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Nonprofiteer
← Baylor Medical Center at Carrollton

Form 990 for tax year 2022

Filed by Baylor Medical Center at Carrollton.

Totals

Total revenue
$3,395,926
Total expenses
-$1,631,782
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,395,926
Investment income
$0
Other revenue
$0
Total assets, end of year
$3,759,310
Total liabilities, end of year
$62,930,782
Net assets or fund balances, end of year
-$59,171,472
Program services expenses (Part IX)
-$1,633,194
Management and general expenses
$1,412
Fundraising expenses
$0
Program service expenses (Part III)
-$1,633,194

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.

  • 2a · Program service revenue: Patient Care

    total $3,395,926 · related or exempt $3,395,926

Functional expenses

Part IX, the statement of functional expenses.

  • 11b · Fees: legal

    total $1,412 · management and general $1,412

  • 11g · Fees: other

    total $364,342 · program services $364,342

  • 13 · Office expenses

    total $999 · program services $999

  • 24a · Other expenses: Medical Supplies

    total $1,455 · program services $1,455

  • 24b · Other expenses: Non-Medical Supplies

    total $10 · program services $10

  • 24c · Other expenses: Non-Patient Bad Debt

    total -$2,000,000 · program services -$2,000,000

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $1,382

  • 4 · Accounts receivable

    beginning of year $427,126 · end of year $3,757,928

  • 17 · Accounts payable and accrued expenses

    beginning of year $64,626,306 · end of year $62,930,782

  • 27 · Net assets without donor restrictions

    beginning of year -$64,199,180 · end of year -$59,171,472

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 Carrollton, Texas and the surrounding communities.

  • See Schedule OBSW Carrollton 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.Effective March 1, 2020, BSW Carrollton no longer operates a licensed hospital and is in the process of winding down the remaining operations. BSW Carrollton will distribute any remaining assets to a 501C(3) affiliate exempt from federal income tax.

    Expenses -$1,633,194 · Revenue $3,395,926

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

    Total calculated
    $504,593
    From this org
    $0
    From related orgs
    $462,181
    Other
    $42,412
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $395,717 related
    Bonus
    $0 + $64,615 related
    Other
    $0 + $1,849 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $27,162 related
    Filer's total
    $0 + $504,593 related

  • 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

  • Jerri Garison

    President/CEO

    Total calculated
    $1,359,104
    From this org
    $0
    From related orgs
    $1,321,343
    Other
    $37,761
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $599,654 related
    Bonus
    $0 + $597,811 related
    Other
    $0 + $123,878 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $22,511 related
    Filer's total
    $0 + $1,359,104 related

  • 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

  • Dan Rich

    VP CFO

    Total calculated
    $467,707
    From this org
    $0
    From related orgs
    $428,315
    Other
    $39,392
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $323,534 related
    Bonus
    $0 + $83,439 related
    Other
    $0 + $21,342 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $24,142 related
    Filer's total
    $0 + $467,707 related

  • William Turner

    Former Officer

    Total calculated
    $688,080
    From this org
    $0
    From related orgs
    $539,231
    Other
    $148,849
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $305,505 related
    Bonus
    $0 + $201,194 related
    Other
    $0 + $32,532 related
    Deferred
    $0 + $125,083 related
    Nontaxable benefits
    $0 + $23,766 related
    Filer's total
    $0 + $688,080 related

  • Terri Foster

    Former Officer

    Total calculated
    $229,267
    From this org
    $0
    From related orgs
    $229,267
    Other
    $0
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $229,267 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $229,267 related

  • Barbara Vaughn

    Former Key Employee

    Total calculated
    $338,464
    From this org
    $0
    From related orgs
    $312,784
    Other
    $25,680
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $232,315 related
    Bonus
    $0 + $62,647 related
    Other
    $0 + $17,822 related
    Deferred
    $0 + $12,775 related
    Nontaxable benefits
    $0 + $12,905 related
    Filer's total
    $0 + $338,464 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

  • 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 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
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, Jerri Garison, Paul Madeley, M.D. ($35,134), Scott Peek, Terri Foster ($229,267) and William Turner.
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.
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

No itemized grants to organizations on this return.

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.

Related partnerships

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

  • Arlington Ortho & Spine Hospital LLC

    Hospital · TX

  • Baylor Affiliated Services LLC

    Benefit Plans · TX

  • Baylor Heart and Vascular Center LLP

    Specialty Hospital · TX

  • Baylor Surgicare at Granbury LLC

    Ambulatory Surgery Center · TX

  • Baylor Surgicare at Mansfield LLC

    Ambulatory Surgery Center · TX

  • Baylor Surgicare at Plano Parkway LLC

    Ambulatory Surgery Center · TX

  • Baylor Surgicare at Plano LLC

    Ambulatory Surgery Center · TX

  • Bellaire Outpatient Surgery Center LLP

    Ambulatory Surgery Center · TX

  • BIR JV LLP

    Rehabilitation Hospitals · TX

  • BTDI JV LLP

    Outpatient Imaging Centers · TX

  • Dallas Surgical Partners LLC

    Ambulatory Surgery Center · TX

  • Denton Surgicare Partners Ltd

    Ambulatory Surgery Center · TX

  • Desoto Surgicare Partners Ltd

    Ambulatory Surgery Center · TX

  • EBD JV LLP

    Free Standing Emergency Hospitals · TX

  • Frisco Medical Center LLP

    Hospital · TX

  • Ft Worth Surgicare Partners Ltd

    Hospital · TX

  • Garland Surgicare Partners Ltd

    Ambulatory Surgery Center · TX

  • Grapevine Surgicare Partners Ltd

    Ambulatory Surgery Center · TX

  • HealthTexas Provider Network-Gastro Serv LLP

    Ambulatory Surgery Center · TX

  • Heritage Park Surgical Hospital LLC

    Hospital · TX

  • Irving Coppell Surgical Hospital LLP

    Hospital · TX

  • Lone Star Endoscopy Center LLC

    Ambulatory Surgery Center · TX

  • MEDCO Construction LLC

    Inactive · TX

  • Metrocrest Surgery Center LP

    Ambulatory Surgery Center · TX

  • MSH Partners LLC

    Hospital · TX

  • North Central Surgical Center LLP

    Hospital · TX

  • North Garland Surgery Center LLP

    Ambulatory Surgery Center · TX

  • Park Cities Surgery Center LLC

    Ambulatory Surgery Center · TX

  • Physicians Surgical Center of Ft Worth LLP

    Ambulatory Surgery Center · TX

  • Rockwall Ambulatory Surgery Center LLP

    Ambulatory Surgery Center · TX

  • Specialty Surgery Center of Fort Worth LP

    Inactive · TX

  • Surgery Center of Richardson Phys Pship LP

    Inactive · TX

  • Texas Endoscopy Centers LLC

    Ambulatory Surgery Center · TX

  • Texas Health Ventures Group LLC

    Holds interests in ASCs/ Short Stay Hospitals · TX

  • Texas Heart Hospital of the Southwest LLP

    Specialty Hospital · TX

  • THVG Bariatric LLC

    Holds interests in Ambulatory Surgery Centers · TX

  • Trophy Club Medical Center LP

    Hospital · TX

  • Tuscan Surgery Center at Las Colinas LLC

    Ambulatory Surgery Center · TX

  • University Surgical Partners of Dallas LLP

    Ambulatory Surgery Center · TX

  • Baylor Surgicare at North Dallas LLC

    Ambulatory Surgery Center · TX

  • BT East Dallas JV LLP

    Former Hospital/Wind Down · TX

  • BT Garland JV LLP

    Former Hospital/Wind Down · TX

  • Blue Stone JV LLP

    Outpatient Imaging Centers · TX

  • Baylor Surgicare at Baylor Plano LLC

    Ambulatory Surgery Center · TX

  • Blue Stone Frisco JV LLP

    Outpatient Imaging Centers · TX

  • Centennial ASC LLC

    Ambulatory Surgery Center · TX

  • Texas Regional Medical Center LLC

    Hospital · TX

  • Texas Spine and Joint Hospital LLC

    Hospital · TX

  • Baylor Surgicare at Blue Star LLC

    Ambulatory Surgery Center · TX

  • SurgCenter of Plano LLC

    Ambulatory Surgery Center · TX

  • Bear Creek Surgery Center LLC

    Ambulatory Surgery Center · TX

  • Gateway Diagnostic JV LLC

    Outpatient Imaging Centers · TX

  • Baylor Scott & White Surgicare at Weatherford LLC

    Ambulatory Surgery Center · TX

  • SurgCenter of Greater Dallas LLC

    Ambulatory Surgery Center · TX

  • Oak Point Surgical Suites LLC

    Ambulatory Surgery Center · TX

  • BSW Home Recovery Care LLC

    Home Care Services · TX

  • Sherman Endoscopy LLC

    Ambulatory Surgery Center · TX

  • Baylor Scott & White Surgicare Waxahachie LLC

    Ambulatory Surgery Center · TX

Related corporations and trusts

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

  • Baylor All Saints Med Ctr at Ft Worth Condo Owners Assoc Inc

    C · Condo Association · TX · controlled entity

  • Baylor Scott & White Health Enterprises Inc

    C · Pharmacy · TX · controlled entity

  • Baylor Health Network Inc

    C · Inactive · TX · controlled entity

  • Baylor Med Ctr at Grapevine Condo Owners Association Inc

    C · Condo Association · TX · controlled entity

  • Baylor Quality Health Care Alliance LLC

    C · ACO · TX · controlled entity

  • Baylor Scott & White Assurance SPC

    C · Investment · CJ · controlled entity

  • BMP Incorporated

    C · Post Office · TX · controlled entity

  • BUMCRoberts Condominium Owners Association Inc

    C · Condo Association · TX · controlled entity

  • Charitable Lead Trusts (3)

    T · Investment · TX

  • Charitable Remainder Trusts (49)

    T · Investment · TX

  • Hillcrest Health Holdings Inc

    C · Inactive · TX · controlled entity

  • Baylor Scott & White Insurance Company

    C · Insurance · TX · controlled entity

  • SHA LLC

    C · HMO · TX · controlled entity

  • Southwest Life & Health Insurance Company

    C · Insurance · TX · controlled entity

  • APN

    C · Inactive · TX · controlled entity

  • Spine & Joint Physician Associates

    C · Inactive · TX · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202401349349302230

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