Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 (CONTINUATION) | SPECIFICALLY, THIS MISSION IS PURSUED BY OPERATING FOUR GENERAL ACUTE-CARE HOSPITALS, OTHER HEALTHCARE SERVICES, EDUCATION AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES IN NORTH CENTRAL TEXAS. |
| FORM 990, PART III, LINE 4 A (CONTINUATION) | THE HOSPITALS ARE: METHODIST DALLAS MEDICAL CENTER (MDMC), A 585 LICENSED BED TEACHING REFERRAL HOSPITAL; METHODIST CHARLTON MEDICAL CENTER (MCMC),A 317 LICENSED BED HOSPITAL; METHODIST MANSFIELD MEDICAL CENTER (MMMC),A 254 LICENSED BED HOSPITAL; AND METHODIST RICHARDSON MEDICAL CENTER (MRMC) WHICH IS NOW OPERATING A 334 LICENSED BED HOSPITAL ACROSS TWO CAMPUSES. MDMC IS LOCATED NEAR DOWNTOWN DALLAS BETWEEN A STABLE RESIDENTIAL AREA ON ONE SIDE, AND AN ECONOMICALLY DEPRESSED AREA ON THE OTHER. MDMC SERVES AS A TEACHING AND REFERRAL CENTER FOR MHS, AND TRAINS NEARLY 85 RESIDENTS ANNUALLY IN INTERNAL MEDICINE, FAMILY PRACTICE, GENERAL SURGERY, OBSTETRICS AND GYNECOLOGY. IN LATE 2007 A NEW PHYSICIAN OFFICE BUILDING (POB) WAS BUILT TO INCREASE CAPACITY OF HIGH GRADE OFFICE SPACE. THE MDMC GOLDEN CROSS ACADEMIC AND INDIGENT CARE CLINIC HAD A $7M RENOVATION IN 2004. THE POB AND CLINIC HELP ATTRACT PHYSICIANS AND PATIENTS AND HAVE ACTED AS A CATALYST FOR FURTHER DEVELOPMENT AND RENOVATION OF THE AREA ADJACENT TO THE CAMPUS. IN 2015, METHODIST DALLAS CREATED THE METHODIST DIGESTIVE INSTITUTE, HANDLING EVERYTHING FROM PANCREATIC CANCER AND PANCREATITIS TO INDIGESTION AND ACID REFLUX UNITED UNDER ONE NAME. MDMC OPERATES A HIGH RISK PREGNANCY PROGRAM AND NICU. IN ADDITION TO THE MANY PERINATAL AND NEONATAL SERVICES, MDMC ALSO STAFFS A NEONATAL TRANSPORT TEAM THAT TRANSPORTS ILL NEONATES FROM OUTLYING HOSPITALS IN NORTHEAST AND CENTRAL TEXAS TO MDMC. ALSO, IN FY2015 MDMC BEGAN PROVIDING A MEDICATION THERAPY MANAGEMENT CLINIC IN THE LIVER INSTITUTE. THROUGH THIS CLINIC, HEPATITIS C PATIENTS ARE MONITORED BY EXPERT PHARMACISTS WHO MANAGE THEIR MEDICATIONS, WRITE INSURANCE DOCUMENTS, AND FOLLOW THEIR PROGRESS ON NEW DRUGS TO TREAT AND CURE HEPATITIS C. THE CLINIC OPENED IN JUNE AND BY THE END OF THE YEAR, NEARLY 90 PATIENTS HAD BEEN CURED OF THE ILLNESS. IN FY2015, MDMC HAD 15,650 DISCHARGES; 89,216 INPATIENT DAYS; 7,308 INPATIENT NEWBORN DAYS; 69,829 EMERGENCY ROOM VISITS; 4,998 INPATIENT SURGERIES; AND 4,097 OUTPATIENT SURGERIES. MCMC IS A GENERAL ACUTE CARE AND TEACHING HOSPITAL THAT SERVES THE COMMUNITIES OF SOUTHERN DALLAS COUNTY. IT HOUSES A FAMILY PRACTICE RESIDENCY PROGRAM WITH DUAL ACCREDITATION TO TRAIN BOTH ALLOPATHIC AND OSTEOPATHIC PHYSICIANS. THE CAMPUS ADDED A NEW 72 BED PATIENT TOWER IN 2012. THE NEW BED TOWER CREATED MORE MODERN PATIENT ROOMS, MORE EFFICIENT WORKSPACES FOR NURSING STAFF, A TELEMETRY FLOOR FOR HEART MONITORING, A SEVEN-ROOM SURGICAL SUITE WITH ONE OPERATING ROOM SPECIALLY DESIGNED FOR HEART SURGERY, AND AN ORTHOPEDIC UNIT WITH A REHABILITATION ROOM. THE QUICKCARE CLINIC, LOCATED ACROSS THE STREET FROM MCMC, IS OPEN SEVEN DAYS A WEEK WITH CONVENIENT HOURS. STAFFED BY A PHYSICIAN AND NURSE PRACTITIONER, THE CLINIC PROVIDES HIGH QUALITY CARE FOR EVERYTHING FROM SORE THROATS AND FLU TO X-RAY AND IMAGING SERVICES, PRE-EMPLOYMENT HEALTH SCREENINGS, AND LABORATORY SERVICES. THE OB HOSPITALIST PROGRAM LAUNCHED IN DECEMBER 2015 WITH IN-HOUSE SPECIALISTS TYPICALLY PROVIDING CARE TO AROUND A DOZEN PATIENTS EACH DAY, INCLUDING SOME WHOSE PRIVATE DOCTORS ARE TEMPORARILY UNAVAILABLE.THE OB HOSPITALIST PROGRAM ENSURES THAT A BOARD-CERTIFIED OB-GYN PHYSICIAN IS AVAILABLE AT THE HOSPITAL AT ALL HOURS, EXCLUSIVELY DEDICATED TO CARING FOR HOSPITALIZED PATIENTS. FOR WOMEN IN LABOR OR WITH OTHER OBSTETRICS OR GYNECOLOGIC CONCERNS, IT'S AN ADDITIONAL LAYER OF CARE ON WHICH PATIENTS COMING TO METHODIST CHARLTON CAN RELY. IN FY2015 MCMC HAD 12,994 DISCHARGES; 63,285 INPATIENT DAYS; 5,551 NEWBORN INPATIENT DAYS; 81,890 EMERGENCY ROOM VISITS; 2,040 INPATIENT SURGERIES; AND 2,160 OUTPATIENT SURGERIES. THE 254 BED MMMC OPENED IN 2006 AND OFFERS HIGH-QUALITY CARE TO THE GROWING AREAS OF MANSFIELD AND THE SURROUNDING COMMUNITIES. IN 2010 MMMC CELEBRATED ITS NEWLY EXPANDED ER, ICU, AND TELEMETRY FLOOR. THE $37 MILLION EXPANSION DOUBLED THE SIZE OF THE ER WITH 35 TREATMENT ROOMS, ADDED EIGHT ICU TREATMENT ROOMS AND 36 TELEMETRY PATIENT ROOMS. THIS ENSURES MMMC PROVIDES A PLACE WHERE LIFE SHINES BRIGHT AND INFANTS CAN BE BORN CLOSE TO HOME, A $9 MILLION EXPANSION OF THE WOMEN'S PAVILION WAS COMPLETED IN 2012. THE 9,413 SQUARE-FOOT ADDITION ENHANCED LABOR AND DELIVERY SERVICES AT MMMC TO A TOTAL OF 13 LDR SUITES THAT WILL ACCOMMODATE UP TO 3,800 DELIVERIES EACH YEAR. ALSO ADDED WERE AN EXPANDED ANTEPARTUM AREA, EXPANDED NURSE/PHYSICIAN WORK AREAS, AND EXPANDED C-SECTION RECOVERY AND SUPPORT. BASED ON GROWTH IN SURGICAL PROCEDURES, CONSTRUCTION WAS INITIATED IN SEPTEMBER, 2013 ON TWO NEW OPERATING ROOMS THAT CAME ON-LINE IN MARCH 2014. DUE TO CONTINUED GROWTH IN THE DEMAND FOR INPATIENT BEDS, MMMC COMPLETED IN 2015 A NEW $118 MILLION EXPANSION ADDING 118 MEDICAL-SURGICAL BEDS, 12 ICU ROOMS, AND EIGHT INTERMEDIATE CARE ROOMS. IN FY2015 MMMC HAD 9,586 DISCHARGES; 42,076 INPATIENT DAYS; 3,738 NEWBORN INPATIENT DAYS; 50,909 EMERGENCY ROOM VISITS; 1,799 INPATIENT SURGERIES; AND 1,990 OUTPATIENT SURGERIES. MRMC SERVES THE RESIDENTS OF RICHARDSON, PLANO, NORTH DALLAS, COLLIN COUNTY AND SURROUNDING COMMUNITIES. IN OCTOBER OF 2011, MHS ACQUIRED THE ASSETS OF THE RICHARDSON HOSPITAL AUTHORITY (RHA) AND CONTINUED TO OPERATE THE HOSPITAL FACILITY AS PART OF THE METHODIST HEALTH SYSTEM. THE HOSPITAL OPERATIONS OF THE 209-BED ACUTE CARE HOSPITAL ARE NOW WITHIN THE METHODIST HEALTH SYSTEM AND INCLUDED AS PART OF THIS RETURN. MRMC HAS TWO CAMPUSES: CAMPBELL ROAD AND BUSH/RENNER. UP UNTIL APRIL 2014, THE CAMPBELL ROAD CAMPUS OPERATED AS A 200-BED ACUTE CARE FACILITY WITH INDEPENDENTLY PRACTICING PHYSICIANS OFFERING MORE THAN 35 DIFFERENT SPECIALTIES ALONG WITH A FULL SERVICE EMERGENCY ROOM. THE BUSH/RENNER CAMPUS, IN EAST RICHARDSON, INCLUDED AN OUTPATIENT HOSPITAL AND FULL SERVICE EMERGENCY ROOM. IN APRIL 2014, METHODIST OPENED AN ACUTE-CARE 134 LICENSED BED INPATIENT FACILITY AT THE BUSH/RENNER CAMPUS BRINGING THE TOTAL NUMBER OF LICENSED BEDS FOR MRMC TO 334. AMONG THE ENHANCEMENTS OF THE NEW FACILITY ARE THE DOUBLED SIZE OF THE INTENSIVE CARE UNIT AND THE NEONATAL INTENSIVE CARE UNIT, AND THE ABILITY TO OPEN A SECOND CARDIAC CATHETERIZATION LAB. THE BUSH/RENNER CAMPUS IS ALSO HOME TO METHODIST RICHARDSON CANCER CENTER, WHERE SOME OF THE LATEST ADVANCEMENTS IN MEDICAL, SURGICAL AND RADIATION ONCOLOGY ARE PROVIDED IN ONE CONVENIENT LOCATION. THE BUSH/RENNER CAMPUS ALSO INCLUDES A FIVE-STORY, 100,000 SQUARE FOOT PHYSICIAN PAVILION WITH MORE THAN 30 PHYSICIANS IN A FULL RANGE OF SPECIALTIES. THE CAMPBELL ROAD CAMPUS HAS BEEN RENAMED THE METHODIST RICHARDSON MEDICAL CENTER CAMPUS FOR CONTINUING CARE. IN ADDITION TO A FULL SERVICE EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SERVICES, SUCH AS PHYSICAL MEDICINE AND A SLEEP LAB, THIS CAMPUS CONTINUES TO BE THE SITE OF MRMC'S BEHAVIORAL HEALTH PROGRAM. THIS PROGRAM INCLUDES A 62-BED INPATIENT UNIT AND INTENSIVE OUTPATIENT PROGRAMS. MRMC EXPANDED THE UNIT IN 2015 TO OFFER AN ADDITIONAL 22 INPATIENT BEDS FOR GERIATRIC BEHAVIORAL HEALTH PATIENTS. MRMC HAD 9,132 DISCHARGES; 42,295 INPATIENT DAYS; 3,155 NEWBORN INPATIENT DAYS; 41,117 EMERGENCY ROOM VISITS; 1,343 INPATIENT SURGERIES; AND 2,274 OUTPATIENT SURGERIES. MHS IS A TEACHING HEALTHCARE SYSTEM WITH PHYSICIAN RESIDENCY PROGRAMS IN SEVERAL SPECIALTIES AND TRAINING ACROSS A BROAD ARRAY OF ALLIED HEALTH PROFESSIONS. MDMC AND MCMC OPERATE ACTIVE OUTPATIENT TEACHING CLINICS STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS TRAINING NEW PHYSICIANS. MHS CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. METHODIST REHABILITATION HOSPITAL OPENED WITH 40 BEDS. IT IS NEXT DOOR TO THE MCMC CAMPUS AND IS JOINTLY OWNED WITH CENTERRE HEALTH. IT ALLOWS MHS TO PROVIDE A LARGER ARRAY OF REHABILITATIVE CARE. A PARTNERSHIP BETWEEN MHS AND AREA PHYSICIANS OPENED THE METHODIST MCKINNEY HOSPITAL IN 2010 WHICH NOW HAS 21 BEDS, AND SERVES COLLIN COUNTY AND THE SURROUNDING COMMUNITIES. METHODIST HOSPITAL FOR SURGERY IN ADDISON IS A PARTNERSHIP WITH A GROUP OF PHYSICIANS. THE 32-BED FACILITY OPENED IN 2010, AND IS A CENTER OF EXCELLENCE FOR SPINE AND ORTHOPEDIC SURGERY. (SEE CONTINUATION BELOW ) |
| FORM 990, PART III, LINE 4 A (CONTINUATION) | MHS IS COMMITTED TO ENHANCING THE AVAILABILITY OF PHYSICIANS SERVICING THE COMMUNITY. METHODIST FAMILY HEALTH CENTERS EXTEND FAMILY HEALTH CARE AND GENERAL MEDICAL SERVICES IN 29 LOCATIONS IN THE MHS SERVICE AREA. SIGNIFICANT SECTIONS OF MHS' SERVICE AREAS HAVE: HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, LOW MEDIAN HOUSEHOLD INCOME, HIGH PERCENTAGES OF ADULTS WITH LESS THAN A HIGH SCHOOL EDUCATION, HIGH PERCENTAGES OF BLUE COLLAR WORKERS, LOW PERCENTAGES OF MANAGERIAL AND PROFESSIONAL WORKERS, A HIGH RATE OF BIRTHS TO TEENAGERS, HIGH PREMATURE BIRTHS AND INFANT MORTALITY AND HIGH PERCENTAGES OF CHILDREN. CONSEQUENTLY, IN FISCAL YEAR 2015, MHS PROVIDED A SUBSTANTIAL AMOUNT OF CHARITY CARE AND GOVERNMENT-SPONSORED INDIGENT HEALTHCARE, AS WELL AS A NUMBER OF OTHER COMMUNITY BENEFITS IN ACCOMPLISHING ITS EXEMPT PURPOSE. WHETHER FINANCIALLY OR MEDICALLY INDIGENT, THERE IS NO QUESTION THAT THE DEMAND FOR HEALTHCARE FOR THE INDIGENT POPULATION IS GREAT AND THE COUNTY-SUPPORTED PARKLAND HOSPITAL IS NOT CARING FOR, AND LIKELY CANNOT CARE FOR, ALL OF THOSE WHO QUALIFY. AS A RESULT, THE MAJOR HOSPITALS SERVICING DALLAS COUNTY HAVE COLLABORATED IN THE DEVELOPMENT OF THE DALLAS COUNTY INDIGENT CARE PLAN WHICH IS PART OF THE UPL PROGRAM APPROVED BY THE STATE AND FEDERAL GOVERNMENTS. THE DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT) POOL PROVIDES PAYMENTS TO HOSPITALS AND OTHER PROVIDERS UPON THEIR ACHIEVING CERTAIN GOALS THAT ARE INTENDED TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE. DSRIP IS PART OF THE FEDERALLY APPROVED 1115 WAIVER THAT PRESERVES UPPER PAYMENT LIMIT (UPL) FUNDING UNDER A NEW METHODOLOGY, BUT ALLOWS FOR MANAGED CARE EXPANSION TO ADDITIONAL AREAS OF THE STATE. THE PROGRAM, WHICH MHS FACILITIES HAVE PARTICIPATED IN SINCE IT BEGAN, HELPS FUND EFFORTS TARGETED TOWARD PROMOTING APPROPRIATE EMERGENCY ROOM UTILIZATION, EVIDENCE BASED CLINICAL AND QUALITY IMPROVEMENT IN CHRONIC DISEASE MANAGEMENT FOR EMERGENCY ROOM PATIENTS WITH DIABETES AND ASSISTING A COMMUNITY-BASED CHARITY CLINIC IN ENHANCING THE QUALITY OF THEIR SERVICES BY ADOPTING A "MEDICAL HOME" MODEL OF PATIENT CARE. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30-DAYS POST DISCHARGE AND COMMUNITY OUTREACH. DALLAS COUNTY'S TRAUMA RATES TYPICALLY ARE HIGHER THAN STATE AND NATIONAL TRAUMA RATES. HISTORICALLY, THE COUNTY HAS RELIED ALMOST EXCLUSIVELY ON PARKLAND MEMORIAL HOSPITAL (PARKLAND), MDMC AND BAYLOR UNIVERSITY MEDICAL CENTER (BAYLOR) TO HANDLE MAJOR TRAUMA. PARKLAND CURRENTLY OPERATES AS THE COUNTY'S PRIMARY TRAUMA FACILITY, SUPPORTED BY MDMC AND BAYLOR. MDMC'S COMMITMENT TO PROVIDE OUTSTANDING TRAUMA SERVICES TO DALLAS AND SURROUNDING COUNTIES IS DEMONSTRATED BY THE IMPROVEMENTS THAT MDMC HAS MADE WITHIN ITS OWN TRAUMA PROGRAM. MDMC IS DESIGNATED BY THE TEXAS DEPARTMENT OF HEALTH AS A LEVEL I MAJOR TRAUMA CENTER. MDMC DOES A GREAT DEAL TO FULFILL THE COMMUNITY NEED FOR EMERGENCY SERVICES. MHS RECENTLY COMPLETED A MORE THAN $108 MILLION EXPANSION TO THE MDMC EMERGENCY ROOM, CRITICAL CARE, AND SURGERY DEPARTMENTS WITH A NEW SIX-STORY TRAUMA AND CRITICAL CARE CENTER. THE 248,000 SQUARE FOOT TRAUMA AND CRITICAL CARE CENTER INCLUDES 58 NEW EMERGENCY ROOM BEDS, SIX TRAUMA SUITES, EIGHT SURGICAL SUITES, A 36-BED CRITICAL CARE UNIT WITH THE ABILITY TO EXPAND TO 11 STORIES FOR FUTURE GROWTH. MHS, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING, AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. MDMC MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE. |
| FORM 990, PART III, LINE 4 B (CONTINUATION) | (OR WOULD, EXCEPT THAT THE EXPENSES OF COLLECTING ITS INCOME EXCEEDED THAT INCOME), AND THE CORPORATION AND ORGANIZATION FILE A CONSOLIDATED RETURN AS DESCRIBED BELOW,THEN TREAT THE TITLE HOLDING CORPORATION AS BEING ORGANIZED AND OPERATED FOR THE SAME PURPOSES AS THE OTHER EXEMPT ORGANIZATION (IN ADDITION TO THE PURPOSES DESCRIBED IN SECTION 501(C)(2)). MHD HAS CHOSEN TO CONSOLIDATE PAVILION PROPERTIES INTO BOTH ITS FORM 990 AND 990-T. FORM 851 HAS BEEN ATTACHED TO BOTH THE FORM 990 AND THE FORM 990-T FILING. COLLECTIVELY THERE HAS BEEN NO CHANGE IN PROGRAM SERVICES THIS IS JUST A CHANGE IN HOW THEY ARE REPORTED. THE REVENUES AND EXPENSES OF PAVILION PROPERTIES ARE REPORTED AS RENTAL INCOME AND EXPENSE ON LINE 6 OF PART VIII OF THIS RETURN. |
| FORM 990, PART VI, SECTION A, LINE 2 | DUNCAN FULTON,BUSINESS RELATIONSHIP WITH GEORGE SHAFER. JOHN COLLINS, BUSINESS RELATIONSHIP WITH STEVE MANSFIELD MICHAEL REDDEN, BUSINESS WITH PETE SCHENKEL MICHAEL HUTTON, BUSINESS RELATIONSHIP WITH STEVE MANSFIELD JULIE YARBROUGH, BUSINESS RELATIONSHIP WITH JOHN COLLINS |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY THE MHS TAX DEPARTMENT. DURING THE RETURN PREPARATION PROCESS THE TAX DEPARTMENT LOOKS TO OTHER FUNCTIONAL AREAS INCLUDING FINANCE, HUMAN RESOURCES, ACCOUNTING, LEGAL, CORPORATE COMPLIANCE, AND TREASURY FOR ASSISTANCE IN PREPARING A COMPLETE AND ACCURATE RETURN. UPON COMPLETION THE RETURN IS REVIEWED WITH THE REPORTING ORGANIZATIONS APPLICABLE SENIOR FINANCIAL OFFICER. FURTHER, AS PART OF THE ANNUAL FINANCIAL AUDIT OF MHS THE FORM 990 IS PROVIDED TO A NATIONAL ACCOUNTING FIRM FOR REVIEW. ADDITIONALLY,PRIOR TO FILING, A SPECIALLY APPOINTED COMMITTEE OF THE BOARD RECEIVES A DETAILED PRESENTATION OF THE FORM 990 FOR THEIR REVIEW. ONCE THIS COMMITTEE APPROVES THE FORM 990 TO BE FILED IT IS PROVIDED ELECTRONICALLY TO ALL MEMBERS OF THE BOARD FOR THEM TO REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OFFICERS,DIRECTORS AND EMPLOYEES ARE REQUIRED TO FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING ANY POTENTIAL CONFLICTS WHICH ARE THEN MONITORED BY THE MHS COMPLIANCE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND DETERMINES THE ANNUAL COMPENSATION OF THE CEO. ALSO, ON AN ANNUAL BASIS, THE CEO PRESENTS PROPOSED MERIT AND BONUS/INCENTIVE COMPENSATION FOR SVP'S AND ABOVE TO THE COMMITTEE FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 16 THE ORGANIZATION HAS A POLICY ON PHYSICIAN JOINT VENTURES WHICH REQUIRES THE INVESTMENT TO BE REVIEWED BY MHS LEGAL AND FINANCE DIVISIONS. THIS PRACTICE IS FOLLOWED FOR ALL JOINT VENTURES. ALL JOINT VENTURE INVESTMENTS ARE APPROVED BY THE BOARD PRIOR TO THE INVESTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICES. |
| FORM 990, PART VIII, LINE 2 | CONSISTENT WITH FASB ACCOUNTING STANDARD UPDATE (ASU) 2011-07 MHS REPORTS BAD DEBTS AS A REDUCTION IN NET PATIENT REVENUE. LIKEWISE FUNCTIONAL EXPENSES DO NOT INCLUDE ANY PROVISION FOR BAD DEBTS. |
| FORM 990, PART XI, LINE 9: | UNREALIZED GAIN ON PENSION INVESTMENT 7420. TRANSFER OF RESTRICTED ASSETS -956357. CHANGE IN ACO AND DPMN FUND BALANCES -1037156. |
| FORM 990, PART XII,LINE 2(C) | THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE AUDIT COMMITTEE OF THE BOARD OVERSEES THE OUTSIDE AUDIT PROCESS. |
| FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST DALLAS MEDICAL CENTER | 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS LARGE GEOGRAPHIC AREAS OF SOUTHERN DALLAS COUNTY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES, BOTH PRIMARY AND SPECIALTY CARE, AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST DALLAS HAS COMMITTED TO INFRASTRUCTURE THROUGH THE CONSTRUCTION OF A NEW $108 MILLION TRAUMA AND CRITICAL CARE TOWER. METHODIST DALLAS OPERATES AN ACTIVE OUTPATIENT TEACHING CLINIC STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST DALLAS GOLDEN CROSS ACADEMIC CLINIC IS A FREESTANDING TEACHING FACILITY WHERE PATIENTS ARE TREATED BY A STAFF OF PROFESSIONALS INCLUDING REGISTERED NURSES, INTERNS, RESIDENTS AND FACULTY PHYSICIANS. THE GOLDEN CROSS CLINIC PROVIDES INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGICAL SERVICES. THE CLINIC SERVES A LARGE MINORITY COMMUNITY THAT HAS HIGHER INCIDENTS OF PREVENTABLE AND CHRONIC MEDICAL OUTCOMES. IT IS A VITAL COMMUNITY RESOURCE PROVIDING GREATER ACCESS TO PREVENTATIVE AND AMBULATORY HEALTH CARE SERVICES FOR THE GROWING NUMBER OF UN OR UNDER INSURED, POOR AND INDIGENT RESIDENTS IN SOUTHWEST DALLAS COUNTY. THE CLINIC STAFF IS DEDICATED TO INNOVATIVE APPROACHES TO IMPROVING COMMUNITY HEALTH ISSUES AND EXCELLENT CLINICAL OUTCOMES FOR PATIENTS. THE HIGH RISK PREGNANCY PROGRAM IS CLOSELY LINKED WITH METHODIST DALLAS' NEONATAL INTENSIVE CARE UNIT (NICU) AND TOGETHER THEY ENABLE METHODIST DALLAS TO OFFER A COMPREHENSIVE SERVICE TO THE COMMUNITY. IN ADDITION TO THE MANY PERINATAL AND NEONATAL SERVICES, METHODIST DALLAS ALSO STAFFS A NEONATAL TRANSPORT TEAM THAT TRANSPORTS ILL NEONATES FROM OUTLYING HOSPITALS IN NORTHEAST AND CENTRAL TEXAS TO METHODIST DALLAS' NICU. FURTHER, THE NEONATAL TRANSPORT TEAM AND COORDINATOR EDUCATE THE STAFF OF OUTLYING HOSPITALS IN STABILIZING ILL NEONATES IN PREPARATION FOR TRANSPORT. METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: METHODIST DALLAS IS AN INTEGRAL AND VITAL PART OF THE NORTH TEXAS TRAUMA NETWORK. METHODIST DALLAS' COMMITMENT TO PROVIDE OUTSTANDING TRAUMA SERVICES TO DALLAS AND SURROUNDING COUNTIES IS DEMONSTRATED BY THE IMPROVEMENTS THAT METHODIST DALLAS HAS MADE WITHIN ITS OWN TRAUMA PROGRAM. MDMC IS DESIGNATED BY THE TEXAS DEPARTMENT OF HEALTH AS A LEVEL I MAJOR TRAUMA CENTER. MDMC DOES A GREAT DEAL TO FULFILL THE COMMUNITY NEED FOR EMERGENCY SERVICES. MHS RECENTLY COMPLETED A MORE THAN $108 MILLION EXPANSION TO THE MDMC EMERGENCY ROOM, CRITICAL CARE, AND SURGERY DEPARTMENTS WITH A NEW SIX-STORY TRAUMA AND CRITICAL CARE CENTER. THE 248,000 SQUARE FOOT TRAUMA AND CRITICAL CARE CENTER INCLUDES 58 NEW EMERGENCY ROOM BEDS, SIX TRAUMA SUITES, EIGHT SURGICAL SUITES, A 36-BED CRITICAL CARE UNIT AND THE ABILITY TO EXPAND TO 11 STORIES FOR FUTURE GROWTH. EVEN THOUGH MUCH OF METHODIST'S ANNUAL CHARITY CARE COMES FROM TRAUMA AND EMERGENCY ROOM PATIENTS, WHO ARE OFTEN YOUNG AND UNINSURED - METHODIST SAW ITS IMPORTANCE TO THE REGION AS A WHOLE. THE METHODIST DALLAS ED TREATED OVER 69,000 PATIENTS DURING FY15. IN ADDITION, METHODIST CHARLTON TREATED OVER 81,000; METHODIST MANSFIELD TREATED OVER 50,000; AND METHODIST RICHARDSON TREATED OVER 41,000 ED PATIENTS. METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST DALLAS MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE AND PROVIDES MEDICAL CONTROL FOR BOTH GROUND AND AIR SERVICES. ALSO, METHODIST DALLAS STAFFS THE NEONATAL TRANSPORT TEAMS THAT ARE RESPONSIBLE FOR TRANSPORTING ILL NEONATES FROM OUTLYING AREAS TO METHODIST DALLAS, VIA AMBULANCE. METHODIST DALLAS ALSO PROVIDES MEDICAL CONTROL SERVICES, INCLUDING MEDICAL DIRECTION, PROTOCOL DEVELOPMENT, CONTINUING EDUCATION AND A QUALITY IMPROVEMENT INITIATIVE TO A TOTAL OF FIFTEEN FIRE DEPARTMENTS AND EMS AGENCIES IN NORTH CENTRAL TEXAS. METHODIST DALLAS GOLDEN CROSS ACADEMIC CLINIC PARTNERED WITH THE MARCH OF DIMES TO CREATE METHODIST'S PRETERM BIRTH PREVENTION PROGRAM. INSPIRED BY THE MARCH OF DIMES AND OFFERED THROUGH METHODIST'S GOLDEN CROSS CLINIC, THIS PROGRAM FEATURES A NEW MODEL FOR PRENATAL CARE AND GROUP EDUCATION FOR AT-RISK PREGNANT WOMEN AND THEIR FAMILIES WITH A GOAL OF SIGNIFICANTLY REDUCING PREMATURE BIRTHS. THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. METHODIST DALLAS AND MORE THAN A HALF DOZEN OF ITS MEDICAL STAFF PHYSICIANS MAINTAIN A RELATIONSHIP WITH LOS BARRIOS UNIDOS COMMUNITY CLINIC IN WEST DALLAS TO PROVIDE PRENATAL CARE AT THAT CLINIC AND DELIVER BABIES AT METHODIST DALLAS. IN ADDITION, METHODIST DALLAS HAS AUGMENTED AND ENHANCED PHYSICIAN SERVICES FOR HIGH RISK PREGNANCIES AT METHODIST DALLAS, INCLUDING PROVIDING AN ON SITE PERINATOLOGIST. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST DALLAS WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST DALLAS MEDICAL CENTER FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS. |
| FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST CHARLTON MEDICAL CENTER | METHODIST CHARLTON OPERATES AN ACTIVE OUTPATIENT TEACHING CLINICS STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINIC IS A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST CHARLTON FAMILY PRACTICE CLINIC IS A TEACHING FACILITY WHERE PATIENTS ARE TREATED BY RESIDENT PHYSICIANS SEEKING POSTGRADUATE TRAINING IN FAMILY MEDICINE, FELLOWS IN SPORTS MEDICINE TRAINING AND INSTRUCTORS AND SERVES A LARGE LOW INCOME POPULATION. THE CLINIC, OPEN FIVE DAYS A WEEK, PROVIDES SERVICES INCLUDING: A) MANAGEMENT OF CHRONIC DISEASE AND PREVENTION IN ADULTS B) ADOLESCENT CARE (HEALTH MAINTENANCE, INJURIES, MENSTRUAL PROBLEMS AND SEXUALITY ISSUES) C) GERIATRIC CARE (CHRONIC DISEASE CARE, FUNCTIONAL ASSESSMENT, HOME VISITS AND NURSING HOME CARE) D) HEALTH MAINTENANCE/ PREVENTIVE MEDICINE (HIGH BLOOD PRESSURE TREATMENT, HEART DISEASE PREVENTION AND TREATMENT, CANCER SCREENING, IMMUNIZATIONS AND DIABETES CARE). E) NUTRITION/DIABETIC COUNSELING F) PEDIATRIC CARE (CHILDHOOD ILLNESS, IMMUNIZATIONS AND WELL CHILD CARE) G) PREGNANCY CARE AND DELIVERY H) SPORTS MEDICINE (INJURIES, STRESS TESTING AND PHYSICALS) I) WOMEN'S CARE (CANCER SCREENING, BIRTH CONTROL, MENOPAUSAL CONCERNS AND PRE-PREGNANCY PLANNING) ADDITIONAL CAPACITY BEYOND WHAT EXISTS TODAY WILL BE BROUGHT ON LINE AS DEMAND DICTATES. MAJOR EFFORTS ARE ALSO UNDERWAY AT METHODIST CHARLTON TO IMPROVE OPERATING EFFICIENCIES AND PATIENT THROUGHPUT TO RELIEVE CONGESTION PARTICULARLY IN THE EMERGENCY DEPARTMENT WHICH SERVES AS A KEY ACCESS POINT FOR RESIDENTS LIVING IN THE SOUTHERN SECTOR OF DALLAS COUNTY. DEMAND KEEPS GROWING FOR METHODIST'S SERVICES PARTICULARLY AS OTHER AREA HOSPITAL PROVIDERS BECOME STRESSED AND/OR CLOSE (FOR INSTANCE IN FEBRUARY 2008 LANCASTER MEDICAL CENTER CLOSED AND IN AUGUST 2008 MESQUITE COMMUNITY HOSPITAL CLOSED). METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST CHARLTON'S FAMILY HEALTH CLINIC PARTNERED WITH THE MARCH OF DIMES TO CREATE METHODIST'S PRETERM BIRTH PREVENTION PROGRAM. INSPIRED BY THE MARCH OF DIMES AND OFFERED THROUGH METHODIST'S GOLDEN CROSS CLINIC, THIS PROGRAM FEATURES A NEW MODEL FOR PRENATAL CARE AND GROUP EDUCATION FOR AT RISK PREGNANT WOMEN AND THEIR FAMILIES WITH A GOAL OF SIGNIFICANTLY REDUCING PREMATURE BIRTHS. THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. A 69 BED UNIT NAMED SELECT SPECIALTY HOSPITAL PROVIDES HIGHLY SPECIALIZED CARE TO PROMOTE RECOVERY FROM THE MOST CRITICAL AND COMPLEX MEDICAL AND SURGICAL CONDITIONS. THE LONG TERM ACUTE CARE (LTAC) UNIT, OPERATED BY SELECT MEDICAL, AN INDEPENDENT PROVIDER, IS LOCATED IN RENOVATED SPACE IN THE ORIGINAL BED TOWER ON THE METHODIST CHARLTON CAMPUS. THE LTAC OFFERS A RESOURCE INTENSIVE LEVEL OF PHYSICIAN AND NURSING CARE, RESPIRATORY SERVICES AND INDIVIDUALIZED THERAPIES TO EXPAND THE BREADTH OF CRITICAL CARE SERVICES AND CONTINUUM OF CARE FOR THE PATIENTS WE SERVE. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST CHARLTON WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST CHARLTON MEDICAL CENTER FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS. |
| FORM 990,SCHEDULE H,SECTION B,LINE 11, METHODIST MANSFIELD MEDICAL CENTER | RESPONSE: METHODIST MANSFIELD REGULARLY CONDUCTS HEALTH EDUCATION PROGRAMMING OPEN TO THE ENTIRE COMMUNITY. TOPICS INCLUDE A VARIETY OF HEALTH RELATED ISSUES FOR WOMEN, MEN, BACK AND SPINE, AND CARDIOLOGY. METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. CN.14 - LACK OF ACCESS TO HEALTHY FOODS. THE REGION AND THE STATE HAS MORE THAN DOUBLE THE PERCENTAGE OF ALL RESTAURANTS THAT ARE FAST FOOD ESTABLISHMENTS COMPARED TO THE NATION. RESPONSE: METHODIST HEALTH SYSTEM OFFERS AREA EMPLOYERS RESOURCE TO HELP THEIR EMPLOYEES STAY HEALTHY. THE SERVICE IS SOLD TO AREA EMPLOYERS AND INCLUDES SUCH SERVICES AS INTERACTIVE WELLNESS COACHING, WORKSHOPS, CHALLENGES AND INDIVIDUALIZED NUTRITIONAL PLANS. AS PART OF THAT EFFORT COACHING TEAMS ARE PRESENT AT AREA COMMUNITY EVENTS TO PROMOTE THE PROGRAM AND OFFER WELLNESS EDUCATION ON A MYRIAD OF TOPICS. IN FY2015 THE LIVE BRIGHT PROGRAM BROUGHT EDUCATION ABOUT NUTRITION, FITNESS AND WELLNESS TO APPROXIMATELY 2000 PEOPLE. CN.16 - HIGHER INCIDENCE RATES OF SYPHILIS AND CHLAMYDIA. TWO COUNTIES HAVE HIGHER RATES OF SYPHILIS THAN THE STATE. ONE COUNTY HAD SIGNIFICANTLY HIGHER RATE OF CHLAMYDIA, WHILE ENTIRE REGION 10 HAS HIGHER RATE THAN THE STATE AND NATION. RESPONSE: METHODIST HEALTH SYSTEM OPERATES AN ACTIVE OUTPATIENT TEACHING CLINIC STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST GOLDEN CROSS ACADEMIC CLINIC IS A FREESTANDING TEACHING FACILITY WHERE PATIENTS ARE TREATED BY A STAFF OF PROFESSIONALS INCLUDING REGISTERED NURSES, INTERNS, RESIDENTS AND FACULTY PHYSICIANS. THE GOLDEN CROSS CLINIC PROVIDES INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGICAL SERVICES. THE CLINIC SERVES A LARGE MINORITY COMMUNITY THAT HAS HIGHER INCIDENTS OF PREVENTABLE AND CHRONIC MEDICAL OUTCOMES. IT IS A VITAL COMMUNITY RESOURCE PROVIDING GREATER ACCESS TO PREVENTATIVE AND AMBULATORY HEALTH CARE SERVICES FOR THE GROWING NUMBER OF UN/UNDER INSURED, POOR AND INDIGENT RESIDENTS IN SOUTHWEST DALLAS COUNTY. THE CLINIC STAFF IS DEDICATED TO INNOVATIVE APPROACHES TO IMPROVING COMMUNITY HEALTH ISSUES AND EXCELLENT CLINICAL OUTCOMES FOR PATIENTS. CN.17 - INCOMPLETE MANAGEMENT OF VARICELLA (CHICKEN POX) CASES. REGION 10 HAS POOR RATES OF SOME CHICKEN POX, WITH NEARLY A 50% HIGHER RATE THAN NATIONAL AVERAGE (WITH RATE OF 26.3 COMPARED TO 17.9 PER 100,000, RESPECTIVELY). CN.18 - INCOMPLETE MANAGEMENT OF PERTUSSIS (WHOOPING COUGH) CASES. THE REGION HAS NEARLY A 50% HIGHER RATE THAN STATE, WITH RATE OF 10.3 COMPARED TO 5.54 PER 100,000, RESPECTIVELY). RESPONSE: THROUGH OUR FAMILY HEALTH CENTERS, PATIENTS ARE ABLE TO RECEIVE ALL APPROPRIATE VACCINATIONS FOR PREVENTIVE HEALTH NEEDS. CN.19 - NEED FOR MORE AND EARLIER ONSET OF PRENATAL CARE. NEARLY 60% OF REGION 10 MOTHERS ACCESS PRENATAL CARE WITHIN FIRST TRIMESTER, COMPARED WITH 71% NATIONAL RATE. REGION 10 HAS HIGHER TEEN BIRTH RATES THAN THE NATIONAL AVERAGE, WHILE ALSO HAVING A LOWER RATE OF LOW BIRTH WEIGHT. RESPONSE: METHODIST HEALTH SYSTEM'S GOLDEN CROSS ACADEMIC CLINIC PARTNERED WITH THE MARCH OF DIMES TO CREATE METHODIST'S PRETERM BIRTH PREVENTION PROGRAM. INSPIRED BY THE MARCH OF DIMES AND OFFERED THROUGH METHODIST'S GOLDEN CROSS CLINIC, THIS PROGRAM FEATURES A NEW MODEL FOR PRENATAL CARE AND GROUP EDUCATION FOR AT-RISK PREGNANT WOMEN AND THEIR FAMILIES WITH A GOAL OF SIGNIFICANTLY REDUCING PREMATURE BIRTHS. CN.20 - IMPROVED PUBLIC HEALTH SURVEILLANCE TO PROMOTE INDIVIDUAL AND POPULATION HEALTH. WEST NILE AND OTHER DISEASE OUTBREAKS LOCALLY HIGHLIGHT AREAS IN THE LOCAL PUBLIC HEALTH SURVEILLANCE SYSTEM THAT IS UNADDRESSED. RESPONSE: IN OCTOBER 2014, WITH THE ONSET OF AN EBOLA OUTBREAK IN DALLAS, TEXAS, METHODIST HEALTH SYSTEM RESPONDED TO THE COMMUNITY NEED BY PROVIDING SPACE FOR A STATE-OF-THE-ART EBOLA TREATMENT AND INFECTIOUS DISEASE BIOCONTAINMENT FACILITY IN NORTH TEXAS. ONE FLOOR OF THE SYSTEM'S METHODIST CAMPUS FOR CONTINUING CARE IN RICHARDSON WAS AVAILABLE IF NEEDED THRUSTING METHODIST HEALTH SYSTEM INTO THE FRONT LINES OF COMMUNICATION AND RESPONSE TO THE POTENTIAL CRISES. METHODIST WORKED IN CONJUNCTION WITH UT SOUTHWESTERN MEDICAL CENTER AND PARKLAND HOSPITAL SYSTEM TO SET UP AND MAKE THE UNIT OPERATIONAL. CN.21 - HIGH TUBERCULOSIS (TB) PREVALENCE AND LOW TREATMENT COMPLETION RATES OF LATENT TUBERCULOSIS INFECTION (LTBI) LTBI TREATMENT. RESPONSE: METHODIST HEALTH SYSTEM OPERATES AN ACTIVE OUTPATIENT TEACHING CLINIC STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST GOLDEN CROSS ACADEMIC CLINIC IS A FREESTANDING TEACHING FACILITY WHERE PATIENTS ARE TREATED BY A STAFF OF PROFESSIONALS INCLUDING REGISTERED NURSES, INTERNS, RESIDENTS AND FACULTY PHYSICIANS. THE GOLDEN CROSS CLINIC PROVIDES INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGICAL SERVICES. THE CLINIC SERVES A LARGE MINORITY COMMUNITY THAT HAS HIGHER INCIDENTS OF PREVENTABLE AND CHRONIC MEDICAL OUTCOMES. IT IS A VITAL COMMUNITY RESOURCE PROVIDING GREATER ACCESS TO PREVENTATIVE AND AMBULATORY HEALTH CARE SERVICES FOR THE GROWING NUMBER OF UN/UNDER INSURED, POOR AND INDIGENT RESIDENTS IN SOUTHWEST DALLAS COUNTY. THE CLINIC STAFF IS DEDICATED TO INNOVATIVE APPROACHES TO IMPROVING COMMUNITY HEALTH ISSUES AND EXCELLENT CLINICAL OUTCOMES FOR PATIENTS. CN.22 - INADEQUATE HEALTH IT INFRASTRUCTURE AND LIMITED INTEROPERABILITY TO SUPPORT INFORMATION SHARING BETWEEN PROVIDERS HINDERS CARE COORDINATION. RESPONSE: THE NORTH TEXAS HIE DISBANDED. HOWEVER, METHODIST HEALTH SYSTEM HAS PURCHASED EXPLORYS CONNECTOR WITH A 3-YEAR DEPLOYMENT PLAN BEGINNING Q3FY16 TO SERVE AS A REGISTRY TO COMPLIMENT THE EPIC COMMUNITY CONNECT ROLLOUT. |
| FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST REHABILITATION HOSPITAL | 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST HEALTH SYSTEM WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST REHABILITATION HOSPITAL FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS. |
| FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST MCKINNEY HOSPITAL | 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN THE COMMUNITY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST HEALTH SYSTEM WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT METHODIST HOSPITAL FOR SURGERY FOR LONG-TERM OR SHORT-TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT-TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS. |
| FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST HOSPITAL FOR SURGERY | 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN THE COMMUNITY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST HEALTH SYSTEM WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT METHODIST HOSPITAL FOR SURGERY FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS. |
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