SCOTT & WHITE HEALTH PLAN — Form 990, tax year 2012

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Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
SCOTT & WHITE HEALTH PLAN
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2401 S 31ST STREET
 
Room/suite
City or town, state or country, and ZIP + 4
TEMPLE, TX76508
D Employer identification number

74-2052197
E Telephone number

G Gross receipts $ 622,416,606
F Name and address of principal officer:
ALLAN EINBODEN JR
2401 S 31ST STREET
TEMPLE,TX76508
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SWHP.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1979
M State of legal domicile: TX
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SCOTT & WHITE HEALTH PLAN HAS ADOPTED THE MISSION STATEMENT OF THE SCOTT & WHITE HEALTHCARE SYSTEM: "TO PROVIDE THE MOST PERSONALIZED, COMPREHENSIVE AND HIGHEST QUALITY HEALTH CARE, ENHANCED BY MEDICAL EDUCATION AND RESEARCH."
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 5
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,649,757
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 485,174
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 566,621,584 581,983,255
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -148,906 1,860,506
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,896,438 4,733,622
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 571,369,116 588,577,383
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 495,905,568 498,242,824
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 37,480,999 36,776,482
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 41,442,014 47,477,527
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 574,828,581 582,496,833
19 Revenue less expenses. Subtract line 18 from line 12....... -3,459,465 6,080,550
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 126,541,016 140,558,773
21 Total liabilities (Part X, line 26)............. 75,221,673 83,185,460
22 Net assets or fund balances. Subtract line 21 from line 20..... 51,319,343 57,373,313
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: SCOTT & WHITE MEMORIAL HOSPITAL HAS ADOPTED THE MISSION STATEMENT OF THE SCOTT & WHITE HEALTHCARE SYSTEM: "TO PROVIDE THE MOST PERSONALIZED, COMPREHENSIVE AND HIGHEST QUALITY HEALTH CARE, ENHANCED BY MEDICAL EDUCATION AND RESEARCH."
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 539,895,966 including grants of $   ) (Revenue $ 580,067,120 )
SCOTT & WHITE PROVIDES PERSONALIZED, COMPREHENSIVE, HIGH QUALITY HEALTH CARE SERVICES ENHANCED BY MEDICAL EDUCATION AND RESEARCH THROUGH 12 ACUTE CARE HOSPITAL FACILITIES, TWO ADDITIONAL ANNOUNCED FACILITIES, A 240,000+ MEMBER REGIONAL HEALTH PLAN SERVING RESIDENTS IN A 29,000-SQUARE MILE SERVICE AREA, AND ONE OF THE NATION'S LARGEST MULTI-SPECIALTY GROUP PRACTICES WITH MORE THAN 178 CLINICS AT 65 CLINIC LOCATIONS PROVIDING CARE IN 46 MEDICAL SPECIALTIES. SCOTT & WHITE HEALTH PLAN ("SWHP") IS A SUBSIDIARY OF SCOTT & WHITE HEALTHCARE ("SWHC")(EIN: 26-4532547), THE PARENT CORPORATION OF THE SCOTT & WHITE HEALTHCARE SYSTEM (THE "SYSTEM"). THE SCOTT & WHITE HEALTHCARE FOUNDATION ("SWF")(EIN: 27-3513154), A SUBSIDIARY OF SWHC, RAISES FUNDS FOR THE PRIORITY PROGRAMS AND SERVICES OF THE ENTIRE SCOTT & WHITE SYSTEM. THE SCOTT & WHITE HEALTHCARE SYSTEM PROVIDED AT COST APPROXIMATELY: $60 MILLION IN UNREIMBURSED CHARITY CARE, $46 MILLION IN UNREIMBURSED MEDICAID, $4.5 MILLION IN UNREIMBURSED INDIGENT CARE, $21 MILLION IN UNREIMBURSED SUBSIDIZED SERVICES, $63 MILLION IN UNREIMBURSED HEALTH PROFESSIONS EDUCATION, $13 MILLION IN UNREIMBURSED RESEARCH, $1 MILLION IN OTHER COMMUNITY BENEFITS, AND HAD A MEDICARE SHORTFALL OF APPROXIMATELY $96 MILLION IN THE FISCAL YEAR ENDING AUGUST 31, 2012. THE SCOTT & WHITE HEALTHCARE SYSTEM HAD MORE THAN 14,000 EMPLOYEES, INCLUDING OVER 1,000 PHYSICIANS AND SCIENTISTS AND 300+ ADVANCED PRACTICE PROFESSIONALS DURING THE FISCAL YEAR ENDING AUGUST 31, 2012, AND SERVED OVER 537,000 PATIENTS ACCOUNTING FOR 2.2 MILLION PATIENT VISITS. SCOTT & WHITE MEMORIAL HOSPITAL ("SWMH"), LOCATED IN TEMPLE, TEXAS, IS THE FLAGSHIP HOSPITAL OF THE SCOTT & WHITE HEALTHCARE SYSTEM AND IS THE ONLY LEVEL I TRAUMA CENTER BETWEEN DALLAS AND AUSTIN, TEXAS. THE MCLANE CHILDREN'S HOSPITAL SCOTT & WHITE IS THE ONLY STAND-ALONE CHILDREN'S HOSPITAL BETWEEN DALLAS AND AUSTIN, TEXAS. SCOTT & WHITE HEALTH PLAN BEGAN OPERATIONS IN JANUARY 1982 AS A NOT FOR PROFIT HEALTH MAINTENANCE ORGANIZATION. CURRENTLY, ITS SERVICE AREA COVERS 71 COUNTIES IN CENTRAL, EAST, AND WEST TEXAS PROVIDING COVERAGE TO APPROXIMATELY 186,000 MEMBERS. SWHP PROVIDES COVERAGE TO SENIOR AND SPECIAL NEEDS POPULATIONS THROUGH FEDERAL AND STATE PROGRAMS INCLUDING MEDICARE (25,000 MEMBERS) AND THE TEXAS STAR MEDICAID PROGRAM (31,000 MEMBERS).SWHP IS COMMITTED TO PROVIDING PROGRAMS AND SERVICES THAT IMPROVE THE HEALTH OF ITS MEMBERS AND THE HEALTH OF THE COMMUNITIES WHERE THEY LIVE. SWHP IS FULLY ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). SWHP IS LISTED AS BOTH THE HIGHEST RATED COMMERCIAL HMO AND THE HIGHEST RATED MEDICARE PLAN IN TEXAS, ACCORDING THE 2012-2013 NCQA PRIVATE INSURANCE PLAN RANKING AND MEDICARE HEALTH INSURANCE PLAN.ADDITIONALLY, ACCORDING TO THE OFFICE OF PUBLIC INSURANCE COUNSEL "GUIDE TO TEXAS HMO QUALITY: 2012", SWHP HAS THE HIGHEST RATING IN TEXAS, EXCEEDING NATIONAL AND TEXAS AVERAGES FOR THE FOLLOWING CATEGORIES: PERSISTENCE OF BETA BLOCKER TREATMENT AFTER HEART ATTACK, COLORECTAL CANCER SCREENING RATE, BREAST CANCER SCREENING RATE, CHLAMYDIA SCREENING RATE (AGE 21-14), CHOLESTEROL MANAGEMENT: LDL-C CONTROL (<100MG/DL) AFTER ACUTE CARDIOVASCULAR EVENT, COMPREHENSIVE DIABETES CARE (HBA1C TESTING, EYE EXAM, LDL-C CONTROL <100MG/DL, MEDICAL ATTENTION FOR DIABETIC NEPHROPATHY), AND BOARD CERTIFICATION RATE.SWHP DEPLOYS NUMEROUS PROGRAMS TO ITS MEMBERS TO IMPROVE THEIR HEALTH AND ACHIEVE HIGHER QUALITY HEALTH OUTCOMES. SWHP'S VITALCARE PROGRAMS INCLUDE: VITALITY COORDINATORS NURSES DEPLOYED INTO CLINICS THROUGHOUT THE AREA TO WORK WITH PATIENTS WITH CHRONIC CONDITIONS; DIABETES DAYS FREE LOCAL EVENTS WHERE SWHP MEMBERS ARE INVITED TO BE SCREENED FOR MANY DIABETES SYMPTOMS INCLUDING FOOT EXAMS, EYE EXAMS, AND BIOMETRIC SCREENINGS; VITALBRIDGES A PROGRAM WHERE SWHP MEMBERS ARE CONTACTED AFTER LEAVING A HOSPITAL SETTING TO ASSIST THE MEMBER WITH POST DISCHARGE CARE COORDINATION AND QUESTIONS; AND HEALTH COACHING - ACCESS TO PERSONAL HEALTH COACHES TO ASSIST MEMBERS WITH CHRONIC CONDITION MANAGEMENT AND OTHER HEALTH RELATED QUESTIONS. SWHP ALSO PROVIDES FREE NON-EMERGENT TRANSPORTATION TO ITS SENIOR MEMBERS TO ASSIST THEM IN GETTING THE CARE THAT THEY NEED, WHEN THEY NEED IT.SWHP HAS DEVELOPED NUMEROUS PROGRAMS TARGETED AT OBESITY AND MADE THEM AVAILABLE TO HEALTH PLAN MEMBERS AS WELL AS MEMBERS OF THE COMMUNITY. SPECIFICALLY, "STEP UP, SCALE DOWN" IS A 12 WEEK PROGRAM FEATURING NUTRITION AND EXERCISE EDUCATION AND "DINNER TONIGHT" IS A COOKING CLASS PROVIDED AROUND THE COMMUNITY OFFERING COOKING EDUCATION AND FEATURING RECIPES FOR HEALTHY FOODS THAT ARE EASY TO MAKE.SCOTT & WHITE SYSTEM PERSONNEL STRIVE TO DO MORE THAN MERELY MEET THE HEALTHCARE NEEDS OF PATIENTS. EMPLOYEES GO INTO THE COMMUNITY TO EDUCATE ABOUT LIVING A HEALTHIER LIFE. TARGETED POPULATIONS ARE PROVIDED INFORMATION ON SPECIFIC NEEDS. FOR EXAMPLE, PHYSICIANS SPECIALIZING IN GERIATRIC CARE HOLD REGULAR SEMINARS DISCUSSING SUBJECTS SUCH AS PREVENTING INJURY FROM FALLS, QUESTIONS PATIENTS SHOULD BE ASKING THEIR DOCTOR, HOW TO MAINTAIN A HEALTHY LIFESTYLE WITH LIMITED MOBILITY, AND MORE. HEALTH EDUCATIONAL PROGRAMS REGARDING PREVENTION AND TREATMENT ARE OFFERED FREE OR AT MINIMAL COST TO ALL COMMUNITY MEMBERS IN A VARIETY OF SUBJECT AREAS, SUCH AS WEIGHT LOSS, SMOKING CESSATION, EDUCATION ON COPING WITH A DIAGNOSIS, SUPPORT GROUPS FOR FAMILIES, CHILD SAFETY, HEART DISEASE EDUCATION, DIABETES EDUCATION, SEX EDUCATION FOR TEENS, DOMESTIC VIOLENCE PREVENTION AND MANY MORE. STAFF AND PHYSICIANS ATTEND HEALTH FAIRS IN THE COMMUNITY AND PROVIDE REGULAR COMMUNITY PRESENTATIONS ABOUT HEALTH ISSUES FOR DIFFERENT POPULATIONS. CLINICS IN THE REGION OFFER HEALTHY COOKING CLASSES LED BY A SCOTT & WHITE DIETICIAN TO INSTRUCT FAMILIES IN CREATING EASY AND COST EFFECTIVE HEALTHY MEALS. AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, SCOTT & WHITE IS ABLE TO LEVERAGE THE SCOTT & WHITE HEALTH PLAN TO PROVIDE HEALTH EDUCATION INFORMATION TO THE COMMUNITY AND IS ACTIVELY WORKING TO MAKE THAT INFORMATION MORE WIDELY AVAILABLE.SCOTT & WHITE USES VARIOUS FORMS OF MEDIA TO PROMOTE HEALTH IN THE COMMUNITY. THE SYSTEM WEBSITE, BLOGS, SOCIAL MEDIA, PRINTED FLYERS, AND NEWSPAPER AND MAGAZINE ARTICLES WRITTEN BY STAFF AND PHYSICIANS THROUGHOUT THE YEAR PROVIDE INFORMATION THAT COMMUNITY MEMBERS CAN USE TO ENHANCE PERSONAL HEALTH. A SPECIFIC WEBSITE HAS BEEN CREATED TO INSTRUCT ON WELLNESS INITIATIVES (WELLNESS.SW.ORG). ALSO, SCOTT & WHITE STAFF DEDICATE MANY HOURS SERVING ON COMMUNITY BOARDS AND COLLABORATIVE GROUPS WHOSE MISSIONS ARE TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. IN ADDITION TO THESE EFFORTS, THE SYSTEM HAS DESIGNATED SPECIFIC FUNDS TO BE USED TO ENHANCE HEALTHY INITIATIVES OCCURRING IN EACH COMMUNITY. FOR EXAMPLE, SCOTT & WHITE PROVIDES SUBSTANTIAL FINANCIAL AND IN-KIND SUPPORT FOR MULTIPLE FREE CLINICS TO ASSIST IN PROVIDING BETTER ACCESS AND MORE AFFORDABLE HEALTHCARE TO THE MEDICALLY UNDERSERVED. SCOTT & WHITE IS ONE OF SIXTEEN MAJOR U.S. HEALTH SYSTEMS TO BE PART OF THE NATIONAL HIGH VALUE HEALTHCARE COLLABORATIVE ("HVHC"). THIS PARTNERSHIP IS DESIGNED TO IMPROVE HEALTHCARE, LOWER COSTS AND MAKE BEST PRACTICES AVAILABLE TO THE NATIONAL PROVIDER COMMUNITY. THE DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE LEADS THE COLLABORATIVE WHICH IS STUDYING NINE PREVALENT CONDITION/DISEASE SPECIFIC AREAS THAT HAVE BEEN SHOWN TO HAVE WIDE VARIATION NATIONALLY IN RATES, COSTS AND OUTCOMES. ADDITIONAL HIGH VARIATION, HIGH COST CONDITIONS THAT AFFECT DIVERSE POPULATIONS WILL BE ADDED OVER TIME. THE HEALTHCARE SYSTEMS IN THIS GROUP ARE RESPONSIBLE FOR 50 MILLION PATIENTS AND ARE USING PRIVATE DOLLARS AND RESEARCH AND GRANT FUNDS TO IDENTIFY WAYS TO GET THE MOST OUT OF EVERY HEALTHCARE DOLLAR. IN JUNE OF 2012 THE HVHC RECEIVED A $26 MILLION GRANT FROM THE CENTER FOR MEDICARE AND MEDICAID INNOVATION ("CMMI"). CMMI PROJECTS THE SERVICE IMPROVEMENTS FUNDED BY THIS GRANT WILL SAVE $64 MILLION OVER THREE YEARS, LARGELY DUE TO REDUCED UTILIZATION AND COSTS THAT HAVE BEEN SHOWN TO OCCUR WHEN PATIENTS ARE ENGAGED AND EMPOWERED TO MAKE HEALTH CARE DECISIONS BASED ON THEIR OWN VALUES AND PREFERENCES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet539,895,966
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
3,814
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
5
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletALLAN EINBODEN JR2401 S 31ST STREETTEMPLETX76508 (254) 724-3000
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) ROBERT PRYOR MD........................................................................
DIRECTOR, CHAIRMAN, SYSTEM CHIEF EXECUTIVE OFFICER
 1.00
.......................40.00 		X   X       0 1,202,973 52,070
(2) ANDREJS E AVOTS-AVOTINS MD........................................................................
DIRECTOR, VICE-CHAIRMAN
 1.00
.......................40.00 		X   X       0 533,290 53,781
(3) LILLIAN ANN WOLF FARRIS........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(4) GARLYN SHELTON........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(5) ROBERT KEIFER MARSHALL JR........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(6) JEFFREY MICHAEL HUNTER........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(7) JANANN WILLIAMS........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(8) GAIL LENORE PEEK........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(9) LOUIS STANLEY CASEY JR........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(10) CLYDE GAMRELL SANSING JR........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(11) JOHN ANTHONY HALE........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(12) PAUL BUSCH........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(13) DONALD R GROBOSKY........................................................................
SECRETARY/TREASURER
 1.00
.......................   		X   X       0 0 0
(14) ALLAN EINBODEN JR........................................................................
DIRECTOR, PRESIDENT, CHIEF EXECUTIVE OFFICER
 40.00
.......................   		    X       0 609,712 52,128
(15) MARINAN RENZ WILLIAMS........................................................................
CHIEF OPERATING OFFICER
 40.00
.......................   		    X       0 347,758 42,962
(16) SCOTT DICKISON........................................................................
CHIEF FINANCIAL OFFICER
 40.00
.......................   		    X       0 196,415 9,086
(17) MARYLOU BUYSE MD........................................................................
CHIEF MEDICAL OFFICER
 40.00
.......................   		    X       0 361,688 53,599
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) STEPHEN P BUSH........................................................................
ASSOCIATE VICE PRESIDENT FINANCE
 40.00
.......................   		        X   0 177,829 40,455
(19) SCOTT A NICKLEBUR........................................................................
MEDICAID SERVICES CHIEF MEDICAL OFFICER/CHIEF OPER
 40.00
.......................   		        X   0 323,496 52,026
(20) LEE GREEN........................................................................
ASSOCIATE EXECUTIVE DIRECTOR
 40.00
.......................   		        X   0 236,625 45,861
(21) JOHN CHADDICK........................................................................
ASSOCIATE EXECUTIVE DIRECTOR
 40.00
.......................   		        X   0 209,634 43,504
(22) MARIA C LIMA-LEITE........................................................................
VICE PRESIDENT NETWORK DEVELOPMENT
 40.00
.......................   		        X   0 213,675 46,765
(23) MICHELLE DELEGRAM........................................................................
FORMER DIRECTOR
 20.00
.......................   		          X 0 69,875 0














1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 0 4,482,970 492,237
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet22
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
AXIOM SYSTEMS241 E FOURTH STREET SUITE 120FREDERICKMD21701 INFORMATION SYSTEMS SUPPORT 2,853,053
HEALTH INTEGRATED10008 N DALE MABRY HWY STE 214TAMPAFL33618 CONDITION MANAGEMENT 2,405,324
HC&B INCORPORATED701 BRAZOS SUITE 1450AUSTINTX78701 ADVERSITING 1,984,948
ANDERTON GROUP II LTDPO BOX 23007WACOTX76702 MAIL DELIVERY 1,075,321
MULTIPLAN INCPO BOX 29395NEW YORKNY10003 COLLECTIONS 996,594
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet37
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a HMO REVENUE 524114 581,983,255 578,502,670 3,480,585  
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 581,983,255
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,247,206     1,247,206
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 11,594,096  
b Less: cost or other basis and sales expenses 10,980,796  
c Gain or (loss) 613,300  
d Net gain or (loss)..........MediumBullet 613,300     613,300
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 27,393,613
b Less: cost of goods sold ..b 22,858,427
c Net income or (loss) from sales of inventory..MediumBullet 4,535,186 1,366,014 3,169,172  
Miscellaneous Revenue Business Code
11a MISCELLANEOUS INCOME 524298 198,436 198,436    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 198,436
12 Total revenue. See Instructions......MediumBullet 588,577,383 580,067,120 6,649,757 1,860,506
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members 498,242,824 498,242,824
5 Compensation of current officers, directors, trustees, and key employees ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 30,273,028 27,245,725 3,027,303  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 6,503,454 5,853,109 650,345  
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 86,459   86,459  
c Accounting ........... 545,061   545,061  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 247,750   247,750  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 15,402,224 170,584 15,231,640  
12 Advertising and promotion .... 3,020,419   3,020,419  
13 Office expenses ....... 7,788,928   7,788,928  
14 Information technology ...... 4,192,247   4,192,247  
15 Royalties ..        
16 Occupancy ........... 2,063,862   2,063,862  
17 Travel ............ 427,683   427,683  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 138,978   138,978  
20 Interest ........... 158,788   158,788  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 532,059   532,059  
23 Insurance .............. 416,303   416,303  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a STATE PREM/MAINT. TAX 5,365,298 5,365,298    
b TX RISK POOL ASSESSMENT 2,271,512 2,271,512    
c A&G - O/H ALLOCATION 2,236,101   2,236,101  
d DUES, FEES, & SUBS. 1,497,347 59,835 1,437,512  
e All other expenses 1,086,508 687,079 399,429  
25 Total functional expenses. Add lines 1 through 24e 582,496,833 539,895,966 42,600,867 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 439,001 1 183,220
2 Savings and temporary cash investments ......... 16,515,229 2 15,261,568
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 49,872,755 4 54,335,627
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 5,497,481 8 3,856,263
9 Prepaid expenses and deferred charges .......... 0 9 0
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 19,237,821
b Less: accumulated depreciation ..... 10b 1,094,863 18,669,687 10c 18,142,958
11 Investments—publicly traded securities .......... 32,348,542 11 44,414,686
12 Investments—other securities. See Part IV, line 11 ..... 2,984,934 12 4,348,618
13 Investments—program-related. See Part IV, line 11 ..... 0 13  
14 Intangible assets ............... 63,333 14 15,833
15 Other assets. See Part IV, line 11 ........... 150,054 15  
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 126,541,016 16 140,558,773
Liabilities 17 Accounts payable and accrued expenses ......... 50,917,570 17 54,594,506
18 Grants payable .................   18  
19 Deferred revenue ................ 6,608,713 19 8,661,481
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 15,040,089 23 15,038,375
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 2,655,301 25 4,891,098
26 Total liabilities. Add lines 17 through 25......... 75,221,673 26 83,185,460
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..............   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........ 0 30 0
31 Paid-in or capital surplus, or land, building or equipment fund ..... 0 31 0
32 Retained earnings, endowment, accumulated income, or other funds 51,319,343 32 57,373,313
33 Total net assets or fund balances ........... 51,319,343 33 57,373,313
34 Total liabilities and net assets/fund balances ........ 126,541,016 34 140,558,773
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
588,577,383
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
582,496,833
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
6,080,550
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
51,319,343
5
Net unrealized gains (losses) on investments ...............
5
2,002,215
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-2,028,795
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
57,373,313
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SCOTT & WHITE HEALTH PLAN
 
Employer identification number

74-2052197
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   1,681,496 1,681,496
b Buildings ................   17,520,232 1,058,770 16,461,462
c Leasehold improvements ............        
d Equipment ................   36,093 36,093 0
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 18,142,958
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 100,317
REINSURANCE PAYABLE 43,234
AMOUNTS WITHHELD OR RETAINED FOR THE ACCOUNT OF OTHERS 300,479
GENERAL SUSPENSE LIABILITY 513
AMOUNTS DUE TO RELATED PARTY 1,324,273
CMS RESERVE LIABILITY 3,121,768
UNCLAIMED PROPERTY 514



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 4,891,098
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 579,373,193
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 579,373,193
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 9,204,191
c Add lines 4a and 4b....................... 4c 9,204,191
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 588,577,384
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 573,292,642
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 573,292,642
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 9,204,191
c Add lines 4a and 4b....................... 4c 9,204,191
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 582,496,833
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:   THIRD PARTY ADMINISTRATIVE SERVICE FEES 7,674,923. INTEREST INCOME 1,247,206. NET REALIZED GAINS/LOSSES 613,300. DST RX FEES 20,154. INVENTORY SPOILAGE -351,392.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   THIRD PARTY ADMINISTRATIVE SERVICE FEES 7,674,923. INTEREST EXPENSE 1,247,206. NET REALIZED GAINS/LOSSES 613,300. DST RX FEES 20,154. INVENTORY SPOILAGE -351,392.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SCOTT & WHITE HEALTH PLAN
 
Employer identification number

74-2052197
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)ROBERT PRYOR MDDIRECTOR, CHAIRMAN, SYSTEM CHIEF EXE (i)
(ii)		 0
895,623 		0
300,000 		0
7,350 		0
32,500 		0
19,570 		0
1,255,043 		0
0
(2)ANDREJS E AVOTS-AVOTINS MDDIRECTOR, VICE-CHAIRMAN (i)
(ii)		 0
521,642 		0
8,980 		0
2,668 		0
32,500 		0
21,281 		0
587,071 		0
0
(3)ALLAN EINBODEN JRDIRECTOR, PRESIDENT, CHIEF EXECUTIVE (i)
(ii)		 0
447,252 		0
158,025 		0
4,435 		0
32,500 		0
19,628 		0
661,840 		0
0
(4)MARINAN RENZ WILLIAMSCHIEF OPERATING OFFICER (i)
(ii)		 0
281,604 		0
64,750 		0
1,404 		0
32,500 		0
10,462 		0
390,720 		0
0
(5)SCOTT DICKISONCHIEF FINANCIAL OFFICER (i)
(ii)		 0
151,212 		0
45,000 		0
203 		0
0 		0
9,086 		0
205,501 		0
0
(6)MARYLOU BUYSE MDCHIEF MEDICAL OFFICER (i)
(ii)		 0
294,325 		0
64,650 		0
2,713 		0
32,500 		0
21,099 		0
415,287 		0
0
(7)STEPHEN P BUSHASSOCIATE VICE PRESIDENT FINANCE (i)
(ii)		 0
137,098 		0
40,600 		0
131 		0
23,893 		0
16,562 		0
218,284 		0
0
(8)SCOTT A NICKLEBURMEDICAID SERVICES CHIEF MEDICAL OFFI (i)
(ii)		 0
272,970 		0
50,250 		0
276 		0
32,500 		0
19,526 		0
375,522 		0
0
(9)LEE GREENASSOCIATE EXECUTIVE DIRECTOR (i)
(ii)		 0
220,374 		0
15,250 		0
1,001 		0
31,210 		0
14,651 		0
282,486 		0
0
(10)JOHN CHADDICKASSOCIATE EXECUTIVE DIRECTOR (i)
(ii)		 0
168,038 		0
40,400 		0
1,196 		0
27,746 		0
15,758 		0
253,138 		0
0
(11)MARIA C LIMA-LEITEVICE PRESIDENT NETWORK DEVELOPMENT (i)
(ii)		 0
173,028 		0
40,400 		0
247 		0
28,683 		0
18,082 		0
260,440 		0
0
(12)MICHELLE DELEGRAMFORMER DIRECTOR (i)
(ii)		 0
69,875 		0
0 		0
0 		0
0 		0
0 		0
69,875 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 7 DISCRETIONARY BONUSES ARE AN ELEMENT OF VARIOUS SCOTT & WHITE HEALTHCARE SYSTEM (THE "SYSTEM") COMPENSATION PLANS. THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES, WHICH IS THE GOVERNING BODY OF THE SCOTT & WHITE HEALTHCARE SYSTEM AND THE BOARD COMPENSATION COMMITTEE HAVE APPROVED PLANS DESIGNED TO MEASURE PERFORMANCE BASED ON DIFFERING JOB FUNCTIONS. THE BOARD OF TRUSTEES APPROVES THE BONUS POOLS RESERVED FOR THE VARIOUS PLANS. THE BOARD OF TRUSTEES DETERMINES AND APPROVES THE BONUS, IF ANY, FOR THE SYSTEM'S CHIEF EXECUTIVE OFFICERS AND OTHER EXECUTIVE LEVEL PERSONNEL.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SCOTT & WHITE HEALTH PLAN
 
Employer identification number

74-2052197
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) JARROD R PRYOR FAMILY MEMBER OF OFFICER 83,757 EMPLOYEE OF A RELATED ORGANIZATION IN THE SCOTT & WHITE HEALTHCARE SYSTEM   No
(2) GARLYN SHELTON DIRECTOR OF SCOTT & WHITE HEALTH PLAN 1,021,342 GARLYN SHELTON IS THE OWNER OF GARLYN SHELTON AUTO GROUP, A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SCOTT & WHITE HEALTH PLAN   No
(3) KRISTIN A MURPHY FAMILY MEMBER OF OFFICER 29,448 EMPLOYEE OF A RELATED ORGANIZATION IN THE SCOTT & WHITE HEALTHCARE SYSTEM   No
(4) JOHN ANTHONY HALE DIRECTOR OF SCOTT & WHITE HEALTH PLAN 234,823 JOHN ANTHONY HALE IS THE CHIEF EXECUTIVE OFFICER OF TEXELL CREDIT UNION, A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SCOTT AND WHITE HEALTH PLAN.   No
(5) JEFF HUNTER DIRECTOR OF SCOTT & WHITE HEALTH PLAN 148,245 JEFF HUNTER IS THE OWNER OF JEFF HUNTER MOTORS, INC., A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SCOTT & WHITE HEALTH PLAN.   No
(6) DONALD R GROBOWSKY DIRECTOR OF SCOTT & WHITE HEALTH PLAN 357,814 DONALD R. GROBOWSKY IS CHAIRMAN AND CEO OF FIRST STATE BANK, A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SCOTT & WHITE HEALTH PLAN.   No
(7) LOUIS S CASEY JR DIRECTOR OF SCOTT & WHITE HEALTH PLAN 357,814 LOUIS S. CASEY, JR. IS A DIRECTOR OF FIRST STATE BANK, A BUSINESS PROVIDED GROUP INSURANCE COVERAGE BY SCOTT & WHITE HEALTH PLAN.   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
SCOTT & WHITE HEALTH PLAN
 
Employer identification number

74-2052197
Identifier Return Reference Explanation
  PART V, LINE 2A: STATEMENTS REGARDING OTHER IRS FILING AND TAX COMPLIANCE FORM 990, PART V, LINE 2A: EMPLOYEES OF THE SCOTT & WHITE HEALTHCARE SYSTEM ARE EMPLOYED BY SCOTT & WHITE MEMORIAL HOSPITAL ("SWMH")(EIN: 74-1166904) OR SCOTT & WHITE CLINIC ("SWC")(EIN: 74-2958277). THIS IS DONE TO ACHIEVE PARITY AND CONSISTENCY IN COMPENSATION AND BENEFITS OFFERED TO EMPLOYEES AND TO REDUCE ADMINISTRATION 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 ENTITY FOR WHICH SERVICES ARE RENDERED. OVERSIGHT OF AND RESPONSIBILITY FOR THE ACTIVITIES OF EMPLOYEES ARE VESTED IN THE BOARD OF DIRECTORS AND MANAGEMENT OF THE SCOTT & WHITE ENTITY TO WHICH SUCH EMPLOYEES ARE ASSIGNED. 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 ("SWHC")(EIN: 26-4532547), AN ORGANIZATION EXEMPT FROM TAX UNDER IRC SECTION 501(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 ("SWHC")(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 HEALTHCARE 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 ("SWHP") SOLE MEMBER IS SCOTT & WHITE HEALTHCARE ("SWHC")(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 MEMBERS OF THE SCOTT & WHITE HEALTH PLAN ("SWHP") BOARD OF DIRECTORS WERE EACH PROVIDED A COPY OF FORM 990 PRIOR TO FILING WITH THE IRS. A MEETING WAS HELD TO ALLOW THE DIRECTORS TO ASK QUESTIONS AND PROVIDE FEEDBACK WITH RESPECT TO THE INFORMATION PRESENTED IN THE FORM 990.
  FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, A WRITTEN QUESTIONNAIRE IS PROVIDED TO ALL PERSONS IDENTIFIED AS BEING SUBJECT TO THE SCOTT & WHITE HEALTHCARE SYSTEM CONFLICT OF INTEREST POLICY (TAX), REQUESTING RESPONSES TO QUESTIONS DESIGNED TO IDENTIFY POTENTIAL CONFLICTS. RESPONSES ARE MONITORED AND REVIEWED BY SYSTEM PERSONNEL AND FOLLOW-UPS ARE INITIATED AS REQUIRED. THE CONFLICT OF INTEREST POLICY (TAX) IS REVIEWED BEFORE EACH BOARD MEETING OR BOARD COMMITTEE MEETING. BOARD MEMBERS OR PERSONS HAVING BUSINESS WITH THE BOARD ARE ASKED TO IDENTIFY CONFLICTS WHICH MAY ARISE WITH RESPECT TO BUSINESS CONDUCTED BY THE BOARD OR COMMITTEE DURING THE MEETING.
  FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION REVIEW PROCESS IS PERFORMED ANNUALLY. ALL PHYSICIAN COMPENSATION IS REVIEWED INCLUDING PAY, PRODUCTION DATA AND TOTAL COMPENSATION. THE PHYSICIAN COMPENSATION IS THEN BENCHMARKED AGAINST INDUSTRY STANDARDS USING DATA FROM TEN DIFFERENT INDUSTRY SURVEYS. THIS REVIEW IS PERFORMED BY AN INDEPENDENT CONSULTANT AND PRESENTED TO THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES COMPENSATION COMMITTEE. SCOTT & WHITE HEALTHCARE ("SWHC")(EIN: 26-4532547) IS THE PARENT CORPORATION OF SCOTT & WHITE HEALTH PLAN ("SWHP"). COMPENSATION FOR THE SCOTT AND WHITE HEALTHCARE SYSTEM (THE "SYSTEM") OFFICERS ALONG WITH REGIONAL CHIEF EXECUTIVE OFFICERS AND CHIEF MEDICAL OFFICERS ARE REVIEWED ANNUALLY. AN INDEPENDENT CONSULTANT COMPARES TOTAL COMPENSATION TO BENCHMARK SURVEYS. THE SCOTT & WHITE HEALTHCARE BOARD OF TRUSTEES COMPENSATION COMMITTEE REVIEWS THE COMPENSATION AND COMPARABILITY DATA ANNUALLY.
  FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 1023, FORM 990, AND FORM 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
  FORM 990, PART VI, SECTION C, LINE 19 THE SCOTT & WHITE HEALTH PLAN ("SWHP") GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY (TAX) ARE AVAILABLE TO THE PUBLIC UPON REQUEST. SWHP HAS A CALENDAR YEAR STATUTORY AUDIT THAT COINCIDES WITH ITS YEAR END. SWHP IS ALSO INCLUDED AS PART OF THE AUGUST 31 FISCAL YEAR AUDITED FINANCIAL STATEMENTS OF THE SCOTT & WHITE HEALTHCARE SYSTEM ARE AVAILABLE AT HTTP://WWW.DACBOND.COM AND 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 9: CHANGE IN NONADMITTED ASSETS -2,028,795.
  PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
SCOTT & WHITE HEALTH PLAN
 
Employer identification number

74-2052197
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) SCOTT & WHITE PROPERTIES OPPORTUNITIES LLC
2401 S 31ST STREET
TEMPLE,TX76508
45-2920812 		INVESTMENT TX 0 0 SCOTT & WHITE PROPERTIES HOLDINGS INC
 
(2) SCOTT & WHITE PROPERTIES MANAGEMENT LLC
2401 S 31ST STREET
TEMPLE,TX76508
45-2920980 		INVESTMENT TX 0 0 SCOTT & WHITE PROPERTIES OPPORTUNITIES LLC
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) SCOTT & WHITE HEALTHCARE

2401 S 31ST STREET

TEMPLE,TX76508
26-4532547 		OPERATIONAL SUPPORT TX 501(C)(3) LINE 11A, I N/A
 
No
(2) SCOTT & WHITE MEMORIAL HOSPITAL

2401 S 31ST STREET

TEMPLE,TX76508
74-1166904 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(3) SCOTT & WHITE CLINIC

2401 S 31ST STREET

TEMPLE,TX76508
74-2958277 		PHYSICIAN SERVICES TX 501(C)(3) LINE 9 SCOTT & WHITE HEALTHCARE
 
Yes
 
(4) SCOTT & WHITE HOSPITAL - ROUND ROCK

2401 S 31ST STREET

TEMPLE,TX76508
20-3749695 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(5) SCOTT & WHITE HEALTHCARE FOUNDATION

2401 S 31ST STREET

TEMPLE,TX76508
27-3513154 		FUNDRAISING TX 501(C)(3) LINE 7 SCOTT & WHITE HEALTHCARE
 
Yes
 
(6) SCOTT & WHITE CONTINUING CARE HOSPITAL

2401 S 31ST STREET

TEMPLE,TX76508
20-2850920 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(7) SCOTT & WHITE HOSPITAL - TAYLOR

2401 S 31ST STREET

TEMPLE,TX76508
74-1595711 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(8) SCOTT & WHITE HOSPITAL - LLANO

2401 S 31ST STREET

TEMPLE,TX76508
27-3026151 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(9) SCOTT & WHITE HOSPITAL - BRENHAM

2401 S 31ST STREET

TEMPLE,TX76508
74-2519752 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(10) BRENHAM CARE CENTER

2401 S 31ST STREET

TEMPLE,TX76508
74-2663229 		HEALTHCARE TX 501(C)(3) LINE 9 SCOTT & WHITE HEALTHCARE
 
Yes
 
(11) BRENHAM HOSPITAL SERVICES CORPORATION

2401 S 31ST STREET

TEMPLE,TX76508
74-2605157 		OPERATIONAL SUPPORT TX 501(C)(3) LINE 11A, I SCOTT & WHITE HEALTHCARE
 
Yes
 
(12) SCOTT & WHITE FOUNDATION - BRENHAM

2401 S 31ST STREET

TEMPLE,TX76508
74-2460815 		FUNDRAISING TX 501(C)(3) LINE 7 SCOTT & WHITE HEALTHCARE
 
Yes
 
(13) SCOTT & WHITE HOSPITAL - COLLEGE STATION

2401 S 31ST STREET

TEMPLE,TX76508
27-4434451 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
(14) SCOTT & WHITE EMS INC

2401 S 31ST STREET

TEMPLE,TX76508
75-3242749 		EMERGENCY TRANSPORTATION TX 501(C)(3) LINE 9 SCOTT & WHITE MEMORIAL HOSPITAL
 
Yes
 
(15) HILLCREST BAPTIST MEDICAL CENTER

100 HILLCREST MEDICAL BLVD

WACO,TX76712
74-1161944 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE MEMORIAL HOSPITAL
 
Yes
 
(16) HILLCREST FAMILY HEALTH CENTER

100 HILLCREST MEDICAL BLVD

WACO,TX76712
74-2730350 		PHYSICIAN SERVICES TX 501(C)(3) LINE 11C, III-FI HILLCREST BAPTIST MEDICAL CENTER
 
Yes
 
(17) HILLCREST PHYSICIAN SERVICES

100 HILLCREST MEDICAL BLVD

WACO,TX76712
74-2967081 		PHYSICIAN SERVICES TX 501(C)(3) LINE 11C, III-FI HILLCREST BAPTIST MEDICAL CENTER
 
Yes
 
(18) SCOTT & WHITE LAKE OF THE HILLS REGIONAL MEDICAL CENTER

2401 S 31ST STREET

TEMPLE,TX76508
45-1608264 		HOSPITAL SERVICES TX 501(C)(3) LINE 3 SCOTT & WHITE HEALTHCARE
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) INSURANCE COMPANY OF SCOTT & WHITE

2401 S 31ST STREET
TEMPLE,TX76508
74-3092083 		INSURANCE TX SCOTT & WHITE HEALTH PLAN
  		C 2,047,712 6,622,706 100.000 % Yes  
(2) SCOTT & WHITE ASSURANCE

23 LIME BAY
GRAND CAYMAN    
CJ
98-0589956 		INVESTMENT CJ SCOTT & WHITE MEMORIAL HOSPITAL
  		C       Yes  
(3) SCOTT & WHITE PROPERTIES INC

2401 S 31ST STREET
TEMPLE,TX76508
74-2497061 		HOTEL SERVICES TX SCOTT & WHITE PROPERTIES MANAGEMENT LLC
  		C       Yes  
(4) HILLCREST HOLDINGS INC

3000 HERRING ST
WACO,TX76708
74-2793367 		OPERATIONAL SUPPORT TX HILLCREST BAPTIST MEDICAL CENTER
  		C       Yes  
(5) ATUMIDA

2401 S 31ST STREET
TEMPLE,TX76508
27-0583030 		RESEARCH TX SCOTT & WHITE MEMORIAL HOSPITAL
  		C       Yes  
(6) SCOTT & WHITE PROPERTIES HOLDINGS INC

2401 S 31ST STREET
TEMPLE,TX76508
45-2920596 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		C       Yes  
(7) CHARITABLE REMAINDER TRUST #1

2401 S 31ST STREET
TEMPLE,TX76508
52-6854329 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(8) CHARITABLE REMAINDER TRUST #2

2401 S 31ST STREET
TEMPLE,TX76508
20-6463694 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(9) CHARITABLE REMAINDER TRUST #3

2401 S 31ST STREET
TEMPLE,TX76508
41-6504860 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(10) CHARITABLE REMAINDER TRUST #4

2401 S 31ST STREET
TEMPLE,TX76508
74-2751167 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(11) CHARITABLE REMAINDER TRUST #5

2401 S 31ST STREET
TEMPLE,TX76508
74-6391353 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(12) CHARITABLE REMAINDER TRUST #6

2401 S 31ST STREET
TEMPLE,TX76508
74-6397360 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(13) CHARITABLE REMAINDER TRUST #7

2401 S 31ST STREET
TEMPLE,TX76508
74-2751168 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(14) CHARITABLE REMAINDER TRUST #8

2401 S 31ST STREET
TEMPLE,TX76508
74-6423552 		INVESTMENT TX SCOTT & WHITE MEMORIAL HOSPITAL
  		T       Yes  
(15) PHIL AND JUNE HIVNOR CHARITABLE

2401 S 31ST STREET
TEMPLE,TX76508
90-0850773 		INVESTMENT TX SCOTT & WHITE HEALTHCARE FOUNDATION
  		T       Yes  
(16) NELDA I STALLER CHARITABLE REMAINDER UNITRUST NO 1

2401 S 31ST STREET
TEMPLE,TX76508
32-6224724 		INVESTMENT TX SCOTT & WHITE HEALTHCARE FOUNDATION
  		T       Yes  
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) INSURANCE COMPANY OF SCOTT & WHITE

 P 869,367 FAIR MARKET VALUE
(2) INSURANCE COMPANY OF SCOTT & WHITE

 Q 332,753 FAIR MARKET VALUE
(3) SCOTT & WHITE MEMORIAL HOSPITAL

 P 119,090,388 FAIR MARKET VALUE



Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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Software Version: