BAYLOR UNIVERSITY MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BAYLOR UNIVERSITY MEDICAL CENTER (EIN 75-1837454)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-12
IRS object ID: 201141329349302874
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T13:48:13-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1901 Sixth Avenue North Suite 1200	AddressLine1
City	Birmingham	City
State	AL	State
ZIP Code	35203	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	751837454	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Baylor University Medical Center	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	75201	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jay Whitfield	Name
Title	VP Finance/Hosp Fin Off	Title
Phone	2148204135	Phone
Date Signed	2011-05-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	2052512000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	John McWhorter	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3600 Gaston Avenue Ste 150	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75246	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1459498613	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.BaylorHealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1981	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	Faith based acute care hospital providing exemplary patient care, medical education, medical research and community service to residents of the Dallas/Fort Worth ten county region since 1903.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	5945	TotalNbrEmployees
Total Nbr Volunteers	649	TotalNbrVolunteers
Total Gross UBI	144902	TotalGrossUBI
Net Unrelated Business Txbl Income	73121	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	21936023	ContributionsGrantsPriorYear
Contributions Grants Current Year	25045649	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1046143350	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1099970332	ProgramServiceRevenueCY
Investment Income Prior Year	4572984	InvestmentIncomePriorYear
Investment Income Current Year	35424440	InvestmentIncomeCurrentYear
Other Revenue Prior Year	16470	OtherRevenuePriorYear
Other Revenue Current Year	12267	OtherRevenueCurrentYear
Total Revenue Prior Year	1072668827	TotalRevenuePriorYear
Total Revenue Current Year	1160452688	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	30868966	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	36867093	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	347220454	SalariesEtcPriorYear
Salaries Etc Current Year	352729532	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	579876368	OtherExpensePriorYear
Other Expenses Current Year	577755442	OtherExpensesCurrentYear
Total Expenses Prior Year	957965788	TotalExpensesPriorYear
Total Expenses Current Year	967352067	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	114703039	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	193100621	RevenuesLessExpensesCY
Total Assets BOY	1336061574	TotalAssetsBOY
Total Assets EOY	1412182847	TotalAssetsEOY
Total Liabilities BOY	171917313	TotalLiabilitiesBOY
Total Liabilities EOY	176223605	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1164144261	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1235959242	NetAssetsOrFundBalancesEOY
Mission Description	Founded as a Christian ministry of healing, Baylor University Medical Center exists to serve all people through exemplary health care, education, research and community service.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	817883678	Expense
Grants	24592735	Grants
Revenue	1081467877	Revenue
Description	See Schedule OBaylor University Medical Center (BUMC), a 1026 bed nonprofit faith based acute care hospital, is the flagship hospital of the nationally acclaimed Baylor Health Care System (BHCS). BUMC is a major patient care, research and medical education center of the Southwest and serves patients in North Texas, from across the nation and internationally. BUMC provides inpatient and outpatient medical services to treat individuals with diseases, illnesses and injuries of varying complexities. Some of those clinical services are provided despite a financial loss to BUMC. Services include all of the comprehensive health care services typical of a quality teaching and research hospital with multidisciplinary interaction 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. BUMC operates an emergency department and level 1 trauma center encompassing 78,000 square feet with 87 patient rooms, including four major trauma care beds. This level 1 trauma center is one of only two providing adult trauma services in Dallas County seeing more than 100,000 patients in FY 2010. South Dallas residents are 30 percent more likely to be admitted to a hospital due to diabetes or a diabetes-related conditions than other city of Dallas residents. In an effort to improve these conditions, the Diabetes Health and Wellness Institute at Juanita J. Craft Recreation Center (Institute) opened in fiscal year 2010 by Baylor Health Care System. BUMC supported the Institute through community wellness initiatives designed to increase access to care, and extend the wellness and quality of life for the residents of South Dallas. Events such as Passport to Health screening, KwanzaaFest, Live It Up! Tea and For Women For Life served over 30,000 people in the South Dallas Frazier neighborhood. During the fiscal year ended June 30, 2010, BUMC admitted 38,951 total patients resulting in a total of 241,575 days of care, 4,703 babies were delivered and there were 85,374 emergency department visits. During the year, BUMC reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) of $212,823,078. BUMC provided community benefits (as reported on the IRS Form 990, Schedule H) of $56,339,256 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $117,600,000 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20677248	Expense
Grants	0	Grants
Revenue	8148921	Revenue
Description	See Schedule OBaylor University Medical Center (BUMC) provided medical residency programs for the training of future physicians, nurses and other health professionals in an effort to increase the supply of health care professionals nation-wide. During the year, BUMC served 217 medical residency students. Assisting with the preparation of future nurses at entry and advanced levels of nursing is critical in establishing a workforce of qualified nurses. Baylor strengthened and increased the number of affiliations with schools of nursing, through their work with six Dallas County schools of nursing. During the year, BUMC invested 23,757 hours in the training of 709 undergraduate nurses. Total unreimbursed cost of these programs is $12,528,327.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	12192982	Expense
Grants	12192982	Grants
Revenue	0	Revenue
Description	See Schedule OMoving scientific theory from the research bench to clinical trials and, ultimately, to the patient's bedside is central to the Baylor mission of patient-centered medical research. During the year, BUMC supported clinical research development costs, research papers, and studies through Baylor Research Institute at a cost of $12,192,982. At Baylor Research Institute alone, more than 700 patient focused research projects are under way.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	850753908	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	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
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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	680	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	5945	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	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	Jay Whitfield	NamePerson
Telephone Number	2148201913	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3500 Gaston Avenue Suite 220	AddressLine1
City	Dallas	City
State	TX	State
ZIP Code	75246	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 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
Albert Black Jr
Chairman	1.00	X	0	255	0
Roy Lamkin
Trustee	1.00	X	0	2144	0
Paul Madeley MD
Trustee	1.00	X	0	574891	74837
George McCleskey
Trustee	1.00	X	0	0	0
Timothy Owens
Trustee	1.00	X	0	0	0
John McWhorter
President	40.00		727393	0	136682	X
James Thaxton
Chief Operating Officer	40.00		528977	0	55345	X
Jason Whitfield
VP Finance/Hosp Fin Off	40.00		280675	0	52545	X
William Boyd
Secretary	1.00		0	818993	105650	X
Janeene Jones
VP Transplant	40.00		336145	0	41886		X
Gail Maxwell
VP Administration	40.00		252678	0	37272		X
Claudia Wilder
VP/Chief Nursing Officer	40.00		248886	0	43277		X
Christopher York
VP Surgical Services/ORs	40.00		247091	0	44534		X
Liz Youngblood
VP Patient Support Svcs	40.00		0	278431	32167		X
Donna Bowers
VP Administration	40.00		0	296067	44540		X
Irving Prengler MD
VP Medical Affairs	40.00		563414	0	83514			X
Michael Ramsay MD
Chief Anesth./Pres BRI	40.00		545312	0	69449			X
Ronald Jones MD
Chief of Surgery	40.00		506477	0	24091			X
Michael Emmett MD
Chief of Internal Med.	40.00		435898	0	67197			X
Alan Miller MD
Chief of Oncology	32.00		227641	303543	31779			X
Janie Wade
Former Officer	0.00		0	309629	48800				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4900587	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2583953	TotalReportableCompFrmRltdOrgs
Total Other Compensation	993565	TotalOtherCompensation
Number Individuals GT100 K	333	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	119293203
Aramark Services Inc
P O Box 651009	Charlotte	NC	282651009	Engineering/Food Serv	18030111
HealthTexas Provider Network
2001 Bryan St Ste 2200	Dallas	TX	75201	Clinical/Admin Services	17134638
Baylor Heart & Vascular Center LLP
2001 Bryan St Ste 2200	Dallas	TX	75201	Clinical Services	16858325
MEDCO Construction LLC
2001 Bryan St Ste 2200	Dallas	TX	75201	Construction Services	14147498

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	108	NumberOfContractorsGT100K
Related Organizations	20372043	RelatedOrganizations
Government Grants	4490253	GovernmentGrants
All Other Contributions	183353	AllOtherContributions
Noncash Contributions	22000	NoncashContributions
Total Contributions	25045649	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Patient Care Revenue	621990	1031234302	1031234302
Affiliate Income	621990	48385867	48382759	3108
Cafeteria	722210	9680693			$9,680,693
Rent	531120	7016190	7016190
Education	611600	1054323	1054323

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2598957	TotalRevenueColumn
Related Or Exempt Function Income	595665	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	141794	UnrelatedBusinessRevenue
Exclusion	$1,861,498	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	1099970332	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17235469	TotalRevenueColumn
Related Or Exempt Function Income	1333559	RelatedOrExemptFunctionIncome
Exclusion	$15,901,910	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12267	TotalRevenueColumn
Exclusion	$12,267	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	317115541	Securities
Other	119355	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	296754950	Securities
Other	2290975	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	20360591	Securities
Other	-2171620	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	18188971	TotalRevenueColumn
Exclusion	$18,188,971	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1160452688	TotalRevenueColumn
Related Or Exempt Function Income	1089616798	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	144902	UnrelatedBusinessRevenue
Exclusion	$45,645,339	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	36867093	Total
Program Services	36867093	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3225027	Total
Management And General	3225027	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	281324079	Total
Program Services	278086649	ProgramServices
Management And General	3237430	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8667000	Total
Program Services	8483153	ProgramServices
Management And General	183847	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	38770207	Total
Program Services	38324426	ProgramServices
Management And General	445781	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	20743219	Total
Program Services	19906686	ProgramServices
Management And General	836533	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	222456	Total
Program Services	222456	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	589413	Total
Management And General	589413	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	204361242	Total
Program Services	103264563	ProgramServices
Management And General	101096679	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3607201	Total
Program Services	202701	ProgramServices
Management And General	3404500	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	198893753	Total
Program Services	197190791	ProgramServices
Management And General	1702962	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	29453639	Total
Program Services	29453639	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	34041872	Total
Program Services	30449629	ProgramServices
Management And General	3592243	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	852797	Total
Program Services	792978	ProgramServices
Management And General	59819	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1070118	Total
Program Services	1018019	ProgramServices
Management And General	52099	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14135	Total
Program Services	14135	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	37648999	Total
Program Services	37648999	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	-2224649	Total
Management And General	-2224649	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debt	67351039	67351039
Special Functions	575703	280117	295586
Recruiting	488862	488862
Dues & Memberships	419353	338909	80444
Federal Income Tax	34400	34400

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	355109	Total
Program Services	334664	ProgramServices
Management And General	20445	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	967352067	Total
Program Services	850753908	ProgramServices
Management And General	116598159	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	112588	BOY
EOY	117705	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	122460118	BOY
EOY	109966853	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	24073382	BOY
EOY	7354370	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11222566	BOY
EOY	10738716	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	538754	BOY
EOY	439852	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	680488381	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	396928619	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	284836954	BOY
EOY	283559762	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	668226902	BOY
EOY	754137093	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	129003749	BOY
EOY	118058789	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2270150	BOY
EOY	3508166	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	93316411	BOY
EOY	124301541	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1336061574	BOY
EOY	1412182847	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	61375026	BOY
EOY	63809314	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	12475735	BOY
EOY	16499042	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	97722176	BOY
EOY	94801133	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	344376	BOY
EOY	1114116	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	171917313	BOY
EOY	176223605	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1077763763	BOY
EOY	1119250120	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	47655295	BOY
EOY	61807827	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	38725203	BOY
EOY	54901295	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1164144261	BOY
EOY	1235959242	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1336061574	BOY
EOY	1412182847	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$67,596	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$211,641	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	279237	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 University Medical Center ("BUMC") 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. BUMC has established relationships with persons and industry associations that often communicate BUMC's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, BUMC may attempt to educate the local community on certain legislative initiatives that may impact BUMC'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. BUMC has not intervened in any political campaign.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9842901	OtherCostOrOtherBasis
Book Value	9842901	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	470340596	OtherCostOrOtherBasis
Depreciation	262508407	Depreciation
Book Value	207832189	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	200304884	OtherCostOrOtherBasis
Depreciation	134420212	Depreciation
Book Value	65884672	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	283559762	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Investments in Exempt Orgs	6577555	C
Inv in Controlled Partnerships	111481234	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	118058789	TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Grantor Trust	5815346
Physician Guarantee Receivable	1114116
Bond Issue Costs	662957
BUMC Assets at BHCS Foundation	116709122

Field	Value	IRS element (for citing)
Total Book Value Other Assets	124301541	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Physician Guarantee Liability	Description
Amount	$1,114,116	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	1114116	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	FIN 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 F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America and the Caribbean	Program Services	Mission Trip	12188
North America	Program Services	Medical Education/Research	6180
Europe	Program Services	Medical Education/Research	6934

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	25302	TotalAmountSpent

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	43221047	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3307969	DirectOffsettingRevenue
Net Community Benefit Expense	39913078	NetCommunityBenefitExpense
Percent Of Total Expense	0.04010	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	77664022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	120303531	DirectOffsettingRevenue
Net Community Benefit Expense	-42639509	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40523	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28206	DirectOffsettingRevenue
Net Community Benefit Expense	12317	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	120925592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	123639706	DirectOffsettingRevenue
Net Community Benefit Expense	-2714114	NetCommunityBenefitExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5174847	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11879	DirectOffsettingRevenue
Net Community Benefit Expense	5162968	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20706169	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8148921	DirectOffsettingRevenue
Net Community Benefit Expense	12557248	NetCommunityBenefitExpense
Percent Of Total Expense	0.01260	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9838989	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5714638	DirectOffsettingRevenue
Net Community Benefit Expense	4124351	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12192982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	12192982	NetCommunityBenefitExpense
Percent Of Total Expense	0.01230	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25027605	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11785	DirectOffsettingRevenue
Net Community Benefit Expense	25015820	NetCommunityBenefitExpense
Percent Of Total Expense	0.02520	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	72940592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13887223	DirectOffsettingRevenue
Net Community Benefit Expense	59053369	NetCommunityBenefitExpense
Percent Of Total Expense	0.05940	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	193866184	TotalCommunityBenefitExpense
Direct Offsetting Revenue	137526929	DirectOffsettingRevenue
Net Community Benefit Expense	56339255	NetCommunityBenefitExpense
Percent Of Total Expense	0.05660	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$25,180,950	BadDebtExpenseAmount
Amount Attributable To	2518095	AmountAttributableTo
Amount Reimbursed By Medicare	263561318	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	284252072	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-20690754	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	Baylor Heart & Vascular Center LLP	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	Patient Care	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.51000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.49000	PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther	Address Line2Address/AddressLine2
Baylor University Medical Center
3500 Gaston Avenue	Dallas	TX	75246	X	X	X	X	X	See Part VI
Baylor Heart & Vascular Center LLP
621 N Hall	Dallas	TX	75226	X
Irving Coppell Surgical Hospital LLP
440 West I-35	Irving	TX	75063	X				X
North Central Surgical Center LLP
9301 North Central Expressway Ste	Dallas	TX	75231	X				X		100
Trophy Club Medical Center LLP
2800 South Hwy 114	Trophy Club	TX	76262	X				X
Ft Worth Surgicare Partners Ltd
750 13th Avenue	Ft Worth	TX	76104	X				X
Frisco Medical Center LLP
5601 Warren Parkway	Frisco	TX	75034	X				X
MSH Partners LLP
3515 Howell Street	Dallas	TX	75204	X				X
Arlington Orthopedic and Spine Hospital
707 Highlander Blvd	Arlington	TX	76015	X				X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	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.	IncomeBasedCriteria
Annual Community Benefit Expln	Part 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 Used	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 Upper Payment Limit Program, which funds are to be used to expand indigent care.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: The organization provides palliative care services and operates community senior health centers despite a financial loss after removing the unreimbursed cost of providing charity care and Medicaid. These services are provided to meet an identified community need and otherwise may not be available if not provided by the organization in these underserved areas of the community.Part I, Line 7i, Column (c): Includes charity care payments of $20,967,735 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, Line 7, Column (f): The tax software used to prepare and file electronically the Form 990 for the organization may not properly print the percentages in Part 1, Lines 7a-7k, column (f) if the product results in a negative percentage.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part 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 $67,351,039.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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, 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 allowance, 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 Benefit	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 $44,183,148 which is $18,739,757 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 continue to increase, and rest on the shoulders of, nonprofit hospitals and/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 Policy	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.	DebtCollectionPolicy
Number Of Facility Type Expln	Part V: Description of Other Facilities - 1 Asthma Center, 3 Senior/Geriatric Centers, 3 Imaging Centers, 3 Diagnostic Centers, 1 Wound Care Center, 1 Weight Loss Center, 3 Pain Centers, 1 Sleep Center, 1 Rehabilitation Clinic, 1 Diabetes Center, 1 Cancer Center, 1 Spine Center, 1 CHF Clinic, and 20 Ambulatory Surgery Centers	NumberOfFacilityTypeExpln
Needs Assessment	Part 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 Assistance	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.	PatientEducationAssistance
Community Information	Part VI, Line 4: The organization's primary patient service area includes parts of the North Texas counties of Dallas, Rockwall, Van Zandt and Kaufman. The population of over 4.2 million in the combined primary and secondary service areas has an average household income of $76,740, and 28% have some college education. The organization also treats patients from the surrounding 82 counties, as well as patients from many other states and countries. The largest segment of the population is between 35-54 years of age, with 49.3% White, 28.5% Hispanic and 15.1% Black. During the FY 2010 year, approximately 22% of the total patient encounters were uninsured or Medicaid recipients. More specifically, the organization provides much needed community benefit activities throughout the city of Dallas, including providing a significant amount of unreimbursed care to inner city residents in East Dallas and South Dallas near the organization's primary campus. Residents of this area are often financially and medically indigent and are at highest risk for many diseases due to their social and/or economic conditions. East Dallas, where the organization is located, is an older community inhabited by a diverse racial population with the greatest percentage being Hispanic (42.4%), then White (40.3 %), followed by Black (12.8%), Asian and other (4.5%). In the area of health, the most chronic conditions are: (1) Mental Health, (2) High Cholesterol, (3) High Blood Pressure, (4) Asthma, (5) Obesity, and (6) Diabetes. The prevalence of chronic conditions - asthma and depression/anxiety - is higher for East Dallas than for Dallas County. The majority of the Dallas County population (51%) is privately insured, 26% are uninsured, 9.8% receive Medicare coverage and 12.7% receive Medicaid coverage. South Dallas is the second targeted community service area and one of the poorest areas in Dallas County with the majority of the population being Black (74.5%), followed by Hispanic (19.1%). The majority of Black residents are female senior adults (65 and older) and small children. This area has a very high unemployment rate. In 2008, more than 60 percent of households in South Dallas earned less than $25,000 and nearly 50 percent of the population over the age of 25 did not graduate from high school. According to the 2008 Checkup, in the area of health, the mortality rates in South Dallas were twice the rate of the county's for heart disease, cancer and stroke. Chronic diseases in this area are high blood pressure, obesity, depression/anxiety, and asthma, and occur at a much higher rate in South Dallas than the entire Dallas County, the State of Texas, or the United States. The three highest rates for hospitalization discharge were for adult diabetes with long term complications, congestive heart failure, and bacterial pneumonia. In addition to the three top reasons for death, the mortality rates of HIV/AIDS and chronic kidney disease were high enough to move them into the top six causes of death for South Dallas residents. The South Dallas area has the highest rate of infectious conditions and injuries (including injuries from homicide), in the Dallas area. Low-weight newborns are a growing concern, and the rate continues to increase each year. The rate increased from 3.4 % in 2000 to 7.7 % in 2007. The most important statistic among Dallas County's birth outcomes every year is infant mortality rates. In 2004, South Dallas had an infant mortality rate of 26.4 deaths per 1,000 live births, which is considerably higher when compared to the Dallas County rate of 6.7.	CommunityInformation
Other Information	Part 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 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 provides a comprehensive Level I trauma center; one of only two adult trauma centers in Dallas/Fort Worth, covering 15 counties and 6.5 million residents. The trauma services division has dedicated trauma and stroke teams, providing 24-hour coverage of emergency services. The recently renovated Riggs Emergency Department has more than 75,000 square feet, 85 patient treatment rooms, with dedicated areas specifically for trauma care and minor emergency care. The organization spent more than $45.5 million on this expansion.The organization operates a Level III neonatal intensive care unit ("NICU") which is the highest level of care. This provides advanced life-support services and technologies for premature and seriously ill newborns. Staffed by specialized nurses, neonatal nurse practitioners, neonatologists and many other skilled staff, the NICU is designed to promote optimal developmental care for sick infants.Medical education is a crucial part of the organization's mission. During a residency, a physician trains in a particular medical specialty, developing clinical skills and professional competencies and taking on increasing responsibility for patient care. As one of the nation's largest private teaching hospitals, the organization annually trains 151 residents and 34 fellows in eight specialties and 13 subspecialties. Quality teaching programs add many dimensions to the organization's ability to serve patients. As a renowned teaching hospital, the organization attracts first-rate medical specialists who help improve the level of medical care for the entire community. Teaching programs also aid attending physicians in keeping their own knowledge current. Upon completion of their residency programs at the organization, most physicians remain in North Texas, providing a continuous supply of well-trained medical professionals for the region. Having the designation of a medically underserved area, the organization partners with other organizations to provide access to health care services for an underserved population, those living in poverty, in areas where infant mortality is high and where the ratio of primary care physicians per 1,000 population is low. For example, the organization has teamed with the City of Dallas to improve care for people with diabetes by creating a new care model focused on health care, education and research in South Dallas. By providing financial support, the Diabetes Health and Wellness Institute at Juanita J. Craft Recreation Center (Institute) is the cornerstone of the organization's care model to treat patients in the South Dallas region which opened during the year to address the region's health care needs relative to diabetes. The goal of the center is to weave diabetes prevention into the fabric of the community so that it is a natural and convenient part of life in this neighborhood. The center provides access to medical care and preventative health education to a historically underserved and low-income community experiencing disparate health outcomes relative to the most commonly-encountered health conditions associated with diabetes. During the year, construction and development continued on a new 467,000 square foot outpatient cancer center - the largest in Texas, offering a patient navigation system, advanced technology and integrative therapies for the treatment of every kind of cancer. With the organization's new cancer center will come expanded cancer research benefitting all patients of means and those of none, including top-tier healthcare providers. The center will educate tomorrow's cancer specialists. The expanded center will include outpatient radiation and chemotherapy as well as expanded support groups, and educational resources and programs.	OtherInformation
Affiliated Health Care System	Part 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 States	TX	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 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	Amount Of Non Cash AssistanceAmountOfNonCashAssistance
Southern Sector Health Initiative
4500 Spring Avenue	Dallas	TX	75210	263087442	501(c)(3)	3625000	N/A	N/A	Community Benefit
Baylor Research Institute
3310 Live Oak Ste 501	Dallas	TX	75204	751921898	501(c)(3)	12192982	N/A	N/A	Research
Dallas Academy of Medicine dba Project Access Dallas
140 E 12th Street	Dallas	TX	75203	750223610	501(c)(3)	675345	N/A	N/A	Indigent Care
Dallas County Indigent Care Corporation
PO Box 655999	Dallas	TX	75265	260610562	501(c)(3)	20292390	N/A	N/A	Indigent Care
Texas Baptist Men
5351 Catron	Dallas	TX	75227	752873370	501(c)(3)	0	FMV	Medic. Supplies	Haiti Disaster Relief	81376

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	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
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
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 (17 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	561206	0	7417	0	6268	0	49566	0	25271	0	649728	0	0
John McWhorter
408936	0	301108	0	17349	0	108205	0	28477	0	864075	0	57320	0
James Thaxton
370108	0	144532	0	14337	0	43392	0	11953	0	584322	0	21628	0
Jason Whitfield
218554	0	60792	0	1329	0	19970	0	32575	0	333220	0	0	0
William Boyd
0	518416	0	278851	0	21726	0	71005	0	34645	0	924643	0	0
Janeene Jones
240253	0	93995	0	1897	0	23278	0	18608	0	378031	0	13338	0
Gail Maxwell
175862	0	74733	0	2083	0	16568	0	20704	0	289950	0	9075	0
Claudia Wilder
184978	0	53324	0	10584	0	17267	0	26010	0	292163	0	0	0
Christopher York
192331	0	53324	0	1436	0	17267	0	27267	0	291625	0	0	0
Liz Youngblood
0	201905	0	75990	0	536	0	19231	0	12936	0	310598	0	9622
Donna Bowers
0	204766	0	90250	0	1051	0	19910	0	24630	0	340607	0	13418
Irving Prengler MD
407262	0	150548	0	5604	0	47532	0	35982	0	646928	0	35567	0
Michael Ramsay MD
464893	0	69997	0	10422	0	55350	0	14099	0	614761	0	0	0
Ronald Jones MD
437612	0	44850	0	24015	0	0	0	24091	0	530568	0	0	0
Michael Emmett MD
405350	0	21471	0	9077	0	40946	0	26251	0	503095	0	21471	0
Alan Miller MD
220284	220284	0	83259	7357	0	0	0	21014	10765	248655	314308	0	0
Janie Wade
0	214678	0	94437	0	514	0	20448	0	28352	0	358429	0	18683

Form990 Schedule J Part III Form990ScheduleJPartIII (8 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 organization's governing body and/or President. 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. Two 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 of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1a	Health or social club dues or initiation fees - The organization may reimburse eligible employees for dues for a health club and/or a social club where there is a bona fide business need for the membership. For example, as part of the organization's promotion of health, the organization will cover a portion of any employees' fitness center club membership dues paid to an affiliated entity that owns and operates a fitness center. All employees are eligible for this benefit. Such reimbursements are treated as taxable compensation to the extent any part of the membership is used for personal use. Two of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1a	Personal services (financial planning)- The organization does not proivde benefits such as a maid, chauffer or chef; however, the organization does provide eligible senior officers financial planning benefits as part of their total compensation. All financial planning benefits provided to any individual 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 4a	In order to recruit and retain key talent, Baylor Health Care System ("BHCS") offers a supplemental non qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BHCS' supplemental non qualified retirement plan during the tax year: Christopher York, Claudia Wilder, Gail Maxwell ($9,075), Irving Prengler ($35,567), James Thaxton ($21,628), Janeene Jones ($13,338), Janie Wade ($18,683), Jason Whitfield, John McWhorter ($57,320), Michael Emmett, M.D. ($21,471), Michael Ramsay, M.D., Paul Madeley, M.D., Elizabeth Youngblood ($9,622), Donna Bowers ($13,418) and William Boyd. Also, certain senior officers, as designated by the organization's governing body, are eligible to participate in a Long Term Incentive Plan that is designed to recognize the senior leaders' value and contribution to the organization as well as align their compensation to the long term strategy of the organization. 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 organization'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 the organization's governing body for participants. Payouts are partially made in cash and the remainder vests over an additional two year period. John McWhorter participated in this plan during the tax year.
Part I, Line 7	The organization has adopted and implemented BHCS's, the organization's sole member, Performance Award Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BHCS's governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financal stewardship. BHCS's governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Part III	Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. These benefits include reimbursement for certain reasonable expenses paid on behalf of the member's spouse while accompanying the member on business travel on behalf of the related organization and/or a wellness physical. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Baylor Health Enterprises LP (BHE)
See Schedule O	574024	Purchased Services	0
Baylor Heart & Vascular Center LLP (BHVC)
See Schedule O	2612224	Rental of real property, management services, provision of charity care to BUMC.	0
Baylor Heart & Vascular Center LLP (BHVC)
See Schedule O	15799896	Clinical Services	0
Baylor Heart & Vascular Center LLP (BHVC)
See Schedule O	2612224	Rental of real property, management services, provision of charity care to BUMC.	0
Baylor Heart & Vascular Center LLP (BHVC)
See Schedule O	15799896	Clinical Services	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 6	Members or stockholders: The organization is a Texas nonprofit membership organization in which BHCS, a tax exempt, Texas nonprofit corporation, is the sole member.
Form 990, Part VI, Section A, line 7a	Election of members of governing body by members, stockholders, or other persons: The sole member, BHCS, elects and removes the members of the governing body.
Form 990, Part VI, Section A, line 7b	Governing body decisions subject to approval: All rights and powers are reserved to the sole member, BHCS, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, the member's reserved rights and powers include, without limitation, approval of the organization's articles of incorporation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization.
Form 990, Part VI, Section B, line 11	Process used to review the Form 990: The Form 990 is prepared and reviewed by BHCS's tax department with assistance from a national public accounting firm. 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 by 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 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. 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 15	Process for determining compensation: The organiazation, 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 achieveing targeted imporvements 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 an independent compensation expert(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and key employees. The Committee is made up of members of the BHCS Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(s), the Committee approves and recommends to the BHCS Board of Trustees salary increases, earned incentives, and benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision making process, the Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the Committee minutes which are timely reviewed and approved by the Committee.
Form 990, Part VI, Section C, line 19	Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BHCS that are made available to the public by the posting of those documents through DAC Bond. 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) Liz Youngblood (40 Hours) Paul Madeley, M.D. (40 Hours) Janie Wade (40 Hours) Alan Miller, M.D. transferred to a related organization during the year. He worked an average of 32 hours per week both before and after the transfer.
	Form 990, Schedule L, Part IV, Column B Description of relationships between interested persons and the organization: John McWhorter, organization's President, serves as a Board Member of BHE. BHE is a wholly controlled affiliate of BHCS. John McWhorter, organization's President, serves as a board member of BHVC. BHVC is a controlled affiliate of the organization. John McWhorter, organization's President, serves as a board member of BHVC. BHVC is a controlled affiliate of the organization. Tim Owens, organization's board member, serves as a board member of BHVC. BHVC is a controlled affiliate of the organization. Tim Owens was appointed by the organization to serve as a community board representative of BHVC. Tim Owens, organization's board member, serves as a board member of BHVC. BHVC is a controlled affiliate of the organization. Tim Owens was appointed by the organization to serve as a community board representative of BHVC.
Form 990, Part I, Line 4 and Part VI, Line 1b: Number of Independent Board	One of the organization's members of the governing body also serves as a board member of a related partnership that is controlled by the organization. Based on the Form 990 instructions, this relationship results in a reportable transaction on Schedule L since the organization and the related partnership has entered into business transactions in excess of certain thresholds. This member was appointed by BHCS, the organization's sole member, to serve as a community board representative of the related partnership to ensure the partnership is operated in a charitable manner and in accordance with BHCS' and the organization's tax exempt status. The appointment of this member to serve on the governing body of the related partnership is consistent with IRS guidance such as Revenue Ruling 98-15 and other related rulings requiring the exempt organization to maintain control of partnerships and joint ventures. The board member does not have a financial interest in the organization or the related partnership, does not receive any financial benefit from transactions between the organization and the related partnership, and serves only in a voluntary capacity as an independent community board member. Therefore, this member is reflected as an independent board member on Part I, Line 4 and Part VI, Line 1b of the Form 990.	Members:
Supplemental Information: IRC Section 6038 Statement:	BUMC 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 BUMC 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), BUMC 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 (19 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	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Baylor Health Care System (BHCS)
2001 Bryan Street Suite 2200	Dallas	TX	75201	751812652	Management Services	TX	501(c)(3)	11, Type III	N/A
Baylor Medical Center at Garland
2001 Bryan Street Suite 2200	Dallas	TX	75201	751037591	Acute Care	TX	501(c)(3)	3		BHCS
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200	Dallas	TX	75201	752586857	Acute Care	TX	501(c)(3)	3		BHCS
Baylor Medical Center at Waxahachie
2001 Bryan Street Suite 2200	Dallas	TX	75201	751844139	Acute Care	TX	501(c)(3)	3		BHCS
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200	Dallas	TX	75201	820551704	Acute Care	TX	501(c)(3)	3		BHCS
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200	Dallas	TX	75201	751777119	Acute Care	TX	501(c)(3)	3		BHCS
BIR at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200	Dallas	TX	75201	751037226	Rehabilitation Hospital	TX	501(c)(3)	3		BHCS
Baylor Specialty Health Centers
2001 Bryan Street Suite 2200	Dallas	TX	75201	751765385	Long Term Care Hospital	TX	501(c)(3)	3		BHCS
Baylor All Saints Medical Center (BASMC)
2001 Bryan Street Suite 2200	Dallas	TX	75201	751008430	Acute Care	TX	501(c)(3)	3		BHCS
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200	Dallas	TX	75201	751606705	Fundraising	TX	501(c)(3)	7		BHCS
All Saints Health Foundation
2001 Bryan Street Suite 2200	Dallas	TX	75201	751947007	Fundraising	TX	501(c)(3)	7		BASMC
HealthTexas Provider Network
2001 Bryan Street Suite 2200	Dallas	TX	75201	752536818	Physicians Practice	TX	501(c)(3)	3		BHCS
Baylor Health Services
2001 Bryan Street Suite 2200	Dallas	TX	75201	751917311	Holds interests in Ambulatory Surgery Centers/ Short Stay Hospitals	TX	501(c)(3)	3		BHCS
Baylor Research Institute
2001 Bryan Street Suite 2200	Dallas	TX	75201	751921898	Research	TX	501(c)(3)	4		BHCS
Southern Sector Health Initiative
2001 Bryan Street Suite 2200	Dallas	TX	75201	263087442	Diabetic Health	TX	501(c)(3)	11, Type I	N/A
Baylor Medical Center at McKinney
2001 Bryan Street Suite 2200	Dallas	TX	75201	263604064	Acute Care	TX	501(c)(3)	3		BHCS
BHCS Employee Benefit Trust
2001 Bryan Street Suite 2200	Dallas	TX	75201	751848557	VEBA	TX	501(c)(9)			BHCS
Irving Healthcare Foundation
2001 Bryan Street Suite 2200	Dallas	TX	75201	751570933	Fundraising	TX	501(c)(3)	7		Baylor Medical Center at Irving
Careflite
3110 S Great Southwest Pkwy	Grand Prairie	TX	75052	751657155	Emergency Transport	TX	501(c)(3)	11, Type III-Other	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (32 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
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 & Vascular Center LLP
2001 Bryan Street Suite 2200	Dallas	TX	75201	752834135	Specialty Hospital	TX	N/A	Related	20470689	27417746	0	$3,108	1
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	Related	1001564	628593	0		1
Trinity MC LLC
2001 Bryan Street Suite 2200	Dallas	TX	75201	208889358	Acute Care Hospital	TX	N/A
Texas Health Ventures Group LLC
2001 Bryan Street Suite 2200	Dallas	TX	75201	752696845	Holds interests in Ambulatory Surgery Centers/ Short Stay Hospitals	TX	N/A	Related	29097770	140219233	0		1
Dallas Surgical Partners LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	722183815	Ambulatory Surgery Center	TX	N/A
Valley View Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752900902	Ambulatory Surgery Center	TX	N/A
Denton Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752708579	Ambulatory Surgery Center	TX	N/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	562297308	Ambulatory Surgery Center	TX	N/A
Grapevine Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752854711	Ambulatory Surgery Center	TX	N/A
Lewisville Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752862263	Ambulatory Surgery Center	TX	N/A
North Garland Surgery Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	562399993	Ambulatory Surgery Center	TX	N/A
Garland Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752764855	Ambulatory Surgery Center	TX	N/A
Arlington Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752748040	Ambulatory Surgery Center	TX	N/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	205506447	Ambulatory Surgery Center	TX	N/A
Metroplex Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	205506447	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Plano LLC
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	260308454	Ambulatory Surgery Center	TX	N/A
RockwallHeath Surgery Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	200334166	Ambulatory Surgery Center	TX	N/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	542086863	Short Stay Hospital	TX	N/A
North Central Surgical Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	201508140	Short Stay Hospital	TX	N/A
Trophy Club Medical Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	481260190	Short Stay Hospital	TX	N/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752658178	Short Stay Hospital	TX	N/A
Frisco Medical Center LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752865177	Short Stay Hospital	TX	N/A
MSH Partners LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	752829613	Short Stay Hospital	TX	N/A
Arlington Ortho & Spine Hospital LLC
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	261578178	Short Stay Hospital	TX	N/A
Univ Surg Partners of Dallas LLP
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	550823809	Ambulatory Surgery Center	TX	N/A
Baylor Surgicare at Granbury LLC
15305 Dallas Pkwy Ste 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

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Percentage OwnershipPercentageOwnership
Baylor Health Enterprises
2001 Bryan Street Suite 2200	Dallas	TX	75201	751997378	Fitness, Pharmacy	TX	N/A	C
Baylor Health Network Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752463251	Billing/Collecting	TX	N/A	C
BMP Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	751436779	Post Office	TX	N/A	C
Church University Insurance Company Ltd
				980352108	Investments		N/A	C	41 Cedar Avenue	Hamilton	BD	BD
Health Care Insurance Company of Texas Ltd
				980403182	Investments		N/A	C	PO Box GT 720 W Bay Rd	Grand Cayman	CJ	CJ
BMC at Grapevine Condo Owner's Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752747555	Condo Association	TX	N/A	C
BUMCRoberts Building Condo Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	752897806	Condo Association	TX	N/A	C					1.00000
BASMC at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	261661900	Condo Association	TX	N/A	C
ODC Therapy Inc
2001 Bryan Street Suite 2200	Dallas	TX	75201	200749021	Research	DE	N/A	C

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	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (41 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Baylor Health Care Sytem
A	122388
Baylor Health Enterprises LP
A	167646
Baylor Heart & Vascular Center LLP
A	1298509
Baylor Medical Center at Garland
A	1237209
Baylor Research Institute
A	166116
HealthTexas Provider Network
A	64487
Baylor Health Care Sytem
B	210000000
Baylor Research Institute
B	12192982
Texas Health Ventures Group LLP
B	3944383
Southern Sector Health Initiative
B	3625000
Baylor Health Care Sytem Foundation
C	11642095
Baylor Heart & Vascular Center LLP
C	1957260
Baylor Regional Medical Center at Grapevine
C	1637978
Baylor Regional Medical Center at Plano
C	2144708
Texas Health Ventures Group LLP
C	41533934
Texas Heart Hospital of the Southwest LLP
C	2990002
Baylor Health Care Sytem
J	2777338
Baylor All Saints Medical Center
K	1107545
Baylor Health Care Sytem
K	583476
Baylor Heart & Vascular Center LLP
K	1313715
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
K	3070192
Baylor Medical Center at Garland
K	759910
Baylor Medical Center at Irving
K	614591
Baylor Medical Center at Waxahachie
K	495424
Baylor Regional Medical Center at Grapevine
K	842753
Baylor Regional Medical Center at Plano
K	436629
Baylor Research Institute
K	1153360
Baylor Specialty Health Centers
K	3420330
HealthTexas Provider Network
K	206579
Texas Heart Hospital of the Southwest LLP
K	113106
Baylor Health Care Sytem
L	121863365
Baylor Health Enterprises LP
L	362235
Baylor Heart & Vascular Center LLP
L	15799896
Baylor Medical Center at Garland
L	106447
Baylor Research Institute
L	190453
HealthTexas Provider Network
L	18536089
MEDCO Construction LLC
L	18170399
Baylor Health Care Sytem
O	1222693
Baylor Health Care Sytem
P	2663204
Baylor Heart & Vascular Center LLP
R	20667955
HealthTexas Provider Network-Gastroenterology Services LLP
R	1409830