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Baylor Scott & White Medical Center – GrapevineAnnual Report of Community Benefits1650 West College StreetGrapevine, TX 76051Taxpayer ID # (75-1777119)For the Fiscal Year Ended June 30, 2019Table of ContentsLetter from the PresidentI.Effective Dates of the ReportII.Hospital DescriptionIII.Hospital Mission StatementIV.Description of the Community ServedV.Identified Community Health Needs by Priority1. Access to care for middle to lower socio-economic status2. MD and Non-MD primary care providers to population ratio3. Mental/behavioral health4. Chronic disease5. Dentists to population ratio6. Health & wellness PromotionVI.Programs Addressing Identified Community Health NeedsVII.Charity Care and Government-Sponsored Indigent Health Care ProvidedVIII.Government-Sponsored Health Care ProvidedIX.Other Types of Community Benefits ProvidedA. Community Health and Wellness Improvement ServicesB. Financial Donations & In-kind DonationsC. Medical EducationD. Subsidized Health ServicesX.Total Operating Expenses and Calculation of the Ratio of Cost to ChargeXI.Report of Community Benefits Provided During Fiscal Year 2019Baylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 1
June 30, 2019Dear Fellow Texan:At Baylor Scott & White Medical Center – Grapevine, we recognize that prevention, earlydetection and health education are very important areas of healthcare and have the potential tomake a great difference in the overall health of the communities we serve. Being able to share ourknowledge, expertise, and range of services with the community is essential in our culture ofservice excellence.A Magnet Recognized facility, Baylor Scott & White – Grapevine offers advanced medicalservices for heart and vascular, women’s health, diagnostic imaging, trauma, orthopedics,spine, oncology, neurology, intensive and emergency care serving more than 20 cities in theDallas/Fort Worth Metroplex. Baylor Scott & White – Grapevine is committed to fulfilling themission:“Founded as a Christina ministry of healing, Baylor Scott & White Health promotes thewell-being of all individuals, families and communities.”As a preferred community partner, we work collaboratively with school districts, businesses,community groups, and not-for-profit health organizations to support healthy lifestyles andimprove quality of life in the region. Enclosed is the report Fiscal Year 2019. Our plan isaccording to community needs identified by the FY 2017-20 Community Benefit ImplementationPlan in partnership with Truven Health Analytics, Tarrant County, as well as other specific focusareas identified by Baylor Scott & White Health.I encourage you to provide any feedback you may have. Please address comments to me, incare of Niki Shah, Vice President, Care Redesign and Equitable Care, Baylor Scott & WhiteHealth, 8080 N. Central Expressway, Suite 700, Dallas, Texas 75206.Sincerely,Christopher C. YorkPresidentBaylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 2
Baylor Scott & White Medical Center – GrapevineAnnual Report of Community Benefits1650 West College StreetGrapevine, TX 76051Taxpayer ID # (75-1777119)For the Fiscal Year Ended June 30, 2019I.Effective Dates of the ReportThe annual report of community benefits provided is for the fiscal year ended June 30, 2019 (FiscalYear 2019).II.Hospital DescriptionBaylor Scott & White Medical Center – Grapevine (Hospital), an affiliate of Baylor Scott & WhiteHealth (BSWH), is a leading community and safety-net hospital in its service area.The 302-bed Hospital offers advanced medical services for cardiovascular services, women’sservices, neurosciences, stroke, orthopedics, oncology, diagnostic imaging, a neonatal intensivecare unit (NICU), and trauma, intensive and emergency care.Founded by Drs. Ed and Minnie Lee Lancaster in 1953, The Hospital has a rich history ofproviding safe, quality, compassionate health care to every one of the communities we serve. Acomprehensive team of specialists treats complex medical conditions demanding specializedcare.The Hospital has received numerous awards and commendations for excellent care. Recenthonors include: Department of State Health Services Texas 10 Step Facility DesignationDepartment of State Health Services Level II Trauma Center DesignationThe Joint Commission Primary Stroke Center Advanced CertificationThe Joint Commission Cycle 5 Chest Pain Center AccreditationAmerican Nurses Credentialing Center (ANCC) Magnet RecognitionThe Hospital uses its revenue after expenses to improve the health of Irving and surroundingcommunities through patient care, education, research, and community service. In the fiscalyear ending June 30, 2019, the Hospital had 10,604 total adult and special care nursery admitsresulting in a total of 48,319 days of care, delivered 2,210 babies, and there were 37,675emergency department visits.As part of the Hospital’s commitment to the community, the Hospital provides financialassistance in the form of charity care to patients who are indigent and satisfy certainBaylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 3
requirements. Additionally, the Hospital is committed to treating patients who are eligible formeans tested government programs such as Medicaid and other government sponsoredprograms including Medicare, provided regardless of the reimbursement shortfall, and therebyrelieves the state and federal government of the burden of paying the full cost of care for thesepatients. Often, patients are unaware of the federal, state and local programs open to them forfinancial assistance, or they are unable to access them due to the cumbersome enrollmentprocess required to receive these benefits. The Hospital offers assistance in enrollment to thesegovernment programs or extends financial assistance in the form of charity care through theHospital’s Financial Assistance Policy, which can be located on the Hospital’s website atBaylorHealth.com/Financial Assistance.In addition to the Hospital’s Financial Assistance Policy, as part of a large faith based integratedhealth care delivery System the areas of medical education, research, subsidized services andcommunity health education and screenings are initiatives that take place across the System,and comprise a significant portion of the Hospital’s community benefit program.The Hospital is also committed to assisting with the preparation of future nurses at entry andadvanced levels of the profession to establish a workforce of qualified nurses. Through theSystem’s relationships with seven North Texas schools of nursing, the Hospital maintains strongaffiliations with schools of nursing. In the fiscal year ending June 30, 2019, the Hospital invested 471,155 in training 205 nurses. In addition, the hospital invested 60,968 in educating 143allied health professions students from three area schools. Total unreimbursed cost of theseprograms was 532,123. Like physicians, nursing graduates trained at a System entity are notobligated to join the staff although many remain in the North Texas area to provide top qualitynursing services to many health care institutions.III.Hospital Mission StatementFounded as a Christian ministry of healing, Baylor Scott & White Health promotes the wellbeing of all individuals, families and communities.IV.Description of Community ServedThe System is committed to serving a vast array of neighborhoods comprising its service areaand recognizes the importance of preserving a local community focus to meet communityneeds.For the 2016 assessment, the hospital has defined their community to be the geographical areaof Denton, Johnson and Tarrant counties. The community served was determined based on thecounties that make up at least 75 percent of each hospital’s inpatient and outpatient admissions.V.Identified Community Health NeedsDuring the fiscal year ending June 30, 2016, the Hospital conducted a CHNA to assess the healthcare needs of the community. The CHNA took into account input from persons who representthe broad interest of the community served by the Hospital, including those with specialBaylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 4
knowledge of or expertise in public health. The CHNA is widely available to the public and islocated on the website at the following address, BSWHealth.com/CommunityNeeds.By addressing the prioritized needs via an implementation strategy, the Hospital aims to affectand elevate the overall health status of the community.1.2.3.4.5.6.VI.Access to care for middle to lower socio-economic statusMD and Non-MD primary care providers to population ratioMental/behavioral healthChronic diseaseDentists to population ratioHealth & wellness PromotionPrograms Addressing Identified Community Health NeedsCommunity benefit services include programs or activities providing treatment promotehealth and healing as response to identified community need and meet at least one ofthese objectives: Improve access to health care services Enhance public health Advance/increase general knowledge Relieve or reduce the burden of government to improve health.VII.Charity Care and Government-Sponsored Indigent Health Care ProvidedFor Fiscal Year 2019, Baylor Scott & White Medical Center – Grapevine provided 10,965,295 in unreimbursed costs of charity care and government-sponsored indigenthealth care.VIII.Government-Sponsored Health Care ProvidedFor Fiscal Year 2019, Baylor Scott & White Medical Center – Grapevine provided 28,766,439 unreimbursed costs of government-sponsored health care.IX.Other Types of Community Benefits Provided 1,601,397Baylor Scott & White Medical Center – Grapevine is committed to improving the qualityof life for the many citizens living and working in its area. Baylor Scott & White MedicalCenter – Grapevine was pleased to allocate funds to the following community benefitactivities.A. Community Health and Wellness Improvement Services 581,131These activities improve community health, extend beyond patient care activitiesand receive hospital subsidy. Such services do not generate patient care bills andBaylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 5
may include community health education activities; community based clinicalservices for under-insured and uninsured persons; support groups; enrollmentservices; transportation efforts; and self-help programs; community-basedchaplaincy programs and spiritual care.B. Financial Donations & In-kind Donations 113,513These donations include funds and in-kind services donated to communityorganizations or to the community at large to address an identified need or servea community benefit purpose. In-kind services could include hours contributed bystaff while on hospital work time; the cost of meeting space provided tocommunity groups and the donation of food, equipment, and supplies.C. Medical Education 550,123This category includes educational program for physician, interns and residents,medical students, nurse and nursing students, and other health professionalswhen that education is necessary for a degree, certificate or training that isrequired by state law, accrediting body or health profession society. It may alsoinclude a clinical setting for student training and internships for dietaryprofessionals, technicians, physical therapists, social workers; pharmacists andother health professionals.D. Subsidized Health Services 356,630Subsidized health service e are clinical programs provided despite a financial lossso significant that negative margins remain after removing the effects of financialassistance, bad debt, and Medicaid shortfall . Nevertheless, the service isprovided because it meets an identified community need and if no longer offeredwould be unavailable in the area, or fall to the responsibility of government oranother tax-exempt organization to provide.X.Total Operating Expenses and Calculation of the Ratio of Cost to ChargeAs required by Section 311.046 (a) (4), Baylor Scott & White Medical Center – Grapevinereports 214,944,858 in total operating expenses. As required by Section 311.046(1) (5),the ratio of cost to charges was 24.47%. Please see the attached worksheet for the fullcalculation.XI.Report of Community Benefit Provided During Fiscal Year 2019In a commitment to fulfill its mission, Baylor Scott & White Medical Center – Grapevinebenefit to the community, conservatively estimated, was 41,333,131 for Fiscal Year 2019.Baylor Scott & White Medical Center – Grapevine is filing its Annual Statement ofCommunity Benefits Standard (Statement) as a consolidated system with the otheraffiliated hospitals of BSWH that are qualified to file as a hospital system.Baylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 6
Through community benefit activities, BSWH-affiliated hospitals provided: quality patientcare and subsidized services otherwise not available in the community; medical education,training for medical technicians, hospital chaplains, nurses, and future physicians; andmedical research that will speed the time between scientific finding and its application toimproving medical care.Any comments or suggestions concerning the community benefit activities are greatlywelcomed and may be addressed to Niki Shah, Vice President of Care Redesign andEquitable Health, Baylor Scott & White Health Care System, 8080 North Central Expwy.,Suite 700, Dallas, Texas 75206.Baylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 7
Baylor Regional Medical Center at GrapevineTotal Operating ExpensesSection 311.046(a)(4)For the Fiscal Year Ended June 30, 2018214,944,858Calculation of the Ratio of Cost to ChargeSection 311.046(a)(5)Total Patient Revenues(from 2018 Medicare Cost Report, Worksheet G-3, Line1)(a)795,532,786Total Operating Expenses(from 2018 Medicare Cost Report, Worksheet A, Line118, Col. 7)(b)188,277,338Initial Ratio of Cost to Charge ((b) divided by (a))(c)23.67%(d)27,135,690Multiply "Bad Debt Expense" by "Initial Ratio of Cost toCharge" ((d)*(c))(e)6,423,018Add the allowable "Bad-Debt Expense" to "Total OperatingExpenses" ((b) (e))(f)194,700,356Calculation of Ratio of Cost to Charge ((f) divided by (a))(g)Application of Initial Ratio of Cost to Charge to Bad-DebtExpenseBad Debt Expense(from 2019 audited financial statements)Baylor Scott & White Medical Center – GrapevineCommunity Benefit Report: FY 2019Page 824.47%
Baylor Scott & White Medical Center – Grapevine is committed to improving the quality of life for the many citizens living and working in its area. Baylor Scott & White Medical Center – Grapevine was pleased to allocate funds to the following community benefit activities. A. Co
