Baylor Scott & White Health

What it reported doing in 2024

See Schedule OScott & White Clinic (SWC) is a faith-based, nonprofit physician group providing exemplary patient care services to the residents of Bell County and the surrounding communities since 1904 and is a key component in fulfilling the overall charitable mission of Baylor Scott & White Health (BSWH).SWC 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 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.SWC is one of the nation's largest multi-specialty group practices providing adult and pediatric care. Its integrated, high-quality care is delivered by over 2,400 providers, with more than 1,582 physicians and more than 820 advanced practice professionals. These physicians include approximately 282 primary care physicians, 143 hospitalists, 64 general pediatric physicians, 40 pediatric specialists, 277 surgical specialists, 226 anesthesia, radiology and pathology physicians, and 550 physicians in medical specialties.SWC operates on a portion of the Baylor Scott & White Medical Center Temple campus and offers a number of special services and programs, which are available to all patients of the BSWH's central Texas hospitals. These include medical and surgical sub-specialties, magnetic resonance imaging, radiological services, lithotripsy, dialysis, laboratory services, and other ancillary services. SWC is recognized as a leader in diagnostic and specialty care across the Southwest United States. In addition to the Baylor Scott & White Medical Center Temple Campus, SWC operates approximately 70 regional facilities, located throughout the central Texas area. Additionally, SWC operates four dialysis centers and a cancer center in Killeen, Texas.SWC 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, SWC provided free or discounted care with an estimated unreimbursed cost of more than $26.2 Million to indigent patients qualifying under the financial assistance policy. Also, as part of its mission and charitable purpose, SWC 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.SWC physicians make up the preponderance of the supervising physicians for the BSWH graduate medical education programs in central Texas. SWC physicians serve as faculty for the Texas A&M Health Science Center School of Medicine, training over 40 undergraduate medical students. Baylor College of Medicine began their first year of Medical Student matriculation on the Temple Campus with a total of 30 students.SWC staff physicians also provide training for 436 residents and fellows participating in 40 ACGME accredited programs sponsored

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 94.4%; rating input score 94
• 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: Scored; rating input score 0
• Grant itemization coverage: Scored; rating input score 0
• 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: -12.3%; rating input score 6; 6th percentile among comparable filings
• Total-asset coverage ratio: 0.18; rating input score 5; 5th percentile among comparable filings
• Liabilities to assets ratio: 1; rating input score 7; 7th percentile among comparable filings
• Officer compensation ratio: 1.2%; rating input score 70; 70th percentile among comparable filings

Growth

• Program expense growth: 8.2% per year; rating input score 100; 65th percentile among comparable filings
• Revenue growth: 7.7% per year; rating input score 100; 65th percentile among comparable filings
• Asset growth: 13.8% per year; rating input score 100; 83rd percentile among comparable filings