FURP.ORG / PUBLIC DATA EXPLORER

Baylor Specialty Health Centers: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Baylor Specialty Health Centers (EIN 75-1765385)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349305031
Schema version
2009v1.7
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)
Timestamp2011-05-13T17:04:15-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN751765385EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Baylor Specialty Health CentersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBAYLNameControl
Phone2148204135Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 Bryan Street No 2200AddressLine1
CityDallasCity
StateTXState
ZIP Code752013005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBob KnowltonName
TitleVP-Finance, HFOTitle
Phone2148204135Phone
Date Signed2011-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLiz YoungbloodNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13504 Swiss AveAddressLine1
CityDallasCity
StateTXState
ZIP Code75204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts63412312GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.BaylorHealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionFaith based long term acute care hospital providing exemplary adult and pediatric health care services to the residents of Dallas County and the surrounding communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees682TotalNbrEmployees
Total Nbr Volunteers83TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year471034ContributionsGrantsPriorYear
Contributions Grants Current Year1017469ContributionsGrantsCurrentYear
Program Service Revenue Prior Year60129932ProgramServiceRevenuePriorYear
Program Service Revenue CY59937756ProgramServiceRevenueCY
Investment Income Prior Year65613InvestmentIncomePriorYear
Investment Income Current Year131244InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year60666579TotalRevenuePriorYear
Total Revenue Current Year61086469TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1269036GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33039601SalariesEtcPriorYear
Salaries Etc Current Year34929362SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28443969OtherExpensePriorYear
Other Expenses Current Year25847840OtherExpensesCurrentYear
Total Expenses Prior Year62752606TotalExpensesPriorYear
Total Expenses Current Year60777202TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2086027RevenuesLessExpensesPriorYear
Revenues Less Expenses CY309267RevenuesLessExpensesCY
Total Assets BOY32838451TotalAssetsBOY
Total Assets EOY34512509TotalAssetsEOY
Total Liabilities BOY3224827TotalLiabilitiesBOY
Total Liabilities EOY4565033TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29613624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29947476NetAssetsOrFundBalancesEOY
Mission DescriptionTo serve a unique population of patients with multiple acute physical care needs in a comprehensive multidisciplinary long term acute care setting with a commitment to excellence in safe and cost effective patient care providing outcomes that contribute to the commitment and value of the Baylor Health Care System.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense52708821Expense
Grants0Grants
Revenue59714917Revenue
DescriptionSee Schedule OBaylor Health Specialty Centers is comprised of two separately licensed hospitals: Baylor Specialty Hospital and Our Children's House at Baylor (collectively "BSHC"). BSHC is an affiliate of Baylor Health Care System, a nationally acclaimed network of acute care hospitals and related health care entities that provide quality patient care, medical education, medical research and other community services to the North Texas Region. During the fiscal year ended June 30, 2010, both hospitals admitted a total of 977 inpatients resulting in 25,969 days of care and treated 15,198 outpatients.During the year, BSHC reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) of $7,958,288. BSHC provided community benefits (as reported on the IRS Form 990, Schedule H) of $1,710,528 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $4,500,000 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.Baylor Specialty Hospital ("BSH") is a 68 bed faith-based, non-profit, long term acute care hospital. BSH provides exemplary adult care to patients in Dallas and the surrounding communities. BSH serves a unique population of patients with multiple acute physical care needs in a comprehensive multidisciplinary long term acute care setting. BSH's commitment to excellence in safe and cost effective patient care provides outcomes that contribute to the commitment and value of Baylor Health care System. It opened in 1989 to offer innovative services for medically complex patients who have the potential to respond to individualized, comprehensive treatment plans developed by a multi-disciplinary care team.From services such as cardiac management, stroke recovery and wound care to pulmonary care and other medically complex issues, acutely ill patients receive the focused attention of an experienced team of trained specialists supported by advanced medical technology designed specifically for such complex cases. This coordinated treatment is offered in a setting that allows proper time for recovery. Some of these services are provided despite a financial loss to BSH.BSH provided supervisory education programs for the training of future nurses and other allied health professionals in an effort to increase the supply of health care professionals nation-wide. Assisting with the preparation of future nurses and other allied health professionals at entry and advanced levels of care education is critical in establishing a workforce of qualified health care providers. During the year BSH invested 1,927 hours in the training of 169 undergraduate health professionals. Total unreimbursed cost of providing this health professional education program is $69,901.Our Children's House at Baylor ("OCH") is a faith-based, non-profit, 54 bed pediatric hospital. Opening in 1993, OCH provides coordinated comprehensive exemplary pediatric care to children with special health care needs. It has grown to include nine outpatient clinics throughout the Dallas/ Fort Worth Metroplex. OCH is a licensed pediatric hospital dedicated to giving quality care to children from infancy to age 18 who need medical care and treatment for developmental and birth disorders, traumatic injury and severe illnesses. Some of these services are provided despite a financial loss to OCH.OCH also provided community health education, in-kind contributions, and supervisory education programs for the training of future nurses and other allied health professionals in an effort to increase the supply of health care professionals nation-wide. Assisting with the preparation of future nurses and other allied health professionals at entry and advanced levels of care education is critical in establishing a workforce of qualified health care providers. During the year, OCH invested 4,051 hours in the training of 223 undergraduate health professionals. Total unreimbursed cost of providing these educational programs is $51,199.Description
Total Program Service Expense52708821TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096114NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees682NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBob KnowltonNamePerson
Telephone Number2148209743TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13504 Swiss AvenueAddressLine1
CityDallasCity
StateTXState
ZIP Code75204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Molly Bogen
Trustee1.00X000
Jeffrey Carter
Trustee1.00X000
Elsa Grivas
Trustee1.00X000
David Radman
Trustee1.00X000
Richard Clopton
Trustee1.00X000
Cristie Columbus MD
Trustee1.00X020325529118
John Cuellar
Chairman1.00X000
Terry Flowers
Trustee1.00X000
Lawrence Gardner
Trustee1.00X000
Kenneth Klaveness
Trustee1.00X000
Cecilia McKay
Trustee1.00X000
Luz Tolentino
Trustee1.00X027125943959
Kelli Terpstra
VP Clinical Ops/CNO40.00151279023371X
Robert Knowlton
VP Finance/Hosp Fin Off40.00153766017438X
Jon Skinner
President40.00034161453076X
James Thaxton
President40.00052897755345X
Ruth Whitaker
VP Nursing40.00150878028961X
Anne Morton
Director Pediat O/P Svcs40.00131313015938X
Melody Nagel
Director Wound Care Mgmt40.00122515021963X
Nancy Rhodes
Director Nursing40.00124059018100X
Carrin Feagins
Director Health Care Improvement40.00119643020062X
Marva Goins
Director Pharmacy40.002017713687523108X
Scott Peek
Former Officer0.00029087650491X
Trey Wicke
Former Officer0.00018692121525X
FieldValueIRS element (for citing)
Total Reportable Comp From Org973630TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1959777TotalReportableCompFrmRltdOrgs
Total Other Compensation422455TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
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
Baylor Health Care System
2001 Bryan St Ste 2200DallasTX75201Management Services8626140
Baylor University Medical Center
2001 Bryan St Ste 2200DallasTX75201Clinical Services2701668
HealthTexas Provider Network
2001 Bryan St Ste 2200DallasTX75201Clinical/Administrative904472
Aramark Services Inc
P O Box 651009CharlotteNC282651009Engineering Services410871
Medco Construction LLC
2001 Bryan St Ste 2200DallasTX75201Construction375666
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations1017469RelatedOrganizations
Total Contributions1017469TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
Patient Care Revenue6219905967559159675591
Day Care624410163761$163,761
Vending45421034552$34,552
Parking81293024526$24,526
Medical Education6116002302123021

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column16305TotalRevenueColumn
Related Or Exempt Function Income16305RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue59937756TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column105224TotalRevenueColumn
Exclusion$105,224ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2351863Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2198803Securities
Other127040Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities153060Securities
Other-127040Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column26020TotalRevenueColumn
Exclusion$26,020ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column61086469TotalRevenueColumn
Related Or Exempt Function Income59714917RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$354,083ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total586851Total
Management And General586851ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27578162Total
Program Services27228728ProgramServices
Management And General349434ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total869629Total
Program Services846072ProgramServices
Management And General23557ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3833070Total
Program Services3784502ProgramServices
Management And General48568ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2061650Total
Program Services2005885ProgramServices
Management And General55765ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6126Total
Management And General6126ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12424367Total
Program Services5912966ProgramServices
Management And General6511401ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total126974Total
Program Services955ProgramServices
Management And General126019ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6962874Total
Program Services6772362ProgramServices
Management And General190512ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2244086Total
Program Services2244086ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1884896Total
Program Services1763457ProgramServices
Management And General121439ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total94809Total
Program Services82707ProgramServices
Management And General12102ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total71211Total
Program Services63025ProgramServices
Management And General8186ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1361632Total
Program Services1361632ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-115480Total
Management And General-115480ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt535537535537
Special Functions1319166800163915
Meals & Entertainment580412757230469
Dues & Memberships521131133440779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8738Total
Management And General8738ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total60777202Total
Program Services52708821ProgramServices
Management And General8068381ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3232BOY
EOY3749EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7943390BOY
EOY6297360EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY550748BOY
EOY695803EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10664BOY
EOY10664EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34898249LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15789801LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19663438BOY
EOY19108448EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2983621BOY
EOY7010533EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1683358BOY
EOY1385952EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32838451BOY
EOY34512509EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3044129BOY
EOY4130394EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY180698BOY
EOY434639EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3224827BOY
EOY4565033EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27930266BOY
EOY28561524EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1197455BOY
EOY899110EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY485903BOY
EOY486842EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29613624BOY
EOY29947476EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32838451BOY
EOY34512509EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$4,287GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$13,424DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB17711TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationStatement Regarding Legislative Activity Health care policy is critical to all Americans, and Baylor Specialty Health Centers ("BSHC") believes that health care providers must participate in forming health care policy by interacting with national, state and local representatives and their staff members to help them better understand the complexities and ramifications of key health care policies including, without limitation, those related to uninsured and indigent patient needs as well as the legislative and regulatory needs to assure the delivery of cost-efficient, quality health care. BSHC has established relationships with persons and industry associations that often communicate BSHC's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, BSHC may attempt to educate the local community on certain legislative initiatives that may impact BSHC's ability to provide quality health care services to the community through direct mailings, media advertising or broadcast statements. The amount of resources (time and money) involved in these activities is insubstantial. BSHC has not intervened in any political campaign.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2630925OtherCostOrOtherBasis
Book Value2630925BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26205970OtherCostOrOtherBasis
Depreciation12318550Depreciation
Book Value13887420BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6061354OtherCostOrOtherBasis
Depreciation3471251Depreciation
Book Value2590103BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19108448TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationFIN 48 Disclosure Statement The filing organization does not have separate individual audited financial statements; however, the organization is included in Baylor Health Care System's combined audited financial statements (System). The System adopted the provisions of ASC 740 "Income Taxes" on July 1, 2007. As of June 30, 2010, there were no gross unrecognized tax benefits related to the filing organization.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense740301TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense740301NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17460716TotalCommunityBenefitExpense
Direct Offsetting Revenue16823875DirectOffsettingRevenue
Net Community Benefit Expense636841NetCommunityBenefitExpense
Percent Of Total Expense0.01060PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense18201017TotalCommunityBenefitExpense
Direct Offsetting Revenue16823875DirectOffsettingRevenue
Net Community Benefit Expense1377142NetCommunityBenefitExpense
Percent Of Total Expense0.02290PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense230205TotalCommunityBenefitExpense
Direct Offsetting Revenue24815DirectOffsettingRevenue
Net Community Benefit Expense205390NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense211122TotalCommunityBenefitExpense
Direct Offsetting Revenue90022DirectOffsettingRevenue
Net Community Benefit Expense121100NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense6896TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6896NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense448223TotalCommunityBenefitExpense
Direct Offsetting Revenue114837DirectOffsettingRevenue
Net Community Benefit Expense333386NetCommunityBenefitExpense
Percent Of Total Expense0.00550PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense18649240TotalCommunityBenefitExpense
Direct Offsetting Revenue16938712DirectOffsettingRevenue
Net Community Benefit Expense1710528NetCommunityBenefitExpense
Percent Of Total Expense0.02840PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$277,879BadDebtExpenseAmount
Amount Attributable To27788AmountAttributableTo
Amount Reimbursed By Medicare15036444AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16451558CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1415114MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalOtherOther
Our Children's House at Baylor
3301 Swiss AvenueDallasTX75204XXXSee Part VI
Baylor Specialty Hospital
3504 Swiss AvenueDallasTX75204XXLong term acute care

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: and Line 3b: In addition to providing free care to financially indigent patients at 200% of the federal poverty guidelines ("FPG"), the organization provides discounted care to the medically indigent which is based on both the FPG (up to 500%) and the percentage of the patient's total bills from all providers in relation to the patient's annual income. Pursuant to the charity care policy, a patient's total balance due will not exceed 10% of total annual income if the patient qualifies as medically indigent. The organization also provides discounted care to those individuals whose amount of total bills, after all payments from third parties, exceeds 50% of the patient's annual income (regardless of the level of income) if the patient is unable to pay the remaining bill.IncomeBasedCriteria
Annual Community Benefit ExplnPart I, Line 6a: The organization's annual community benefit report is contained in a system wide report prepared by Baylor Health Care System, the organization's sole member. Also, the organization prepares and files an Annual Report of Community Benefit Plan with the Texas Department of State Health Services. These reports are made available through the organization's website at www.baylorhealth.com.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: A ratio of patient care cost to charges, as determined in Worksheet 2, was used to report the amounts in Part I, Lines 7a - 7d. For amounts reported on lines 7e - 7k, actual expenses for each community benefit activity are tracked and reported using both community benefit software and/or the organization's cost accounting system.Part I, Line 7b: The organization also provides care to Medicaid beneficiaries who have been transferred from a related hospital after the patient has exhausted all Medicaid benefits. Therefore, the unreimbursed costs for these patients are designated as Medicaid even though no reimbursement will be received since the patient has exhausted any Medicaid limits prior to being admitted to the organization.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: The amount of bad debt expense included on Form 990, Part IX, line 25, but removed for Schedule H, Part I, Line 7, Column (f) totaled $535,537.PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: As stated in the combined audited financial statements, the organization maintains allowances for uncollectible accounts for estimated losses resulting from a payor's inability to make payments on accounts. The organization assesses the reasonableness of the allowance account based on the historical write-offs, cash collections, and the aging of the accounts. Accounts are written off when collection efforts have been exhausted. Management continually monitors and adjusts its allowance associated with its receivable. Bad debt does not include amounts for patients who are known to qualify under the organizations charity care policy. The amount of bad debt at cost was calculated using Worksheet A from Schedule H instructions. The amount of bad debt attributable to patient's accounts is net of contractual allowances, payments received and recoveries of bad debt previously written off. Based on prior experience and certain demographics and other information obtained during admission, the organization believes a portion of the bad debt expenses at cost would be attributable to patients that would otherwise qualify for charity care. Despite all of the effort and ways the organization educates patients about qualifying for its charity care program as demonstrated in Part IV, question 3 below, many uninsured patients either refuse or fail to complete a charity care application or provide sufficient information at the time of admission, during their stay or after being discharged to qualify for assistance under the organization's charity care policy. The amount reported on Part III, Line 3 was determined by taking the average acceptance rate for all charity care applications received during the year multiplied by the number of denials that were attributable to insufficient information.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: The amount reported on Part III, Section B, line 6 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost report based on a cost to charge ratio. However, the allowable costs in the Medicare cost report do not reflect the actual cost of providing care to patients since the Medicare cost report excludes many direct patient care costs that are essential to providing quality care to these patients. For example, certain coverage fees to physicians, cost of Medicare C and D, and other similar direct patient care expenses are specifically excluded as allowable cost in the cost reports. Using the same methodology to calculate the unreimbursed cost of providing charity care and Medicaid (using applicable Schedule H Worksheets) would result in a shortfall of $6,085,639, which is $4,670,525 higher than the shortfall reported on Part III, Section B, Line 7. The organization believes that all of the shortfall should be considered as a community benefit for the following reasons. First, the IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including for example Medicare, is an indication that the hospital operates for the promotion of health in the community. Second, the organization provides care to Medicare patients regardless of this shortfall, i.e., loss, and thereby relieves the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. Medicare does not provide sufficient reimbursement to cover the entire cost of providing care to these patients causing the organization to use other surplus funds to cover the shortfall. It is expected that reimbursement under the Medicare program will continue to decline and therefore may further limit access to care due to the anticipated reduction of participating Medicare providers in the community. As a result, the care for these patients will likely increase at, and rest on the shoulders of, nonprofit hospitals or county hospital districts. Third, many of the Medicare participants have low fixed incomes and therefore would qualify for charity care or other means tested government programs absent being enrolled in the Medicare program. Fourth, Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas Health and Safety Code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: The organization's debt collection policy and procedures prohibit any collection efforts for the portion of the patient account balance that qualifies for financial assistance under the organization's charity care policy.DebtCollectionPolicy
Number Of Facility Type ExplnPart V: Description of Other Facilities - Long term acute care and 8 outpatient clinicsNumberOfFacilityTypeExpln
Needs AssessmentPart VI, Line 2: Like many other nonprofit hospitals in the 12 county North Texas region, the organization has elected to base their service area needs on a report generated by the local county hospital district. The annual Our Community Health Checkup 2008 for the Dallas/Fort Worth Combined Metropolitan Statistical Area ("Checkup") is a collaborative effort of 16 member hospitals of the Dallas Fort Worth Hospital Council ("DFWHC"). The preparation (including support, research and analysis) of the report was provided by the staffs of the Strategic Planning and Population Medicine Department of the Parkland Health & Hospital System also known as the Dallas County Hospital District, Baylor Health Care System and other health care providers. The Checkup was developed to address issues relative to health pertaining to individuals, families, and communities for use by the residents of the community and the institutions serving them. The Checkup provides a framework by which health needs can be joined with the assets or investments made by the community in its social and physical infrastructure. Overall coordination of this collaboration is under the auspices of the DFWHC. These documents can be found online at www.dfwhc.org.NeedsAssessment
Patient Education AssistancePart VI, Line 3: The organization is committed to promoting health in the community including providing or finding financial assistance programs to assist patients. Patients who may qualify for financial assistance through the organization's charity care program or other federal, state and local government programs are informed and educated about their eligibility in several ways including, but not limited to, the following: 1) posting signs and notices regarding the charity care policy in the emergency departments, admitting areas and business offices located throughout the organization, 2) annual posting regarding the organization's charity care program in the local newspapers, 3) information regarding financial assistance, including the organization's charity care policy, is posted on the organization's website, 4) notices about the organization's financial assistance policies are posted on each bill sent to patients including providing a phone number to access the customer service unit dedicated to answering patients billing questions, as well as provide information regarding financial assistance, and 5) the organization provides free financial counselors to help patients determine how to meet their financial obligations for services provided. Specifically financial counselors assist patients in applying for government assistance programs such as Medicaid or the organization's charity care program. Any patient may request to speak to a financial counselor when being treated at the organization. Uninsured patients who are admitted to the hospital will automatically receive help from a financial counselor. These services are provided in writing and through interpretation services in the primary language of the patient requesting assistance. Though the most often needed alternate language is Spanish, the organization can accommodate multiple languages including American Sign Language.PatientEducationAssistance
Affiliated Health Care SystemPart VI, Line 7: The organization is part of a large faith based integrated health care delivery system ("System") serving the health care needs of the ten county Dallas-Fort Worth metroplex area. The System exists to serve all people through exemplary health care, education, research and community service. Community benefits are provided through the provision of charity care, governmental sponsored programs (such as Medicaid and Medicare), medical research, medical education, community health improvement services, donations to other nonprofit health care providers, and many other community service activities. During the year, the affiliated nonprofit hospitals reported community benefits (as reported to the Texas Department of State Health Services, and in accordance with the State of Texas Statutory methodology) in excess of $493,000,000. The System's nonprofit hospitals provided community benefits (as reported on the IRS Form 990, Schedule H) in excess of $122,000,000 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $311,000,000 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H. The System is comprised of separate legal entities including philanthropic foundations, a research institute, a physician network, acute care hospitals, short-stay hospitals, specialty hospitals, ambulatory surgery centers and other health care providers all which fall under the common control of Baylor Health Care System, the organization's sole member. As part of the System, certain affiliates make grants and/or contributions to other related nonprofit affiliates to help financially support and/or fund worthy community benefits activities. The System has also established a patient transfer system among the affiliated hospitals allowing patients needing a particular level of care to be transferred as needed to a related hospital that can provide that service in an efficient and effective manner. As part of the System, all hospitals and other affiliated health care providers are required to adhere to high standards for medical quality, patient safety and patient satisfaction. These standards are set forth by Baylor Health Care System, the organization's sole member, which helps ensures consistency across the System.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 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
Cristie Columbus MD
01743950288600000029118023237300
Luz Tolentino
019834606980903104018986024973031521800
Kelli Terpstra
1202670301720840000233710174650000
Robert Knowlton
12280202858102383000174380171204000
Jon Skinner
021486301142700124810204440326320394690012070
James Thaxton
037010801445320143370433920119530584322021628
Ruth Whitaker
12239002358104907000289610179839000
Marva Goins
19927115680020670250525002831202772300815715200
Scott Peek
0192332086426012118019819030672034136709249
Trey Wicke
0143442043099038000021525020844600

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aTax indemnification and gross up payments - The organization provides tax indemnification where an authorized member of management determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 1aHealth or social club dues or initiation fees - The organization may reimburse eligible employees for dues for a health club and/or a social club where there is a bona fide business need for the membership. For example, as part of the organization's promotion of health, the organization will cover a portion of any employees' fitness center club membership dues paid to an affiliated entity that owns and operates a fitness center. All employees are eligible for this benefit. Such reimbursements are treated as taxable compensation to the extent any part of the membership is used for personal use. Three of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
Part I, Line 4aIn order to recruit and retain key talent, Baylor Health Care System ("BHCS") offers a supplemental non qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BHCS' supplemental non qualified retirement plan during the tax year: Jon Skinner ($12,070), Luz Tolentino, James Thaxton ($21,628) and Scott Peek ($9,249).
Part I, Line 7The organization has adopted and implemented BHCS's, the organization's sole member, Performance Award Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BHCS's governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financal stewardship. BHCS's governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Part IIISupplemental Information: Governing body compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. However, certain members receive compensation from a related organization in their capacity as an employee of the related organization.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonGenise FlowersNamePerson
FieldValueIRS element (for citing)
RelationshipFamily member of Terry Flowers, board memberRelationship
Amount Of Transaction77328AmountOfTransaction
Description Of TransactionEmployee compensationDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6Members or stockholders: The organization is a Texas nonprofit membership organization in which Baylor Health Care System ("BHCS"), a tax exempt, Texas nonprofit corporation, is the sole member.
Form 990, Part VI, Section A, line 7aElection of members of governing body by members, stockholders, or other persons: The sole member, BHCS, elects and removes one-sixth of the members of the governing body. The remaining members are self perpetuating and elected and removed by the organization's governing body.
Form 990, Part VI, Section A, line 7bGoverning body decisions subject to approval: The sole member, Baylor Health Care System, has final authority over certain decisions/powers of the organization such as approval of the organization's articles of incorporation and bylaws and amendments thereto, appointment and removal of the members of the organization's governing body, approval of dissolutions and mergers, and other similar decisions/powers over the organization.
Form 990, Part VI, Section B, line 11Process used to review the Form 990: The Form 990 is prepared and reviewed by BHCS's tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. The Form 990 is then reviewed with the organization's governing body and a complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cProcess used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with the actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BHCS Board of Trustees Audit and Compliance Committee and the BHCS Corporate Compliance Committee review all relevant disclosures submitted by these individuals to determine whether a conflict of interest exists and to determine an appropriate resolution, if necessary. The BHCS Compensation and Governance Committee also reviews all relevant disclosures by individuals serving on BHCS's governing body. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.
Form 990, Part VI, Section B, line 15Process for determining compensation: The organization, a controlled affiliate of BHCS, recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help BHCS maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers' and key employees' total compensation is based on significant performance achievements. This strategy, known as the Performance Award Program, works to put a greater emphasis on the importance of the organization achieving targeted improvements in the areas of People, Quality, Patient Satisfaction and Financial Stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the BHCS Board of Trustees and its Compensation and Governance Committee (Committee) to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similar-sized, and structured businesses including other integrated health care service systems and other similar-sized organizations, both locally and nationally. The BHCS Board of Trustees and Committee, on behalf of the organization, work directly with independent compensation expert(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and key employees. The Committee is made up of members of the BHCS Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation expert(s), the Committee approves and recommends to the BHCS Board of Trustees salary increases, earned incentives, and benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision making process, the Committee will often meet in executive session to discuss and review recommendations made by the independent compensation expert(s). During the executive session no officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are contemporaneously documented in the Committee minutes which are timely reviewed and approved by the Committee.
Form 990, Part VI, Section C, line 19Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BHCS that are made available to the public by the posting of those documents through DAC Bond. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part VII: Hours devoted to related organizations:The persons listed below also serve as employees of a related organization. The average hours per week devoted to the related organizations are listed below: Cristie Columbus, M.D. (40 Hours) Jon Skinner (40 Hours) Luz Tolentino (40 Hours) James Thaxton (40 Hours) Marva Goins transferred to a related organization during the year. She worked an average of 40 hours per week both before and after the transfer.
Supplemental Information: IRC Section 6038 Statement:BSHC is controlled by BHCS, employer identification number 75-1812652. BHCS also owns Church University Insurance Company, Ltd. (CUIC) and Health Care Insurance Company of Texas, Ltd. (HCIC). CUIC and HCIC are controlled foreign corporations. BHCS furnishes all information required of BSHC by IRC Section 6038 and the regulations thereunder with respect to CUIC and HCIC. Therefore, pursuant to Treasury Regulation Sec. 1.6038-2(j)(2), BSHC is excepted from providing such information. BHCS files its Return of Organization Exempt from Income Tax in Ogden, Utah.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Baylor Health Care System
2001 Bryan Street Suite 2200DallasTX75201751812652Management ServicesTX501(c)(3)11, Type IIIN/A
Baylor University Medical Center
2001 Bryan Street Suite 2200DallasTX75201751837454Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Medical Center at Garland
2001 Bryan Street Suite 2200DallasTX75201751037591Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Medical Center at Irving
2001 Bryan Street Suite 2200DallasTX75201752586857Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Medical Center at Waxahachie
2001 Bryan Street Suite 2200DallasTX75201751844139Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Regional Medical Center at Plano
2001 Bryan Street Suite 2200DallasTX75201820551704Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Regional Medical Center at Grapevine
2001 Bryan Street Suite 2200DallasTX75201751777119Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
2001 Bryan Street Suite 2200DallasTX75201751037226Rehabilitation HospitalTX501(c)(3)3Baylor Health Care System
Baylor All Saints Medical Center
2001 Bryan Street Suite 2200DallasTX75201751008430Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Health Care System Foundation
2001 Bryan Street Suite 2200DallasTX75201751606705FundraisingTX501(c)(3)7Baylor Health Care System
All Saints Health Foundation
2001 Bryan Street Suite 2200DallasTX75201751947007FundraisingTX501(c)(3)7Baylor All Saints Medical Center
HealthTexas Provider Network
2001 Bryan Street Suite 2200DallasTX75201752536818Physician PracticesTX501(c)(3)3Baylor Health Care System
Baylor Health Services
2001 Bryan Street Suite 2200DallasTX75201751917311Holds interests in Ambulatory Surgery Centers/ Short Stay HospitalsTX501(c)(3)3Baylor Health Care System
Baylor Research Institute
2001 Bryan Street Suite 2200DallasTX75201751921898ResearchTX501(c)(3)4Baylor Health Care System
Southern Sector Health Initiative
2001 Bryan Street Suite 2200DallasTX75201263087442Diabetes Health & Wellness CenterTX501(c)(3)11, Type IBaylor University Medical Center
Baylor Medical Center at McKinney
2001 Bryan Street Suite 2200DallasTX75201263604064Acute Care HospitalTX501(c)(3)3Baylor Health Care System
Baylor Health Care System Employee Benefit Trust
2001 Bryan Street Suite 2200DallasTX75201751848557VEBATX501(c)(9)Baylor Health Care System
Irving Healthcare Foundation
2001 Bryan Street Suite 2200DallasTX75201751570933FundraisingTX501(c)(3)7Baylor Medical Center at Irving

Form990 Schedule R Part III Form990ScheduleRPartIII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
MEDCO Construction LLC
2001 Bryan Street Suite 2200DallasTX75201205965871ConstructionTXN/A
Baylor Affiliated Services LLC
2001 Bryan Street Suite 2200DallasTX75201260614730Benefit PlansTXN/A
Baylor Heart and Vascular Center LLP
2001 Bryan Street Suite 2200DallasTX75201752834135Specialty HospitalTXN/A
Texas Heart Hospital of the Southwest LLP
2001 Bryan Street Suite 2200DallasTX75201412101361Specialty HospitalTXN/A
HealthTexas Provider Network-Gastro Serv LLP
2001 Bryan St Ste 2200DallasTX75201731697736Ambulatory Surgery CenterTXN/A
Trinity MC LLC
2001 Bryan Street Suite 2200DallasTX75201208889358Acute Care HospitalTXN/A
Texas Health Venture Group LLC
15305 Dallas Parkway Suite 1600AddisonTX75001752696845Holds interests in Ambulatory Surgery Centers/ Short Stay HospitalsTXN/A
Dallas Surgical Partners LLC
15305 Dallas Parkway Suite 1600AddisonTX75001722183815Ambulatory Surgery CenterTXN/A
Valley View Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752900902Ambulatory Surgery CenterTXN/A
Denton Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752708579Ambulatory Surgery CenterTXN/A
Bellaire Outpatient Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562297308Ambulatory Surgery CenterTXN/A
Grapevine Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752854711Ambulatory Surgery CenterTXN/A
Lewisville Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752862263Ambulatory Surgery CenterTXN/A
North Garland Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001562399993Ambulatory Surgery CenterTXN/A
Garland Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752764855Ambulatory Surgery CenterTXN/A
Arlington Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752748040Ambulatory Surgery CenterTXN/A
Rockwall Ambulatory Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001205506447Ambulatory Surgery CenterTXN/A
Metroplex Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752567179Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Plano LLC
15305 Dallas Parkway Suite 1600AddisonTX75001260308454Ambulatory Surgery CenterTXN/A
RockwallHeath Surgery Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001200334166Ambulatory Surgery CenterTXN/A
Irving Coppell Surgical Hospital LLP
15305 Dallas Parkway Suite 1600AddisonTX75001542086863Short Stay HospitalTXN/A
North Central Surgical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001201508140Short Stay HospitalTXN/A
Trophy Club Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001481260190Short Stay HospitalTXN/A
Ft Worth Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752658178Short Stay HospitalTXN/A
Frisco Medical Center LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752865177Short Stay HospitalTXN/A
MSH Partners LLP
15305 Dallas Parkway Suite 1600AddisonTX75001752829613Short Stay HospitalTXN/A
Arlington Orthopedic and Spine Hospital LLC
15305 Dallas Parkway Suite 1600AddisonTX75001261578178Short Stay HospitalTXN/A
University Surgical Partners of Dallas LLP
15305 Dallas Parkway Suite 1600AddisonTX75001550823809Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Granbury LLC
15305 Dallas Parkway Suite 1600AddisonTX75001263896477Ambulatory Surgery CenterTXN/A
Baylor Surgicare at Mansfield LLC
15305 Dallas Parkway Suite 1600AddisonTX75001271835675Ambulatory Surgery CenterTXN/A
Physicians Surgical Center of Ft Worth LLP
15305 Dallas Parkway Suite 1600AddisonTX75001208303422Ambulatory Surgery CenterTXN/A
Desoto Surgicare Partners Ltd
15305 Dallas Parkway Suite 1600AddisonTX75001752592508Ambulatory Surgery CenterTXN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Baylor Health Enterprises LP
2001 Bryan Street Suite 2200DallasTX75201751997378Fitness Center/Pharmacy/ HotelTXN/AC
Baylor Health Network Inc
2001 Bryan Street Suite 2200DallasTX75201752463251Billing/ CollectionTXN/AC
BMP Incorporated
2001 Bryan Street Suite 2200DallasTX75201751436779Post OfficeTXN/AC
Church University Insurance Company Ltd
980352108InvestmentsN/AC41 Cedar AvenueHamiltonBDBD
Health Care Insurance Company of Texas Ltd
980403182InvestmentsN/ACPO Box GT 2nd Fl Buckingham SqGrand CaymanCJCJ
Baylor Medical Center at Grapevine Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752747555Condo AssociationTXN/AC
BUMCRoberts Condominium Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201752897806Condo AssociationTXN/AC
Baylor All Saints Med Cntr at Ft Worth Condo Owners Association Inc
2001 Bryan Street Suite 2200DallasTX75201261661900Condo AssociationTXN/AC
ODC Therapy Inc
2001 Bryan Street Suite 2200DallasTX75201200749021ResearchDEN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Baylor Health Care System Foundation
C601601
HealthTexas Provider Network
A11162
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
K75817
Baylor Health Care System
L8749173
Baylor Heart & Vascular Center LLP
L75529
Baylor Institute for Rehabilitation at Gaston Episcopal Hospital
L106552
Baylor University Medical Center
L3420330
HealthTexas Provider Network
L867079
MEDCO Construction LLC
L752413
Baylor Health Care System
O199804
Baylor Health Care System
P171422
Irving Healthcare Foundation
C415868