IRVING HEALTHCARE FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
IRVING HEALTHCARE FOUNDATION (EIN 75-1570933)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202241339349304814
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T11:45:16-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751570933EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Irving Healthcare FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIRVIBusinessNameControlTxt
Phone2148204135PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 N MacArthur BlvdAddressLine1Txt
CityIrvingCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75061ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn DrakePersonNm
Person TitlePresidentPersonTitleTxt
Phone2148204135PhoneNum
Signature2022-05-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohnPersonFirstNm
Person LastDrakePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Baylor Scott & White Irving FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJohn DrakePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 N MacArthur BlvdAddressLine1Txt
CityIrvingCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75061ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,869,180GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressirvingfoundation.bswhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionAwards funds raised and encourages volunteer service to healthcare charities in Irving, TX.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,465,340PYContributionsGrantsAmt
CY Contributions Grants$4,749,346CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$225,768PYInvestmentIncomeAmt
CY Investment Income$613,836CYInvestmentIncomeAmt
PY Other Revenue-$37,390PYOtherRevenueAmt
CY Other Revenue$7,623CYOtherRevenueAmt
PY Total Revenue$5,653,718PYTotalRevenueAmt
CY Total Revenue$5,370,805CYTotalRevenueAmt
PY Grants And Similar Paid$1,749,990PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,157,119CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$701,969PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$477,726CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$250,377CYTotalFundraisingExpenseAmt
PY Other Expenses$194,671PYOtherExpensesAmt
CY Other Expenses$173,859CYOtherExpensesAmt
PY Total Expenses$2,646,630PYTotalExpensesAmt
CY Total Expenses$4,808,704CYTotalExpensesAmt
PY Revenues Less Expenses$3,007,088PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$562,101CYRevenuesLessExpensesAmt
Total Assets BOY$14,485,513TotalAssetsBOYAmt
Total Assets EOY$17,877,512TotalAssetsEOYAmt
Total Liabilities BOY$77,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$64,372TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,407,623NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,813,140NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIrving Healthcare Foundation (IHF) seeks to be the most trusted place to give and volunteer in support of safe, quality, compassionate healthcare.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,315,277ExpenseAmt
Grant$4,157,119GrantAmt
Revenue$0RevenueAmt
DescSee Schedule O:Civic leaders established Irving Healthcare Foundation dba Baylor Scott & White Irving Foundation (IHF) as a public charity in 1977, to raise funds for nonprofit healthcare in Irving. To date, more than $68 million has been raised for nonprofit beneficiaries in Irving and our Foundation. Below are the key accomplishments made during the year. Our primary recipient is Baylor Scott & White Medical Center Irving (BSW Irving). During the fiscal year IHF granted more than $3.8 Million to BSW Irving for new replacement medical equipment, facilities repairs and enhancements, staff continuing education, and patient care and operations.IHF also raises funds to help needy, uninsured residents in our service area through regular medical care at Baylor Scott & White HealthTexas Provider Network's Irving Community Clinic. During the fiscal year, IHF granted more than $210,000 to the clinic.IHF provides service dogs to adults and children with assistance needs through Baylor-Canine Companions For Independence and assists the collaborative, obesity-battling efforts of the Childhood Obesity Task Force in Irving with grants totaling more than $130,000 during the year.Desc
Total Program Service Expenses$4,315,277TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAngie HutsonPersonNm
Phone2148201075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 N Washington AvenueAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75246ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Cindy Schamp
Trustee1.0040.00Yes (X)$0$779,539$190,387
Audrey Sreshta
Director1.000.00Yes (X)$0$0$0
Bal Joshi
Director1.000.00Yes (X)$0$0$0
Carolyn Weinzirl
Director/Chair1.000.00Yes (X)$0$0$0Yes (X)
Dan Killingsworth
Director1.000.00Yes (X)$0$0$0
Darin Sloan
Director1.000.00Yes (X)$0$0$0
Diana Pfaff
Director1.000.00Yes (X)$0$0$0
Hitesh Soni
Director1.000.00Yes (X)$0$0$0
John Paul West
Director1.000.00Yes (X)$0$0$0
Joy Apple
Director1.000.00Yes (X)$0$0$0
Joyce Flatt
Director1.000.00Yes (X)$0$0$0
Lazaro J Alvarez
Director1.000.00Yes (X)$0$0$0
Lila Thorn
Director1.000.00Yes (X)$0$0$0
Lisa Palla
Director1.000.00Yes (X)$0$0$0
Lourdes Spinola
Director1.000.00Yes (X)$0$0$0
Manish Sethi
Director1.000.00Yes (X)$0$0$0
Matt Hines
Director1.000.00Yes (X)$0$0$0
Randall G Hubbard
Director1.000.00Yes (X)$0$0$0
Robert H Bourgeois
Director1.000.00Yes (X)$0$0$0
Robert Thomas Poynter
Director1.000.00Yes (X)$0$0$0
Sanjay Joshi
Director/Secretary1.000.00Yes (X)$0$0$0Yes (X)
Sara Wardrup
Director/Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Sharonda Wallace
Director1.000.00Yes (X)$0$0$0
Tom Trotter
Director1.000.00Yes (X)$0$0$0
Walter Skip Wilson
Director1.000.00Yes (X)$0$0$0
Amy Martin
VP CFO1.0040.00$0$350,947$57,939Yes (X)
John Drake
President40.000.00$284,726$0$40,830Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$284,726TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,130,486TotReportableCompRltdOrgAmt
Total Other Compensation$289,156TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$9,638FundraisingAmt
Related Organizations$616,563RelatedOrganizationsAmt
All Other Contributions$4,123,145AllOtherContributionsAmt
Noncash Contributions$71,965NoncashContributionsAmt
Total Contributions$4,749,346TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$272,867TotalRevenueColumnAmt
Exclusion$272,867ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,834,602SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,493,633SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$340,969SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,969TotalRevenueColumnAmt
Exclusion$340,969ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,365FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$9,638ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,742FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,623TotalRevenueColumnAmt
Exclusion$7,623ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,370,805TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$621,459ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,157,119TotalAmt
Program Services$4,157,119ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$343,409TotalAmt
Program Services$103,023ProgramServicesAmt
Management And General$120,193ManagementAndGeneralAmt
Fundraising$120,193FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,969TotalAmt
Program Services$12,244ProgramServicesAmt
Management And General$46,528ManagementAndGeneralAmt
Fundraising$38,197FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,520TotalAmt
Program Services$571ProgramServicesAmt
Management And General$2,169ManagementAndGeneralAmt
Fundraising$1,780FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,711TotalAmt
Program Services$1,100ProgramServicesAmt
Management And General$4,180ManagementAndGeneralAmt
Fundraising$3,431FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,117TotalAmt
Program Services$5,886ProgramServicesAmt
Management And General$9,449ManagementAndGeneralAmt
Fundraising$8,782FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,805TotalAmt
Management And General$3,805ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$68,695TotalAmt
Program Services$16,765ProgramServicesAmt
Management And General$26,915ManagementAndGeneralAmt
Fundraising$25,015FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,492TotalAmt
Program Services$11,590ProgramServicesAmt
Management And General$18,608ManagementAndGeneralAmt
Fundraising$17,294FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,929TotalAmt
Program Services$3,644ProgramServicesAmt
Management And General$5,849ManagementAndGeneralAmt
Fundraising$5,436FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68TotalAmt
Program Services$16ProgramServicesAmt
Management And General$27ManagementAndGeneralAmt
Fundraising$25FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$830TotalAmt
Program Services$203ProgramServicesAmt
Management And General$325ManagementAndGeneralAmt
Fundraising$302FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,013TotalAmt
Program Services$491ProgramServicesAmt
Management And General$789ManagementAndGeneralAmt
Fundraising$733FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Donor Recognition$25,274$25,274
Special Functions$4,038$1,470$986$1,582
Dues & Membership$3,877$1,412$946$1,519
Non-Medical Supplies$2,573$937$628$1,008

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$265TotalAmt
Program Services$65ProgramServicesAmt
Management And General$104ManagementAndGeneralAmt
Fundraising$96FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,808,704TotalAmt
Program Services$4,315,277ProgramServicesAmt
Management And General$243,050ManagementAndGeneralAmt
Fundraising$250,377FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$682,112BOYAmt
EOY$586,255EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,765,534BOYAmt
EOY$1,658,108EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$347,753BOYAmt
EOY$85,224EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,530LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,516LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,027BOYAmt
EOY$2,014EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,440,109BOYAmt
EOY$15,347,647EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$182,978BOYAmt
EOY$198,264EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,485,513BOYAmt
EOY$17,877,512EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$77,890BOYAmt
EOY$64,372EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,890BOYAmt
EOY$64,372EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,264,427BOYAmt
EOY$4,245,323EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,143,196BOYAmt
EOY$13,567,817EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,407,623BOYAmt
EOY$17,813,140EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,485,513BOYAmt
EOY$17,877,512EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$562,101ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,920,676NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$77,260OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,229,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,942,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,465,335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,465,340CurrentTaxYearMinus1YearAmt
Current Tax Year$4,749,346CurrentTaxYearAmt
Total$20,852,204TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,229,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,942,533CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,465,335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,465,340CurrentTaxYearMinus1YearAmt
Current Tax Year$4,749,346CurrentTaxYearAmt
Total$20,852,204TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,587,560SubstantialContributorsTotAmt
Public Support Total170$18,264,644PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$140,520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121,856CurrentTaxYearMinus1YearAmt
Current Tax Year$272,867CurrentTaxYearAmt
Total$772,677TotalAmt
FieldValueIRS element (for citing)
Total Support$21,624,881TotalSupportAmt
Gross Receipts Rltd Activities$151,244GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84460PublicSupportCY170Pct
Public Support PY1700.83470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,643,850BeginningYearBalanceAmt
Investment Earnings Or Losses$1,604,427InvestmentEarningsOrLossesAmt
Other Expenditures$267,500OtherExpendituresAmt
End Year Balance$5,980,777EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,806,650BeginningYearBalanceAmt
Investment Earnings Or Losses$83,529InvestmentEarningsOrLossesAmt
Other Expenditures$246,329OtherExpendituresAmt
End Year Balance$4,643,850EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,746,753BeginningYearBalanceAmt
Contributions$50,000ContributionsAmt
Investment Earnings Or Losses$154,925InvestmentEarningsOrLossesAmt
Other Expenditures$145,028OtherExpendituresAmt
End Year Balance$4,806,650EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,475,447BeginningYearBalanceAmt
Contributions$25,000ContributionsAmt
Investment Earnings Or Losses$495,071InvestmentEarningsOrLossesAmt
Other Expenditures$248,765OtherExpendituresAmt
End Year Balance$4,746,753EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,273,301BeginningYearBalanceAmt
Investment Earnings Or Losses$404,328InvestmentEarningsOrLossesAmt
Other Expenditures$202,182OtherExpendituresAmt
End Year Balance$4,475,447EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.53220PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.46780TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,530OtherCostOrOtherBasisAmt
Depreciation$44,516DepreciationAmt
Book Value$2,014BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,014TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowment funds currently held by Baylor Scott & White Irving Foundation are invested to generate financial support in the perpetuity for Foundation operations as well as the ongoing enhancement of health care services at Baylor Scott & White Medical Center-Irving.
Part X, Line 2:The filing organization does not have separate individual audited financial statements; however, the organization is included in the Combined Foundations of Baylor Scott & White Holdings Combined Financial Statements. The Foundations follow the provisions of ASC 740, "Income Taxes." As of June 30, 2021, the Foundations had no material gross unrecognized tax benefits.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Texas FestEvent1Nm
Gross Receipts Event1$22,003GrossReceiptsEvent1Amt
Charitable Contri Event1$9,638CharitableContriEvent1Amt
Gross Revenue Event1$12,365GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,225NonCashPrizesEvent1Amt
Other Direct Expenses Event1$3,517OtherDirectExpensesEvent1Amt
Gross Receipts Total$22,003GrossReceiptsTotalAmt
Charitable Contributions Tot$9,638CharitableContributionsTotAmt
Gross Revenue Total Events$12,365GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,225NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events$3,517OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,742DirectExpenseSummaryEventsAmt
Net Income Summary$7,623NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Baylor Medical Center at Irving
301 N Washington AvenueDallasTX75246752586857501(c)(3)$3,737,309$70,740FMVCOVID Related DonationsPatient care, education, software,community outreach, volunteer services, med library
HealthTexas Provider Network
301 N Washington AvenueDallasTX75246752536818501(c)(3)$210,486N/AN/AGeneral support, equipment, indigent care
Canine Companions for Independence
2965 Dutton AveSanta RosaCA95402942494324501(c)(3)$134,475N/AN/AGeneral support
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationMonitoring 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 the organization'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 the organization and/or outlined in an implementation strategy, (2) Serves an under-served community or group of people through medical mission work to improve their health status (3) promotes health in the community, (4) supports community buildings activities that protect or improves the community's health or safety and/or (5) provides positive visibility and good community relations with other organization serving the health needs of the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BSWH 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Cindy Schamp
Trustee$0$428,485$0$314,147$0$36,907$0$158,447$0$31,940$0$969,926$0$83,768
Amy Martin
VP CFO$0$266,141$0$82,500$0$2,306$0$42,359$0$15,580$0$408,886$0$0
John Drake
President$193,129$0$71,061$0$20,536$0$11,362$0$29,468$0$325,556$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax indemnification and gross up payments - The organization provides tax indemnification where the BSW Holdings' CEO, COO or CFO determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit from the organization during the tax year.
Part I, Line 3Process for determining compensation: The organization, a controlled affiliate of Baylor Scott & White Holdings, 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 the organization 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 places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the Baylor Scott & White Holdings Board of Trustees and its Compensation 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 similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the Baylor Scott & White Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers explicitly held by Baylor Scott & White Holdings, works directly with an independent compensation consultant(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 other officers and key employees to ensure total compensation is within a fair market range. The annual review included reviewing certain officers and key employees listed on the Form 990 during the current tax year. The Compensation Committee is made up of members of the Baylor Scott & White Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation consultant(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or 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 Compensation 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 Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation consultant(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings.
Part I, Line 4bIn order to recruit and retain key talent, BSW Holdings and certain tax exempt affiliates (BSWH) 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 BSWH's supplemental non-qualified retirement plan during the tax year: Amy Martin and Cindy Schamp.
Part I, Line 7The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive 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 BSW Holdings' 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 financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Form 990, Schedule J, Part IIISupplemental Information: Governing Body Compensation: The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may 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. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)COVID Related Donations22$70,740Fair Market Value
Yes (X)Auction Items3$1,225Fair Market Value
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe Organization is reporting based on the number of contributions, not the number of items contributed. Form 990, Schedule M, Part II, Supplemental Information: During the tax year the organization received various non-cash donations from members of the community to support Baylor Scott & White Medical Center - Irving's clinical workers treating patients impacted by the COVID-19 pandemic. Examples include, but are not limited to, personal protective equipment, food and beverages, hand sanitizer, and clothing and household goods.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization which has two classes of Members with one class designated as Member and a second class designated as Special Member. Baylor Medical Center at Irving, a tax exempt, Texas nonprofit corporation, is the sole Member and Irving Healthcare Authority, a hospital authority organized and existing pursuant to the Hospital Authority Act, Chapter 262, Texas Health and Safety Code, is the sole Special Member.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: Baylor Scott & White Holdings (BSW Holdings), a tax exempt, Texas nonprofit corporation, is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: BSW Holdings has final authority over certain decisions/ powers of the organization such as approval of the organization's certificate of formation and bylaws and amendments thereto, appointment and removal of the members of the governing body, approval of dissolutions and mergers, and other similar decisions/powers over the organization. Regarding certain decisions, such as approval of the organization's certificate of formation and bylaws and amendments thereto, approval of dissolutions and mergers, and other similar decisions/powers over the organization, approval by the Special Member is also required.
Form 990, Part VI, Section B, line 11bProcess used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProcess used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an 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, employed physicians, persons who participate in the design, coordination, conduct, or reporting of research on behalf of BSWH, and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings Board of Trustees Audit and Compliance Committee and the BSW Holdings Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.
Form 990, Part VI, Section B, line 15Process for determining compensation: The organization, a controlled affiliate of Baylor Scott & White Holdings, 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 the organization 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 places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the Baylor Scott & White Holdings Board of Trustees and its Compensation 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 similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the Baylor Scott & White Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers explicitly held by Baylor Scott & White Holdings, works directly with an independent compensation consultant(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 other officers and key employees to ensure total compensation is within a fair market range. The annual review included reviewing certain officers and key employees listed on the Form 990 during the current tax year. The Compensation Committee is made up of members of the Baylor Scott & White Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation consultant(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or 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 Compensation 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 Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation consultant(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings.
Form 990, Part VI, Section C, line 19Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's certificate of formation 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 BSW Holdings 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 XI, line 9:Transfers Between Entities Under Common Control -76,293. Change in Value of Split Interest Agreements 6,960. Uncollectible Pledges -7,927.
Supplemental Information: IRC Section 6038 Statement:Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Form 5471 for this CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 301 N. Washington Avenue, Dallas, TX 75246 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
All Saints Health Foundation
301 N Washington AvenueDallasTX75246751947007FundraisingTX501(c)(3)Line 7Baylor All Saints Medical CenterYes (1)
Baylor All Saints Medical Center
301 N Washington AvenueDallasTX75246751008430HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Health Care System
301 N Washington AvenueDallasTX75246751812652Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Baylor Health Care System Employee Benefit Trust
301 N Washington AvenueDallasTX75246751848557VEBATX501(c)(9)Baylor Health Care SystemYes (1)
Baylor Health Care System Foundation
301 N Washington AvenueDallasTX75246751606705FundraisingTX501(c)(3)Line 7Baylor Health Care SystemYes (1)
Baylor Institute for Rehabilitation at Gaston Episcopal Hosp
301 N Washington AvenueDallasTX75246751037226Rehabilitation HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Carrollton
301 N Washington AvenueDallasTX75246454510252Former Hospital/Wind DownTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Irving
301 N Washington AvenueDallasTX75246752586857HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Waxahachie
301 N Washington AvenueDallasTX75246751844139HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Centers at Garland and McKinney
301 N Washington AvenueDallasTX75246751037591HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Grapevine
301 N Washington AvenueDallasTX75246751777119HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Plano
301 N Washington AvenueDallasTX75246820551704HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Research Institute
301 N Washington AvenueDallasTX75246751921898ResearchTX501(c)(3)Line 4Baylor Health Care SystemYes (1)
Baylor Scott & White Health
301 N Washington AvenueDallasTX75246463131350Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Baylor Scott & White Holdings
301 N Washington AvenueDallasTX75246463130985ParentTX501(c)(3)Line 12b, II0N/A
Baylor University Medical Center
301 N Washington AvenueDallasTX75246751837454HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
HealthTexas Provider Network
301 N Washington AvenueDallasTX75246752536818Physician ServicesTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Hillcrest Baptist Medical Center
301 N Washington AvenueDallasTX75246741161944HospitalTX501(c)(3)Line 3Scott & White Memorial HospitalYes (1)
Hillcrest Family Health Center
301 N Washington AvenueDallasTX75246742730350Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Hillcrest Physician Services
301 N Washington AvenueDallasTX75246742967081Physician ServicesTX501(c)(3)Line 12a, IHillcrest Baptist Medical CenterYes (1)
Scott & White Clinic
301 N Washington AvenueDallasTX75246742958277Physician ServicesTX501(c)(3)Line 10Scott & White HealthcareYes (1)
Scott & White Continuing Care Hospital
301 N Washington AvenueDallasTX75246202850920Long Term Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White EMS Inc
301 N Washington AvenueDallasTX75246753242749Emergency TransportTX501(c)(3)Line 10Scott & White Memorial HospitalYes (1)
Scott & White Foundation-Brenham
301 N Washington AvenueDallasTX75246742460815FundraisingTX501(c)(3)Line 7Scott & White Hospital-BrenhamYes (1)
Scott and White Health Plan
301 N Washington AvenueDallasTX75246742052197HMOTX501(c)(4)Baylor Scott & White HoldingsYes (1)
Scott & White Healthcare
301 N Washington AvenueDallasTX75246264532547Management ServicesTX501(c)(3)Line 12b, IIBaylor Scott & White HoldingsYes (1)
Scott & White Healthcare Foundation
301 N Washington AvenueDallasTX75246273513154FundraisingTX501(c)(3)Line 7Scott & White HealthcareYes (1)
Scott & White Hospital-Brenham
301 N Washington AvenueDallasTX75246742519752HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-College Station
301 N Washington AvenueDallasTX75246274434451HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Llano
301 N Washington AvenueDallasTX75246273026151HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Marble Falls
301 N Washington AvenueDallasTX75246464007700HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Round Rock
301 N Washington AvenueDallasTX75246203749695HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Taylor
301 N Washington AvenueDallasTX75246741595711HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Memorial Hospital
301 N Washington AvenueDallasTX75246741166904HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Southern Sector Health Initiative
301 N Washington AvenueDallasTX75246263087442Diabetes Health & Wellness CenterTX501(c)(3)Line 12a, IBaylor University Medical CenterYes (1)
Baylor Scott & White Medical Centers-Capitol Area
301 N Washington AvenueDallasTX75246813040663HospitalTX501(c)(3)Line 3Baylor Scott & White HealthYes (1)
Century Integrated Partners Inc
301 N Washington AvenueDallasTX75246810872075Physician Services/Emergency CareTX501(c)(3)Line 3Baylor University Medical CenterYes (1)
Baylor Scott & White Medical Center - Centennial
301 N Washington AvenueDallasTX75246824052186HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Scott & White Care Plans
301 N Washington AvenueDallasTX75246822794853HMOTX501(c)(4)Scott and White Health PlanYes (1)
Lake Pointe Operating Company LLC
301 N Washington AvenueDallasTX75246260194016HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (55 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Arlington Ortho & Spine Hospital LLC
14201 Dallas ParkwayDallasTX75254261578178HospitalTXN/A00
Baylor Affiliated Services LLC
301 N Washington AvenueDallasTX75246260614730Benefit PlansTXN/A00
Baylor Heart and Vascular Center LLP
301 N Washington AvenueDallasTX75246752834135Specialty HospitalTXN/A00
Baylor Surgicare at Ennis LLC
14201 Dallas ParkwayDallasTX75254274202856Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Granbury LLC
14201 Dallas ParkwayDallasTX75254263896477Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Mansfield LLC
14201 Dallas ParkwayDallasTX75254271835675Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Plano Parkway LLC
14201 Dallas ParkwayDallasTX75254274282604Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at Plano LLC
14201 Dallas ParkwayDallasTX75254260308454Ambulatory Surgery CenterTXN/A00
Bellaire Outpatient Surgery Center LLP
14201 Dallas ParkwayDallasTX75254562297308Ambulatory Surgery CenterTXN/A00
BIR JV LLP
4714 Gettysburg RdMechanicsburgPA17055274586141Rehabilitation HospitalsTXN/A00
BTDI JV LLP
1431 Perrone WayFranklinTN37069462908086Outpatient Imaging CentersTXN/A00
Dallas Surgical Partners LLC
14201 Dallas ParkwayDallasTX75254722183815Ambulatory Surgery CenterTXN/A00
Denton Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752708579Ambulatory Surgery CenterTXN/A00
Desoto Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752592508Ambulatory Surgery CenterTXN/A00
EBD JV LLP
8686 New Trails Dr Suite 100The WoodlandsTX77381455434614Free Standing Emergency HospitalsTXN/A00
Frisco Medical Center LLP
14201 Dallas ParkwayDallasTX75254752865177HospitalTXN/A00
Ft Worth Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752658178HospitalTXN/A00
Garland Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752764855Ambulatory Surgery CenterTXN/A00
Grapevine Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752854711Ambulatory Surgery CenterTXN/A00
HealthTexas Provider Network-Gastro Serv LLP
301 N Washington AvenueDallasTX75246731697736Ambulatory Surgery CenterTXN/A00
Heritage Park Surgical Hospital LLC
14201 Dallas ParkwayDallasTX75254611762781HospitalTXN/A00
Irving Coppell Surgical Hospital LLP
14201 Dallas ParkwayDallasTX75254542086863HospitalTXN/A00
Lewisville Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752862263Ambulatory Surgery CenterTXN/A00
Lone Star Endoscopy Center LLC
14201 Dallas ParkwayDallasTX75254273635726Ambulatory Surgery CenterTXN/A00
MEDCO Construction LLC
301 N Washington AvenueDallasTX75246205965871InactiveTXN/A00
Metrocrest Surgery Center LP
14201 Dallas ParkwayDallasTX75254030380493Ambulatory Surgery CenterTXN/A00
Metroplex Surgicare Partners Ltd
14201 Dallas ParkwayDallasTX75254752567179Ambulatory Surgery CenterTXN/A00
MSH Partners LLC
14201 Dallas ParkwayDallasTX75254752829613HospitalTXN/A00
North Central Surgical Center LLP
14201 Dallas ParkwayDallasTX75254201508140HospitalTXN/A00
North Garland Surgery Center LLP
14201 Dallas ParkwayDallasTX75254562399993Ambulatory Surgery CenterTXN/A00
Park Cities Surgery Center LLC
14201 Dallas ParkwayDallasTX75254562357079Ambulatory Surgery CenterTXN/A00
Physicians Surgical Center of Ft Worth LLP
14201 Dallas ParkwayDallasTX75254208303422Ambulatory Surgery CenterTXN/A00
Rockwall Ambulatory Surgery Center LLP
14201 Dallas ParkwayDallasTX75254205506447Ambulatory Surgery CenterTXN/A00
Specialty Surgery Center of Fort Worth LP
14201 Dallas ParkwayDallasTX75254201942281InactiveTXN/A00
Surgery Center of Richardson Phys Pship LP
14201 Dallas ParkwayDallasTX75254200606781InactiveTXN/A00
Texas Endoscopy Centers LLC
14201 Dallas ParkwayDallasTX75254470985876Ambulatory Surgery CenterTXN/A00
Texas Health Ventures Group LLC
14201 Dallas ParkwayDallasTX75254752696845Holds interests in ASCs/ Short Stay HospitalsTXN/A00
Texas Heart Hospital of the Southwest LLP
301 N Washington AvenueDallasTX75246412101361Specialty HospitalTXN/A00
THVG Bariatric LLC
14201 Dallas ParkwayDallasTX75254383894636Holds interests in Ambulatory Surgery CentersTXN/A00
Trophy Club Medical Center LP
14201 Dallas ParkwayDallasTX75254481260190HospitalTXN/A00
Tuscan Surgery Center at Las Colinas LLC
14201 Dallas ParkwayDallasTX75254273578014Ambulatory Surgery CenterTXN/A00
University Surgical Partners of Dallas LLP
14201 Dallas ParkwayDallasTX75254550823809Ambulatory Surgery CenterTXN/A00
Baylor Surgicare at North Dallas LLC
14201 Dallas ParkwayDallasTX75254752900902Ambulatory Surgery CenterTXN/A00
BT East Dallas JV LLP
301 N Washington AvenueDallasTX75246475119983Former Hospital/Wind DownTXN/A00
BT Garland JV LLP
301 N Washington AvenueDallasTX75246475009342Former Hospital/Wind DownTXN/A00
Blue Stone JV LLP
1431 Perrone WayFranklinTN37069474798129Outpatient Imaging CentersTXN/A00
Baylor Surgicare at Baylor Plano LLC
14201 Dallas ParkwayDallasTX75254813127185Ambulatory Surgery CenterTXN/A00
Blue Stone Frisco JV LLP
1431 Perrone WayFranklinTN37069812480586Outpatient Imaging CentersTXN/A00
Centennial ASC LLC
14201 Dallas ParkwayDallasTX75254352199232Ambulatory Surgery CenterTXN/A00
Texas Regional Medical Center LLC
14201 Dallas ParkwayDallasTX75254510570864HospitalTXN/A00
Texas Spine and Joint Hospital LLC
14201 Dallas ParkwayDallasTX75254752951355HospitalTXN/A00
Baylor Surgicare at Blue Star LLC
14201 Dallas ParkwayDallasTX75254814638201Ambulatory Surgery CenterTXN/A00
Gateway Diagnostic JV LLC
1431 Perrone WayFranklinTN37069870891986Outpatient Imaging CentersTXN/A00
SurgCenter of Plano LLC
14201 Dallas ParkwayDallasTX75254462873916Ambulatory Surgery CenterTXN/A00
Bear Creek Surgery Center LLC
14201 Dallas ParkwayDallasTX75254465530768Ambulatory Surgery CenterTXN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Baylor All Saints Med Ctr at Ft Worth Condo Owners Assoc Inc
301 N Washington AvenueDallasTX75246261661900Condo AssociationTXN/ACYes (1)
Baylor Health Enterprises LP
301 N Washington AvenueDallasTX75246751997378Fitness Center/PharmacyTXN/ACYes (1)
Baylor Health Network Inc
301 N Washington AvenueDallasTX75246752463251InactiveTXN/ACYes (1)
Baylor Med Ctr at Grapevine Condo Owners Association Inc
301 N Washington AvenueDallasTX75246752747555Condo AssociationTXN/ACYes (1)
Baylor Quality Health Care Alliance LLC
301 N Washington AvenueDallasTX75246454015863ACOTXN/ACYes (1)
Baylor Scott & White Assurance SPC
980589956InvestmentN/ACYes (1)23 Lime Tree BayGrand CaymanCJCJ
BMP Incorporated
301 N Washington AvenueDallasTX75246751436779Post OfficeTXN/ACYes (1)
BUMCRoberts Condominium Owners Association Inc
301 N Washington AvenueDallasTX75246752897806Condo AssociationTXN/ACYes (1)
Charitable Lead Trusts (3)
InvestmentTXN/AT0
Charitable Remainder Trusts (51)
InvestmentTXN/AT0
Hillcrest Health Holdings Inc
301 N Washington AvenueDallasTX75246742793367InactiveTXN/ACYes (1)
Baylor Scott & White Insurance Company
301 N Washington AvenueDallasTX75246743092083InsuranceTXN/ACYes (1)
SHA LLC
301 N Washington AvenueDallasTX75246752569094HMOTXN/ACYes (1)
Southwest Life & Health Insurance Company
301 N Washington AvenueDallasTX75246751085046InsuranceTXN/ACYes (1)
APN
14201 Dallas ParkwayDallasTX75254320416211InactiveTXN/ACYes (1)
Spine & Joint Physician Associates
14201 Dallas ParkwayDallasTX75254473135825InactiveTXN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Baylor Medical Center at Irving
B$3,808,049GAAP
HealthTexas Provider Network
B$210,486GAAP
Baylor Medical Center at Irving
C$616,563GAAP
Baylor Health Care System Foundation
R$76,293GAAP

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