Baylor Scott & White Health

What it reported doing in 2024

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 1,300 patient access points including 53 hospitals, 600+ specialty care clinics, 250+ outpatient clinics, 150+ primary care clinics, 29 pharmacies, 30+ ambulatory surgery centers, 60+ urgent care clinics, and over 7,300 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 approximately 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 16,442 patients resulting in 75,695 days of care; delivered 2,626 babies and received 68,171 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 $65,637,724 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $31,950,984 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $23,509,504 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.

Financial Efficiency

• Mission deployment rate: 75.8%; rating input score 76
• Program expense ratio: 88.1%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 99.9%; rating input score 100; 45th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 63.6%; rating input score 64; 18th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 17.3%; rating input score 85; 85th percentile among comparable filings
• Total-asset coverage ratio: 1.26; rating input score 47; 47th percentile among comparable filings
• Liabilities to assets ratio: 0.38; rating input score 47; 47th percentile among comparable filings
• Officer compensation ratio: 1%; rating input score 75; 75th percentile among comparable filings

Growth

• Program expense growth: 7.9% per year; rating input score 100; 63rd percentile among comparable filings
• Revenue growth: 6.4% per year; rating input score 100; 56th percentile among comparable filings
• Asset growth: 6.1% per year; rating input score 100; 45th percentile among comparable filings