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      <Desc>See Schedule OBaylor Scott &amp; White Holdings (BSW Holdings) serves as the ultimate parent corporation and provides the overall governance, strategic planning and related services for the Baylor Scott &amp; White Health system (BSWH). Effective December 31, 2024, BSW Holdings merged into Baylor Scott &amp; White Health, a 501C(3) affiliate exempt from federal income tax.BSWH is a nonprofit, 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 &amp; White Healthcare. Today, BSWH has over 1,300 patient access points including 52 hospitals, 632 specialty care clinics, 260 outpatient clinics, 164 primary care clinics, 29 pharmacies, 30 ambulatory surgery centers, 62 urgent care clinics, and more than 7,200 active physicians. The system also includes a state certified health maintenance organization, the Scott and White Health Plan and the Baylor Scott &amp; White Quality Alliance accountable care organization both covering over 1,200,000 lives.BSW Holdings' governing body is comprised of independent volunteer community representatives who provide leadership and governance to BSWH. The members of the governing body contribute their wisdom, insights and expertise to ensure that BSWH is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction to affiliates of BSWH. Founded as a Christian ministry of healing, Baylor Scott &amp; White Health promotes the well-being of all individuals, families and communities. BSWH is committed to offering access to quality health care including free or discounted health care to the indigent and underserved population through its affiliated health care providers. As part of its charitable mission, BSWH's nonprofit hospitals provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas statutory methodology) of $1.4 Billion as of the June 30, 2024 filing, which includes the unreimbursed cost of charity care, Medicaid, Medicare and other community benefits.</Desc>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patricia M Currie</PersonNm>
        <TitleTxt>Former Key Employee</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Travel for companions - The organization reimburses eligible employees and board members certain reasonable travel expenses associated with spousal travel where the spouses's presence is important to the event. These events may include, for example, board meetings, business meetings, and award ceremonies approved by the BSW Holdings' CEO, COO or CFO. All spousal travel reimbursements are treated as taxable compensation. Two of the persons listed in Part VII, Section A received this benefit during the tax year. 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. Six of the persons 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. Fiftteen of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Process for determining compensation: The organization 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 &amp; 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 &amp; White Holdings Board of Trustees and the Compensation Committee 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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Lines 4a-b</FormAndLineReferenceDesc>
        <ExplanationTxt>Severance or Change of Control Payments: Lavone Arthur received a severance payment from the organization in the amount of $220,000. Patricia M. Currie received a severance payment from the organization in the amount of $220,000. 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: Alejandro Arroliga, M.D. ($147,245), F. David Winter, M.D. ($50,481), Jennifer Mitzner, Julie Creamer, Kristi Sherrill, Lavone Arthur ($892,991), Lisa L. Havens, Matthew Chambers, Michael Sanborn, Nikhil Reddy, Nikki Moll, Paul Madeley, M.D. ($34,668), Peter McCanna ($444,197), Robin W. Watson, M.D., Steven Newton ($169,160), Timothy Bittenbinder, M.D. ($94,417), Walter Peters, M.D. ($128,805), Tresa McNeal, M.D., Karla Ramberger, Cristi Lockett, Amy Wilson, M.D., and William L. Rayburn, M.D. ($64,776).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has adopted and implemented an 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. Also, select officers, as designated by BSW Holdings' governing body, are eligible to participate in a Long Term Incentive Plan that is designed to recognize the key senior leaders' value and contribution to BSWH as well as align their compensation to the long term strategy of BSWH. Performance targets are based upon a percentage of the participant's base salary and are developed by independent third party expert(s) using market competitive data within the guides of reasonableness. The plan is based on BSWH's three-year performance against its peers, determined based on peer rankings or percentile rankings in quality, patient satisfaction and financial performance. At the end of three years, awards are determined by BSW Holdings' governing body for participants. Payouts are partially made in cash and the remainder vests over an additional two year period.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule J, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>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. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <FormAndLineReferenceDesc>Date Rebate Computation Performed</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer Name: Tarrant County Cultural Education Facilities Finance Corporati Date the Rebate Computation was Performed: 10/07/2021</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Line 3, Column B: Total Proceeds of Issue:</FormAndLineReferenceDesc>
        <ExplanationTxt>The difference between Part I, Line B, Column (e) and Part II, Line 3 is due to investment earnings of $1,162,136.</ExplanationTxt>
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        <ExplanationTxt>The difference between Part I, Line A, Column (e) and Part II, Line 3 is due to investment earnings of $39,864,738.</ExplanationTxt>
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        <ExplanationTxt>At the end of the tax year all outstanding tax exempt bonds were transferred to Baylor Scott &amp; White Health (EIN: 46-3131350), a 501C(3) affiliate.</ExplanationTxt>
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          <AssetsDistriOrExpnssPaidDesc>All assets including Cash, Program Investments &amp; Other Investments</AssetsDistriOrExpnssPaidDesc>
          <DistributionDt>2024-12-31</DistributionDt>
          <FairMarketValueOfAssetAmt>9234734534</FairMarketValueOfAssetAmt>
          <MethodOfFMVDeterminationTxt>Book Value</MethodOfFMVDeterminationTxt>
          <EIN>463131350</EIN>
          <BusinessName>
            <BusinessNameLine1Txt>Baylor Scott &amp; White Health</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>301 N Washington Avenue</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75246</ZIPCd>
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          <IRCSectionTxt>501(c)(3)</IRCSectionTxt>
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      <DirectorOfSuccessorInd>1</DirectorOfSuccessorInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2e:</FormAndLineReferenceDesc>
        <ExplanationTxt>Explanation of Involvement: All of the members of the Board of Directors of Baylor Scott &amp; White Holdings became members of the Board of Directors of Baylor Scott &amp; White Health, the transferee organization.All of the employees of Baylor Scott &amp; White Holdings (other than the 2 former key employees listed in Part VII) became employees of Baylor Scott &amp; White Health, the transferee organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6c:</FormAndLineReferenceDesc>
        <ExplanationTxt>As of December 31, 2024, all outstanding tax exempt bonds were transferred to Baylor Scott &amp; White Health (EIN: 46-3131350), a 501C(3) affiliate.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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, the BSW Holdings Board of Trustees Governance Committee (with respect to Baylor Scott &amp; White Holdings Trustees), and/or the Baylor Scott &amp; White Health Corporate Compliance Committee as the case may be will review all material disclosures submitted by these individuals to determine whether a conflicts 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Process for determining compensation: The organization 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 &amp; 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 &amp; White Holdings Board of Trustees and the Compensation Committee 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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Process for making governing documents, conflict of interest policy, &amp; 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 and are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Hours Devoted to Related Organizations:</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year, employees may transfer to or from a related organization. In those cases, the hours per week reflected at both the reporting organization and related organizations reflect the average hours they devoted to each respective organization before and after the transfer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional Fees: Program service expenses 670,078. Management and general expenses 0. Fundraising expenses 0. Total expenses 670,078. Other Purchased Services: Program service expenses 39,850,632. Management and general expenses 784,929. Fundraising expenses 0. Total expenses 40,635,561.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Self Insurance Liability Reserve -88,522. Transfer of Net Assets to Baylor Scott &amp; White Health -203,189,553. Distribution from Tax Exempt Affiliate 185,425,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information, Section 6038 Statement:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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</ExplanationTxt>
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          <CityNm>Dallas</CityNm>
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          <ZIPCd>75246</ZIPCd>
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        <DirectControllingEntityName>
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          <BusinessNameLine1Txt>Baylor Medical Center at Irving</BusinessNameLine1Txt>
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          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75246</ZIPCd>
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        <PrimaryActivitiesTxt>Long Term Acute Care Hospital</PrimaryActivitiesTxt>
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          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75246</ZIPCd>
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          <BusinessNameLine1Txt>Scott &amp; White Memorial Hospital</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Baylor Scott &amp; White Holdings</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>Dallas</CityNm>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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          <CityNm>Dallas</CityNm>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <EIN>752854711</EIN>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <EIN>731697736</EIN>
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          <BusinessNameLine1Txt>Surgery Center of Richardson Phys Pship LP</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>Texas Health Ventures Group LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>14201 Dallas Parkway</AddressLine1Txt>
          <CityNm>Dallas</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75254</ZIPCd>
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          <BusinessNameLine1Txt>Texas Heart Hospital of the Southwest LLP</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 N Washington Avenue</AddressLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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          <BusinessNameLine1Txt>THVG Bariatric LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>14201 Dallas Parkway</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Trophy Club Medical Center LP</BusinessNameLine1Txt>
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          <CityNm>Plano</CityNm>
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          <BusinessNameLine1Txt>Scott &amp; White Hospital - College Station</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Baylor Scott &amp; White Medical Centers - Capitol Area</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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</Return>