SCOTT AND WHITE HEALTH PLAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SCOTT AND WHITE HEALTH PLAN (EIN 74-2052197)
Tax period
2010-01-01 to 2010-12-31
Filed
2012-03-02
IRS object ID
201230629349301818
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-02T15:38:18-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742052197EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCOTT & WHITE HEALTH PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSCOTNameControl
Phone2542983568Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12401 S 31ST STREETAddressLine1
CityTEMPLECity
StateTXState
ZIP Code76508ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARINAN RENZ WILLIAMSName
TitleCHIEF OPERATING OFFICERTitle
Phone2542983034Phone
Date Signed2012-03-01DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARINAN RENZ WILLIAMSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12401 S 31ST STREETAddressLine1
CityTEMPLECity
StateTXState
ZIP Code76508ZIPCode
FieldValueIRS element (for citing)
Gross Receipts642600835GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.SWHP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE THE MOST PERSONALIZED, COMPREHENSIVE, AND HIGHEST QUALITY HEALTHCARE, ENHANCED BY MEDICAL EDUCATION AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI5971888TotalGrossUBI
Net Unrelated Business Txbl Income167490NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18100000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year625747116ProgramServiceRevenuePriorYear
Program Service Revenue CY560872544ProgramServiceRevenueCY
Investment Income Prior Year2436502InvestmentIncomePriorYear
Investment Income Current Year1743067InvestmentIncomeCurrentYear
Other Revenue Prior Year13809508OtherRevenuePriorYear
Other Revenue Current Year11950206OtherRevenueCurrentYear
Total Revenue Prior Year660093126TotalRevenuePriorYear
Total Revenue Current Year574565817TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year573990456BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY495674395BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year72834833OtherExpensePriorYear
Other Expenses Current Year81854452OtherExpensesCurrentYear
Total Expenses Prior Year646825289TotalExpensesPriorYear
Total Expenses Current Year577528847TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13267837RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2963030RevenuesLessExpensesCY
Total Assets BOY156100770TotalAssetsBOY
Total Assets EOY154462168TotalAssetsEOY
Total Liabilities BOY83879715TotalLiabilitiesBOY
Total Liabilities EOY83856137TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY72221055NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY70606031NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE THE MOST PERSONALIZED, COMPREHENSIVE, AND HIGHEST QUALITY HEALTHCARE, ENHANCED BY MEDICAL EDUCATION AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense511554060Expense
Revenue550034841Revenue
DescriptionTHE OPERATION OF A HEALTH MAINTENANCE ORGANIZATION (HMO) PROVIDING PREPAID MEDICAL CARE TO ITS MEMBERS. PAYMENTS RECEIVED FROM MEMBERS OR PAYORS (INCLUDING EMPLOYERS, INDIVIDUALS, FEDERAL, AND STATE AUTHORITIES) ON BEHALF OF MEMBERS IN CONSIDERATION FOR THE PROVISION OF MEDICAL SERVICES ON A PREPAID BASIS. BY FACILITATING THE PROVISION OF MEDICAL SERVICE BY PROVIDERS TO ITS MEMBER ON A PREPAID BASIS, SCOTT & WHITE HEALTH PLAN PROMOTES HEALTH IN FURTHERANCE OF ITS CHARITABLE PURPOSE. THE PROMOTION OF HEALTH AS "CHARITABLE" PURPOSE WITHIN THE MEANING OF SECTION 501(C) (3) IS WELL ESTABLISHED IN REG. SEC.1.501(C)(3)-1(D) EASTERN KENTUCKY WELFARE RIGHTS ORGANIZATION V SIMON506 F2D 1278 (DC CIR. 1974), VACATED ON OTHER GROUNDS, 426 US 26, 46 (1975) AND RESTATEMENT (SECOND) OF TRUST SECTION 368. THE SERVICE HAS LONG HELD THAT SUCH PREMIUMS RECEIVED BY A HEALTH MAINENANCE ORGANIZATION ARE EXEMPT FUNCTION INCOME (SEE GMC 39829, 8/30/1990)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense764006Expense
Revenue19274708Revenue
DescriptionPBM REVENUE: INTERNAL REVENUE SHOWN ON PRESCRIPTION SERVICES FOR MANAGEMENT OF HEALTH PLAN PHARMACEUTICAL BENEFITS. THE RELATED EXPENSE IS SHOWN ON EACH OF THE INDIVIDUAL PHARMACIES.REBATES: REBATES RECEIVED FROM PHARMACEUTICAL COMPANIES FOR HEALTH PLAN MEMBERS WITH A PRESCRIPTION DRUG BENEFIT.NET INCOME FROM SALES OF PHARMACY INVENTORY AND MISCELLANEOUS INCOMEDescription
FieldValueIRS element (for citing)
Total Program Service Expense512318066TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963568NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARINAN RENZ WILLIAMSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2547243000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12401 S 31ST STREETAddressLine1
CityTEMPLECity
StateTXState
ZIP Code76508ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DONALD RICHARD GROBOWSKY
SECRETARY & TREASURER1.00XX000
A AVOTIS AVOTINS
DIRECTOR1.00X053615653462
LILLIAN ANN WOLF FARRIS
DIRECTOR1.00X000
GARLYN SHELTON
DIRECTOR1.00X000
ALFRED BISHOP KNIGHT
DIRECTOR1.00X0132951151157
ROBERT KEIFER MARSHALL JR
DIRECTOR1.00X000
JEFFREY MICHAEL HUNTER
DIRECTOR1.00X000
JANANN WILLIAMS
DIRECTOR1.00X000
GAIL LENORE PEEK
DIRECTOR1.00X000
LOUIS STANLEY CASEY JR
DIRECTOR1.00X000
CLYDE GAMRELL SANSING JR
DIRECTOR1.00X000
PHILIP EUGENE SCANIO
DIRECTOR1.00X000
ALLAN FREDERICK EINBODEN JR
PRESIDENT & CHIEF EXECUTIVE OFFICER40.00X057551751606
MARINAN RENZ WILLIAMS
CHIEF OPERATING OFFICER40.00X033118542861
HARVEY FLOYD LITMAN
CHIEF FINANCIAL OFFICER40.00X033355955069
MARYLOU BUYSE
CHIEF MEDICAL OFFICER40.00X033134820617
REBECCA PRESTON
ASSOCIATE MEDICAL DIRECTOR40.00028358738781X
LEE GREEN
ASSOCIATE EXECUTIVE DIRECTOR40.00024441545621X
DAVID TROY STILLWAGON
ASSOCIATE EXECUTIVE DIRECTOR IS40.00019913942030X
JOHN CHADDICK
VICE PRESIDENT PHARMACY ERVICES40.00019814040279X
RENEE MERCER
ASST EXECUTIVE DIRECTOR40.00019384935531X
MICHELLE DELEGRAM
FORMER ASSOC EXEC DIR FINANCE32.0017812500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org178125TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4556406TotalReportableCompFrmRltdOrgs
Total Other Compensation477014TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DPR CONSTRUCTION INC
9606 MOPAC EXPRESSWAY N SUITE 300AUSTINTX78759CONSTRUCTION11588683
HEALTH INTEGRATED
10008 N DALE MABRY HWY STE 214TAMPAFL33618CONDITION MANAGEMENT5547563
AXIOM SYSTEMS
241 E FOURTH STREET SUITE 120FREDERICKMD21701INFORMATION SYSTEMS SUPPORT3065816
HC&B
701 BRAZOS SUITE 1450AUSTINTX78701ADVERTISING2697058
HCC LIFE INSURANCE COMPANY
11100 WAYZATA BLVD SUITE 350MINNETONKAMN55343REINSURANCE1687919
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBER PAYMENTS524114550034841550034841
ADMINISTRATIVE SERVICE5416104796523471868977834
PBM REVENUE54161034818623481862
METLIFE ADMINISTRATIVE541610952127952127
PBM TAXABLE REVENUE541610854296854296

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column752895TotalRevenueColumn
Related Or Exempt Function Income178465RelatedOrExemptFunctionIncome
Unrelated Business Revenue574430UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue560872544TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1398606TotalRevenueColumn
Exclusion$1,398,606ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14144207Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13799746Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities344461Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column344461TotalRevenueColumn
Exclusion$344,461ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory66176807GrossSalesOfInventory
Cost Of Goods Sold54235272CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column11941535TotalRevenueColumn
Related Or Exempt Function Income8428334RelatedOrExemptFunctionIncome
Unrelated Business Revenue3513201UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS INCOME52429884788478
COMMISSION REVENUE FRO524298193193
FieldValueIRS element (for citing)
Total Other Revenue8671TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column574565817TotalRevenueColumn
Related Or Exempt Function Income566850862RelatedOrExemptFunctionIncome
Unrelated Business Revenue5971888UnrelatedBusinessRevenue
Exclusion$1,743,067ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total495674395Total
Program Services495674395ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5460074Total
Management And General5460074ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total146602Total
Management And General146602ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total413709Total
Management And General413709ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total273608Total
Management And General273608ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total45119657Total
Program Services8851643ProgramServices
Management And General36268014ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4008771Total
Management And General4008771ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9079507Total
Management And General9079507ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3174186Total
Management And General3174186ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2317604Total
Management And General2317604ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total367780Total
Management And General367780ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total139276Total
Management And General139276ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total53750Total
Management And General53750ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total66036Total
Management And General66036ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total454348Total
Management And General454348ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
STATE PREMIUM/MAINTENAN46944674694467
TEXAS RISK POOL ASSESSM22627972262797
A&G - OVERHEAD ALLOCATI19835181983518
DUES, FEES, & SUBSCRIPT8381263300834826
REBATE EXPENSE763493763493

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total237143Total
Program Services67971ProgramServices
Management And General169172ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total577528847Total
Program Services512318066ProgramServices
Management And General65210781ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-4948211BOY
EOY-6618630EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13730385BOY
EOY3389355EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY89061974BOY
EOY83981505EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5530007BOY
EOY6399960EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY732627BOY
EOY822042EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19588300LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec296551LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5757304BOY
EOY19291749EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY37126769BOY
EOY36530599EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2861829BOY
EOY3047603EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6248086BOY
EOY7617985EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY156100770BOY
EOY154462168EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY71730024BOY
EOY77898875EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12149691BOY
EOY5957262EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY83879715BOY
EOY83856137EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY72221055BOY
EOY70606031EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY72221055BOY
EOY70606031EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY156100770BOY
EOY154462168EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2963030ReconcilationRevenueExpenses
Reconcilation Other Changes1348006ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1681496OtherCostOrOtherBasis
Book Value1681496BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17359617OtherCostOrOtherBasis
Depreciation42288Depreciation
Book Value17317329BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis547187OtherCostOrOtherBasis
Depreciation254263Depreciation
Book Value292924BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19291749TotalOfBookValueLandBuildings
Total Revenue574565817TotalRevenue
Total Expenses577528847TotalExpenses
Excess Or Deficit For Year-2963030ExcessOrDeficitForYear
Net Unrealized GL On Investments1348006NetUnrealizedGLOnInvestments
Total Adjustments1348006TotalAdjustments
Excess Or Deficit Per FS-1615024ExcessOrDeficitPerFS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
A AVOTIS AVOTINS
051378602053701833031850021612058961800
ALFRED BISHOP KNIGHT
09267120400000027990318500193070138066800
ALLAN FREDERICK EINBODEN JR
042386001510000657031850019756062712300
MARINAN RENZ WILLIAMS
027417205518001833031850011011037404600
HARVEY FLOYD LITMAN
02669260657000933031850023219038862800
MARYLOU BUYSE
02862220424060272000020617035196500
REBECCA PRESTON
0240698041896099303185006931032236800
LEE GREEN
021782702475501833031850013771029003600
DAVID TROY STILLWAGON
01718080266740657026416015614024116900
JOHN CHADDICK
016528703102001833025876014403023841900
RENEE MERCER
0161171032231044702564409887022938000
MICHELLE DELEGRAM
178125000000000178125000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHELLE DELEGRAMBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipFORMER ASSOC EXEC DIR/FINRelationship
Amount Of Transaction178125AmountOfTransaction
Description Of TransactionSEE PART VDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IVIdentifier
Return ReferenceBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSReturnReference
ExplanationA FORMER ASSOCIATE EXECUTIVE DIRECTOR OF FINANCE, A. MICHELLE DELEGRAM, PROVIDED CONSULTING SERVICES PRIMARILY RELATED TO PART D BUSINESS TO THE ORGANIZATION DURING 2010.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 1THERE ARE 13 VOTING MEMBERS OF THE GOVERNING BODY, HOWEVER THERE WAS ONE VACANCY AT THE END OF THE TAX YEAR
FORM 990, PART VI, SECTION A, LINE 2THREE OF OUR BOARD MEMBERS ARE ALSO BOARD MEMBERS OF ANOTHER CORPORATION WITH WHICH THE HEALTH PLAN CONDUCTS BUSINESS.
FORM 990, PART VI, SECTION A, LINE 4THE CERTIFICATE OF FORMATION AND BYLAWS WERE AMENDED TO RECOGNIZE THAT SCOTT & WHITE HEALTHCARE HAS BECOME THE SOLE MEMBER OF THE ORGANIZATION
FORM 990, PART VI, SECTION A, LINE 6SCOTT & WHITE HEALTHCARE 26-4532547, A 501(C)(3), BECAME THE SOLE CORPORATE MEMBER OF SCOTT & WHITE HEALTH PLAN ON AUGUST 22, 2010.
FORM 990, PART VI, SECTION B, LINE 11THE RETURNS WERE DISTRIBUTED ELECTRONICALLY TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE FILING DEADLINE.
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. TRANSACTION IN WHICH POTENTIAL CONFLICTS MAY ARISE ARE REVIEWED THROUGHOUT THE YEAR.FORM 990, PART VI, SECTION B, LINE 12C
THE COMPENSATION REVIEW PROCESS IS PERFORMED ANNUALLY. ALL 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 BOARD OF TRUSTEES. THE ENTIRE BOARD REVIEWS AND APPROVES THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVEDED TO INDIVIDUALS UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
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.FORM 990, PART VII: COMPENSATION
CHANGES IN NET ASSETS OR FUND BALANCES:UNREALIZED GAINS AND LOSSES 1,348,006. TOTAL TO FORM 990, PART XI, LINE 5: 1,348,006.FORM 990, PART XI, LINE 5:
THE ORGANIZATION HAD A STATUTORY-BASIS AUDITED FINANCIAL STATEMENT IN 2010, BUT DID NOT HAVE A SEPARATE AUDITED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GAAP.PART XII, LINES 2 A & B: FINANCIAL STATEMENTS AND REPORTING -
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.PART V, LINE 2A: STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SCOTT & WHITE HEALTHCARE
2401 S 31ST STREETTEMPLETX76508264532547HEALTHCARETX501(C)(3)LINE 11A, IN/A0
SCOTT & WHITE MEMORIAL HOSPITAL
2401 S 31ST STREETTEMPLETX76508741166904HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
SCOTT & WHITE CLINIC
2401 S 31ST STREETTEMPLETX76508742958277CLINICTX501(C)(3)LINE 91SCOTT & WHITE HEALTHCARE
SCOTT & WHITE HOSPITAL - ROUND ROCK
2401 S 31ST STREETTEMPLETX76508203749695HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
SCOTT & WHITE HEALTHCARE FOUNDATION
2401 S 31ST STREETTEMPLETX76508273513154FUNDRAISINGTX501(C)(3)LINE 71SCOTT & WHITE HEALTHCARE
SCOTT & WHITE CONTINUING CARE HOSPITAL
2401 S 31ST STREETTEMPLETX76508202850920HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
SCOTT & WHITE HOSPITAL - TAYLOR
2401 S 31ST STREETTEMPLETX76508741595711HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
SCOTT & WHITE HOSPITAL - LLANO
2401 S 31ST STREETTEMPLETX76508273026151HOPSITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
SCOTT & WHITE HOSPITAL - BRENHAM
2401 S 31ST STREETTEMPLETX76508742519752HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
BRENHAM CARE CLINIC
2401 S 31ST STREETTEMPLETX76508742663229HOSPITALTX501(C)(3)LINE 91SCOTT & WHITE HEALTHCARE
BRENHAM HOSPITAL SERVICES CORPORATION
2401 S 31ST STREETTEMPLETX76508742605157HEALTHCARETX501(C)(3)LINE 11A, I1SCOTT & WHITE HEALTHCARE
SCOTT & WHITE FOUNDATION - BRENHAM
2401 S 31ST STREETTEMPLETX76508742460815FUNDRAISINGTX501(C)(3)LINE 71SCOTT & WHITE HEALTHCARE
SCOTT & WHITE HOSPITAL - COLLEGE STATION
2401 S 31ST STREETTEMPLETX76508274434451HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE HEALTHCARE
SCOTT & WHITE EMS INC
2401 S 31ST STREETTEMPLETX76508753242749EMERGENCY TRANSPORTATIONTX501(C)(3)LINE 91SCOTT & WHITE HEALTHCARE
HILLCREST BAPTIST MEDICAL CENTER
100 HILLCREST MEDICAL BLVDWACOTX76708741161944HOSPITALTX501(C)(3)LINE 31SCOTT & WHITE MEMORIAL HOSPITAL
HILLCREST FAMILY HEALTH CENTER
100 HILLCREST MEDICAL BLVDWACOTX76708742730350HEALTHCARETX501(C)(3)LINE 11C, III-FI1HILLCREST BAPTISTS MED CTR
HILLCREST HOSPITAL SPECIALISTS
100 HILLCREST MEDICAL BLVDWACOTX76708742967081PHYSICIAN SERVICESTX501(C)(3)LINE 11C, III-FI1HILLCREST BAPTISTS MED CTR

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
INSURANCE COMPANY OF SCOTT & WHITE
2401 S 31ST STREETTEMPLETX76508743092083INSURANCE COTXSCOTT AND WHITE HEALTH PLANC13785730479571.00000
SCOTT & WHITE ASSURANCE
980589956CAPTIVE INSURANCE COMPC23 LIME BAYGRAND CAYMANCJCJ
SCOTT & WHITE PROPERTIES INC
2401 S 31ST STREETTEMPLETX76508742497061HOTEL SERVICESTXC
HILLCREST HEALTH HOLDINGS INC
2401 S 31ST STREETTEMPLETX76508742793367ADMINISTRATIONTXC
ATUMIDA
2401 S 31ST STREETTEMPLETX76508270583030RESEARCHTXC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
INSURANCE COMPANY OF SCOTT & WHITE
O552856FAIR MARKET VALUE
INSURANCE COMPANY OF SCOTT & WHITE
P211086FAIR MARKET VALUE
SCOTT & WHITE MEMORIAL HOSPITAL
J42832230FAIR MARKET VALUE
SCOTT & WHITE MEMORIAL HOSPITAL
O106351212FAIR MARKET VALUE

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
ExplanationINSURANCE COMPANY OF SCOTT & WHITE IS A WHOLLY OWNED SUBSIDIARY OF SCOTT & WHITE HEALTH PLAN. SCOTT & WHITE HEALTH PLAN AND THE INSURANCE COMPANY OF SCOTT & WHITE WERE ACQUIRED BY SCOTT & WHITE HEALTHCARE. SCOTT & WHITE HEALTHCARE IS A PARENT ORGANIZATION OF VARIOUS SCOTT & WHITE ENTITIES.Explanation

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