190	Short Stay Hospital	TX	N/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752658178	Short Stay Hospital	TX	N/A
Frisco Medical Center LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752865177	Short Stay Hospital	TX	N/A
MSH Partners LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752829613	Short Stay Hospital	TX	N/A
Arlington Orthopedic & Spine Hospital LLC
15305 Dallas Pkwy Suite 1600	Addison	TX	75001	261578178	Short Stay Hospital	TX	N/A
University Surgical Partners of Dallas LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	550823809	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Granbury LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	263896477	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Mansfield LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	271835675	Ambulatory Surgery Center	TX	N/A
Physicians Surgical Center of Ft Worth LLP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	208303422	Ambulatory Surgery Center	TX	N/A
Desoto Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600	Addison	TX	75001	752592508	Ambulatory Surgery Center	TX	N/A
Metrocrest Surgery Center LP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	030380493	Ambulatory Surgery Center	TX	N/A
Lone Star Endoscopy Center LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	273635726	Ambulatory Surgery Center	TX	N/A
Tuscan Surgery Center at Las Colinas LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	273578014	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Ennis LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	274202856	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Plano Parkway LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	274202604	Ambulatory Surgery Center	TX	N/A
BIR JV LLP
4714 Gettysburg Rd	Mechanicsburg	PA	17055	274586141	Rehabilitation Hospitals	TX	N/A
Park Cities Surgery Center LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	562357079	Ambulatory Surgery Center	TX	N/A
GlobalRehab LP
4714 Gettysburg Rd	Mechanicsburg	PA	17055	288077072	Rehabilitation Hospitals	TX	N/A
GlobalRehab-Fort Worth LP
4714 Gettysburg Rd	Mechanicsburg	PA	17055	205558682	Rehabilitation Hospitals	TX	N/A
EBD JV LLP
10077 Grogans Mill Rd Suite 100	The Woodlands	TX	77380	455434614	Free-Standing ERs	TX	N/A
BTDI JV LLP
5214 Maryland Way Suite 200	Brentwood	TX	37207	462908086	Imaging Centers	TX	N/A
THVG Bariatriac LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	383894636	Holds interests in Ambulatory Surgery Centers	TX	N/A
Specialty Surgery Center of Fort Worth LP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	201942281	Ambulatory Surgery Center	TX	N/A
Surgery Center of Richardson Phys Pship LP
15305 Dallas Parkway Suite 1600	Addison	TX	75001	200606781	Ambulatory Surgery Center	TX	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
Baylor Health Enterprises LP
2001 Bryan Street Suite 2200	Dallas	TX	75201	751997378	Fitness Center/Pharmacy/ Hotel	TX	N/A	C	1
Baylor Health Network Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752463251	Billing/ Collection	TX	N/A	C	1
BMP Incorporated
2001 Bryan Street Suite 2200	Dallas	TX	75201	751436779	Post Office	TX	N/A	C	1
Health Care Insurance Company of Texas Ltd
				980403182	Investments		N/A	C	1	PO Box GT 720 W Bay Rd	Grand Cayman	CJ	CJ
Baylor Med Ctr at Grapevine Condo Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752747555	Condo Association	TX	N/A	C	1
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752897806	Condo Association	TX	N/A	C	1
Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	261661900	Condo Association	TX	N/A	C	1
Baylor Quality Health Care Alliance LLC
2001 Bryan Street Suite 2200	Dallas	TX	75201	454015863	ACO	TX	N/A	C	1					438181	366352	0.12500
Ellis County Indigent Care Corporation
1405 W Jefferson	Waxahachie	TX	75165	455449299	Indigent Care	TX	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HealthTexas Provider Network
A	328958	GAAP
Baylor Health Care System Foundation
C	724801	GAAP
Baylor Health Care System
M	12373507	GAAP
Baylor University Medical Center
M	158610	GAAP
HealthTexas Provider Network
M	2145857	GAAP
MEDCO Construction LLC
M	5897185	GAAP
Baylor Health Care System
P	487890	GAAP
BIR JV LLP
M	325158	GAAP
BIR JV LLP
A	400930	GAAP
Baylor Health Care System
R	721344	GAAP
Ellis County Indigent Care Corporation
B	165343	GAAP