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← HILLCREST BAPTIST MEDICAL CENTER

Form 990 for tax year 2022

Filed by HILLCREST BAPTIST MEDICAL CENTER.

Totals

Total revenue
$455,646,318
Total expenses
$424,420,990
Contributions and grants received
$7,379,555
Grants paid
$25,992,689
Program service revenue
$440,661,087
Investment income
$6,131,699
Other revenue
$1,473,977
Total assets, end of year
$461,467,592
Total liabilities, end of year
$234,626,957
Net assets or fund balances, end of year
$226,840,635
Program services expenses (Part IX)
$373,635,991
Management and general expenses
$50,784,999
Fundraising expenses
$0
Program service expenses (Part III)
$373,635,991

Program services were 88.0% 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

    $943,856

  • 1e · Government grants (contributions)

    $4,652,641

  • 1f · All other contributions, gifts and grants

    $1,783,058

  • 1g · Noncash contributions included above

    $504,513

  • 2a · Program service revenue: Patient Care

    total $431,398,577 · related or exempt $431,398,577

  • 2b · Program service revenue: Rent

    total $6,406,929 · related or exempt $6,406,929

  • 2c · Program service revenue: Shared Savings

    total $2,162,312 · related or exempt $2,162,312

  • 2d · Program service revenue: Unclaimed Prop Refund

    total $609,453 · related or exempt $609,453

  • 2e · Program service revenue: Education

    total $25,253 · related or exempt $25,253

  • 2f · All other program service revenue

    total $58,563 · related or exempt $58,563

  • 3 · Investment income

    total $2,936,217 · excluded $2,936,217

  • 7a · Gross sales of assets other than inventory

    securities $140,615,666

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

    securities $137,303,802 · other assets $116,382

  • 7c · Gain or loss

    securities $3,311,864 · other assets -$116,382

  • 7d · Net gain or loss

    total $3,195,482 · excluded $3,195,482

  • 11a · Other revenue: Cafeteria

    total $1,257,746 · excluded $1,257,746

  • 11b · Other revenue: Gift Shop

    total $214,302 · excluded $214,302

  • 11c · Other revenue: Parking

    total $1,929 · excluded $1,929

  • 11e · Other revenue, total

    $1,473,977

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $25,992,689 · program services $25,992,689

  • 5 · Compensation of officers, directors and key employees

    total $2,768,190 · management and general $2,768,190

  • 6 · Compensation of disqualified persons

    total $33,556 · program services $33,556

  • 7 · Other salaries and wages

    total $117,254,311 · program services $116,022,699 · management and general $1,231,612

  • 8 · Pension plan contributions

    total $4,002,500 · program services $3,960,453 · management and general $42,047

  • 9 · Other employee benefits

    total $14,178,422 · program services $14,029,475 · management and general $148,947

  • 10 · Payroll taxes

    total $8,582,041 · program services $8,493,691 · management and general $88,350

  • 11b · Fees: legal

    total $152,707 · management and general $152,707

  • 11d · Fees: lobbying

    total $104,845 · management and general $104,845

  • 11g · Fees: other

    total $97,152,624 · program services $52,476,638 · management and general $44,675,986

  • 12 · Advertising and promotion

    total $491,485 · program services $55,531 · management and general $435,954

  • 13 · Office expenses

    total $827,623 · program services $805,027 · management and general $22,596

  • 14 · Information technology

    total $15,243,067 · program services $15,232,059 · management and general $11,008

  • 16 · Occupancy

    total $24,028,091 · program services $23,308,445 · management and general $719,646

  • 17 · Travel

    total $153,523 · program services $143,552 · management and general $9,971

  • 19 · Conferences, conventions and meetings

    total $209,954 · program services $204,539 · management and general $5,415

  • 20 · Interest

    total $5,763 · program services $5,763

  • 22 · Depreciation, depletion and amortization

    total $14,340,946 · program services $14,340,946

  • 23 · Insurance

    total $188,749 · management and general $188,749

  • 24a · Other expenses: Medical Supplies

    total $81,271,417 · program services $81,271,417

  • 24b · Other expenses: LPPF Expenses

    total $14,278,603 · program services $14,278,603

  • 24c · Other expenses: Non-Medical Supplies

    total $2,838,147 · program services $2,781,279 · management and general $56,868

  • 24d · Other expenses: Dues and Memberships

    total $138,291 · program services $115,433 · management and general $22,858

  • 24e · All other expenses

    total $183,446 · program services $84,196 · management and general $99,250

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,300 · end of year $13,787

  • 2 · Savings and temporary cash investments

    beginning of year $11,958,774 · end of year $32,311,083

  • 4 · Accounts receivable

    beginning of year $47,847,574 · end of year $42,958,909

  • 8 · Inventories for sale or use

    beginning of year $7,698,027 · end of year $7,978,128

  • 9 · Prepaid expenses and deferred charges

    beginning of year $105,793 · end of year $3,276,029

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

    $282,393,404

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

    $127,571,228

  • 10c · Land, buildings and equipment, net

    beginning of year $152,721,286 · end of year $154,822,176

  • 11 · Investments: publicly traded securities

    beginning of year $184,457,855 · end of year $199,002,669

  • 13 · Investments: program-related

    beginning of year $1,802,332 · end of year $1,802,542

  • 15 · Other assets

    beginning of year $23,591,556 · end of year $19,302,269

  • 17 · Accounts payable and accrued expenses

    beginning of year $18,408,394 · end of year $34,919,925

  • 19 · Deferred revenue

    beginning of year $12,042,713 · end of year $25,053

  • 23 · Secured mortgages and notes payable

    beginning of year $11,043,416 · end of year $6,453,721

  • 25 · Other liabilities

    beginning of year $197,049,799 · end of year $193,228,258

  • 27 · Net assets without donor restrictions

    beginning of year $179,198,748 · end of year $214,577,783

  • 28 · Net assets with donor restrictions

    beginning of year $12,445,427 · end of year $12,262,852

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 Central Texas region since 1916.

  • See Schedule OHillcrest Baptist Medical Center dba Baylor Scott & White Medical Center - Hillcrest (BSW Hillcrest) is a faith-based, nonprofit, 260-bed acute care hospital providing exemplary patient care services to the residents of McLennan County and the surrounding communities since 1916. BSW Hillcrest 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. BSW Hillcrest is a Magnet recognized hospital with a vast array of specialty services including a major Level II Trauma Center serving the five county region, the only Level III Neonatal Intensive Care Unit in the Waco Region, the only comprehensive CARF certified inpatient rehabilitation facility in the Waco Region, a comprehensive freestanding cancer center and a freestanding sports and orthopedic center. During the fiscal year, BSW Hillcrest admitted 16,417 patients resulting in 72,043 days of care; delivered 2,780 babies and received 65,375 emergency department visits. Additionally, BSW Hillcrest provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $57,833,282 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $22,786,708 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $33,108,512 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 BSW Hillcrest promotes the health of the communities.

    Expenses $373,635,991 · Grants $25,992,689 · Revenue $440,661,087

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

Listed in Part VII

  • Shahin Motakef

    Director

    Total calculated
    $1,670,682
    From this org
    $0
    From related orgs
    $1,332,225
    Other
    $338,457
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $664,731 related
    Bonus
    $0 + $632,192 related
    Other
    $0 + $35,302 related
    Deferred
    $0 + $308,321 related
    Nontaxable benefits
    $0 + $30,136 related
    Filer's total
    $0 + $1,670,682 related

  • Glen R Couchman MD

    Director

    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

  • William McCunniff MD

    Director/Treasurer

    Total calculated
    $736,387
    From this org
    $0
    From related orgs
    $652,766
    Other
    $83,621
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $573,958 related
    Bonus
    $0 + $29,406 related
    Other
    $0 + $49,402 related
    Deferred
    $0 + $55,958 related
    Nontaxable benefits
    $0 + $27,663 related
    Filer's total
    $0 + $736,387 related

  • Christopher Grant MD

    Director

    Total calculated
    $421,158
    From this org
    $0
    From related orgs
    $370,965
    Other
    $50,193
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $350,706 related
    Bonus
    $0 + $19,399 related
    Other
    $0 + $860 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $25,793 related
    Filer's total
    $0 + $421,158 related

  • Walter Abercrombie

    Director/Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Billy H Davis Jr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Glynnis Cantrell Gaines

    Director/Secretary

    Total calculated
    $0
    Hours/week
    1

  • Carey Hobbs

    Director

    Total calculated
    $0
    Hours/week
    1

  • Ryan Lindsey

    Director

    Total calculated
    $0
    Hours/week
    1

  • Terry Maness

    Director

    Total calculated
    $0
    Hours/week
    1

  • G Michael Reitmeier

    Director

    Total calculated
    $0
    Hours/week
    1

  • J Mark Rister MD

    Director/Chair

    Total calculated
    $0
    Hours/week
    1

  • Charles Williams

    President/CEO

    Total calculated
    $719,079
    From this org
    $622,549
    From related orgs
    $0
    Other
    $96,530
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $407,294
    Bonus
    $156,089
    Other
    $59,166
    Deferred
    $64,462
    Nontaxable benefits
    $32,068
    Filer's total
    $719,079

  • Shellie Mach

    VP CFO

    Total calculated
    $328,279
    From this org
    $286,682
    From related orgs
    $0
    Other
    $41,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,548
    Bonus
    $56,286
    Other
    $20,848
    Deferred
    $12,146
    Nontaxable benefits
    $29,451
    Filer's total
    $328,279

  • Umad Ahmad MD

    VP CMO

    Total calculated
    $593,184
    From this org
    $549,647
    From related orgs
    $0
    Other
    $43,537
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $421,322
    Bonus
    $107,100
    Other
    $21,225
    Deferred
    $16,442
    Nontaxable benefits
    $27,095
    Filer's total
    $593,184

  • Brad Crye

    VP COO

    Total calculated
    $329,393
    From this org
    $294,267
    From related orgs
    $0
    Other
    $35,126
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,381
    Bonus
    $55,446
    Other
    $16,440
    Deferred
    $12,714
    Nontaxable benefits
    $22,412
    Filer's total
    $329,393

  • LaJuana Jones

    VP CNO

    Total calculated
    $290,682
    From this org
    $255,756
    From related orgs
    $0
    Other
    $34,926
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,896
    Bonus
    $48,554
    Other
    $306
    Deferred
    $6,587
    Nontaxable benefits
    $28,339
    Filer's total
    $290,682

  • Matthew Rohrer

    VP Clinic Operations

    Total calculated
    $278,320
    From this org
    $241,461
    From related orgs
    $0
    Other
    $36,859
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,205
    Bonus
    $51,475
    Other
    $781
    Deferred
    $10,021
    Nontaxable benefits
    $26,838
    Filer's total
    $278,320

  • Alvine Carole Yewah

    RN

    Total calculated
    $274,855
    From this org
    $251,436
    From related orgs
    $0
    Other
    $23,419
    Hours/week
    54

    Schedule J breakdown matched by us

    Base
    $218,076
    Bonus
    $29,750
    Other
    $3,610
    Deferred
    $5,744
    Nontaxable benefits
    $17,675
    Filer's total
    $274,855

  • David Gentsch

    Director Pharmacy

    Total calculated
    $269,719
    From this org
    $236,612
    From related orgs
    $0
    Other
    $33,107
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,675
    Bonus
    $38,120
    Other
    $817
    Deferred
    $10,374
    Nontaxable benefits
    $22,733
    Filer's total
    $269,719

  • Debra Wallace

    RN

    Total calculated
    $264,569
    From this org
    $258,335
    From related orgs
    $0
    Other
    $6,234
    Hours/week
    54

    Schedule J breakdown matched by us

    Base
    $227,603
    Bonus
    $25,225
    Other
    $5,507
    Deferred
    $6,040
    Nontaxable benefits
    $194
    Filer's total
    $264,569

  • Steven Biesterfeld

    Supv Nursing RN

    Total calculated
    $261,945
    From this org
    $227,858
    From related orgs
    $0
    Other
    $34,087
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $188,833
    Bonus
    $34,819
    Other
    $4,206
    Deferred
    $5,728
    Nontaxable benefits
    $28,359
    Filer's total
    $261,945

  • Henrietta Bravo

    OR RN

    Total calculated
    $242,292
    From this org
    $232,567
    From related orgs
    $0
    Other
    $9,725
    Hours/week
    53

    Schedule J breakdown matched by us

    Base
    $208,959
    Bonus
    $22,032
    Other
    $1,576
    Deferred
    $6,633
    Nontaxable benefits
    $3,092
    Filer's total
    $242,292

  • Michael D Reis MD

    Former Officer

    Total calculated
    $564,641
    From this org
    $0
    From related orgs
    $478,258
    Other
    $86,383
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,770 related
    Bonus
    $0 + $197,010 related
    Other
    $0 + $20,478 related
    Deferred
    $0 + $73,644 related
    Nontaxable benefits
    $0 + $12,739 related
    Filer's total
    $0 + $564,641 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. Five 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 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 or a cell phone allowance for individuals who are required to use their mobile phone for business purposes. All expense allowances 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 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: Charles Williams, Christopher Grant, M.D., Glen R. Couchman, M.D., Michael D. Reis, M.D., Shahin Motakef and William McCunniff, M.D. ($49,015).
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

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
202441349349302044

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