2014-07-14T16:24:47-05:00 2013-08-31 346565596 Ernst & Young US LLP 19601 6th Avenue North Ste 1200 Birmingham AL 35203 990 2012-09-01 264532547 Scott & White Healthcare SCOT 2542159256 2401 S 31st Street Temple TX 76508 Robert Pryor MD 2547242111 2014-07-13 0 Kathy H Pitts P00292940 2052541608 2014-07-14 2012 2015-11-30 17:44:51Z Robert Pryor MD 2401 S 31st Street Temple TX 76508 269142303 0 X www.sw.org X 2009 TX See Schedule O Supporting organization providing services to a network of clinics, acute care hospitals and related health care entities thatprovide the most personalized, comprehensive, high quality health care services enhanced by medical education and research. 23 12 0 0 0 0 0 0 0 267483212 0 85362 0 162116 0 267730690 0 7596802 0 0 0 117718841 0 0 0 0 157112277 0 282427920 0 -14697230 1830984411 2120133927 967374397 1263713002 863610014 856420925 X To provide the most personalized, comprehensive and highest quality health care, enhanced by medical education and research. 0 1 259206690 7596802 267589179 See Schedule OScott & White provides personalized, comprehensive, high quality health care services enhanced by medical education and research through 13 acute care hospital facilities, one additional announced facility, a 215,000+ member regional health plan serving residents in a 29,000-square mile service area, and one of the nation's largest multi-specialty group practices with more than 140 clinics at over 70 clinic locations providing care in 46 medical specialties. Scott & White Healthcare ("SWHC")(EIN: 26-4532547) is parent corporation of the Scott & White Healthcare System (the "System"). The Scott & White Healthcare Foundation ("SWF")(EIN: 27-3513154), a subsidiary of SWHC, raises funds for the priority programs and services of the entire Scott & White System. The Scott & White Healthcare System had more than 14,000 employees, including over 1,200 physicians and scientists and 300+ advanced practice professionals during the fiscal year ending August 31, 2013, and served over 537,000 patients accounting for 2.5 million patient visits. Scott & White Memorial Hospital ("SWMH"), located in Temple, Texas, is the flagship hospital of the Scott & White Healthcare System and is the only Level I Trauma Center between Dallas and Austin, Texas. The McLane Children's Hospital Scott & White is the only stand-alone children's hospital between Dallas and Austin, Texas.The hospitals in the Scott & White Healthcare System reported community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas statutory methodology) of $223,575,612. 259206690 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 1 CJ 0 0 0 0 0 0 0 0 X 23 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 0 X Jon Malone 2542159259 2401 S 31st Street Temple TX 76508 X Louis S Casey Jr 1.00 X 0 0 0 Wayne Fisher 1.00 X 0 0 0 Glen E Roney 1.00 X X 0 0 0 Morris E Foster 1.00 X 0 0 0 Ross McKnight 1.00 X 0 0 0 Nancy W Dickey MD 1.00 X 0 0 0 Drayton McLane Jr 1.00 X X 0 0 0 James H Mills 1.00 X 0 0 0 Donald R Grobowsky 1.00 X 0 0 0 Lyndon L Olson Jr 1.00 X 0 0 0 Anita Perry 1.00 X 0 0 0 L Gill Naul MD 1.00 40.00 X X 0 731151 53799 Michael D Reis MD 1.00 40.00 X 0 499300 51409 Robert A Probe MD 1.00 40.00 X 0 816096 57356 Michael L Middleton MD 1.00 40.00 X X 0 418110 51542 Andrejs E Avots-Avotins MD 1.00 40.00 X X 0 533290 53781 Robert W Pryor MD 40.00 X X 0 1202973 52070 William L Rayburn MD 1.00 40.00 X X 0 625334 54941 Madhava R Beeram MD 1.00 40.00 X 0 474217 52056 Alejandro C Arroliga MD 1.00 40.00 X 0 600859 53332 Stephen Sibbitt MD 1.00 40.00 X 0 536178 52358 Robert Garriott 1.00 X 0 0 0 Kenneth W Starr 1.00 X 0 0 0 Jack Martin 1.00 X 0 0 0 Patricia M Currie 40.00 X 0 735763 53681 Dick L Dixon 40.00 X 0 641174 52540 Francis P Anderson 40.00 X 0 332403 50518 James L Carroll 40.00 X 0 511014 46414 Cynthia B Dunlap 40.00 X 0 308906 45842 Glen R Couchman MD 40.00 X 0 741071 53113 Matthew L Chambers 40.00 X 0 536594 54371 Marc R Hallee 40.00 X 0 496688 46603 Stephen F Sullivan 40.00 X 0 272378 12785 Lisa L Havens 40.00 X 0 300933 50361 Nikhil P Reddy 40.00 X 0 291058 3845 Steven E Hoeft 40.00 X 0 325158 16932 John C Cook 40.00 X 0 256150 49119 Mary D Brandt 40.00 X 0 251184 41689 Philip S Profeta 40.00 X 0 253081 40678 Nancy C Merritt 40.00 X 0 251262 37261 Peter S Brumleve 40.00 X 0 199976 14740 0 13142301 1203136 0 1 1 0 KPMG LLP PO Box 120754 Dallas TX 753120754 Consulting 1687085 MModal Services Ltd 5000 Meridian Blvd Franklin TN 37067 Transcription 1306338 Kitchell Contractors Inc 1707 E Highland Ave 200 Phoenix AZ 85016 Construction 1187833 PFS Group 7670 Woodway Ste 250 Houston TX 77063 Collection Services 926308 Ernst & Young LLP 3712 Solutions Center Chicago IL 606773007 Consulting 820063 82 Corporate Services 561000 267483212 267483212 267483212 243035 186886 56149 56149 56149 140281 1169808 0 1224727 140281 -54919 85362 85362 Miscellaneous 900001 105967 105967 105967 267730690 267589179 0 141511 X 7596802 7596802 6239083 6239083 90611950 84774785 5837165 4907091 4590979 316112 9174978 8583932 591046 6785739 6348606 437133 2672865 2672865 1111116 1111116 421000 421000 356509 356509 69539772 69539772 4471217 4183184 288033 20322674 19013500 1309174 21405154 20026247 1378907 7755569 7255960 499609 2407598 2252502 155096 24967360 23358978 1608382 Dues & Subscriptions 997566 997566 Recruitment 429151 429151 Community Benefit 115273 115273 Outreach Materials 59524 59524 79929 79929 282427920 259206690 23221230 0 13820140 16029335 143651321 132682532 41642 481091329 160376358 36581881 320714971 1487191585 1478818490 149739484 171846957 1830984411 2120133927 69382626 171926 681382632 1004350844 106225000 35300000 99779824 144466765 90027782 967374397 1263713002 X 748947794 722638686 76668461 92274878 37993759 41507361 863610014 856420925 1830984411 2120133927 X -14697230 7508141 X 0 1 X 1 0 X X X X 0 0 0 Scott & White Memorial Hospital 741166904 3 1 0 Scott & White Clinic 742958277 9 1 0 Scott & White Hospital-Round Rock 203749695 3 1 0 Scott & White Continuing Care Hospital 202850920 3 1 0 Scott & White Hospital Brenham 742519752 3 0 0 Scott & White Hospital-Llano 273026151 3 0 0 Scott & White Hospital-Taylor 741595711 3 0 0 Scott & White Hospital-College Station 274434451 3 0 0 Hillcrest Baptist Medical Center 741161944 3 0 0 Scott & White Foundation Brenham 742460815 9 0 0 Scott & White Healthcare Foundation 273513154 9 0 7154028 Scott & White EMS Inc 753242749 9 0 0 Scott & White Health Plan 742052197 9 0 0 13 7154028 Schedule A, Part IV, Supplemental Information: Scott & White Healthcare's activities are to provide significant benefits for the Scott & White Healthcare System, principally in the areas of board oversight and governance, management efficiency, and financing. These services are provided to the organizations listed in Schedule A Part I, Line 11h, as well as all entities in the Scott & White Healthcare System. 0 1 0 0 0 1 17064 1 516297 0 0 533361 0 Part IV, Supplemental Information: Part II-B, Line 1(f) and Line 1(g): Scott & White Healthcare ("SWHC") maintains memberships in the Texas Hospital Association and other medical associations. A percentage of the dues paid to those organizations is attributed to lobbying activities and is reported as grants to other organizations for lobbying purposes. The organization retains the services of professional lobbyists, and in-house staff personnel maintain contact with legislators regarding issues pertinent to the Scott & White Healthcare System. 139308471 414236 138894235 304591745 159962122 144629623 37191113 37191113 320714971 Investments in Subsidiaries 1478818490 F 1478818490 Capitalized Finance Costs 8113028 Interest in Supporting Foundation 163733929 171846957 Interest Rate Swaps 90027782 90027782 X Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: Fin 48 (ASC 740) Footnote: Scott & White evaluates its income tax positions in accordance with ASC 740, Income Taxes, regarding accounting for uncertainty in income taxes. ASC 740 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There are no material uncertain income tax positions as of August 31, 2013 or 2012. 1 American Cancer Society 2433 Ridgepoint Drive Austin TX 78754 741185665 501(c)(3) 10500 General Support American Diabetes Association 1701 N Deauregard Street Alexandria VA 22311 131623888 501(c)(3) 7500 General Support American Heart Association 7272 Greenvil Ave Dallas TX 75231 133561379 501(c)(3) 10000 General Support BCS Marathon PO Box 3005 Bryan TX 77805 452725005 501(c)(3) 30000 General Support Churches Touching Lives for Christ PO Box 4482 Temple TX 76505 742724033 501(c)(3) 12000 General Support Cultural Activities Center 3011 N 3rd St Temple TX 76501 741337244 501(c)(3) 70000 General Support Greater Killeen Free Clinic Inc 718 N 2nd Street No A Killeen TX 76541 742724725 501(c)(3) 35000 General Support McLennan Community College 1400 College Dr Waco TX 76708 742550278 501(c)(3) 16668 General Support Metroplex Health System Foundation 2201 S Clear Creek Rd Killeen TX 76549 592219301 501(c)(3) 28000 General Support Ralph Wilson Youth Club PO Box 1346 Temple TX 76503 741539786 501(c)(3) 6000 General Support Temple Chamber of Commerce PO Box 158 Temple TX 76503 740935565 501(c)(6) 54106 General Support Temple Civic Theatre 2413 South 13th Street Temple TX 76504 741618326 501(c)(3) 15000 General Support Temple College 2600 South 1st Street Temple TX 76504 742257300 501(c)(3) 78000 General Support Temple Symphony Orchestra 100 West Adams Mailbox 10 Temple TX 76501 742778141 501(c)(3) 20000 General Support Texas Cultural Trust 823 Congress Avenue Austin TX 78701 742778878 501(c)(3) 10000 General Support United Way of Central Texas PO Box 1312 Temple TX 76503 742575728 501(c)(3) 15000 General Support Scott & White Healthcare Foundation 2401 S 31st Street Temple TX 76508 273513154 501(c)(3) 7154028 General Support 16 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: 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 fulfill an identified community need, serve an underserved population, be in line with the mission of the organization, or provide the organization opportunities to build relationships with the community members and nonprofit organizations serving the community. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by Scott & White Healthcare 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 given as a restricted gift and the receiving organization must sign a statement indicating they will use the funds for the stated purpose. 0 0 0 0 0 0 0 1 0 L Gill Naul MD 0 662498 0 65000 0 3653 0 32500 0 21299 0 784950 0 0 Michael D Reis MD 0 423265 0 72000 0 4035 0 32500 0 18909 0 550709 0 0 Robert A Probe MD 0 743511 0 70521 0 2064 0 32500 0 24856 0 873452 0 0 Michael L Middleton MD 0 416403 0 633 0 1074 0 32500 0 19042 0 469652 0 0 Andrejs E Avots-Avotins MD 0 521642 0 8980 0 2668 0 32500 0 21281 0 587071 0 0 Robert W Pryor MD 0 895623 0 300000 0 7350 0 32500 0 19570 0 1255043 0 0 William L Rayburn MD 0 528372 0 94000 0 2962 0 32500 0 22441 0 680275 0 0 Madhava R Beeram MD 0 431998 0 40000 0 2219 0 32500 0 19556 0 526273 0 0 Alejandro C Arroliga MD 0 542498 0 57000 0 1361 0 32500 0 20832 0 654191 0 0 Stephen Sibbitt MD 0 435416 0 100000 0 762 0 32500 0 19858 0 588536 0 0 Patricia M Currie 0 540415 0 192500 0 2848 0 32500 0 21181 0 789444 0 0 Dick L Dixon 0 431778 0 207750 0 1646 0 32500 0 20040 0 693714 0 0 Francis P Anderson 0 263244 0 67750 0 1409 0 32500 0 18018 0 382921 0 0 James L Carroll 0 375213 0 132300 0 3501 0 32500 0 13914 0 557428 0 0 Cynthia B Dunlap 0 245315 0 62750 0 841 0 32500 0 13342 0 354748 0 0 Glen R Couchman MD 0 545222 0 192500 0 3349 0 32500 0 20613 0 794184 0 0 Matthew L Chambers 0 392598 0 140000 0 3996 0 32500 0 21871 0 590965 0 0 Marc R Hallee 0 366554 0 129750 0 384 0 32500 0 14103 0 543291 0 0 Stephen F Sullivan 0 230513 0 40833 0 1032 0 0 0 12785 0 285163 0 0 Lisa L Havens 0 249249 0 51250 0 434 0 32500 0 17861 0 351294 0 0 Nikhil P Reddy 0 249279 0 32893 0 8886 0 0 0 3845 0 294903 0 0 Steven E Hoeft 0 240023 0 83542 0 1593 0 0 0 16932 0 342090 0 0 John C Cook 0 219998 0 34000 0 2152 0 32500 0 16619 0 305269 0 0 Mary D Brandt 0 218057 0 32250 0 877 0 32500 0 9189 0 292873 0 0 Philip S Profeta 0 218469 0 33250 0 1362 0 32500 0 8178 0 293759 0 0 Nancy C Merritt 0 217543 0 33250 0 469 0 28159 0 9102 0 288523 0 0 Peter S Brumleve 0 118744 0 0 0 81232 0 10219 0 4521 0 214716 0 0 Part I, Line 3 The compensation review process is performed annually. All physician compensation is reviewed including pay, production data and total compensation. The physician compensation is then benchmarked against industry standards using data from ten different industry surveys. This review is performed by an independent consultant and presented to the Scott & White Healthcare Board of Trustees Compensation Committee. Scott & White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of the Scott & White Healthcare System (the "System"). System Officers along with regional Chief Executive Officers and Chief Medical Officers are reviewed annually. An independent consultant compares total compensation to benchmark surveys. The Scott & White Healthcare Board of Trustees Compensation Committee reviews the compensation and comparability data annually. Part I, Line 7 Discretionary bonuses are an element of various Scott & White Healthcare System (the "System") compensation plans. The Scott & White Healthcare Board of Trustees, which is the governing body of the Scott & White Healthcare System and the Board Compensation Committee have approved plans designed to measure performance based on differing job functions. The Board of Trustees approves the bonus pools reserved for the various plans. The Board of Trustees determines and approves the bonus, if any, for the System's Chief Executive Officers and other executive level personnel. A Tarrant Co Cultural Educ Facilities Finance Corp Hospital Rev Bonds 2008A 043833551 87638QAL3 2008-06-11 236395000 Current refund series 2006, issued 11/6/2006 0 0 0 B Tarrant Co Cultural Educ Facilities Finance Corp Hospital Rev Bonds 2008A 043833551 87638QBD0 2008-08-27 171900349 Current refund series 2001, issued 12/2001 and series 2000B,issued 5/2001 0 0 0 C Tarrant Co Cultural Educ Facilities Finance Corp Hospital Rev Bonds 2008A 043833551 87638QES4 2010-06-24 347308677 Current refund series 2007 private placement bonds, new construction 0 0 0 D Tarrant Co Cultural Educ Facilities Finance Corp Hospital Rev Bonds 043833551 2010-10-01 56225000 Current refund series 2008-3, issued 6/2008 0 0 0 A 150620000 236882077 1402976 472374 38234577 196772150 2008 1 0 1 1 B 23655000 171900349 930299 170970050 2008 1 0 1 1 C 6560000 348985522 43354409 4176998 205712919 21681306 74059890 2010 1 0 0 0 D 56225000 56225000 2010 1 0 1 1 A 0 0 1 1 1 1 0.00050 0.00050 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 0 0 0 1 1 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 1 0 0 0 0 A 0 B 0 C 0 D 0 Schedule K Part IV, Arbitrage, Line 2c Date Rebate Computation Performed Issuer Name: Tarrant Co Cultural Educ Facilities Finance Corp Hospital Rev Date the Rebate Computation was Performed: 08/08/2013 Issuer Name: Tarrant Co Cultural Educ Facilities Finance Corp Hospital Rev Date the Rebate Computation was Performed: 10/30/2013 Part II, Line 3, Column A Entity 1 The difference between Part I, Line 3, Column (e) and Part II, Line 3 is due to investment earnings of $487,077. Part II, Line 3, Column C Entity 1 The difference between Part I, Line 3, Column (e) and Part II, Line 3 is due to investment earnings of $1,676,845. Part II, Line 3, Column A Entity 2 The difference between Part I, Line 3, Column (e) and Part II, Line 3 is due to investment earnings of $3,542. Part IV, Line 7, Column A Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Part IV, Line 7, Column B Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Part IV, Line 7, Column C Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Part IV, Line 7, Column D Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Part IV, Line 7, Column A Entity 2 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Part IV, Line 7, Column B Entity 2 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Part V, Column A Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance to ensure the violations of federal tax requirements are timely identified and corrected through VCAP if self-remediation is not available under applicable regulations. The organization anticipates these procedures will be adopted within the next fiscal year. Part V, Column B Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance to ensure the violations of federal tax requirements are timely identified and corrected through VCAP if self-remediation is not available under applicable regulations. The organization anticipates these procedures will be adopted within the next fiscal year. Part V, Column C Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance to ensure the violations of federal tax requirements are timely identified and corrected through VCAP if self-remediation is not available under applicable regulations. The organization anticipates these procedures will be adopted within the next fiscal year. Part V, Column D Entity 1 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance to ensure the violations of federal tax requirements are timely identified and corrected through VCAP if self-remediation is not available under applicable regulations. The organization anticipates these procedures will be adopted within the next fiscal year. Part V, Column A Entity 2 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance to ensure the violations of federal tax requirements are timely identified and corrected through VCAP if self-remediation is not available under applicable regulations. The organization anticipates these procedures will be adopted within the next fiscal year. Part V, Column B Entity 2 While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to tax exempt bond post-issuance compliance to ensure the violations of federal tax requirements are timely identified and corrected through VCAP if self-remediation is not available under applicable regulations. The organization anticipates these procedures will be adopted within the next fiscal year. A Tarrant Co Cultural Educ Facilities Finance Corp 043833551 87638QGS2 2013-03-13 279097876 Advanced refund of Hillcrest FHA bonds issued 12/28/2006 0 0 0 B Tarrant Co Cultural Educ Facilities Finance Corp 043833551 2013-03-28 94395000 Advanced refund of Hillcrest FHA bonds issued 12/28/2006 0 0 0 A 1035000 279101418 1986852 16817401 201692305 58604860 2013 0 1 0 0 B 94395000 94395000 2013 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 1 0 0 1 0 0 0 0 A 0 B 0 Phillip Couchman Family of Key Employee 59332 Employee of the Scott & White Healthcare System. 0 Jarrod Pryor Family of Officer 101038 Employee of the Scott & White Healthcare System. 0 Brett Dixon Family of Officer 58743 Employee of the Scott & White Healthcare System. 0 Kristin Murphy Family of Officer 89531 Employee of the Scott & White Healthcare System. 0 Michelle Hallee Family of Key Employee 115931 Employee of the Scott & White Healthcare System. 0 Glen Roney-Compass Bank Board of Di Officer of Scott & White Healthcare 1296598 Glen Roney is a Director at Compass Bank, with whom the organization maintains lines of credit and pays interest and fees on that debt. 0 Changes in Program Services Form 990, Part III, line 3 Scott & White Healthcare ("SWHC") assumed many of the oversight, governance, management, and financing roles previously held by Scott & White Memorial Hospital ("SWMH") for the Scott & White Healthcare System (the "System"). Beginning September 1, 2012 SWHC began supporting the operational needs of the System. Form 990, Part V, Line 1a: Scott & White Healthcare ("SWHC") does not file Forms 1096 or 1099. All expenditures for goods and services are made by Scott & White Memorial Hospital ("SWMH"), which has filed all required reporting forms. Form 990, Part V, Line 2a: Employees of the Scott & White Healthcare System are employed by Scott & White Memorial Hospital ("SWMH")(EIN: 74-1166904) or Scott & White Clinic ("SWC")(EIN: 74-2958277). This is done to achieve parity and consistency in compensation and benefits offered to employees and to reduce administration costs. Consistent with this practice, employee Form W-2's are filed by Scott & White Memorial Hospital or Scott & White Clinic. For financial reporting purposes, compensation, benefits and other employee costs are assigned to the Scott & White entity for which services are rendered. Oversight of and responsibility for the activities of employees are vested in the board of directors and management of the Scott & White entity to which such employees are assigned. All required employment forms have been filed by Scott & White Memorial Hospital and Scott & White Clinic. Form 990, Part VI, Section B, line 11 The Form 990 is prepared and reviewed by Scott & White Healthcare's ("SWHC") 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. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Persons with an actual or perceived ability to influence the organization have a 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. Scott & White Healthcare ("SWHC")Board of Trustees Audit and Compliance Committee and the SWHC Corporate Compliance Committee reviewed all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual. Form 990, Part VI, Section B, line 15 The compensation review process is performed annually. All physician compensation is reviewed; including pay, production data, and total compensation. The physician compensation is then benchmarked against industry standards using data from ten different industry surveys. This review is performed by an independent consultant and presented to the Scott & White Healthcare Board of Trustees Compensation Committee. Scott & White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of the Scott & White Healthcare System (the "System"). System Officers along with regional Chief Executive Officers and Chief Medical Officers are reviewed annually. An independent consultant compares total compensation to benchmark surveys. The Scott & White Healthcare Board of Trustees Compensation Committee reviews the compensation and comparability data annually. Form 990, Part VI, Section C, line 19 The Scott & White governing documents and Conflict of Interest Policy (Tax) are available to the public upon request. This entity does not have separately audited financial statements. The audited financial statements of the Scott & White Healthcare System are available at http://www.dacbond.com and upon request. Part VI, Line 16b: To protect the assets of the exempt organization one or both of the following actions may be taken: Board of director representation or majority ownership. While not formally adopted as of the organizations tax year end, the organization is in the process of formalizing a written policy to incorporate the previous measures, and take additional steps to safeguard the assets in these ventures. The organization anticipates these procedures will be adopted within the next fiscal year. Part VI, Line 14: While not formally adopted as of the organization's tax year end, written policies and procedures have been drafted by the organization that address the procedures followed with respect to written document retention and destruction compliance. The organization anticipates these procedures will be adopted within the next fiscal year. Form 990, Part VII: Average hours per week recorded in column B for the Officers, Directors, Key Employees and Highly Compensated Employees represent total hours worked for the entire Scott & White Healthcare System. Other Fees Form 990, Part IX, line 11g Contract Labor: Program service expenses 3,649,708. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,649,708. Other Purchased Services: Program service expenses 62,168,272. Management and general expenses 0. Fundraising expenses 0. Total expenses 62,168,272. Repairs: Program service expenses 3,721,792. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,721,792. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in Subsidiaries -2,177,140. Transfer to or from SWMH-Liability Reserve 9,685,644. Other -363. Form 5471 Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: Under 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, as a Category 5 filer with respect to certain controlled foreign corporations (CFCs). These filing requirements are or will be satisfied through the filing of Forms 5471 for these CFCs by other U.S. taxpayers identified below who have the same filing requirement. Taxpayer Name: Scott & White Memorial Hospital Taxpayer Address: 2401 S. 31st Street Temple, TX 76508 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 74-1166904 IRS Service Center where U.S. tax return was or will be filed: efile Scott & White Memorial Hospital 2401 S 31st Street Temple TX 76508 741166904 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Clinic 2401 S 31st Street Temple TX 76508 742958277 Physician Services TX 501(c)(3) Line 9 Scott & White Healthcare 1 Scott & White Hospital-Round Rock 2401 S 31st Street Temple TX 76508 203749695 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Continuing Care Hospital 2401 S 31st Street Temple TX 76508 202850920 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White EMS Inc 2401 S 31st Street Temple TX 76508 753242749 Emergency Transportation TX 501(c)(3) Line 9 Scott & White Memorial Hospital 1 Scott & White Hospital-Taylor 2401 S 31st Street Temple TX 76508 741595711 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Llano 2401 S 31st Street Temple TX 76508 273026151 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-College Station 2401 S 31st Street Temple TX 76508 274434451 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Hospital-Brenham 2401 S 31st Street Temple TX 76508 742519752 Hospital Services TX 501(c)(3) Line 3 Scott & White Healthcare 1 Scott & White Healthcare Foundation 2401 S 31st Street Temple TX 76508 273513154 Fundraising TX 501(c)(3) Line 7 Scott & White Healthcare 1 Scott & White Health Plan 2401 S 31st Street Temple TX 76508 742052197 HMO/Insurance TX 501(c)(4) Scott & White Healthcare 1 Brenham Hospital Services Corporation 2401 S 31st Street Temple TX 76508 742605157 Operational Support TX 501(c)(3) Line 11a, I Scott & White Healthcare 1 Scott & White Foundation-Brenham 2401 S 31st Street Temple TX 76508 742460815 Fundraising TX 501(c)(3) Line 7 Scott & White Hospital-Brenham 1 Brenham Care Center 2401 S 31st Street Temple TX 76508 742663229 Healthcare TX 501(c)(3) Line 9 Scott & White Hospital-Brenham 1 Hillcrest Baptist Medical Center 100 Hillcrest Medical Blvd Waco TX 76712 741161944 Hospital Services TX 501(c)(3) Line 3 Scott & White Memorial Hospital 1 Hillcrest Family Health Center 100 Hillcrest Medical Blvd Waco TX 76712 742730350 Physician Services TX 501(c)(3) Line 11c, III-FI Hillcrest Baptist Medical Center 1 Hillcrest Physician Services 100 Hillcrest Medical Blvd Waco TX 76712 742967081 Physician Services TX 501(c)(3) Line 11c, III-FI Hillcrest Baptist Medical Center 1 Scott & White Hospital-Marble Falls 2401 S 31st Street Temple TX 76508 464007700 Hospital Services TX Applied for 501 (c) Applied for Line 3 Scott & White Healthcare 1 ESWCT LLC 10077 Grogans Mill Rd Ste 100 The Woodlands TX 77380 900899017 Investment TX 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326224724 Investment TX Scott & White Healthcare Foundation T 1 Scott & White Lake of the Hills Regional Medical Center 2401 S 31st Street Temple TX 76508 451608264 Hospital Services TX Scott & White Healthcare C 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 Scott & White Memorial Hospital Q 691924023 Cost Scott & White Hospital-Round Rock Q 88171183 Cost Scott & White Hospital-Round Rock R 91277253 Cost Scott & White Continuing Care Hospital Q 8543878 Cost Scott & White Healthcare Foundation Q 9566936 Cost Scott & White Healthcare Foundation B 7154028 Cost Scott & White Clinic Q 211159663 Cost Scott & White Hospital-College Station Q 4676365 Cost Scott & White EMS Inc Q 5060192 Cost Scott & White Hospital Brenham Q 13951012 Cost Scott & White Hospital-Llano Q 24414902 Cost Scott & White Hospital-Taylor Q 3107428 Cost Scott & White Health Plan Q 54884820 Cost Insurance Company of Scott & White Q 37684 Cost Brenham Care Center S 116765 Cost Hillcrest Family Health Center S 76265 Cost 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