2012-07-03T13:06:34-05:00 2011-08-31 990 2010-09-01 741166904 Scott & White Memorial Hospital SCOT 2542159043 2401 S 31st Street Temple TX 76508 Dr Robert Pryor 2542159043 2012-06-26 2010 2016-02-24 21:20:13Z Robert Pryor MD 2401 S 31st Street Temple TX 76508 1399391731 0 X www.sw.org X 1949 TX Scott & White provides personalized, comprehensive, high quality care enhanced by medical education and research through one of the nation's largest multi-specialty group practices. Scott & White Memorial Hospital (SWMH) is the flagship hospital of the Scott & White Healthcare system (the "system"). Scott & White Healthcare (SWHC)(EIN: 26-4532547) is the parent corporation of SWMH. The Scott & White Healthcare Foundation (EIN: 27-3513154), a subsidiary of SWHC, raises funds for the priority programs and services of the entire Scott & White Healthcare system. The system includes 12 hospital sites, more than 60 clinics and a 229,000+ member health plan serving residents in a 29,000+ square mile service area, which spans 35 counties. The system provided at cost approximately: $75,000,000 in unreimbursed charity care, $66,000,000 in unreimbursed Medicaid, $44,000,000 in unreimbursed health professions education and incurred a Medicare shortfall of $46,000,000 for the year ending 8/31/2011. 9 4 11408 1152 2636279 0 18120849 20777671 861138049 937685123 16505751 23025927 6838854 4929389 902603503 986418110 130908 262508 0 0 430505786 415127222 0 0 6295097 430051615 522521635 860688309 937911365 41915194 48506745 1402649522 1574211053 402890241 284598977 999759281 1289612076 X Scott & White Memorial Hospital has adopted the mission statement of the Scott & White Healthcare system: "To provide the most personalized, comprehensive, and highest quality health care, enhanced by medical education and research." 0 0 752965821 905152071 Scott & White provides personalized, comprehensive, high quality care enhanced by medical education and research through one of the nation's largest multi-specialty group practices. Scott & White Memorial Hospital (SWMH) is the flagship hospital of the Scott & White Healthcare system (the "system"). SWMH is a subsidiary of Scott & White Healthcare (SWHC)(EIN:26-4532547), the parent corporation of the system. The Scott & White Healthcare Foundation (EIN: 27-3513154), a subsidiary of SWHC, raises funds for the priority programs and services of the entire Scott & White Healthcare system. The Scott & White Healthcare system includes 12 hospital sites, more than 60 clinics and a 229,000+ member health plan serving residents in a 29,000+ square mile service area, which spans 35 counties. The Scott & White Healthcare system provided at cost approximately: $75,000,000 in unreimbursed charity care, $68,000,000 in unreimbursed Medicaid and other means tested government programs, $53,000,000 in unreimbursed health professions education and research, $28,000,000 in subsidized services and incurred a Medicare shortfall of $46,000,000 for the fiscal year ending August 31, 2011. The Scott & White Healthcare system employs 1,300 primary and specialty physicians, scientists and advanced practice providers. SWMH is the only Level I Trauma Center between Dallas and Austin, Texas. Scott & White Memorial Hospital operates a 610 bed acute care hospital and a 78 bed stand alone children's hospital which opened October 4, 2011. Scott & White Memorial Hospital was at 80 percent occupancy, with 174,975 patient observation days (excluding newborns), 27,751 surgical cases, 30,753 admissions and 93,633 emergency room visits for the fiscal year ending August 31, 2011. The McLane Children's Hospital at Scott & White includes 48 private rooms, 16 pediatric intensive care rooms and 14 pediatric emergency room suites. It provides 24-hour emergency room services dedicated to and specifically equipped to respond to children's needs. It is the only stand-alone children's hospital between Dallas and Austin, Texas. The system saw 16,000 children in their emergency rooms and cared for nearly 400 children involved in trauma. The McLane Children's Hospital at Scott & White is the first dedicated children's hospital in Texas, and third in the country, to install the latest in computed tomography (CT) technology. The Sonotom Definition Flash CT system from Siemens Healthcare produces images with up to 128-slice detail at more than twice the speed of most CT systems used in children's hospitals in the U.S. The Scott & White Healthcare system is meeting the needs of its communities through programs like the 14th Annual Seniors Day in the Brenham community were 1,000 people were given free immunizations as well as free health screenings. The 15th Annual Kids Day served 800 Brenham children and their parents providing immunizations, health screenings, and fire safety education. Scott & White also provides health information on prevention and early identification of chronic diseases, such as cancer, diabetes, and heart conditions for underserved and underinsured. Special events are hosted to help identify possible risk factors for disease through free heart screenings and physicals for student athletes. Scott & White holds weekly disease-specific social issues support group services for patients and families. Scott & White provides health education and well-being programs for: smoking cessation, worth the wait, child abuse prevention, childbirth classes, stress management, diabetes education, weight loss programs, more than 50 health fairs and other community-wide wellness events. Scott & White provides financial support for the following free clinics that provide care to the medically underserved: Temple Community Free Clinic, Holland ISD Free Clinic, Martha's Free Clinic, Greater Killeen Free Clinic, Health For All Clinic and Prenatal Clinic, Mission Waco and Family Health Center. These clinics are located throughout the 29,000+ square mile service area of the Scott & White Healthcare system.Scott & White is one of thirteen major health systems to be part of the National High Value Healthcare Collaborative (HVHC). This partnership is designed to improve healthcare, lower costs and move best practices out to the national provider community. The Dartmouth Institute for Health Policy and Clinical Practice heads the collaborative which is studying nine prevalent condition/disease specific areas that have been shown to have wide variation in rates, costs and outcomes nationally. 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 lives and are taking private dollars along with research and grant funds to find ways get the most out of every healthcare dollar. One of the communities in Scott & White's service area is Killeen, Texas, which is home to Fort Hood, one of the largest United States military installations in the world. Project Homefront was established in January 2008 to provide anonymous, free and unlimited mental health service to service men and women, as well as their families, who have served in Iraq or Afghanistan since September 11th. One of the driving factors in opening Project Homefront was; TRICARE, the healthcare program serving uniformed service members, does not pay for behavioral health counseling services. Scott and White works in collaboration with the VA and Fort Hood to provide services not otherwise available. One example of this was when Project Homefront expanded their scope to provide services to help victims of the November 2009 Fort Hood shooting in which 13 people were killed and 31 injured. The staff has grown from just two clinicians to eight clinicians and three support staff, and has made 16,633 patient contacts since its inception.Hospital to Home is an innovative patient centric discharge program started in the Scott & White hospitals. This program was set up to prepare patients for discharge from day one. Scott & White found that by putting a Clinic clerk in the hospital as a discharge advocate, this clerk could help the patient schedule follow up appointments to fit the patients schedule before discharge. Because Scott & White is an integrated health system there was no additional cost to move the clerk from the clinic to hospital setting. Scott & White found that before Hospital to Home was started many patients had follow up appointments that did not meet their schedule, by the discharge advocate working with the patient and family to schedule more convenient appointments, patient satisfaction has increased. Scott & White has gone from one discharge advocate to six.Scott & White is always striving to serve patients better while decreasing costs to the healthcare system. One way to do this is through better communication between specialists and primary care physicians creating coordinated and integrated care. Through Scott & White's electronic medical records (EMR) system, specialists can review a patient's medical history and lab results and make recommendations to a primary care doctor possibly without even seeing the patient first. If they need to see the patient they have access to all of the tests and blood work ahead of time which can save a second or third specialty visit to follow up. Scott & White is also working towards using the EMR system to practice active rather than passive medicine. In the next few years Scott & White will be able to use their EMR system to automatically remind doctors when their patients are due for preventive tests like mammograms or cholesterol checks. The system will allow doctors and nurses to use e-mail to give patients their test results or to answer questions that previously would have required a clinic visit.The Scott & White Healthcare system and Scott & White Memorial Hospital have received numerous awards and accreditations. Scott & White has been ranked one of the top 100 health systems by Thomson Reuters. SWMH was named as one of the nation's Best Regional Hospitals 2011-12 according to U.S. News & World Report. SWMH has received certification in heart, kidney, pancreas, corneal and blood stem cell transplant procedures. Scott & White Healthcare received the Consumer Choice Award from the National Research Corporation (NRC) for 2010/2011. Scott & White is constantly striving to be in the fore front of changes in the health care system. Scott & White teleconferenced one of the world's first live international surgical procedures to repair an abdominal aortic aneurism to conference attendees in Sao Paolo, Brazil. Scott & White has developed a free iPhone application designed to help users make appointments, find emergency rooms and many other functions easily from their handheld iPhone. 64354455 262508 20764605 Scott & White Healthcare (SWHC) is the primary teaching affiliate to the Texas A&M University System Health Science Center College of Medicine (the College of Medicine), with the Scott & White Memorial Hospital (SWMH) main campus in Temple, TX being the primary Scott & White teaching location. Scott & White hospital and clinical facilities in College Station, TX , Round Rock, TX, Brenham, TX and Taylor, TX also participate in teaching activities. The College of Medicine is a fully accredited, seven year medical school. Currently 283 medical students receive their basic science and clinical training at Scott & White. Virtually all physicians on the Scott & White Clinic staff hold faculty appointments at the College of Medicine and teach classes for first through fourth year students. A full four year medical education program was recently initiated on the SWMH main campus in Temple. To support this expansion on its Temple campus, SWMH has committed to self-fund over $15 million to expand classroom and lab facilities, purchase equipment and provide support for faculty research projects aimed at promoting healthcare innovations and the College of Medicine. With support from Scott & White, the College of Medicine intends to expand to an annual class size of 200 during the next five years, with four year campus locations at Scott & White facilities in Temple, Round Rock and College Station. Scott & White also hosts rotations for fourth-year students from many other medical schools. Through the fiscal year ending August 31, 2011, Scott & White has self-funded $10.8 million of their $15 million commitment to expand facilities to support expansion of the College of Medicine.The Scott & White Graduate Medical Education Program currently consists of 38 resident and fellowship programs with 422 residents and fellows receiving training for the fiscal year ending August 31, 2011. Scott & White hosted medical students in their 4th year rotations from 34 different universities. SWMH self-funded approximately $44 million to support medical education activities during the fiscal year ended August 31, 2011.The main SWMH campus in Temple serves as the clinical campus for the Scott & White School of Nursing at the University of Mary Hardin-Baylor in Belton, Texas. A baccalaureate degree program is offered through the School of Nursing. In addition, SWMH also facilitates the clinical training of registered nurses and licensed vocational nurses in cooperation with Temple College and Central Texas College in Killeen, Texas. A Master's of Science in Nursing degree program is offered through Texas A&M University-Corpus Christi. In total, more than 1,000 nursing students rotate through the Scott & White system annually. Scott & White also hosts allied health-training programs in its own name and in affiliation with other academic institutions, taught by nationally recognized physicians and professionals. These training programs and seminars are open to all medical professionals, as well as internal staff. In fiscal year ended August 31, 2011, approximately 9,638 physicians and 6,675 medical professionals attended continuing medical education programs hosted by Scott & White. 17677424 9301559 One of the cornerstones of Scott & White Memorial Hospital's (SWMH) mission is providing quality patient care with a focus on research activities. Efficiencies are gained through innovation. The focus of much of the research is to find innovative & cost-effective ways to treat patients, while increasing patient safety, improving quality and focusing on better outcomes. SWMH has all of the research components to be able to take an idea from the research bench to the patient's bedside. SWMH has the following research departments, centers and institutes: cancer research institute, cardiovascular research, center for applied health research (CAHR), center of cell death and differentiation, center for bone, joint and spine research, clinical simulation research, digestive disease research center, ophthalmic research, neuroscience research, podiatric research, division of research, family medicine, investigative pathology and ob/gyn research.SWMH is positioning itself to become a nationally recognized leader in cancer research and treatment. The Cancer Research Institute has been created to partner research and clinical care. The mission of the Cancer Research Institute is to find effective cancer therapies quickly and cost-effectively. The institute is performing clinical trials for: Cutaneous T_Cell Lymphoma, B-Cell Leukemia or Lymphoma and Refractory/Relapsed or Elderly/Poor-risk AML. In 2010 the Scott & White Glenda Vasicek Cancer Center received the Outstanding Achievement Award from the Commission on Cancer of the American College of Surgeons. The Cardiovascular Research Institute (CVRI) is a joint effort of the Texas A&M Health Science Center, Scott & White and Central Texas Veteran's Health Care System (CTVHCS). This unique program pairs the world-class research of molecular biologists with clinical applications for the treatment of people suffering from cardiovascular disease or stroke. By discovering better strategies for prevention and intervention of these conditions, the work of the Institute will benefit patients and the entire community.To facilitate such research Scott & White has focused significant efforts on outcomes based research. SWMH has established the Center for Applied Health Research ("CAHR"). This Center focuses on diverse research areas, and brings together expertise in many areas such as health services research, community based health research, patient centered safety and patient activation research, along with research mentoring and the academic development of clinicians. The center brings together collaborators from SWMH, Texas A&M Health Science Center and the Central Texas Veteran's Health Care System ("CTVHCS"). Within the CAHR, the Patient Engagement and Safety Research Program centers on a team perspective in patient care. This program partners patients, family members, clinicians and other community and healthcare providers to create the best possible healthcare outcomes. The research is based on clinical trials, clinical simulation models, program evaluations, patient education and common intervention strategies. The Health Outcomes Core conducts health services research focusing on severe mental illnesses and the management of care for patients with complex medical and psychiatric comorbidities. This group works jointly with SWMH, the CTVHCS, Darnall Army Medical Center at the U.S. Army's Fort Hood, and the Center of Excellence for Research on Returning War Veterans located in Waco, Texas. Clinical Simulation Research is another area directly impacting patients' healthcare quality and safety. The Clinical Simulation Center was created, in collaboration with Temple College, to allow healthcare students and providers to design and test new processes and procedures prior to performing them on patients. The Clinical Simulation Center is used by medical and nursing students, residents, fellows, nurses and other healthcare providers. Simulation work enhances communication skills and performance of healthcare providers, preparing them for the realities of patient care.The goal and objective, of the Digestive Disease Research Center (DDRC), is to discover and share cutting edge knowledge about the digestive system and the diseases that affect millions in the United States. The SWMH research team consists of basic scientists and physicians from a wide variety of backgrounds with varying interests and disciplines. These combined investigators support the practice of "bench to bedside" research to benefit and contribute to human health. Along with seasoned investigators, the DDRC also believes in training of future scientists and provides an excellent learning environment for the training of undergraduates, medical students, graduate students, postdoctoral fellows and residents.Scott & White has committed significant resources to establish a one-of-a-kind Ophthalmic Vascular Research Program (OVRP). This is a joint venture between the Division of Ophthalmology at Scott & White, the Department of Systems Biology and Translational Medicine, and Cardiovascular Research Institute at the Texas A&M Health Science Center. New theories developed regarding the pathogenesis of various eye diseases as well as potential new therapies proposed and tested in the basic science laboratory, if appropriate and promising, can be taken into the clinical setting to benefit patient care.The Neuroscience Institute (NSI) at Scott & White and Texas A&M Health Science Center College of Medicine conducts state-of-the-art translational research, with scientific interests including drug and device trials in humans. The NSI is home to an invasive human brain chemistry and electrophysiology lab, neuroinflammation, neurogenesis, a neuromodulation lab, which includes a frameless stereotactic image-guided transcranial magnetic stimulator (TMS), an automomic psychophysiology lab and a functional neuroimaging (fMRI) lab. One of the main scientific objectives of the NSI is the multimodal analysis of human brain function in both healthy and diseased populations. Research within the NSI is highly collaborative and expanding, with an internationally recognized team of basic and clinical researchers in the Departments of Neurosurgery, Neurology, Psychiatry and Behavioral Sciences and Radiology.The podiatric research team has 12 studies in progress. They have received two National Institute of Health (NIH) grants to fund two five-year studies. The total contact cast (TCC) study focuses on foot wounds, compliance and cost of care and complications. Another study is a collaborative effort with a research team from the U.K., which will study the recurrence and prevention of foot ulcers. The podiatric research team also has studies sponsored by the American Diabetic Association (ADA) and American Podiatric Medical Association (APMA) and are looking into the occurrence of ulcers in diabetic patients that are currently undergoing dialysis and how foot care affects diabetic foot complications. They are also looking into new therapies to deal with treatment of foot infections and open amputations.The Division of Research, Family Medicine (DORFAM) has completed research projects focusing on: moderate exercise for obese individuals, the referral of patients to specialists from primary care physicians, the over prescribing of antibiotics and the use of e-mail communication between health care providers and patients. The DORFAM has current research projects focusing on: bicycle related traumatic brain injuries, weight and contents of backpacks carried by school children, concussions among high school football players and miscommunication as a cause of medication errors in elderly ambulatory patients.Investigative Pathology is the research component of the Department of Pathology at Scott & White. They are focused on the research and development of anti-cancer drugs, understanding the mechanisms by which these drugs function, so that more potent drugs can be developed and educating and training the community on recent advances in cancer therapies. They are guided by the principle that drugs should be non-toxic to patients and are committed to developing effective heat-shocked protein-based therapies. SWMH has developed a virtual data warehouse which promotes Comparative Effectiveness Research. This virtual warehouse allows SWMH to share clinical and research data with other research and healthcare organizations. By partnering with other institutes, the data necessary for effective research is quickly and readily available, resulting in larger and more comprehensive data pools and increasing the cost-effectiveness of research.The Scott & White system employs many physicians, scientists and technicians devoted to various aspects of research programs. In the fiscal year ending August 31, 2011, there were approximately 539 active research projects, of which approximately 33% were funded by NIH, or other governmental sources. 834997700 1 1 0 1 0 0 0 0 1 1 0 1 1 1 1 0 1 0 0 1 0 0 1 1 0 1 1 0 1 1 0 0 0 1 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 X 798 0 1 11408 1 1 1 1 CJ 0 0 1 1 1 1 0 0 0 0 X 9 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 0 1 1 0 X Dick Dixon 2547244733 2401 S 31st Street Temple TX 76508 X Glenda Barron PhD 3.00 X 0 0 0 Bill DiGaetano 3.00 X 0 0 0 Barry Couch 3.00 X X 0 0 0 Drayton McLane III 3.00 X 0 0 0 Robert Probe MD 40.00 X X 0 803288 50462 Alejandro Arroliga MD 40.00 X 0 522516 54582 Timothy Bittenbinder MD 40.00 X 0 559359 54462 Patricia Currie 40.00 X X 0 577613 48517 Dennis Laraway 40.00 X X 0 775944 48517 Alfred B Knight MD 40.00 X 0 1329511 51157 Cynthia Dunlap 40.00 X 0 86784 14367 Gail VanZyl 40.00 X 0 300574 46718 Glen R Couchman MD 40.00 X 0 629993 49283 Robert Pryor MD 40.00 X 0 801222 48053 Stephen Sibbitt MD 40.00 X 0 402014 49582 John Boyd III MD 40.00 X 0 456620 29271 Deborah Bennett 40.00 X 224881 0 25841 Warren Voegele 40.00 X 270756 0 24996 Charles McFarling 40.00 X 254875 0 36967 Robert Dickens 40.00 X 235319 0 16850 Patrick Jenkins 40.00 X 232586 0 3428 Wade L Knight MD 40.00 X 0 491827 46818 Michael Middleton MD 40.00 X 0 441451 49582 Francis Anderson 40.00 X 0 294430 51516 Andrejs E Avots-Avotins MD 40.00 X 0 536156 53462 Kenneth A Johnson 40.00 X 0 206680 36460 James Carroll 40.00 X 0 457903 41421 Stuart Donald Sequin 40.00 X 0 407976 48290 J Paul Dieckert 40.00 X 0 553110 52363 Phillip Cain MD 40.00 X 0 289336 51426 Frank Villamaria MD 40.00 X 0 435393 51982 Dick Dixon 40.00 X 0 335473 49292 William Rayburn MD 40.00 X 0 588173 51849 Peter Brumleve 40.00 X 0 550555 48053 Nancy Birdwell 40.00 X 0 329805 41649 1218417 13163706 1327216 264 1 1 0 DPR Construction Inc 9606 North Mopac Ste 300 Austin TX 78759 Construction 9954457 Medquist Transcription Ltd PO Box 102467 Atlanta GA 30368 Transcription 5156088 Jacobs Engineering 2705 Bee Cave Road Ste 300 Austin TX 787465688 Engineering 3875095 P2P Staffing Corp 302 Knights Run ave Tampa FL 33602 Staffing 2840047 Page Southerland Page 400 W Cesar Chavez Ste 500 Austin TX 78701 Architecture 2687099 487 488723 1986372 18302576 20777671 Patient Care Rev-Net 621990 907424157 905152071 2272086 Education 611600 20764605 20764605 Research 541700 9301559 9301559 Hospital Management Se 621990 194802 194802 937685123 8166800 8166800 850953 850953 169391 169391 169391 169391 427481344 5565 412627782 14853562 5565 14859127 14859127 71474 488723 345839 -274365 -274365 Cafeteria/Thrift Store 722210 4183410 4183410 4183410 986418110 935218235 2636279 27785925 262508 262508 330651021 291166727 36954361 2529933 28380919 28380919 22010867 12649379 8830847 530641 34084415 34084415 12435 12435 200916 26274 174642 93557409 70885084 21144536 1527789 5071636 735678 3927976 407982 185480219 180745623 4555695 178901 20373062 14178743 6181709 12610 3845 3845 16720530 15043203 1528584 148743 6237288 4373001 1749959 114328 5729873 4360960 1096107 272806 26746980 26746980 57997750 53192709 4712164 92877 828685 5486 823199 Bad Debt 64717117 63414275 1302842 Equipment Rent/Maintena 27017917 26286013 700555 31349 Patient/Community Suppo 7377452 4758145 2208918 410389 Dues & subscriptions 2400696 1650108 713839 36749 Miscellaneous 2047825 2047625 200 937911365 834997700 96618568 6295097 121475086 55714707 14012667 14148469 2281346 2116928 157791564 185003877 73172 64218 7902441 5918004 7497332 9337529 4628179 7345827 1377302970 687589914 588329749 689713056 230568837 303052997 14867658 89781835 162252825 163439656 139542616 1402649522 1574211053 113872761 119579726 32581184 28901488 55758909 58674959 29769620 35718899 170907767 41723905 402890241 284598977 X 921393767 1198831480 45583836 54998737 32781678 35781859 999759281 1289612076 1402649522 1574211053 X 48506745 241346050 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 18276 1 233123 0 0 251399 0 Part IV, Supplemental Information: Part II-B, Line 1(f) and Line 1(g): Scott & White Memorial Hospital (SWMH) maintains memberships in the American Hospital Association, Texas Hospital Association and other national and state medical associations. A percentage of the dues paid to those organizations is attributed to lobbying activities and is reported as grants to other organizations for lobbying purposes. The organization retains the services of professional lobbyists, and in-house staff personnel maintain contact with legislators regarding issues pertinent to the organization. 78200433 2732356 9531823 267949 2883576 87313087 73389524 1512623 5602178 81802 2222090 78200433 92860194 763913 -11892140 176750 8165693 73389524 0.53000 0.47000 0 0 42852979 42852979 569417864 223165879 346251985 650833050 451644268 199188782 114199077 12779767 101419310 689713056 Investment in Subsidiary 122589435 C Investment in Unconsolidated Entity 39663390 C 162252825 Insurance Reserve Funds 2419614 Other Assets 4112613 Restricted Assets 133010389 139542616 Other Liabilities - Payroll/Benefits 22502921 Reserve for Insurance/Checks 1144334 Other Liabilities 11823449 Environmental Remediation 6253201 41723905 Description of Uncertain Tax Positions Under FIN 48: Part X: FIN 48 Footnote: Scott & White evaluates it's income tax positions in accordance with Accounting Standard Codification 740-10, regarding accounting for uncertainty in income taxes (ASC 740-10). ASC 740-10 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. There are no material unrecorded tax liabilities as of August 31, 2011 and 2010. Part V: Endowment funds and income from endowment investments are used to provide funding for program activities of Scott & White Memorial Hospital. Central America and Caribbean 1 1 Investments Europe 0 0 Investments Central America and Caribbean 1 1 Captive Insurance 2 2 0 0 2 2 0 0 0 1 0 1 1 1 0 Other Information Schedule F, Part V Part I, line 3: Investments represent stock and bond portfolio investments in unrelated foreign organizations. Providing certain insurance coverage and risk management through Scott & White Assurance, Ltd, a captive insurance company, provides benefits at lower costs compared to providing such coverage through unrelated insurance carriers. X X X X X X X 1 Bliss PO Box 129 St Joseph MN 56374 Consults on direct mail program 0 72870 135787 -62917 Stelter Co 10435 New York Ave Des Moines IA 50313 Consults on direct mail program 0 0 31025 -31025 72870 166812 -93942 Special Event 204250 174710 29540 47717 48509 10907 92076 Special Event 147450 133575 13875 15821 27105 0 12360 4 208497 180438 28059 19903 52076 19365 560197 488723 71474 83441 127690 10907 123801 345839 -274365 1 1 X 1 X 1 X 1 1 1 0 0 40641208 11416608 29224600 0.03350 79507172 59691497 19815675 0.02270 4299939 3951669 348270 0.00040 124448319 75059774 49388545 0.05660 2312748 0 2312748 0.00260 64354455 21117570 43236885 0.04950 43232306 39793482 3438824 0.00390 17677424 9301584 8375840 0.00960 228543 228543 0.00030 127805476 70212636 57592840 0.06590 252253795 145272410 106981385 0.12250 1 20257371 0 210238853 249393178 -39154325 X 1 1 2 1 Scott & White Memorial Hospital

2401 S 31st Street Temple TX 76508

X X X X X X 2 King's Daughters Hospital

1901 SW HK Dodgen Loop Temple TX 76502

X X X Not required 1 Not required 2 Part I, Line 6a: Scott & White Memorial Hospital (SWMH) did not prepare a community benefit report for the fiscal year ending August 31, 2011. SWMH is located in Bell County Texas, and Bell County Community Needs Coalition (the coalition) completed a county needs assessment in August of 2010. Scott & White was actively involved in conducting and funding the assessment. The assessment is being used to assess the current programs and services to better serve the community. Part I, Line 7: The costing method used for Schedule H is the cost to charge ratio, as calculated in Schedule H, Worksheet 2. This method was applied to the costs reported on lines 7a, 7b, 7c, and 7g. Part I, Line 7g: Scott & White Memorial Hospital (SWMH) subsidizes services for emergency room, skilled nursing, psychiatry, and intensive care. As the only hospital in Temple, Texas, if SWMH stopped subsidizing these services they would no longer be available in the community. Part I, L7 Col(f): Bad debt expense subtracted from total expenses on Part IX of the Form 990 to calculate the operating expenses used in calculating the percentage in column (f) is $64,717,117. Part III, Line 4: In the Scott & White Memorial Hospital (SWMH) accounting system, bad debt is recorded as the cost of forgone charges. To calculate the cost of bad debt for purposes of Schedule H, Part III, line 2, the cost to charge ratio calculated in Worksheet 2 of the Schedule H Instructions was applied. Due to patient screenings which occur prior to recording bad debt charges, bad debt expense should not contain community benefit expenditures.Audited financial statement footnote: Patient accounts receivable are stated at estimated net realizable value. Scott & White maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. Scott & White uses a balance sheet approach to value the allowance account based on historical write-offs, payor type, and the aging of the accounts. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts, as necessary, allowances associated with its receivables. The majority of uncollectible accounts result from uninsured patients and patient co-pays and deductibles. Part III, Line 8: Scott & White Memorial Hospital (SWMH) is a nonprofit hospital that voluntarily participates in the Medicare program. Medicare payments received do not cover the costs incurred to provide services to Medicare patients. In reporting the community benefit portion of the American Hospital Association/Texas Hospital Association survey, the Medicare short-fall is included in community benefit reporting.Costing methodology/source: All payments to providers of services must be based on the reasonable cost of services covered under title XVIII of the Social Security Act. Reasonable cost includes all necessary and proper costs incurred in rendering the services. Reasonable cost takes into account both direct and indirect costs of providers of services, including normal standby costs. The general services or overhead cost is stepped down and allocated through statistical data to equitably allocate the expenses to the hospital service departments. Part III, Line 9b: The debt collection policy for the Scott & White Healthcare system identifies charity care and financial assistance as a means to reduce a patient's financial responsibility to the organization. It then refers to the charity care policy which states that patients who qualify for charity care do not pay for services and patients who receive financial assistance will not be pursued for collection. Part VI, Line 2: Scott & White worked in a collaborative process with various other health and human service stakeholders in Bell County Texas to form the Bell County Community Needs Coalition (the coalition). The coalition was funded by major organizations in Bell County including Scott & White. The coalition is dedicated toward the development of a countywide health and human services needs assessment. The most recent Bell County Community Needs Assessment was completed in August of 2010. This assessement is the product of a collaborative process of systematic collection, analysis, and distribution of information on the health and human services needs of Bell County. Various data collection tools and methods, such as surveys (printed in 3 languages), interviews and focus groups, were used to conduct the needs assessment. The assessment resulted in the coalition identifying the top challenges, by region, affecting the citizens of Bell County and surrounding areas.Scott & White also subscribes to Healthy Communities Institute, which supplies continuously updated community data on between 75 to 200 health and quality of life indicators. Data for each hospital in the Scott & White system can be found on the website sw.org. In addition medical analysts study inpatient and outpatient records to provide a comprehensive look at health trends in the community so Scott & White Memorial Hospital can appropriately tailor the services offered. Part VI, Line 3: Scott & White Memorial Hospital (SWMH) educates patients in regards to their eligibility for financial assistance in a number of ways. Patient billing statements include phone contact information for patients seeking information regarding financial assistance. Financial counselors are available at each location to assist patients in determining eligibility, assisting with applications for assistance, as well as making payment arrangements. Additionally, SWMH contracts with a 3rd party vendor to routinely screen self-pay patients for eligibility for local, state and federal assistance programs that may be available. These services are offered at no cost to patients. Part VI, Line 4: The Scott & White Healthcare system provides care for patients in 35 counties in the state of Texas covering 29,000+ square miles. Eighty-five percent of the patients come from a primary service area including the counties of Bell, Brazos, Coryell, Falls, Lampasas, McLennan, Milam, and Williamson. Eight percent of patients come from the secondary service area including Blanco, Bosque, Brown, Burleson, Burnet, Comanche, Grimes, Hamilton, Hays, Hill, Hood, Johnson, Lee, Leon, Limestone, Llano, Madison, Mills, Robertson, San Saba, Somervell, Travis and Washington counties.In Scott & White's primary service area, the total population is 1,268,822 and the median household income is $46,930. Twenty-seven percent of the population is under the age of 17; 42% is between the ages of 18 and 44; 21% is between the ages of 45 and 64; and 10% of the population is over 65. The top three ethnicities in the primary service area are Caucasion with 61.08% of the population; 20.67% are Hispanic and 12% are African American.In the secondary service area, the total population of the counties served is 1,828,960 and the median household income is $44,315. Twenty-four percent of the population is under 17; 40% are between the ages of 18 and 44; 25% is between 45 and 64; and 11% is 65 or older. Of the population in the secondary service area, 59.54% are Caucasion; 27.91% are Hispanic; 7.10% are African American; 3.29% are Asian Non-Hispanic; 1.63% are Multiracial and less than one percent each of the total population are Native American, Pacific Islander or Other.The March 2010 public health rankings list Bell County as 74th out of 223 in the state of Texas. A community health needs assessment was completed in August 2010 by the Bell County Community Needs Coalition, a partnership between Scott & White Healthcare, Bell County, Metroplex Health System, United Way of Central Texas and United Way of the Greater Fort Hood Area and other local organizations. The following information was taken from the results of that assessment to help provide a snapshot of the overall health of the immediate community that Scott & White Memorial Hospital serves: Forty percent of nearly 3,000 survey respondents indicated they would qualify their overall health as either fair or poor. The most common health diagnoses that residents of Bell County have received from physicians are high blood pressure (36.8% of respondents), high cholesterol (24.5% of respondents), and mental illness such as depression, anxiety or substance abuse (23.2% of respondents). The number one cause of death is cardiovascular disease, followed by cancer. Referencing the risk factors for CVD, almost 30% of adults in Bell County do not participate in leisure time physical activity, 27% of residents are smokers and over 75% of adults eat less than five fruits and vegetables a day. All of these indicators are a slightly higher percentage than the state levels. The top two possibly preventable conditions that Bell County residents were hospitalized for are congestive heart failure and bacterial pneumonia. Part VI, Line 6: All Scott & White Healthcare facilities are operated in a manner that furthers the organization's exempt purposes. Scott & White Healthcare officers and executives plan and direct the activities of all facilities under the direction and oversight of the Board of Trustees of Scott & White Healthcare, sole corporate member of Scott & White Memorial Hospital (SWMH). The SWMH Board of Directors is comprised of persons residing in the service area. As explained in response to Form 990 Part VI, Section A, Question 7b, the SWMH Board of Directors does not consist of a majority of independent directors because SWMH relies on the Scott & White Healthcare Board of Trustees, which is controlled by a majority of community trustees, to meet board control tests. Surplus funds are reinvested in facilities, equipment and programs to further SWMH's exempt purposes.Fort Hood and Project Homefront:On November 5, 2009, 12 soldiers and one civilian were killed and dozens wounded in a shooting incident at Fort Hood, the U. S. Army's largest military combat installation, in Killeen, Texas, part of the SWMH primary service area. With the only Level I trauma center in Central Texas, SWMH was the destination for the most severly wounded. Immediately upon notification of the shootings, Scott & White Clinic and SWMH assembled a response team of more than 20 surgeons, in addition to the emergency room and anesthesia staff and over 100 support personnel, that was ready to evaluate and treat the wounded when they arrived at the emergency room. Fully equipped and fully staffed trauma bays were cleared and ready for use. Operating room schedules were quickly cleared and SWMH nurses and housing staff cleaned and sanitized operating rooms for immediate use. Ten of the soldiers brought to SWMH were mortally wounded; several were stabilized and taken to operating rooms within 10 minutes of arrival. All survived.This incident demonstrates advantages of the Scott & White integrated delivery model. Physician, nursing and technical personnel and facilities, supplies and support services were quickly available to treat victims of the shooting. Because of this response, the victims received almost immediate, quality, life-saving care. As a result of the incident, Scott & White, the cities of Temple, Belton and Killeen, and other community emergency resources have developed and implemented a disaster emergency response plan. As the major healthcare provider in Central Texas, Scott & White has taken a leading role in the planning and implementation of the plan. Scott & White physicians, nurses, other medical professionals, and management and support personnel have dedicated many hours to the process, and continue their involvement, participating in mock drills and updating the disaster response plan.Responding to the needs and issues of military personnel returning to Fort Hood from service in Iraq and Afghanistan, Scott & White and the Central Texas-Fort Hood chapter of the Association of the United States Army designed and implemented Project Homefront. Project Homefront works to prevent suicide, marital problems and harmful family relationships in the armed forces by providing individual, family, and group counseling to those who have served and are serving in Iraq and Afghanistan. The services are free and unlimited counseling visits are available with permanent counselors who live in the community. Counselors who work with Project Homefront are members of a military family or are specially trained in the military culture. Services are available to Guard, Reserve and Active duty personnel and Veterans. While providing counseling and medical services, Scott & White counselors and physicians recognized the unique and special needs of military personnel and their families. As a result of the counselors' efforts and education, SWMH leadership authorized the development of Project Homefront and the expenditure of funds to accomplish its goals. The costs incurred to provide Project Homefront counsling services have been funded by private grants and donations, with administrative, office expenses and space needs being funded by Scott & White. Through August 31, 2011 16,633 patient contacts have been provided. Project Homefront is one of the largest community-based mental health programs for members of the armed services and their families. Part VI, Line 7: Scott & White provides personalized, comprehensive, high quality care enhanced by medical education and research through one of the nation's largest multi-specialty group practices. Scott & White Memorial Hospital (SWMH), a 501(c)(3) corporation, is a subsidiary of Scott & White Healthcare (SWHC)(EIN: 26-453254), a 501(c)(3) 509(a)(3) - Type 1 supporting organization, the parent corporation of the Scott & White Healthcare system (the "system"). The Scott & White Healthcare Foundation (SWF)(EIN: 27-3513154), a 501(c)(3) Public Charity under 170(b)(1)(A)(vi), raises funds for the priority programs and services of the entire Scott & White Healthcare system. The Scott & White Healthcare system includes 12 hospital sites, more than 60 clinics and a 229,000+ member health plan serving residents in a 29,000+ square mile service area spanning 35 counties. The Scott & White Healthcare system employs 1,300 primary and specialty physicians, scientists and advanced practice providers. The Scott & White Healthcare system provided at cost approximately: $75,000,000 in unreimbursed charity care, $68,000,000 in unreimbursed Medicaid and other means tested government programs, $53,000,000 in unreimbursed health professions education and research, $28,000,000 in subsidized services and incurred a Medicare shortfall of $46,000,000 for the fiscal year ending August 31, 2011. Scott & White Memorial Hospital (SWMH), a subsidiary of SWHC located in Temple, Texas, is the flagship hospital of the system and has the only Level I Trauma Center between Dallas and Austin, Texas. The Mclane Children's Hospital at Scott & White, operated under the EIN of SWMH is the only stand-alone children's hosptital between Dallas and Austin, Texas.The entire Scott & White Healthcare system serves patients qualifying for federal Medicare and state Medicaid programs and other federal and state means tested assistance programs. Services for indigent patients and uninsured and underinsured patients are provided according to provisions of the Scott & White Charity Care Policy and Patient Financial Assistance Program. Scott & White also serves private pay patients and contracts with health plans and insurance companies to provide medical services for their participants Reports Filed With States Part VI, Line 7 TX 1 Nursing/Other Health-Related Scholarships 57 262508 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Scholarships are awarded to students seeking a degree in nursing and other health-related fields. These awards are made to employees, as well as non-employees. Scholarship money is awarded by a committee based on completed application, academic transcript(s) and letters of reference. X X X X 0 0 0 0 0 0 0 1 0 Robert Probe MD 0 775390 0 26905 0 993 0 31850 0 18612 0 853750 0 0 Alejandro Arroliga MD 0 470307 0 51216 0 993 0 31850 0 22732 0 577098 0 0 Timothy Bittenbinder MD 0 511566 0 46800 0 993 0 31850 0 22612 0 613821 0 0 Patricia Currie 0 444620 0 132000 0 993 0 31850 0 16667 0 626130 0 0 Dennis Laraway 0 567287 0 208000 0 657 0 31850 0 16667 0 824461 0 0 Alfred B Knight MD 0 926711 0 400000 0 2800 0 31850 0 19307 0 1380668 0 0 Gail VanZyl 0 248741 0 50000 0 1833 0 31850 0 14868 0 347292 0 0 Glen R Couchman MD 0 505605 0 122555 0 1833 0 31850 0 17433 0 679276 0 0 Robert Pryor MD 0 622389 0 177000 0 1833 0 31850 0 16203 0 849275 0 0 Stephen Sibbitt MD 0 348807 0 52500 0 707 0 31850 0 17732 0 451596 0 0 John Boyd III MD 0 400453 0 54000 0 2167 0 9104 0 20167 0 485891 0 0 Deborah Bennett 215993 0 8252 0 636 0 22727 0 3114 0 250722 0 0 0 Warren Voegele 257735 0 12801 0 220 0 14142 0 10854 0 295752 0 0 0 Charles McFarling 251094 0 3552 0 229 0 25863 0 11104 0 291842 0 0 0 Robert Dickens 222169 0 12801 0 349 0 7496 0 9354 0 252169 0 0 0 Patrick Jenkins 229686 0 2873 0 27 0 3428 0 0 0 236014 0 0 0 Wade L Knight MD 0 488447 0 0 0 3380 0 31850 0 14968 0 538645 0 0 Michael Middleton MD 0 440793 0 0 0 658 0 31850 0 17732 0 491033 0 0 Francis Anderson 0 249336 0 43261 0 1833 0 31850 0 19666 0 345946 0 0 Andrejs E Avots-Avotins MD 0 513786 0 20537 0 1833 0 31850 0 21612 0 589618 0 0 Kenneth A Johnson 0 189445 0 14436 0 2799 0 26902 0 9558 0 243140 0 0 James Carroll 0 365104 0 90000 0 2799 0 31850 0 9571 0 499324 0 0 Stuart Donald Sequin 0 323643 0 82500 0 1833 0 31850 0 16440 0 456266 0 0 J Paul Dieckert 0 526277 0 25000 0 1833 0 31850 0 20513 0 605473 0 0 Phillip Cain MD 0 285939 0 548 0 2849 0 31850 0 19576 0 340762 0 0 Frank Villamaria MD 0 418646 0 14914 0 1833 0 31850 0 20132 0 487375 0 0 Dick Dixon 0 278640 0 55000 0 1833 0 31850 0 17442 0 384765 0 0 William Rayburn MD 0 519080 0 68100 0 993 0 31850 0 19999 0 640022 0 0 Peter Brumleve 0 422722 0 126000 0 1833 0 31850 0 16203 0 598608 0 0 Nancy Birdwell 0 262971 0 65000 0 1834 0 31850 0 9799 0 371454 0 0 Part I, Line 7 Discretionary bonuses are an element of various Scott & White Healthcare system (the "system") compensation plans. The Scott & White Healthcare Board of Trustees, which is the governing body of the Scott & White Healthcare system and the Board Compensation Committee have approved plans designed to measure performance based on differing job functions. The Board of Trustees approves the bonus pools reserved for the various plans. The Board of Trustees determines and approves the bonus, if any, for the system's Chief Executive Officer and other executive level personnel. WR Smythe MD Relocation X 150000 64218 0 1 1 64218 Julie Couchman Family of Officer 42701 Employee of the Scott & White Healthcare system 0 Barbara Weiss MD Family of Trustee 102409 Employee of the Scott & White Healthcare system 0 Sharon Beeram Family of Trustee 12622 Employee of the Scott & White Healthcare system 0 Darla Lowe MD Family of Trustee 154636 Employee of the Scott & White Healthcare system 0 Ellen Sibbitt Family of Trustee 16774 Employee of the Scott & White Healthcare system 0 Jarrod Pryor Family of Officer 35561 Employee of the Scott & White Healthcare system 0 John Carroll Family of Officer 76698 Employee of the Scott & White Healthcare system 0 Marjo Carroll Family of Officer 67589 Employee of the Scott & White Healthcare system 0 X 293743 Selling Price X 3 14033 Estimated Selling Price X 2 822472 Estimated Selling Price 0 1 0 Form 990, Part V, Line 2a: Employees of the Scott & White Healthcare system are employed by Scott & White Memorial Hospital (EIN: 74-1166904) or Scott & White Clinic (EIN: 74-2958277). This is done to achieve parity and consistency in compensation and benefits offered to employees and to reduce administration costs. Consistent with this practice, employee Form W-2's are filed by Scott & White Memorial Hospital or Scott & White Clinic. For financial reporting purposes, compensation, benefits and other employee costs are assigned to the Scott & White affiliate for which services are rendered. Oversight of and responsibility for the activities of employees are vested in the board of directors and management of the Scott & White Healthcare subsidiary to which such employees are assigned. All required employment forms have been filed by Scott & White Memorial Hospital and Scott & White Clinic. Form 990, Part VI, Section A, line 2 Drayton McLane Jr., a member of the Scott & White Healthcare (SWHC) Board of Trustees, is the father of Drayton McLane III, a member of the Scott & White Memorial Hospital (SWMH) Board of Directors. SWHC is the sole member of SWMH. Form 990, Part VI, Section A, line 6 Scott & White Memorial Hospital's (SWMH) sole member is Scott & White Healthcare (EIN:26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3). Form 990, Part VI, Section A, line 7a Scott & White Memorial Hospital's (SWMH) sole member is Scott & White Healthcare (EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3). Election of the SWMH Board of Directors requires the approval of the Scott & White Healthcare Board of Trustees, by majority vote. The majority of the Scott & White Healthcare Board of Trustees is comprised of individuals who are representative of the community. Form 990, Part VI, Section A, line 7b Scott & White Memorial Hospital's (SWMH) sole member is Scott & White Healthcare (EIN: 26-4532547), an organization exempt from tax under IRC section 501(c)(3) and a public charity under IRC section 509(a)(3). Actions taken by the SWMH Board of Directors are subject to oversight and approval of the Scott & White Healthcare Board of Trustees. The majority of the Scott & White Healthcare Board of Trustees is comprised of individuals who are representative of the community. Form 990, Part VI, Section B, line 11 The Scott & White Memorial Hospital (SWMH) Directors were each provided a copy of Form 990 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 12c Annually, a written questionnaire is provided to all persons identified as being subject to the Scott & White Memorial Hospital (SWMH) Conflict of Interest Policy, 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 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 15 The compensation review process is performed annually. All staff including: officers, key employees and highly compensated individuals are included in the review, as are all staff. The process utilizes various comparative data with respect to similar organizations. The procedures, rationale and results of the process are documented and retained. Recommended salaries and total compensation are reviewed by independent compensation consultants and approved by the Compensation Committee of the Scott & White Healthcare (SWHC) Board of Trustees. The entire Board reviews and approves the recommendations of the Compensation Committee. Form 990, Part VI, Section C, line 19 The Scott & White Memorial Hospital (SWMH) governing documents and Conflict of Interest Policy are available to the public upon request. SWMH does not have separately audited financial statements, but the audited financial statements of the Scott & White Healthcare system are available at http://www.dacbond.com and upon request. Form 990, Part VII: Average hours per week recorded in column B for the Officers, Directors, Key Employees and Highly Compensated Employees represent total hours worked for the entire Scott & White Healthcare system. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 35,048,510. Transfer to Scott & White Assurance 6,940,104. Revenue/Gains From Subsidiaries 14,555,468. Revenue/Gains From Unconsolidated Entities 5,260,613. Equity Transfers -5,274,304. Reorganization Transfers 187,216,464. Internal Research Funding -2,400,805. Total to Form 990, Part XI, Line 5: 241,346,050. Form 990, Part IV, Line 26 and Schedule L, Part II: The Scott & White Clinic (EIN: 74-2958277) a solely owned 501(c)(3) corporation whose sole member is Scott & White Healthcare (SWHC)(EIN: 26-4532547), the parent corporation of the entire Scott & White Healthcare system, entered into a loan agreement in 2004 with a physician recruited by the Clinic. The purpose of the loan was to assist the physician with relocation costs. The physician in question was elected to the Clinic's Board of Directors in 2006. Details of the note are: Borrower: W. R. Smythe, M.D. Title: Chair, Dept of Surgery; Director Original Loan Amount: $150,000 Outstanding, August 31, 2010: $73,172 Date of the Note: March 2004 Current Maturity Date: 8/31/2017 Interest Rate: 5% per annum Terms of the note were modified in 2006 and 2007, extending the note to August 31, 2017, and allowing forgiveness of annual principal and interest payments, provided the borrower remains employed by the Clinic. Annual debt forgiven per the note terms is included in the borrower's taxable compensation in the year of forgiveness. The borrower's annual compensation, including forgiveness, if any, is evaluated each year as part of the Clinic compensation review process. This loan is reflected in the Scott & White Memorial Hospital (SWMH) Form 990 Part X, Balance Sheet, as beneficial ownership of all Scott & White Clinic assets is vested in SWMH. 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