SCOTT & WHITE HEALTHCARE FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SCOTT & WHITE HEALTHCARE FOUNDATION (EIN 27-3513154)
Tax period
2012-09-01 to 2013-08-31
Filed
2014-07-14
IRS object ID
201431959349301713
Schema version
2012v2.1
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)
Timestamp2014-07-14T16:24:47-05:00Timestamp
Tax Period End Date2013-08-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN273513154EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Scott & White Healthcare FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSCOTNameControl
Phone2542159256Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1
CityTempleCity
StateTXState
ZIP Code76508ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNancy BirdwellName
TitleChief Executive OfficerTitle
Phone2547242111Phone
Date Signed2014-07-13DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMatthew WrightNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1
CityTempleCity
StateTXState
ZIP Code76508ZIPCode
FieldValueIRS element (for citing)
Gross Receipts113062582GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sw.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSee Schedule O Foundation to establish relationships and develop an understanding of and a belief in Scott & White's missions and vision in order to obtain philanthropic financial resources to meet the needs of the network of clinics, acute care hospitals and related health care entities its serves.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28688665ContributionsGrantsPriorYear
Contributions Grants Current Year26224239ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-77605InvestmentIncomePriorYear
Investment Income Current Year2927082InvestmentIncomeCurrentYear
Other Revenue Prior Year-11772OtherRevenuePriorYear
Other Revenue Current Year659062OtherRevenueCurrentYear
Total Revenue Prior Year28599288TotalRevenuePriorYear
Total Revenue Current Year29810383TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4328215GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8609605GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year3797013SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY341984TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year511786TotalFundrsngExpCurrentYear
Other Expense Prior Year18976OtherExpensePriorYear
Other Expenses Current Year2229296OtherExpensesCurrentYear
Total Expenses Prior Year4347191TotalExpensesPriorYear
Total Expenses Current Year14977898TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24252097RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14832485RevenuesLessExpensesCY
Total Assets BOY143641318TotalAssetsBOY
Total Assets EOY166728980TotalAssetsEOY
Total Liabilities BOY176170TotalLiabilitiesBOY
Total Liabilities EOY2267354TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY143465148NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY164461626NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo establish relationships and develop an understanding of and a belief in Scott & White's mission and vision in order to obtain philanthropic financial resources to meet the needs of those it serves.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13295514Expense
Grants8609605Grants
DescriptionSee 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. Through thoughtful relationship development and interaction with supporters who believe in Scott & White's mission, the foundation strives to develop resources for enhanced clinical services, healthcare education for the next generation of professionals, clinical and translational research, and state-of-the-art facilities in which to deliver care. 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.Description
Total Program Service Expense13295514TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledALStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jon MaloneBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2542159259TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1
CityTempleCity
StateTXState
ZIP Code76508ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Louis S Casey Jr
Trustee1.00X000
Wayne Fisher
Trustee1.00X000
Glen E Roney
Trustee1.00X000
Morris E Foster
Trustee1.00X000
Ross McKnight
Trustee, Chairman1.00X000X
Drayton McLane Jr
Trustee1.00X000
James H Mills
Trustee1.00X000
Donald R Grobowsky
Trustee1.00X000
Lyndon L Olson Jr
Trustee1.00X000
Anita Perry
Trustee1.00X000
W Roy Smythe MD
Trustee, Vice Chairman, Secretary1.00X071326855112X40.00
L Gill Naul MD
Trustee1.00X07311515379940.00
Michael Reis MD
Trustee1.00X04993005140940.00
Robert Probe MD
Trustee1.00X08160965735640.00
Michael L Middleton MD
Trustee1.00X04181105154240.00
Andrejs E Avots-Avotins MD
Trustee1.00X05332905378140.00
Robert W Pryor MD
Trustee, System Chief Executive Officer1.00X012029735207040.00
William L Rayburn MD
Trustee1.00X06253345494140.00
Madhava R Beeram MD
Trustee1.00X04742175205640.00
Alejandro C Arroliga MD
Trustee1.00X06008595333240.00
Stephen Sibbitt MD
Trustee1.00X05361785235840.00
Robert Garriott
Trustee1.00X000
Thomas L Burdett
Trustee1.00X000
Kenneth Starr
Trustee1.00X000
Nancy W Dickey MD
Trustee1.00X000
Jack Martin
Trustee1.00X000
Nancy L Birdwell
Executive Vice President, Chief Executive Officer40.00037236041636X
Alfred B Knight MD
President40.00034353451101X
Francis P Anderson
Treasurer1.00033240350518X40.00
Dick L Dixon
System Chief Financial Officer1.0006411745254040.00X
James Carroll
System Chief Legal Counsel1.0005110144641440.00X
Matthew L Chambers
System Chief Information Officer1.0005365945437140.00X
Marc R Hallee
System Chief Human Resources Officer1.0004966884660340.00X
Patricia M Currie
System Chief Operation Officer1.0007357635368240.00X
Stephen F Sullivan
System Chief Strategy Officer1.0002723781278540.00X
Susan I Fergus
Vice President Stewardship40.00011608627328X
Thom J Sloan
Development Director40.0001234369430X
Stacy M Smith
Director Development40.00011213315736X
Matthew G Wright
Vice President Philanthropy & Operations40.00016373923427X
Brian T Hervey
Vice President Philanthropy & Communications40.00015012335071X
Peter S Brumleve
Former Key Employee, Chief Stategy Officer0.0001999761474040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12258177TotalReportableCompFrmRltdOrgs
Total Other Compensation1123138TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Ruffalo CodyBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 3018AddressLine1
CityCedar RapidsCity
StateIAState
ZIP Code526063018ZIPCode
FieldValueIRS element (for citing)
Compensation300000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events670312FundraisingEvents
Related Organizations7154028RelatedOrganizations
All Other Contributions18399899AllOtherContributions
Noncash Contributions198182NoncashContributions
Total Contributions26224239TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2687086TotalRevenueColumn
Exclusion$2,687,086ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column754960TotalRevenueColumn
Exclusion$754,960ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8950Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8950Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8950TotalRevenueColumn
Exclusion$8,950ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities83291990Securities
Other59977Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities82999971Securities
Other112000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities292019Securities
Other-52023Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column239996TotalRevenueColumn
Exclusion$239,996ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35380GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events670312CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses140228FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-104848TotalRevenueColumn
Exclusion-$104,848ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29810383TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,586,144ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8609605Total
Program Services8609605ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total726907Total
Management And General726907ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2408126Total
Program Services2408126ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total661980Total
Program Services661980ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total341984Total
Fundraising341984Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1300398Total
Program Services998880ProgramServices
Management And General301518ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52089Total
Program Services40011ProgramServices
Management And General12078ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total863Total
Program Services863ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total266792Total
Program Services204932ProgramServices
Management And General61860ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153032Total
Program Services117549ProgramServices
Management And General35483ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30096Total
Program Services23118ProgramServices
Management And General6978ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total31125Total
Program Services31125ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total80028Total
Program Services61472ProgramServices
Management And General18556ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServices
Donor Recognition169802169802
Supplies4456044560
Dues & Subscriptions4011140111
Other Community Benefit2926929269

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total31131Total
Program Services23913ProgramServices
Management And General7218ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14977898Total
Program Services13295514ProgramServices
Management And General1170598ManagementAndGeneral
Fundraising511786Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10754173BOY
EOY24234182EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY111688730BOY
EOY126133835EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY17065247BOY
EOY13226264EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1563264LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec707043LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1448157BOY
EOY856221EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2365458BOY
EOY2101138EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY318903BOY
EOY176690EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY650BOY
EOY650EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY143641318BOY
EOY166728980EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY176170BOY
EOY2214764EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY52590EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY176170BOY
EOY2267354EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44110046BOY
EOY48886409EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY98393127BOY
EOY78942943EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY961975BOY
EOY36632274EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY143465148BOY
EOY164461626EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY143641318BOY
EOY166728980EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14832485ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6119574ReconciliationUnrealizedInvest
Reconcilation Other Changes44418ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3299644CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8713674CurrentTaxYearMinus1Year
Current Tax Year26224239CurrentTaxYear
Total38237557Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3299644CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8713674CurrentTaxYearMinus1Year
Current Tax Year26224239CurrentTaxYear
Total38237557Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total7135112AmountsSubstContributorsTotal
Public Support Total17031102445PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year3450996CurrentTaxYear
Total3450996Total
FieldValueIRS element (for citing)
Total Support41688553TotalSupport
First5 Years170XFirst5Years170
General ExplanationSchedule A, Part IV, Supplemental Information: The organization was formed June 1, 2010. Tax year 2009 was a short year.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$346GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$24,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB24346TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationPart II-B, Line 1(f) and Line 1(g): Scott & White Healthcare Foundation("SWF") maintains memberships in the Association for Healthcare Philanthropy and Association of Fundraising Professionals. 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. In addition, the organization retains the services of professional lobbyists, and in-house staff personnel maintain contact with legislators regarding issues pertinent to the organization.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance84929025BeginningOfYearBalance
Contributions3916915Contributions
Investment Earnings Or Losses9065986InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2423232OtherExpenditures
End Of Year Balance95488694EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance959721BeginningOfYearBalance
Contributions85529950Contributions
Investment Earnings Or Losses851671InvestmentEarningsOrLosses
Other Expenditures2412317OtherExpenditures
End Of Year Balance84929025EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Contributions960307Contributions
Investment Earnings Or Losses-586InvestmentEarningsOrLosses
End Of Year Balance959721EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.50000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.50000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis404535OtherCostOrOtherBasis
Book Value404535BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1048729OtherCostOrOtherBasis
Depreciation707043Depreciation
Book Value341686BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis110000OtherCostOrOtherBasis
Book Value110000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings856221TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Related OrganizationDescription
Amount$52,590Amount
FieldValueIRS element (for citing)
Total Of Amounts52590TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationFin 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.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
RuffaloCODY
PO Box 3018Cedar RapidsIA524063018Donor Acquisition Calling Program00250000-250000
Bornes VDM
1610 14th Avenue SEWatertownSD57201Direct Mail0091984-91984
FieldValueIRS element (for citing)
Total Retained By Contractors341984TotalRetainedByContractors
Total Net To Organization-341984TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Boots & BandanasNameOfEvent1
Gross Receipts Event1114545GrossReceiptsEvent1
Charitable Contributions Event191690CharitableContributionsEvent1
Gross Revenue Event122855GrossRevenueEvent1
Rent Facility Costs Event14954RentFacilityCostsEvent1
Food And Beverage Event116028FoodAndBeverageEvent1
Entertainment Event159000EntertainmentEvent1
Other Direct Expenses Event17639OtherDirectExpensesEvent1
Name Of Event2American GirlNameOfEvent2
Gross Receipts Event271147GrossReceiptsEvent2
Charitable Contributions Event258622CharitableContributionsEvent2
Gross Revenue Event212525GrossRevenueEvent2
Rent Facility Costs Event21000RentFacilityCostsEvent2
Food And Beverage Event28880FoodAndBeverageEvent2
Other Direct Expenses Event238260OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events520000GrossReceiptsOtherEvents
Charitable Contrib Other Events520000CharitableContribOtherEvents
Non Cash Prizes Other Events573NonCashPrizesOtherEvents
Rent Facility Costs Other Events1256RentFacilityCostsOtherEvents
Food And Beverage Other Events2638FoodAndBeverageOtherEvents
Gross Receipts Total705692GrossReceiptsTotal
Charitable Contributions Total670312CharitableContributionsTotal
Gross Revenue Total Events35380GrossRevenueTotalEvents
Non Cash Prizes Total Events573NonCashPrizesTotalEvents
Rent Facility Costs Total Events7210RentFacilityCostsTotalEvents
Food And Beverage Total Events27546FoodAndBeverageTotalEvents
Entertainment Total Events59000EntertainmentTotalEvents
Other Direct Expenses Total Events45899OtherDirectExpensesTotalEvents
Direct Expense Summary Events140228DirectExpenseSummaryEvents
Net Income Summary-104848NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Scott & White Memorial HospitalBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12401 S 31st StreetAddressLine1
CityTempleCity
StateTXState
ZIP Code76508ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient741166904EINOfRecipient
IRC Section501 (c) (3)IRCSection
Amount Of Cash Grant8609605AmountOfCashGrant
Purpose Of GrantTo fund research,education, and priority programs and services.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
W Roy Smythe MD
Trustee, Vice Chairman, Secretary069866600014602032500022612076838000
L Gill Naul MD
Trustee066249806500003653032500021299078495000
Michael Reis MD
Trustee042326507200004035032500018909055070900
Robert Probe MD
Trustee074351107052102064032500024856087345200
Michael L Middleton MD
Trustee0416403063301074032500019042046965200
Andrejs E Avots-Avotins MD
Trustee05216420898002668032500021281058707100
Robert W Pryor MD
Trustee, System Chief Executive Offi08956230300000073500325000195700125504300
William L Rayburn MD
Trustee052837209400002962032500022441068027500
Madhava R Beeram MD
Trustee043199804000002219032500019556052627300
Alejandro C Arroliga MD
Trustee054249805700001361032500020832065419100
Stephen Sibbitt MD
Trustee043541601000000762032500019858058853600
Nancy L Birdwell
Executive Vice President, Chief Exec02734680965000239203250009136041399600
Alfred B Knight MD
President0242623087500013411032500018601039463500
Francis P Anderson
Treasurer026324406775001409032500018018038292100
Dick L Dixon
System Chief Financial Officer0431778020775001646032500020040069371400
James Carroll
System Chief Legal Counsel0375213013230003501032500013914055742800
Matthew L Chambers
System Chief Information Officer0392598014000003996032500021871059096500
Marc R Hallee
System Chief Human Resources Officer036655401297500384032500014103054329100
Patricia M Currie
System Chief Operation Officer0540415019250002848032500021182078944500
Stephen F Sullivan
System Chief Strategy Officer02305130408330103200012785028516300
Matthew G Wright
Vice President Philanthropy & Operat013600002765808102119802229018716600
Brian T Hervey
Vice President Philanthropy & Commun012766502130001158019988015083018519400
Peter S Brumleve
Former Key Employee, Chief Stategy O01187440008123201021904521021471600

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 3The 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 7Discretionary 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.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions40NumberOfContributions

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990147077NoncashContribsRptdF990
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionConstruction MaterialsDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99051105NoncashContribsRptdF990
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Third Party Use:Part I, Line 32b:A local auction service is used to sell non-cash gifts donated to the organization or items that the owner wants the proceeds to benefit the charitable mission of the organization.
Non Reporting of Revenue:Part I, Line 33:The non-cash contributions that were not reported as revenue on Form 990, Part VIII, line 1g, were gifts used in fundraising events.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
Form 990, Part V, Line 1a: Scott & White Healthcare Foundation ("SWF") does not file Forms 1096 or 1099. All expenditures for goods and services are made by Scott & White Memorial Hospital, 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 administrative 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.
Donald Grobowsky and Dr. Alfred Knight, trustees, are both on the Board of Directors for First State Bank.Form 990, Part VI, Section A, line 2
Scott & White Healthcare ("SWHC")(EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3) is the sole member.Form 990, Part VI, Section A, line 6
Scott & White Healthcare ("SWHC")(EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3) is the sole member. Election of the Foundation's Board of Trustees requires the approval of the Scott & White Healthcare Board of Trustees, by majority vote. The majority of the Scott & White Healthcare Board of Trustees is comprised of individuals who are representative of the community.Form 990, Part VI, Section A, line 7a
Scott & White Healthcare ("SWHC")(EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3) is the sole member. Actions taken by the Foundations Board of Directors are subject to oversight and approval of the Scott & White Healthcare Board of Trustees. The majority of the Scott & White Healthcare Board of Trustees is comprised of individuals who are representative of the community.Form 990, Part VI, Section A, line 7b
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 11
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 12c
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 B, line 15
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.Form 990, Part VI, Section C, line 19
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.
Current year change in uncollectible contributions and pledges 60,700. R & E Transfer -16,282.Form 990, Part XI, line 9:Changes in Net Assets or Fund Balances:
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: efileForm 5471

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Scott & White Healthcare
2401 S 31st StreetTempleTX76508264532547Operational SupportTX501 (c) (3)Line 11a, IN/A0
Scott & White Memorial Hospital
2401 S 31st StreetTempleTX76508741166904Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White Clinic
2401 S 31st StreetTempleTX76508742958277Physician ServicesTX501 (c) (3)Line 91Scott & White Healthcare
Scott & White Hospital-Round Rock
2401 S 31st StreetTempleTX76508203749695Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White Continuing Care Hospital
2401 S 31st StreetTempleTX76508202850920Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White EMS Inc
2401 S 31st StreetTempleTX76508753242749Emergency TransportationTX501 (c) (3)Line 91Scott & White Memorial Hospital
Hillcrest Baptist Medical Center
100 Hillcrest Medical BlvdWacoTX76712741161944Hospital ServicesTX501 (c) (3)Line 31Scott & White Memorial Hospital
Scott & White Hospital-Brenham
2401 S 31st StreetTempleTX76508742519752Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White Health Plan
2401 S 31st StreetTempleTX76508742052197HMO/InsuranceTX501 (c) (4)1Scott & White Healthcare
Scott & White Hospital-Taylor
2401 S 31st StreetTempleTX76508741595711Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White Hospital-Llano
2401 S 31st StreetTempleTX76508273026151Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White Hospital-College Station
2401 S 31st StreetTempleTX76508274434451Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Brenham Hospital Services Corporation
2401 S 31st StreetTempleTX76508742605157Operational SupportTX501 (c) (3)Line 11a, I1Scott & White Healthcare
Scott & White Foundation-Brenham
2401 S 31st StreetTempleTX76508742460815FundraisingTX501 (c) (3)Line 71Scott & White Hospital-Brenham
Brenham Care Center
2401 S 31st StreetTempleTX76508742663229HealthcareTX501 (c) (3)Line 91Scott & White Hospital-Brenham
Hillcrest Family Health Center
100 Hillcrest Medical BlvdWacoTX76712742730350Physician ServicesTX501 (c) (3)Line 11a, I1Hillcrest Baptist Medical Center
Hillcrest Physician Services
100 Hillcrest Medical BlvdWacoTX76712742967081Physician ServicesTX501 (c) (3)Line 11a, I1Hillcrest Baptist Medical Center
Scott & White Hospital - Marble Falls
2401 S 31st StreetTempleTX76508464007700Hospital ServicesTXApplied for 501 (c)Applied for Line 31Scott & White Healthcare

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ESWCT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110077 Grogans Mill Rd Ste 100AddressLine1
CityThe WoodlandsCity
StateTXState
ZIP Code77380ZIPCode
FieldValueIRS element (for citing)
EIN900899017EIN
Primary ActivityInvestmentPrimaryActivity
Legal Domicile StateTXLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Scott & White Properties Holdings Inc
2401 S 31st StreetTempleTX76508452920596InvestmentTXN/AC1
Scott & White Properties Inc
2401 S 31st StreetTempleTX76508742497061Hotel servicesTXN/AC1
Scott & White Assurance Ltd
980589956InvestmentN/AC123 Lime Tree BayGrand CaymanCJCJ
Hillcrest Health Holdings Inc
3000 Herring StWacoTX76708742793367Operational SupportTXN/AC1
Atumida
2401 S 31st StreetTempleTX76508270583030ResearchTXN/AC1
Insurance Company of Scott & White
2401 S 31st StreetTempleTX76508743092083InsuranceTXN/AC1
Charitable Remainder Trust #1
PO Box 6101TempleTX765036101526854329InvestmentTXN/AT1
Charitable Remainder Trust #2
PO Box 6101TempleTX765036101206463694InvestmentTXN/AT1
Charitable Remainder Trust #3
PO Box 6101TempleTX765036101416504860InvestmentTXN/AT1
Charitable Remainder Trust #4
PO Box 6101TempleTX765036101742751167InvestmentTXN/AT1
Charitable Remainder Trust #5
PO Box 6101TempleTX765036101746391353InvestmentTXN/AT1
Charitable Remainder Trust #6
PO Box 6101TempleTX765036101746397360InvestmentTXN/AT1
Charitable Remainder Trust #7
PO Box 6101TempleTX765036101742751168InvestmentTXN/AT1
Charitable Remainder Trust #8
PO Box 6101TempleTX765036101746423552InvestmentTXN/AT1
Charitable Remainder Trust #9
PO Box 6101TempleTX765036101456783659InvestmentTXN/AT1
Phil and June Hivnor Charitable
2401 S 31st StreetTempleTX76508900850773InvestmentTXT1Scott & White Healthcare Foundation300911.00000
Nelda I Staller Charitable Remainder Unitrust No 1
2401 S 31st StreetTempleTX76508326224724InvestmentTXT1Scott & White Healthcare Foundation735871.00000
Scott & White Lake of the Hills Regional Medical Center
2401 S 31st StreetTempleTX76508451608264Hospital ServicesTXN/AC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Scott & White Memorial Hospital
B8609605Cost
Scott & White Memorial Hospital
P1978697Cost
Scott & White Clinic
P1465864Cost
Scott & White Healthcare
C7154028Cost
Scott & White Healthcare
P9566936Cost

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