BAYLOR MEDICAL CENTER AT IRVING: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BAYLOR MEDICAL CENTER AT IRVING (EIN 75-2586857)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201331359349303468
Schema version: 2011v1.2
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T10:25:20-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	752586857	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Baylor Medical Center at Irving	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	Lucy Catala	Name
Title	VP Finance/HFO	Title
Phone	2148204135	Phone
Date Signed	2013-05-08	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Cindy Schamp	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1901 N MacAurthur Blvd	AddressLine1
City	Irving	City
State	TX	State
ZIP Code	75061	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	314199510	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.BaylorHealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	Faith based acute care hospital providing exemplary patient care to Irving, Texas and the surrounding communities since 1964.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	6	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	1271	TotalNbrEmployees
Total Nbr Volunteers	297	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1214042	ContributionsGrantsPriorYear
Contributions Grants Current Year	631489	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	230463978	ProgramServiceRevenuePriorYear
Program Service Revenue CY	217507485	ProgramServiceRevenueCY
Investment Income Prior Year	9787303	InvestmentIncomePriorYear
Investment Income Current Year	10370367	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	241465323	TotalRevenuePriorYear
Total Revenue Current Year	228509341	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3194662	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5057786	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	78695397	SalariesEtcPriorYear
Salaries Etc Current Year	75273924	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	143468830	OtherExpensePriorYear
Other Expenses Current Year	134366428	OtherExpensesCurrentYear
Total Expenses Prior Year	225358889	TotalExpensesPriorYear
Total Expenses Current Year	214698138	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16106434	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13811203	RevenuesLessExpensesCY
Total Assets BOY	478287315	TotalAssetsBOY
Total Assets EOY	479259930	TotalAssetsEOY
Total Liabilities BOY	201982522	TotalLiabilitiesBOY
Total Liabilities EOY	197262501	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	276304793	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	281997429	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Baylor Medical Center at Irving exists to serve the people of Irving and surrounding communities through exemplary health care, education and community service.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	201216520	Expense
Grants	5057786	Grants
Revenue	217511824	Revenue
Description	See Schedule OBaylor Medical Center at Irving (Baylor Irving) is a faith-based, non-profit, 296-bed acute care hospital providing exemplary patient care to Irving, Texas and surrounding communities since 1964. Baylor Irving is an affiliate of the 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 community services to the North Texas region. Baylor Irving provides inpatient and outpatient medical services to treat individuals with diseases, illnesses and injuries of varying complexities. Services include all of the comprehensive services typical of a quality acute care hospital with multidisciplinary interactions among physicians, providing patients with innovative methods of prevention, diagnosis, treatment, education and support. These services include comprehensive care for all stages of illness through all stages of life. Some of these clinical services are provided despite a financial loss to Baylor Irving. During the fiscal year ended June 30, 2012, Baylor Irving admitted 19,979 inpatients resulting in a total of 91,321 days of care, treated 46,474 outpatients, delivered 1,981 babies and had 61,039 emergency department visits.As part of its charitable mission, Baylor Irving is committed to providing free and/or subsidized care to both financially and medically indigent patients in the community. During the year, Baylor Irving reported community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $58,001,224. Baylor Irving provided community benefits (as reported on the IRS Form 990, Schedule H) of $20,132,400 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $30,452,768 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.Baylor Irving also is committed to promoting the healthy well-being of individuals and families beyond the health activities of the traditional hospital or clinic setting through its community outreach programs. At the North Irving well-child clinic, underserved children receive free well-child exams and immunizations. Baylor Irving also has a tradition of collaborating with key community groups like the school district by offering programs such as Camp Airways for Asthmatic Children; "Diabetes-Be Aware" education program; and "tobacco kNOw" education program designed to discourage smoking. Equipping people with quality health information encourages individuals to make appropriate lifestyle changes to benefit their health. Through these programs, Baylor Irving assists with early detection of potential health problems and early treatment of any identified problems to save lives. The unreimbursed cost of providing these programs was $414,565. Baylor Irving 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 and advanced levels of nursing is critical to establishing a workforce of qualified nurses. During the year, Baylor Irving invested 20,880 hours in the training of 293 undergraduate nurses. Total unreimbursed cost of providing this nursing education program is $894,409.	Description
Total Program Service Expense	201216520	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	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	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	1	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	207	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1271	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	6	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Lucy Catala	NamePerson
Telephone Number	9725798104	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1901 North MacArthur Blvd	AddressLine1
City	Irving	City
State	TX	State
ZIP Code	75061	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Ron Carter
Trustee	1.00	X	0	583	0
Walker Harman
Trustee	1.00	X	0	5919	0
Roy Lamkin
Chairman	1.00	X	0	1729	0
Paul Madeley MD
Trustee	1.00	X	0	505380	79610
George McCleskey
Trustee	1.00	X	0	0	0
Timothy Owens
Trustee	1.00	X	0	547	0
Brenda Blain
CNO/COO	40.00		235381	0	33418	X
Lucy Catala
VP Finance/Hosp Fin Off	40.00		233073	0	24002	X
Cindy Schamp
President	40.00		517592	0	145283	X
William Boyd
Secretary	1.00		0	860104	239979	X
Walter Skip Wilson
VP Administration	40.00		193574	0	25029		X
Gary Green
Director Pharmacy	40.00		166446	0	25588			X
Jeffrey Trentham
Clinical Pharmacist	36.00		134550	0	30006			X
Hilary Akpati
Therapeutice Rad Physicist	40.00		168935	0	25959			X
Rolando Leal
Supervisor Nuclear Medicine	49.00		147002	0	21640			X
William Fincher
Clinical Pharmacist	34.00		148937	0	20765			X
Gary Hamrick
Former Officer	0.00		0	312257	58515				X
James Thaxton
Former Officer	0.00		0	116512	52736				X
Jason Whitfield
Former Officer	0.00		0	305172	65165				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1945490	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2108203	TotalReportableCompFrmRltdOrgs
Total Other Compensation	847695	TotalOtherCompensation
Number Individuals GT100 K	75	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	20460153
Aramark Services Inc
P O Box 651009	Charlotte	NC	282651009	Engineering/Food Serv	5745262
BIR JV LLP
P O Box 677466	Dallas	TX	75267	Staffing/Mgmt Services	2804725
HealthTexas Provider Network
2001 Bryan St Ste 2200	Dallas	TX	75201	Clinical/Admin Services	1829964
Medco Construction
2001 Bryan St Ste 2200	Dallas	TX	75201	Construction	1665457

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Related Organizations	613489	RelatedOrganizations
All Other Contributions	18000	AllOtherContributions
Total Contributions	631489	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Patient Care Revenue	621990	209338530	209338530
Rent	231120	6763745	6763745
Cafeteria	722210	1158645		$1,158,645
Transcription Revenue	541900	62804	62804
Affiliate Income	621990	54156	54156

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	129605	TotalRevenueColumn
Related Or Exempt Function Income	35988	RelatedOrExemptFunctionIncome
Exclusion	$93,617	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	217507485	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4293085	TotalRevenueColumn
Related Or Exempt Function Income	4339	RelatedOrExemptFunctionIncome
Exclusion	$4,288,746	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	91766555	Securities
Other	896	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	85690169	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6076386	Securities
Other	896	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6077282	TotalRevenueColumn
Exclusion	$6,077,282	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	228509341	TotalRevenueColumn
Related Or Exempt Function Income	216259562	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$11,618,290	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5057786	Total
Program Services	5057786	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1494370	Total
Management And General	1494370	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	58881205	Total
Program Services	58320062	ProgramServices
Management And General	561143	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1877516	Total
Program Services	1827977	ProgramServices
Management And General	49539	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8818319	Total
Program Services	8727573	ProgramServices
Management And General	90746	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4202514	Total
Program Services	4123482	ProgramServices
Management And General	79032	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	270758	Total
Program Services	270758	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	53740	Total
Management And General	53740	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	109625	Total
Management And General	109625	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36209393	Total
Program Services	26294618	ProgramServices
Management And General	9914775	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	838088	Total
Program Services	9449	ProgramServices
Management And General	828639	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5543959	Total
Program Services	5404347	ProgramServices
Management And General	139612	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4775834	Total
Program Services	4775834	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18977292	Total
Program Services	18977292	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	115540	Total
Program Services	98483	ProgramServices
Management And General	17057	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	45445	Total
Program Services	43267	ProgramServices
Management And General	2178	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14568696	Total
Program Services	14568696	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	51527	Total
Management And General	51527	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debt	28578385	28578385
Medical Supplies	23948752	23948752
Recruiting	72380	64751	7629
Special Functions	52617	21515	31102

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	154397	Total
Program Services	103493	ProgramServices
Management And General	50904	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	214698138	Total
Program Services	201216520	ProgramServices
Management And General	13481618	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	6623	BOY
EOY	5165	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22583348	BOY
EOY	20671196	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	80507	BOY
EOY	38374	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3476126	BOY
EOY	3739606	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	98878	BOY
EOY	178402	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	302035595	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	87837450	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	220702573	BOY
EOY	214198145	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	225570408	BOY
EOY	232976055	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2692291	BOY
EOY	3645762	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3076561	BOY
EOY	3807225	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	478287315	BOY
EOY	479259930	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19836681	BOY
EOY	18797430	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	9111823	BOY
EOY	7542672	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	172299240	BOY
EOY	169740260	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	734778	BOY
EOY	1182139	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	201982522	BOY
EOY	197262501	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	273192035	BOY
EOY	278399007	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1745759	BOY
EOY	2230188	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1366999	BOY
EOY	1368234	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	276304793	BOY
EOY	281997429	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	478287315	BOY
EOY	479259930	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	13811203	ReconcilationRevenueExpenses
Reconcilation Other Changes	-8118567	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	$5,313	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$52,350	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	57663	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 Irving ("BMCI") 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. BMCI has established relationships with persons and industry associations that often communicate BMCI's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, BMCI may attempt to educate the local community on certain legislative initiatives that may impact BMCI'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. BMCI has not intervened in any political campaign.	Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	231299449	OtherCostOrOtherBasis
Depreciation	38665837	Depreciation
Book Value	192633612	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	70736146	OtherCostOrOtherBasis
Depreciation	49171613	Depreciation
Book Value	21564533	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	214198145	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Environmental Liability	$937,139
Physician Guarantee Liability	$245,000

Field	Value	IRS element (for citing)
Total Of Amounts	1182139	TotalOfAmounts
Total Revenue	228509341	TotalRevenue
Total Expenses	214698138	TotalExpenses
Excess Or Deficit For Year	13811203	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-9227420	NetUnrealizedGLOnInvestments
Other	$1,108,853	OtherAmount
Total Adjustments	-8118567	TotalAdjustments
Excess Or Deficit Per FS	5692636	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	218956773	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-9227420	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-9227420	RevenueNotRptdF990
Revenue Subtotal	228184193	RevenueSubtotal
Other Revenues Not Included	325148	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	325148	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	228509341	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	213847301	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-848337	OtherExpensesIncluded
Expenses Not Rptd F990	-848337	ExpensesNotRptdF990
Expenses Subtotal	214695638	ExpensesSubtotal
Other Expenses Not Included	2500	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2500	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	214698138	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:	Part X:	Irving follows the provisions of ASC 740 "Income Taxes." As of June 30, 2012 and 2011, Irving had no material gross unrecognized tax benefits.
Part XI, Line 8 - Other Adjustments:		Change in Net Assets Held at Irving Foundation 485,664. Transfer to/from BHCS-Liability Reserve 623,189. Total to Schedule D, Part XI, Line 8: 1,108,853.
Part XII, Line 4b - Other Adjustments:		Contribution Revenue Recorded in Operating Expenses 225,148. Contribution Revenue Recorded in Other Changes 100,000.
Part XIII, Line 2d - Other Adjustments:		Contribution Revenue Recorded in Operating Expenses -225,148. Liability Reserve Recorded in Operating Expenses -623,189.
Part XIII, Line 4b - Other Adjustments:		Grant Included in Other Changes in Fund Balance 2,500.

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	12497055	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	12497055	NetCommunityBenefitExpense
Percent Of Total Expense	0.06390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19700942	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17851568	DirectOffsettingRevenue
Net Community Benefit Expense	1849374	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32197997	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17851568	DirectOffsettingRevenue
Net Community Benefit Expense	14346429	NetCommunityBenefitExpense
Percent Of Total Expense	0.07340	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	478716	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17679	DirectOffsettingRevenue
Net Community Benefit Expense	461037	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	894409	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	894409	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	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	4430525	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4430525	NetCommunityBenefitExpense
Percent Of Total Expense	0.02260	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5803650	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17679	DirectOffsettingRevenue
Net Community Benefit Expense	5785971	NetCommunityBenefitExpense
Percent Of Total Expense	0.02960	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38001647	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17869247	DirectOffsettingRevenue
Net Community Benefit Expense	20132400	NetCommunityBenefitExpense
Percent Of Total Expense	0.10300	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$29,068,195	BadDebtExpenseAmount
Amount Attributable To	1569683	AmountAttributableTo
Amount Reimbursed By Medicare	49261043	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	60112156	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10851113	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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 Irving Coppell Surgical Hospital LLP	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Short Stay Hospital	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.34030	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.26210	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Baylor Medical Center at Irving
1	1901 N MacArthur Blvd	Irving	TX	75061	X	X	X
Irving Coppell Surgical Hospital
2	400 W Lyndon B Johnson Fwy Ste 100	Irving	TX	75063	X	X	X	Short-stay hospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	State RegulationStateRegulation	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Baylor Medical Center at Irving
1	1	1	200.000000000000	1	500.000000000000	1	X	X	X	X	X	1	1	X	X	X	1	0	1	X	0	0
Irving Coppell Surgical Hospital
2	1	1	200.000000000000	1	500.000000000000	1	X	X	X	X	X	1	1	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Baylor Irving Cancer Center
2001 N MacArthur Blvd Suite 120	Irving	TX	75061	Cancer Center
Baylor Med Ctr at Irving-Wound Care Ctr
400 W LBJ Fwy Suite 130	Irving	TX	75063	Wound Care Center
Sleep Ctr & Women's Imag at Irving Cop
400 W LBJ Fwy Suite 200	Irving	TX	75063	Radiology Center/Sleep Center
Baylor Diag Imag Ctr at Arlington & GP
2740 N State Highway 360 Suite 200	Grand Prairie	TX	75050	Radiology Center
Congestive Heart Failure Clinic
2001 N MacArthur Blvd Suite 350	Irving	TX	75061	CHF Clinic
Baylor Irving Spine Center
2001 N MacArthur Blvd Suite 205	Irving	TX	75061	Spine Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 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. The report is made available through the organization's website at www.baylorhealth.com.
Part I, Line 7: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7d. For amounts reported on lines 7e - 7k, actual expenses for each community benefit activity are tracked and reported using both community benefit software and/or the organization's cost accounting system.Part I, Line 7b, Column (d): Includes payments from the State Medicaid Private Hospital Upper Payment Limit Program, which funds are to be used to expand indigent care.Part I, Line 7i, Column (c): Includes charity care payments of $4,365,788 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 $28,578,385.
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 allowances, payments received and recoveries of bad debt previously written off. Based on prior experience and certain demographics and other information obtained during admission, the organization believes a portion of the bad debt expenses 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 IV, 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. The amount reported on Part III, Line 3 was estimated by reviewing the average acceptance rate for charity care applications received at certain facilities during the year multiplied by the number of denials that were attributable to those facilities due to insufficient information.
Part III, Line 8: The amount reported on Part III, Section B, line 6 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 $15,680,671, which is $4,829,558 higher than the shortfall reported on Part III, Section B, Line 7. The organization believes that all of the shortfall should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely increase at, and rest on the shoulders of, nonprofit hospitals or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas.
Part III, Line 9b: The organization's debt collection policy and procedures prohibit any collection efforts for the portion of the patient account balance that qualifies for financial assistance under the organization's charity care policy. For any remaining balances due, the same collection policy and procedures are applied equally to all patient types.
Part V, Section B, Line 10: 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 Irving
Part V, Section B, Line 10: 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.	Irving Coppell Surgical Hospital
Part V, Section B, Line 11h: For almost 20 years, the hospital has adopted a financial assistance policy written in accordance with Texas Health and Safety Code Chapter 311. In general, that statute defines charity care as providing, funding or otherwise financially supporting health care services to a person classified by the hospital as financially or medically indigent; or providing funding or otherwise financially supporting health care services provided to financially indigent persons through other nonprofit or public clinics, hospitals or hospital organizations. To determine if a patient meets the definition of financially or medically indigent in the statute, the number in the household is required. Additionally, although assets and other resources are not included in the calculation to determine whether a patient is financially or medically indigent, the organization's policy reserves the right to allow the patient's assets or other resources to be considered when determining if financial assistance will be granted.	Baylor Medical Center at Irving
Part V, Section B, Line 11h: For almost 20 years, the hospital has adopted a financial assistance policy written in accordance with Texas Health and Safety Code Chapter 311. In general, that statute defines charity care as providing, funding or otherwise financially supporting health care services to a person classified by the hospital as financially or medically indigent; or providing funding or otherwise financially supporting health care services provided to financially indigent persons through other nonprofit or public clinics, hospitals or hospital organizations. To determine if a patient meets the definition of financially or medically indigent in the statute, the number in the household is required. Additionally, although assets and other resources are not included in the calculation to determine whether a patient is financially or medically indigent, the organization's policy reserves the right to allow the patient's assets or other resources to be considered when determining if financial assistance will be granted.	Irving Coppell Surgical Hospital
Part V, Section B, Line 13g: 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 Irving
Part V, Section B, Line 13g: 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.	Irving Coppell Surgical Hospital
Part V, Section B, Line 19d: 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 19ac.	Baylor Medical Center at Irving
Part V, Section B, Line 19d: 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 19ac.	Irving Coppell Surgical Hospital
Part VI, Line 2: Prior to June 30, 2012, the organization has elected to base their service area needs on a report generated by the local county hospital district. The annual Our Community Health Checkup for the Dallas/Fort Worth Combined Metropolitan Statistical Area (Checkup) is a collaborative effort of member hospitals of the Dallas Fort Worth Hospital Council (DFWHC). The preparation (including support, research and analysis) of the report was provided by the staffs of the Strategic Planning and Population Medicine Department of the Parkland Health & Hospital System also known as the Dallas County Hospital District, Baylor Health Care System and other health care providers. The Checkup was developed to address issues relative to health pertaining to individuals, families, and communities for use by the residents of the community and the institutions serving them. The Checkup provides a framework by which health needs can be joined with the assets or investments made by the community in its social and physical infrastructure. During the tax year ending June 30, 2013, the organization will be conducting a community health needs assessment and developing a written implementation strategy in accordance with the requirements under the Internal Revenue Code Section 501(r) which will be made widely available to the public on or before June 30, 2013.
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: Located in Dallas County, the organization's service area includes parts of the urban/suburban North Texas area including Irving, Grand Prairie and Dallas. The population is estimated to be approximately 545,631. The average household income is $67,316 with 13.7 percent of the population having household incomes below the Federal Poverty Level (FPL). The population is made up of 30.8 percent white non-Hispanic, 47.9 percent Hispanic, 11.8 percent black non-Hispanic, 7.3 percent Asian and Pacific Islanders Non-Hispanic and 2.3 percent other. The organizations service area payer mix is comprised of 33.1 percent Managed Care, 24.4 percent Medicaid, 29.0 percent Medicare and 12.9 percent Self-pay/Charity and 0.5 percent other. There are approximately two other hospitals located within the organization service area. The organizations service area contains a medically underserved area located in the Grand Prairie community.
Part VI, Line 5: With the oversight of an independent volunteer community board and Baylor Health Care System, the organization's sole member, the organization has promoted health and benefited the community by providing access to more than 20 specialty centers designed to treat a range of medical conditions. The organization's governing body is comprised of volunteer community representatives that provide leadership and governance for the organization. The members of the governing body contribute their wisdom, insights, and expertise to ensure the organization is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction for the System. The members are well respected residents and/or own businesses in the organization's primary or secondary service area and understand the needs of the community. The medical staff of the organization is open to all physicians in the community who meet membership and clinical 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. Also, decreasing wait times in the organization's emergency department makes quality health care a reality since space can be in high demand. The emergency department has designated four rooms close to the triage area where a physician, nurse practitioner or physician assistant can evaluate each patient upon arrival. By adding staff and streamlining processes, people who visited the emergency, in some cases during the year, were treated by a physician on average of 17 minutes after entering the emergency department.The organization is also committed to promoting the healthy well being of individuals and families beyond the health activities of the traditional hospital or clinic setting through its community outreach programs. At the North Irving well-child clinic, underserved children receive free well-child exams and immunizations. The organization also has a tradition of collaborating with key community groups like the school district by offering programs such as Camp Airways for Asthmatic Children and "Diabetes-Be Aware" diabetes education program. The organization provided non-smoking facilities, education on the dangers of using tobacco products and programming to aid individuals and employees on stopping smoking. Equipping people with quality health information encourages individuals to make appropriate life style changes to benefit their health. Through these programs the organization assists with early detection of potential health problems and early treatment of any identified problems to save lives. The organization is the recipient of the Texas Award for Performance Excellence from the Quality Texas Foundation, a non-profit Texas corporation. The award is presented to organizations that serve as role models for quality, customer satisfaction and performance excellence in the state of Texas.The Organization is also committed to assisting with the preparation of future nurses at entry and advanced levels of the profession to establish a workforce of qualified nurses. Through the Systems relationships with fifteen North Texas schools of nursing, the Organization maintains strong affiliations with schools of nursing. In the fiscal year ending June 30, 2012, the Hospital invested in training 293 nurses. Total unreimbursed cost of these programs was more than $894,000. Like physicians, nursing graduates trained at a System entity are not obligated to join the staff although many remain in the North Texas area to provide top quality nursing services to many health care institutions.
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 $539,700,000. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) in excess of $221,650,000 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $297,000,000 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 (4 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
Dallas Academy of Medicine dba Project Access Dallas
140 E 12th Street	Dallas	TX	75203	750223610	501(c)(3)	149462	N/A	N/A	Indigent Care
Dallas County Indigent Care Corporation
PO Box 655999	Dallas	TX	75265	260610562	501(c)(3)	4505824	N/A	N/A	Indigent Care
Irving Healthcare Foundation
1901 N MacArthur	Irving	TX	75061	751570933	501(c)(3)	302500	N/A	N/A	General Support
Parkland Health & Hospital System
5201 Harry Hines Blvd	Dallas	TX	752357750	756004221		100000	N/A	N/A	General Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	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)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Discretionary Spending Account	X	DiscretionarySpendingAccount
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 (14 entries)

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
0	446493	0	0	0	58887	0	61035	0	18575	0	584990	0	42772
Brenda Blain
204635	0	30436	0	310	0	6207	0	27211	0	268799	0	0	0
Lucy Catala
201712	0	30546	0	815	0	0	0	24002	0	257075	0	0	0
Cindy Schamp
340190	0	127302	0	50100	0	115040	0	30243	0	662875	0	36199	0
William Boyd
0	554997	0	277981	0	27126	0	212834	0	27145	0	1100083	0	0
Walter Skip Wilson
167424	0	22550	0	3600	0	8480	0	16549	0	218603	0	0	0
Gary Green
149900	0	16086	0	460	0	7674	0	17914	0	192034	0	0	0
Jeffrey Trentham
122690	0	10000	0	1860	0	5069	0	24937	0	164556	0	0	0
Hilary Akpati
168553	0	0	0	382	0	8579	0	17380	0	194894	0	0	0
Rolando Leal
146586	0	0	0	416	0	5452	0	16188	0	168642	0	0	0
William Fincher
136990	0	10000	0	1947	0	5382	0	15383	0	169702	0	0	0
Gary Hamrick
0	246395	0	61081	0	4781	0	39218	0	19297	0	370772	0	0
James Thaxton
0	52866	0	0	0	63646	0	49990	0	2746	0	169248	0	61232
Jason Whitfield
0	236491	0	46978	0	21703	0	37390	0	27775	0	370337	0	19797

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Travel for companions-The organization reimburses eligible employees and board members certain reasonable travel expenses associated with spousal travel where the spouse's presence is important to the event. These events may include, for example, board meetings, business meetings, and award ceremonies approved by the Baylor Health Care System ("BHCS") CEO. All spousal travel reimbursements 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	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. Five of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
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. Two persons 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, 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: Cindy Schamp ($36,199), James Thaxton ($61,232), Jason Whitfield ($19,797), William Boyd, Paul Madeley, M.D. ($42,772), and Gary Hamrick. Also, select certain officers, as designated by BHCS's governing body, are eligible to participate in a Long Term Incentive Plan that is designed to recognize the key senior leaders value and contribution to BHCS as well as align their compensation to the long term strategy of BHCS. Performance targets are based upon a percentage of the participant's base salary and are developed by independent third party expert(s) using market competitive data within the guides of reasonableness. The plan is based on BHCS's three-year performance against its peers, determined based on peer rankings or percentile rankings in quality, patient satisfaction and financial performance. At the end of three years, awards are determined by BHCS's governing body for participants. Payouts are partially made in cash and the remainder vests over an additional two year period. The following individuals participated in and/or received payments (noted in parenthesis) from this plan during the tax year: William Boyd ($115,038) and Cindy Schamp ($59,683).
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 organization. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Irving Coppell Surgical Hospital LLP (ICSH)
Lucinda Catala, organization's officer, serves as a board member for ICSH.	2380302	Rental of real property to ICSH	0
Irving Coppell Surgical Hospital LLP (ICSH)
Lucinda Catala, organization's officer, serves as a board member for ICSH.	3020762	Investment in Joint Venture	0
Irving Coppell Surgical Hospital LLP (ICSH)
Cindy Schamp, organization's President, serves as a board member for ICSH.	2380302	Rental of real property to ICSH	0
Irving Coppell Surgical Hospital LLP (ICSH)
Cindy Schamp, organization's President, serves as a board member for ICSH.	3020762	Investment in Joint Venture	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Schedule L, Part IV, Transactions Involving Interested Persons:	Identifier
Explanation	Irving Coppell Surgical Hospital is a controlled affiliate of the organization. The organization's employees were appointed by the organization to serve as board members of the controlled affiliate. These individuals were appointed by the organization to serve as board representatives of those controlled affiliates to ensure they are operated in a charitable manner and in accordance with the organization's tax exempt status.	Explanation

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: The sole member, BHCS, has final authority over certain decisions/powers of the organization such as approval of the organization's articles of incorporation and bylaws and amendments thereto, appointment and removal of the members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions/powers 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 review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.
Form 990, Part VI, Section B, line 15	Process for determining compensation: The organization, a controlled affiliate of 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. The audited financial statements are attached to this return. 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. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part VII: Hours devoted to related organizations:	The persons listed below also serve either as a voluntary member of the governing body, an employed officer, or an employee of a related organization. The average hours per week devoted to the related organizations are listed below: William Boyd (40 Hours) Ron Carter (10 Hours) Roy Lamkin (10 Hours) Walker Harman (10 Hours) Paul Madeley, M.D. (40 Hours) Tim Owens (10 Hours) Gary Hamrick (40 Hours) James Thaxton (40 Hours) Jason Whitfield (40 Hours)
Form 990, Part XI, line 5:	Net unrealized losses on investments: -9,227,420. Change in Net Assets Held at Irving Foundation 485,664. Transfer to/from BHCS-Liability Reserve 623,189. Total to Form 990, Part XI, Line 5: -8,118,567.	Changes in Net Assets or Fund Balances:
Supplemental Information: IRC Section 6038 Statement:	Baylor Irving 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 Irving by IRC Section 6038 and the regulations thereunder with respect to HCIC. Therefore, pursuant to Treasury Regulation Sec. 1.6038-2(j)(2), Baylor Irving 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 (17 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 Waxahachie
2001 Bryan Street Suite 2200	Dallas	TX	75201	751844139	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

Form990 Schedule R Part III Form990ScheduleRPartIII (42 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
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		Baylor Medical Center at Irving	Related	1937194	4372082	0	0	0.34030
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 Ste 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	274282604	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Duncan- ville LLC
15305 Dallas Parkway Suite 1600	Addison	TX	75001	273583837	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 200	The Woodlands	TX	77380	455434614	Free-standing ER's	TX	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	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
Baylor Health Network Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752463251	Billing/ Collection	TX	N/A	C
BMP Incorporated
2001 Bryan Street Suite 2200	Dallas	TX	75201	751436779	Post Office	TX	N/A	C
Health Care Insurance Company of Texas Ltd
				980403182	Investments		N/A	C	PO Box GT 2nd Fl Buckingham Sq	Grand Cayman	CJ	CJ
Baylor Medical Center at Grapevine Condominium Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752747555	Condo Association	TX	N/A	C
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752897806	Condo Association	TX	N/A	C
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
Baylor Quality Health Care Alliance LLC
2001 Bryan Street Suite 2200	Dallas	TX	75201	454015863	ACO	TX	N/A	C					96563	638052	0.12500

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	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
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	1	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	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (19 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Irving Healthcare Foundation
B	302500	GAAP
Irving Healthcare Foundation
C	492779	GAAP
Baylor Health Care System
C	100000	GAAP
HealthTexas Provider Network
A	324304	GAAP
Irving Coppell Surgical Hospital LLP
A	3693254	GAAP
Baylor Health Care System
K	429258	GAAP
Baylor Medical Center at Waxahachie
K	60718	GAAP
Baylor Health Care System
L	21142045	GAAP
Baylor University Medical Center
L	171297	GAAP
HealthTexas Provider Network
L	2041428	GAAP
MEDCO Construction LLC
L	1090595	GAAP
Baylor Health Care System
O	372988	GAAP
BIR JV LLP
L	4153670	GAAP
Irving Healthcare Foundation
A	55695	GAAP
Irving Coppell Surgical Hospital LLP
J	1312952	GAAP
BIR JV LLP
A	433823	GAAP
Baylor Health Care System
R	623189	GAAP
Baylor Quality Health Care Alliance LLC
B	625000	GAAP
Irving Coppell Surgical Hospital LLP
R	1777799	GAAP