2013-05-09T19:54:55-05:00 2012-06-30 990 2011-07-01 751570933 Irving Healthcare Foundation IRVI 9725794390 2001 Bryan Street No 2200 Dallas TX 75201 John Drake 9725794390 2013-05-09 2011 2016-02-25 16:41:14Z John Drake 1901 N MacArthur Blvd Irving TX 75061 5757350 0 X www.IrvingHealthcare.org X 1977 TX Awards funds raised and encourages volunteer service to healthcare charities in Irving, TX. 33 31 8 120 0 0 1970091 1893472 0 0 404469 359331 -6715 -16544 2367845 2236259 1852489 1236768 0 0 537659 513683 0 0 177921 331611 244564 2721759 1995015 -353914 241244 9336183 9260640 108602 161540 9227581 9099100 X Irving Healthcare Foundation makes people healthier by awarding funds raised and encouraging volunteer service to local nonprofit healthcare organizations. 0 0 486198 486198 Grants to Baylor Medical Center at Irving:Irving Healthcare Foundation (IHF) granted more than $485,000 to Baylor Medical Center at Irving, the city's only non-profit hospital and the primary health care resource for residents and visitors. Grants included $9,400 for cancer services $180,000 for cardiac care equipment, $53,000 for continuing education of nursing and allied health staff, $12,000 for volunteer services, $1,000 for the Congestive Heart Failure Clinic and education of the staff, $100,000 for Community Outreach efforts, $1,500 for the education of pharmacists, and $11,000 for chaplaincy related programs. In addition, IHF granted more than $14,000 to renovate the hospital's emergency department, $87,000 went to purchase a specialized surgery table, and $20,700 went to buy an intravenous sonogram for the ICU. 306364 306364 Grants to Our Children's House at Baylor-Irving:IHF granted more than $305,000 to Our Children's House at Baylor Irving (OCHI), a Baylor-owned childcare facility 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. 303704 303704 Grants to Irving Interfaith Clinic:IHF granted more than $300,000 to Irving Interfaith Clinic (IIC), the only free charity clinic staffed by volunteer nurses, doctors, and dentists in Irving, Texas. IIC serves low-income and uninsured Irving residents. 242321 140502 Grants to Other IHF Beneficiaries:IHF granted $21,000 for efforts to battle childhood obesity in Irving schoolchildren. IHF also granted $10,300 to fund dental services for seniors and children at a local charity dental clinic. Additionally, IHF granted $38,500 to the Baylor Health Care System Foundation and a combined total of $70,000 towards other IHF initiatives. 242321 140502 1338587 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 2 1 1 8 1 0 0 0 0 0 1 1 0 0 0 0 X 33 31 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X John Drake 9725794391 1901 N MacArthur Irving TX 75061 X WT Trotter III 1.00 X X 0 0 0 Clem Lear 1.00 X X 0 0 0 Matthew Boyle 1.00 X 0 0 0 Raegan Arrington 1.00 X X 0 0 0 Susie Fan 1.00 X X 0 0 0 Janet Boyce 1.00 X 0 0 0 Harry Weaver 1.00 X 0 0 0 Suzanne Beeman 1.00 X X 0 0 0 Jackie Bigham 1.00 X 0 0 0 Janice Carroll 1.00 X 0 0 0 James Cassels 1.00 X 0 0 0 Edward Clifford MD 1.00 X 0 39000 0 Van Garman DO 1.00 X 0 0 0 Robert Gooby 1.00 X 0 0 0 Steve Katzman MD 1.00 X 0 0 0 Craig Laird 1.00 X 0 0 0 Helma Mazon 1.00 X X 0 798 0 Rakesh I Patel 1.00 X 0 0 0 Larry Clements 1.00 X 0 0 0 Brian Smith 1.00 X 0 0 0 Burnell Stehman 1.00 X 0 0 0 Margaret Sutherland 1.00 X 0 0 0 Mimi Tran 1.00 X 0 0 0 Chris Wallace 1.00 X 0 0 0 Robert Witte 1.00 X 0 0 0 Cindy Schamp 1.00 X 0 517592 145283 Thom Davis 1.00 X 0 0 0 Eric Dunlap 1.00 X 0 0 0 Peter Fitzwilliams 1.00 X 0 0 0 Joy Pike 1.00 X 0 0 0 Rudy Sanchez Jr 1.00 X 0 0 0 Cheryl White MD 1.00 X 0 0 0 Angela Enright 1.00 X 0 737 0 John Drake 40.00 X 197609 0 32515 Amy Martin 1.00 X 0 202688 8168 197609 760815 185966 1 0 1 0 0 47279 5120 237599 302500 1300974 132629 1893472 201080 201080 3517469 3359218 158251 158251 158251 145329 237599 161873 -16544 -16544 2236259 0 0 342787 1236768 1236768 261915 51110 156049 54756 211684 2117 143945 65622 8422 84 5727 2611 5395 54 3669 1672 26267 262 17862 8143 38233 38233 38492 4857 6534 27101 44210 6613 35997 1600 11127 10032 1095 55695 5012 36202 14481 22 22 11149 10389 760 6344 6344 Miscellaneous Expenses 32582 25000 7524 58 Bad Debt 6710 6710 1995015 1338587 478507 177921 355007 729210 573979 885589 21922 19238 232085 162089 71681 69996 8221085 7320075 92509 236532 9336183 9260640 108602 161540 108602 161540 X 4002941 3464172 2091820 2500873 3132820 3134055 9227581 9099100 9336183 9260640 X 241244 -369725 X 0 1 1 X 0 X 2056049 1393386 1588908 1970091 1893472 8901906 2056049 1393386 1588908 1970091 1893472 8901906 922347 7979559 247743 213418 159614 184259 201080 1006114 9908020 976516 0.80540 0.65700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4238955 1235 -22586 173522 4044082 3919265 1375 634132 315817 4238955 3351586 151221 458263 157988 3803082 4515836 72420 -1095151 141519 3351586 0.02900 0.97100 0 0 63000 63000 169085 162089 6996 69996 Equities 4454770 F Fixed Income 2635755 F Tangible Assets 229550 F 7320075 2236259 1995015 241244 -396273 26548 -369725 -128481 3241685 1007926 1007926 2233759 2500 2500 2236259 2109137 161873 161873 1947264 47751 47751 1995015 Description of Intended Use of Endowment Funds: 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 Medical Center at Irving and the Irving Interfaith Clinic. Description of Uncertain Tax Positions Under FIN 48: Part X: The Foundation follows the provisions of ASC 740 "Income Taxes". As of June 30, 2012 and 2011, the Foundation had no material gross unrecognized tax benefits. Part XI, Line 8 - Other Adjustments: Change in Value of Split Interest Agreements 43,221. Transfers Between Entities Under Common Control -16,673. Total to Schedule D, Part XI, Line 8: 26,548. Part XII, Line 2d - Other Adjustments: Special Event Expenses: 161,873 Net Assets Released from Restrictions: 846,053 Part XII, Line 4b - Other Adjustments: Contribution from Baylor Medical Center at Irving: 2,500 Part XIII, Line 2d - Other Adjustments: Special Event Expenses: 161,873 Part XIII, Line 4b - Other Adjustments: Bad Debt Expense: 6,710 Grants & Allocations: 41,041 Texas Fest 336411 191831 144580 19683 46679 40804 48523 Fund. Breakfast 29003 29003 609 2 17514 16765 749 200 5375 382928 237599 145329 200 19683 47288 40804 53898 161873 -16544 1 Baylor Medical Center at Irving 1901 N MacArthur Irving TX 75061 752586857 501(c)(3) 492779 N/A N/A Patient care, education, software,community outreach, volunteer services, med library Baylor Specialty Health Centers 3504 Swiss Dallas TX 75204 751765385 501(c)(3) 306364 N/A N/A Child care services, patient care Irving Interfaith Health Ministries 1901 N MacArthur Irving TX 75061 043821796 501(c)(3) 303704 N/A N/A General support, equipment, indigent care Community Dental Care 1420 W Mockingbird Lane Dallas TX 75247 751823660 501(c)(3) 10287 N/A N/A Indigent care YMCA of Metropolitan Dallas (Irving Family YMCA) 2200 W Irving Blvd Irving TX 75061 750800696 501(c)(3) 20727 N/A N/A General support Baylor Health Care System Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751606705 501(c)(3) 41041 N/A N/A Employee Assistance and Faith in Action Irving Cares 440 S Nursery Rd Suite 101 Irving TX 75060 751436937 501(c)(3) 10000 General Support Baylor Research Institute 2001 Bryan Street Suite 2200 Dallas TX 75201 751921898 501(c)(3) 50000 Medical Research 8 0 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 further one or more tenets of Irving Healthcare Foundations (IHF), Baylor Medical Center at Irvings (BMCI) or Baylor Health Care System's (BHCS) 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 IHF or BHCS or a third party (such as Community Health Check Up or by the United Way), (2) Serves an under-served community or group of people through medical mission work to improve their health status. For related organizations, all grants and other assistance are subject to the policies and procedures set forth by IHF or BHCS that 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 and require the signatures of an authorized user from the unrelated organization, an administrative liaison and an foundation representative to ensure prudent and appropriate use in accordance with donative intent. X X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Cindy Schamp 0 340190 0 127302 0 50100 0 115040 0 30243 0 662875 0 36199 John Drake 169832 0 26215 0 1562 0 8950 0 23565 0 230124 0 0 0 Amy Martin 0 155898 0 45870 0 920 0 7795 0 373 0 210856 0 0 Part I, Line 1a Travel for companions - The organization reimburses eligible employees and board members certain reasonable travel expenses associated with spousal travel where the spouse's presence is important to the event. These events may include, for example, board meetings, retreats, and award ceremonies approved by the Baylor Health Care System ("BHCS") CEO. All spousal travel reimbursements are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Part I, Line 1a Tax indemnification and gross up payments-The organization provides tax indemnification where an authorized member of management determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Part I, Line 4b In order to recruit and retain key talent, BHCS 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 participated in and/or received payments (noted in parenthesis) from BHCS' supplemental non qualified retirement plan during the tax year: Cindy Schamp ($36,199). Also, select certain officers, as designated by BHCS's 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 BHCS as well as align their compensation to the long term strategy of BHCS. 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 BHCS'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 BHCS's 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 ($59,683). Part I, Line 7 The organization has adopted and implemented Baylor Health Care Systems' ("BHCS"), the organization's sole member, Performance Award 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 BHCS's 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 financal stewardship. BHCS's governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data. Supplemental Information Part III Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. Some, but not all, members have received modest benefits incident to their service on the board and/or multiple board committees of a related organization. These benefits 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. Two members received compensation from a related organization in their capacity as President or Medical Director of the related organization. X 1 2000 Fair Market Value X 116 Fair Market Value X 1 5000 Fair Market Value X 3 228 X 8 30471 Fair Market Value X Furniture & Equipment 1 2000 Fair Market Value X Donations for Events 240 92814 Fair Market Value 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): The organization is reporting based on the number of contributions, not the number of items contributed. Form 990, Part VI, Section A, line 2 Family or business relationships: Joy Pike and Chris Wallace have a business relationship. Form 990, Part VI, Section A, line 6 Members 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 7a Election of members of governing body by members, stockholders, or other persons: The sole member, Baylor Medical Center at Irving, appoints and removes the members of the governing body. Form 990, Part VI, Section A, line 7b Governing body decisions subject to approval: The sole member, Baylor Medical Center at Irving, 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 11 Process used to review the Form 990: The Form 990 is prepared and reviewed by the Baylor Health Care System's 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. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS. Form 990, Part VI, Section B, line 12c Process used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with the 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, and other key personnel who interact with outside organizations or businesses on behalf of the organization. The Baylor Health Care System ("BHCS") Board of Trustees Audit and Compliance Committee and the BHCS Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual. Form 990, Part VI, Section B, line 15 Process for determining compensation: The organization's President's performance against stated goals is reviewed annually by the organization's Executive Committee of the Board of Directors. Furthermore, the compensation range for the organization's President is set through market comparability studies conducted by Baylor Health Care System ("BHCS"), Baylor Medical Center at Irving's sole member, through BHCS' process of determining compensation as described below in the following paragraphs. BHCS and its controlled affiliates, recognizes that those chosen to lead these organizations are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organizations and help BHCS maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. Total executive compensation is part of an integrated talent management strategy developed by the BHCS Board of Trustees and its Compensation and Governance Committee ("Committee") to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The BHCS Board of Trustees and Committee, on behalf of BHCS and its controlled organizations, work directly with independent compensation expert(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and/or key employees. The Committee is made up of members of the BHCS Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(s), the Committee approves and recommends to the BHCS Board of Trustees salary increases, earned incentives, and benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision making process, the Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the Committee minutes which are timely reviewed and approved by the Committee. Form 990, Part VI, Section C, line 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of Baylor Health Care System that are made available to the public by the posting of those documents through DAC Bond. Copies of governing documents, policies, and financial statements are made available upon written request (including electronic request). Further, downloadable scans of the most current annual audited financial statements and the IRS Form 990 are made available on the Irving Healthcare Foundation's website. Form 990, Part VII: Hours worked for related organizations: The persons listed below also serve either as a voluntary member of the governing body or as an officer or employee of a related organization. The average hours per week devoted to the related organizations are listed below: Cindy Schamp (40 hours) Amy Martin (40 hours) Edward Clifford, M.D. (6 hours) Helma Mazon (1 hour) Angela Enright (1 hour) Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -396,273. Change in Value of Split Interest Agreements 43,221. Transfers Between Entities Under Common Control -16,673. Total to Form 990, Part XI, Line 5: -369,725. Supplemental Information: IRC Section 6038 Statement: Irving Healthcare Foundation (IHF) is controlled by Baylor Medical Center at Irving, Employer Identification Number 75-2586857, which is controlled by BHCS, Employer Identification Number 75-1812652. BHCS also owns Health Care Insurance Company of Texas, Ltd. (HCIC). HCIC is a controlled foreign corporation. BHCS furnishes all information required by IHF by IRC Section 6038 and the regulations thereunder with respect to HCIC. Therefore, pursuant to Treasury Regulation Sec. 1.6038-2(j)(2), IHF is excepted from providing such information. BHCS files its Return of Organization Exempt from Income Tax in Ogden, Utah. Baylor Health Care System 2001 Bryan Street Suite 2200 Dallas TX 75201 751812652 Management Services TX 501(c)(3) 11, Type III N/A 0 Baylor University Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751837454 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Medical Centers at Garland and McKinney 2001 Bryan Street Suite 2200 Dallas TX 75201 751037591 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Medical Center at Irving 2001 Bryan Street Suite 2200 Dallas TX 75201 752586857 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Medical Center at Waxahachie 2001 Bryan Street Suite 2200 Dallas TX 75201 751844139 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Regional Medical Center at Plano 2001 Bryan Street Suite 2200 Dallas TX 75201 820551704 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Regional Medical Center at Grapevine 2001 Bryan Street Suite 2200 Dallas TX 75201 751777119 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Institute for Rehabilitation at Gaston Episcopal Hospital 2001 Bryan Street Suite 2200 Dallas TX 75201 751037226 Rehabilitation Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Specialty Health Centers 2001 Bryan Street Suite 2200 Dallas TX 75201 751765385 Long Term Care Hospitals TX 501(c)(3) 3 Baylor Health Care System 1 Baylor All Saints Medical Center 2001 Bryan Street Suite 2200 Dallas TX 75201 751008430 Acute Care Hospital TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Health Care System Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751606705 Fundraising TX 501(c)(3) 7 Baylor Health Care System 1 All Saints Health Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751947007 Fundraising TX 501(c)(3) 7 Baylor All Saints Medical Center 1 HealthTexas Provider Network 2001 Bryan Street Suite 2200 Dallas TX 75201 752536818 Physician Practices TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Health Services 2001 Bryan Street Suite 2200 Dallas TX 75201 751917311 Inactive TX 501(c)(3) 3 Baylor Health Care System 1 Baylor Research Institute 2001 Bryan Street Suite 2200 Dallas TX 75201 751921898 Research TX 501(c)(3) 4 Baylor Health Care System 1 Southern Sector Health Initiative 2001 Bryan Street Suite 2200 Dallas TX 75201 263087442 Diabetes Health & Wellness Center TX 501(c)(3) 11, Type I Baylor University Medical Center 1 Baylor Health Care System Employee Benefit Trust 2001 Bryan Street Suite 2200 Dallas TX 75201 751848557 VEBA TX 501(c)(9) Baylor Health Care System 1 MEDCO Construction LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 205965871 Construction TX N/A Baylor Affiliated Services LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 260614730 Benefit Plans TX N/A Baylor Heart and Vascular Center LLP 2001 Bryan Street Suite 2200 Dallas TX 75201 752834135 Specialty Hospital TX N/A Texas Heart Hospital of the Southwest LLP 2001 Bryan Street Suite 2200 Dallas TX 75201 412101361 Specialty Hospital TX N/A HealthTexas Provider Network-Gastro Serv LLP 2001 Bryan St Ste 2200 Dallas TX 75201 731697736 Ambulatory Surgery Center TX N/A Texas Health Venture Group LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 752696845 Holds interests in ASCs/ Short Stay Hospitals TX N/A Dallas Surgical Partners LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 722183815 Ambulatory Surgery Center TX N/A Valley View Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752900902 Ambulatory Surgery Center TX N/A Denton Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752708579 Ambulatory Surgery Center TX N/A Bellaire Outpatient Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 562297308 Ambulatory Surgery Center TX N/A Grapevine Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752854711 Ambulatory Surgery Center TX N/A Lewisville Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752862263 Ambulatory Surgery Center TX N/A North Garland Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 562399993 Ambulatory Surgery Center TX N/A Garland Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752764855 Ambulatory Surgery Center TX N/A Arlington Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752748040 Ambulatory Surgery Center TX N/A Rockwall Ambulatory Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 205506447 Ambulatory Surgery Center TX N/A Metroplex Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752567179 Ambulatory Surgery Center TX N/A Baylor Surgicare at Plano LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 260308454 Ambulatory Surgery Center TX N/A RockwallHeath Surgery Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 200334166 Ambulatory Surgery Center TX N/A Irving Coppell Surgical Hospital LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 542086863 Short Stay Hospital TX N/A North Central Surgical Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 201508140 Short Stay Hospital TX N/A Trophy Club Medical Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 481260190 Short Stay Hospital TX N/A Ft Worth Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 752658178 Short Stay Hospital TX N/A Frisco Medical Center LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 752865177 Short Stay Hospital TX N/A MSH Partners LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 752829613 Short Stay Hospital TX N/A Arlington Orthopedic & Spine Hospital LLC 15305 Dallas Pkwy Suite 1600 Addison TX 75001 261578178 Short Stay Hospital TX N/A University Surgical Partners of Dallas LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 550823809 Ambulatory Surgery Center TX N/A Baylor Surgicare at Granbury LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 263896477 Ambulatory Surgery Center TX N/A Baylor Surgicare at Mansfield LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 271835675 Ambulatory Surgery Center TX N/A Physicians Surgical Center of Ft Worth LLP 15305 Dallas Parkway Suite 1600 Addison TX 75001 208303422 Ambulatory Surgery Center TX N/A Desoto Surgicare Partners Ltd 15305 Dallas Parkway Suite 1600 Addison TX 75001 751592508 Ambulatory Surgery Center TX N/A Metrocrest Surgery Center LP 15305 Dallas Parkway Suite 1600 Addison TX 75001 030380493 Ambulatory Surgery Center TX N/A Lone Star Endoscopy Center LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273635726 Ambulatory Surgery Center TX N/A Tuscan Surgery Center at Las Colinas LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273578014 Ambulatory Surgery Center TX N/A Baylor Surgicare at Ennis LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274202856 Ambulatory Surgery Center TX N/A Baylor Surgicare at Plano Parkway LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 274282604 Ambulatory Surgery Center TX N/A Baylor Surgicare at Duncan- ville LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 273583837 Ambulatory Surgery Center TX N/A BIR JV LLP 4714 Gettysburg Rd Mechanicsburg PA 17055 274586141 Rehabilitation Hospitals TX N/A Park Cities Surgery Center LLC 15305 Dallas Parkway Suite 1600 Addison TX 75001 562357079 Ambulatory Surgery Center TX N/A GlobalRehab LP 4714 Gettysburg Rd Mechanicsburg PA 17055 288077072 Rehabilitation Hospitals TX N/A GlobalRehab-Fort Worth LP 4714 Gettysburg Rd Mechanicsburg PA 17055 205558682 Rehabilitation Hospitals TX N/A EBD JV LLP 10077 Grogans Mill Rd Suite 100 The Woodlands TX 77380 455434614 Free-standing ER's TX N/A Baylor Health Enterprises LP 2001 Bryan Street Suite 2200 Dallas TX 75201 751997378 Fitness Center/Pharmacy/ Hotel TX N/A C Baylor Health Network Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 752463251 Billing/ Collection TX N/A C BMP Incorporated 2001 Bryan Street Suite 2200 Dallas TX 75201 751436779 Post Office TX N/A C Health Care Insurance Company of Texas Ltd PO Box GT 2nd Fl Buckingham Sq Grand Cayman CJ 980403182 Investments CJ N/A C Baylor Medical Center at Grapevine Condominium Owners Association Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 752747555 Condo Association TX N/A C BUMCRoberts Condominium Owners Association Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 752897806 Condo Association TX N/A C Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc 2001 Bryan Street Suite 2200 Dallas TX 75201 261661900 Condo Association TX N/A C Baylor Quality Health Care Alliance LLC 2001 Bryan Street Suite 2200 Dallas TX 75201 454015863 ACO TX N/A C 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Baylor Medical Center at Irving B 492779 GAAP Baylor Specialty Health Centers B 306364 GAAP Baylor Medical Center at Irving C 302500 GAAP Baylor Medical Center at Irving J 55695 GAAP