Hillcrest Baptist Medical Center
Public records show a registered, tax-exempt organization in good standing.
What it says it does
Founded as a Christian ministry of healing, Baylor Scott & White Health (BSWH) promotes the well-being of all individuals, families and communities.
- Income
- $597.5 million
- Spending
- $494.2 million
- Spent on programs
- 88%
- Reserves
- 5.3 months of spending
- Largest source of income
- fees for its services, 94%
- Employees
- 2,165
- Volunteers
- 70
- Highest pay
- $1.7 million, director
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 75 out of 100. Higher than 64% of charities in its peer group (health care, over $100m).
Reserves
20 of 35Spendable reserves would cover 5.3 months of spending.
Debt
10 of 20It owes 38% of what it owns.
Living within its means
15 of 15Income exceeded spending by 17% of income.
Income trend
15 of 15Income rose 14% on the year before.
Spending floor
15 of 1588% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 53% of charities in its peer group (health care, over $100m).
Independent board
25 of 257 of 11 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (2)
- $426.3 million spent. See Schedule OHillcrest Baptist Medical Center dba Baylor Scott & White Medical Center - Hillcrest (BSW Hillcrest) is a faith-based, nonprofit, 260-bed acute care hospital providing exemplary patient care services to the residents of McLennan County and the surrounding communities since 1916.BSW Hillcrest is affiliated with Baylor Scott & White Health (BSWH), a faith-based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the residents of North and Central Texas. As the largest not-for-profit health care system in Texas and one of the largest in the United States, BSWH was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare. Today, BSWH has over 1,300 patient access points including 53 hospitals, 600+ specialty care clinics, 250+ outpatient clinics, 150+ primary care clinics, 29 pharmacies, 30+ ambulatory surgery centers, 60+ urgent care clinics, and over 7,300 active physicians. The system also includes a state certified health maintenance organization, the Scott and White Health Plan and the Baylor Scott & White Quality Alliance accountable care organization both covering approximately 1,200,000 lives.BSW Hillcrest is a Magnet recognized hospital with a vast array of specialty services including a major Level II Trauma Center serving the five county region, the only Level III Neonatal Intensive Care Unit in the Waco Region, the only comprehensive CARF certified inpatient rehabilitation facility in the Waco Region, a comprehensive freestanding cancer center and a freestanding sports and orthopedic center.During the fiscal year, BSW Hillcrest admitted 16,442 patients resulting in 75,695 days of care; delivered 2,626 babies and received 68,171 emergency department visits. Additionally, BSW Hillcrest provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas Statutory methodology) of $65,637,724 and provided community benefits (as reported on the Internal Revenue Service (IRS) Form 990, Schedule H) of $31,950,984 during the tax year. The Texas Annual Statement of Community Benefit Standard includes approximately $23,509,504 of unreimbursed cost of Medicare that is not included in the IRS Form 990, Schedule H.See Schedule H for more information regarding these services and how BSW Hillcrest promotes the health of the communities.
- $9.2 million spent. See Schedule OMedical education is part of BSW Hillcrest's mission. BSW Hillcrest commits resources to help address the shortage of health care professionals including partnering with other educational institutions and similar organizations. BSW Hillcrest provided medical residency programs for the training of future physicians, nurses and other health professionals in an effort to increase the supply of health care professionals nation-wide. Total unreimbursed cost of the medical education programs is $6,269,089.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated October 13, 2026.
Are donations tax-deductible? Worth knowing.
Not individually listed by the IRS as eligible, which is usual for local chapters covered by a parent organization's exemption. The master file records contributions to it as deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since December 1964.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 21, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.