2012-10-02T15:39:15-05:00 2011-12-31 990 2011-01-01 742052197 SCOTT & WHITE HEALTH PLAN SCOT 2542983568 2401 S 31ST STREET TEMPLE TX 76508 ALLAN EINBODEN JR 2542983030 2012-09-11 2011 2016-02-24 21:20:13Z ALLAN EINBODEN JR 2401 S 31ST STREET TEMPLE TX 76508 633005365 0 X WWW.SWHP.ORG X 1979 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 HEALTH PLAN IS A SUBSIDIARY OF SCOTT & WHITE HEALTHCARE (SWHC)(EIN: 26-4532547), A 501(C)(3) ORGANIZATION, THE PARENT CORPORATION OF THE SCOTT & WHITE HEALTHCARE SYSTEM (THE "SYSTEM"). THE SCOTT & WHITE HEALTHCARE FOUNDATION (SWF)(EIN 27-3513154) RAISES FUNDS FOR THE PRIORITY PROGRAMS AND SERVICES OF THE ENTIRE SCOTT & WHITE 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 SPANNING 35 COUNTIES. THE SYSTEM PROVIDED AT COST APPROXIMATELY: $75,000,000 IN UNREIMBURSED CHARITY CARE, $68,000,000 IN UNREIMBURSED MEDICAID AND OTHER MEANS TESTED GOVERNMENT PROGRAMS, $28,000,000 IN SUBSIDIZED SERVICES AND INCURRED A MEDICARE SHORTFALL OF $46,000,000. 12 8 0 0 4825278 -1259757 0 0 560872544 556282987 1743067 2682689 11950206 9765558 574565817 568731234 0 0 495674395 497965589 0 37480999 0 0 0 81854452 42996118 577528847 578442706 -2963030 -9711472 161352381 139759948 90746350 80194526 70606031 59565422 X TO PROVIDE THE MOST PERSONALIZED, COMPREHENSIVE, AND HIGHEST QUALITY HEALTHCARE, ENHANCED BY MEDICAL EDUCATION AND RESEARCH. 0 0 538707873 554145090 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 HEALTH PLAN (SWHP) IS A SUBSIDIARY OF SCOTT & WHITE HEALTHCARE (SWHC) (EIN 26-4532547), A 501(C)(3) 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 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 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. SCOTT & WHITE HEALTH PLAN BEGAN OPERATIONS IN JANUARY 1982 AS A NOT FOR PROFIT HEALTH MAINTENANCE ORGANIZATION. ITS MISSION, THEN AND TODAY: "TO PROVIDE THE MOST PERSONALIZED, COMPREHENSIVE, HIGHEST QUALITY HEALTH CARE, ENHANCED BY MEDICAL EDUCATION AND RESEARCH." FIRST CALLED CENTROPLEX HEALTH PLAN, THE SWHP SERVICE AREA FOCUSED PRIMARILY IN BELL AND CORYELL COUNTIES. SINCE THEN, WE'VE GROWN OUR MEMBERSHIP TO OVER 229,000 MEMBERS AND OUR SERVICE AREA TO 50 COUNTIES IN THE CENTRAL TEXAS REGION. NEW INSURANCE PLANS HAVE BEEN INTRODUCED TO MEET THE NEEDS OF MEMBERS, EMPLOYERS AND THE COMMUNITY. THESE INCLUDE A STATEWIDE SELF-INSURED PLAN AND A MEDICARE PRESCRIPTION PLAN. SCOTT & WHITE HEALTH PLAN IS ONE OF THE HIGHEST-RANKED PLANS IN TEXAS BY NCQA'S HEALTH INSURANCE PLAN RANKING. SCOTT & WHITE HEALTH PLAN IS THE TOP-RANKED PLAN IN TEXAS BY NCQA'S HEALTH INSURANCE PLAN RANKINGS - 2010-11 - MEDICARE. "EXCELLENT ACCREDITATION" FOR MEDICARE PRODUCTS 2000-2010 (NATIONAL COMMITTEE FOR QUALITY ASSURANCE). ACCORDING TO THE OFFICE OF PUBLIC INSURANCE COUNSEL, ("COMPARING TEXAS HMOS 2010") SWHP HAS THE HIGHEST RATING OF ANY CENTRAL TEXAS HEALTH MAINTENANCE ORGANIZATION FOR BELOW THE TEXAS AVERAGE FOR COMBINED (PATIENT AND PROVIDER) COMPLAINTS PER 10,000 ENROLLEES, COMPARED WITH TEXAS HMOS WITH MORE THAN 50,000 ENROLLEES. ACCORDING TO THE OFFICE OF PUBLIC INSURANCE COUNSEL, ("GUIDE TO TEXAS HMO QUALITY: 2010") SWHP HAS THE HIGHEST RATING IN TEXAS FOR THE FOLLOWING: CHILDHOOD IMMUNIZATION COMBINATION 7, 8, 9 AND 10, COLORECTAL CANCER SCREENING, BREAST CANCER SCREENING, CHOLESTEROL MANAGEMENT: LDL-C CONTROL (<100 MG/DL), COMPREHENSIVE DIABETES CARE - THE FOLLOWING SUBMEASURES: POOR HBA1C CONTROL >9.0%, HBA1C CONTROL <8.0%, EYE EXAM, LDL-C CONTROL <100 MG/DL, DIABETIC NEPHROPATHY (KIDNEY COMPLICATIONS), TIMELINESS OF PRENATAL CARE, BOARD CERTIFICATION - THE FOLLOWING SUBMEASURES: FAMILY MEDICINE BOARD CERTIFIED PHYSICIANS, INTERNAL MEDICINE BOARD CERTIFIED PHYSICIANS, OTHER SPECIALIST BOARD CERTIFIED PHYSICIANS. SWHP WAS RECOGNIZED BY THE TEXAS DIABETES COUNCIL FOR 5 CONSECUTIVE YEARS (2006 THROUGH 2010) FOR EXCEEDING THE TEXAS AVERAGE IN ALL SIX COMPREHENSIVE DIABETES CARE MEASURES.THE SCOTT & WHITE HEALTHCARE SYSTEM IS MEETING THE NEEDS OF ITS COMMUNITIES THROUGH PROGRAMS LIKE THE 14TH ANNUAL SENIORS DAY IN THE BRENHAM COMMUNITY WHERE 1,000 PEOPLE WERE GIVEN FREE IMMUNIZATION 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 PROVIDES HEALTH EDUCATION AND WELL-BEING PROGRAMS FOR: SMOKING CESSATION, 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 MILER 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 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 TO GET THE MOST OUT OF EVERY HEALTHCARE DOLLAR.SCOTT & WHITE IS CREATING A PATIENT CENTERED MODEL OF CARED CALLED A MEDICAL HOME. THIS IS A TEAM OF PEOPLE WHO WILL PROVIDE CARE FOR PATIENTS IN THE DEPARTMENT OF FAMILY MEDICINE. THIS TEAM WILL PROVIDE BETTER PATIENT CARE PARTLY THROUGH PATIENT EDUCATION. MEMBERS OF THE TEAM WILL INCLUDE THE PATIENT'S DOCTOR, THE NURSING STAFF, A NURSE PRACTITIONER OR PHYSICIAN ASSISTANT, PHONE CLERKS AND THE BUSINESS STAFF AMONG OTHERS. THE INCREASE IN STAFF TO CREATE A MEDICAL HOME IS NOT REIMBURSED AND IS A COST SCOTT & WHITE BARES TO PROVIDE BETTER PATIENT CENTERED CARE. 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 PATIENT'S 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. 538707873 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 1 X 3711 0 0 1 1 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X ALLAN EINBODEN JR 2547243000 2401 S 31ST STREET TEMPLE TX 76508 X ANDREJS AVOTS-AVOTINS MD 40.00 X X 0 560418 71051 LILLIAN ANN WOLF FARRIS 1.00 X 0 0 0 GARLYN SHELTON 1.00 X 0 0 0 ALFRED B KNIGHT MD 40.00 X X 0 779908 71821 ROBERT KEIFER MARSHALL JR 1.00 X 0 0 0 JEFFREY MICHAEL HUNTER 1.00 X 0 0 0 JANANN WILLIAMS 1.00 X 0 0 0 GAIL LENORE PEEK 1.00 X 0 0 0 LOUIS STANLEY CASEY JR 1.00 X 0 0 0 CLYDE GAMRELL SANSING JR 1.00 X 0 0 0 PHILIP EUGENE SCANIO 1.00 X 0 0 0 ROBERT PRYOR MD 40.00 X X 0 866989 62963 ALLAN EINBODEN JR 40.00 X 0 461486 51685 MARINAN RENZ WILLIAMS 40.00 X 0 295273 61687 HARVEY FLOYD LITTMAN 40.00 X 0 395212 24721 MARYLOU BUYSE MD 40.00 X 0 311572 65800 REBECCA PRESTON MD 40.00 X 0 252300 56274 JOHN SIMPSON MD 40.00 X 0 237476 44889 LEE GREEN 40.00 X 0 231951 65088 DAVID STILLWAGON 40.00 X 0 185298 40122 JOHN CHADDICK 40.00 X 0 181067 59456 MICHELLE DELEGRAM 40.00 X 0 140325 0 0 4899275 675557 0 1 1 0 HEALTH INTEGRATED 10008 N DALE MABRY HWY STE 214 TAMPA FL 33618 CONDITION MANAGEMENT 3001432 AXIOM SYSTEMS 241 E FOURTH STREET SUITE 120 FREDERICK MD 21701 INFORMATION SYSTEMS SUPPORT 2739876 DPR CONSTRUCTION INC 9606 MOPAC EXPRESSWAY N SUITE 300 AUSTIN TX 78759 CONSTRUCTION 2531116 HC&B 701 BRAZOS SUITE 1450 AUSTIN TX 78701 ADVERTISING 2322290 ANDERTON GROUP II LTD PO BOX 23007 WACO TX 76702 MAIL DELIVERY 1015041 53 HMO REVENUE 524114 556282987 554139290 2143697 556282987 1131242 1131242 15749033 14197586 1551447 1551447 1551447 59263248 50076545 9186703 6565160 2621543 VOLUME REFUND 354343 294305 60038 MISCELLANEOUS INCOME 524298 224306 224306 COMMISSION REVENUE FRO 524298 206 206 578855 568731234 561223267 4825278 2682689 497965589 497965589 30929422 27454979 3474443 6551577 6156927 394650 117429 117429 542293 542293 252361 252361 11912101 133238 11778863 3321546 3321546 8774935 8774935 3880312 3880312 2014916 2014916 388725 388725 155741 155741 157070 157070 531916 531916 389418 389418 STATE PREM/MAINT. TAX 4883702 4883702 A&G - O/H ALLOCATION 2201678 2201678 TX RISK POOL ASSESSMENT 2000001 2000001 DUES, FEES, & SUBS. 1219603 22452 1197151 252371 90985 161386 578442706 538707873 39734833 0 271583 439001 3389355 21827667 83981505 44309831 6399960 8589814 822042 950043 19767329 828467 19291749 18938862 36530599 33763349 2947603 3004598 1718937 7717985 6217846 161352381 139759948 67104313 58518335 5957262 6609950 15000000 15000000 2684775 66241 90746350 80194526 X 0 0 0 0 70606031 59565422 70606031 59565422 161352381 139759948 X -9711472 -1329137 X X 0 1 1 X 0 1681496 1681496 17538646 550455 16988191 72187 72187 0 475000 205825 269175 18938862 PAYABLE TO RELATED ORGANIZATION ICSW 66241 66241 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: SCOTT & WHITE EVALUATES ITS 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 DECEMBER 31, 2011 AND 2010. X X X X 1 0 0 0 0 0 0 0 0 ANDREJS AVOTS-AVOTINS MD 0 558612 0 0 0 1806 0 31850 0 39201 0 631469 0 0 ALFRED B KNIGHT MD 0 776441 0 0 0 3467 0 31850 0 39971 0 851729 0 0 ROBERT PRYOR MD 0 864217 0 0 0 2772 0 31850 0 31113 0 929952 0 0 ALLAN EINBODEN JR 0 460856 0 0 0 630 0 31850 0 19835 0 513171 0 0 MARINAN RENZ WILLIAMS 0 293467 0 0 0 1806 0 31850 0 29837 0 356960 0 0 HARVEY FLOYD LITTMAN 0 84145 0 0 0 311067 0 18727 0 5994 0 419933 0 0 MARYLOU BUYSE MD 0 307394 0 0 0 4178 0 31850 0 33950 0 377372 0 0 REBECCA PRESTON MD 0 251334 0 0 0 966 0 31850 0 24424 0 308574 0 0 JOHN SIMPSON MD 0 235670 0 0 0 1806 0 15399 0 29490 0 282365 0 0 LEE GREEN 0 230145 0 0 0 1806 0 30332 0 34756 0 297039 0 0 DAVID STILLWAGON 0 184668 0 0 0 630 0 24754 0 15368 0 225420 0 0 JOHN CHADDICK 0 178295 0 0 0 2772 0 23620 0 35836 0 240523 0 0 MICHELLE DELEGRAM 0 140325 0 0 0 0 0 0 0 0 0 140325 0 0 PART I, LINE 4A HARVEY LITTMAN; SCOTT & WHITE HEALTH PLAN PAID HARVEY LITTMAN A SEVERANCE PACKAGE TOTALLING $309,745. MICHELLE DELEGRAM FORMER ASSOCIATE EXECUTIVE DIRECTOR 140325 A FORMER ASSOCIATE EXECUTIVE DIRECTOR OF FINANCE, A. MICHELLE DELEGRAM, PROVIDED CONSULTING SERVICES PRIMARILY RELATED TO PART D BUSINESS TO THE ORGANIZATION DURING 2011. 0 JARROD R PRYOR FAMILY MEMBER OF OFFICER 61824 EMPLOYEE OF A RELATED ORGANIZATION IN THE SCOTT & WHITE HEALTHCARE SYSTEM 0 GARLYN SHELTON DIRECTOR OF SCOTT & WHITE HEALTHPLAN 820485 GARLYN SHELTON IS THE OWNER OF GARLYN SHELTON AUTO GROUP, A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SWHP. 0 JEFFREY MICHAEL HUNTER DIRECTOR OF SCOTT & WHITE HEALTHPLAN 163448 JEFF HUNTER IS THE OWNER OF JEFF HUNTER MOTORS, INC, A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SWHP. 0 PART V, LINE 2A: STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE NUMBER OF EMPLOYEES OF THE SCOTT & WHITE HEALTHCARE SYSTEM AFFILIATES ARE EMPLOYED BY SCOTT & WHITE MEMORIAL HOSPITAL 74-1166904 OR SCOTT & WHITE CLINIC 74-2958277. THIS IS DONE TO ACHIEVE PARITY AND CONSISTENCY IN COMPENSATION AND BENEFITS OFFERED TO EMPLOYEES AND TO REDUCE ADMINISTRATIVE COSTS. CONSISTENT WITH THIS PRACTICE, EMPLOYEE FORM W-2'S ARE FILED BY SCOTT & WHITE MEMORIAL HOSPITAL OR SCOTT & WHITE CLINIC. FOR FINANCIAL REPORTING PURPOSES, COMPENSATION, BENEFITS, AND OTHER EMPLOYEE COSTS ARE ASSIGNED TO THE SCOTT & WHITE AFFILIATE FOR WHICH SERVICES ARE PROVIDED AND ARE REPORTED AS EXPENSES OF SUCH AFFILIATES, AS SEEN IN PART IX, STATEMENT OF FUNCTIONAL EXPENSES. ALL REQUIRED EMPLOYMENT FORMS HAVE BEEN FILED BY SCOTT & WHITE MEMORIAL HOSPITAL AND SCOTT & WHITE CLINIC. FORM 990, PART VI, SECTION A, LINE 6 SCOTT & WHITE HEALTH PLAN'S (SWHP) SOLE MEMBER IS SCOTT & WHITE HEALTHCARE (EIN: 26-4532547), AN ORGANIZATION EXEMPT FROM TAX UNDER IRC SECTION 503(C)(3) AND A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3). FORM 990, PART VI, SECTION A, LINE 7A SCOTT & WHITE HEALTH PLAN'S (SWHP) 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 SWHP BOARD OF DIRECTORS REQUIRES THE APPROVAL OF THE SCOTT & WHITE HEALTCARE 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 HEALTH PLAN'S (SHWP) 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 SWHP 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 RETURNS WERE DISTRIBUTED ELECTRONICALLY TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C AT THE FIRST BOARD MEETING OF EACH YEAR, OFFICERS AND DIRECTORS ARE REQUIRED TO CERTIFY THAT THEY HAVE READ AND ARE AWARE OF THE CONFLICT OF INTEREST POLICY. ANY CONFLICTS THAT ARE DISCLOSED AT THAT TIME ARE REVIEWED BY LEGAL COUNSEL IN CONJUNCTION WITH THE CEO AND BOARD PRESIDENT TO DETERMINE IN WHICH TRANSACTIONS, IF ANY, THE CONFLICTED OFFICER OR DIRECTOR MAY NOT PARTICIPATE. TRANSACTIONS IN WHICH POTENTIAL CONFLICTS MAY ARISE ARE REVIEWED THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION REVIEW PROCESS IS PERFORMED ANNUALLY. THE SCOTT & WHITE HEALTH PLAN'S CEO AND THE SYSTEM OFFICERS ARE INCLUDED IN THE REVIEW. 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 ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO INDIVIDUALS UPON REQUEST. FORM 990, PART VII: COMPENSATION 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 LOSSES ON INVESTMENTS: -1,329,137. DISCLOSURE STATEMENT RELATED TO FORMS 5471 DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, FILED ON BEHALF OF THE TAXPAYER: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B). THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: SCOTT & WHITE MEMORIAL HOSPITAL TAXPAYER ADDRESS: 2401 S 31ST STREET TEMPLE, TX 76508 TAXPAYER ID 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 SCOTT & WHITE PROPERTIES OPPORTUNITIES LLC 2401 S 31ST STREET TEMPLE TX 76508 452920812 INVESTMENT TX 0 0 N/A SCOTT & WHITE PROPERTIES MANAGEMENT LLC 2401 S 31ST STREET TEMPLE TX 76508 452920980 INVESTMENT TX 0 0 N/A SCOTT & WHITE HEALTHCARE 2401 S 31ST STREET TEMPLE TX 76508 264532547 OPERATIONAL SUPPORT TX 501(C)(3) LINE 11A, I N/A 0 SCOTT & WHITE MEMORIAL HOSPITAL 2401 S 31ST STREET TEMPLE TX 76508 741166904 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE CLINIC 2401 S 31ST STREET TEMPLE TX 76508 742958277 PHYSICIAN SERVICES TX 501(C)(3) LINE 9 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE HOSPITAL - ROUND ROCK 2401 S 31ST STREET TEMPLE TX 76508 203749695 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE HEALTHCARE FOUNDATION 2401 S 31ST STREET TEMPLE TX 76508 273513154 FUNDRAISING TX 501(C)(3) LINE 7 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE CONTINUING CARE HOSPITAL 2401 S 31ST STREET TEMPLE TX 76508 202850920 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE HOSPITAL - TAYLOR 2401 S 31ST STREET TEMPLE TX 76508 741595711 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE HOSPITAL - LLANO 2401 S 31ST STREET TEMPLE TX 76508 273026151 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE HOSPITAL - BRENHAM 2401 S 31ST STREET TEMPLE TX 76508 742519752 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 BRENHAM CARE CENTER 2401 S 31ST STREET TEMPLE TX 76508 742663229 HEALTHCARE TX 501(C)(3) LINE 9 SCOTT & WHITE HEALTHCARE 1 BRENHAM HOSPITAL SERVICES CORPORATION 2401 S 31ST STREET TEMPLE TX 76508 742605157 OPERATIONAL SUPPORT TX 501(C)(3) LINE 11A, I SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE FOUNDATION - BRENHAM 2401 S 31ST STREET TEMPLE TX 76508 742460815 FUNDRAISING TX 501(C)(3) LINE 7 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE HOSPITAL - COLLEGE STATION 2401 S 31ST STREET TEMPLE TX 76508 274434451 HOSPITAL TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 SCOTT & WHITE EMS INC 2401 S 31ST STREET TEMPLE TX 76508 753242749 EMERGENCY TRANSPORTATION TX 501(C)(3) LINE 9 SCOTT & WHITE MEMORIAL HOSPITAL 1 HILLCREST BAPTIST MEDICAL CENTER 100 HILLCREST MEDICAL BLVD WACO TX 76712 741161944 HOSPITAL TX 501(C)(3) LINE 3 SCOTT & WHITE MEMORIAL HOSPITAL 1 HILLCREST FAMILY HEALTH CENTER 100 HILLCREST MEDICAL BLVD WACO TX 76712 742730350 HEALTHCARE TX 501(C)(3) LINE 11C, III-FI HILLCREST BAPTISTS MEDICAL CENTER 1 HILLCREST PHYSICIAN SERVICES 100 HILLCREST MEDICAL BLVD WACO TX 76712 742967081 PHYSICIAN SERVICES TX 501(C)(3) LINE 11C, III-FI HILLCREST BAPTISTS MEDICAL CENTER 1 SCOTT & WHITE LAKE OF THE HILLS REGIONAL MEDICAL CENTER 2401 S 31ST STREET TEMPLE TX 76508 451608264 HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE 1 INSURANCE COMPANY OF SCOTT & WHITE 2401 S 31ST STREET TEMPLE TX 76508 743092083 INSURANCE TX SCOTT AND WHITE HEALTH PLAN C 96732 3012405 1.00000 SCOTT & WHITE ASSURANCE 23 LIME BAY GRAND CAYMAN CJ 980589956 CAPTIVE INSURANCE COMPANY CJ C SCOTT & WHITE PROPERTIES INC 2401 S 31ST STREET TEMPLE TX 76508 742497061 HOTEL SERVICES TX C HILLCREST HOLDINGS INC 3000 HERRING ST WACO TX 76708 742793367 OPERATIONAL SUPPORT TX C ATUMIDA 2401 S 31ST STREET TEMPLE TX 76508 270583030 RESEARCH TX C SCOTT & WHITE PROPERTIES HOLDINGS INC 2401 S 31ST STREET TEMPLE TX 76508 452920596 INVESTMENT TX C CHARITABLE REMAINDER TRUST #1 2401 S 31ST STREET TEMPLE TX 76508 526854329 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #2 2401 S 31ST STREET TEMPLE TX 76508 206463694 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #3 2401 S 31ST STREET TEMPLE TX 76508 416504860 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #4 2401 S 31ST STREET TEMPLE TX 76508 742751167 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #5 2401 S 31ST STREET TEMPLE TX 76508 746391353 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #6 2401 S 31ST STREET TEMPLE TX 76508 746397360 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #7 2401 S 31ST STREET TEMPLE TX 76508 742751168 INVESTMENT TRUST TX T CHARITABLE REMAINDER TRUST #8 2401 S 31ST STREET TEMPLE TX 76508 746423552 INVESTMENT TRUST TX T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 INSURANCE COMPANY OF SCOTT & WHITE O 732843 FAIR MARKET VALUE INSURANCE COMPANY OF SCOTT & WHITE P 196411 FAIR MARKET VALUE SCOTT & WHITE MEMORIAL HOSPITAL O 142903351 FAIR MARKET VALUE