Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PART V, LINE 2A: STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE | NUMBER OF EMPLOYEES OF THE SCOTT & WHITE HEALTHCARE SYSTEM AFFILIATES ARE EMPLOYED BY SCOTT & WHITE MEMORIAL HOSPITAL 74-1166904 OR SCOTT & WHITE CLINIC 74-2958277. THIS IS DONE TO ACHIEVE PARITY AND CONSISTENCY IN COMPENSATION AND BENEFITS OFFERED TO EMPLOYEES AND TO REDUCE ADMINISTRATIVE COSTS. CONSISTENT WITH THIS PRACTICE, EMPLOYEE FORM W-2'S ARE FILED BY SCOTT & WHITE MEMORIAL HOSPITAL OR SCOTT & WHITE CLINIC. FOR FINANCIAL REPORTING PURPOSES, COMPENSATION, BENEFITS, AND OTHER EMPLOYEE COSTS ARE ASSIGNED TO THE SCOTT & WHITE AFFILIATE FOR WHICH SERVICES ARE PROVIDED AND ARE REPORTED AS EXPENSES OF SUCH AFFILIATES, AS SEEN IN PART IX, STATEMENT OF FUNCTIONAL EXPENSES. ALL REQUIRED EMPLOYMENT FORMS HAVE BEEN FILED BY SCOTT & WHITE MEMORIAL HOSPITAL AND SCOTT & WHITE CLINIC. | |
| FORM 990, PART VI, SECTION A, LINE 6 | SCOTT & WHITE HEALTH PLAN'S (SWHP) SOLE MEMBER IS SCOTT & WHITE HEALTHCARE (EIN: 26-4532547), AN ORGANIZATION EXEMPT FROM TAX UNDER IRC SECTION 503(C)(3) AND A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3). | |
| FORM 990, PART VI, SECTION A, LINE 7A | SCOTT & WHITE HEALTH PLAN'S (SWHP) SOLE MEMBER IS SCOTT & WHITE HEALTHCARE (EIN: 26-4532547), AN ORGANIZATION EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3) AND A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3). ELECTION OF THE SWHP BOARD OF DIRECTORS REQUIRES THE APPROVAL OF THE SCOTT & WHITE HEALTCARE BOARD OF TRUSTEES, BY MAJORITY VOTE. THE MAJORITY OF THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES IS COMPRISED OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY. | |
| FORM 990, PART VI, SECTION A, LINE 7B | SCOTT & WHITE HEALTH PLAN'S (SHWP) SOLE MEMBER IS SCOTT & WHITE HEALTHCARE (EIN: 26-4532547), AN ORGANIZATION EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3) AND A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3). ACTIONS TAKEN BY THE SWHP BOARD OF DIRECTORS ARE SUBJECT TO OVERSIGHT AND APPROVAL OF THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES. THE MAJORITY OF THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES IS COMPRISED OF INDIVIDUALS WHO ARE REPRESENTATIVE OF THE COMMUNITY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURNS WERE DISTRIBUTED ELECTRONICALLY TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE FILING DEADLINE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AT THE FIRST BOARD MEETING OF EACH YEAR, OFFICERS AND DIRECTORS ARE REQUIRED TO CERTIFY THAT THEY HAVE READ AND ARE AWARE OF THE CONFLICT OF INTEREST POLICY. ANY CONFLICTS THAT ARE DISCLOSED AT THAT TIME ARE REVIEWED BY LEGAL COUNSEL IN CONJUNCTION WITH THE CEO AND BOARD PRESIDENT TO DETERMINE IN WHICH TRANSACTIONS, IF ANY, THE CONFLICTED OFFICER OR DIRECTOR MAY NOT PARTICIPATE. TRANSACTIONS IN WHICH POTENTIAL CONFLICTS MAY ARISE ARE REVIEWED THROUGHOUT THE YEAR. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION REVIEW PROCESS IS PERFORMED ANNUALLY. THE SCOTT & WHITE HEALTH PLAN'S CEO AND THE SYSTEM OFFICERS ARE INCLUDED IN THE REVIEW. THE PROCESS UTILIZES VARIOUS COMPARATIVE DATA WITH RESPECT TO SIMILAR ORGANIZATIONS. THE PROCEDURES, RATIONALE, AND RESULTS OF THE PROCESS ARE DOCUMENTED AND RETAINED. RECOMMENDED SALARIES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO INDIVIDUALS UPON REQUEST. | |
| FORM 990, PART VII: COMPENSATION | AVERAGE HOURS PER WEEK RECORDED IN COLUMN B FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES REPRESENT TOTAL HOURS WORKED FOR THE ENTIRE SCOTT & WHITE HEALTHCARE SYSTEM. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -1,329,137. |
| DISCLOSURE STATEMENT RELATED TO FORMS 5471 | DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, FILED ON BEHALF OF THE TAXPAYER: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B). THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: SCOTT & WHITE MEMORIAL HOSPITAL TAXPAYER ADDRESS: 2401 S 31ST STREET TEMPLE, TX 76508 TAXPAYER ID NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 74-1166904 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: EFILE |
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