Hillcrest Physician Services
Nonprofit profile at a glance
- EIN
- 742967081
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Dallas, TX, USA
- Phone
- 2148204135
- Rating
- 75
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Ambulatory Health Center, Community Clinic
Reported finances
- Revenue
- $67,926,652
- Expenses
- $67,714,390
- Assets
- $10,611,691
- Liabilities
- $10,611,238
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
19 people listed
Executive titles in this filing
- Chris Lancaster (President/CEO)
Highest reported compensation
- John Ackley MD (Physician): $2,074,837 total reported compensation
- Scott Hecox MD (Director (Thru 5/1/2025)): $1,764,163 total reported compensation
- Andrew Brochu DO (Director): $1,750,524 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Founded as a Christian ministry of healing, Baylor Scott & White Health (BSWH) promotes the well-being of all individuals, families and communities.
What it reported doing in 2024
See Schedule OHillcrest Physician Services (HPS) is a faith-based, nonprofit physician group providing exemplary patient care services to the residents of McLennan County and the surrounding communities since 2000 and is a key component in fulfilling the overall charitable mission of Baylor Scott & White Health (BSWH). HPS is affiliated with 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 more than 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 over 1,200,000 lives.HPS is one of the BSWH's physician practice groups in the Waco area of central Texas. Specialists employed by HPS provide all of the trauma and neurosurgical call coverage for the Level II Trauma Center located at BSW Hillcrest. HPS also provides 24 hours a day hospitalist coverage for BSW Hillcrest. During the fiscal year HPS provided 180,405 patient visits.HPS is committed to offering access to quality health care including providing free or discounted health care to the indigent, the underserved population and persons covered by government sponsored indigent health care and other government sponsored programs. During the fiscal year HPS provided free or discounted care totaling more than $947,950 to indigent patients qualifying under the financial assistance policy.Also, as part of its mission and charitable purpose, HPS develops, implements and operates innovative strategies and programs that create access to health services, provide equitable care and improves health outcomes for the indigent and the medically underserved population. These activities include wellness programs, community education programs, special programs for the elderly, handicapped and medically underserved and a variety of broad community support activities.
Operating model
- Revenue model
- Earned-program. 71% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 85
- Transparency & Controls: 90
- Accountability: 42
- Sustainability: 18
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 95.5%; rating input score 95
- Program expense ratio: 95.8%; rating input score 96
- 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: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 0%; rating input score 0; 4th 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: 0.3%; rating input score 33; 33rd percentile among comparable filings
- Total-asset coverage ratio: 0.16; rating input score 4; 4th percentile among comparable filings
- Liabilities to assets ratio: 1; rating input score 7; 7th percentile among comparable filings
- Officer compensation ratio: 23.4%; rating input score 0; 0th percentile among comparable filings
Growth
- Program expense growth: 8.9% per year; rating input score 100; 69th percentile among comparable filings
- Revenue growth: 10.7% per year; rating input score 100; 79th percentile among comparable filings
- Asset growth: 11.3% per year; rating input score 100; 76th percentile among comparable filings
Details
- Where the money goes: 95.5% of revenue deployed · 95.8% of spending went to programs
- Governance: 0 of 8 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $64.8M in reported program spending
- Leadership: top reported pay $2.1M · 19 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 4 contractors listed · $1M reported
- Consistency: 30 of 30 current checks pass
- Schedules: 8 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 15 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 13 filed money-flow records
- Related organizations: 110 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Accountability: Independent voting board scored 0/100.
- Moderate — Sustainability: Operating margin scored 33/100.
- High — Sustainability: Total-asset coverage ratio scored 4/100.
- High — Sustainability: Officer compensation ratio scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 7/100.