2016-11-15T11:00:07-06:00 2015-12-31 ERNST & YOUNG US LLP 401 CONGRESS AVE STE 1800 AUSTIN TX 78701 990 2015-01-01 750800669 High Plains Baptist Health Foundation % STEPHEN DALRYMPLE HIGH 8063375292 701 Park Place Ave AMARILLO TX 79101 STEVE DALRYMPLE President/CEO 8063375391 2016-11-15 true Raymond Lee P00004272 5124789881 2015 2017-02-10 21:41:12Z X Steve Dalrymple 701 Park Place Ave AMARILLO TX 79101 172020009 false X WWW.BSAHS.ORG X 1996 TX PROVIDE QUALITY HEALTHCARE IN CHRISTIAN LOVE, SERVICE, AND DIGNITY. X 5 3 0 0 83452 0 0 16744952 9311895 750009 -1207248 0 0 17494961 8104647 1816578 181402257 0 0 0 0 0 0 0 182764 557763 1999342 181960020 15495619 -173855373 133561204 0 0 0 133561204 0 X THE ORGANIZATION IS ONE OF THE TWO OWNERS OF BSA HEALTH SYSTEM OF AMARILLO, LLC, A TEXAS LIMITED LIABILITY COMPANY, THAT OPERATES BSA HOSPITAL IN AMARILLO, TX. BSA HOSPITAL IS CONTRACTUALLY REQUIRED TO BE OPERATED IN ACCORDANCE WITH THE REQUIREMENTS WITH SECS. 501(C)(3) AND 501(R) OF THE CODE AND REV. RUL. 69-545. THE ORGANIZATION HAS CONTRACTUAL AUTHORITY TO REQUIRE COMPLIANCE WITH THESE REQUIREMENTS ON AN ON-GOING BASIS. false true 557763 0 9228443 THE ORGANIZATION CONTROLS HOSPITALS AND OTHER MEDICAL FACILITIES THAT SERVICE THE HEALTH NEEDS OF THE AMARILLO, TEXAS COMMUNITY THROUGH ITS MEMBER INTEREST IN BSA HEALTH SYSTEM OF AMARILLO, LLC. THESE FACILITIES PROVIDE INPATIENT AND OUTPATIENT SERVICES WHICH COVER SERVICES INCLUDING, BUT NOT LIMITED TO, SURGICAL SERVICES, REHAB, PHYSICAL THERAPY, AND HOSPICE. IN ADDITION, AN EMERGENCY ROOM IS OPERATED 24 HOURS A DAY, 7 DAYS A WEEK. 181402257 181402257 0 THE ORGANIZATION MADE GRANTS IN 2015 RELATED TO THE DELIVERY OF HEALTH CARE SERVICES TO UNDERSERVED POPULATIONS IN AMARILLO. 181960020 true false false true false false false false false false false false false false false false false true false false false false false false false false true true true false true false false false false false false false false false false true true false true true true false false true 0 0 0 true true false false false false false false false false false X 5 3 false false false false true true true true true false false true true true true true true true true true true X STEPHEN DALRYMPLE 8063375391 701 PARK PLACE AVE AMARILLO TX 79101 STEPHEN DALRYMPLE PRESIDENT/CEO/GENERAL COUNSEL 1.0 40.0 X X 0 517009 47616 ANDY HICKS DIRECTOR 0.25 0.5 X 0 0 0 HENRY HAMILTON DIRECTOR 0.25 0.5 X 0 0 0 DR CHARLES JONES DIRECTOR 0.25 0.5 X 0 0 0 CRAIG SANDERS DIRECTOR 0.5 0.0 X 0 12950 0 MARK HOTMANN SR VICE PRESIDENT/TREASURER 0.5 40.0 X 0 226169 34508 NITA CAGE SECRETARY 0.5 40.0 X 0 52815 4569 0 808943 86693 0 false true false VMG HEALTH PO BOX 674046 DALLAS TX 75267 VALUATION CONSULTING 236767 NORTON ROSE FULBRIGHT US LLP PO BOX 844284 DALLAS TX 75284 LEGAL 160569 AMARILLO NATIONAL BANK PO BOX 1 AMARILLO TX 79105 INVESTMENT MGMT 127991 3 0 K1 INCOME - BSA HEALTH SYSTEM AMARILLO 900099 9311895 9228443 83452 9311895 2503378 2503378 0 0 0 0 0 160204736 163915362 -3710626 -3710626 -3710626 0 0 0 0 8104647 9228443 83452 -1207248 181402257 181402257 0 0 0 0 0 0 0 0 0 0 162430 162430 27229 27229 0 0 127991 127991 238750 238750 0 0 0 0 0 1363 1363 0 0 0 0 0 0 181960020 181960020 0 0 530126 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14808546 0 1577759 0 109871607 0 0 0 6773166 0 133561204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 133561204 0 0 0 0 0 133561204 0 133561204 0 X -173855373 40294169 X false true X true false X X 1 BAPTIST COMMUNITY SERVICES 752206268 9 true 228811 0 1 228811 0 true false false false false true false false false false false false false false false true false Schedule A, Part IV, Line 6 High Plains Christian Ministries Foundation received a grant in amount of $181,167,446 during 2015 for the purpose of future grantmaking. false false false false false false false false true 7198 7198 false SCHEDULE I, PART II-B, LINE 1I HIGH PLAINS BAPTIST HEALTH FOUNDATION INCURRED $7,198 OF LOBBYING EXPENSES VIA ITS MEMBER INTEREST IN BSA HEALTH SYSTEMS OF AMARILLO LLC. ALL AMOUNTS INCURRED WERE A PORTION OF DUES PAID TO VARIOUS MEMBERSHIP ORGANIZATIONS. true true X true X true X true true false false 1736399 937584 798715 0.01620 2370863 3772325 -1401462 0.00000 4107262 4709909 -602747 0.01620 19075 19075 0.00040 87500 43593 43907 0.00090 18215 18215 0.00040 124790 43593 81197 0.00170 4232052 4753502 -521550 0.01790 false 2222511 0 12873012 16774169 -3901157 X true true Phy Surg Hosp LLC ambulatory surgical hospital 0.6194 0.3806 AMAR SUR ENDOS LLP GI Surgery & Endoscopy Center 0.51 0.49 ADV IMG CTR AMARILLO DIAGNOSTIC IMAGING CENTER 0.51 0.49 PANHANDLE NUCLEAR RX WHOLESALE NUCLEAR PHARMACY 0.6667 0.3333 PANHANDLE PRIM CARE FAM PRACTICE PHY CLINIC 0.5 0.5 3 1 Baptist St Anthony's Hospital 1600 Wallace Boulevard Amarillo TX 79106 http://www.bsahs.org/ 008529 X X X A 2 Physician's Surg Hospital-Panhandle 7100 W 9th Avenue Amarillo TX 79106 http://www.physurg.com/ 008529 X X X A 3 Physician's Surg Hospital-Quail Creek 6819 Plum Creek Drive Amarillo TX 79124 http://www.physurg.com/ 008529 X X X A A 1 false false true X X X X X X X X X 14 true true true true X http://www.bsahs.org/about X true 15 false true false true X 200. 400. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X true X false X true X false false Part V, Line 5 HPBHF, BCS, AND BSA RETAINED ASCENT HEALTH CONSULTING TO ASSIST IN COMPILING A COMMUNITY HEALTH NEEDS ASSESSMENT IN ACCORDANCE WITH SECTION 501(R) OF THE CODE. A RANDOM-DIGIT DIAL TELEPHONIC SURVEY WAS PERFORMED USING NATIONAL AND LOCAL QUESTIONS FOR COMPARISON. A KEY INFORMANT SURVEY WAS PERFORMED WITH COMMUNITY LEADERS FOR INPUT. FINALLY, FOCUS GROUPS WERE UTILIZED FOR INPUT. A 2014 CHNA REPORT WAS DEVELOPED WHICH MADE FOUR RECOMMENDATIONS FOR IMPLEMENTATION. PART V, LINE 6A THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH BSA Hospital, Panhandle Surgical Hospital, and Quail Creek Surgical Hospital. PART V, LINE 6B THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH BAPTIST COMMUNITY SERVICES AND HIGH PLAINS BAPTIST HEALTH FOUNDATION. PART V, LINE 11 CHNA SIGNIFICANT NEEDS IDENTIFIED THE 2014 CHNA IDENTIFIED FOUR SIGNIFICANT NEEDS, ALL OF WHICH ARE BEING ADDRESSED IN THE IMPLEMENTATION PLAN adopted in 2015 CHNA Recommendation #1 - Design and Implement an "Access to Care" Navigation Services Project For Amarillo HPBHF, BSA, and Baptist Community Services ("BCS") will coordinate the services of the current BCS nurse navigator program with the BSA case management department in order to better coordinate the care and outcomes of BCS residents and other BSA patients from hospitalization through post hospitalization transitional services after discharge from BSA. CHNA Recommendation #2 - Create and Finance the Campaign for a Healthy Amarillo focusing on Exercise and Healthy Eating HPBHF will work with its sister organization, ATC Health Promotion Foundation, to develop a plan with other stakeholders in Amarillo for development of a "Healthy Amarillo" education and activity program aimed at healthy lifestyles for the citizens of Amarillo. CHNA Recommendation #3 - Expand and Enhance Senior Services Projects to Focus on Exercise, Nutrition, Social Interaction and Memory Care HPBHF will assist BCS in the development and construction of a state-of-the-art assisted living memory care facility in Amarillo to help in meeting current unmet needs in Amarillo. Further, HPBHF will coordinate with and assist the Texas Tech Medical School to expand the current geriatric residency program in Amarillo. CHNA Recommendation #4 - Create a Non-Profit Organization to Solely Address Amarillo Health Needs HPBHF and its sister organization, High Plains Christian Ministries Foundation, will develop a coordinated grant program to identify and financially assist appropriate health care programs and projects to better meet the health care needs of the citizens of Amarillo discussed in the CHNA. PART V, LINE 15E METHOD TO APPLY FOR FINANCIAL ASSISTANCE The financial assistance and charity care policy is available upon request; however, patients are notified of the policy as follows: Patients who have a high deductible or are uninsured are informed of the charity care policy at the time of pre-registration, and patients are then directed to a financial counselor if they wish to pursue financial assistance. If prior arrangements for financial assistance were not made prior to admission, patients are directed to a financial counselor for screening. Patients admitted through the emergency department who indicate an inability to pay or are uninsured are screened by financial counselors to determine eligibility for financial assistance. Patients are notified of the availability of financial assistance at the time of billing. SIGNS ARE PLACED STRATEGICALLY THROUGHOUT THE HOSPITAL FACILITY. PART V LINE 16A AND 16C THE FAP AND PLAIN LANGUAGE SUMMARY MAY BE FOUND AT www.bsahs.org/content/discount-policies PART V, LINE 22D In keeping with the mission and philosophy of the Baptist St. Anthonys Health System, BSA will apply a discount of 25% on all services provided to uninsured patients, who do not qualify for a 100% discount. In addition, BSA will provide charity care services, within the resources available, to financially or medically indigent patients. These services will be discounted up to 100% depending on patients need. For those uninsured or underinsured patients who do not qualify for charity, financial aid may be available. Financially indigent patients whose gross annual income is at or below 200% of the most recently published Federal Poverty Guidelines are eligible for a 100% discount. Patients whose gross annual income is between 200% and 400% of the Federal Poverty Guidelines are eligible for financial assistance with graduated discounts between 20% and 80%. All discounts are applied to gross charges. Medically indigent patients whose total medical bills for all sources exceed 25% of their gross annual income are eligible for financial assistance under the hospital's policy. Once it has been determined that the patient is medically indigent, BSA will adjust our current medical bills down to 25% of the patients income. If the patient still cannot pay, we will ask the patient to bring in proof of all current outstanding medical bills for review. If the total of those bills is still 25% of their yearly earnings, BSAs bills will be adjusted down so that all of the patients medical bills total 25% of their income. Once medical indigence has been determined and existing account balances have been adjusted accordingly future accounts will need to be considered independent of the original determination. 4 Harrington Cancer Center 1500 WALLACE BLVD AMARILLO TX 79106 OUTPATIENT CANCER CENTER Advanced Imaging Center 7010 W 9TH AVE AMARILLO TX 79106 Diagnostic Imaging Center ADC Endoscopy Specialists 1 CARE CIRCLE AMARILLO TX 79124 Ambulatory Surgical Center Amarillo Diagnostic Clinic 6700 W 9TH AVE AMARILLO TX 79106 Diagnostic Center Schedule H Supplemental Information PART I, LINE 3C Baptist St. Anthony's Hospital uses income-based criteria for determining eligibility for free or discounted care under its financial assistance policy. Financially indigent patients whose gross annual income is 200% of the Federal Poverty Income Guidelines or less are eligible for free care while those with gross annual income between 200% and 400% of the Federal Poverty Income Guidelines are eligible for discounted care under the organization's financial assistance policy. The Hospital also uses an assets test to determine eligibility for charity care. Assets are evaluated to determine if the guarantor has any liquid assets in excess of those critical to living or not being used to support the family's support system. Part I, Line 6a N/A Part I, Line 7 THE ORGANIZATION IS ONE OF THE TWO OWNERS OF BSA HEALTH SYSTEM OF AMARILLO, LLC, A TEXAS LIMITED LIABILITY COMPANY, THAT OPERATES BSA HOSPITAL IN AMARILLO, TX. BSA HOSPITAL IS CONTRACTUALLY REQUIRED TO BE OPERATED IN ACCORDANCE WITH THE REQUIREMENTS WITH SECS. 501(C)(3) AND 501(R) OF THE CODE AND REV. RUL. 69-545. THE ORGANIZATION HAS CONTRACTUAL AUTHORITY TO REQUIRE COMPLIANCE WITH THESE REQUIREMENTS ON AN ON-GOING BASIS. THE RESPONSES THROUGHOUT SCHEDULE H ARE WITH RESPECT TO THE OPERATIONS OF BSA HOSPITAL. ALL DOLLAR FIGURES HAVE BEEN ADJUSTED TO REFLECT HPBHF'S 20% MEMBER INTEREST IN THE BSA HOSPITAL. The Hospital used a cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges, to calculate the amounts reported in the table in Part I, line 7. Part II n/a Part III, Line 2 Costing Methodology for Bad Debts The organization has used 2015 audited financial statements and the cost-to-charge ratio methodology provided for in optional Worksheet A- Estimated Bad Debt Expense (at Cost). At the end of 2015, the organization estimated the amount of bad debt expense that could reasonably be attributable to patients who likely would qualify for financial assistance under the hospitals charity care policy. As a result, a reclassifying entry was made from bad debt expense to recognize this amount appropriately as charity. Consequently, a zero amount is being reported in Part III, Section A, Line 3. PART III, LINE 3 SEE RESPONSE FOR PART III LINE 2. Part III, Line 4 THE FOOTNOTE TO THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BAPTIST COMMUNITY SERVICES AND AFFILIATES IS NOT DIRECTLY APPLICABLE TO SCHEDULE H, AS THE HOSPITAL ACTIVITIES MAINTAINED VIA A 20% LLC INVESTMENT ARE ONLY INCLUDED IN SUMMARY FORM. Part III, LIne 8 The costing methodology is the structure built into the CMS 2552-96, transmittals 23-25. Costs are grouped from the general ledger and classified in the appropriate cost center as allowable or non-reimbursable. Then adjustments are made on w/s A8 for reductions to allowable costs due to income offsetting revenues or costs identified as non reimbursable per CMS regulations. Additionally, costs are reclassified on W/S A6 for proper matching of costs and revenues or nature of the expense incurred. Next, the overhead costs are allocated to the direct and non-reimbursable expenses based on appropriate CMS allocation techniques and statistical bases. The total cost related to the Medicare revenue is taken from the following areas. The accommodation or routine portion of costs is taken from CMS 2552-96 D-1 line 37 for the appropriate Title XVIII provider or sub-provider. Cost for I/P ancillary service are taken from D-4 line 102, column 3. Costs for O/P ancillary services are taken from DV line 102, column 9. Subsidized care services are claimed as a community benefit for the following reason. These services exclude Medicaid and charity services already reported separately. These services are regarded as a community benefits because they are vital to the community in the case of Neonatal, and Obstetrical services furnished at a negative margin by Baptist St Anthonys. Also other health services are provided to older patients with complications and complex health problems. These services are also necessary for public health and could not be fully provided by other resources available in the community if they were not providers by Baptist St Anthonys. Part III, Line 9b The following is an excerpt from the Bad Debt Policy. It refers collectors to the Charity Policy once it is identified that a patient may qualify. The charity policy/procedure is followed from there. When reviewing accounts as potential bad debt, the collection and reviewing personnel should always look for signs that the account might qualify for charity. Such signs may include prior charity, a large dollar amount owed to BSA, employment status, marital status, and any combination of these or other factors that may become evident while working the account. In cases where a patient cannot or will not provide sufficient information to fully document eligibility for Charity Care, a presumption of eligibility may be made based on statistical data and other reliable assumptions so long as those assumptions are properly documented. Presumptive Charity and/or Financial Aid will be applied after all normal collection activities have been exhausted and before accounts are sent to an external collection agency. This may include one or more of the following situations: - Collections and Payment Prediction and Charity Eligibility based on MedeAnalytics - Insurance coverage is no longer in effect. - Patient cannot be located through collection attempts, is unemployed and uninsured. - Patient is unresponsive to collection attempts, is unemployed, uninsured, no credit information available. - Patient resided in a shelter or indicates they are homeless with no income or assets to validate. - Patient is not able to provide income information. - Patient is deceased and there is no estate. - Patient residence is in an area of high poverty. Once a determination of eligibility for Charity Care under Financial or Medical Indigence is made, no further collection efforts shall be pursued for the amount applied toward Charity Care. All patients approved will either be classified as financially indigent, medically indigent, or qualified for financial discount. PART VI, LINE 2 NEEDS ASSESSMENT Baptist Community Services, High Plains Baptist Health Foundation, BSA Hospital, Panhandle Surgical Hospital and Quail Creek Surgical Hospital commissioned AscentHealth Consulting (AHC) to perform a CHNA using tried and true methods of collecting information, analyzing trends by comparing similar data from prior years and summarizing the data into a cogent, concise recommendation for moving forward with project planning. This CHNA is designed to provide focus for solutions that will impact community health trends over time. These solutions will require commitment and community consensus: hospitals, providers, government, nonprofit agencies and private industry must all collectively address these needs and work together to leverage existing and future resources. Financial and human capital must be invested to "move the needle" on health trends. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE BSA employs the services of Medical Advocacy Services for Healthcare, Inc. (MASH) to screen patients for assistance under federal and state programs, including Medicaid, SSI Medicaid and RSDI Medicare Disability, and Victims of Violent Crime Assistance. MASH screens all uninsured inpatients and outpatient and ER accounts over $500. Inpatients are contacted by personal visit while they are in the hospital. The MASH advocate works with the patient and/or family members to gather the required information and begin the application process. For outpatients and ER patients, MASH contacts them via telephone and/or locating letters with number of attempts varying based on the total charges on the account. In addition, BSA offers Charity Care and Financial Assistance. Patients are made aware of the assistance availability in multiple ways: - At the point of pre-registration for scheduled services when the patient indicates an inability to pay - At the point of registration for unscheduled services, - By Business Office staff post discharge - BSA employs 2 FTE who serve as Financial Counselors who work with patients in person, telephonically and by written correspondence. - BSAs patient statements indicate that Financial Assistance is available and provide a phone number to call if the patient is in need. - BSAs Financial Assistance Policy is published on the BSA website - All accounts with a patient balance that is not paid by the time the scheduled statements have been sent receive up to two automated phone calls. The automated message notifies patients at that time that financial assistance is available and gives the patient/guarantor the option of indicating that they would like for someone to contact them to discuss this option. PART VI, LINE 4 COMMUNITY INFORMATION The community served by Baptist Sain true Baptist Community Services 701 Park Pl 2nd Fl Amarillo TX 79101 752206268 501(c)(3) 228811 weekend student hunger program High Plains Christian Ministries Foundation 701 Park Pl 2nd Fl Amarillo TX 79101 752639228 501(c)(3) 181167446 future grantmaking 2 Form 990, Schedule I BSA offers academic and/or scholarship assistance to employees through the BSA Education Assistance Program. The program provides scholarship assistance for the achievement of higher education and is designed to encourage development through education for positions within the hospital system. This benefit is subject to the availability of funds each year. Participation in the scholarship program requires a minimum of 3 months employment in good standing and recommendation by his/her director. In addition, scholarship recipients will provide proof of enrollment at an accredited college or university, maintain a 2.75 cumulative GPA, and commit to work at BSA for a designated amount of time upon completion of the degree. Scholarships are available for degree plans, approved by the executive team, to fill necessary vacancies and are subject to change. The number of credit hours enrolled determines scholarship amount awarded. The funds may not completely cover all expenses. The recipient is responsible for paying his/her incurred expenses at the educational institution. Scholarship assistance may be subject to federal taxes and withholding based upon the operative internal revenue regulations in place at the time of payment. Any applicable taxes are the student's/employee's responsibility. false true false false false false false false false STEPHEN DALRYMPLE PRESIDENT/CEO/GENERAL COUNSEL 0 408684 0 87814 0 20511 0 23546 0 24070 0 564625 0 0 MARK HOTMANN SR VICE PRESIDENT/TREASURER 0 182482 0 32414 0 11273 0 15738 0 18770 0 260677 0 0 Supplemental Compensation Information SCHEDULE J, PART I, QUESTION 4B SEE PART II, COLUMN C, DEFERRED COMPENSATION PURSUANT TO INTERNAL REVENUE CODE SECTION 457 PLAN FOR THE BENEFIT OF STEPHEN DALRYMPLE AND MARK HOTMANN. No assets transferred false false false false true true true true false Cash and securities 2015-12-14 181167446 cost 752639228 High Plains Christian Ministries Fn 701 Park Place 2nd Fl Amarillo TX 79101 501(c)(3) false false false false FORM 990, PART III, QUESTION 3 THE ORGANIZATION SOLD ITS INVESTMENT IN BSA HEALTH SYSTEM OF AMARILLO, LLC DURING 2015 AND SUBSEQUENTLY DISTRIBUTED ALL OF ITS NET ASSETS TO A RELATED PARTY, HIGH PLAINS CHRISTIAN MINISTRIES FOUNDATION. THE ORGANIZATION NO LONGER CONDUCTS PROGRAM SERVICES, AND LEGALLY DISSOLVED ON DECEMBER 31, 2015. FORM 990, PART VI, QUESTIONS 6, 7A, & 7B BAPTIST COMMUNITY SERVICES IS THE SOLE CORPORATE MEMBER OF HIGH PLAINS BAPTIST HEALTH FOUNDATION ("HPBHF"). THE MEMBER APPOINTS THE DIRECTORS OF HPBHF AND THE MEMBER HAS CERTAIN AUTHORIZATION POWERS, WHICH INCLUDE THE FOLLOWING: (A) AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (B) ANY DEVIATION FROM OR AMENDMENT TO THE BROAD OBJECTIVES OF THE CORPORATION; (C) INCURRENCE OR ASSUMPTION OF ANY INDEBTEDNESS; (D) AUTHORIZING ANY PUBLIC FUND RAISING CAMPAIGN; (E) APPOINTMENT OF BOARD MEMBERS OF BSA HEALTH SYSTEM OF AMARILLO, LLC ("BSAHS"), BSA PHYSICIAN HOLDINGS, INC. ("BSAPH") OR ANY OF THEIR AFFILIATES (COLLECTIVELY, THE "AFFILIATES"); (F) DISPOSITION OF ANY PART OF THE CORPORATION'S ASSETS HAVING A FAIR MARKET VALUE IN EXCESS OF $50,000; (G) AUTHORIZING CONTRIBUTIONS, DISTRIBUTIONS, OR OTHER TRANSFER OF FUNDS; (H) DISSOLUTION OF THE CORPORATION; (I) CESSATION OF OPERATIONS OF ANY LICENSED HOSPITAL; (J) SALE, LEASE, MORTGAGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (K) APPROVAL OF THE ANNUAL STRATEGIC/OPERATING PLAN, IF ANY, THE ANNUAL BUDGET AND THE ANNUAL COMMUNITY BENEFIT PLAN, IF ANY, OF THE CORPORATION. (L) APPROVAL OF ANY CHANGES TO THE GOVERNING DOCUMENTS OF BSAHS, BSAPH OR ANY AFFILIATE OR ENTERING INTO ANY CONTRACT ARRANGEMENT OR RELATIONSHIP WITH BSAHS, BSAPH OR ANY AFFILIATE; FORM 990, PART VI, QUESTION 11B THE FORM 990 IS PRESENTED TO EACH OF THE ORGANIZATION'S BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, QUESTION 12C IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD OF TRUSTEES OF HIGH PLAINS BAPTIST HEALTH FOUNDATION ("THE CORPORATION") OR THE COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. "INTERESTED PERSON" SHALL MEAN ANY TRUSTEE, OFFICER, OR MEMBER OF A COMMITTEE WHO HAS A FINANCIAL INTEREST. "FINANCIAL INTEREST" SHALL MEAN ANY OF THE FOLLOWING, WHETHER ON A DIRECT OR INDIRECT BASIS: (A) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; (B) A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR PERSON WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT; OR (C) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR PERSON WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT; AFTER DISCLOSURE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS BY THE INTERESTED PERSON, AND AFTER DISCUSSION OF SAME, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. EACH TRUSTEE, OFFICER, AND MEMBER OF A COMMITTEE SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON (I) HAS RECEIVED A COPY OF THIS POLICY, (II) HAS READ AND UNDERSTANDS THIS POLICY, (III) HAS AGREED TO COMPLY WITH THIS POLICY, AND (IV) UNDERSTANDS THAT THE CORPORATION, AS A CHARITABLE ORGANIZATION AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPT STATUS, MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION SHALL BE PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. ANY OFFICER, EMPLOYEE, OR INDEPENDENT CONTRACTOR OF THE CORPORATION WHO RECEIVES COMPENSATION FROM THE CORPORATION, DIRECTLY OR INDIRECTLY, SHALL BE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS. IF THE BOARD OR A COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF SUCH MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS IT MAY DEEM TO BE WARRANTED UNDER THE CIRCUMSTANCEs, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, IT SHALL TAKE SUCH DISCIPLINARY AND CORRECTIVE ACTION(S) AS IT DEEMS APPROPRIATE. AN INTERESTED PERSON WITH A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION OR ARRANGEMENT. THE PRESIDING OFFICER OF THE BOARD OR THE COMMITTEE MEETING, IF DETERMINED TO BE APPROPRIATE BY THE BOARD OR THE COMMITTEE (THOUGH THIS IS DISCRETIONARY AND NOT MANDATORY), MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING SUCH DUE DILIGENCE AS THE BOARD OR THE COMMITTEE DEEMS REQUIRED, THE BOARD OR THE COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS DETERMINED BY THE BOARD OR THE COMMITTEE TO NOT BE REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THEN THE BOARD OR THE COMMITTEE SHALL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED PARTICIPANTS WHETHER (I) THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND BENEFIT, (II) THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, AND (III) THE TRANSACTION OR ARRANGEMENT SHOULD BE ENTERED INTO BY THE CORPORATION. FORM 990, PART VI, QUESTIONS 15B HIGH PLAINS BAPTIST HEALTH FOUNDATION OFFICERS AND KEY EMPLOYEE COMPENSATION IS DIRECTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF BCS, THE CORPORATION CONTRACTS WITH SULLIVAN, COTTER, AND ASSOCIATES OF MINNEAPOLIS, MINNESOTA TO REVIEW THE DUTIES AND COMPENSATION. SULLIVAN COTTER CONFIRMS THAT COMPENSATION IS REASONABLE. SULLIVAN COTTER COMMUNICATES DIRECTLY WITH THE COMPENSATION COMMITTEE ON MATTERS OF EXECUTIVE COMPENSATION. THE MOST RECENT REVIEW WAS COMPLETED IN 2015. FORM 990, PART VI, QUESTION 19 OUR 990'S ARE AVAILABLE ON GUIDESTAR AND UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XI, Line 9 Other changes in Net assets BSA Health System of Amarillo LLC income in excess of books per K-1 - 40,294,169 Baptist St Anthony's Health System 3310 Danvers Amarillo TX 79106 751858993 Parent Corp TX 501(c)(3) 11 TYPE I NA false BAPTIST COMMUNITY SERVICES 701 PARK PLACE AMARILLO TX 79101 752206268 ELDER CARE TX 501(c)(3) 9 NA false HIGH PLAINS CHRISTIAN MINISTERIES FDN 701 PARK PLACE AMARILLO TX 79101 752639228 FIN. SUPPORT TX 501(c)(3) 11 TYPE 1 BCS true BAPTIST COMMUNITY AFFORDABLE HOUSING FDN 701 PARK PLACE AMARILLO TX 79101 752772639 ELDER CARE TX 501(C)(3) 11 TYPE 1 BCS true ATC HEALTH PROMOTION FOUNDATION 701 PARK PLACE AMARILLO TX 79101 752601934 HEALTH PROMO. TX 501(c)(3) 11 TYPE 1 BCS true Physicians Surgical Hospitals LLC 1600 Wallace Blvd Amarillo TX 79106 731620274 Stand-alone H TX NA false 0 false Physicians Surgical Real Estate LLC 1600 Wallace Blvd Amarillo TX 79106 202894224 Holding Company TX NA false 0 false HIGH PLAINS ENTERPRISES CORPORATION 701 PARK PLACE AMARILLO TX 79101 752809651 PROPERTY Mgmt TX BCS C CorP 1.00000 true false true false false false false false false false false false false false false false false false false false High Plains Christian Ministries Foundation B 181167446 fmv Baptist Community Services B 228811 fmv