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BAYLOR MEDICAL CENTER AT WAXAHACHIE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BAYLOR MEDICAL CENTER AT WAXAHACHIE (EIN 75-1844139)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201101329349302695
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-12T13:59:32-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN751844139EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baylor Medical Center at WaxahachieBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAYLNameControl
Phone2148204135Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJay FoxName
TitleVP Finance/Hosp Fin offTitle
Phone2148204135Phone
Date Signed2011-05-12DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJay FoxNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11405 W JeffersonAddressLine1
CityWaxahachieCity
StateTXState
ZIP Code75165ZIPCode
FieldValueIRS element (for citing)
Gross Receipts102234155GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.BaylorHealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionFaith based acute care hospital providing exemplary patient care to Waxahachie, Texas and the surrounding communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees510TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year460897ContributionsGrantsPriorYear
Contributions Grants Current Year72192ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85200350ProgramServiceRevenuePriorYear
Program Service Revenue CY89230616ProgramServiceRevenueCY
Investment Income Prior Year86834InvestmentIncomePriorYear
Investment Income Current Year1249866InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year85748081TotalRevenuePriorYear
Total Revenue Current Year90552674TotalRevenueCurrentYear
Grants And Similar Amnts CY573828GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27406231SalariesEtcPriorYear
Salaries Etc Current Year30140162SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year49110492OtherExpensePriorYear
Other Expenses Current Year52017867OtherExpensesCurrentYear
Total Expenses Prior Year76516723TotalExpensesPriorYear
Total Expenses Current Year82731857TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9231358RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7820817RevenuesLessExpensesCY
Total Assets BOY58096343TotalAssetsBOY
Total Assets EOY68302886TotalAssetsEOY
Total Liabilities BOY3705837TotalLiabilitiesBOY
Total Liabilities EOY4007014TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY54390506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY64295872NetAssetsOrFundBalancesEOY
Mission DescriptionFounded as a Christian ministry of healing, Baylor Medical Center at Waxahachie exists to serve all people through exemplary health care, education, research, and community service.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense73782732Expense
Grants573828Grants
Revenue88934098Revenue
DescriptionSee Schedule OBaylor Medical Center at Waxahachie ("Baylor Waxahachie") is a 69 bed faith based acute care hospital providing exemplary patient care to residents of Ellis County and the surrounding rural communities of North Texas. Baylor Waxahachie is an affiliate of Baylor Health Care System, a nationally acclaimed network of acute care hospitals and related health care entities that provide quality patient care, medical education, medical research, and other community services In the North Texas Region. Ellis County is one of the fastest growing areas in North Central Texas. In a show of commitment to meeting the health needs of a growing community, Baylor recently purchased 83 acres at the northwest corner of the intersection of I-35 and Hwy. 287 earmarked for future expansion.Baylor Waxahachie provides inpatient and outpatient medical services to treat individuals with diseases, illness and injuries of varying complexities. These services include but are not limited to asthma care, cancer care, diabetes and endocrinology, fitness and wellness, heart and vascular, men's health, neuroscience, orthopaedics, spine care, scoliosis care, sleep disturbances, pulmonology, palliative care, physical medicine, digestive diseases, metabolic diseases, emergency care, surgical services, intensive care services, urology, urogynecology, weight management and weight surgery, and women's services. Some of these services are provided despite a financial loss to Baylor Waxahachie. During the fiscal year ended June 30, 2010, Baylor Waxahachie admitted 3,752 inpatients resulting in 12,630 days of care, treated 32,395 outpatients, delivered 612 babies and had 40,139 emergency department visits. As part of its charitable mission, Baylor Waxahachie is committed to providing free and/or subsidized care to both financially and medically indigent patients of the community. During the year, Baylor Waxahachie reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) of $18,082,040. Baylor Waxahachie provided community benefits (as reported on the IRS Form 990, Schedule H) of $3,071,597 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $12,800,000 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.Baylor Waxahachie 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. Baylor Waxahachie also supports the Hope clinic. This clinic is dedicated to providing health services to the uninsured of Ellis County. The unreimbursed cost of supporting and/or providing these programs is $38,600. Baylor Waxahachie also provided supervisory education programs for the training of future nurses in an effort to increase the supply of health care professionals nation-wide. Assisting with the preparation of future nurses at entry levels of nursing is critical in establishing a workforce of qualified nurses. During the year, Baylor Waxahachie invested 13,330 hours in the training of 142 undergraduate nurses. Total unreimbursed cost of this nursing education program is $330,587.Description
Total Program Service Expense73782732TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096118NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees510NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCheryl McMullanNamePerson
Telephone Number9729238056TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11405 West JeffersonAddressLine1
CityWaxahachieCity
StateTXState
ZIP Code75165ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Albert Black Jr
Chairman1.00X02550
Roy Lamkin
Trustee1.00X021440
Paul Madeley MD
Trustee1.00X057489174837
George McCleskey
Trustee1.00X000
Timothy Owens
Trustee1.00X000
Cindy Murray
CNO/COO40.00207954020020X
Jay Fox
President40.00305725043485X
Stephen Roussel
VP Finance/Hosp Fin Off40.00183480019606X
William Boyd
Secretary1.000818993105650X
Marva Goins
Director Pharmacy40.001368752017723108X
Donna Drain
Clinical Pharmacist37.0015799606810X
Rosemary Jones
Nurse Supervisor46.00129517017344X
Douglas Coffey
Clinical Pharmacist36.00123491018855X
Elizabeth Ortiz
Director Acute Care40.00125046016485X
Jerri Garison
Former Officer0.00042558964691X
Preshie Wilson
Former Officer0.00022588023498X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1370084TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2067929TotalReportableCompFrmRltdOrgs
Total Other Compensation434389TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Baylor Health Care System
2001 Bryan St Ste 2200DallasTX75201Management Services9747301
Aramark Services Inc
P O Box 651009CharlotteNC282651009Engineering/Food Serv1393204
HealthTexas Provider Network
2001 Bryan St Ste 2200DallasTX75201Clinical/Administrative723388
MEDCO Construction LLC
2001 Bryan St Ste 2200DallasTX75201Construction Services414838
Baylor University Medical Center
2001 Bryan St Ste 2200DallasTX75201Clinical Services407143
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations63414RelatedOrganizations
All Other Contributions8778AllOtherContributions
Total Contributions72192TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Patient Care Revenue6219908787015687870156
Rent531120572724572724
Fitness Center713940408202408202
Cafeteria722210282451$282,451
Duplication Fees5614394450744507

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column52576TotalRevenueColumn
Related Or Exempt Function Income37643RelatedOrExemptFunctionIncome
Exclusion$14,933ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue89230616TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column606871TotalRevenueColumn
Related Or Exempt Function Income866RelatedOrExemptFunctionIncome
Exclusion$606,005ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12321145Securities
Other3331Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11519281Securities
Other162200Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities801864Securities
Other-158869Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column642995TotalRevenueColumn
Exclusion$642,995ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column90552674TotalRevenueColumn
Related Or Exempt Function Income88934098RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,546,384ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total573828Total
Program Services573828ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total924857Total
Management And General924857ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23853235Total
Program Services23564816ProgramServices
Management And General288419ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total778368Total
Program Services742904ProgramServices
Management And General35464ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2823260Total
Program Services2789123ProgramServices
Management And General34137ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1760442Total
Program Services1710490ProgramServices
Management And General49952ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total9270Total
Program Services9270ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24114Total
Management And General24114ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3905Total
Management And General3905ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13930432Total
Program Services6979425ProgramServices
Management And General6951007ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total562492Total
Program Services715ProgramServices
Management And General561777ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10676586Total
Program Services10571808ProgramServices
Management And General104778ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1991224Total
Program Services1991224ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3357882Total
Program Services3357882ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total68820Total
Program Services45930ProgramServices
Management And General22890ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29020Total
Program Services26626ProgramServices
Management And General2394ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1270Total
Program Services1155ProgramServices
Management And General115ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4347415Total
Program Services4347415ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-159903Total
Management And General-159903ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt1691915316919153
Special Functions1242107610448106
Dues & Memberships37909309356974
Recruiting374361092726509
Meals & Entertainment1178528068979

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total44847Total
Program Services30196ProgramServices
Management And General14651ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total82731857Total
Program Services73782732ProgramServices
Management And General8949125ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9757BOY
EOY24349EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY144900BOY
EOY147965EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5417870BOY
EOY5583748EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY10061BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1162064BOY
EOY1177988EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23113BOY
EOY23113EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis62784267LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec40975949LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24879036BOY
EOY21808318EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25099821BOY
EOY38120064EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1349721BOY
EOY1417341EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY58096343BOY
EOY68302886EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2740200BOY
EOY2890940EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY901878BOY
EOY1116074EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY63759BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3705837BOY
EOY4007014EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY52955925BOY
EOY62794479EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1058485BOY
EOY1142654EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY376096BOY
EOY358739EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54390506BOY
EOY64295872EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58096343BOY
EOY68302886EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$5,896GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$18,462DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB24358TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationStatement Regarding Legislative Activity Health care policy is critical to all Americans, and Baylor Medical Center at Waxahachie ("Baylor") believes that health care providers must participate in forming health care policy by interacting with national, state and local representatives and their staff members to help them better understand the complexities and ramifications of key health care policies including, without limitation, those related to uninsured and indigent patient needs as well as the legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. Baylor has established relationships with persons and industry associations that often communicate Baylor's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, Baylor may attempt to educate the local community on certain legislative initiatives that may impact Baylor's ability to provide quality health care services to the community through direct mailings, media advertising or broadcast statements. The amount of resources (time and money) involved in these activities is insubstantial. Baylor has not intervened in any political campaign.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1248518OtherCostOrOtherBasis
Book Value1248518BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36155632OtherCostOrOtherBasis
Depreciation23384790Depreciation
Book Value12770842BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25380117OtherCostOrOtherBasis
Depreciation17591159Depreciation
Book Value7788958BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21808318TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationFIN 48 Disclosure Statement The filing organization does not have separate individual audited financial statements; however, the organization is included in Baylor Health Care System's combined audited financial statements (System). The System adopted the provisions of ASC 740 "Income Taxes" on July 1, 2007. As of June 30, 2010, there were no gross unrecognized tax benefits related to the filing organization.Explanation

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1824684TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1824684NetCommunityBenefitExpense
Percent Of Total Expense0.02770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5578632TotalCommunityBenefitExpense
Direct Offsetting Revenue5441922DirectOffsettingRevenue
Net Community Benefit Expense136710NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense163432TotalCommunityBenefitExpense
Direct Offsetting Revenue115686DirectOffsettingRevenue
Net Community Benefit Expense47746NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7566748TotalCommunityBenefitExpense
Direct Offsetting Revenue5557608DirectOffsettingRevenue
Net Community Benefit Expense2009140NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense102317TotalCommunityBenefitExpense
Direct Offsetting Revenue250DirectOffsettingRevenue
Net Community Benefit Expense102067NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense330587TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense330587NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

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

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense631803TotalCommunityBenefitExpense
Direct Offsetting Revenue2000DirectOffsettingRevenue
Net Community Benefit Expense629803NetCommunityBenefitExpense
Percent Of Total Expense0.00960PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1064707TotalCommunityBenefitExpense
Direct Offsetting Revenue2250DirectOffsettingRevenue
Net Community Benefit Expense1062457NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8631455TotalCommunityBenefitExpense
Direct Offsetting Revenue5559858DirectOffsettingRevenue
Net Community Benefit Expense3071597NetCommunityBenefitExpense
Percent Of Total Expense0.04670PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,178,656BadDebtExpenseAmount
Amount Attributable To517866AmountAttributableTo
Amount Reimbursed By Medicare15677704AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare18773470CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3095766MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baylor Medical Center at WaxahachieBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11505 W JeffersonAddressLine1
CityWaxahachieCity
StateTXState
ZIP Code75165ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSee Part VIOther

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart 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.IncomeBasedCriteria
Annual Community Benefit ExplnPart I, Line 6a: The organization's annual community benefit report is contained in a system wide report prepared by Baylor Health Care System, the organization's sole member. Also, the organization prepares and files an Annual Report of Community Benefit Plan with the Texas Department of State Health Services. These reports are made available through the organization's website at www.baylorhealth.com.AnnualCommunityBenefitExpln
Costing Method UsedPart 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.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.Line 7i, Column (c): Includes charity care payments of $573,828 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.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: 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 $16,919,153.PercentOfTotalExpenseExpln
Bad Debt FootnotePart 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, and the aging of the accounts. 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 at cost was calculated using Worksheet A from Schedule H instructions. 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 at cost 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 determined by taking the average acceptance rate for all charity care applications received during the year multiplied by the number of denials that were attributable to insufficient information.BadDebtFootnote
Shortfall As Community BenefitPart 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 $3,973,431, which is $877,665 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Number Of Facility Type ExplnPart V: Description of Other Facilities - 1 sleep center, 2 rehabilitation clinics, 1 radiology and pain centerNumberOfFacilityTypeExpln
Needs AssessmentPart VI, Line 2: Like many other nonprofit hospitals in the 12 county North Texas region, 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 2008 for the Dallas/Fort Worth Combined Metropolitan Statistical Area ("Checkup") is a collaborative effort of 16 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. Overall coordination of this collaboration is under the auspices of the DFWHC. These documents can be found online at www.dfwhc.org.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart VI, Line 4: The organizations primary service area includes all of Ellis County and the secondary area includes cities in Southern Dallas County, Navarro County and Hill County. The population of Ellis County was estimated at 151,179 in 2009 with a projected rate of 15.1% between 2009 & 2014 according to the Nielsen/Claritas report. The 2000 census reports the median income for a household in the county as $50,350, and the median income for a family was $55,358. The per capita income for the county was $20,212. About 6.80% of families and 8.60% of the population were below the federal poverty level, including 11.10% of those under age 18 and 10.40% ages 65 and over. During the FY 2010 year, approximately 33% of the total patient encounters were uninsured or Medicaid recipients.As of the 2000 census, there were 37,020 households, and 29,653 families residing in the county. The ethnic makeup of the county was reported as 80.63% White, 18.42% Hispanic and 8.63% Black. In the county, the population comprised 30.20% under the age of 18, 9.30% from 18-24, 29.8% from 25-44, 21.50% from 45-64, and 9.2% who were 65 or older. As indentified in the Checkup referenced above in Question #2, the five primary areas of community health were identified as cardiovascular (heart disease and stroke), cancer, chronic pulmonary disease, and Alzheimer's disease.CommunityInformation
Other InformationPart VI, Line 6: 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 respective residents and/or own businesses in the organization's primary or secondary service area and understand the needs of the community. The medical staff of the organization is open to all physicians in the community who meet membership and clinical privileges requirements. Surplus funds are continuously utilized to maintain access to limited patient services or expand access points of care to patients throughout the community including, but not limited to, the following: The organization operates an emergency department accepting all patients without the regard for the ability to pay. In order to keep up with the growth of the community and the need for emergency services, the organization recently expanded the emergency department with the addition of 9 beds and new equipment. This included the addition of the minor emergency E-clinic that provides patients quick access to minor emergency care with a private waiting area resulting in an average patient turnaround time just over one hour. The organization is committed to promoting an environment of wellness in our community and coaches residents to intentionally adopt healthier lifestyles to reduce the number of deaths associated with chronic disease. Throughout the year the organization offers free preventive health services to the community such as health screenings, health fairs, immunizations and community education. These efforts are targeted to meet the community health needs identified in the Checkup and during the fiscal year over 2,500 individuals benefitted through these efforts. In addition, the organization has committed significant funding to aid the operation of the Hope Clinic, a local community health clinic serving the medically underserved population. The Hope Clinic, operates as a community need driven, primary care clinic which began with the identification of access to care needs for uninsured and indigent residents of Ellis County. In March 2009, Hope Clinic became a Federally Qualified Health Service Center for the provision of primary health care services in underserved and rural communities. Ellis County is one of the fastest growing areas in North Central Texas measured at a rate of 3.4% in 2009. To meet the growing health needs of the community, the organization recently purchased 83 acres at the northwest corner of the intersection of I-35 and Hwy. 287 earmarked for future expansion to meet the needs of the community. Medical education is a crucial part of the organization's mission. During a nurses training, clinical skills and professional competencies are developed to provide the nurse with the ability to take on increasing responsibility for patient care. Quality teaching programs add many dimensions to the organization's ability to serve patients. In fiscal year 2010, the organization provided education for 300 preceptored and non preceptored nursing students attracted from across the area to help improve the level of medical care for the entire community. Teaching programs also aid attending teaching nurse staff in keeping their own knowledge current. Upon completion of their education programs at the organization, many nurses remain in North Texas, providing a continuous supply of well-trained medical professionals for the region.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: The organization is part of a large faith based integrated health care delivery system ("System") serving the health care needs of the ten 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 $493,000,000. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) in excess of $122,000,000 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $311,000,000 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.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Dallas Academy of Medicine dba Project Access Dallas
140 E 12th StreetDallasTX75203750223610501(c)(3)18373N/AN/AIndigent Care
Dallas County Indigent Care Corporation
PO Box 655999DallasTX75265260610562501(c)(3)555455N/AN/AIndigent Care
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Monitoring Grants & Other Assistance As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of Baylor's charitable mission and one of the following criteria for use of these funds is met: (1)Fulfills a need identified by a community needs assessment conducted by Baylor Health Care System (BHCS) or a third party (such as Community Health Check Up or by the United Way) and adopted as a priority by BHCS's Community Service Advisory Council, (2) Serves an under-served community or group of people through medical mission work to improve their health status. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BHCS which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are typically monitored by personal inspection. Examples include providing assistance to entities where the filing organization's employee serves as a Board Member for the recipient organization or through attendance at community events where the filing organization employees work as volunteers or to help coordinate these events.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Paul Madeley MD
05612060741706268049566025271064972800
Cindy Murray
1545580525060890000200200227974000
Jay Fox
2035150896280125820196500238350349210000
Stephen Roussel
13846904155003461000196060203086000
William Boyd
05184160278851021726071005034645092464300
Marva Goins
11568019927206700525250002027728311571522300800
Donna Drain
15050006860063600068100164806000
Jerri Garison
025679401455950232000281260365650490280028072
Preshie Wilson
0183815041730033500023498024937800

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aDiscretionary spending account - The organization provides eligible employees who travel frequently in their personal vehicle an auto expense allowance in lieu of reimbursement for business mileage under the organization's business travel and expense reimbursement policy. All auto expense allowances are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1aHealth or social club dues or initiation fees - The organization may reimburse eligible employees for dues for a health club and/or a social club where there is a bona fide business need for the membership. For example, as part of the organization's promotion of health, the organization will cover a portion of any employees' fitness center club membership dues paid to an affiliated entity that owns and operates a fitness center. All employees are eligible for this benefit. Such reimbursements are treated as taxable compensation to the extent any part of the membership is used for personal use. Two of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 4aIn order to recruit and retain key talent, Baylor Health Care System ("BHCS") offers a supplemental non qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BHCS' supplemental non qualified retirement plan during the tax year: Jay Fox, Jerri Garison ($28,072), Paul Madeley, M.D., and William Boyd.
Part I, Line 7The organization has adopted and implemented BHCS's, the organization's sole member, Performance Award Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BHCS's governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financal stewardship. BHCS's governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Part IIISupplemental Information: Governing body compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. These benefits include reimbursement for certain reasonable expenses paid on behalf of the member's spouse while accompanying the member on business travel on behalf of the related organization and/or a wellness physical. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor Health Care System ("BHCS"), a tax exempt, Texas nonprofit corporation, is the sole member.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: The sole member, BHCS, elects and removes the members of the governing body.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: All rights and powers are reserved to the sole member, BHCS, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by Joint Commission. For example, the member's reserved rights and powers include, without limitation, approval of the organization's articles of incorporation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization.
Form 990, Part VI, Section B, line 11Process used to review the Form 990: The Form 990 is prepared and reviewed by BHCS's tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. The Form 990 is then reviewed with the organization's governing body and a complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProcess used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with the actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BHCS Board of Trustees Audit and Compliance Committee and the BHCS Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. The BHCS Compensation and Governance Committee also reviews all relevant disclosures by individuals serving on BHCS's governing body. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.
Form 990, Part VI, Section B, line 15Process for determining compensation: The organization, a controlled affiliate of BHCS, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help BHCS maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers' and key employees' total compensation is based on significant performance achievements. This strategy, known as the Performance Award Program, works to put a greater emphasis on the importance of the organization achieving targeted improvements in the areas of People, Quality, Patient Satisfaction and Financial Stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the BHCS Board of Trustees and its Compensation and Governance Committee (Committee) to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 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 19Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BHCS that are made available to the public by the posting of those documents through DAC Bond. 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) Albert Black, Jr (10 Hours) Roy Lamkin (10 Hours) Jerri Garison (40 Hours) Paul Madeley, M.D. (40 Hours) Preshie Wilson (40 Hours) Marva Goins transferred from a related organization during the year. She worked an average of 40 hours per week both before and after the transfer.
IRC Section 6038 Statement:Baylor Waxahachie is controlled by BHCS, employer identification number 75-1812652. BHCS also owns Church University Insurance Company, Ltd. (CUIC) and Health Care Insurance Company of Texas, Ltd. (HCIC). CUIC and HCIC are controlled foreign corporations. BHCS furnishes all information required of Baylor Waxahachie by IRC Section 6038 and the regulations thereunder with respect to CUIC and HCIC. Therefore, pursuant to Treasury Regulation Sec. 1.6038-2(j)(2), Baylor Waxahachie is excepted from providing such information. BHCS files its Return of Organization Exempt from Income Tax in Ogden, Utah.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Baylor Health Care System
2001 Bryan Street Suite 2200DallasTX75201751812652Management ServicesTX501(c)(3)11, Type IIIN/A
Baylor University Medical Center
2001 Bryan Street Suite 2200DallasTX75201751837454Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Medical Center at Garland
2001 Bryan Street Suite 2200DallasTX75201751037591Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200DallasTX75201752586857Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200DallasTX75201820551704Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200DallasTX75201751777119Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200DallasTX75201751037226Rehabilitation HospitalTX501(c)(3)3Baylor Health Care System
Baylor Specialty Health Centers
2001 Bryan Street Suite 2200DallasTX75201751765385Long Term Care HospitalsTX501(c)(3)3Baylor Health Care System
Baylor All Saints Medical Center
2001 Bryan Street Suite 2200DallasTX75201751008430Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200DallasTX75201751606705FundraisingTX501(c)(3)7Baylor Health Care System
All Saints Health Foundation
2001 Bryan Street Suite 2200DallasTX75201751947007FundraisingTX501(c)(3)7Baylor All Saints Medical Center
HealthTexas Provider Network
2001 Bryan Street Suite 2200DallasTX75201752536818Physician PracticesTX501(c)(3)3Baylor Health Care System
Baylor Health Services
2001 Bryan Street Suite 2200DallasTX75201751917311Holds interests in Ambulatory Surgery Centers/ Short Stay HospitalsTX501(c)(3)3Baylor Health Care System
Baylor Research Institute
2001 Bryan Street Suite 2200DallasTX75201751921898ResearchTX501(c)(3)4Baylor Health Care System
Southern Sector Health Initiative
2001 Bryan Street Suite 2200DallasTX75201263087442Diabetes Health & Wellness CenterTX501(c)(3)11, Type IBaylor University Medical Center
Baylor Medical Center at McKinney
2001 Bryan Street Suite 2200DallasTX75201263604064Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Health Care System Employee Benefit Trust
2001 Bryan Street Suite 2200DallasTX75201751848557VEBATX501(c)(9)Baylor Health Care System
Irving Healthcare Foundation
2001 Bryan Street Suite 2200DallasTX75201751570933FundraisingTX501(c)(3)7Baylor Medical Center at Irving

Form990 Schedule R Part III Form990ScheduleRPartIII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MEDCO Construction LLC
2001 Bryan Street Suite 2200DallasTX75201205965871ConstructionTXN/A
Baylor Affiliated Services LLC
2001 Bryan Street Suite 2200DallasTX75201260614730Benefit PlansTXN/A
Baylor Heart and Vascular Center LLP
2001 Bryan Street Suite 2200DallasTX75201752834135Specialty HospitalTXN/A
Texas Heart Hospital of the Southwest LLP
2001 Bryan Street Suite 2200DallasTX75201412101361Specialty HospitalTXN/A
HealthTexas Provider Network-Gastro Serv LLP
2001 Bryan St Ste 2200DallasTX75201731697736Ambulatory Surgery CenterTXN/A
Trinity MC LLC
2001 Bryan Street Suite 2200DallasTX75201208889358Acute Care HospitalTXN/A
Texas Health Venture Group LLC
15305 Dallas Parkway Suite 1600AddisonTX75001752696845Holds interests in Ambulatory Surgery Centers/ Short Stay HospitalsTXN/A
Dallas Surgical Partners LLC
15305 Dallas Parkway Suite 1600AddisonTX75001722183815Ambulatory Surgery CenterTXN/A
Valley View Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752900902Ambulatory Surgery CenterTXN/A
Denton Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752708579Ambulatory Surgery CenterTXN/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562297308Ambulatory Surgery CenterTXN/A
Grapevine Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752854711Ambulatory Surgery CenterTXN/A
Lewisville Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752862263Ambulatory Surgery CenterTXN/A
North Garland Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562399993Ambulatory Surgery CenterTXN/A
Garland Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752764855Ambulatory Surgery CenterTXN/A
Arlington Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752748040Ambulatory Surgery CenterTXN/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001205506447Ambulatory Surgery CenterTXN/A
Metroplex Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752567179Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano LLC
15305 Dallas Parkway Suite 1600AddisonTX75001260308454Ambulatory Surgery CenterTXN/A
RockwallHeath Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001200334166Ambulatory Surgery CenterTXN/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Parkway Suite 1600AddisonTX75001542086863Short Stay HospitalTXN/A
North Central Surgical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001201508140Short Stay HospitalTXN/A
Trophy Club Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001481260190Short Stay HospitalTXN/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752658178Short Stay HospitalTXN/A
Frisco Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752865177Short Stay HospitalTXN/A
MSH Partners LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752829613Short Stay HospitalTXN/A
Arlington Orthopedic and Spine Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001261578178Short Stay HospitalTXN/A
University Surgical Partners of Dallas LLP
15305 Dallas Parkway Suite 1600AddisonTX75001550823809Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Granbury LLC
15305 Dallas Parkway Suite 1600AddisonTX75001263896477Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Mansfield LLC
15305 Dallas Parkway Suite 1600AddisonTX75001271835675Ambulatory Surgery CenterTXN/A
Physicians Surgical Center of Ft Worth LLP
15305 Dallas Parkway Suite 1600AddisonTX75001208303422Ambulatory Surgery CenterTXN/A
Desoto Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752592508Ambulatory Surgery CenterTXN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Baylor Health Enterprises LP
2001 Bryan Street Suite 2200DallasTX75201751997378Fitness Center/Pharmacy/ HotelTXN/AC
Baylor Health Network Inc
2001 Bryan Street Suite 2200DallasTX75201752463251Billing/ CollectionTXN/AC
BMP Incorporated
2001 Bryan Street Suite 2200DallasTX75201751436779Post OfficeTXN/AC
Church University Insurance Company Ltd
980352108InvestmentsN/AC41 Cedar AvenueHamiltonBDBD
Health Care Insurance Company of Texas Ltd
980403182InvestmentsN/ACPO Box GT 2nd Fl Buckingham SqGrand CaymanCJCJ
Baylor Medical Center at Grapevine Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752747555Condo AssociationTXN/AC
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752897806Condo AssociationTXN/AC
Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201261661900Condo AssociationTXN/AC
ODC Therapy Inc
2001 Bryan Street Suite 2200DallasTX75201200749021ResearchDEN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HealthTexas Provider Network
A299424
Baylor Health Care System Foundation
C63414
Baylor Health Care System
L10287609
Baylor University Medical Center
L495424
HealthTexas Provider Network
L661187
MEDCO Construction LLC
L413350
Baylor Medical Center at Irving
L85068
Baylor Health Care System
P193179