Civic Intelligence

Baylor Scott & White Holdings

990 • Fiscal year 2021 • EIN 46-3130985

Jul 01, 2020 to Jun 30, 2021 • Filed on May 13, 2022

301 N Washington AvenueDallas, TX 75246

(214) 820-4135

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

96th percentile

0.99x

Higher debt load relative to assets than 96% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Liabilities / Revenue

100th percentile

98.45x

Higher debt load relative to revenue than 100% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Net Margin

1st percentile

-62%

Higher net margin than 1% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Top Officer Pay

88th percentile

$5,511,838

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 6.4% of source-year revenue.

2021 filings • 501(c)3 • $1B+ nonprofits • Source year 2021

Asset Growth

94th percentile

42%

Faster asset growth than 94% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Revenue Growth

66th percentile

19%

Faster revenue growth than 66% of similar nonprofits.

2021 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2020 to 2021

Assets

Up

$8,549,551,652

Up $2,529,916,880 (+42%) from 2020

Net Assets

Down

$45,895,867

Down $10,171,372 (-18%) from 2020

Liabilities

Up

$8,503,655,785

Up $2,540,088,252 (+43%) from 2020

Revenue

Up

$86,376,045

Up $14,088,630 (+19%) from 2020

Expenses

Up

$139,625,208

Up $9,296,315 (+7.1%) from 2020

Net Income

Up

-$53,249,163

Up $4,792,315 (+8.3%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10B$5.0B$0-$5.0BAssets 2013: $1Liabilities 2013: $02013Assets 2014: $15,000,000Liabilities 2014: $0Net Assets 2014: $15,000,0002014Assets 2015: $745,529,569Liabilities 2015: $730,529,209Net Assets 2015: $15,000,3602015Assets 2016: $1,876,062,231Liabilities 2016: $1,876,028,111Net Assets 2016: $34,1202016Assets 2017: $1,921,733,243Liabilities 2017: $1,918,845,217Net Assets 2017: $2,888,0262017Assets 2018: $2,423,356,895Liabilities 2018: $2,331,403,023Net Assets 2018: $91,953,8722018Assets 2019: $5,483,233,381Liabilities 2019: $5,450,997,679Net Assets 2019: $32,235,7022019Assets 2020: $6,019,634,772Liabilities 2020: $5,963,567,533Net Assets 2020: $56,067,2392020Assets 2021: $8,549,551,652Liabilities 2021: $8,503,655,785Net Assets 2021: $45,895,8672021Assets 2022: $7,882,176,162Liabilities 2022: $7,893,805,253Net Assets 2022: -$11,629,0912022Assets 2023: $8,993,803,535Liabilities 2023: $8,935,061,109Net Assets 2023: $58,742,4262023Assets 2024: $9,923,501,440Liabilities 2024: $9,767,162,577Net Assets 2024: $156,338,8632024

Highlighted filing

2021

Assets$8,549,551,652
Liabilities$8,503,655,785
Net Assets$45,895,867

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$200M$0-$200M-$400MRevenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $159,088,601Net Income 2015: -$159,088,6012015Revenue 2016: $4,903,331Expenses 2016: $205,736,356Net Income 2016: -$200,833,0252016Revenue 2017: $28,392,386Expenses 2017: $147,602,206Net Income 2017: -$119,209,8202017Revenue 2018: $64,488,843Expenses 2018: $163,610,536Net Income 2018: -$99,121,6932018Revenue 2019: $62,547,494Expenses 2019: $193,250,106Net Income 2019: -$130,702,6122019Revenue 2020: $72,287,415Expenses 2020: $130,328,893Net Income 2020: -$58,041,4782020Revenue 2021: $86,376,045Expenses 2021: $139,625,208Net Income 2021: -$53,249,1632021Revenue 2022: $142,960,219Expenses 2022: $148,899,595Net Income 2022: -$5,939,3762022Revenue 2023: $111,006,405Expenses 2023: $156,436,351Net Income 2023: -$45,429,9462023Revenue 2024: $107,054,005Expenses 2024: $157,035,704Net Income 2024: -$49,981,6992024

Highlighted filing

2021

Revenue$86,376,045
Expenses$139,625,208
Net Income-$53,249,163
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 13, 2022
Return Version
2020v4.2
Gross Receipts
$259,414,888
Mission and Program Overview

Mission

Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities.

Faith based supporting organization serving as the parent corporation to a network of acute care hospitals and related health care entities that provide patient care, medical education, medical research and community services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,398,194,782$4,665,400,783▲ $2,267,206,001
Investments Program Related$2,132,802,110$2,289,008,842▲ $156,206,732
Investments Other Securities$791,834,644$1,008,002,274▲ $216,167,630
Savings and Temporary Cash Investments$609,630,853$532,395,706▼ $77,235,147
Accounts Receivable$78,878,743$46,353,263▼ $32,525,480
Prepaid Expenses and Deferred Charges$138,215$184,415▲ $46,200
Land, Buildings, and Equipment, Net$70,999$2,562▼ $68,437
Total Assets$6,019,634,772$8,549,551,652▲ $2,529,916,880
Other Assets Total$8,084,426$8,203,807▲ $119,381
Liabilities
Other Liabilities$3,224,235,808$4,935,021,709▲ $1,710,785,901
Unsecured Notes Loans Payable$1,733,383,930$2,588,187,044▲ $854,803,114
Tax Exempt Bond Liabilities$965,823,216$941,782,432▼ $24,040,784
Accounts Payable and Accrued Expenses$40,124,579$38,664,600▼ $1,459,979
Total Liabilities$5,963,567,533$8,503,655,785▲ $2,540,088,252
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$56,067,239$45,895,867▼ $10,171,372
Total Net Assets Fund Balance$56,067,239$45,895,867▼ $10,171,372
Total Liabilities and Net Assets / Fund Balance$6,019,634,772$8,549,551,652▲ $2,529,916,880

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,562$847,893$850,455
Investment Program Related Org$15,000,000--
Other Securities$89,458,467--
Closely Held Equity Interests$918,543,807--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
James HintonTrustee/CEOFT$1,602,659$3,909,179$5,511,838
Peter McCannaPresidentFT$1,152,824$1,947,877$3,100,701
Gary BrockFormer Key EmployeeFT$1,181,448$1,407,347$2,588,795
Laura IrvineEVP Chief Netwrk Strat OfficerFT$949,067$992,225$1,941,292
John McWhorterEVP COO (thru 7/30/20)FT$528,062$1,190,245$1,718,307
Penny CermakTreasurer/EVP CFO (thru 11/2/20)FT$621,937$1,071,394$1,693,331
Alejandro Arroliga MDEVP Chief Medical OfficerFT$705,234$854,050$1,559,284
Lavone ArthurEVP Chief Bus Trans OfficerFT$552,917$894,022$1,446,939
Jennifer BrownSecretary/EVP Chief Legal OfficerFT$610,246$710,821$1,321,067
Scott PeekSVP Joint VenturesFT$533,686$694,303$1,227,989
Kristi SherrillEVP Chief Policy COM OfficerFT$420,727$546,206$966,933
Robert MichalskiVP Chief Compliance OfficerFT$125,888$333,015$458,903
Carrol AulbaughTreasurer/CFO (eff 9/25/20)FT$365,385$53,483$418,868
Richard GraceChief Mission Ministry OfficerFT$165,391$251,764$417,155
Robert A Probe MDSVP Chief Surgical Safety OfficerFT$337,980$66,317$404,297
Marisa FinleyVP Policy & Government AffairsFT$181,806$122,659$304,465
Kelly RisingerDirector AdministrationFT$183,902$84,404$268,306
Fred SavelsberghFormer Officer-$245,885$245,885$245,885
Jonathan CantwellDirector Joint Venture OperationsFT$132,583$73,255$205,838

Board Members and Trustees

NameTitle
Ross McKnightTrustee/Chair
Jack MartinTrustee/Vice Chair
Albert Black JrTrustee
Anita PerryTrustee
Charlene LakeTrustee
David WallsTrustee
Drayton McLane JrTrustee
ER Dick BrooksTrustee
F David Winter MDTrustee
Jim TurnerTrustee
Johnita JonesTrustee
Judge Ed KinkeadeTrustee
Lyndon L Olson JrTrustee
Paul Madeley MDTrustee
Rafael GarzaTrustee
Robert GarriottTrustee
Ron CarterTrustee
Thomas WarnerTrustee
Timothy Bittenbinder MDTrustee
William L Rayburn MDTrustee
Francis P AndersonFormer Officer
Nakesha LopezSVP Chief HR Officer (eff 1/4/21)
Jennifer MitznerTreasurer/EVP CFO (eff 6/1/21)

Highest Paid Contractors

ContractorServicesLocationCompensation
Everest GroupProfessional Fees12770 Merit Dr Ste 800, Dallas, TX 75251$5,033,958
ECG Management Cosultants IncProfessional Fees1111 Third Ave Ste 2500, Seattle, WA 98101$1,189,464
Bain and Company IncProfessional FeesPO Box 11321, Boston, MA 02211$725,000
GIST Healthcare IncProfessional Fees2201 Wisconsin Ave NW Suite 200, Washington, DC 20007$250,000
Russell Reynolds AssociatesProfessional FeesChurch Street Station PO Box 642, New York, NY 10249-6427$240,073
Revenue and Support

Revenue Composition

Contributions and Grants
$34,715
Program Service Revenue
$49,657,826
Investment Income
$36,683,504
Other Revenue
$0
All Other Contributions
$34,715
Change in Net Assets
$-53,249,163
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$99,312,885
Salaries, Compensation, and Employee Benefits$40,312,323
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$91,001,280--$91,001,280
Current Officers, Directors, Trustees, and Key Employees-$20,060,729-$20,060,729
Other Salaries and Wages$18,595,733--$18,595,733
Fees for Services Other$4,248,261$571,820-$4,820,081
Other Employee Benefits$947,020--$947,020
Office Expenses$893,822--$893,822
Payroll Taxes$563,818--$563,818
Conferences and Meetings$253,323--$253,323
Pension Plan Contributions$145,023--$145,023
Occupancy$130,679--$130,679
Information Technology$106,229--$106,229
Travel$17,294--$17,294
Advertising$17,084--$17,084
Depreciation Depletion$10,288--$10,288
All Other Expenses$8,897--$8,897
Insurance$5,307--$5,307
Other Expenses$154,435$4,712-$4,712
Total Functional Expenses$118,987,947$20,637,261$0$139,625,208
International Activity

International Summary

Offices
0
Employees
0
Spending
$493,137,389

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$466,796,851
EuropeInvestments-00$26,340,538
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates (cash pool)$4,754,998,367
SWAP agreement$172,919,283
CAA Liabilities$7,104,059

Bond Issues

BondIssuerIssuedIssue PricePurpose
BTarrant County Cultural Education Facilities Finance Corporation2016-04-19$424,888,395Refunding of Series 2010 and Construction/Renovation of Hospital Facilities
CTarrant County Cultural Education Facilities Finance Corporation2019-12-17$418,210,000Refunding Issues of 3/2013, 12/2015 and 9/2017
ATarrant County Cultural Education Facilities Finance Corporation2015-05-15$176,960,000Refunding Issues of 8/2008, 2/2009, and 6/2010

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$426,050,531$317,092,920$23,185,000-
C$418,210,000$418,210,000$1,340,000-
A$176,960,000$176,960,000$27,540,000$1,790,486

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 4

The organization's bylaws were amended effective July 1, 2020. The term of appointment for certain committee members were amended to reflect the following. An individual appointed to a standing or special committee shall serve either a one-year term of office or until the special committee is dissolved, whichever occurs first.

Form 990, Part VI, Section B, line 11B

Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH 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. 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 conflict of interest policy: Persons with an 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, employed physicians, persons who participate in the design, coordination, conduct, or reporting of research on behalf of BSWH, and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings Board of Trustees Audit and Compliance Committee and the BSW Holdings 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. 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 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 the organization 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 places 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 Baylor Scott & White Holdings Board of Trustees and its Compensation 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 similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the Baylor Scott & White Holdings Board of Trustees and the Compensation Committee works directly with an independent compensation consultant(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 other officers and key employees to ensure total compensation is within a fair market range. The annual review included reviewing certain officers and key employees listed on the Form 990 during the current tax year. The Compensation Committee is made up of members of the Baylor Scott & White Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation consultant(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or 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 Compensation 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 Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation consultant(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings.

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 certificate of formation 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 BSW Holdings 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:

During the year, employees may transfer to or from a related organization. In those cases, 40 hours per week is reflected at both the reporting organization and related organizations to reflect the average of hours they devoted to each respective organization before and after the transfer.

Filing and Contact Details

Filer

Filer Name
Baylor Scott & White Holdings
EIN
46-3130985
Phone
2148204135
Address
301 N Washington Avenue, Dallas, TX 75246

Signing Officer

Name
Jennifer Mitzner
Title
Treasurer/EVP CFO
Phone
2148204135
Signed
2022-05-13

Organization Details

Principal Officer
Peter McCanna
Formed
2013
Legal Domicile
TX
Voting Board Members
21
Independent Board Members
16
Employees
40
Volunteers
16
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Distribution to/from Tax Exempt Affiliate -61,211,337. Self Insurance Liability Reserve -23,742.

Supplemental Information, Section 6038 Statement:

Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Form 5471 for this CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 301 N. Washington Avenue, Dallas, TX 75246 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed

Financial Statement Notes

Part X, Line 2:

The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2021 and 2020, the System had no material gross unrecognized tax benefits.

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IRS990/Desc0See Schedule OBaylor Scott & White Holdings (BSW Holdings) serves as the ultimate parent corporation and provides the overall governance, strategic planning and related services for the Baylor Scott & White Health system (BSWH). BSWH is a nonprofit, faith-based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the residents of North and Central Texas. As the largest not-for-profit health care system in Texas and one of the largest in the United States, BSWH was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare. Today, BSWH has over 1,100 patient access points including 51 hospitals, 561 specialty care clinics, 195 outpatient clinics, 160 primary care clinics, 32 pharmacies, 29 ambulatory surgery centers, and more than 7,300 active physicians. The system also includes a state certified health maintenance organization, the Scott and White Health Plan and the Baylor Scott & White Quality Alliance accountable care organization both covering over 983,000 lives. BSW Holdings' governing body is comprised of independent volunteer community representatives who provide leadership and governance to BSWH. The members of the governing body contribute their wisdom, insights and expertise to ensure that BSWH is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction to affiliates of BSWH. Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. BSWH is committed to offering access to quality health care including free or discounted health care to the indigent and underserved population through its affiliated health care providers. As part of its charitable mission, BSWH's nonprofit hospitals provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas statutory methodology) of $930 Million which includes the unreimbursed cost of charity care, Medicaid, Medicare and other community benefits. BSWH's nonprofit hospitals provided community benefits (as reported on Form 990, Schedule H) of $534 Million during the tax year, which included the unreimbursed cost of charity care, Medicaid and other community benefits, but excludes Medicare.
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