2012-05-11T15:39:15-05:00 2011-06-30 990 2010-07-01 751570933 Irving Healthcare Foundation IRVI 9725794390 2001 Bryan Street No 2200 Dallas TX 75201 John Drake 9725794390 2012-05-11 2010 2016-02-24 21:20:13Z John Drake 1901 N MacArthur Blvd Irving TX 75061 4940903 0 X www.IrvingHealthcare.org X 1977 TX Awards funds raised and encourages volunteer service to healthcare charities in Irving, TX. 36 34 6 250 0 0 1588908 1970091 0 0 664557 404469 -87385 -6715 2166080 2367845 1010483 1852489 0 0 461267 537659 7076 0 211563 262444 331611 1741270 2721759 424810 -353914 8567339 9336183 104350 108602 8462989 9227581 X Irving Healthcare Foundation makes people healthier by awarding funds raised and encouraging volunteer service to local nonprofit healthcare organizations. 0 0 1097042 1097042 Grants to Baylor Medical Center at Irving:Irving Healthcare Foundation (IHF) granted $1.1 million 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 $551,000 for cancer services; $118,000 for continuing education of nursing and allied health staff; $165,500 for cardiac care equipment; $49,000 for volunteer services; $9,900 for the Congestive Heart Failure Clinic and education of the staff; $103,000 for Community Outreach efforts; $1,200 for the education of pharmacists; and $8,100 for chaplaincy related programs. 405256 405256 Grants to Our Children's House at Baylor-Irving:IHF granted more than $405,000 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. 266657 266657 Grants to Irving Interfaith Clinic:IHF granted more than $266,000 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. 117160 83534 Grants to Other IHF Beneficiaries:IHF granted $21,000 for efforts to battle childhood obesity in Irving schoolchildren. IHF also granted $15,800 to fund dental services for seniors and children at a local charity dental clinic. 117160 83534 1886115 1 1 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 1 0 1 6 1 0 0 0 0 0 1 1 0 0 X 36 34 0 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 Bill Brokaw 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 43140 39 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 1567 0 Rakesh I Patel 1.00 X 0 0 0 Douglass Reed 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 Vail Tolbert 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 Mark Dyer 1.00 X 0 0 0 Cindy Schamp 1.00 X 0 480198 77783 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 John Drake 40.00 X 147949 62460 29853 147949 587365 107675 1 0 1 0 0 26995 4440 188476 380339 1369841 202620 1970091 184259 184259 2614309 2394099 220210 220210 220210 172244 188476 178959 -6715 -6715 2367845 0 0 397754 1852489 1852489 279946 22396 207160 50390 210149 6305 130292 73552 8111 243 5029 2839 6385 191 3959 2235 33068 992 20502 11574 77379 77379 1641 1637 4 54183 2387 41530 10266 51701 51576 125 8052 306 7746 54156 54156 8 8 21172 70 13951 7151 12318 12318 Bad Debt 45516 45516 Special Functions 2958 562 2307 89 Miscellaneous Expense 2527 480 1971 76 2721759 1886115 624081 211563 954121 355007 201037 573979 23168 21922 227426 155745 83999 71681 7099190 8221085 205824 92509 8567339 9336183 77609 108602 26741 0 104350 108602 X 3566700 4002941 1764843 2091820 3131446 3132820 8462989 9227581 8567339 9336183 X -353914 1118506 X 0 1 1 X 0 X 1624467 2056049 1393386 1588908 1970091 8632901 1624467 2056049 1393386 1588908 1970091 8632901 2303013 6329888 194058 247743 213418 159614 186149 1000982 9633883 1264230 0.65700 0.63250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3919265 1375 634132 315817 4238955 3351586 151221 458263 157988 3803082 4515836 72420 -1095151 141519 3351586 0.02700 0.97300 0 0 63000 63000 164426 155745 8681 71681 Equities 5384440 F Fixed Income 2524142 F Tangible Assets 312503 F 8221085 2367845 2721759 -353914 1118506 1118506 764592 4527176 1118507 1040824 2159331 2367845 0 2367845 2804708 178959 178959 2625749 96010 96010 2721759 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, 2011 and 2010, the Foundation had no material gross unrecognized tax benefits. Part V, Line 1a: The beginning balance of endowment funds was restated to include a Board Designated Endowment Fund from a prior year. The beginning balance was adjusted from $3,803,082 to $3,919,265. Part XII, Line 2d - Other Adjustments: Special Event Expenses: 178,959 Net Assets Released from Restrictions: 861,865 Part XIII, Line 2d - Other Adjustments: Special Event Expenses: 178,959 Part XIII, Line 4b - Other Adjustments: Bad Debt Expense: 45,016 Grants & Allocations: 50,994 Texas Fest 318806 157112 161694 73312 1846 44007 41758 Kiddin A Round Golf Classic 22575 19414 3161 2007 3717 2 19339 11950 7389 540 1340 1350 9082 360720 188476 172244 2547 73312 3186 45357 54557 178959 -6715 1 Baylor Medical Center at Irving 1901 N MacArthur Irving TX 75061 752586857 501(c)(3) 1090042 7000 Cost Piano Patient care, education, software,community outreach, volunteer services, med library Baylor Specialty Health Centers 3504 Swiss Dallas TX 75204 751765385 501(c)(3) 405256 N/A N/A Child care services, patient care Irving Interfaith Health Ministries 1901 N MacArthur Irving TX 75061 043821796 501(c)(3) 266657 N/A N/A General support, equipment, indigent care Community Dental Care 1420 W Mockingbird Lane Dallas TX 75247 751823660 501(c)(3) 15804 N/A N/A Indigent care YMCA of Metropolitan Dallas (Irving Family YMCA) 2200 W Irving Blvd Irving TX 75061 750800696 501(c)(3) 21159 N/A N/A General support Baylor Health Care System Foundation 2001 Bryan Street Suite 2200 Dallas TX 75201 751606705 501(c)(3) 43446 0 N/A N/A Employee Assistance and Faith in Action 6 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Irving Healthcare Foundation's Policy of Monitoring the use of grants consists of 1) Requests for disbursements are submitted by an authorized fundraiser, 2) The authorization is reviewed and co-signed by an administrative approver, 3) The request is signed by an officer or Board officer. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 Cindy Schamp 0 330136 0 120798 0 29264 0 52330 0 25453 0 557981 0 14893 John Drake 100184 62210 43826 0 3939 250 5341 3318 11864 9330 165154 75108 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 organization's governing body and/or President. 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, Baylor Health Care System ("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 ($14,893). 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. One member received compensation from a related organization in their capacity as President of the related organization. X 1 152 Fair Market Value X 1 19200 Fair Market Value X 4 47530 Fair Market Value X Furniture & Equipment 2 7700 Fair Market Value X Donations for Events 30 127902 Fair Market Value X Office Supplies 4 136 Fair Market Value 0 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): Schedule M, 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 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 and is then reviewed by the organization's Finance Committee. 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. The BHCS Compensation and Governance Committee also reviews all relevant disclosures by individuals serving on BHCS's governing body. 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: Mark Dyer (1 hour) Cindy Schamp (40 hours) Edward Clifford, M.D. (6 hours) Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 1,118,506. 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 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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 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Baylor Medical Center at Irving B 1097042 GAAP Baylor Specialty Health Centers B 302846 GAAP Baylor Health Care System Foundation C 43446 GAAP Baylor Medical Center at Irving C 305000 GAAP Baylor Medical Center at Irving J 54156 GAAP