2011-05-12T15:00:13-05:00 2010-06-30 Ernst & Young US LLP 1901 Sixth Avenue North Suite 1200 Birmingham AL 35203 990 2009-07-01 751921898 Baylor Research Institute BAYL 2148204135 2001 Bryan Street No 2200 Dallas TX 752013005 Renee Day 2148204135 2011-05-12 1 2052512000 2009 2016-02-24 21:20:13Z Bernard Brigonnet 3310 Live Oak Ste 501 Dallas TX 75204 46440268 0 X www.BaylorHealth.com X 1982 TX Faith based medical research organization bringing innovative treatment to patients through basic science, clinical trials, and health care effectiveness and quality of care research. 18 12 307 0 3036428 0 40204086 38038015 4241243 5116936 52866 -62904 -1082908 3283355 43415287 46375402 0 0 20531070 22099041 0 0 20765411 24319918 41296481 46418959 2118806 -43557 94663580 103232792 23945503 24602444 70718077 78630348 To improve the care and well being of our community, nationally and internationally, through innovative clinically relevant research that is consistent with the mission, vision and values of Baylor Health Care System. 0 0 37455764 5004488 See Schedule OEstablished in 1982, Baylor Research Institute ("BRI") is a faith-based medical research organization bringing innovative treatment to patients through basic science, clinical trials, and health care effectiveness and quality of care research. At BRI alone, more than 800 research projects are under way. Our research focuses on patients. This means our efforts are more than microscopic studies-they bring research to the patient's bedside. Pioneering and innovation in research within more than 20 medical specialties are unique characteristics that BRI brings to North Texas communities. Research keeps physicians on the forefront of medical knowledge. Investigators at Baylor medical centers publish research findings in top-tier medical journals, such as Science, The New England Journal of Medicine, Transplantation and Lancet. Baylor Health Care System (BHCS), BRI's parent organization, also publishes Baylor University Medical Center Proceedings, a quarterly research journal detailing research and clinical activities at BRI.Diabetes - People with Type 1 diabetes may gain extraordinary benefits if an experimental project with pancreatic cell transplantation proves successful. BRI is transplanting islet cells in an effort to prevent the serious effects of this disease, which include heart disease, blindness, kidney damage, and premature death. The early results look promising. Skin Cancer - Malignant melanoma is increasing worldwide at a rate surpassed only by lung cancer. And once it invades the vital organs, it's virtually incurable. BRI has discovered that a vaccine made from a patient's dendritic cells may stimulate the immune system and cause the cancer's regression. Such research could bring a whole new dimension to life-saving treatments.Colon Cancer - In the U.S., the second leading cause of cancer deaths is colorectal cancer, a silent killer whose symptoms are often overlooked. BRI is investigating the role of certain viruses in the cause of this disease, as well as vaccines that could prevent it. We're also engaged in clinical trials to prevent polyps. Heart disease, the number one cause of death, takes someone's life every 33 seconds in the U.S. BRI is studying new drugs with potential life-saving effects, from lowering cholesterol levels and blood pressure to increasing blood flow to the legs and reducing arterial inflammation. With 80 ongoing studies, BRI has invested significant time and resources in cardiovascular research to improve and extend lives.Basic ScienceBRI focuses its basic science laboratory research in several key areas including immunology, metabolic disease, cardiovascular disease and colon cancer. Key sites include the Baylor Institute for Immunology Research (BIIR), the Kimberly H. Courtwright and Joseph W. Summers Institute for Metabolic Disease, and the Baylor Jack and Jane Hamilton Heart and Vascular Institute. Investigators with BIIR study the immune system with the goal of developing novel approaches to treat cancer, autoimmune diseases and infectious diseases, and reduce organ transplant rejections. BIIR is devoted to rapidly translating basic laboratory discoveries made about the immune system into effective treatments for humans. Research focuses on understanding how dendritic cells, the key initiators of immune response, function and how they can be used to combat challenges to the immune system. BIIR has 15 independent researchers and more than 70 staff members. Clinical TrialsThrough clinical research, investigators achieve advances in medicine and bring innovative therapies to patients at Baylor. Currently, more than 230 investigators are involved in clinical research supported by approximately 65 research nurses. The number of clinical trials offered to patients at BHCS affiliated hospitals continue to increase. In the last year, BRI received more than 100 new contracts for clinical research, totaling more than $9 million. As research expands to hospitals throughout BHCS, BRI has opened Clinical Trials Offices in Fort Worth and Irving to provide clinical research support as well as education and training to investigators and research staff. Much of the clinical research under way at Baylor is specific to investigational drug studies. By conducting clinical research many of the drugs researched by physicians now are used as standard therapy. Researchers currently are evaluating a variety of new blood pressure, cholesterol and cancer medications, as well as treatments for asthma and diabetes. In addition to drug studies, physicians are investigating various medical devices, such as cardiac stents, radiosurgery techniques, and new orthopaedic diagnostic tools and implant designs. Health Care Effectiveness and Quality of Care ResearchThis research measures the effectiveness of health care interventions and tests strategies to improve care quality across BHCS and elsewhere. A randomized trial, funded with $1.5 million from the Agency for Healthcare Research and Quality (AHRQ), evaluates the impact of the Accelerating Best Care at Baylor training course on hospital quality among 47 rural hospitals across Texas. The trial assesses the effect of administrative, nurse and physician leader participation in this curriculum on in-hospital mortality and Joint Commission's core measure processes of care for patients with heart failure and pneumonia. An initiative funded by the Physicians' Foundation for Health Systems Excellence examines the effect of physician academic detailing on the culture of patient safety and the burden of patient harm associated with adverse events among 60 BHCS primary care centers. BHCS and collaborators also received an AHRQ conference grant focused on resolving methodological challenges associated with quality of care measurement among hospitals with small numbers of patients. BHCS was selected to participate in AHRQ's Accelerating Change and Transformation in Organizations and Networks group to conduct rapid-cycle testing and dissemination research and in AHRQ's Developing Evidence to Inform Decisions about Effectiveness (DEcIDE) Network, whose members conduct accelerated studies on the outcomes, comparative effectiveness and safety of health care interventions. BHCS is leading a DEcIDE trial assessing the effects of medication therapy management on drug safety and effectiveness among Medicare beneficiaries. 37455764 1 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 231 0 1 307 1 1 1 0 0 0 0 0 0 0 0 18 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Renee Day 2148209919 3310 Live Oak Ste 501 Dallas TX 75204 Michael Ramsay MD 10.00 X X 0 545312 69449 Joel Allison 1.00 X 0 1921774 353051 Louis Beecherl 1.00 X 0 0 0 Darren Blanton 1.00 X 0 0 0 Paul Convery MD 1.00 X 0 813267 145052 John W Creecy 1.00 X 0 0 0 Tiffani Evans 1.00 X 0 0 0 Robert Kane Phd 1.00 X 0 0 0 Robert Lavie 1.00 X 0 0 0 Milton Levy Jr 1.00 X 0 0 0 Zelig H Lieberman MD 1.00 X 0 23251 12527 John McWhorter 1.00 X 0 727393 136682 Erle Nye 1.00 X 0 0 0 R Steven Paulson MD 1.00 X 0 0 0 Milla Perry Jones 1.00 X 0 0 0 George Race MD 1.00 X 0 0 0 Rowland Robinson 1.00 X 0 461902 57274 Jack Vaughn 1.00 X 0 0 0 Renee Day 40.00 X 61630 0 12057 Bernard Brigonnet 40.00 X 360972 0 51188 Brenda Chapman 40.00 X 172886 5388 19472 Victoria Allgood 40.00 X 0 0 0 Jacques Banchereau 40.00 X 423446 0 56835 Alan Menter MD 28.00 X 314496 0 431 Shinichi Matsumoto MD PhD 40.00 X 270175 0 27426 Anna Palucka 40.00 X 233000 0 22167 Maria Pascual 40.00 X 229181 0 11327 Michael Mathisen 0.00 X 185204 0 8769 2250990 4498287 983707 28 1 1 0 Baylor Health Care System 2001 Bryan St Ste 2200 Dallas TX 75201 Management Services 3459773 Baylor University Medical Center 2001 Bryan St Ste 2200 Dallas TX 75201 Clinical Services 941125 HeartPlace 14800 Landmark Blvd Ste 700 Dallas TX 75254 Physician Services 407795 MEDCO Construction LLC 2001 Bryan St Ste 2200 Dallas TX 75201 Construction Services 331602 Onverra Software 3201 Spring Lake Dr Richardson TX 75082 Consulting Services 315447 18 17596985 15200286 5240744 38038015 Commerc. Drug Studies 541700 3036428 3036428 Patient Care Testing 541700 1664869 1664869 Research Testing 541700 374096 374096 Rent 531120 39780 39780 Unclaimed Property 900099 1763 1763 5116936 1962 1962 359375 359375 64866 -64866 -64866 -64866 Timing Diff (Rev Proc 900099 2923980 2923980 2923980 46375402 5004488 3036428 296471 803630 803630 29992 29992 17755452 15152208 2603244 511670 405584 106086 1820511 1483226 337285 1177786 920193 257593 36432 36432 10796424 7919140 2877284 51485 31696 19789 6541384 6140532 400852 914204 914204 1756071 1480851 275220 645523 521994 123529 154369 59543 94826 3218654 3218654 Dues & Memberships 70088 25351 44737 Special Functions 45670 22143 23527 Meals & Entertainment 43839 34615 9224 Bad Debt 36644 36644 Other Expenses 9131 3390 5741 46418959 37455764 8963195 0 11246380 9995066 6158856 7989276 225413 357432 8754 8754 43395550 21550777 21942521 21844773 55081656 63037491 94663580 103232792 14802521 16482109 9142982 8120335 23945503 24602444 X 15636421 15592857 12268932 22040729 42812724 40996762 70718077 78630348 94663580 103232792 X 0 1 1 X 0 X Baylor University Medical Center Dallas TX RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 3309 1 10360 0 0 13669 0 Part IV, Supplemental Information: Statement Regarding Legislative Activity Health care policy is critical to all Americans, and Baylor Research Institute ("BRI") 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. BRI has established relationships with persons and industry associations that often communicate BRI's positions on major health care issues. These contacts may include direct contact, telephone conversations and/or letters. Also, BRI may attempt to educate the local community on certain legislative initiatives that may impact BRI'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. BRI has not intervened in any political campaign. 20082098 7435967 12646131 23313452 14114810 9198642 21844773 BRI Assets at BHCS Foundation 63037491 63037491 FIN 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. East Asia and the Pacific 0 0 Program Services Medical Research 16189 Europe 0 0 Program Services Medical Research 145587 North America 0 0 Program Services Medical Research 18133 0 0 179909 X X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 Michael Ramsay MD 0 464893 0 69997 0 10422 0 55350 0 14099 0 614761 0 0 Joel Allison 0 942834 0 948382 0 30558 0 323038 0 30013 0 2274825 0 198172 Paul Convery MD 0 448988 0 342973 0 21306 0 116275 0 28777 0 958319 0 41439 John McWhorter 0 408936 0 301108 0 17349 0 108205 0 28477 0 864075 0 57320 Rowland Robinson 0 299990 0 145076 0 16836 0 34789 0 22485 0 519176 0 0 Bernard Brigonnet 261795 0 35922 0 63255 0 24521 0 26667 0 412160 0 0 0 Brenda Chapman 122867 5378 40566 0 9453 10 0 0 18288 1184 191174 6572 0 0 Jacques Banchereau 339305 0 79668 0 4473 0 31950 0 24885 0 480281 0 28669 0 Alan Menter MD 314496 0 0 0 0 0 0 0 431 0 314927 0 0 0 Shinichi Matsumoto MD PhD 269695 0 0 0 480 0 0 0 27426 0 297601 0 0 0 Anna Palucka 203724 0 20467 0 8809 0 0 0 22167 0 255167 0 0 0 Maria Pascual 207792 0 20894 0 495 0 0 0 11327 0 240508 0 0 0 Michael Mathisen 54839 0 0 0 130365 0 0 0 8769 0 193973 0 0 0 Part I, Line 1a Tax indemnification and gross up payments - The organization provides tax indemnification where an authorized member of management determines there is justification to reimburse an individual for the tax impact on certain taxable, non-cash benefits provided to them. All tax indemnification payments provided are treated as taxable compensation. Two of the persons listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Part I, Line 1a Housing allowance or residence of personal use - The organization provides temporary housing to eligible employees under the organization's moving and relocation reimbursement policy. All temporary housing provided to any employee is treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year. Part I, Line 1a Health 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 4a Michael Mathisen's employment with the organization terminated during the tax year and he received a severance payment of $119,705. Part I, Line 4b: In order to recruit and retain key talent, Baylor Health Care System ("BHCS") offers a supplemental non qualified retirement plan to eligible employees. The plan provides an annual benefit (based on a percentage of compensation) to the employee that is paid to the employee on a future date upon vesting in the plan. The following individual(s) participated in and/or received payments (noted in parenthesis) from BHCS' supplemental non qualified retirement plan during the tax year: Jacques Banchereau ($28,669), Bernard Brigonnet, Zelig Lieberman, Joel Allison ($198,172), John McWhorter ($57,320), Michael Ramsay, M.D., Paul Convery ($41,439), and Rowland Robinson. Also, certain senior officers, as designated by the organization's governing body, are eligible to participate in a Long Term Incentive Plan that is designed to recognize the key senior leaders' value and contribution to the organization as well as align their compensation to the long term strategy of the organization. Performance targets are based upon a percentage of the participant's base salary and are developed by independent third party expert(s) using market competitive data within the guides of reasonableness. The plan is based on organization's three-year performance against its peers, determined based on peer rankings or percentile rankings in quality, patient satisfaction and financial performance. At the end of three years, awards are determined by the organization's governing body for participants. Payouts are partially made in cash and the remainder vests over an additional two year period. The following individual(s) participated in this plan during the tax year: Joel Allison, Paul Convery, and John McWhorter. Part I, Line 7 As an affiliate of BHCS, the organization has adopted and implemented BHCS's Performance Award Program to provide a market competitive total cash compensation incentive program that is designed to attract and retain key leaders and establish greater individual accountability and alignment to business performance. Payout targets are based upon a percentage of base pay and are developed by independent third party expert(s) using comparable market competitive data within the bounds of reasonableness and that are reviewed and approved by BHCS's governing body. Payout levels are based upon a combination of system, entity, and individual performance using various metrics related to quality, patient satisfaction, employee retention, and financal stewardship. BHCS's governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data. Supplemental Information Part III Supplemental Information: Governing Body Compensation The members of the governing body serve on a voluntary basis and receive no cash compensation from the organization for these duties as a member of the governing body. However, certain members receive compensation from a related organization in their capacity as an employee of the related organization. Form 990, Part VI, Section B, line 11 Process 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 12c Process used to monitor and enforce compliance with the organization's coflict 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 15 Process 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 19 Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's articles of incorporation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of 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: Joel Allison (40 Hours) John McWhorter (40 Hours) Michael Ramsay (20 Hours) Rowland Robinson (40 Hours) Paul Convery, M.D. (40 Hours) Zelig Lieberman, M.D. (20 Hours) Supplemental Information: IRC Section 6038 Statement: BRI 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 BRI 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), BRI is excepted from providing such information. BHCS files its Return of Organization Exempt from Income Tax in Ogden, Utah. 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