Table of Contents. Letter from the President. I. Mission Statement of Baylor Institute for Rehabilitation. Effective Dates of the Report

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Baylor Health Care System Baylor Institute for Rehabilitation at Gaston Episcopal Hospital Annual Report of Community Benefits 909 N. Washington Dallas, Texas 75246 Taxpayer Number 75-1037226 For the Fiscal Year Ended June 30, 2010 Table of Contents Letter from the President I. Mission Statement of Baylor Institute for Rehabilitation II. III. IV. Effective Dates of the Report Description of the Community Served Charity Care and Government-Sponsored Health Care Provided V. Government-Sponsored Health Care Provided VI. VII. VIII. Other Types of Community Benefits Provided A. Community Health Education & Outreach B. Medical Education C. Financial Donations D. Health Care Support Services Total Operating Expenses and Calculation of the Ratio of Cost to Charge Mechanisms to Evaluate the Plan s Effectiveness

September 1, 2010 Dear Fellow Texan: Baylor Institute for Rehabilitation is committed to fulfilling its mission to operate within an integrated health care system which exists to serve people as an extension of the Christian ministry of healing by offering a continuum of quality services with a commitment to patient care, medical education, research and community service. Baylor Institute for Rehabilitation has served residents of Dallas County since 1981, and we are proud that the community frequently identifies us as their hospital of choice in consumer surveys. As this community benefit report demonstrates, Baylor Institute for Rehabilitation provides quality patient care, including subsidized services otherwise not available in the community, medical education and training for allied health professionals, hospital chaplains, nurses and physicians of the future. Baylor Institute for Rehabilitation is also proud to support organizations in the community which provide a variety of services to persons with disabilities. This initiative enhances our goal of helping patients become as independent as possible, reintegrate into the community and achieve a productive, satisfying lifestyle. The activities which Baylor Institute for Rehabilitation supports enables persons with disabilities to illustrate to the community their abilities and contributions. I hope you will give me your reaction to this report. Please address your comments to me in care of Jennifer Coleman, Senior Vice President, Public Affairs, Baylor Health Care System, 3500 Gaston Avenue, Dallas, TX 75246. Sincerely, Jon C. Skinner President

Baylor Health Care System Baylor Institute for Rehabilitation at Gaston Episcopal Hospital Annual Report of Community Benefits 909 N. Washington Dallas, Texas 75246 Taxpayer Number 75-1037226 For the Fiscal Year Ended June 30, 2010 I. Mission Statement Baylor Institute for Rehabilitation at Gaston Episcopal Hospital ("BIR"), an affiliated non-profit hospital of Baylor Health Care System ("BHCS"), is an organization with a Christian commitment to the ministry of healing. BIR's mission is: to improve and maintain the health of individuals with physical and/or cognitive deficits, which limit their ability to function independently; to maximize the capacity of each individual to function in familial, social, occupational and leisure settings; to contribute to humankind's understanding and knowledge in physical and medical rehabilitation by participating in biomedical and physical rehabilitation and educating those who will provide such services in the future. BIR pursues its mission in the southwestern United States, serving primarily the state of Texas and the four contiguous states. II. III. IV. Effective Dates of the Report The report of community benefits provided is for the fiscal year ended June 30, 2010 ( Fiscal Year 2010 ). Description of the Community Served BIR serves the southwestern United States, primarily the state of Texas and the four contiguous states. Charity Care and Government-Sponsored Indigent Health Care Provided For Fiscal Year 2010, BIR provided $2,765,535 in unreimbursed costs of charity care and government-sponsored indigent health care. V. Government-Sponsored Health Care Provided For Fiscal Year 2010, BIR provided $1,319,539 in unreimbursed costs of government-sponsored health care. VI. Other Types of Community Benefits Provided BIR is committed to improving the quality of life for the many citizens living and working in its area. BIR was pleased to allocate funds to the following community benefit activities. A. Community Health Education and Outreach $80,670 BIR provided community education programs that focused on injury prevention. Programs included an aquatic exercise program for the Page 3

community and another exercise program adapted for individuals with spinal cord injuries. Support groups for individuals with spinal cord injury, brain injury and stroke were held as well as day camps for individuals with brain injury and a week-long camp for brain injured individuals. B. Medical Education $ 202,162 Baylor Institute for Rehabilitation provided medical supervision for 279 nursing and therapy students. C. Financial Donations $47,250 BIR supports local and national organizations in both the prevention of traumatic injury and support of persons in the community with disabilities such as Mothers Against Drunk Driving, Wheelchair Mavericks, Rise Adventures, Neuro Assistance Foundation and others. D. Health Care Support Services $ 180,783 BIR provides transportation services to inpatients and outpatients to ensure quality, comprehensive care. VII. Total Operating Expenses and Calculation of the Ratio of Cost to Charge As required by Texas Health and Safety Code. Section 311.046 (a) (4), BIR reports $46,383,592 in total operating expenses. As required by Section 311.046(a) (5), the ratio of cost to charges was 61.16%. Please see the attached worksheet for the full calculation. VIII. Report of Community Benefits Provided During Fiscal Year 2010 In a commitment to fulfill its mission, BIR s benefit to the community, conservatively estimated, was $4,595,939 for Fiscal Year 2010. This is more than what was projected in BIR s Community Benefits Plan for Fiscal Year 2010, which is attached to this report. BIR is filing its Annual Statement of Community Benefits Standard ( Statement ) as a consolidated system with the other affiliated non-profit hospitals of BHCS (excluding those that qualify as Medicaid disproportionate share hospitals). Through community benefit activities, BHCS-affiliated non-profit hospitals provided: quality patient care and subsidized services otherwise not available in the community; medical education, training for medical technicians, hospital chaplains, nurses, and future physicians, and medical research that will speed the time between scientific finding and its application to improving medical care. Any comments or suggestions in regard to the community benefit activities are greatly welcomed and may be addressed to Jennifer Coleman, Senior Vice Page 4

President, Consumer Affairs, Baylor Health Care System, 3500 Gaston Avenue, Dallas, Texas 75246. Page 5