Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Methodist Hospital of Southern California
Employer identification number
95-1643336
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
Methodist Hospital of Southern California
Employer identification number
95-1643336
Identifier
Return Reference
Explanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990, PART III, LINE 4a
METHODIST HOSPITAL, FOUNDED IN 1903, IS A 596-BED, NOT-FOR-PROFIT HOSPITAL SERVING THE CENTRAL SAN GABRIEL VALLEY. SERVICES PROVIDED INCLUDE COMPREHENSIVE ACUTE CARE SUCH AS MEDICAL, SURGICAL, PERINATAL, PEDIATRICS, ONCOLOGY, INTENSIVE CARE (NEONATAL AND ADULT), AND COMPLETE CARDIOVASCULAR SERVICES, INCLUDING OPEN-HEART SURGERY. METHODIST HOSPITAL (MH) IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE. METHODIST HOSPITAL DEDICATES AN ENTIRE DEPARTMENT TO ADDRESSING ITS OUTREACH OBJECTIVES OF SERVING THE WHOLE COMMUNITY, NOT ONLY THOSE WHO COME TO ITS DOORS. BUILDING ON A LONG TRADITION OF SERVICE TO LOCAL RESIDENTS, THE COMMUNITY OUTREACH DEPARTMENT UTILIZES HOSPITAL STRENGTHS, ALONGSIDE THOSE OF OTHER WELL-ESTABLISHED COMMUNITY PARTNERS. THIS STRATEGY ALLOWS METHODIST HOSPITAL TO BETTER UNDERSTAND AND REACH THE MOST VULNERABLE SECTORS OF THE COMMUNITY WHILE MEETING PRESSING HEALTH CARE NEEDS. THE GOAL IS TO IMPROVE THE COMMUNITY'S HEALTH STATUS BY EMPOWERING INDIVIDUALS TO MAKE HEALTHY LIFE CHOICES. OUR MISSION IS TO PROVIDE HIGH-QUALITY HEALING SERVICES WHILE CARING FOR THE PATIENT AS A WHOLE PERSON WITH EMOTIONAL AND SPIRITUAL DIMENSIONS AS WELL AS PHYSICAL NEEDS. WORKING TOGETHER, WE WILL PROVIDE AN EXCEPTIONAL PATIENT EXPERIENCE INSPIRED BY PERSONAL RELATIONSHIPS AND GENUINE COMPASSION. OUR VALUES ARE INTEGRITY, RESPECT, AND COMPASSION. THESE VALUES SHALL CHARACTERIZE ALL OUR ACTIONS AND INTERACTIONS EMBRACING OUR MULTICULTURAL ENVIRONMENT. CAMPUS EXPANSION PROJECT THE NEW PATIENT TOWER COST $140 MILLION, WITH MORE THAN $26 MILLION RAISED THROUGH THE SUPPORT OF THE COMMUNITY. THE BUILDING WAS COMPLETED ABOUT FOUR MONTHS AHEAD OF SCHEDULE AND SEVERAL MILLION DOLLARS UNDER BUDGET. IT TOOK ALMOST A DECADE OF PLANNING AND BUILDING. ALTHOUGH THIS IS CONSIDERED A REPLACEMENT BUILDING DUE TO SEISMIC REGULATIONS, MORE IMPORTANTLY, IT HAS BEEN BUILT TO ADDRESS THE NEED FOR EMERGENCY AND CRITICAL CARE SERVICES. THE NEW BUILDING HAS SIX FLOORS WITH A TOTAL OF 155,000 SQUARE FEET OF NEW WORKSPACE. THE FIRST FLOOR CONTAINS THE NEW HOLLFELDER EMERGENCY CARE CENTER AND THE MAIN ENTRANCE. THE SECOND FLOOR HAS 20 NEW CRITICAL BEDS. THE THIRD, FOURTH AND FIFTH FLOORS HAVE 40 MEDICAL SURGICAL BEDS EACH. THE BASEMENT HAS A NEW KITCHEN AND CAFETERIA. WITH THE NEW HEART MONITOR (TELEMETRY) SYSTEM, ALL PATIENTS IN THE NORTH TOWER WILL BE MONITORED. THE NURSES EACH HAVE THEIR OWN COMPUTER TO DO UP-TO-THE-MINUTE CHARTING ON THEIR PATIENTS. THE PHYSICIANS HAVE A SPECIAL ROOM ON EVERY FLOOR TO DO THEIR CHARTING AND MAKE PHONE CALLS. THE THREE MEDICAL SURGICAL UNITS ARE IDENTICALLY DESIGNED. THE THIRD FLOOR IS DEDICATED TO NEUROLOGICAL AND STROKE PATIENTS; THE FOURTH FLOOR, RESPIRATORY; AND THE FIFTH, CARDIAC. COMMUNITY BENEFIT SUCCESSES METHODIST HOSPITAL'S 2011 TO 2013 COMMUNITY BENEFIT PLAN PRIORITIZED FIVE KEY OBJECTIVES BASED ON NEEDS IDENTIFIED IN THE 2010 COMMUNITY NEEDS ASSESSMENT. EACH OBJECTIVE WAS MET, AND A MYRIAD OF HEALTH SERVICES WERE PROVIDED AT NO COST TO THE COMMUNITY. -THE FIRST OBJECTIVE LOOKS TO CREATE, PROMOTE, AND AVAIL TAILORED OUTREACH PROGRAMS TO COMMUNITY GROUPS. A NUMBER OF EDUCATIONAL OUTREACH PROGRAMS, SCREENINGS, AND HEALTH FAIRS WERE DELIVERED TO THE PREDOMINANTLY SPANISH AND CHINESE-SPEAKING COMMUNITIES WE SERVE. -THE SECOND OBJECTIVE IS TO INCREASE FOCUS ON IMPROVING AND MAINTAINING CARDIOVASCULAR HEALTH, WITH AN EMPHASIS ON ADDRESSING HEART DISEASE AND STROKE. WE SPONSORED HEART AND STROKE SEMINARS FOR SENIOR COMMUNITY MEMBERS, WHILE PROVIDING BLOOD PRESSURE (BP) SCREENINGS AT THREE DIFFERENT COMMUNITY CENTERS AND PROVIDE COUNSELING AND EDUCATION THROUGH HEALTH MINISTRIES PARTNERSHIPS. A BLOOD PRESSURE MACHINE WAS INSTALLED AT THE WESTFIELD SHOPPING MALL IN ARCADIA SINCE THE SPRING OF 2011 TO MAKE BP SCREENING EVEN MORE CONVENIENT FOR THE COMMUNITY. -THE THIRD OBJECTIVE IS TO INCREASE CANCER EDUCATION AND SCREENING OPPORTUNITIES, WHILE EMPHASIZING THE BENEFITS OF EARLY DETECTION AND PROPER TREATMENT. MULTI-LINGUAL PROSTATE SCREENINGS AND BREAST CANCER SCREENINGS WERE PROVIDED ON AN ANNUAL BASIS. THE HOSPITAL ALSO PROVIDES SPANISH AND CHINESE-SPEAKING SUPPORT GROUPS FOR INDIVIDUALS WHO HAVE COMPLETED CANCER TREATMENT. THE HOSPITAL DEDICATED TIME, RAISED FUNDS AND AWARENESS, AND PROVIDED STAFFING FOR SEVERAL AMERICAN CANCER SOCIETY RELAYS FOR LIFE. -THE FOURTH OBJECTIVE IS TO INCREASE DIABETES EDUCATION AND HEALTH SCREENING OPPORTUNITIES. THE HOSPITAL BROUGHT SEVERAL MULTICULTURAL DIABETES SUMMITS TO OUR COMMUNITY SITES TO BETTER EDUCATE THEM ON HOW NUTRITION, PHYSICAL ACTIVITY, WEIGHT AND LIFESTYLE CHOICE IMPACT DIABETES AND HEALTH, AS MEASURED BY PRE AND POST TEST ANALYSES, WITH A GRANT FROM SOUTHERN CALIFORNIA EDISON. A LOW COST/NO COST LOCAL DIABETES GUIDE WITH DIRECT CONTACT PERSONS WAS CREATED AND DISTRIBUTED. GRANT FUNDING WAS OBTAINED FROM THE CALIFORNIA ENDOWMENT TO BRING PROGRAMS ON CHILDHOOD OBESITY PREVENTION TO SCHOOLS IN EL MONTE, ROSEMEAD AND ARCADIA. THE ONGOING FOUR-WEEK FREE DIABETES EDUCATION AT THE HOSPITAL SERIES HAS RECEIVED TREMENDOUS SUPPORT FROM THE COMMUNITY. -THE FIFTH OBJECTIVE LOOKS TO FACILITATE COMMUNITY DISCUSSION, NETWORKING, AND COLLABORATION IN AN EFFORT TO INCREASE ACCESS TO HEALTH-RELATED SERVICES. THE HOSPITAL LAUNCHED A SERIES OF LANGUAGE SPECIFIC DISCUSSIONS WITH COMMUNITY MEMBERS AT THEIR SITES IN ORDER TO IDENTIFY AND ASSESS PRIMARY HEALTH CONCERNS, ALONGSIDE EXISTING BARRIERS TO CARE. THE HOSPITAL ACTIVELY NETWORKED AND FACILITATED WITH THE WEST SAN GABRIEL VALLEY HEALTH COUNCIL, FAITH COMMUNITY PARTNERS AND HEALTH CARE PARTNERS. FREE COMMUNITY EDUCATION PROGRAMS ON-SITE AND OFF-SITE WERE PUBLICIZED IN MULTI-LANGUAGES IN THE HOSPITAL BULLETIN AND MAILED TO 100,000 HOMES IN OUR SERVICE AREA. LOOKING BEYOND THE NUMBERS METHODIST HOSPITAL'S HEART FOR COMMUNITY OUTREACH CANNOT BE CAPTURED NUMERICALLY. AMIDST THESE CHALLENGING ECONOMIC TIMES, THERE HAS BEEN AN EXPECTED INCREASE IN THE NUMBER OF CHARITY CARE PATIENTS NEEDING SERVICE. METHODIST HOSPITAL IS PLEASED TO BE IN A POSITION TO PROVIDE SUCH DESPERATELY NEEDED SERVICES TO ITS COMMUNITY.
MEMBERS OR STOCKHOLDERS OF THE ORGANIZATION
FORM 990, PART VI, QUESTION 6
THE MEMBERS OF THIS CORPORATION SHALL BE THOSE PERSONS WHO FROM TIME TO TIME COMPRISE THE BOARD OF DIRECTORS OF THE CORPORATION AND THOSE PERSONS WHO FROM TIME TO TIME ARE THE THIRTEEN ELECTED OFFICERS OF THE EXECUTIVE COMMITTEE OF THE UNITED METHODIST WOMEN, CALIFORNIA PACIFIC CONFERENCE.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS
FORM 990, PART VI, QUESTION 7A
THE MEMBERS OF THE CORPORATION HAVE THE POWER OF ELECTING 16 OF THE DIRECTORS OF THE BOARD.
DESC THE PROCESS USED BY MGMT & GOV BODY TO REVIEW 990 FORM
FORM 990, PART VI, QUESTION 11B
FORM 990 AND SCHEDULES ARE PROVIDED TO ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES PRIOR TO FILING WITH AN OPPORTUNITY FOR QUESTIONS AND DISCUSSION AT A BOARD MEETING ALSO PRIOR TO FILING. FORM 990, PART VII AND SCHEDULE J ARE ALSO REVIEWED AT THE COMPENSATION COMMITTEE OF THE BOARD PRIOR TO FILING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST
FORM 990, PART VI, QUESTION 12C
ALL OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND FILE IT WITH THE PRESIDENT OF METHODIST HOSPITAL, TO BE INSPECTED BY THE OFFICERS OF THE CORPORATION. A SUMMARY OF THE DISCLOSURES WILL BE PREPARED BY THE PRESIDENT AND SUBMITTED TO THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND DISCUSSION. SUCH DISCUSSION WILL BE PRESENTED TO THE FULL BOARD AT THE NEXT BOARD MEETING. IF THERE IS A CHANGE IN AN INTERESTED PARTY'S DISCLOSED CONFLICTS AT ANY TIME DURING THE YEAR, SUCH CHANGE SHALL BE DISCLOSED IMMEDIATELY IN WRITING TO THE PRESIDENT OF THE HOSPITAL. AN INDIVIDUAL COVERED BY THIS POLICY IS REQUIRED TO NOTIFY AND DISCUSS WITH THE CHAIRMAN OF THE BOARD OR PRESIDENT, ANY TRANSACTION WHICH MIGHT INVOLVE A CONFLICT OF INTEREST.WHEN A POTENTIAL CONFLICT ARISES,THE CHAIRMAN OF THE BOARD OR PRESIDENT SHALL RAISE THE ISSUE FOR DISCUSSION. BASED ON THE ASSESSMENT OF THE MATERIALITY OF THE CONFLICT, THE INTERESTED OFFICER OR DIRECTOR MAY BE ASKED TO ONLY PROVIDE INPUT INTO THE DISCUSSION BUT REFRAIN FROM VOTING; OR MAY BE ASKED TO LEAVE THE ROOM DURING THE DISCUSSION AND REFRAIN FROM VOTING.
COMPENSATION REVIEW
FORM 990, PART VI, QUESTION 15A AND 15B
COMPENSATION ARRANGEMENTS INVOLVING ANY OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES ARE ESTABLISHED PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS PROVIDED FOR IN IRC SEC 4958 (EXCESS BENEFIT TRANSACTION TAX). THIS PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, THE USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE DECISION MAKING PROCESS. THE BOARD PERFORMS PERIODIC REVIEW AND DETERMINATION OF APPROPRIATE COMPENSATION LEVELS FOR THE PREVIOUSLY MENTIONED OFFICERS AND KEY EMPLOYEES BASED UPON EXTERNAL SALARY DATA. THEIR MOST RECENT REVIEW INCLUDED BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EMPLOYEES, INCLUDING TOTAL ECONOMIC BENEFITS PAID BY ORGANIZATIONS WHICH THE GOVERNING BODY BELIEVES ARE SIMILARLY SITUATED FOR SIMILAR JOB RESPONSIBILITIES, AS OBTAINED FROM INDEPENDENT THIRD-PARTY SOURCES. THE BOARD'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DEBATE OF THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. KEY DELIBERATIONS, A DESCRIPTION OF THE COMPARABILITY DATA, HOW IT WAS OBTAINED, THE MEMBERS PRESENT AND HOW THEY VOTED, WAS DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. THIS PROCESS WAS COMPLETED FOR ALL OFFICERS AND KEY EMPLOYEES IN 2011.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY AND FIN STMTS TO GEN PUBLIC
FORM 990, SECTION VI, QUESTION 19
UNDER CURRENT FEDERAL TAX LAW, THE ORGANIZATION IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS OR CONFLIFT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. HOWEVER, THE AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THIS FORM AND ARE AVAILABLE UPON REQUEST.
HOURS DEVOTED TO RELATED ORGANIZATION
FORM 990, PART VII
DENNIS M. LEE, DAN AUSMAN, AND KAY BERGLUND SPENT ON AVERAGE 0.5 HOURS PER WEEK ON METHODIST HOSPITAL FOUNDATION. MICHAEL DRIEBE SPENT ON AVERAGE 38 HOURS PER WEEK SERVING AS THE PRESIDENT OF METHODIST HOSPITAL FOUNDATION.
RESTATEMENT OF BEGINNING BALANCES
FORM 990, PART X, LINES 20, 23, & 24
THE BEGINNING BALANCES OF THE FOLLOWING ACCOUNTS HAVE BEEN RESTATED TO CURRENT YEAR PRESENTATION: TAX-EXEMPT BOND LIABILITIES SECURED MORTGAGES AND NOTES PAYABLE TO UNRELATED THIRD PARTIES UNSECURED NOTES AND LOANS PAYABLE TO UNRELATED THRID PARTIES
RECONCILING OF NET ASSETS
FORM 990, PART XI, LINE 5
OTHER CHANGES IN NET ASSETS $( 631,473) CHANGE IN FMV OF CLASS ACTION SETTLEMENT $( 792,518) UNREALIZED GAIN/(LOSS) ON INVESTMENTS $( 9) CHANGE IN FMV OF GIC'S $ 7,743,284 EQUITY TRANSFER FROM METHODIST HOSPITAL FOUNDATION $ 355,912 ROUNDING $ 543 ------------ TOTAL OTHER CHANGES IN NET ASSETS $ 6,675,739
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.