2017-05-15T15:32:56-05:00 2016-06-30 990 2015-07-01 751947007 All Saints Health Foundation ALLS 8179227707 2001 Bryan Street No 2200 Dallas TX 752013005 Janice Whitmire Interim President 8179227707 2017-05-15 2015 2021-01-29 14:40:06Z Janice Whitmire 1400 Eighth Avenue Fort Worth TX 76104 18875654 0 X http://givetoallsaints.baylorhealth.com/ X 1983 TX Philanthropic support services to help Baylor All Saints Medical Center achieve its mission of providing exemplary patient care to the residents of Tarrant County and the surrounding communities 22 20 9 20 0 0 10440036 8474091 0 0 2767361 1479155 -96538 -75731 13110859 9877515 2156175 4854952 0 0 1030135 1043054 0 0 661972 632823 310118 3819133 6208124 9291726 3669391 63743749 63192154 459705 100351 63284044 63091803 X All Saints Health Foundation exists to support Baylor Scott & White All Saints Medical Center-Fort Worth in serving all people through exemplary health care and education. 0 0 5310431 4854952 See Schedule OAll Saints Health Foundation (ASHF) provides philanthropic support to Baylor All Saints Medical Center dba Baylor Scott & White All Saints Medical Center-Fort Worth(BASMC), the organization's sole member. BASMC is a faith-based, nonprofit acute care hospital providing quality patient care to the residents of Tarrant County and surrounding communities for more than 100 years.ASHF raises funds on behalf and for the benefit of BASMC through grants, annual fund appeals, special project developments, capital campaigns and planned giving programs. Every dollar remains in the community to support and promote the health of the community through medical programs, medical education and other community services. Significant programs and services supported through these grants during the year are described below. Palliative Care and Social Work - BASMC palliative care consultation services offer compassionate care to help patients facing life-threatening and advanced illnesses. They go beyond medical treatments to help patients and their family members cope with these illnesses. The Palliative Care team includes physicians, nurses, chaplains, occupational therapists, social workers, pharmacists, nutritionists, speech therapists, nurse practitioners and a child life specialist. These dedicated team members are trained to help you with the issues you may face in dealing with a critical illness.Transplant - The Baylor Annette C. and Harold C. Simmons Transplant Institute at BASMC is an internationally renowned destination for transplant care. The transplant program started in 2002 and performs kidney, liver and pancreas transplants. The achievement of reaching 1,000 kidney transplants in 2014 was truly a significant accomplishment for BASMC. The world-renowned physicians on their medical staff and highly trained staff have made transplant services a shining star. BASMC transplant services reach well beyond Fort Worth since the kidney transplant team now travels weekly to a kidney transplant clinic in Lubbock, and soon the team will add Amarillo. Setting up these clinics is part of BASMC's patient-centered care. BASMC wants to provide services such as pre-transplant evaluation or transplant follow up for post-transplant patients in a convenient setting for their patients. Gastrointestinal and Endoscopy - BASMC is committed to providing quality digestive care in a compassionate environment. They talk with you and listen to your symptoms and concerns to develop a treatment plan that meets your health needs. From heartburn to complex digestive and liver disorders, BASMC diagnoses and treats a broad range of digestive conditions and offers a full array of diagnostic and therapeutic endoscopy services for patients. BASMC's qualified, experienced team of physicians on the medical staff, nurses and technicians uses advanced equipment and procedures to diagnose and treat gastrointestinal diseases. Head and Neck Cancer Program - According to the National Cancer Institute, more than 40,000 Americans are diagnosed with head and neck cancer each year. The Comprehensive Head and Neck Cancer Program at BASMC combines medical expertise and advanced solutions for treating patients with all stages of head and neck cancers. The primary focus of the program is the development and implementation of strategies to detect and treat cancers of the head and neck. Distinguished in their field, the head and neck surgeons on the medical staff participate in clinical research, teaching, and national presentations and publications on head and neck cancer treatment and reconstruction.Cardiovascular Intensive Care Unit - Heart disease affects 82 million Americans. For more than a half a century, BASMC has delivered advanced heart and vascular care right here in North Texas. The team also has pioneered many breakthrough techniques to revolutionize cardiac care from treatment for heart attacks, major heart surgery, and injuries involving the cardiovascular system.Imaging - Imaging procedures are one of the most useful tools for diagnosing a range of illnesses and conditions. BASMC offers patients many advanced medical imaging procedures. All imaging procedure results are read and returned by a highly experienced team of board-certified radiologists on the medical staff within 24 hours and many times within the same day.Cancer Care - Every year, more than one million people are diagnosed with cancer. If you're faced with a cancer diagnosis, BASMC's comprehensive cancer care services and team of oncologists on the medical staff can give you the tools you need to fight back. They offer technologically advanced inpatient and outpatient cancer services for removing tumors and treating cancer symptoms in a caring, supportive atmosphere. BASMC has received the Commission on Cancer accreditation from the American College of Surgeons. The program sets quality of care standards for cancer programs and reviews programs to ensure they conform to their high standard. Emergency Care Center - The current BASMC Emergency Care Center currently handles 45,000 patient visits per year, an average of 135 patients per day. Last updated in 1994, the facility was designed to care for 20,000 patients annually. The BASMC Emergency Care Center is the symbolic 'front door' to BASMC. To address the existing limitations the current Emergency Care Center, in April 2016, BASMC began building a new Emergency Care Center to effectively and efficiently manage the current volume and anticipated growth of patient needs. The additional space will allow an increase in the number of beds and relocate necessary equipment. Additionally, improved equipment and resources for monitoring and caring for the patients will be incorporated. This project will substantially improve patient care while allowing BASMC the ability to serve more patients in a cost-effective manner through an improved workflow. The new Emergency Care Center will allow doctors and nurses to assess patients and determine the best plan for each individual more efficiently. The ability to care for more patients comfortably within the Emergency Care Center while they are being processed for admission to BASMC will have a positive impact on both patient care and patient satisfaction.Fort Worth Adolescent and Young Adult Oncology Coalition Unit (The Coalition Unit) - Cancer is the number one disease-related cause of death in adolescents and young adults. The Coalition Unit brings together teen and young adult cancer patients, survivors, health professionals, nine medical treatment organizations, two cancer services organizations, and the community in a unified effort to support young people before, during, and after cancer. The Coalition Unit's first major project was to create a hospital unit dedicated to serving AYA cancer patients. The Coalition Unit is the first of its kind in the United States. Having opened in May 2016, this unit provides our community a dedicated, age-relevant treatment environment for patients diagnosed with cancer between the ages of 18 years to 29 years old. It features uniquely designed rooms to meet the needs of patients and their loved ones. All staff in the unit are specially trained in adolescent and young adult oncology. In addition to clinical staff, a navigator and social worker are on hand to assist with psychosocial and financial needs. Together, we are dramatically improving care for adolescents and young adults battling cancer in our community. Joan Katz Breast Center - The Joan Katz Breast Center provides hope for all who hear the words, "You have cancer." All of the non-medical services offered by the Joan Katz Breast Center are free to breast and gynecologic cancer patients and their families regardless of where they receive their direct medical care. Services offered at the breast center include: patient navigation from diagnosis through wellness; education regarding disease process, pathology, cancer treatment options, nutrition and wellness; one-on-one chemotherapy teaching; connection to community resources and support; coordination of medical appointments; genetic counseling and testing; breast cancer support group; access to Survivor Gals Salon offering specialty products for women facing chemotherapy - related appearance issues; and free yoga and fitness classes. The BASMC Paul and Judy Andrews Women's Hospital - The Andrews Women's Hospital is designed specifically to meet the health care needs of women of all ages. Services at the facility include breast imaging and screenings, genetic counseling, gynecology and oncology, osteoporosis screenings and treatment, pelvic medicine and women's wellness and rehabilitation. In 2009, a generous gift was received and designated to ensure the unique culture and highest standards of quality are maintained at the Andrews Women's Hospital. 5310431 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 37 1 1 9 1 0 0 0 0 0 1 1 0 0 0 0 X 22 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Amy Martin 2148202677 3600 Gaston Ave Suite 100 Dallas TX 75246 Cynthia M Adams Vice Chairman 1.00 0.00 X 0 0 0 Judith Andrews Director 1.00 0.00 X 0 0 0 Tracy Bolt Director 1.00 0.00 X 0 0 0 Mary Alice Brumley Director 1.00 0.00 X 0 0 0 Raymond G Dickerson Director 1.00 0.00 X 0 0 0 David H Diesslin Director 1.00 0.00 X 0 0 0 Porter Farrell Director 1.00 0.00 X 0 0 0 Joan Friedman Secretary 1.00 0.00 X X 0 0 0 Scot C Hollman Director 1.00 0.00 X 0 0 0 Raymond Kelly III Director 1.00 0.00 X 0 0 0 Marty Leonard Director 1.00 0.00 X 0 0 0 Mary Lowe Director 1.00 0.00 X 0 0 0 Jeanie H Luskey Director 1.00 0.00 X 0 0 0 Bobby Mays Director 1.00 0.00 X 0 0 0 H Gray Mills Director 1.00 0.00 X 0 0 0 Steven Newton Director 1.00 40.00 X 0 993771 207509 Rob Opitz Director 1.00 0.00 X 0 0 0 Cynthia G Reaves Director 1.00 0.00 X 0 0 0 Everett A Roberts Director 1.00 0.00 X 0 0 0 G Whitney Smith Chairman 1.00 0.00 X X 0 0 0 Mary Katherine Tetirick Director 1.00 0.00 X 0 0 0 Robert Watson MD Director 1.00 21.00 X 0 199985 23707 Amy Martin VP Foundation CFO 1.00 40.00 X 0 277528 24416 Michael McMahon President 40.00 0.00 X 217729 0 31017 Catherine Sheffield Foundation Director 40.00 0.00 X 167951 0 17298 385680 1471284 303947 2 0 1 0 0 236989 2110684 6126418 112942 8474091 980881 980881 9310814 8812540 498274 498274 498274 31168 236989 135039 -103871 -103871 78700 50560 28140 28140 9877515 0 0 1403424 4854952 4854952 254931 63733 76479 114719 635517 236709 84465 314343 27198 10130 3615 13453 67294 25065 8944 33285 58114 19976 10002 28136 2208 2208 157173 54026 27051 76096 3428 1178 590 1660 50720 17435 8729 24556 9620 3306 1656 4658 3119 1072 537 1510 1380 474 238 668 Special Functions 28594 9829 4921 13844 Dues & Memberships 18301 6290 3150 8861 Donor Recognition 12565 12565 Non-Medical Supplies 10858 3732 1869 5257 12152 2524 1267 8361 6208124 5310431 235721 661972 38670817 33506023 3189851 4813632 413573 47367 47367 1380 0 21881701 24458926 63743749 63192154 421909 64470 37796 35881 459705 100351 X 4729496 5371899 30633465 25531158 27921083 32188746 63284044 63091803 63743749 63192154 X 3669391 -3171238 -690394 X 0 1 X 1 0 X 3031777 2396679 6837139 10440036 8474091 31179722 3031777 2396679 6837139 10440036 8474091 31179722 5626697 25553025 634367 705709 811319 856185 980881 3988461 35168183 871676 0.72660 0.61300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37526470 4283881 -2955066 12077 38843208 34963542 1843549 719379 37526470 28525887 2379301 5527872 1469518 34963542 26055178 885294 4188326 2602911 28525887 25461116 1775405 -1140750 40593 26055178 0.05650 0.94350 0.00000 0 0 9574 9574 0 37793 37793 0 0 Mutual Funds 24383801 F Other 75125 F 24458926 Trusts and Annuities 35881 35881 X Part V, Line 4: Endowment In 1982, All Saints Health Foundation was formed with a generous gift from the Ella C. McFadden Charitable Trust to help Baylor Scott & White All Saints Medical Center-Fort Worth (formerly All Saints Health System) continue to provide quality healthcare services to the community. The McFadden Endowment, along with other endowed gifts, support capital projects, staff and patient education, program salaries, and other initiatives that further the vision and mission of Baylor Scott & White All Saints Medical Center-Fort Worth. 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, 2016 and 2015, the System had no material gross unrecognized tax benefits. Beyond the Bag 268157 236989 31168 369 13757 14146 7535 99232 268157 236989 31168 369 13757 14146 7535 99232 135039 -103871 78700 50560 0 78700 50560 50560 28140 TX 0 No licensing requirement in TX. 0 0 0 1.00000 All Saints Health Foundation 1400 8th Avenue Fort Worth TX 76104 0 0 1 Baylor All Saints Medical Center 1400 Eighth Avenue Fort Worth TX 76104 751008430 501(c)(3) 4854952 Patient care, education 1 0 Part I, Line 2: Monitoring Grants & Other Assistance: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of 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. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Steven Newton Director 0 513727 0 465321 0 14723 0 178267 0 29242 0 1201280 0 86911 Robert Watson MD Director 0 199205 0 0 0 780 0 4598 0 19109 0 223692 0 0 Amy Martin VP Foundation CFO 0 205788 0 71240 0 500 0 24021 0 395 0 301944 0 0 Michael McMahon President 167824 0 48579 0 1326 0 8805 0 22212 0 248746 0 0 0 Catherine Sheffield Foundation Director 136175 0 30996 0 780 0 6997 0 10301 0 185249 0 0 0 Part I, Line 1a Health or social club dues or initiation fees-The organization may reimburse eligible employees for dues for a health club and/or a social club where there is a bona fide business need for the membership. For example, as part of the organization's promotion of health, the organization will cover a portion of any employees' fitness center club membership dues paid to an affiliated entity that owns and operates a fitness center. All employees are eligible for this benefit. Such reimbursements are treated as taxable compensation to the extent any part of the membership is used for personal use. One person 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 and Governance Committee (C&G Committee) to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The BSW Holdings' Board of Trustees and C&G Committee, on behalf of the organization, 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 system's top management officials and key employees. The C&G 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 C&G Committee approves and recommends to the BSW Holdings' Board of Trustees salary increases, 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 C&G 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 C&G Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the C&G Committee minutes which are timely reviewed and approved by the C&G Committee. Part I, Line 4b 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: Amy Martin and Steve Newton. Also, certain senior officers, as designated by BSW Holdings' governing body, are eligible to participate in a Long Term Incentive Plan that is designated to recognize 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 participants 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. The following individual participated in and/or received payments (noted in parenthesis) from this plan during the tax year: Steven Newton ($187,989). 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. 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 and/or a wellness physical. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable. X 1 50560 Fair Market Value X 1 2623 Fair Market Value X Auction Items 56 58340 Fair Market Value X Non-cash prz 9 1419 Fair Market Value 0 0 1 0 Part I, Column (b): The organization is reporting based on the number of contributions, not the number of items contributed. Form 990, Part VI, Section A, line 6 Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor All Saints Medical Center (BASMC), 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: 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 7b Governing body decisions subject to approval: All rights and powers were reserved to the organization's ultimate parent, BSW Holdings, except only those rights and powers expressly set forth in the bylaws, required by state or federal law, or to meet the requirements and standards promulgated by joint commission. For example, BSW Holdings' substantial reserved rights and powers include, without limitation, approval of the organization's articles of incorporation and bylaws and amendments thereto, appointment and removal of members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions over the organization. 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 B, line 11 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 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 and Governance Committee (C&G Committee) to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The BSW Holdings' Board of Trustees and C&G Committee, on behalf of the organization, 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 system's top management officials and key employees. The C&G 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 C&G Committee approves and recommends to the BSW Holdings' Board of Trustees salary increases, 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 C&G 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 C&G Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the C&G Committee minutes which are timely reviewed and approved by the C&G Committee. Form 990, Part VI, Section C, line 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of 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: Change in Value Split Interest Agreements -3,184. Uncollectible Pledges -687,210. 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: 2001 Bryan Street Suite 2200 Dallas, TX 75201 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 Baylor All Saints Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751008430 Acute Care 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 11b, 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 Hospital 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 Acute Care 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 Acute Care 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 Acute Care 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 Acute Care 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 Acute Care 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 Acute Care 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 11b, 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 11b, II N/A 0 Baylor Specialty Health Centers 2001 Bryan Street Suite 2200 Dallas TX 75201 751765385 Long Term Acute Care Hospitals TX 501(c)(3) Line 3 Baylor Health Care System 1 Baylor University Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751837454 Acute Care 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 Acute Care 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 11a, I Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 100 Hillcrest Medical Blvd Waco TX 76712 742967081 Physician Services TX 501(c)(3) Line 11a, I Hillcrest Baptist Medical Center 1 Irving Healthcare Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751570933 Fundraising TX 501(c)(3) Line 3 Baylor Medical Center at Irving 1 Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 Physician Services TX 501(c)(3) Line 9 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 9 Scott & White Memorial Hospital 1 Scott & White Foundation-Brenham 2401 S 31st Street Temple TX 76508 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Scott & White Health Plan 2401 S 31st Street Temple TX 76508 742052197 HMO/Insurance TX 501(c)(4) Baylor Scott & White Holdings 1 Scott & White Healthcare 2401 S 31st Street Temple TX 76508 264532547 Management Services TX 501(c)(3) Line 11b, II Baylor Scott & White Holdings 1 Scott & White Healthcare Foundation 2401 S 31st Street Temple TX 76508 273513154 Fundraising TX 501(c)(3) Line 7 Scott & White Healthcare 1 Scott & White Hospital-Brenham 2401 S 31st Street Temple TX 76508 742519752 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 2401 S 31st Street Temple TX 76508 274434451 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Llano 2401 S 31st Street Temple TX 76508 273026151 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Marble Falls 2401 S 31st Street Temple TX 76508 464007700 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 2401 S 31st Street Temple TX 76508 203749695 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Taylor 2401 S 31st Street Temple TX 76508 741595711 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Medical Plan Trust 2401 S 31st Street Temple TX 76508 742866102 VEBA TX 501(c)(9) Scott & White Healthcare 1 Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 741166904 Acute Care Hospital TX 501(c)(3) Line 3 Scott & White Healthcare 1 Southern Sector Health Initiative 2001 Bryan Street Suite 2200 Dallas TX 75201 263087442 Diabetes Health & Wellness Center TX 501(c)(3) Line 11a, I Baylor University Medical Center 1 Baylor Scott & White Medical Centers-Capitol Area 2401 S 31st Street Temple TX 76508 813040663 Acute Care Hospital TX Exemption Pending Baylor Scott & White Health 1 Century Integrated Partners Inc 2001 Bryan Street Ste 2200 Dallas TX 75201 810872075 Physician Services/Emergency Care TX Exemption Pending Baylor University Medical Center 1 Arlington Ortho & Spine Hospital LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 261578178 Short Stay Hospital TX N/A Arlington Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752748040 Ambulatory Surgery Center TX N/A Baylor Affiliated Services LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 260614730 Benefit Plans TX N/A Baylor Heart and Vascular Center LLP 2001 Bryan Street Suite 2200 Dallas TX 75201 752834135 Specialty Hospital TX N/A Baylor Surgicare at Ennis LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274202856 Ambulatory Surgery Center TX N/A Baylor Surgicare at Granbury LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 263896477 Ambulatory Surgery Center TX N/A Baylor Surgicare at Mansfield LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 271835675 Ambulatory Surgery Center TX N/A Baylor Surgicare at Plano Parkway LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274282604 Ambulatory Surgery Center TX N/A Baylor Surgicare at Plano LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 260308454 Ambulatory Surgery Center TX N/A Bellaire Outpatient Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 562297308 Ambulatory Surgery Center TX N/A BIR JV LLP 4714 Gettysburg Rd Mechanicsburg PA 17055 274586141 Rehabilitation Hospitals TX N/A BTDI JV LLP 5214 Maryland Way Suite 200 Brentwood TN 37207 462908086 Imaging Centers TX N/A Dallas Surgical Partners LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 722183815 Ambulatory Surgery Center TX N/A Denton Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 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Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752854711 Ambulatory Surgery Center TX N/A HealthTexas Provider Network-Gastro Serv LLP 2001 Bryan St Ste 2200 Dallas TX 75201 731697736 Physician Services TX N/A Irving Coppell Surgical Hospital LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 542086863 Short Stay Hospital TX N/A Lewisville Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752862263 Ambulatory Surgery Center TX N/A Lone Star Endoscopy Center LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273635726 Ambulatory Surgery Center TX N/A MEDCO Construction LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 205965871 Construction TX N/A Metrocrest Surgery Center LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 030380493 Ambulatory Surgery Center TX N/A Metroplex Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752567179 Ambulatory Surgery Center TX N/A MSH Partners LLP 15305 Dallas Parkway Suite 1600 Addison TX 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75001 201942281 Ambulatory Surgery Center TX N/A Surgery Center of Richardson Phys Pship LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 200606781 Ambulatory Surgery Center TX N/A Texas Endoscopy Center LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 470985876 Ambulatory Surgery Center TX N/A Texas Health Venture Group LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 752696845 Holds interests in ASCs/ Short Stay Hospitals TX N/A Texas Heart Hospital of the Southwest LLP 2001 Bryan Street Suite 2200 Dallas TX 75201 412101361 Specialty Hospital TX N/A THVG Bariatric LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 383894636 Holds interests in Ambulatory Surgery Centers TX N/A Trophy Club Medical Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 481260190 Short Stay Hospital TX N/A Tuscan Surgery Center at Las Colinas LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273578014 Ambulatory Surgery Center TX N/A University Surgical Partners of Dallas LLP 15305 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Enterprises LP 2001 Bryan Street Suite 2200 Dallas TX 75201 751997378 Fitness Center/Pharmacy/ Hotel TX N/A C 1 Baylor Health Network Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 752463251 Billing/Collection TX N/A C 1 Baylor Med Ctr at Grapevine Condo Owners Association Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 752747555 Condo Association TX N/A C 1 Baylor Quality Health Care Alliance LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 454015863 ACO TX N/A C 1 Baylor Scott & White Assurance 23 Lime Tree Bay Grand Cayman CJ 980589956 Investment CJ N/A C 1 BMP Incorporated 2001 Bryan Street Suite 2200 Dallas TX 75201 751436779 Post Office TX N/A C 1 BUMCRoberts Condominium Owners Association Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 752897806 Condo Association TX N/A C 1 Charitable Lead Trusts (2) Investment TX N/A T 1 Charitable Remainder Trusts (64) Investment TX N/A T 1 Hillcrest Health Holdings Inc 3000 Herring St Waco TX 76708 742793367 Management Services TX N/A C 1 Insurance Company of Scott & White 2401 S 31st Street Temple TX 76508 743092083 Insurance TX N/A C 1 Scott & White Properties Holdings Inc 2401 S 31st Street Temple TX 76508 452920596 Investment TX N/A C 1 Scott & White Properties Inc 2401 S 31st Street Temple TX 76508 742497061 Hotel Services TX N/A C 1 Lake Pointe GP LLC 1445 Ross Ave Suite 1400 Dallas TX 75202 752687870 Holding Company TX N/A C 1 Lake Pointe Investments LLC 1445 Ross Ave Suite 1400 Dallas TX 75202 752687874 Holding Company TX N/A C 1 TRMC Holdings LLC 1445 Ross Ave Suite 1400 Dallas TX 75202 465634785 Holding Company TX N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Baylor All Saints Medical Center B 4854952 GAAP Baylor All Saints Medical Center C 2105684 GAAP