2020-07-13T19:18:44-05:00 2019-06-30 990 2018-07-01 263087442 Southern Sector Health Initiative SOUT 2148204135 301 N Washington Avenue Dallas TX 75246 Venita Owens VP Admin Svcs/Bus Development 2148204135 2020-07-13 198.205.17.200 2020-07-13 16:34:56 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F69B38D82BF9EF87EAFFF5E726F8CE2CA653FDF4 2018 2021-01-29 14:40:06Z X Baylor Scott & White Health Wellness Center Venita Owens 4500 Spring Ave Dallas TX 75210 6209874 0 X www.bswhjjcraft.com X 2007 TX Faith based community health and wellness center providing exemplary patient care to people with diabetes by creating a new care model focused on health care, education, and research in South Dallas. 13 10 69 159 0 0 5871515 6125355 38813 28587 0 0 -146250 -46602 5764078 6107340 5764 100 0 0 3322753 3154208 0 0 0 2974261 2778695 6302778 5933003 -538700 174337 2674687 2700129 612782 359630 2061905 2340499 X Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. 0 0 4793680 100 5417 See Schedule OSouthern Sector Health Initiative (SSHI) is organized to improve care for people with chronic conditions, including diabetes, by operating a new care model focused on health care, education and research in South Dallas. SSHI operates and maintains the Baylor Scott & White Health and Wellness Center (BSW HWC) (formerly known as the Diabetes Health and Wellness Institute) at the Juanita J. Craft Recreation Center in southern Dallas where the residents have the highest rates of chronic disease, poverty, underinsured and uninsured. BSW HWC is the area's first and only diabetes health and wellness facility addressing the region's health care needs relative to chronic disease management, including diabetes management, specifically for the underserved and underinsured. As a collaborative effort between Baylor Scott & White Health and the City of Dallas, the goal of BSW HWC is to weave chronic disease and management into the fabric of the community so that it is a natural and convenient part of life in the neighborhood. SSHI is affiliated with Baylor Scott & White Health (BSWH), a faith-based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the residents of North and Central Texas. As the largest not-for-profit health care system in Texas and one of the largest in the United States, BSWH was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare. Today, BSWH includes 50 hospitals, over 1,000 patient care sites, approximately 7,500 active physicians, more than 49,000 employees and the Scott & White Health Plan.In seeking opportunities to serve this community, BSWH acknowledged the rising need for comprehensive healthcare in southern Dallas, where health disparities are high and residents struggle economically compared to the rest of Dallas County. As stated in its Mission Statement "Founded as a Christian Ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. The Ambition Statement is "to be the trusted leader, educator, and innovator in value-based care delivery, customer experience and affordability". BSW HWC is built on four fundamental principles: collaborative financial support and governance; integration of social, cultural, political and economic initiatives; clinical care in the neighborhood; and community-based, multidisciplinary research. Existing resources are leveraged in order to prevent and treat chronic disease, incorporating four core competences: 1) prevent the onset of chronic disease, including diabetes, by offering physical activity classes, nutrition and cooking classes, wellness education, and primary care; 2) identify and treat asymptomatic people who have risk factors for developing chronic diseases including diabetes or who have pre-diabetes, with the goal of helping people reduce their risk of complications, reduce their health care costs, minimize hospital visits, and reduce lost work or school time; 3) care for people who have chronic conditions by helping them regain their highest functional level, minimize the negative effects of the disease, and prevent complications; and 4) measure the impact and outcomes of this unique health care delivery model. BSW HWC provides an integrative care model including an on-site physician and nurse practitioner, visiting medical specialists, referral coordinators for specialty and ancillary care, diabetes management educators, access to affordable chronic disease and diabetes medications, nutrition and healthy cooking classes and physical activity programs including aerobics, walking clinics and weight training. The efforts already have paid huge dividends for this underserved population. More than 6,951 community members have participated in BSW HWC programs. In the face of adversity, progress is being made. A 2015 analysis showed a 21% reduction in emergency room use among a sample of BSW HWC members using a pre and post enrollment comparison. Additionally, a 37% reduction was shown for inpatient visits among a sample of BSW HWC members using the same pre and post enrollment comparison and the data was published in Health Affairs. To increase its impact in the community, including special events, BSW HWC has a robust outreach program where its cumulative outreach encounters reached 98,843 by 2019. The BSW HWC also enlists the assistance of Community Health Workers also known as Diabetes PEERS (Prevention, Empowerment, Education, Resources, Support) program, a program initially funded through a grant from Sanofi. With twelve full-time and 30 part-time staff members certified by the State of Texas as CHW Instructors, the BSW HWC is able to offer 160-hour fee-based Community Health Worker Training and Certification courses, as well as CHW Instructor training and CHW Continuing Education Units (CEUs). The training programs are approved by the Texas Department of State Health Services and are offered to interested residents of the community. The role of a Community Health Worker is defined as a member of the local community who acts as a mediator between health care and social services and the community to assist with a range of activities such as outreach, patient navigation and follow-up, community health education and information, informal counseling, social support, advocacy and participation in clinical research. The Diabetes PEERS program allows the BSW HWC to tackle the myths about chronic diseases including diabetes and to provide needed education and support in the prevention and management of chronic disease in the high-risk communities of southern Dallas. These individuals and the BSW HWC Ministerial Advisory Board have also been instrumental in helping the staff connect with pastors and church leaders at over 50 churches in the surrounding zip codes.The BSW HWC has expanded to nine Farm Stands offering fresh fruits and vegetables at low-cost to residents of the community to address the lack of local healthy food options. Poor food access is a major contributor to health disparities, disproportionately high rates of disease, and other health problems among low-income communities. People who live in a neighborhood without access to grocery stores are less likely to have healthy diets, increasing their risk of diet-related diseases. The community surrounding the BSW HWC does not have a chain grocery store within a 1-mile radius and the only other food suppliers are small corner stores, gas stations, etc. The BSW HWC's Farm Stand offers pre-bagged produce items as well as healthy recipes with tasting samples to patrons using produce sold at the weekly Farm Stands with the goal of promoting healthy cooking and eating at home. Two of the Farm Stands located at churches in partnership with BSW HWC also have demonstration gardens to educate youth about planting, cultivating, and processing freshly grown produce to support the curriculum of the Junior Master Gardener. Merchant sales (credit, debit, food stamps) across all nine Farm Stands account for 30 percent of weekly sales, 5 percent of which is attributable to SNAP benefits. There are typically 200 or more people who purchase fresh produce weekly from the Farm Stands. In 2019 the Farm stands had 35,545 visits. A 2019 cumulative snapshot of wellness, prevention, nutrition and physical activity programs includes: 35,545, Farm Stand Visits, 32,981 Fitness Class Encounters, 3,581 Nutrition Class Encounters, 2,610 Bible Study Encounters, 695 Medical Nutrition Therapy(MNT) Encounters, 267 CHW program graduates and 3,294 Diabetes Prevention Program Encounters and 2,412 Diabetes Self-Management Education and Support Encounters.BSW HWC is among the few programs in Texas fully recognized by the Centers for Disease Control for its Diabetes Prevention Programs. In addition to this recognition, BSW HWC has received national and local awards including the Healthcare Leadership Council's Wellness Frontiers Award for its public-private partnership with the City of Dallas; the American Hospital Associations' Nova Award for community-based innovation; and the D CEO Magazines' Excellence in Healthcare Achievement in Community Outreach, The Morehouse School of Medicine, National Center for Primary Care Partnership for Diabetes Health Equity Award. BSW HWC has established itself as an incubator for population health with a goal to improve the health of the city one person, one family, and one community at a time. 4793680 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 28 0 1 69 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Angie Hutson 2148201075 2001 Bryan Street Suite 2300 Dallas TX 75201 Gary Baxter Director/Vice Chair 1.00 0.00 X X 0 0 0 David H Cain Director 1.00 0.00 X 0 0 0 Debbie Dennis Director/Chair 1.00 0.00 X X 0 0 0 Robert Estrada Director 1.00 0.00 X 0 0 0 Sharon King Director/Secretary 1.00 0.00 X X 0 0 0 Yolanda Lawson MD Director 1.00 0.00 X 0 0 0 John McWhorter Trustee 1.00 40.00 X 0 1877854 432602 Charles D Mitchell MD Director (thru 6/30/19) 1.00 0.00 X 0 0 0 Jeffrey Morris Director/Treasurer 1.00 0.00 X X 0 0 0 Christina Norris Director 1.00 0.00 X 0 0 0 Wendy Parnell MD Director 1.00 0.00 X 0 0 0 Erin Roe MD Director 1.00 40.00 X 0 342034 19671 Tiffinni A Young Director 1.00 0.00 X 0 0 0 Venita Owens VP Admin Svcs/Bus Development 40.00 0.00 X 202236 0 32596 Donald Wesson MD President/CEO 40.00 0.00 X 941149 0 19865 Julie Grim VP Operations 40.00 0.00 X 241854 0 15622 Lalonni Hagerman Manager Operations 40.00 0.00 X 101862 0 14655 Heather Carmichael Director Business Development 40.00 0.00 X 120197 0 29316 Frances Monroe Director Administration 40.00 0.00 X 117467 0 13219 1724765 2219888 577546 6 0 1 0 HealthTexas Provider Network 2001 Bryan St Ste 2200 Dallas TX 75201 Clinical/Administrative 934009 Aramark Services Inc PO Box 651009 Charlotte NC 282651009 Engineering Services 106284 2 36390 6088965 6125355 Community Education 611710 28587 28587 28587 0 36390 23432 -23432 -23432 55932 79102 -23170 -23170 6107340 5417 0 -23432 X 100 100 1223118 828710 394408 52769 52769 1487568 1487568 49920 49920 166110 166110 174723 174723 593 593 1777868 1061864 716004 38063 36619 1444 111126 108477 2649 378051 364601 13450 121693 121693 15006 12080 2926 6074 5924 150 240651 240651 3181 3181 Non-Medical Supplies 41492 37966 3526 Special Functions 22671 21057 1614 Medical Supplies 13944 13944 Dues & Memberships 4456 2590 1866 3826 3133 693 5933003 4793680 1139323 0 1051 1050 10510 160274 4241534 2294774 2182819 1946760 480307 592045 2674687 2700129 612782 359630 612782 359630 X 1581598 1748454 480307 592045 2061905 2340499 2674687 2700129 X 174337 104257 X 0 1 X 1 0 X X 1 Baylor University Medical Center 751837454 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 466 1 593 0 0 1059 0 Part II-B, Line 1: Statement Regarding Legislative Activity: Health care policy is critical to all Americans, and the Organization 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. The Organization has established relationships with persons and industry associations that often communicate the Organization's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, the Organization may attempt to educate the local community on certain legislative initiatives that may impact The Organization'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. The Organization has not intervened in any political campaign. 3515069 1752237 1762832 726465 542537 183928 1946760 Interest in Net Assets of Related Foundation 592045 592045 X Part X, Line 2: The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2019 and 2018, the System had no material gross unrecognized tax benefits. Festival 36390 36390 17500 5932 36390 36390 17500 5932 23432 -23432 X X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 John McWhorter Trustee 0 947283 0 910699 0 19872 0 399557 0 33045 0 2310456 0 220368 Erin Roe MD Director 0 341325 0 0 0 709 0 13750 0 5921 0 361705 0 0 Venita Owens VP Admin Svcs/Bus Development 157470 0 43269 0 1497 0 8404 0 24192 0 234832 0 0 0 Donald Wesson MD President/CEO 441451 0 183315 0 316383 0 0 0 19865 0 961014 0 0 0 Julie Grim VP Operations 76133 0 0 0 165721 0 3978 0 11644 0 257476 0 0 0 Part I, Line 1a Tax 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 during the tax year. Discretionary spending account-The organization provides eligible employees who travel frequently in their personal vehicle an auto expense allowance in lieu of reimbursement for business mileage under the organization's business travel and expense reimbursement policy. All auto expense allowances are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. 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 3 Process for determining compensation: The organization, a controlled affiliate of BSW 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 BSW 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 BSW Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers held by BSW Holdings, works 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 other officers and key employees to ensure total compensation is within a fair market range. The annual review included management reviewing all officers and key employees listed on the Form 990 during the current tax year. Any individual whose direct compensation exceeded the projected compensation from prior year, any new individual whose position has not been reviewed by the Compensation Committee during the prior 2 years, or any individual whose responsibilities or scope of operations expanded during the current year were reviewed by the Compensation Committee during the current tax year. The Compensation Committee is made up of members of the BSW Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(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 expert(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, Lines 4a-b Severance or Change of Control Payments: Julie Grim received a severance payment from the organization in the amount of $165,031. Supplemental Nonqualified Retirement Plan: In 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: Donald Wesson, M.D ($288,933) and John McWhorter. Part I, Line 7 The 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 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 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. These benefits may 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. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable. Winfred Parnell Family member of Wendy Parnell, Director 52769 Employee Compensation 0 Form 990, Part VI, Section A, line 2 Business Relationship: Robert Estrada and Debbie Dennis Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor University Medical Center ("BUMC"), 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, BUMC, appoints and removes the members of the governing body. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: The sole member, BUMC, 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. Form 990, Part VI, Section B, line 11b Process 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 12c Process 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 15 Process for determining compensation: The organization, a controlled affiliate of BSW 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 BSW 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 BSW Holdings Board of Trustees and the Compensation Committee, on behalf of the organization through reserved powers held by BSW Holdings, works 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 other officers and key employees to ensure total compensation is within a fair market range. The annual review included management reviewing all officers and key employees listed on the Form 990 during the current tax year. Any individual whose direct compensation exceeded the projected compensation from prior year, any new individual whose position has not been reviewed by the Compensation Committee during the prior 2 years, or any individual whose responsibilities or scope of operations expanded during the current year were reviewed by the Compensation Committee during the current tax year. The Compensation Committee is made up of members of the BSW Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(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 expert(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 19 Process 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 IX, line 11g Contract Labor: Program service expenses 30,310. Management and general expenses 61,107. Fundraising expenses 0. Total expenses 91,417. Other Purchased Services: Program service expenses 111,277. Management and general expenses 21,412. Fundraising expenses 0. Total expenses 132,689. Repairs & Maintenance: Program service expenses 7,870. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,870. Professional Fees: Program service expenses 12,626. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,626. Indigent Care: Program service expenses 899,781. Management and general expenses 0. Fundraising expenses 0. Total expenses 899,781. Corporate Overhead: Program service expenses 0. Management and general expenses 633,485. Fundraising expenses 0. Total expenses 633,485. Form 990, Part XI, line 9: Changes in Net Assets of Related Foundation 111,739. Self Insurance Liability Reserve -7,482. Supplemental Information: 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 All Saints Health Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751947007 Fundraising TX 501(c)(3) Line 7 Baylor All Saints Medical Center 1 Baylor All Saints Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751008430 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Health Care System 2001 Bryan Street Suite 2200 Dallas TX 75201 751812652 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Health Care System Employee Benefit Trust 2001 Bryan Street Suite 2200 Dallas TX 75201 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 Baylor Health Care System Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751606705 Fundraising TX 501(c)(3) Line 7 Baylor Health Care System 1 Baylor Health Services 2001 Bryan Street Suite 2200 Dallas TX 75201 751917311 Inactive TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Institute for Rehabilitation at Gaston Episcopal Hosp 2001 Bryan Street Suite 2200 Dallas TX 75201 751037226 Rehabilitation Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Carrollton 2001 Bryan Street Suite 2200 Dallas TX 75201 454510252 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Irving 2001 Bryan Street Suite 2200 Dallas TX 75201 752586857 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Center at Waxahachie 2001 Bryan Street Suite 2200 Dallas TX 75201 751844139 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Medical Centers at Garland and McKinney 2001 Bryan Street Suite 2200 Dallas TX 75201 751037591 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Grapevine 2001 Bryan Street Suite 2200 Dallas TX 75201 751777119 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Regional Medical Center at Plano 2001 Bryan Street Suite 2200 Dallas TX 75201 820551704 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor Research Institute 2001 Bryan Street Suite 2200 Dallas TX 75201 751921898 Research TX 501(c)(3) Line 4 Baylor Health Care System 1 Baylor Scott & White Health 2001 Bryan Street Suite 2200 Dallas TX 75201 463131350 Management Services TX 501(c)(3) Line 12b, II Baylor Scott & White Holdings 1 Baylor Scott & White Holdings 2001 Bryan Street Suite 2200 Dallas TX 75201 463130985 Parent TX 501(c)(3) Line 12b, II N/A 0 Baylor University Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751837454 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 HealthTexas Provider Network 2001 Bryan Street Suite 2200 Dallas TX 75201 752536818 Physician Services TX 501(c)(3) Line 3 Baylor Health Care System 1 Hillcrest Baptist Medical Center 100 Hillcrest Medical Blvd Waco TX 76712 741161944 Hospital TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 100 Hillcrest Medical Blvd Waco TX 76712 742730350 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 100 Hillcrest Medical Blvd Waco TX 76712 742967081 Physician Services TX 501(c)(3) Line 12a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751570933 Fundraising TX 501(c)(3) Line 7 Baylor Medical Center at Irving 1 Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 Physician Services TX 501(c)(3) Line 10 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 2401 S 31st Street Temple TX 76508 202850920 Long Term Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White EMS Inc 2401 S 31st Street Temple TX 76508 753242749 Emergency Transport TX 501(c)(3) Line 10 Scott & White Memorial Hospital 1 Scott & White 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TX 76508 464007700 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 2401 S 31st Street Temple TX 76508 203749695 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Taylor 2401 S 31st Street Temple TX 76508 741595711 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 741166904 Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Baylor Scott & White Medical Centers-Capitol Area 2401 S 31st Street Temple TX 76508 813040663 Hospital TX 501(c)(3) Line 3 Baylor Scott & White Health 1 Century Integrated Partners Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 810872075 Physician Services/Emergency Care TX 501(c)(3) Line 3 Baylor University Medical Center 1 Baylor Scott & White Medical Center - Centennial 2001 Bryan Street Suite 2200 Dallas TX 75201 824052186 Hospital TX 501(c)(3) Line 3 Baylor Health Care System 1 Scott & White Care Plans 2401 S 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