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← BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL

Form 990 for tax year 2022

Filed by BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL.

Totals

Total revenue
$137,294,277
Total expenses
$120,094,801
Contributions and grants received
$110,702
Grants paid
$1,487,702
Program service revenue
$136,302,072
Investment income
$660,721
Other revenue
$220,782
Total assets, end of year
$160,302,395
Total liabilities, end of year
$15,921,726
Net assets or fund balances, end of year
$144,380,669
Program services expenses (Part IX)
$105,738,375
Management and general expenses
$14,356,426
Fundraising expenses
$0
Program service expenses (Part III)
$105,738,375

Program services were 88.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

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

  • Jacob Gebhart

    President/CEO

    Total calculated
    $585,003
    From this org
    $452,266
    From related orgs
    $0
    Other
    $132,737
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $278,936
    Bonus
    $161,750
    Other
    $11,580
    Deferred
    $107,313
    Nontaxable benefits
    $25,424
    Filer's total
    $585,003

  • 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

    Interim CFO (thru 9/6/2022)

    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

  • Heather Jones

    VP CFO (eff 9/15/2022)

    Total calculated
    $64,204
    From this org
    $58,364
    From related orgs
    $0
    Other
    $5,840
    Hours/week
    40

  • Eric Beshires

    Chief Medical Officer

    Total calculated
    $418,059
    From this org
    $370,099
    From related orgs
    $0
    Other
    $47,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $295,783
    Bonus
    $73,627
    Other
    $689
    Deferred
    $14,937
    Nontaxable benefits
    $33,023
    Filer's total
    $418,059

  • Rowell Balais

    RN

    Total calculated
    $245,133
    From this org
    $213,759
    From related orgs
    $0
    Other
    $31,374
    Hours/week
    57

    Schedule J breakdown matched by us

    Base
    $197,044
    Bonus
    $15,313
    Other
    $1,402
    Deferred
    $5,822
    Nontaxable benefits
    $25,552
    Filer's total
    $245,133

  • Olaide Akinniyi

    RN

    Total calculated
    $235,235
    From this org
    $206,270
    From related orgs
    $0
    Other
    $28,965
    Hours/week
    47

    Schedule J breakdown matched by us

    Base
    $194,097
    Bonus
    $5,728
    Other
    $6,445
    Deferred
    $6,144
    Nontaxable benefits
    $22,821
    Filer's total
    $235,235

  • Amber Slaughter

    RN

    Total calculated
    $215,310
    From this org
    $180,169
    From related orgs
    $0
    Other
    $35,141
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $166,906
    Bonus
    $8,208
    Other
    $5,055
    Deferred
    $6,555
    Nontaxable benefits
    $28,586
    Filer's total
    $215,310

  • Bernice Thomas

    RN

    Total calculated
    $193,336
    From this org
    $177,906
    From related orgs
    $0
    Other
    $15,430
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,993
    Bonus
    $5,728
    Other
    $8,185
    Deferred
    $5,904
    Nontaxable benefits
    $9,526
    Filer's total
    $193,336

  • Rachel Vannoy

    Dir Nursing

    Total calculated
    $192,273
    From this org
    $175,299
    From related orgs
    $0
    Other
    $16,974
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,345
    Bonus
    $27,836
    Other
    $118
    Deferred
    $7,400
    Nontaxable benefits
    $9,574
    Filer's total
    $192,273

  • Chris Holcomb

    Former Officer

    Total calculated
    $171,091
    From this org
    $166,734
    From related orgs
    $0
    Other
    $4,357
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $69,937
    Bonus
    $0
    Other
    $96,797
    Deferred
    $714
    Nontaxable benefits
    $3,643
    Filer's total
    $171,091

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
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 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. Four of the persons listed in the Form 990, Part VII, Section A, received this benefit from the organization during the tax year. Discretionary spending account-The organization provides eligible employees certain monthly expense allowances in lieu of reimbursement for actual expenses under the organization's business travel and expense reimbursement policy. This may include providing an auto expense allowance for business mileage for those who travel frequently in their personal vehicle. All expense allowances are treated as taxable compensation. One person listed in the Form 990, Part VII, Section A, received these benefits 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, Lines 4a-b
Severance or Change of Control Payments: Chris Holcomb received a severance payment from the organization in the amount of $96,730. 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, Jacob Gebhart, Paul Madeley, M.D. ($35,314) and Scott Peek.
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

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.

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
202431349349300843

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