IRVING HEALTHCARE FOUNDATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
IRVING HEALTHCARE FOUNDATION (EIN 75-1570933)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201641349349306259
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T15:14:47-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751570933EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Irving Healthcare FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIRVIBusinessNameControlTxt
Phone9725794390PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Bryan Street No 2200AddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn DrakePersonNm
Person TitlePresidentPersonTitleTxt
Phone9725794390PhoneNum
Signature2016-05-13SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn DrakePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 N MacArthur BlvdAddressLine1Txt
CityIrvingCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75061ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,458,350GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.IrvingHealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionAwards funds raised and encourages volunteer service to healthcare charities in Irving, TX.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,740,711PYContributionsGrantsAmt
CY Contributions Grants$2,220,599CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$912,595PYInvestmentIncomeAmt
CY Investment Income$536,765CYInvestmentIncomeAmt
PY Other Revenue-$23,734PYOtherRevenueAmt
CY Other Revenue-$126,328CYOtherRevenueAmt
PY Total Revenue$2,629,572PYTotalRevenueAmt
CY Total Revenue$2,631,036CYTotalRevenueAmt
PY Grants And Similar Paid$1,470,029PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,271,585CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$467,821PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$480,821CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$76,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$271,048CYTotalFundraisingExpenseAmt
PY Other Expenses$236,745PYOtherExpensesAmt
CY Other Expenses$371,135CYOtherExpensesAmt
PY Total Expenses$2,250,595PYTotalExpensesAmt
CY Total Expenses$2,123,541CYTotalExpensesAmt
PY Revenues Less Expenses$378,977PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$507,495CYRevenuesLessExpensesAmt
Total Assets BOY$10,017,785TotalAssetsBOYAmt
Total Assets EOY$9,770,806TotalAssetsEOYAmt
Total Liabilities BOY$875,449TotalLiabilitiesBOYAmt
Total Liabilities EOY$709,165TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,142,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,061,641NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIrving Healthcare Foundation (IHF) seeks to be the most trusted place to give and volunteer in support of safe, quality, compassionate healthcare.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$900,266ExpenseAmt
Grant$900,266GrantAmt
DescSee Schedule O:Grants to Baylor Medical Center at Irving:Irving Healthcare Foundation (IHF) granted over $900,000 to Baylor Medical Center at Irving, the city's only nonprofit hospital at the primary health care resource for residents and visitors. Grants included $205,000 for cancer related services, including the provision of free mammograms to needy, uninsured patients; more than $72,000 for continuing medical education of the hospital's clinical staff and $9,200 for ongoing education of non-clinical employees; almost $10,000 for patient antenatal education on breastfeeding and newborn safety; $24,000 to enhance congestive heart failure services at a clinic for patients; and $625,000 to enhance the hospital's emergency department, which is the busiest in western Dallas County with more than 70,000 annual admissions.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$75,260ExpenseAmt
Grant$75,260GrantAmt
DescSee Schedule O:Grants to Our Children's House at Baylor-Irving:IHF granted more than $75,000 to Our Children's House at Baylor Irving (OCHI), an outpatient pediatric therapy clinic with integrated therapy services for children with medical and developmental needs. OCHI serves 30 children with medical or developmental needs through specialized, integrated care and therapy programs.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$138,693ExpenseAmt
Grant$138,693GrantAmt
DescSee Schedule O:Grants to HealthTexas Provider Network:IHF granted more than $130,000 to HealthTexas Provider Network, for a free charity clinic staffed by volunteer nurses, doctors, and dentists in Irving, Texas. The clinic serves low-income and uninsured Irving residents.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$447,271ExpenseAmt
Grant$157,366GrantAmt
DescGrants to Other IHF Beneficiaries:Additionally, IHF granted over $150,000 to other organizations in the Irving community.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$447,271TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$157,366TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$1,561,490TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn DrakePersonNm
Phone9725794391PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11901 N MacArthurAddressLine1Txt
CityIrvingCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75061ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
John Mazon
Director1.00Yes (X)$0$0$0
Sam Elder
Director1.00Yes (X)$0$0$0
Matthew Boyle
Chairman1.00Yes (X)$0$0$0
Raegan Arrington
Director1.00Yes (X)$0$0$0
Susie Fan
Director1.00Yes (X)$0$0$0
Janet Boyce
Director1.00Yes (X)$0$0$0
Harry Weaver
Director1.00Yes (X)$0$0$0
Thom Davis
Secretary1.00Yes (X)$0$0$0Yes (X)
Tom Trotter
Director1.00Yes (X)$0$0$0
Janice Carroll
Director1.00Yes (X)$0$0$0
Bill La Barr
Director1.00Yes (X)$0$0$0
Dan Killingsworth
Director1.00Yes (X)$0$0$0
Diana Pfaff
Vice Chair1.00Yes (X)$0$0$0Yes (X)
Jerry Dunn
Director1.00Yes (X)$0$0$0
Karen Hunt
Director1.00Yes (X)$0$0$0
Robin Scott
Director1.00Yes (X)$0$0$0
Helma Mazon
Director1.00Yes (X)$0$0$0
Amanda O'Neal-Brummitt
Director1.00Yes (X)$0$0$0
Brian Smith
Director1.00Yes (X)$0$0$0
Steven Candler
Director1.00Yes (X)$0$0$0
Mimi Tran
Director1.00Yes (X)$0$0$0
Lourdes Spinola
Director1.00Yes (X)$0$0$0
Cindy Schamp
Director1.00Yes (X)$0$644,896$164,31040.00
John Paul West
Director1.00Yes (X)$0$0$0
Cathleen Whitelow
Director1.00Yes (X)$0$0$0
John Drake
President40.00$238,266$0$35,532Yes (X)
Amy Martin
VP Finance/CFO1.00$0$256,177$10,054Yes (X)40.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$238,266TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$901,073TotReportableCompRltdOrgAmt
Total Other Compensation$209,896TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$541,978FundraisingAmt
Related Organizations$300,000RelatedOrganizationsAmt
All Other Contributions$1,378,621AllOtherContributionsAmt
Noncash Contributions$93,455NoncashContributionsAmt
Total Contributions$2,220,599TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,523TotalRevenueColumnAmt
Exclusion$132,523ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,930,992SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,526,750SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$404,242SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$404,242TotalRevenueColumnAmt
Exclusion$404,242ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$174,236FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$541,978ContriRptFundraisingEventAmt
Fundraising Direct Expenses$300,564FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$126,328TotalRevenueColumnAmt
Exclusion-$126,328ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,631,036TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$410,437ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,271,585TotalAmt
Program Services$1,271,585ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$317,239TotalAmt
Program Services$158,619ProgramServicesAmt
Management And General$95,172ManagementAndGeneralAmt
Fundraising$63,448FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$136,946TotalAmt
Program Services$14,771ProgramServicesAmt
Management And General$44,360ManagementAndGeneralAmt
Fundraising$77,815FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,667TotalAmt
Program Services$395ProgramServicesAmt
Management And General$1,188ManagementAndGeneralAmt
Fundraising$2,084FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,217TotalAmt
Program Services$563ProgramServicesAmt
Management And General$1,690ManagementAndGeneralAmt
Fundraising$2,964FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,752TotalAmt
Program Services$5,888ProgramServicesAmt
Management And General$5,508ManagementAndGeneralAmt
Fundraising$6,356FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$40,499TotalAmt
Management And General$40,499ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$165,320TotalAmt
Program Services$54,835ProgramServicesAmt
Management And General$51,294ManagementAndGeneralAmt
Fundraising$59,191FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$55,189TotalAmt
Program Services$18,306ProgramServicesAmt
Management And General$17,123ManagementAndGeneralAmt
Fundraising$19,760FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,605TotalAmt
Program Services$4,845ProgramServicesAmt
Management And General$4,531ManagementAndGeneralAmt
Fundraising$5,229FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$932TotalAmt
Program Services$309ProgramServicesAmt
Management And General$289ManagementAndGeneralAmt
Fundraising$334FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,355TotalAmt
Program Services$1,113ProgramServicesAmt
Management And General$1,041ManagementAndGeneralAmt
Fundraising$1,201FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,338TotalAmt
Program Services$776ProgramServicesAmt
Management And General$725ManagementAndGeneralAmt
Fundraising$837FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Special Functions$37,014$12,278$11,484$13,252
Non-Medical Supplies$10,062$3,337$3,122$3,603
Dues & Membership$4,240$1,406$1,316$1,518
Meals & Entertainment$1,140$378$354$408

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$36,441TotalAmt
Program Services$12,086ProgramServicesAmt
Management And General$11,307ManagementAndGeneralAmt
Fundraising$13,048FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,123,541TotalAmt
Program Services$1,561,490ProgramServicesAmt
Management And General$291,003ManagementAndGeneralAmt
Fundraising$271,048FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,879,652BOYAmt
EOY$1,785,198EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$881,002BOYAmt
EOY$854,573EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,329BOYAmt
EOY$13,138EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$103,490LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,075LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,753BOYAmt
EOY$65,415EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,931,101BOYAmt
EOY$6,811,418EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$243,948BOYAmt
EOY$241,064EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,017,785BOYAmt
EOY$9,770,806EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$875,449BOYAmt
EOY$709,165EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$875,449BOYAmt
EOY$709,165EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,138,611BOYAmt
EOY$1,710,790EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,834,650BOYAmt
EOY$4,208,637EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,169,075BOYAmt
EOY$3,142,214EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,142,336BOYAmt
EOY$9,061,641EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,017,785BOYAmt
EOY$9,770,806EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$507,495ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$415,435NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$172,755OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,970,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,893,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,098,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,740,711CurrentTaxYearMinus1YearAmt
Current Tax Year$2,220,599CurrentTaxYearAmt
Total$9,923,336TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,970,091CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,893,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,098,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,740,711CurrentTaxYearMinus1YearAmt
Current Tax Year$2,220,599CurrentTaxYearAmt
Total$9,923,336TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,101,102SubstantialContributorsTotAmt
Public Support Total170$8,822,234PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$184,259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$201,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$145,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$122,035CurrentTaxYearMinus1YearAmt
Current Tax Year$132,523CurrentTaxYearAmt
Total$785,413TotalAmt
FieldValueIRS element (for citing)
Total Support$10,708,749TotalSupportAmt
Gross Receipts Rltd Activities$938,721GrossReceiptsRltdActivitiesAmt
Public Support CY1700.82380PublicSupportCY170Pct
Public Support PY1700.84200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,672,158BeginningYearBalanceAmt
Contributions$200ContributionsAmt
Investment Earnings Or Losses$88,702InvestmentEarningsOrLossesAmt
Other Expenditures$283,527OtherExpendituresAmt
End Year Balance$4,477,533EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,254,185BeginningYearBalanceAmt
Contributions$240ContributionsAmt
Investment Earnings Or Losses$553,878InvestmentEarningsOrLossesAmt
Other Expenditures$136,145OtherExpendituresAmt
End Year Balance$4,672,158EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,044,082BeginningYearBalanceAmt
Contributions$1,929ContributionsAmt
Investment Earnings Or Losses$365,231InvestmentEarningsOrLossesAmt
Other Expenditures$157,057OtherExpendituresAmt
End Year Balance$4,254,185EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,238,955BeginningYearBalanceAmt
Contributions$1,235ContributionsAmt
Investment Earnings Or Losses-$22,586InvestmentEarningsOrLossesAmt
Other Expenditures$173,522OtherExpendituresAmt
End Year Balance$4,044,082EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,919,265BeginningYearBalanceAmt
Contributions$1,375ContributionsAmt
Investment Earnings Or Losses$634,132InvestmentEarningsOrLossesAmt
Other Expenditures$315,817OtherExpendituresAmt
End Year Balance$4,238,955EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$63,000InvestmentCostOrOtherBasisAmt
Book Value$63,000BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,490OtherCostOrOtherBasisAmt
Depreciation$38,075DepreciationAmt
Book Value$2,415BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$65,415TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Equities$5,145,985F
Fixed Income$1,501,100F
Tangible Assets$164,333F
FieldValueIRS element (for citing)
Total Book Value Securities$6,811,418TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowment funds currently held by Irving Healthcare Foundation are invested to generate financial support in the perpetuity for Foundation operations as well as the ongoing enhancement of health care services at Baylor Scott & White Medical Center-Irving.
Part X, Line 2:The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2015 and 2014, the System had no material gross unrecognized tax benefits.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Texas FestEvent1Nm
Gross Receipts Event1$452,017GrossReceiptsEvent1Amt
Charitable Contri Event1$342,050CharitableContriEvent1Amt
Gross Revenue Event1$109,967GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,664NonCashPrizesEvent1Amt
Rent Facility Costs Event1$37,400RentFacilityCostsEvent1Amt
Food And Beverage Event1$24,672FoodAndBeverageEvent1Amt
Entertainment Event1$2,000EntertainmentEvent1Amt
Other Direct Expenses Event1$102,465OtherDirectExpensesEvent1Amt
Event2TreemendousEvent2Nm
Gross Receipts Event2$143,108GrossReceiptsEvent2Amt
Charitable Contri Event2$107,839CharitableContriEvent2Amt
Gross Revenue Event2$35,269GrossRevenueEvent2Amt
Rent Facility Costs Event2$11,373RentFacilityCostsEvent2Amt
Food And Beverage Event2$26,670FoodAndBeverageEvent2Amt
Entertainment Event2$26,605EntertainmentEvent2Amt
Other Direct Expenses Event2$6,141OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$121,089GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$92,089CharitableContriOtherEventsAmt
Gross Revenue Other Events$29,000GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$24,817RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$13,154FoodAndBeverageOtherEventsAmt
Entertainment Other Events$12,000EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$11,603OthDirectExpnssOtherEventsAmt
Gross Receipts Total$716,214GrossReceiptsTotalAmt
Charitable Contributions Tot$541,978CharitableContributionsTotAmt
Gross Revenue Total Events$174,236GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,664NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$73,590RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$64,496FoodAndBeverageTotalEventsAmt
Entertainment Total Events$40,605EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$120,209OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$300,564DirectExpenseSummaryEventsAmt
Net Income Summary-$126,328NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Baylor Medical Center at Irving
1901 N MacArthurIrvingTX75061752586857501(c)(3)$900,266N/AN/APatient care, education, software,community outreach, volunteer services, med library
Baylor Specialty Health Centers
3504 SwissDallasTX75204751765385501(c)(3)$75,260N/AN/AChild care services, patient care
HealthTexas Provider Network
2001 Bryan Street Suite 2200DallasTX75201752536818501(c)(3)$138,693N/AN/AGeneral support, equipment, indigent care
Canine Companions for Independence
2965 Dutton AveSanta RosaCA95402942494324501(c)(3)$90,100N/AN/AGeneral support
Irving Schools Foundation
PO Box 152637IrvingTX75015752072755501(c)(3)$13,564N/AN/AGeneral support
Irving Family YMCA
22200 W Irving BlvdIrvingTX75061750800696501(c)(3)$25,772N/AN/AGeneral support
Irving Las Colinas Rotary Club
PO Box 141714IrvingTX75014751485211501(c)(3)$13,564N/AN/AGeneral support
La Buena Vida Youth Leadership Foundation
1711 W Irving Blvd Suite 310IrvingTX75061272123776501(c)(3)$13,564N/AN/AGeneral support
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationMonitoring Grants & Other Assistance: As part of its mission, the organization provides grants and other assistance to related organizations and/or unrelated not-for-profit organizations which are religious, charitable, scientific, or educational in nature, within the meaning of Internal Revenue Code Section 501(c)(3), when the use will further one or more tenets of the organization's charitable mission and one of the following criteria for use of these funds is met: (1) Fulfills a need identified by a community needs assessment conducted by the organization and/or outlined in an implementation strategy, (2) Serves an under-served community or group of people through medical mission work to improve their health status (3) promotes health in the community, (4) supports community buildings activities that protect or improves the community's health or safety and/or (5) provides positive visibility and good community relations with other organization serving the health needs of the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by BSWH which ensures all funds are used in accordance with the guidelines set forth above and in accordance with the related organization's exempt purpose. Grants and other assistance provided to unrelated organizations are typically monitored by personal inspection. Examples include providing assistance to entities where the filing organization's employee serves as a Board Member for the recipient organization or through attendance at community events where the filing organization employees work as volunteers or to help coordinate these events.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Cindy Schamp
Director$0$371,719$0$200,334$0$72,843$0$135,282$0$29,028$0$809,206$0$59,662
John Drake
President$193,085$0$45,181$0$0$0$10,047$0$25,485$0$273,798$0$0$0
Amy Martin
VP Finance/CFO$0$193,639$0$62,148$0$390$0$9,682$0$372$0$266,231$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bIn order to recruit and retain key talent, BSW Holdings and certain tax exempt affiliates (BSWH) offers a supplemental non-qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BSWH's supplemental non-qualified retirement plan during the tax year: Cindy Schamp. Also, select certain 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 withing 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: Cindy Schamp ($140,633).
Part I, Line 7The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BSW Holdings' governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Form 990, Schedule J, Part IIISupplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. 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.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$4,995NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$5,008NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$116NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Auction Items177$82,295Fair Market Value
Yes (X)Supplies3$1,041Fair Market Value
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationThe organization is reporting based on the number of contributions, not the number of items contributed.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Family Relationship: Helma Mazon and John Mazon Business Relationship: Helma Mazon and Karen Hunt
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization which has two classes of Members with one class designated as Member and a second class designated as Special Member. Baylor Medical Center at Irving, a tax exempt, Texas nonprofit corporation, is the sole Member and Irving Healthcare Authority, a hospital authority organized and existing pursuant to the Hospital Authority Act, Chapter 262, Texas Health and Safety Code, is the sole Special Member.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: Baylor Scott & White Holdings (BSW Holdings), a tax exempt, Texas nonprofit corporation, is the ultimate parent entity of the organization. BSW Holdings has control and substantial reserved powers over the organization, including those to elect and remove the governing body of the organization. The BSW Holdings' Board of Trustees is comprised of a majority of independent community representatives that provide leadership and governance to BSW Holdings and its affiliated tax exempt entities, including the filing organization, to ensure it is meeting its charitable purpose.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: BSW Holdings has final authority over certain decisions/ powers of the organization such as approval of the organization's articles of incorporation and bylaws and amendments thereto, appointment and removal of the members of the governing body, approval of dissolutions and mergers, and other similar decisions/powers over the organization. Regarding certain decisions, such as approval of the organization's articles of incorporation and bylaws and amendments thereto, approval of dissolutions and mergers, and other similar decisions/powers over the organization, approval by the Special Member is also required.
Form 990, Part VI, Section B, line 11Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProcess used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements 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 C, line 19Process 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 and are attached to this return. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part XI, line 9:Transfers Between Entities Under Common Control -126,185. Change in Value of Split Interest Agreements -4,039. Bad Debt -42,531.
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: Ogden

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
All Saints Health Foundation
2001 Bryan Street Suite 2200DallasTX75201751947007FundraisingTX501(c)(3)Line 7Baylor All Saints Medical CenterYes (1)
Baylor All Saints Medical Center
2001 Bryan Street Suite 2200DallasTX75201751008430Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Health Care System
2001 Bryan Street Suite 2200DallasTX75201751812652Management ServicesTX501(c)(3)Line 11b, IIBaylor Scott & White HoldingsYes (1)
Baylor Health Care System Employee Benefit Trust
2001 Bryan Street Suite 2200DallasTX75201751848557VEBATX501(c)(9)Baylor Health Care SystemYes (1)
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200DallasTX75201751606705FundraisingTX501(c)(3)Line 7Baylor Health Care SystemYes (1)
Baylor Health Services
2001 Bryan Street Suite 2200DallasTX75201751917311InactiveTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200DallasTX75201751037226Rehabilitation HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Carrollton
2001 Bryan Street Suite 2200DallasTX75201454510252Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200DallasTX75201752586857Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Center at Waxahachie
2001 Bryan Street Suite 2200DallasTX75201751844139Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Medical Centers at Garland and McKinney
2001 Bryan Street Suite 2200DallasTX75201751037591Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200DallasTX75201751777119Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200DallasTX75201820551704Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor Research Institute
2001 Bryan Street Suite 2200DallasTX75201751921898ResearchTX501(c)(3)Line 4Baylor Health Care SystemYes (1)
Baylor Scott & White Health
2001 Bryan Street Suite 2200DallasTX75201463131350Management ServicesTX501(c)(3)Line 11b, IIBaylor Scott & White HoldingsYes (1)
Baylor Scott & White Holdings
2001 Bryan Street Suite 2200DallasTX75201463130985ParentTX501(c)(3)Line 11b, II0N/A
Baylor Specialty Health Centers
2001 Bryan Street Suite 2200DallasTX75201751765385Long Term Acute Care HospitalsTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Baylor University Medical Center
2001 Bryan Street Suite 2200DallasTX75201751837454Acute Care HospitalTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Brenham Care Center
2401 S 31st StreetTempleTX76508742663229InactiveTX501(c)(3)Line 9Scott & White Hospital-BrenhamYes (1)
HealthTexas Provider Network
2001 Bryan Street Suite 2200DallasTX75201752536818Physician ServicesTX501(c)(3)Line 3Baylor Health Care SystemYes (1)
Hillcrest Baptist Medical Center
100 Hillcrest Medical BlvdWacoTX76712741161944Acute Care HospitalTX501(c)(3)Line 3Scott & White Memorial HospitalYes (1)
Hillcrest Family Health Center
100 Hillcrest Medical BlvdWacoTX76712742730350Physician ServicesTX501(c)(3)Line 11a, IHillcrest Baptist Medical CenterYes (1)
Hillcrest Physician Services
100 Hillcrest Medical BlvdWacoTX76712742967081Physician ServicesTX501(c)(3)Line 11a, IHillcrest Baptist Medical CenterYes (1)
Scott & White Clinic
2401 S 31st StreetTempleTX76508742958277Physician ServicesTX501(c)(3)Line 9Scott & White HealthcareYes (1)
Scott & White Continuing Care Hospital
2401 S 31st StreetTempleTX76508202850920Long Term Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White EMS Inc
2401 S 31st StreetTempleTX76508753242749Emergency TransportTX501(c)(3)Line 9Scott & White Memorial HospitalYes (1)
Scott & White Foundation-Brenham
2401 S 31st StreetTempleTX76508742460815FundraisingTX501(c)(3)Line 7Scott & White Hospital-BrenhamYes (1)
Scott & White Health Plan
2401 S 31st StreetTempleTX76508742052197HMO/InsuranceTX501(c)(4)Baylor Scott & White HoldingsYes (1)
Scott & White Healthcare
2401 S 31st StreetTempleTX76508264532547Management ServicesTX501(c)(3)Line 11a, IBaylor Scott & White HoldingsYes (1)
Scott & White Healthcare Foundation
2401 S 31st StreetTempleTX76508273513154FundraisingTX501(c)(3)Line 7Scott & White HealthcareYes (1)
Scott & White Hospital-Brenham
2401 S 31st StreetTempleTX76508742519752Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-College Station
2401 S 31st StreetTempleTX76508274434451Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Llano
2401 S 31st StreetTempleTX76508273026151Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Marble Falls
2401 S 31st StreetTempleTX76508464007700Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Round Rock
2401 S 31st StreetTempleTX76508203749695Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Hospital-Taylor
2401 S 31st StreetTempleTX76508741595711Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Medical Plan Trust
2401 S 31st StreetTempleTX76508742866102VEBATX501(c)(9)Scott & White HealthcareYes (1)
Scott & White Memorial Hospital
2401 S 31st StreetTempleTX76508741166904Acute Care HospitalTX501(c)(3)Line 3Scott & White HealthcareYes (1)
Scott & White Memorial Hospital Employee Welfare Benefit Trust
2401 S 31st StreetTempleTX76508742939712VEBATX501(c)(9)Scott & White HealthcareYes (1)
Southern Sector Health Initiative
2001 Bryan Street Suite 2200DallasTX75201263087442Diabetes Health & Wellness CenterTX501(c)(3)Line 11a, IBaylor University Medical CenterYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Arlington Ortho & Spine Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001261578178Short Stay HospitalTXN/A
Arlington Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752748040Ambulatory Surgery CenterTXN/A
Baylor Affiliated Services LLC
2001 Bryan Street Suite 2200DallasTX75201260614730Benefit PlansTXN/A
Baylor Heart and Vascular Center LLP
2001 Bryan Street Suite 2200DallasTX75201752834135Specialty HospitalTXN/A
Baylor Scott & White Health LLC
4005 Crutcher Suite 310DallasTX75246463748258ParentTXN/A
Baylor Surgicare at Ennis LLC
15305 Dallas Parkway Suite 1600AddisonTX75001274202856Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Granbury LLC
15305 Dallas Parkway Suite 1600AddisonTX75001263896477Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Mansfield LLC
15305 Dallas Parkway Suite 1600AddisonTX75001271835675Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano Parkway LLC
15305 Dallas Parkway Suite 1600AddisonTX75001274282604Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano LLC
15305 Dallas Parkway Suite 1600AddisonTX75001260308454Ambulatory Surgery CenterTXN/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562297308Ambulatory Surgery CenterTXN/A
BIR JV LLP
4714 Gettysburg RdMechanicsburgPA17055274586141Rehabilitation HospitalsTXN/A
BTDI JV LLP
5214 Maryland Way Suite 200BrentwoodTN37207462908086Imaging CentersTXN/A
Dallas Surgical Partners LLC
15305 Dallas Parkway Suite 1600AddisonTX75001722183815Ambulatory Surgery CenterTXN/A
Denton Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752708579Ambulatory Surgery CenterTXN/A
Desoto Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752592508Ambulatory Surgery CenterTXN/A
EBD JV LLP
10077 Grogans Mill Rd Suite 100The WoodlandsTX77380455434614Free Standing Emergency HospitalsTXN/A
ESWCT LLC
10077 Grogans Mill Rd Ste 100The WoodlandsTX77380900899017Free Standing Emergency HospitalsTXN/A
Frisco Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752865177Short Stay HospitalTXN/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752658178Short Stay HospitalTXN/A
Garland Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752764855Ambulatory Surgery CenterTXN/A
GlobalRehab LP
4714 Gettysburg RdMechanicsburgPA17055288077072Rehabilitation HospitalsTXN/A
GlobalRehab-Fort Worth LP
4714 Gettysburg RdMechanicsburgPA17055205558682Rehabilitation HospitalsTXN/A
Grapevine Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752854711Ambulatory Surgery CenterTXN/A
HealthTexas Provider Network-Gastro Serv LLP
2001 Bryan St Ste 2200DallasTX75201731697736Physician ServicesTXN/A
Heritage Park Surgical Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001611762781Short Stay HospitalTXN/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Parkway Suite 1600AddisonTX75001542086863Short Stay HospitalTXN/A
Lewisville Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752862263Ambulatory Surgery CenterTXN/A
Lone Star Endoscopy Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001273635726Ambulatory Surgery CenterTXN/A
MEDCO Construction LLC
2001 Bryan Street Suite 2200DallasTX75201205965871ConstructionTXN/A
Metrocrest Surgery Center LP
15305 Dallas Parkway Suite 1600AddisonTX75001030380493Ambulatory Surgery CenterTXN/A
Metroplex Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752567179Ambulatory Surgery CenterTXN/A
MSH Partners LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752829613Short Stay HospitalTXN/A
North Central Surgical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001201508140Short Stay HospitalTXN/A
North Garland Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562399993Ambulatory Surgery CenterTXN/A
Park Cities Surgery Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001562357079Ambulatory Surgery CenterTXN/A
Physicians Surgical Center of Ft Worth LLP
15305 Dallas Parkway Suite 1600AddisonTX75001208303422Ambulatory Surgery CenterTXN/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001205506447Ambulatory Surgery CenterTXN/A
RockwallHeath Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001200334166Ambulatory Surgery CenterTXN/A
SeniorCare Associates LP
4714 Gettysburg RdMechanicsburgPA17055201937212Rehabilitation HospitalsTXN/A
Specialty Surgery Center of Fort Worth LP
15305 Dallas Parkway Suite 1600AddisonTX75001201942281Ambulatory Surgery CenterTXN/A
Surgery Center of Richardson Phys Pship LP
15305 Dallas Parkway Suite 1600AddisonTX75001200606781Ambulatory Surgery CenterTXN/A
Texas Endoscopy Center LLC
15305 Dallas Parkway Suite 1600AddisonTX75001470985876Ambulatory Surgery CenterTXN/A
Texas Health Venture Group LLC
15305 Dallas Parkway Suite 1600AddisonTX75001752696845Holds interests in ASCs/ Short Stay HospitalsTXN/A
Texas Heart Hospital of the Southwest LLP
2001 Bryan Street Suite 2200DallasTX75201412101361Specialty HospitalTXN/A
THVG Bariatric LLC
15305 Dallas Parkway Suite 1600AddisonTX75001383894636Holds interests in Ambulatory Surgery CentersTXN/A
Trophy Club Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001481260190Short Stay HospitalTXN/A
Tuscan Surgery Center at Las Colinas LLC
15305 Dallas Parkway Suite 1600AddisonTX75001273578014Ambulatory Surgery CenterTXN/A
University Surgical Partners of Dallas LLP
15305 Dallas Pkwy Suite 1600AddisonTX75001550823809Ambulatory Surgery CenterTXN/A
Valley View Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752900902Ambulatory Surgery CenterTXN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201261661900Condo AssociationTXN/ACYes (1)
Baylor Health Enterprises LP
2001 Bryan Street Suite 2200DallasTX75201751997378Fitness Center/Pharmacy/ HotelTXN/ACYes (1)
Baylor Health Network Inc
2001 Bryan Street Suite 2200DallasTX75201752463251Billing/CollectionTXN/ACYes (1)
Baylor Med Ctr at Grapevine Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752747555Condo AssociationTXN/ACYes (1)
Baylor Quality Health Care Alliance LLC
2001 Bryan Street Suite 2200DallasTX75201454015863ACOTXN/ACYes (1)
Baylor Scott & White Assurance
980589956InvestmentN/ACYes (1)23 Lime Tree BayGrand CaymanCJCJ
BMP Incorporated
2001 Bryan Street Suite 2200DallasTX75201751436779Post OfficeTXN/ACYes (1)
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752897806Condo AssociationTXN/ACYes (1)
Charitable Lead Trusts (2)
InvestmentTXN/ATYes (1)
Charitable Remainder Trusts (66)
InvestmentTXN/ATYes (1)
Hillcrest Health Holdings Inc
3000 Herring StWacoTX76708742793367Management ServicesTXN/ACYes (1)
Insurance Company of Scott & White
2401 S 31st StreetTempleTX76508743092083InsuranceTXN/ACYes (1)
Scott & White Properties Holdings Inc
2401 S 31st StreetTempleTX76508452920596InvestmentTXN/ACYes (1)
Scott & White Properties Inc
2401 S 31st StreetTempleTX76508742497061Hotel ServicesTXN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Baylor Medical Center at Irving
B$900,266GAAP
Baylor Medical Center at Irving
C$300,000GAAP
Baylor Specialty Health Centers
B$75,260GAAP
HealthTexas Provider Network
B$138,693GAAP
Baylor Health Care System Foundation
R$126,185GAAP

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