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← BAYLOR UNIVERSITY MEDICAL CENTER

Form 990 for tax year 2022

Filed by BAYLOR UNIVERSITY MEDICAL CENTER.

Totals

Total revenue
$1,733,875,111
Total expenses
$1,308,713,628
Contributions and grants received
$56,166,546
Grants paid
$13,078,204
Program service revenue
$1,574,168,117
Investment income
$92,822,198
Other revenue
$10,718,250
Total assets, end of year
$3,631,048,816
Total liabilities, end of year
$116,179,705
Net assets or fund balances, end of year
$3,514,869,111
Program services expenses (Part IX)
$1,129,798,356
Management and general expenses
$178,915,272
Fundraising expenses
$0
Program service expenses (Part III)
$1,129,798,356

Program services were 86.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $53,568,158

  • 1e · Government grants (contributions)

    $2,501,779

  • 1f · All other contributions, gifts and grants

    $96,609

  • 1g · Noncash contributions included above

    $421,929

  • 2a · Program service revenue: Patient Care

    total $1,550,968,866 · related or exempt $1,550,968,866

  • 2b · Program service revenue: Education

    total $9,159,926 · related or exempt $9,159,926

  • 2c · Program service revenue: Rent

    total $8,353,987 · related or exempt $8,353,987

  • 2d · Program service revenue: Shared Savings

    total $5,139,721 · related or exempt $5,139,721

  • 2e · Program service revenue: Management Fees

    total $293,301 · related or exempt $293,301

  • 2f · All other program service revenue

    total $252,316 · related or exempt $145,846 · unrelated business $106,470

  • 3 · Investment income

    total $72,957,012 · related or exempt $95,251 · excluded $72,861,761

  • 5 · Royalties

    total $80,775 · excluded $80,775

  • 7a · Gross sales of assets other than inventory

    securities $861,693,814 · other assets $200,000

  • 7b · Less cost or other basis and sales expenses

    securities $841,396,549 · other assets $632,079

  • 7c · Gain or loss

    securities $20,297,265 · other assets -$432,079

  • 7d · Net gain or loss

    total $19,865,186 · excluded $19,865,186

  • 11a · Other revenue: Cafeteria

    total $8,463,585 · excluded $8,463,585

  • 11b · Other revenue: Parking

    total $1,823,293 · excluded $1,823,293

  • 11c · Other revenue: Gift Shop

    total $350,597 · unrelated business $132,773 · excluded $217,824

  • 11e · Other revenue, total

    $10,637,475

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $13,070,204 · program services $13,070,204

  • 2 · Grants to domestic individuals

    total $8,000 · program services $8,000

  • 5 · Compensation of officers, directors and key employees

    total $2,537,572 · management and general $2,537,572

  • 7 · Other salaries and wages

    total $389,555,244 · program services $383,893,034 · management and general $5,662,210

  • 8 · Pension plan contributions

    total $13,258,217 · program services $13,065,481 · management and general $192,736

  • 9 · Other employee benefits

    total $47,445,165 · program services $46,755,451 · management and general $689,714

  • 10 · Payroll taxes

    total $28,365,571 · program services $27,955,363 · management and general $410,208

  • 11a · Fees: management

    total $191,090 · program services $191,090

  • 11b · Fees: legal

    total $261,457 · management and general $261,457

  • 11d · Fees: lobbying

    total $242,720 · management and general $242,720

  • 11g · Fees: other

    total $403,309,812 · program services $239,480,073 · management and general $163,829,739

  • 12 · Advertising and promotion

    total $708,725 · program services $152,390 · management and general $556,335

  • 13 · Office expenses

    total $4,451,338 · program services $3,775,550 · management and general $675,788

  • 14 · Information technology

    total $56,130,303 · program services $56,082,291 · management and general $48,012

  • 16 · Occupancy

    total $36,993,328 · program services $35,937,932 · management and general $1,055,396

  • 17 · Travel

    total $762,773 · program services $736,930 · management and general $25,843

  • 19 · Conferences, conventions and meetings

    total $1,163,884 · program services $1,145,097 · management and general $18,787

  • 20 · Interest

    total $168,120 · program services $168,120

  • 22 · Depreciation, depletion and amortization

    total $41,561,213 · program services $41,561,213

  • 23 · Insurance

    total $397,941 · management and general $397,941

  • 24a · Other expenses: Medical Supplies

    total $221,561,527 · program services $221,561,527

  • 24b · Other expenses: LPPF Expense

    total $35,269,519 · program services $35,269,519

  • 24c · Other expenses: Non-Medical Supplies

    total $9,219,079 · program services $8,802,202 · management and general $416,877

  • 24d · Other expenses: Federal Income Tax

    total -$1,954 · program services -$1,954

  • 24e · All other expenses

    total $2,082,780 · program services $188,843 · management and general $1,893,937

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $30,974 · end of year $30,970

  • 2 · Savings and temporary cash investments

    beginning of year $276,567,476 · end of year $353,782,212

  • 4 · Accounts receivable

    beginning of year $298,246,423 · end of year $264,744,903

  • 7 · Other notes and loans receivable

    beginning of year $1,050,157 · end of year $787,606

  • 8 · Inventories for sale or use

    beginning of year $19,871,657 · end of year $21,723,423

  • 9 · Prepaid expenses and deferred charges

    beginning of year -$3,678,308 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $1,077,744,973

  • 10b · Land, buildings and equipment: accumulated depreciation

    $754,367,826

  • 10c · Land, buildings and equipment, net

    beginning of year $325,097,868 · end of year $323,377,147

  • 11 · Investments: publicly traded securities

    beginning of year $1,282,076,585 · end of year $1,643,022,824

  • 13 · Investments: program-related

    beginning of year $617,182,522 · end of year $623,137,955

  • 14 · Intangible assets

    beginning of year $26,363,629 · end of year $26,363,629

  • 15 · Other assets

    beginning of year $478,648,744 · end of year $374,078,147

  • 17 · Accounts payable and accrued expenses

    beginning of year $92,783,573 · end of year $82,419,213

  • 19 · Deferred revenue

    beginning of year $39,705,664 · end of year $8,596,770

  • 23 · Secured mortgages and notes payable

    beginning of year $16,641,119 · end of year $24,781,400

  • 25 · Other liabilities

    beginning of year $1,532,400 · end of year $382,322

  • 27 · Net assets without donor restrictions

    beginning of year $2,930,588,965 · end of year $3,283,688,605

  • 28 · Net assets with donor restrictions

    beginning of year $240,206,006 · end of year $231,180,506

Mission and programs · 2022

Mission

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

Activities or mission (Part I)

Faith based acute care hospital providing exemplary patient care, medical education, medical research and community service to residents of the Dallas/Fort Worth twelve county region since 1903.

  • See Schedule OBaylor University Medical Center at Dallas (BUMC) is a faith-based, nonprofit, 914-bed acute care hospital providing exemplary patient care services to the residents of the Dallas-Fort Worth Metroplex since 1903. BUMC is a major patient care, research and medical education center of the Southwest and serves local, national and international patients caring for more than 300,000 patients per year.BUMC is affiliated with Baylor Scott & White Health (BSWH), a 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 1,250 patient access points including 51 hospitals, 612 specialty care clinics, 261 outpatient clinics, 160 primary care clinics, 30 pharmacies, 31 ambulatory surgery centers, and more than 7,100 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 1,200,000 lives. BUMC is one of the system's two flagship hospitals and provides inpatient and outpatient medical services in over 20 specialties to treat individuals with diseases, illnesses and injuries of varying complexities. Services include providing patients with innovative methods of prevention, diagnosis, treatment, education and support consistent with a quality teaching and research hospital. Multidisciplinary interaction among physicians helps ensure comprehensive care for all stages of illness through all stages of life. Many of the major health care programs have received national recognition and honors, including the Level I Trauma Center, a Level IV Neonatal Intensive Care Unit, Level IV Maternal designation, the only dedicated cancer hospital in North Texas and outpatient cancer center, an internationally renowned transplant program, neuroscience center, digestive disease center, and orthopaedic institute. During the fiscal year, BUMC admitted 38,479 patients resulting in 254,209 days of care; delivered 5,248 babies and received 100,234 emergency department visits. Additionally, BUMC provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $264,351,324 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $98,666,053 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $143,431,267 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.See Schedule H for more information regarding these services and how BUMC promotes the health of the communities.

    Expenses $1,079,303,899 · Grants $13,078,204 · Revenue $1,555,675,163

  • See Schedule OMedical education is a crucial part of BUMC's mission. BUMC commits resources to help address the shortage of health care professionals including partnering with other educational institutions and similar organizations. BUMC provided medical residency programs for the training of future physicians, nurses and other health professionals in an effort to increase the supply of health care professionals nation-wide. During the year, BUMC served 319 medical residency students. Assisting with the preparation of future nurses at entry and advanced levels of nursing is critical in establishing a workforce of qualified nurses. During the year, BUMC invested in training 755 undergraduate nurses. Total unreimbursed cost of these medical education programs is $25,345,004.

    Expenses $43,933,209 · Revenue $18,588,205

  • See Schedule OMoving scientific theory from the research bench to clinical trials and ultimately to the patient's bedside is central to BSWH's commitment to patient-centered medical research. During the year, BUMC supported clinical research development costs, research papers and studies through Baylor Scott & White Research Institute (BSW Research), at a cost of $6,561,248. At BSW Research alone, there are more than 1,800 active clinical trials underway.

    Expenses $6,561,248

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Scott Peek

    Trustee (thru 1/6/2023)

    Total calculated
    $1,345,046
    From this org
    $0
    From related orgs
    $1,074,563
    Other
    $270,483
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $558,565 related
    Bonus
    $0 + $502,423 related
    Other
    $0 + $13,575 related
    Deferred
    $0 + $242,939 related
    Nontaxable benefits
    $0 + $27,544 related
    Filer's total
    $0 + $1,345,046 related

  • Paul Madeley MD

    Trustee

    Total calculated
    $517,378
    From this org
    $0
    From related orgs
    $478,485
    Other
    $38,893
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $408,846 related
    Bonus
    $0
    Other
    $0 + $69,639 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $23,643 related
    Filer's total
    $0 + $517,378 related

  • Amy Wilson MD

    Trustee/VP Medical Affairs

    Total calculated
    $504,593
    From this org
    $462,181
    From related orgs
    $0
    Other
    $42,412
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $395,717
    Bonus
    $64,615
    Other
    $1,849
    Deferred
    $15,250
    Nontaxable benefits
    $27,162
    Filer's total
    $504,593

  • Harry Neil Dugger

    Trustee/Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Vince Hawkins

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Marissa Hernandez

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Lisa Hultz

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • George McCleskey

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • J Kent Newsom

    Trustee/Chair

    Total calculated
    $0
    Hours/week
    1

  • Rodrick Robinson

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Jeffrey Schmeltekopf

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • Kyle Armstrong

    President/CEO

    Total calculated
    $980,469
    From this org
    $787,268
    From related orgs
    $0
    Other
    $193,201
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $518,866
    Bonus
    $256,646
    Other
    $11,756
    Deferred
    $165,472
    Nontaxable benefits
    $27,729
    Filer's total
    $980,469

  • Jason Whitfield

    VP CFO

    Total calculated
    $520,399
    From this org
    $441,862
    From related orgs
    $0
    Other
    $78,537
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $365,732
    Bonus
    $74,292
    Other
    $1,838
    Deferred
    $56,128
    Nontaxable benefits
    $22,409
    Filer's total
    $520,399

  • Grant Teegarden

    Secretary

    Total calculated
    $482,601
    From this org
    $0
    From related orgs
    $411,146
    Other
    $71,455
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $291,748 related
    Bonus
    $0 + $114,027 related
    Other
    $0 + $5,371 related
    Deferred
    $0 + $43,128 related
    Nontaxable benefits
    $0 + $28,327 related
    Filer's total
    $0 + $482,601 related

  • Karla Ramberger

    VP CNO

    Total calculated
    $425,204
    From this org
    $389,262
    From related orgs
    $0
    Other
    $35,942
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $304,025
    Bonus
    $62,488
    Other
    $22,749
    Deferred
    $15,250
    Nontaxable benefits
    $20,692
    Filer's total
    $425,204

  • Milton Packer MD

    Medical Director

    Total calculated
    $687,278
    From this org
    $660,690
    From related orgs
    $0
    Other
    $26,588
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $557,019
    Bonus
    $100,000
    Other
    $3,671
    Deferred
    $15,250
    Nontaxable benefits
    $11,338
    Filer's total
    $687,278

  • Cristie Columbus MD

    Medical Director

    Total calculated
    $569,310
    From this org
    $532,272
    From related orgs
    $0
    Other
    $37,038
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $376,933
    Bonus
    $131,990
    Other
    $23,349
    Deferred
    $15,250
    Nontaxable benefits
    $21,788
    Filer's total
    $569,310

  • Michael Duncan MD

    Dir Cardiovascular Perfusion

    Total calculated
    $346,940
    From this org
    $332,736
    From related orgs
    $0
    Other
    $14,204
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $281,498
    Bonus
    $50,728
    Other
    $510
    Deferred
    $11,717
    Nontaxable benefits
    $2,487
    Filer's total
    $346,940

  • Michael Emmett MD

    Medical Director

    Total calculated
    $337,548
    From this org
    $307,300
    From related orgs
    $0
    Other
    $30,248
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,915
    Bonus
    $80,000
    Other
    $45,385
    Deferred
    $10,315
    Nontaxable benefits
    $19,933
    Filer's total
    $337,548

  • Daniel Gunn

    Medical Director

    Total calculated
    $329,940
    From this org
    $296,716
    From related orgs
    $14,586
    Other
    $18,638
    Hours/week
    40 + 40 related

    Schedule J breakdown matched by us

    Base
    $296,364 + $14,586 related
    Bonus
    $0
    Other
    $352
    Deferred
    $15,266 + $543 related
    Nontaxable benefits
    $2,829
    Filer's total
    $314,811 + $15,129 related

  • Steven Newton

    Former Officer

    Total calculated
    $1,997,228
    From this org
    $277,695
    From related orgs
    $1,317,685
    Other
    $401,848
    Hours/week
    40 + 40 related

    Schedule J breakdown matched by us

    Base
    $269,981 + $552,043 related
    Bonus
    $0 + $750,287 related
    Other
    $7,714 + $15,355 related
    Deferred
    $13,696 + $360,861 related
    Nontaxable benefits
    $9,447 + $17,844 related
    Filer's total
    $300,838 + $1,696,390 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Discretionary spending account
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
Tax indemnification and gross-up payments-The organization provides tax indemnification where the BSW Holdings' CEO, COO or CFO 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. Discretionary spending account-The organization provides eligible employees who travel frequently in their personal vehicle an auto expense allowance in lieu of reimbursement for business mileage under the organization's business travel and expense reimbursement policy. All auto expense allowances 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 3
Process for determining compensation: The organization, a controlled affiliate of Baylor Scott & White Holdings, 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, on behalf of the organization through reserved powers explicitly held by Baylor Scott & White Holdings, 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.
Part I, Line 4b
Supplemental Nonqualified Retirement Plan: In order to recruit and retain key talent, BSW Holdings and certain tax exempt affiliates (BSWH) 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 BSWH's supplemental non-qualified retirement plan during the tax year: Grant Teegarden, Jason Whitfield, Kyle Armstrong, Michael Emmett, M.D., Paul Madeley, M.D. ($35,314), Scott Peek and Steven Newton.
Part I, Line 7
The organization has adopted and implemented BSW Holdings', the organization's ultimate parent, Annual Incentive 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 BSW Holdings' 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 financial stewardship. BSW Holdings' governing body may approve modifications to annual incentive awards provided under the program consistent with market comparability data.
Form 990, Schedule J, 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. Some, but not all, members may have received modest benefits incident to their service on the board and/or multiple board committees or received compensation as an employee of a related organization. All such benefits are treated as taxable compensation to the extent required by law and are reported in the Form 990 where applicable.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202421349349302042

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