HILLCREST PHYSICIAN SERVICES: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HILLCREST PHYSICIAN SERVICES (EIN 74-2967081)
Tax period
2011-09-01 to 2012-08-31
Filed
2013-07-12
IRS object ID
201311939349301101
Schema version
2011v1.5
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)
Timestamp2013-07-12T14:50:09-05:00Timestamp
Tax Period End Date2012-08-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742967081EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hillcrest Physician ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHILLNameControl
Phone2542159043Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Hillcrest Medical BlvdAddressLine1
CityWacoCity
StateTXState
ZIP Code76712ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRichard PerkinsName
TitleTreasurerTitle
Phone2542029416Phone
Date Signed2013-07-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGlenn RobinsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 Hillcrest Medical BlvdAddressLine1
CityWacoCity
StateTXState
ZIP Code76712ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13200774GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hillcrest.netWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionScott & White provides personalized, comprehensive, high quality health care services enhanced by medical education and research through 12 acute care hospital sites, two additional announced facilities, a 240,000+ 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 178 clinics at 65 clinic locations providing care in 46 medical specialties. Hillcrest Physician Services is a subsidiary of Hillcrest Baptist Medical Center ("HBMC"), who is controlled by Scott & White Memorial Hospital ("SWMH"). Scott & White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of SWMH and 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees31TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2800000ContributionsGrantsPriorYear
Contributions Grants Current Year4500000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9006592ProgramServiceRevenuePriorYear
Program Service Revenue CY8699444ProgramServiceRevenueCY
Investment Income Prior Year470InvestmentIncomePriorYear
Investment Income Current Year1330InvestmentIncomeCurrentYear
Other Revenue Prior Year21315OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11828377TotalRevenuePriorYear
Total Revenue Current Year13200774TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7977888SalariesEtcPriorYear
Salaries Etc Current Year9733934SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3925530OtherExpensePriorYear
Other Expenses Current Year3185907OtherExpensesCurrentYear
Total Expenses Prior Year11903418TotalExpensesPriorYear
Total Expenses Current Year12919841TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-75041RevenuesLessExpensesPriorYear
Revenues Less Expenses CY280933RevenuesLessExpensesCY
Total Assets BOY1531919TotalAssetsBOY
Total Assets EOY2047734TotalAssetsEOY
Total Liabilities BOY1052176TotalLiabilitiesBOY
Total Liabilities EOY1420670TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY479743NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY627064NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHillcrests mission statement is: "To personally provide the highest quality healthcare in a compassionate and Christian environment, enhanced by medical education and research."MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12884783Expense
Grants4500000Grants
Revenue8699444Revenue
DescriptionScott & White provides personalized, comprehensive, high quality health care services enhanced by medical education and research through 12 acute care hospital sites, two additional announced facilities, a 240,000+ 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 178 clinics at 65 clinic locations providing care in 46 medical specialties. Hillcrest Physician Services is a subsidiary of Hillcrest Baptist Medical Center ("HBMC"), who is controlled by Scott & White Memorial Hospital ("SWMH"). Scott & White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of SWMH and 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 provided at cost approximately: $60 million in unreimbursed charity care, $46 million in unreimbursed Medicaid, $4.5 million in unreimbursed indigent care, $21 million in unreimbursed subsidized services, $63 million in unreimbursed health professions education, $13 million in unreimbursed research, $1 million in other community benefits, and had a Medicare shortfall of approximately $96 million in the fiscal year ending August 31, 2012.The Scott & White Healthcare System had more than 14,000 employees, including over 1,000 physicians and scientists and 300+ advanced practice professionals during the fiscal year ending August 31, 2012, and served over 537,000 patients accounting for 2.2 million patient visits. Scott & White Memorial Hospital, 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 Hillcrest Physician Services hospitalists provided 21,892 visits during fiscal year 2012. Specialists employed by HPS provided a majority of the orthopedic and neurosurgical call coverage for the level II trauma center at Hillcrest Baptist Medical Center.Scott & White System personnel strive to do more than merely meet the healthcare needs of patients. Employees go into the community to educate about living a healthier life. Targeted populations are provided information on specific needs. For example, physicians specializing in geriatric care hold regular seminars discussing subjects such as preventing injury from falls, questions patients should be asking their doctor, how to maintain a healthy lifestyle with limited mobility, and more. Health educational programs regarding prevention and treatment are offered free or at minimal cost to all community members in a variety of subject areas, such as weight loss, smoking cessation, education on coping with a diagnosis, support groups for families, child safety, heart disease education, diabetes education, sex education for teens, domestic violence prevention and many more. Staff and physicians attend health fairs in the community and provide regular community presentations about health issues for different populations. Clinics in the region offer healthy cooking classes led by a Scott & White dietician to instruct families in creating easy and cost effective healthy meals. As an integrated health care delivery system, Scott & White is able to leverage the Scott & White Health Plan to provide health education information to the community and is actively working to make that information more widely available.Scott & White uses various forms of media to promote health in the community. The System website, blogs, social media, printed flyers, and newspaper and magazine articles written by staff and physicians throughout the year provide information that community members can use to enhance personal health. A specific website has been created to instruct on wellness initiatives (wellness.sw.org). Also, Scott & White staff dedicate many hours serving on community boards and collaborative groups whose missions are to improve the overall health of the community. In addition to these efforts, the System has designated specific funds to be used to enhance healthy initiatives occurring in each community. For example, Scott & White provides substantial financial and in-kind support for multiple free clinics to assist in providing better access and more affordable healthcare to the medically underserved. Scott & White is one of sixteen major U.S. health systems to be part of the National High Value Healthcare Collaborative ("HVHC"). This partnership is designed to improve healthcare, lower costs and make best practices available to the national provider community. The Dartmouth Institute for Health Policy and Clinical Practice leads the collaborative which is studying nine prevalent condition/disease specific areas that have been shown to have wide variation nationally in rates, costs and outcomes. Additional high variation, high cost conditions that affect diverse populations will be added over time. The healthcare systems in this group are responsible for 50 million patients and are using private dollars and research and grant funds to identify ways to get the most out of every healthcare dollar. In June of 2012 the HVHC received a $26 million grant from the Center for Medicare and Medicaid Innovation ("CMMI"). CMMI projects the service improvements funded by this grant will save $64 million over three years, largely due to reduced utilization and costs that have been shown to occur when patients are engaged and empowered to make health care decisions based on their own values and preferences.Scott & White strives to better serve patients while decreasing costs to the healthcare system. One way this is accomplished is through better communication between specialists and primary care physicians creating coordinated and integrated care. Scott & White's electronic medical records (EMR) system allows specialists to review a patient's medical history and lab results and make recommendations to a primary care physician possibly eliminating an office visit. If the specialist needs to see a patient the specialist has access to all tests and lab work prior to the office visit which can prevent a second or third specialty follow-up visit. Scott & White is also using the EMR system to practice active rather than passive medicine. The new EMR system allows Scott & White to automatically remind physicians that patients are due for preventive tests such as mammograms or cholesterol checks. The system allows doctors and nurses to use e-mail to provide patients with test results or to answer questions that previously would have required an office visit.The Scott & White Healthcare System has received numerous awards and accreditations. Scott & White Memorial Hospital was ranked for the eighth time as one of the Top 100 Hospitals by Thomson Reuters. For the second consecutive year, SWMH was named one of the nation's Best Regional Hospitals according to U.S. News & World Report.Description
Total Program Service Expense12884783TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
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 Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
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
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees31NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Richard W PerkinsBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2542029416TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 Hillcrest Medical BlvdAddressLine1
CityWacoCity
StateTXState
ZIP Code76712ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Twila Lovett MD
Director40.00X265309050205
Saramma George MD
Director40.00X207261044839
Jon Ellis MD
Director40.00X532762069804
Marc Elieson MD
Director40.00X030927347675
James Morrison MD
Director, Chairman40.00X034284348214X
Glenn Robinson
President40.00061943241894X
Richard W Perkins
Secretary/Treasurer40.00026426051214X
Brad Crye
Vice President40.00018032242814X
Robert W Pryor MD
System Chief Executive Officer40.00086698946463X
Patricia M Currie
System Chief Operating Officer40.00048034346740X
Glen R Couchman MD
System Chief Medical Officer40.00057383053381X
Cynthia B Dunlap
System Chief Nursing Executive40.00020285738845X
Dennis L Laraway
System Chief Financial Officer40.00044470242397X
Dick L Dixon
System Chief Financial Officer40.00031336548214X
Matthew L Chambers
System Chief Information Officer40.0001882356084X
Marc R Hallee
System Chief Human Resource Officer40.0004500156951X
Luiz Cesar MD
Neurosurgeon40.00600929012605X
David Haynes MD
Orthopedic Surgeon40.00395142044251X
Christopher Miars MD
Family Medicine40.00322388039136X
Vikas Patel MD
Internal Medicine40.00273217047950X
Asif Farooq MD
Internal Medicine40.00229993013391X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2827001TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5236466TotalReportableCompFrmRltdOrgs
Total Other Compensation843067TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
South Texas Orthopedic Specialty Group
1504 Redcloud PeakCanyon LakeTX78133Physician Services911777
Seavest Properties II
50 Hillcrest medical Blvd Ste 302WacoTX76712Property Rent656615
Medicus Hospitalists LLC
7 Industrial Way Ste 5SalemNH03079Physician Services453453
Linde Health Care Staffing Inc
3668 S Geyer Rd Ste 100Sunset HillsMO63127Staffing104887
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations4500000RelatedOrganizations
Total Contributions4500000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient CareDescription
Business Code621110BusinessCode
Total Revenue Column8699444TotalRevenueColumn
Related Or Exempt Function Income8699444RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8699444TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1330TotalRevenueColumn
Exclusion$1,330ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13200774TotalRevenueColumn
Related Or Exempt Function Income8699444RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,330ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1558189Total
Program Services1558189ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7158797Total
Program Services7158797ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1016948Total
Program Services1016948ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20483Total
Management And General20483ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total918058Total
Program Services903483ProgramServices
Management And General14575ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total553Total
Program Services553ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91287Total
Program Services91287ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total59075Total
Program Services59075ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total614844Total
Program Services614844ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total115581Total
Program Services115581ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total40276Total
Program Services40276ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Bad Debt864128864128
Patient Care370865370865
Miscellaneous7795977959
Maintenance1279812798

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12919841Total
Program Services12884783ProgramServices
Management And General35058ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY422123BOY
EOY289810EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1059469BOY
EOY1443349EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY56256EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50327BOY
EOY100238EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY150144EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY7937EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1531919BOY
EOY2047734EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY943173BOY
EOY999549EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY23136BOY
EOY25178EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY85867BOY
EOY395943EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1052176BOY
EOY1420670EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY479743BOY
EOY627064EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY479743BOY
EOY627064EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1531919BOY
EOY2047734EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses280933ReconcilationRevenueExpenses
Reconcilation Other Changes-133614ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hillcrest Baptist Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN741161944EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionIntercompany InvestmentDescription
Book Value150144BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related150144TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Related OrganizationDescription
Amount$395,943Amount
FieldValueIRS element (for citing)
Total Of Amounts395943TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationThe Organization accounts for income taxes persuant to Accounting Standards Codification (ASC) 740, Income Taxes, which prescribes a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There were no material uncertain tax positions at August 31, 2012 and 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base 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
Twila Lovett MD
22893903567007000296000206050315514000
Saramma George MD
19567501131202740269030179360252100000
Jon Ellis MD
53243302503040517830180210602566000
Marc Elieson MD
02612920476030378031850015825035694800
James Morrison MD
0341877000966031850016364039105700
Glenn Robinson
0479412000140020017150024744066132600
Richard W Perkins
02624540001806031850019364031547400
Brad Crye
0179692000630024497018317022313600
Robert W Pryor MD
08642170002772031850014613091345200
Patricia M Currie
0479377000966031850014890052708300
Glen R Couchman MD
05720240001806031850021531062721100
Cynthia B Dunlap
0201891000966026914011931024170200
Dennis L Laraway
0444256000446031850010547048709900
Dick L Dixon
03115590001806031850016364036157900
Matthew L Chambers
0172585010000056500006084019431900
Marc R Hallee
03464300900000135850006951045696600
Luiz Cesar MD
59514302505761000126050613534000
David Haynes MD
394813025030404328909620439393000
Christopher Miars MD
3220890250274037757013790361524000
Vikas Patel MD
23668403626002730296000183500321167000
Asif Farooq MD
193081036775013707687057040243384000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aDr. Luiz Cesar was provided a housing allowance in the amount of $5,761.09 during the year. This amount was reported as taxable compensation on Form W-2.
Part IIICommunity Hospital Corporation, a management company, paid Glenn Robinson $619,432 for his services as President of Hillcrest Baptist Medical Center, the parent corporation of Hillcrest Physician Services. Glenn Robinson serves as president of Hillcrest Physician Services. Community Hospital Corporation is an unrelated organization.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Julie Couchman
Family of Key Employee35406Employee of the Scott & White Healthcare System0
Jarrod Pryor
Family of Key Employee67026Employee of the Scott & White Healthcare System0
Brett Dixon
Family of Key Employee14995Employee of the Scott & White Healthcare System0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Hillcrest Physician Services ("HPS") sole member is Hillcrest Baptist Medical Center ("HBMC")(EIN: 74-1161944), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(1).
Form 990, Part VI, Section A, line 7aHillcrest Physician Services ("HPS") sole member is Hillcrest Baptist Medical Center ("HBMC")(EIN: 74-1161944), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(1). Election of the HPS Board of Directors requires the approval of the Hillcrest Baptist Medical Center's Board of Directors, by majority vote.
Form 990, Part VI, Section A, line 7bHillcrest Physician Services ("HPS") sole member is Hillcrest Baptist Medical Center ("HBMC")(EIN: 74-1161944), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(1). Actions taken by the HPS Board of Directors are subject to oversight and approval of the Hillcrest Baptist Medical Center Board of Directors.
Form 990, Part VI, Section B, line 11Hillcrest Physician Services ("HPS") A copy of Form 990 was provided to the Hillcrest Physician Services ("HPS") Board of Directors for review prior to filing with the IRS. A meeting was held to allow the Directors to ask questions and provide feedback with respect to the information presented in the Form 990.
Form 990, Part VI, Section B, line 12cAnnually, a written questionnaire is provided to all persons identified as being subject to the Scott & White Healthcare System Conflict of Interest Policy (Tax), requesting responses to questions designed to identify potential conflicts. Responses are monitored and reviewed by system personnel and follow-ups are initiated as required. The Conflict of Interest Policy (Tax) is reviewed before each board meeting or board committee meeting. Board members or persons having business with the Board are asked to identify conflicts which may arise with respect to business conducted by the Board or committee during the meeting.
Form 990, Part VI, Section B, line 15The 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. Hillcrest Baptist Medical Center ("HBMC") is the sole corporate member of Hillcrest Physician Services ("HPS"). HBMC is a subsidiary of Scott & White Memorial Hospital ("SWMH"). Scott & White Healthcare ("SWHC")(EIN: 26-4532547) is the parent corporation of SWMH and the entire Scott & White Healthcare System (the "System"). Compensation for the Scott and White Healthcare 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 19Hillcrest Physician Services ("HPS") governing documents and Conflict of Interest Policy (Tax) are available to the public upon request. HPS does not have separately audited financial statements, but the consolidated audited financial statements of the Scott & White Healthcare System are available at http://www.dacbond.com and upon request.
Part VI, Line 14Hillcrest Physician Services ("HPS") follows the written Record Retention and Destruction Policy of their sole corporate member, Hillcrest Baptist Medical Center ("HBMC").Record Retention and Destruction Policy
Part VI, Line 12aHillcrest Physician Services ("HPS") follows the written Conflict of Interest Policy of their sole corporate member, Hillcrest Baptist Medical Center ("HBMC").Conflict of Interest Policy
Form 990 Part VII, Column BAverage 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.Estimated Average Per Week
Form 990 Part VII, Column DOfficers and Directors are not compensated in their capacity as Directors and Officers of the Corporation. However, some of the directors provide medical services for the corporation pursuant to employment agreements, and compensation is paid to them in their capacity as medical service providers.Compensation Paid to Officers
Form 990 Part IX Line 22 and Part X Line 10cAll assets are owned by Hillcrest Baptist Medical Center. Depreciation expense is charged to Hillcrest Physician Services for the assets owned by Hillcrest Baptist Medical Center and used by Hillcrest Physician Services.Depreciation
Form 990, Part XI, line 5:Transfer to captive -133,614. Total to Form 990, Part XI, Line 5: -133,614.Changes in Net Assets or Fund Balances:
Form 5471Disclosure 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

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Scott & White Properties Opportunities LLC
2401 S 31st StreetTempleTX76508452920812InvestmentTXScott & White Properties Holdings Inc
Scott & White Properties Management LLC
2401 S 31st StreetTempleTX76508452920980InvestmentTXScott & White Properties Opportunities LLC

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 Continuing Care Hospital
2401 S 31st StreetTempleTX76508202850920Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
Scott & White Hospital-Round Rock
2401 S 31st StreetTempleTX76508203749695Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare
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 Healthcare Foundation
2401 S 31st StreetTempleTX76508273513154FundraisingTX501 (c) (3)Line 71Scott & White Healthcare
Scott & White Healthplan
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
Scott & White EMS Inc
2401 S 31st StreetTempleTX76508753242749Emergency TransportationTX501 (c) (3)Line 91Scott & White Memorial Hospital
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 11c, III-FI1Hillcrest Baptist Medical Center
Scott & White Lake of the Hills Regional Medical Center
2401 S 31st StreetTempleTX76508451608264Hospital ServicesTX501 (c) (3)Line 31Scott & White Healthcare

Form990 Schedule R Part IV Form990ScheduleRPartIV (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Scott & White Properties Holdings Inc
2401 S 31st StreetTempleTX76508452920596InvestmentTXN/AC
Scott & White Properties Inc
2401 S 31st StreetTempleTX76508742497061Hotel ServicesTXN/AC
Scott & White Assurance Ltd
980589956InvestmentN/AC23 Lime Tree BayGrand CaymanGrand CaymanCJCJ
Hillcrest Holdings Inc
3000 Herring StWacoTX76708742793367Operational SupportTXN/AC
Atumida
2401 S 31st StreetTempleTX76508270583030ResearchTXN/AC
Insurance Company of Scott & White
2401 S 31st StreetTempleTX76508743092083InvestmentTXN/AC
Charitable Remainder Trust #1
PO Box 6101TempleTX765036101526854329Investment TrustTXN/AT
Charitable Remainder Trust #2
PO Box 6101TempleTX765036101206463694Investment TrustTXN/AT
Charitable Remainder Trust #3
PO Box 6101TempleTX765036101416504860Investment TrustTXN/AT
Charitable Remainder Trust #4
PO Box 6101TempleTX765036101742751167Investment TrustTXN/AT
Charitable Remainder Trust #5
PO Box 6101TempleTX765036101746391353Investment TrustTXN/AT
Charitable Remainder Trust #6
PO Box 6101TempleTX765036101746397360Investment TrustTXN/AT
Charitable Remainder Trust #7
PO Box 6101TempleTX765036101742751168Investment TrustTXN/AT
Charitable Remainder Trust #8
PO Box 6101TempleTX765036101746423552Investment TrustTXN/AT
Phil and June Hivnor Charitable
2401 S 31st StreetTempleTX765080001900850773Investment TrustTXN/AT
Nelda I Staller Charitable Remainder Unitrust No 1
2401 S 31st StreetTempleTX765080001326224724Investment TrustTXN/AT
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Hillcrest Baptist Medical Center
C4500000Cost
Hillcrest Baptist Medical Center
J645185Cost
Hillcrest Baptist Medical Center
N1658564Cost

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