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← SCOTT & WHITE EMERGENCY MEDICAL SERVICES

Form 990 for tax year 2022

Filed by SCOTT & WHITE EMERGENCY MEDICAL SERVICES.

Totals

Total revenue
$4,970,701
Total expenses
$4,790,297
Contributions and grants received
$1,524,406
Grants paid
$0
Program service revenue
$3,398,711
Investment income
$47,584
Other revenue
$0
Total assets, end of year
$1,579,839
Total liabilities, end of year
$50,802
Net assets or fund balances, end of year
$1,529,037
Program services expenses (Part IX)
$4,565,043
Management and general expenses
$225,254
Fundraising expenses
$0
Program service expenses (Part III)
$4,565,043

Program services were 95.3% 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

    $1,500,000

  • 1e · Government grants (contributions)

    $24,406

  • 2a · Program service revenue: EMS Transportation

    total $3,129,809 · related or exempt $3,129,809

  • 2b · Program service revenue: Registration Fees

    total $253,251 · related or exempt $253,251

  • 2c · Program service revenue: CPR Classes

    total $14,965 · related or exempt $14,965

  • 2d · Program service revenue: Unclaimed Prop Refund

    total $686 · related or exempt $686

  • 3 · Investment income

    total $158 · excluded $158

  • 7a · Gross sales of assets other than inventory

    other assets $47,426

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

    other assets $0

  • 7c · Gain or loss

    other assets $47,426

  • 7d · Net gain or loss

    total $47,426 · excluded $47,426

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $2,793,292 · program services $2,793,292

  • 8 · Pension plan contributions

    total $42,378 · program services $42,378

  • 9 · Other employee benefits

    total $399,169 · program services $399,169

  • 10 · Payroll taxes

    total $146,051 · program services $146,051

  • 11d · Fees: lobbying

    total $450 · management and general $450

  • 11g · Fees: other

    total $668,741 · program services $490,795 · management and general $177,946

  • 13 · Office expenses

    total $63,346 · program services $63,346

  • 14 · Information technology

    total $279,519 · program services $279,519

  • 16 · Occupancy

    total $6,536 · program services $4,200 · management and general $2,336

  • 19 · Conferences, conventions and meetings

    total $34,035 · program services $34,035

  • 22 · Depreciation, depletion and amortization

    total $88,629 · program services $88,629

  • 23 · Insurance

    total $44,522 · management and general $44,522

  • 24a · Other expenses: Medical Supplies

    total $138,047 · program services $138,047

  • 24b · Other expenses: Dues and Memberships

    total $81,120 · program services $81,120

  • 24c · Other expenses: Non-Medical Supplies

    total $4,462 · program services $4,462

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $230,933 · end of year $557,530

  • 4 · Accounts receivable

    beginning of year $920,931 · end of year $866,160

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

    $2,541,327

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

    $2,385,178

  • 10c · Land, buildings and equipment, net

    beginning of year $281,899 · end of year $156,149

  • 17 · Accounts payable and accrued expenses

    beginning of year $68,449 · end of year $50,802

  • 27 · Net assets without donor restrictions

    beginning of year $1,358,336 · end of year $1,522,059

  • 28 · Net assets with donor restrictions

    beginning of year $6,978 · end of year $6,978

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 health care transportation organization, providing exemplary care and community service to residents the Central Texas Region since 1985.

  • See Schedule OScott & White EMS, Inc. (EMS) is a faith-based, 15 ambulance fleet, health care transportation organization principally serving the Bell County area of central Texas. EMS 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. EMS provides non-emergent medical transportation services to patients requiring Basic Life Services, Advanced Life Services or Specialty Care Services that include PICU/NICU patients. Non-emergent transportation services are provided only for patients for whom the enhanced level of care and services EMS provides is medically necessary. Additionally, EMS provides emergency response to BSWH facilities.EMS ground had 5,570 ambulance transports, 954 pediatric transports, and 3,069 wheelchair transports for a total of 9,593 transports for the fiscal year ending June 30, 2023. The EMS fleet includes 11 ambulances all certified with the State of Texas as mobile intensive care unit capable, four Pediatric ambulances certified with the State of Texas as specialty transport capable, and three wheelchair vans to assist wheelchair bound and ambulatory patients. EMS participates in local and state disaster response activities in association with area fire and police departments, the U.S. Army at Fort Hood, TX and the Federal Emergency Management Administration.

    Expenses $4,565,043 · Revenue $3,398,711

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

Listed in Part VII

  • Jennifer Mitzner

    Director/Secretary/Treasurer

    Total calculated
    $2,244,950
    From this org
    $0
    From related orgs
    $1,855,060
    Other
    $389,890
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,102,180 related
    Bonus
    $0 + $677,939 related
    Other
    $0 + $74,941 related
    Deferred
    $0 + $361,286 related
    Nontaxable benefits
    $0 + $28,604 related
    Filer's total
    $0 + $2,244,950 related
  • Glen R Couchman MD

    Director/President/CEO

    Total calculated
    $1,648,453
    From this org
    $0
    From related orgs
    $1,610,947
    Other
    $37,506
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $691,065 related
    Bonus
    $0 + $779,272 related
    Other
    $0 + $140,610 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $22,256 related
    Filer's total
    $0 + $1,648,453 related
  • Charles K Stone MD

    Director/Chair

    Total calculated
    $597,632
    From this org
    $0
    From related orgs
    $561,929
    Other
    $35,703
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $525,786 related
    Bonus
    $0 + $23,182 related
    Other
    $0 + $12,961 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $20,453 related
    Filer's total
    $0 + $597,632 related
  • Scott Coleman

    Supv Emergency Med Services

    Total calculated
    $134,351
    From this org
    $121,168
    From related orgs
    $0
    Other
    $13,183
    Hours/week
    62

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
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 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. One person listed in the Form 990, Part VII, Section A, received this benefit during the tax year.
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: Charles K. Stone, M.D., Glen R. Couchman, M.D. and Jennifer Mitzner.
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

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 Trust (3)

    T · Investment · TX

  • Charitable Remainder Trust (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
202421349349301012

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