Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 10-01-2014 , and ending 09-30-2015
BCheck if applicable:
CName of organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Doing business as
METHODIST HEALTH SYSTEM
 
Number and street (or P.O. box if mail is not delivered to street address)
1441 N BECKLEY AVE DWIGHT WILLIAMS
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DALLAS, TX752031201
D Employer identification number

75-0800661
E Telephone number

G Gross receipts $ 1,111,997,285
F Name and address of principal officer:
MICHAEL J SCHAEFER
1441 N BECKLEY AVE
DALLAS,TX75203
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1935
M State of legal domicile: TX
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 28
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 24
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 7,995
6 Total number of volunteers (estimate if necessary) ............. 6 1,115
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,333,883
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 2,099,595
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,416,651 23,566,286
9 Program service revenue (Part VIII, line 2g) ......... 1,047,668,376 1,048,537,757
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 12,155,284 20,079,278
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,290,293 8,532,807
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,077,530,604 1,100,716,128
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 26,758,436 31,325,871
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 491,784,391 509,807,615
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet247,518    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 421,953,365 415,408,521
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 940,496,192 956,542,007
19 Revenue less expenses. Subtract line 18 from line 12....... 137,034,412 144,174,121
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,693,625,688 1,805,740,704
21 Total liabilities (Part X, line 26)............. 537,913,422 552,214,440
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,155,712,266 1,253,526,264
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE IN A MANNER THAT REFLECTS A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING (SEE CONTINUATION ON SCHEDULE O)
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 851,837,127 including grants of $ 31,325,871 ) (Revenue $ 1,054,610,435 )
THE PRIMARY MISSION OF THE METHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM (MHS) IS TO SERVE PEOPLE IN DEFINED SERVICE AREAS BY MEETING THEIR HEALTH NEEDS EFFECTIVELY AND IN A MANNER THAT REFLECTS A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING. THIS MISSION IS PURSUED BY OPERATING FOUR GENERAL ACUTE-CARE HOSPITALS AND OTHER HEALTHCARE SERVICES, EDUCATION AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES IN NORTH CENTRAL TEXAS. (SEE CONTINUATION ON SCHEDULE O)
4b (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
PRIOR TO TAX YEAR ENDING SEPTEMBER 30,2014 PAVILION PROPERTIES, WHICH IS WHOLLY OWNED BY METHODIST HOSPITALS OF DALLAS (MHD), AND IS TAX-EXEMPT AS A IRC SECTION 501(C)(2) TITLE HOLDING COMPANY FILED A SEPERATE FORM 990 AND 990-T TO REPORT ITS ACTIVITIES. PURSUANT TO THE PAGE 5 INSTRUCTIONS FOR FORM 990-T WHICH READ IN PART: "THE CONSOLIDATED RETURN PROVISIONS OF SECTION 1501 DO NOT APPLY TO EXEMPT ORGANIZATIONS, EXCEPT FOR ORGANIZATIONS HAVING TITLE HOLDING COMPANIES. IF A TITLE HOLDING CORPORATION DESCRIBED IN IRC SECTION 501(C)(2) PAYS ANY AMOUNT OF ITS NET INCOME FOR A TAX YEAR TO AN ORGANIZATION EXEMPT FROM TAX UNDER SECTION 501(A) (SEE CONTINUATION ON SCHEDULE O)
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet851,837,127
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................ Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
420
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
7,995
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
28
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
24
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL J SCHAEFER

1441 N BECKLEY AVE
DALLAS,TX75203 (214) 947-4510
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) COLLINS JOHN........................................................................
CHAIRMAN
2.00
.......................  
X   X       0 0 0
(2) CAMPBELL GREG........................................................................
VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(3) CANEDY JOHN RANDALL........................................................................
VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(4) FOLSOM STEVE........................................................................
VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(5) FORTSON JOE........................................................................
VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(6) FULTON DUNCAN........................................................................
VICE CHAIR
2.00
.......................  
X   X       0 0 0
(7) SCHNEIDER ALLEN DO........................................................................
VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(8) SNAYD JOSEPH........................................................................
VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(9) YARBROUGH JULIE........................................................................
SEC/VICE CHAIRMAN
2.00
.......................  
X   X       0 0 0
(10) DAVIS LEVI........................................................................
DIR
2.00
.......................  
X           0 0 0
(11) FINCH MICHAEL MD........................................................................
DIR
2.00
.......................  
X           0 0 0
(12) GEORGE LARRY D MIN........................................................................
DIR
2.00
.......................  
X           0 0 0
(13) GRINER RICHARD........................................................................
DIR
2.00
.......................  
X           0 0 0
(14) HASLEY ROBERT D MIN........................................................................
DIR
2.00
.......................  
X           0 0 0
(15) JACKSONBRENDA........................................................................
DIR
2.00
.......................  
X           0 0 0
(16) MCATEE DAVID........................................................................
DIR
2.00
.......................  
X           0 0 0
(17) MCDONNOUGH CLINT........................................................................
DIR
2.00
.......................  
X           0 0 0
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MUELLER STEPHEN MD........................................................................
DIR/MCMC MED DIR ICU
15.00
.......................5.00
X           195,000 10,000 0
(19) PARKHILL KAREN........................................................................
DIR
2.00
.......................  
X           0 0 0
(20) PATTERSON SHERON D MIN........................................................................
DIR
2.00
.......................  
X           0 0 0
(21) RICKS RON........................................................................
DIR
2.00
.......................  
X           0 0 0
(22) SCHENKEL PETE........................................................................
DIR
2.00
.......................  
X           0 0 0
(23) SCHRADER GEORGE........................................................................
DIR
2.00
.......................  
X           0 0 0
(24) SWAFFORD JAMES........................................................................
DIR
2.00
.......................  
X           0 0 0
(25) VELEZ RUBEN MD........................................................................
DIR
2.00
.......................  
X           0 0 0
(26) WALKER W KELVIN........................................................................
DIR
2.00
.......................  
X           0 0 0
(27) FORD JOHN........................................................................
FORMER DIR
2.00
.......................  
X           0 0 0
(28) MANSFIELD STEPHEN PHD........................................................................
PRES/CEO
40.00
.......................  
X   X       1,842,534 0 271,574
(29) SCHAEFER MICHAEL........................................................................
TREA/ ASST SEC/EVP/CFO
40.00
.......................  
    X       971,620 0 72,712
(30) MILONE ROBERT........................................................................
ASST TREA
40.00
.......................  
    X       191,236 0 36,640
(31) PRICE MICHAEL........................................................................
ASST SEC/CLO
40.00
.......................  
    X       576,726 0 94,621
(32) BAUMGARTNER JOHN........................................................................
SVP/CONTROLLER
40.00
.......................  
      X     479,762 0 48,956
(33) BOX APRIL........................................................................
MHSF PRES
40.00
.......................  
      X     495,030 0 68,207
(34) BRIZIUS CHARLES........................................................................
SVP
40.00
.......................  
      X     391,914 0 36,665
(35) FARROW PAUL........................................................................
SVP/PRES MEDHEALTH
40.00
.......................  
      X     299,267 0 50,794
(36) FLYNN CHERYL........................................................................
SVP
40.00
.......................  
      X     420,829 0 68,276
(37) GERDES MELISSA........................................................................
PRES ACO
40.00
.......................  
      X     233,559 0 26,824
(38) HUTCHENRIDER EKENNETH........................................................................
PRES MRMC
40.00
.......................  
      X     493,802 0 79,175
(39) IRVINE LAURA........................................................................
EVP STSTEM ALIGNMENT
40.00
.......................  
      X     751,115 0 99,381
(40) LAUKATLS FRAN........................................................................
PRES MCMC
40.00
.......................  
      X     241,747 0 20,481
(41) LEA JAN........................................................................
SVP
40.00
.......................  
      X     279,741 0 38,740
(42) MCNUTT PAMELA........................................................................
SVP
40.00
.......................  
      X     596,589 0 86,858
(43) PHILLIPS JOHN........................................................................
PRES MMMC
40.00
.......................  
      X     420,128 0 75,691
(44) PIERCE LESLIE........................................................................
SVP
40.00
.......................  
      X     264,945 0 26,551
(45) STOYANOFF PAM........................................................................
EVP/COO
40.00
.......................  
      X     903,774 0 138,005
(46) TEDDER STEPHEN........................................................................
AVP/ASST GENERAL COUNSEL
40.00
.......................  
      X     241,873 0 16,002
(47) TRIFONEJOHN........................................................................
SVP
40.00
.......................  
      X     258,577 0 30,302
(48) WALKER RANDY........................................................................
SVP
40.00
.......................  
      X     349,180 0 56,689
(49) FRASIER NORA........................................................................
VP MMMC
40.00
.......................  
        X   218,365 0 19,821
(50) GIACOMA TRACY........................................................................
VP MDMC
40.00
.......................  
        X   220,483 0 36,531
(51) RAMBERGER KARLA........................................................................
VP MDMC
40.00
.......................  
        X   234,815 0 32,305
(52) SIMPSON ROBERT........................................................................
VP MRMC
40.00
.......................  
        X   258,190 0 27,309
(53) STREJC IRENE........................................................................
VP MRMC
40.00
.......................  
        X   234,035 0 22,253
(54) KOONSMAN MARTIN MD........................................................................
FORMER DIR/ MDMC MEDICAL DIR
15.00
.......................5.00
          X 110,310 20,833 0
(55) BAGCHI SAM MD........................................................................
FORMER CMO
40.00
.......................  
          X 443,140 0 63,472
(56) CLARKDAVID........................................................................
FORMER PRES. MDMC
40.00
.......................  
          X 151,465 0 22,621
(57) DAVIS JONATHAN........................................................................
FORMER MMMC PRES
40.00
.......................  
          X 600,746 0 88,003
(58) SEIMER SCOTT........................................................................
FORMER SVP
40.00
.......................  
          X 106,709 0 15,265
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 13,477,206 30,833 1,770,724
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet780
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ANESTHESIA CONSULTANTS

221 W COLORADO
DALLAS,TX75203
MEDICAL 4,829,963
FRESENIUS MEDICAL CARE-DALLAS

PO BOX 749959
LOS ANGELES,CA90074
MEDICAL 2,400,311
STERIS CORP ENDOSCOPY

PO BOX 676548
DALLAS,TX75267
MEDICAL 2,122,930
PRECEPTOR CONSULTING

1203 SHADOW LANE
FORT MYERS,FL33901
CONSULTING 1,474,861
PERKINS AND WILL

10100 N CENTRA EXPWY
DALLAS,TX75231
ARCHHITECTS 1,428,247
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet70
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 21,116,174
e Government grants (contributions)1e 746,552
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,703,560
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 23,566,286
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE RE 621990 1,021,741,387 1,018,467,617 3,273,770  
b RELATED PURPOSE JOINT 621990 23,034,248 23,004,974 29,274  
c RELATED PURPOSE WHOLLY 621990 3,762,122 3,762,122    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,048,537,757
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 17,467,302     17,467,302
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet 126,246     126,246
(i) Real (ii) Personal
6a Gross rents 14,421,172  
b Less: rental expenses 11,281,157  
c Rental income or (loss) 3,140,015  
d Net rental income or (loss).......MediumBullet 3,140,015 3,138,847 1,168  
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   2,611,976
b Less: cost or other basis and sales expenses   0
c Gain or (loss)   2,611,976
d Net gain or (loss)..........MediumBullet 2,611,976     2,611,976
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER PROGRAM RELATED 621990 6,307,478 6,236,875 70,603  
b UNRELATED BUSINESS INC 621990 -1,040,932   -1,040,932  
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 5,266,546
12 Total revenue. See Instructions......MediumBullet 1,100,716,128 1,054,610,435 2,333,883 20,205,524
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 31,194,331 31,194,331
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 131,540 131,540
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members ....    
5 Compensation of current officers, directors, trustees, and key employees .... 10,934,679   10,934,679  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 424,202,591 375,851,872 48,157,198 193,521
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 14,457,876 12,940,291 1,511,199 6,386
9 Other employee benefits ....... 31,529,765 22,734,993 8,763,688 31,084
10 Payroll taxes ........... 28,682,704 25,086,114 3,583,191 13,399
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,167,313   1,167,313  
c Accounting ........... 191,076   191,076  
d Lobbying ........... 149,818   149,818  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 633,418   633,418  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 26,537,173 18,272,896 8,264,277  
12 Advertising and promotion .... 8,007,777   8,007,777  
13 Office expenses ....... 5,257,619 3,498,693 1,755,798 3,128
14 Information technology ...... 12,715,329 11,211,900 1,503,429  
15 Royalties ..        
16 Occupancy ........... 11,237,252 11,237,252    
17 Travel ............ 1,074,469 752,154 322,315  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 310,370 164,116 146,254  
20 Interest ........... 13,875,605 13,875,605    
21 Payments to affiliates ....... 15,885,417 15,885,417    
22 Depreciation, depletion, and amortization ..... 70,871,120 66,225,862 4,645,258  
23 Insurance .............. 3,772,614 3,553,265 219,349  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a SUPPLIES 212,323,553 211,941,351 382,202  
b EQUIPMENT & MAINTENANCE 25,513,814 23,550,700 1,963,114  
c EMPLOYEE RETENTION, REC 5,341,390 3,728,775 1,612,615  
d INCOME TAX 543,394   543,394  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 956,542,007 851,837,127 104,457,362 247,518
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 407,354 1 473,060
2 Savings and temporary cash investments ......... 746,772,237 2 796,295,308
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 112,942,448 4 171,185,095
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
365,711 5 458,342
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 84,276,313 7 51,432,808
8 Inventories for sale or use .............. 23,520,896 8 25,073,040
9 Prepaid expenses and deferred charges .......... 8,626,365 9 7,699,755
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,399,514,442
b Less: accumulated depreciation ..... 10b 714,057,266 673,628,824 10c 685,457,176
11 Investments—publicly traded securities .......... 26,324,352 11 25,544,998
12 Investments—other securities. See Part IV, line 11 ..... 847,101 12 976,082
13 Investments—program-related. See Part IV, line 11 ..... 12,037,618 13 38,146,847
14 Intangible assets ............... 3,029,368 14 2,022,191
15 Other assets. See Part IV, line 11 ........... 847,101 15 976,002
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,693,625,688 16 1,805,740,704
Liabilities 17 Accounts payable and accrued expenses ......... 135,492,163 17 112,948,358
18 Grants payable .................   18  
19 Deferred revenue ................   19 3,540,916
20 Tax-exempt bond liabilities ............. 414,448,613 20 425,283,565
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 421,197 23 307,878
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... -12,448,551 25 10,133,723
26 Total liabilities. Add lines 17 through 25......... 537,913,422 26 552,214,440
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,154,084,664 27 1,253,526,264
28 Temporarily restricted net assets ........... 1,627,602 28 0
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,155,712,266 33 1,253,526,264
34 Total liabilities and net assets/fund balances ........ 1,693,625,688 34 1,805,740,704
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,100,716,128
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
956,542,007
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
144,174,121
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,155,712,266
5
Net unrealized gains (losses) on investments ...............
5
-44,374,030
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-1,986,093
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,253,526,264
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
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 ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
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)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
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.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$ 0
3
Volunteer hours ........................................
0

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$ 0
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$ 0
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 205,318  
c Total lobbying expenditures (add lines 1a and 1b) ................... 205,318  
d Other exempt purpose expenditures ........................ 1,224,393,942  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 1,224,599,260  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000  
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
b Lobbying ceiling amount
(150% of line 2a, column(e))
6,000,000
c Total lobbying expenditures 297,348 332,798 253,934 205,318 1,089,398
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
e Grassroots ceiling amount
(150% of line 2d, column (e))
1,500,000
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-A, LINE 1(B) THE ABOVE AMOUNT REPRESENTS TWO COMPONENTS: (1) THE PORTION OF DUES TO PROFESSIONAL ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND THE TEXAS HOSPITAL ASSOCIATION TO EDUCATE GOVERNMENTAL LEADERS ON LEGISLATION AFFECTING THE ORGANIZATIONS ABILITY TO CARRY OUT ITS EXEMPT PURPOSE (2) FEES PAID BY MHS TO A LAW FIRM SPECIFICALLY TO LOBBY LEGISLATORS REGARDING IMPORTANT HEALTHCARE ISSUES.
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 1,627,602 1,199,107 3,639,120    
b Contributions ........ 36,240,616 2,061,986 1,199,107    
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
1,627,602 1,633,491 3,639,120    
f Administrative expenses ....          
g End of year balance ...... 36,240,616 1,627,602 1,199,107 3,639,120 531,102
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet11.800 %
c
Temporarily restricted endowment SchDMd Bullet88.200 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   44,258,171 44,258,171
b Buildings ................   838,374,615 343,525,147 494,849,468
c Leasehold improvements ............        
d Equipment ................   516,881,656 370,532,119 146,349,537
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 685,457,176
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
INTERCOMPANY LOANS 10,133,723








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 10,133,723
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART V, LINE 4: ENDOWED FUNDS ARE HELD ON A RESTRICTED BASIS FOR THE PURPOSE OF FUNDING LARGE CAPITAL PROJECTS AND SPECIAL PROGRAMS. METHODIST HOSPITALS OF DALLAS FOUNDATION , AN ORGANIZATION OPERATED EXCLUSIVELY FOR THE BENEFIT OF METHODIST HOSPITALS OF DALLAS, CURRENTLY HOLDS FUNDS THAT ARE ENDOWED. METHODIST HOSPITALS OF DALLAS IS THE SOLE MEMBER OF METHODIST HOSPITAL OF DALLAS FOUNDATION.
PART X, LINE 2: MHS HAS CONCLUDED THAT IT DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS RESULTING FROM CURRENT OR PRIOR PERIOD TAX POSITIONS. ACCORDINGLY, NO ADDITIONAL DISCLOSURES HAVE BEEN MADE IN THE FINANCIAL STATEMENTS. MHS DOES NOT HAVE ANY OUTSTANDING INTEREST OR PENALTIES, AND NONE HAVE BEEN RECORDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014.
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
    101,280,852 1,417,722 99,863,130 7.060 %
b Medicaid (from Worksheet 3,
column a) ....
    121,006,800 126,575,419 -5,568,619 0 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
    222,287,652 127,993,141 94,294,511 7.060 %
Other Benefits
    2,906,796 313,831 2,592,965 0.180 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    31,845,620 9,067,058 22,778,562 1.610 %
g Subsidized health services
(from Worksheet 6) ..
    12,492,666 2,361,238 10,131,428 0.720 %
h Research (from Worksheet 7)     583,069 82,861 500,208 0.040 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    31,194,331   31,194,331 2.200 %
j Total. Other Benefits ..     79,022,482 11,824,988 67,197,494 4.750 %
k Total. Add lines 7d and 7j .     301,310,134 139,818,129 161,492,005 11.810 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     45,000   45,000 0 %
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy     1,400,000   1,400,000 0.100 %
8 Workforce development     2,209,278   2,209,278 0.160 %
9 Other            
10 Total     3,654,278   3,654,278 0.260 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
108,896,328
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
324,170,370
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
427,425,072
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-103,254,702
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 METHODIST MCKINNEY HOSPITAL LLC
 
HOSPITAL 57.520 %   35.650 %
22 METHODIST MCKINNEY HOSPITAL PROPERTY LLC
 
REAL ESTATE HOLDINGS OF METHODIST MCKINNEY HOSPITAL 59.900 %   24.270 %
33 SRP-MEDICA INVESTORS ADDISON LP
 
REAL ESTATE HOLDINGS ENTITY FOR METHODIST HOSPITAL FOR SURGERY 21.840 %   22.250 %
44 METDALSPI LLC (THROUGH METDALSPI HOLDING LLC)
 
HOSPITAL 50.500 %   49.000 %
55 MHD-USO MANAGEMENT COMPANYLP
 
MANAGEMENT SERVICES FOR ONCOLOGY PRACTICE 71.400 %   28.600 %
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?7
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 METHODIST DALLAS MEDICAL CENTER
1441 N BECKLEY AVE
DALLAS,TX75203
X X   X   X X      
2 METHODIST CHARLTON MEDICAL CENTER
3500 W WHEATLAND RD
DALLAS,TX75237
X X   X     X      
3 METHODIST MANSFIELD MEDICAL CENTER
2700 E BROAD STREET
DALLAS,TX76063
X X         X      
4 METHODIST RICHARDSON MEDICAL CENTER
2831 E GEORGE W BUSH HWY
RICHARDSON,TX75082
X X X       X      
5 METHODIST REHABILITATION HOSPITAL
3020 W WHEATLAND RD
DALLAS,TX75237
X               REHABILITATION HOSPITAL  
6 METHODIST MCKINNEY HOSPITAL
8000 W ELDORADO PWKY
MCKINNEY,TX75070
X X         X      
7 METHODIST HOSPITAL FOR SURGERY
17101 DALLAS PWKY
ADDISON,TX75001
X X         X      
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST DALLAS MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST DALLAS MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST DALLAS MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST CHARLTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST CHARLTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST CHARLTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST MANSFIELD MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST MANSFIELD MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST MANSFIELD MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST RICHARDSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST RICHARDSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST RICHARDSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21   No
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST MCKINNEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST MCKINNEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST MCKINNEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
METHODIST HOSPITAL FOR SURGERY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST HOSPITAL FOR SURGERY
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16   No
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

METHODIST HOSPITAL FOR SURGERY
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST DALLAS MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY SOUTHERN DALLAS COUNTY) AND THEREFORE, FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED.THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS:AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST CHARLTON MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY SOUTHERN DALLAS COUNTY) AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP:MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT THE AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST MANSFIELD MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN TARRANT COUNTY, PRIMARILY SOUTHEAST TARRANT COUNTY WITH THREE LESSER POPULATED ZIP CODES FALLING IN EASTERN JOHNSON COUNTY AND NORTHWEST ELLIS COUNTY. THEREFORE, FOR THE PURPOSES OF ITS CHNA REQUIREMENT "TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM" REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 10 COVERING NINE COUNTIES INCLUDING TARRANT, JOHNSON AND ELLIS COUNTIES WAS USED. THE CHNA INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA. THE PRIMARY DATA COLLECTION ACTIVITIES INCLUDED STAKEHOLDER SURVEYS AND PROVIDER READINESS ASSESSMENTS. ADDITIONALLY, THE RHP PLAN TEAM REVIEWED AND INCORPORATED RELEVANT AND APPROPRIATE PRIOR EXISTING SUB-REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. ALSO COLLECTED WAS SECONDARY DATA FROM NATIONAL AND STATE SOURCES TO CREATE A FULL COMMUNITY PROFILE THAT INCLUDES BIRTH AND DEATH CHARACTERISTICS, INDICATORS OF HEALTH CARE ACCESS, CHRONIC DISEASE PREVALENCE RATES, AS WELL AS DEMOGRAPHIC VARIABLES AFFECTING REGIONAL HEALTH SUCH AS INSURANCE STATUS, SOCIOECONOMIC STATUS AND EDUCATIONAL ATTAINMENT LEVEL. SOME DATA IS PRESENTED WITH COMPARISONS TO STATE AND NATIONAL DATA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO INDIVIDUAL COUNTIES AND THE REGION. REGION 10 RHP CONDUCTED STAKEHOLDER SURVEYS, ASSESSED PROVIDER READINESS, COLLECTED AND ANALYZED RELEVANT DATA ABOUT THE REGION, AND ENGAGED IN EXPLORATORY CONVERSATIONS WITH A WIDE RANGE OF REGIONAL STAKEHOLDERS TO INFORM ITS DECISION-MAKING ACTIVITIES. THE REGION 10 RHP SYNTHESIZED THIS INFORMATION INTO A COMMUNITY HEALTH NEEDS ASSESSMENT SHARED WITH ALL RHP PARTICIPANTS AND THE PUBLIC THROUGH OPEN-ACCESS COMMITTEE MEETINGS, ONLINE POSTINGS, WEBINARS, AND COUNTY VISIONING SESSIONS. PARTICIPANTS FOR COMMUNITY INPUT INCLUDE: JUDGE GLEN WHITLEY, COUNTY JUDGE, TARRANT COUNTY; JUDGE BILL MCELHANEY, COUNTY JUDGE, WISE COUNTY; JUDGE DARRELL COCKERHAM, COUNTY JUDGE, HOOD COUNTY; JUDGE MARK RILEY, COUNTY JUDGE, PARKER COUNTY; JUDGE ROGER HARMON, COUNTY JUDGE, JOHNSON COUNTY; JUDGE MIKE FORD, COUNTY JUDGE, SOMERVELL COUNTY; JUDGE TAB THOMPSON, COUNTY JUDGE, ERATH COUNTY; JUDGE CAROL BUSH, COUNTY JUDGE, ELLIS COUNTY; JUDGE HM DAVENPORT JR., COUNTY JUDGE, NAVARRO COUNTY. THE AGENCIES/ENTITIES WHO WERE ALSO REPRESENTED IN COMMUNITY INPUT: MENTAL HEALTH PROVIDERS, HOSPITALS, GOVERNMENT AGENCIES, PATIENT ADVOCATES, SCHOOL DISTRICTS, PUBLIC HEALTH, COMMUNITY CLINICS, FAITH-BASED ORGANIZATIONS, ELECTED OFFICIALS, SUBSTANCE ABUSE AGENCIES AND SOCIAL WORKERS.
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST RICHARDSON MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY NORTHERN DALLAS COUNTY) AND COLLIN COUNTY. THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE "TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM" REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING COLLIN, GRAYSON AND ROCKWALL COUNTIES WAS USED. FOR PURPOSES OF GLEANING INPUT FROM THE COMMUNITY, THE RESULTS OF THE COMMUNITY INPUT SUMMARY FOR COLLIN COUNTY FROM TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO CHNA WERE USED WITH PERMISSION FROM TEXAS HEALTH RESOURCES TO BRING ADDITIONAL PRIMARY DATA TO THE CHNA ANALYSIS. FOR DALLAS COUNTY COMMUNITY INPUT: THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6. FOR COLLIN COUNTY COMMUNITY INPUT: THE TEXAS HEALTH PRESBYTERIAN PLANO CHNA, INTERVIEWS WERE CONDUCTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS. INFORMATION AND DATA WERE GATHERED USING TWO DIFFERENT METHODS: OPEN-ENDED DISCUSSIONS AIMED AT SOLICITING INPUT FROM THE INTERVIEW PARTICIPANTS AS TO COMMUNITY HEALTH RESOURCES AS WELL AS THE HEALTH NEEDS OF THE COMMUNITY; AND LIKERT SURVEYS CONTAINING 11 STATEMENTS REGARDING COMMUNITY HEALTH FOR WHICH PARTICIPANTS RANKED THEIR AGREEMENT OR DISAGREEMENT. PARTICIPANTS FOR THIS COMMUNITY INPUT ARE: DANELLE PARKER, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; LESLIE BAKER, TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY; MARY JO DEAN, DIRECTOR OF COMMUNITY RELATIONS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; SUSAN SHULER, EXECUTIVE DIRECTOR, PLANO CHILDREN'S MEDICAL CLINIC; TERRIE MONROE, CITY OF PLANO COMMUNITY DEVELOPMENT COORDINATOR; PATRICK MCCOY, TEXAS HEALTH RESOURCES TRUSTEE; JAMES THOMAS, PLANO ISD ADMINISTRATION; CAROLYN RICE, WELLNESS CENTER FOR OLDER ADULTS; PATTI DICKSON, WELLNESS CENTER FOR OLDER ADULTS; STEPHANIE ZABEL, NURSING SUPERVISOR, DART FLEET POOL; SEENA THOMAS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO FINANCE; DR. GIEP, INTERNAL MEDICINE PHYSICIAN; CAROL MACRORIE, TEXAS HEALTH PLANO SOCIAL WORK; AMY WILSON, PLANO INDEPENDENT SCHOOL DISTRICT NURSE; JILL VARGAS, PLANO INDEPENDENT SCHOOL DISTRICT TEACHER; TONIA CUNNINGHAM, FRISCO POLICE DEPARTMENT; TAMMY MAHAN, LIFE PATH SYSTEMS; JOHN ERNST, COLLIN COUNTY ADULT CLINIC; TANYA STASTOQUE, ASSISTANCE CENTER OF COLLIN COUNTY; SHANNON FITZGERALD, ST. ELIZABETH ANN SETON; CASSANDRA GRAHAM, RN BSN, PROGRAM COORDINATOR, FAITH COMMUNITY NURSING, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; JOAN CONWAY, FAITH COMMUNITY NURSE AND MATERNAL CHILD SPECIALIST; ANNE NEJDL, PARISH NURSE, PRINCE OF PEACE CATHOLIC CHURCH; ANGELA GWINN, PASTORAL CARE MINISTER; LYNDA SHIRLEY, CARE VAN; DEBBIE GONZALES, HISPANIC COUNSELOR, ST. MARK'S CATHOLIC CHURCH; GARNETTA ASHMORE, FAITH COMMUNITY NURSE, KELLER SPRINGS BAPTIST CHURCH; DR. SAIMA SULTA, AMERICAN MUSLIM WOMEN PHYSICIAN ASSOCIATION; IB, MADINAH MOSQUE LEADER; GLORIA THOMAS, RN, LEAD NURSE, SHILOH MISSIONARY BAPTIST CHURCH; SANDRA MILLER, FAITH COMMUNITY NURSE, SHILOH MISSIONARY BAPTIST CHURCH; KAREN GREEN, DIRECTOR OF HAVEN OF LOVE MINISTRIES DALLAS; NANCY BRILL, FAITH COMMUNITY NURSE, ST. PETER'S EPISCOPAL CHURCH, MCKINNEY.
METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST REHABILITATION HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY SOUTHERN DALLAS COUNTY) AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST MCKINNEY HOSPITAL PART V, SECTION B, LINE 5: METHODIST MCKINNEY HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED IN COLLIN COUNTY AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE "TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM" REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING COLLIN, GRAYSON AND ROCKWALL COUNTIES WAS USED. IN ADDITION, RESULTS OF COMMUNITY INPUT SUMMARY FOR COLLIN COUNTY FROM TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO CHNA WERE USED WITH PERMISSION FROM TEXAS HEALTH RESOURCES TO BRING ADDITIONAL PRIMARY DATA TO THE CHNA ANALYSIS. FOR COMMUNITY INPUT FOR THE TEXAS HEALTH PRESBYTERIAN PLANO CHNA, INTERVIEWS WERE CONDUCTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS. INFORMATION AND DATA WERE GATHERED USING TWO DIFFERENT METHODS: OPEN-ENDED DISCUSSIONS AIMED AT SOLICITING INPUT FROM THE INTERVIEW PARTICIPANTS AS TO COMMUNITY HEALTH RESOURCES AS WELL AS THE HEALTH NEEDS OF THE COMMUNITY; AND LIKERT SURVEYS CONTAINING 11 STATEMENTS REGARDING COMMUNITY HEALTH FOR WHICH PARTICIPANTS RANKED THEIR AGREEMENT OR DISAGREEMENT. PARTICIPANTS FOR THE COMMUNITY INPUT ARE: DANELLE PARKER, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; LESLIE BAKER, TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY; MARY JO DEAN, DIRECTOR OF COMMUNITY RELATIONS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; SUSAN SHULER, EXECUTIVE DIRECTOR, PLANO CHILDREN'S MEDICAL CLINIC; TERRIE MONROE, CITY OF PLANO COMMUNITY DEVELOPMENT COORDINATOR; PATRICK MCCOY, TEXAS HEALTH RESOURCES TRUSTEE; JAMES THOMAS, PLANO ISD ADMINISTRATION; CAROLYN RICE, WELLNESS CENTER FOR OLDER ADULTS; PATTI DICKSON, WELLNESS CENTER FOR OLDER ADULTS; STEPHANIE ZABEL, NURSING SUPERVISOR, DART FLEET POOL; SEENA THOMAS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO FINANCE; DR. GIEP, INTERNAL MEDICINE PHYSICIAN; CAROL MACRORIE, TEXAS HEALTH PLANO SOCIAL WORK; AMY WILSON, PLANO INDEPENDENT SCHOOL DISTRICT NURSE; JILL VARGAS, PLANO INDEPENDENT SCHOOL DISTRICT TEACHER; TONIA CUNNINGHAM, FRISCO POLICE DEPARTMENT; TAMMY MAHAN, LIFE PATH SYSTEMS; JOHN ERNST, COLLIN COUNTY ADULT CLINIC; TANYA STASTOQUE, ASSISTANCE CENTER OF COLLIN COUNTY; SHANNON FITZGERALD, ST. ELIZABETH ANN SETON; CASSANDRA GRAHAM, RN BSN, PROGRAM COORDINATOR, FAITH COMMUNITY NURSING, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; JOAN CONWAY, FAITH COMMUNITY NURSE AND MATERNAL CHILD SPECIALIST; ANNE NEJDL, PARISH NURSE, PRINCE OF PEACE CATHOLIC CHURCH; ANGELA GWINN, PASTORAL CARE MINISTER; LYNDA SHIRLEY, CARE VAN; DEBBIE GONZALES, HISPANIC COUNSELOR, ST. MARK'S CATHOLIC CHURCH; GARNETTA ASHMORE, FAITH COMMUNITY NURSE, KELLER SPRINGS BAPTIST CHURCH; DR. SAIMA SULTA, AMERICAN MUSLIM WOMEN PHYSICIAN ASSOCIATION; IB, MADINAH MOSQUE LEADER; GLORIA THOMAS, RN, LEAD NURSE, SHILOH MISSIONARY BAPTIST CHURCH; SANDRA MILLER, FAITH COMMUNITY NURSE, SHILOH MISSIONARY BAPTIST CHURCH; KAREN GREEN, DIRECTOR OF HAVEN OF LOVE MINISTRIES DALLAS; NANCY BRILL, FAITH COMMUNITY NURSE, ST. PETER'S EPISCOPAL CHURCH, MCKINNEY.
METHODIST HOSPITAL FOR SURGERY PART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST HOSPITAL FOR SURGERY'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY NORTHERN DALLAS COUNTY) AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 11: MANY OF METHODIST DALLAS MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH AND THE COOPERATION OF ITS SUBSIDIARY HEALTH CARE PROVIDERS. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST DALLAS WILL TARGET:A)PATIENTS WHO ARE ASSIGNED TO A "HOME" WITH A HEALTH CARE TEAM WHO PROVIDES SERVICES BASED ON A PATIENT'S UNIQUE HEALTH NEEDS, EFFECTIVELY COORDINATES THE PATIENT'S CARE ACROSS INPATIENT AND OUTPATIENT SETTINGS AND PROACTIVELY PROVIDES PREVENTIVE, PRIMARY, ROUTINE AND CHRONIC CARE.B)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,608 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 1,045 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.C)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,608 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 402 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.D)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 20 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 8.95 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 8.9 PERCENT OR 142 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.D)ESTABLISH FREQUENT ED USERS (SIX OR MORE VISITS PER YEAR) ESTIMATED TO BE 8.5-9 PERCENT OF TOTAL ED VISITS, OR 5,200 PATIENTS PER YEAR. WHEN COMPLETED, THE PROJECT SEEKS TO REFER AT LEAST 70 PERCENT OF THIS TARGET POPULATION TO A MORE APPROPRIATE PRIMARY CARE SETTING FOR FOLLOW-UP CARE.E)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL-CAUSE RE-ADMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES. 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. THE GOLDEN CROSS CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. MEDASSIST IS PART OF THE CHRONIC DISEASE MANAGEMENT PROGRAM OFFERED AT THE GOLDEN CROSS ACADEMIC CLINIC THAT FEATURES AN EVEN WIDER BREADTH OF SERVICES. IN ADDITION PROVIDING FOR THE SHORT TERM COST OF MEDICATIONS WHILE LONG TERM DISCOUNTS ARE SECURED, FUNDS FROM THE GOLDEN CROSS PROGRAM ALLOW PATIENTS ACCESS TO AN INTERDISCIPLINARY TEAM OF HEALTH CARE PROFESSIONALS THAT WILL INCLUDE A PRIMARY CARE PHYSICIAN, SOCIAL WORKERS AND DIETICIANS. ALONG WITH THE PATIENT, FAMILY AND FRIENDS WHO SERVE AS CAREGIVERS WILL BE INVITED TO ATTEND THE APPOINTMENTS, WHICH ARE DESIGNED TO ENSURE MEDICAL INSTRUCTIONS ARE UNDERSTOOD AND FOLLOWED. THE MEETINGS, CALLED GROUP HEALTH CARE VISITS, TAKE PLACE IN A GROUP SETTING, WHERE PATIENTS AND THEIR CAREGIVERS CAN SHARE THEIR STORIES TO BETTER LEARN HOW OTHERS ARE DEALING WITH SIMILAR CONDITIONS.THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. THERE WERE 54 PRESCRIPTIONS IN THE LAST YEAR FUNDED BY THE MHS FOUNDATION, TOTALING $5,211,TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. IN AN ATTEMPT TO ENSURE THAT ITS SERVICE AREA AND ALL OF DALLAS COUNTY, WILL HAVE AN ADEQUATE SUPPLY OF HEALTH CARE PROFESSIONALS IN THE FUTURE, METHODIST DALLAS OFFERS EXTENSIVE EDUCATIONAL AND TRAINING PROGRAMS, INCLUDING INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGERY. METHODIST DALLAS ALSO SERVES AS A TRAINING SITE FOR ALLIED HEALTH PERSONNEL AND OTHERS, INCLUDING HOSPITAL ADMINISTRATORS, NURSES, PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, PHYSICAL THERAPISTS, MEDICAL RECORDS ADMINISTRATORS, CHAPLAINS, OCCUPATIONAL THERAPISTS, PHARMACISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, X-RAY TECHNOLOGISTS, SOCIAL WORKERS AND DIETITIANS. (CONTINUED ON FORM 990, SCHEDULE O )
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 11: MANY OF METHODIST CHARLTON MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH THOSE OF ITS PARENT AND BROTHER-SISTER HEALTH PROVIDERS. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS MHS WILL TARGET:A)PATIENTS ARE ASSIGNED TO A "HOME" WITH A HEALTH CARE TEAM WHO PROVIDES SERVICES BASED ON A PATIENT'S UNIQUE HEALTH NEEDS, EFFECTIVELY COORDINATES THE PATIENT'S CARE ACROSS INPATIENT AND OUTPATIENT SETTINGS AND PROACTIVELY PROVIDES PREVENTIVE, PRIMARY, ROUTINE AND CHRONIC CARE.B)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.C) BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.D)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.E)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.F)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. MHS ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. 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. THE METHODIST CHARLTON FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR WERE FUNDED BY THE MHS FOUNDATION, TOTALING $5,211,TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA.METHODIST CHARLTON OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND 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,INCLUDING PRIMARY AND SPECIALTY CARE, AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST CHARLTON OPENED A NEW BED TOWER IN SEPTEMBER 2009 THAT INCREASED BED CAPACITY FROM 254 TO 309 PATIENT ROOMS. IT ALSO CREATED A MORE FAMILY FRIENDLY HEALING ENVIRONMENT OFFERING LARGER, MODERN PATIENT ROOMS; MORE EFFICIENT WORKSPACES FOR NURSING STAFF; RELAXING LOBBY AND DINING AREAS FOR FAMILIES; 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. IN 2012, BUILD OUT OF THREE ADDITIONAL FLOORS OF THE PATIENT TOWER FURTHER ENHANCED METHODIST CHARLTON'S CAPACITY. THE QUICKCARE CLINIC, LOCATED IN THE OUTPATIENT CENTER OF METHODIST CHARLTON, IS OPEN DAILY WITH CONVENIENT HOURS. STAFFED BY A PHYSICIAN AND NURSE PRACTITIONER, THE CLINIC PROVIDES HIGH QUALITY CARE FOR EVERYTHING FROM SORE THROATS AND FLU TO INSECT STINGS AND POISON IVY. SERVICES ALSO INCLUDE X-RAY AND IMAGING SERVICES, PRE-EMPLOYMENT HEALTH SCREENINGS AND LABORATORY SERVICES.(CONTINUED ON FORM 990, SCHEDULE O )
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 11: MANY OF METHODIST MANSFIELD MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH THOSE OF ITS PARENT AND BROTHER-SISTER HEALTH PROVIDERS. CN.1 - LACK OF PROVIDER CAPACITY. PATIENTS FIND DIFFICULTY IN NAVIGATING THE SYSTEM AND HAVE NOTED THE DIFFICULTY IN FINDING A PROVIDER, PARTICULARLY MEDICAID PROVIDERS. FIVE COUNTIES ARE RECOGNIZED AS MEDICALLY UNDERSERVED AREAS. CN.2 - SHORTAGE OF PRIMARY CARE SERVICES (E.G., PEDIATRIC, PRENATAL, FAMILY CARE). FOUR COUNTIES HAVE SUCH SHORTAGES. CN.3 - SHORTAGE OF SPECIALTY CARE. THE REGION IS FACING A 22 TO 36% GROWTH IN PROVIDER DEMAND, ACROSS ALL SPECIALTIES. THE SPECIALTIES WITH THE GREATEST GROWTH IN DEMAND ARE OBSTETRICS/GYNECOLOGY, VASCULAR HEALTH, UROLOGY, HEMATOLOGY/ONCOLOGY, CARDIOLOGY, AND NEPHROLOGY. RESPONSE: METHODIST MANSFIELD HAS FOUR FAMILY HEALTH CENTERS IN THE SERVICE AREA THAT ARE ACCEPTING NEW PATIENTS. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA. THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. CN.4 - LACK OF ACCESS TO MENTAL HEALTH SERVICES. ALL BUT ONE COUNTY IN REGION 10 ARE RECOGNIZED AS HEALTH PROFESSIONS SHORTAGE AREAS FOR MENTAL HEALTH PROVIDERS. CN.5 - INSUFFICIENT INTEGRATION OF MENTAL HEALTH CARE IN THE PRIMARY CARE MEDICAL CARE SYSTEM. COMMUNITY STAKEHOLDERS CITE A NEED TO ACHIEVE BETTER INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH SERVICES IN THE PRIMARY CARE SETTING. RESPONSE: METHODIST MANSFIELD 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 MANSFIELD 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. CN.6 - LACK OF ACCESS TO DENTAL CARE. TWO OF THE 9 COUNTIES ARE NATIONALLY RECOGNIZED WITH A SHORTAGE OF DENTAL PROVIDERS. RESPONSE: NEITHER METHODIST HEALTH SYSTEM NOR METHODIST MANSFIELD MEDICAL CENTER OFFER DENTAL SERVICES. THIS IS AN AREA OF COMMUNITY NEED THAT IS BEYOND THE SCOPE OF SERVICES WE PROVIDE. CN.7 - NEED TO ADDRESS GEOGRAPHIC BARRIERS THAT IMPEDE ACCESS TO CARE. THERE IS A SKEWED DISTRIBUTION OF PROVIDERS IN REGION 10, WITH MOST LOCATED IN THE MAJOR URBAN CENTERS, PARTICULARLY FORT WORTH, TARRANT COUNTY. INDIVIDUALS FROM RURAL COUNTIES HAVE DIFFICULTY WITH ACCESS TO CARE, ESPECIALLY SPECIALTY CARE. RESPONSE: METHODIST MANSFIELD HAS BUILT A ROBUST NETWORK OF PHYSICIANS IN A WIDE RANGE OF SPECIALTIES. OUR LOCATION IN A SUBURBAN TARRANT COUNTY ENABLES OUR PATIENTS TO ACCESS THE CARE THEY NEED WITHOUT REQUIRING SIGNIFICANT TRAVEL. METHODIST MANSFIELD MEDICAL CENTER WAS BUILT BASED ON THE FACT THAT THERE WAS AN UNMET NEED FOR AN ACUTE HOSPITAL IN SOUTHERN TARRANT COUNTY. THE FULL SERVICE COMMUNITY HOSPITAL WAS BUILT AS AN ANCHOR FOR ATTRACTING THE ESTABLISHMENT OF MORE PHYSICIANS AND OTHER TYPES OF HEALTH CARE PROVIDERS. THIS FACILITY OPENED WITH 88 BEDS ON DECEMBER 27, 2006 AND HAS EXCEEDED VOLUME PROJECTIONS SINCE RECEIVING ITS LICENSE. SINCE ITS OPENING 6 YEARS AGO, METHODIST MANSFIELD HAS CONTINUED TO GROW AND MORE CAPITAL INVESTMENT IS EXPECTED TO CONTINUE IN FUTURE YEARS. CN.8 - LACK OF ACCESS TO HEALTH CARE DUE TO FINANCIAL BARRIERS (I.E., LACK OF AFFORDABLE CARE). PROVIDERS OVERWHELMINGLY LIST LACK OF COVERAGE/FINANCIAL HARDSHIP AS A MAJOR BARRIER FOR LOW INCOME PATIENTS. RESPONSE: METHODIST HEALTH SYSTEM PROVIDES MORE THAN $100 MILLION IN UNCOMPENSATED CARE ANNUALLY. ADDITIONALLY, METHODIST MANSFIELD WORKS CLOSELY WITH THE JPS HEALTH NETWORK IN TARRANT COUNTY TO ASSIST PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. CN.9 - NEED FOR INCREASED GERIATRIC, LONG TERM, AND HOME CARE RESOURCES (E.G., BEDS, MEDICARE PROVIDERS). REGION 10'S POPULATION IS PROJECTED TO GROW 9% BY 2016, WITH A 26% INCREASE IN THE SENIOR POPULATION (AGES 65+). THREE COUNTIES HAVE SENIOR POPULATIONS OF BETWEEN 14 TO 20% OF TOTAL POPULATION. RESPONSE: METHODIST HEALTH SYSTEM OFFERS HOME HEALTH SERVICES THROUGH DFW HOME HEALTH, A JOINT VENTURE PARTNERSHIP BETWEEN METHODIST HEALTH SYSTEM, LHC AND TEXAS HEALTH RESOURCES. CN.10 - OVERUSE OF EMERGENCY DEPARTMENT (ED) SERVICES. DEMAND FOR ED VISITS IS ON THE RISE AND ED'S ARE BECOMING OVERCROWDED DUE TO REDUCED INPATIENT CAPACITY AND IMPAIRED PATIENT FLOW. AS A REGION, THERE WERE 1.1 MILLION VISITS TO HOSPITAL ED'S IN 2010, WITH A RATE OF 447.5 VISITS PER 1,000 PERSONS. THE 2007 NATIONAL ED VISIT RATE WAS 390.5 PER 1,000 PERSONS,INCREASING 23% SINCE 1997, BUT LOWER THAN THE ED VISIT RATE OF REGION 10. CN.11 - NEED FOR MORE CARE COORDINATION. ALL COUNTIES IDENTIFIED IT AS A SYSTEM CAP AND NEED. BARRIERS INCLUDE COMPLEXITY OF COORDINATION, LACK OF STAFF, LACK OF FINANCIAL INTEGRATION, FRAGMENTED SYSTEM SERVICE, AND PRACTICING IN SILOS. PROVIDERS DID NOT FEEL THERE WAS STRONG CARE COORDINATION BETWEEN PRIMARY CARE PROVIDERS, HOSPITALS, AND SPECIALISTS. RESPONSE: THROUGH OUR PARTICIPATION IN THE REGIONAL HEALTH PARTNERSHIP, REGION 10 AND THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) WILL REDUCE EMERGENCY DEPARTMENT UTILIZATION BY FREQUENT USERS BY 5 PERCENT WHEN COMPARED TO THE BASELINE. 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. CN.12 - NEED FOR MORE CULTURALLY COMPETENT CARE TO ADDRESS UNMET NEEDS (E.G., LATINO POPULATION NEED CARE, TRANSLATORS, TRANSLATED MATERIALS). OVER 40% OF THE REGION'S POPULATION IS NOT CAUCASIAN, AND NEARLY ONE QUARTER ARE HISPANIC OR LATINO ORIGIN. HISPANIC AND MINORITY POPULATIONS HAVE HIGHER GROWTH RATES THAN THE WHITE POPULATION. RESEARCH SHOWS THAT CULTURALLY COMPETENT CARE SHOWS BETTER HEALTH OUTCOMES. RESPONSE: AT METHODIST HEALTH SYSTEM, WE ARE COMMITTED TO PROVIDING PATIENTS WITH QUALITY HEALTHCARE THAT IS RESPECTFUL AND SENSITIVE TO THEIR VALUES, PARTICULARLY THOSE THAT EMERGE OUT OF THEIR DIVERSE CULTURAL, ETHNIC, LINGUISTIC, AND RELIGIOUS BACKGROUNDS. WE LIVE THIS COMMITMENT BY PROVIDING MANDATORY ANNUAL COMPETENCY EDUCATION TO ALL EMPLOYEES, DELIVERING DIVERSITY, CULTURAL COMPETENCY, AND INTENTIONAL INCLUSION TRAINING WITHIN OUR NEW EMPLOYEE AND NEW LEADER ORIENTATIONS, AND BY OFFERING ONGOING EDUCATION (ON-DEMAND AND INSTRUCTOR-LED CLASSES) IN THIS AREA. ALL EMPLOYEES ALSO HAVE ACCESS TO AN INTERNAL DIVERSITY AND CULTURAL COMPETENCE WEBSITE THAT PROVIDES RELEVANT INFORMATION, CULTURAL ASSESSMENTS, AND OTHER JUST-IN-TIME TOOLS TO HELP BUILD CULTURAL AWARENESS AND STRENGTHEN THE CULTURAL COMPETENCY SKILLS OF OUR CARE PROVIDERS. CN.13 - NECESSITY OF PATIENT EDUCATION PROGRAMS. MANY COMMUNITY RESIDENTS LACK BASIC HEALTH LITERACY. CN.15 - NEED FOR MORE EDUCATION, RESOURCES AND PROMOTION OF HEALTHY LIFESTYLES (FREE AND SAFE PLACES TO EXERCISE, HEALTH SCREENINGS, HEALTH EDUCATION, HEALTHY ENVIRONMENTS, ETC.). TOP IDENTIFIED HEALTH BEHAVIORS IMPACTING AND INFLUENCING HEALTH OUTCOMES IN REGION 10 ARE ADULT OBESITY (30%) AND PHYSICAL ACTIVITY (28%). REGION HAD A LOWER RATE OF HEALTH SCREENING RATE THAN NATION AND STATE. (CONTINUED ON FORM 990, SCHEDULE O)
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 11: MANY OF METHODIST RICHARDSON MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH THOSE OF ITS PARENT AND BROTHER-SISTER HEALTH PROVIDERS. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST RICHARDSON WILL TARGET:A)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 180 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 45 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.B)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 6.07 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 6.07 PERCENT OR 11 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.C)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES. 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. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA. THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF 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 RICHARDSON COMPLETED CONSTRUCTION OF A $120 MILLION EXPANSION PROJECT ADDING A 134 BED ACUTE CARE HOSPITAL AT THE BUSH/RENNER LOCATION. THE NEW HOSPITAL SCHEDULED OPENED IN APRIL, 2014. 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 CURRENT CAMPUS IS INCLUDES A FIVE STORY, 100,000 SQUARE FOOT PHYSICIAN PAVILION WITH MORE THAN 30 PHYSICIANS IN A FULL RANGE OF SPECIALTIES. METHODIST RICHARDSON OPERATES 5 FAMILY HEALTH CENTERS LOCATED THROUGHOUT RICHARDSON. EACH HEALTH CENTER SPECIALIZES IN PRIMARY CARE FOR THE ENTIRE POPULATION - BIRTH THROUGH GERIATRICS. 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 HEALTH SYSTEM, 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. 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 RICHARDSON HAS A HIGHLY STRUCTURED, GOAL ORIENTATED, INPATIENT PSYCHIATRIC PROGRAM OFFERING SHORT TERM, CRISIS STABILIZATION CENTER FOR PATIENTS 18 YEARS OF AGE AND OLDER. PATIENTS RECEIVE INDIVIDUALIZED TREATMENT PLANS AND DAILY PROGRAM STRUCTURE. THE UNIT SPECIALIZES IN:A) BIPOLAR DISORDERSB) SCHIZOPHRENIAC) ANXIETY DISORDERSD) OTHER TYPES OF ACUTE MENTAL ILLNESS IN ADDITION TO INPATIENT CARE, BEHAVIORAL HEALTH SERVICES ARE ALSO PROVIDED THROUGH A PARTIAL DAY HOSPITAL PROGRAM, PSYCHIATRIC OUTPATIENT CARE AND A FAITH BASED INTENSIVE OUTPATIENT CARE PROGRAM. METHODIST RICHARDSON ALSO HAS AN ADDICTION RECOVERY PROGRAM THAT OPERATES BOTH INPATIENT AND OUTPATIENT CARE. THE PROGRAM SPECIALIZES IN THE TREATMENT OF:A) ALCOHOL ADDICTIONB) OPIATE ADDICTIONC) PRESCRIPTION DRUG ADDICTION.
METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: METHODIST REHABILITATION HOSPITAL WORKS IN CONJUNCTION WITH ITS PARENT METHODIST HOSPITALS OF DALLAS AND IT'S BROTHER-SISTER HEALTH PROVIDERS TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST HEALTH SYSTEM WILL TARGET:A)PATIENTS ARE ASSIGNED TO A "HOME" WITH A HEALTH CARE TEAM WHO PROVIDES SERVICES BASED ON A PATIENT'S UNIQUE HEALTH NEEDS, EFFECTIVELY COORDINATES THE PATIENT'S CARE ACROSS INPATIENT AND OUTPATIENT SETTINGS AND PROACTIVELY PROVIDES PREVENTIVE, PRIMARY, ROUTINE AND CHRONIC CARE.B)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.C)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.D)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.E)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.F) PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. MHS ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. 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. METHODIST HEALTH SYSTEM'S FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR WERE FUNDED BY THE MHS FOUNDATION TOTALING $5,211 - TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON METHODIST HEALTH SYSTEM OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND 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 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.(CONTINUED ON FORM 990, SCHEDULE O)
METHODIST MCKINNEY HOSPITAL PART V, SECTION B, LINE 11: MANY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE METHODIST MCKINNEY HOSPITAL CHNA ARE MET IN CONJUNCTION WITH PROGRAMS SPONSERED BY ITS PARENT ORGANIZATION, METHODIST HEALTH SYSTEM. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. COMMUNITY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST HEALTH SYSTEM WILL TARGET:A)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.B)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.C)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.D)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.E)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. MHS ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. 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. METHODIST HEALTH SYSTEM'S FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG-TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ERS WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR FUNDED WERE BY THE MHS FOUNDATION ,TOTALING $5,211, TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. METHODIST HEALTH SYSTEM'S COMMUNITY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. METHODIST HEALTH SYSTEM OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF METHODIST HEALTH SYSTEM'S COMMUNITY 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 CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN 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. METHODIST HEALTH SYSTEM'S COMMUNITY 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. (CONTINUED ON FORM 990, SCHEDULE O)
METHODIST HOSPITAL FOR SURGERY PART V, SECTION B, LINE 11: MANY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE METHODIST MCKINNEY HOSPITAL CHNA ARE MET IN CONJUNCTION WITH PROGRAMS SPONSERED BY ITS PARENT ORGANIZATION, METHODIST HEALTH SYSTEM. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. COMMUNITY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE:THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST HEALTH SYSTEM WILL TARGET:A)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.B)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.C)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.D)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.E)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUR ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. 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. METHODIST HEALTH SYSTEM'S FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR WERE FUNDED BY THE MHS FOUNDATION TOTALING $5,211, TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. METHODIST HEALTH SYSTEM'S COMMUNITY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. METHODIST HEALTH SYSTEM OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF METHODIST HEALTH SYSTEM'S COMMUNITY 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-PRIMARY AND SPECIALTY CARE-AND ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN 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. METHODIST HEALTH SYSTEM'S COMMUNITY 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. (CONTINUED ON FORM 990, SCHEDULE O)
METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 21C: METHODIST REHABILITATION HOSPITAL IS A REHABILITATION HOSPITAL AND IS NOT EQUIPPED TO PROVIDE EMERGENCY CARE.
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 22D: CHARGES ARE DISCOUNTED ON A SLIDING SCALE BASED ON PATIENTS INCOME RELATIVE TO FEDERAL POVERTY GUIDELINES.
METHODIST HOSPITAL FOR SURGERY PART V, SECTION B, LINE 22D: HOSPITAL USED THE DISCOUNT AS COMPUTED UNDER ITS SELF PAY POLICY
PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address Type of Facility (describe)
1 GOLDEN CROSS ACADEMIC CLINIC
122 W COLORADO BLVD
DALLAS,TX75209
FREE STANDING CLINIC AND TEACHING FACILITY
2 METHODIST CHARLTON FAMILY MEDICAL CENTER
3500 W WHEATLAND RD
DALLAS,TX75237
OUTPATIENT CARE AND TEACHING CENTER
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: AS PART OF ITS MISSION, MHS PROVIDES CHARITY CARE TO PATIENTS WHO LACK THE ABILITY TO PAY. THE DETERMINATION OF THE ABILITY TO PAY MAY TAKE INTO ACCOUNT A NUMBER OF FINANCIAL VARIABLES, INCLUDING BUT NOT LIMITED TO: (1) THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY (2) OTHER SOURCES OF INCOME AND ASSETS (3) LEVEL AND TYPE OF LIABILITIES (4) ABILITY TO OBTAIN ADDITIONAL CREDIT (5) THE AMOUNT AND FREQUENCY OF HOSPITAL/MEDICAL BILLS AND (6) FAMILY SIZE. ALL OR PART OF THE HOSPITAL BILL MAY BE CONSIDERED CHARITY CARE. MEDICALLY INDIGENT PATIENTS INCLUDE THOSE PATIENTS WHO ARE CAPABLE OF PAYING FOR LIVING EXPENSES, BUT WHOSE MEDICAL AND HOSPITAL BILLS, AFTER PAYMENT BY THIRD PARTY PAYERS, WOULD REQUIRE USE OR LIQUIDATION OF INCOME AND/OR ASSETS CRITICAL TO LIVING OR EARNING A LIVING. AT A MINIMUM ALL UNINSURED PATIENTS RECEIVE A 40% DISCOUNT.
PART I, LINE 7: CONSISTENT WITH ITS REPORTS PREPARED FOR ITS ANNUAL STATEMENT OF COMMUNITY BENEFITS REPORT FOR TEXAS NON-PROFIT HOSPITAL MHS RATIOS ARE BASED ON THE TOTAL PATIENT CARE OPERATING EXPENSE DIVIDED BY GROSS PATIENT SERVICE REVENUE.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE THE FOLLOWING: 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. ALSO, METHODIST DALLAS STAFFS THE NEONATAL TRANSPORT TEAMS THAT ARE RESPONSIBLE FOR TRANSPORTING THE 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. THIS SERVICE WOULD NOT BE POSSIBLE WITHOUT BEING SUBSIDIZED. METHODIST ALSO PARTICIPATES IN THE DALLAS COUNTY AND TARRANT COUNTY INDIGENT CARE PROGRAMS WHICH ARE DESIGNED TO ENHANCE ACCESS AND DELIVERY OF COST-EFFECTIVE HEALTHCARE SERVICES TO INDIGENT PATIENTS OF DALLAS AND TARRANT COUNTIES. METHODIST ALSO SUBSIDIZES TRAMA SERVICES FOR ITS E.R.'S AND HOSPITALS AT ITS HOSPITALS.
PART I, LN 7 COL(F): NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. BAD DEBT IS TREATED AS A REDUCTION IN PATIENT REVENUE ON FORM 990, PART VIII.
PART II, COMMUNITY BUILDING ACTIVITIES: MHS BELIEVES THAT BY BEING FULLY ENGAGED IN COMMUNITY BUILDING ACTIVITIES INCLUDING, BUT NOT LIMITED TO, ECONOMIC AND WORKFORCE DEVELOPMENT, ENVIRONMENTAL AND SAFETY ISSUES, AS WELL AS COMMUNITY HEALTH ADVOCACY AND COMMUNITY SUPPORT IT CAN CONTRIBUTE BOTH DIRECTLY AND INDIRECTLY TO A HEALTHIER AND MORE VIBRANT COMMUNITY. MHS IS A MEMBER OF SEVERAL NATIONAL, STATE AND LOCAL HEALTHCARE ADVOCACY ORGANIZATIONS THAT PROMOTE HEALTHCARE POLICIES AND EDUCATE PEOPLE ON POLICIES THAT IMPACT HEALTHCARE ISSUES FACING THE COMMUNITIES. MHS ALSO PUBLISHES A COMMUNITY MAGAZINE TO KEEP THOSE IN ITS SERVICE AREA INFORMED OF ISSUES REGARDING THE CHANGES IN HEALTHCARE AS THEY ARISE AS WELL AS PROMOTING HEALTHY LIFESTYLES. MHS COMMITTS SIGNIFICANT RESOURCES IN THE AREA OF PHYICIAN RECRUITING FOR NEEDED SPECIALTIES AND IN UNDERSERVED AREAS.
PART III, LINE 2: MHS PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MHS MAINTAINS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. THE ALLOWANCE IS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS; MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. ACCOUNTS ARE WRITTEN OFF WHEN ROUTINE BILLINGS AND COMMUNICATION WITH THE PAYOR ARE NOT EXPECTED TO RESULT IN PAYMENT. MHS COLLECTION EFFORTS CONTINUE, AND RECOVERIES OF ACCOUNTS WRITTEN OFF ARE ACCOUNTED FOR AS REDUCTIONS IN THE PROVISION FOR BAD DEBTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCREASED TO 33.3% OF GROSS ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2015 FROM 32.2% AT SEPTEMBER 30, 2014.COSTING METHODOLOGY: CONSISTENT WITH ITS REPORTS PREPARED FOR ITS ANNUAL STATEMENT OF COMMUNITY BENEFITS REPORT FOR TEXAS NON-PROFIT HOSPITAL MHS RATIOS ARE BASED ON THE TOTAL PATIENT CARE OPERATING EXPENSES DIVIDED BY GROSS PATIENT SERVICE REVENUE
PART III, LINE 3: THIER IS NOT SUFFICIENT INFORMATION TO KNOW HOW MUCH OF BAD DEBT WOULD BE ELIGIBLE TO BE CLASSIFED AS CHARITY CARE.
PART III, LINE 4: FOOTNOTE 1, PAGE 12: FINANCIAL STATEMENT FOOTNOTE: NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS.COSTING METHODOLOGY: CONSISTENT WITH ITS REPORTS PREPARED FOR ITS ANNUAL STATEMENT OF COMMUNITY BENEFITS REPORT FOR TEXAS NON-PROFIT HOSPITAL MHS RATIOS ARE BASED ON THE TOTAL PATIENT CARE OPERATING EXPENSES DIVIDED BY GROSS PATIENT SERVICE REVENUE
PART III, LINE 8: CONSISTENT WITH ITS ANNUAL TEXAS COMMUNITY BENEFITS REPORT THE ALLOWABLE COSTS ARE COMPUTED ON A COST TO CHARGE RATIO. SINCE MEDICARE BENEFICIARIES ARE NOT MEASURED VIA OUR CHARITY CARE POLICIES, IT IS NOT POSSIBLE TO IDENTIFY THE EXACT AMOUNT OF THE SHORTFALL THAT SHOULD BE IDENTIFIED AS A COMMUNITY BENEFIT. HOWEVER,WERE THE HOSPITAL NOT AVAILABLE TO PROVIDE CARE TO THESE INDIVIDUALS IT IS NOT LIKELY THE COMMUNITY WOULD BE ABLE TO PROVIDE ADEQUATE CARE. DUE TO THE SHORTFALL THE HOSPITAL MUST FIND OTHER SOURCES TO FUND THEIR CARE.
PART III, LINE 9B: THE DEBT COLLECTION POLICIES CALL FOR CHARITY CARE APPLICATIONS TO BE GIVEN OUT BOTH AT THE HOSPITAL AND BY THE COLLECTORS AND TO BE REVIEWED FOR QUALIFICATION UNDER THE CHARITY CARE GUIDELINES OR FOR OTHER PROGRAMS.
SCHEDULE H,PART IV METHODIST HEALTHCARE HAS A 99% INTEREST IN METDALSPI HOLDING, LLC WHICH IN TURN OWNS A 51% INTEREST IN METDALSPI, J/V THUS GIVING METHODIST HEALTHCARE AN EFFECTIVE OWNERSHIP INTEREST OF 50.5% IN THE HOSPITAL OPERATING PARTNERSHIP.
PART VI, LINE 2: THIS COMMUNITY BENEFIT PLAN SUMMARY REPORT RELIES IN PART ON INFORMATION TAKEN FROM THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TITLED "HORIZONS: THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT; THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 10 COVERING NINE COUNTIES INCLUDING TARRANT, JOHNSON AND ELLIS COUNTIES; AND THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING COLLIN, GRAYSON AND ROCKWALL COUNTIES. THESE DOCUMENTS WERE USED TO CREATE METHODIST HEALTH SYSTEM FACILITIES' COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED BY THE IRS AND IS USED TO DEFINE THE UNMET NEEDS AND AREAS FOR HEALTH STATUS IMPROVEMENT SPECIFIC TO THE REGIONS IT SERVES.
PART VI, LINE 3: THE POLICY IS POSTED ON THE MHS WEBSITE. FURTHER SIGNAGE IS IN ALL ACCESS AREAS AS WELL AS WRITTEN INFORMATION PROVIDED TO PATIENTS UPON ADMITTANCE. THE POLICY IS ATTACHED TO PATIENT INVOICES AND BILLING PERSONNEL FOLLOW UP TO PROVIDE THE INFORMATION WHEN IN CONTACT WITH THE PATIENT.
PART VI, LINE 4: THE METHODIST SERVICE AREA IS LOCATED IN THE SOUTHERN SECTION OF DALLAS COUNTY AND EXTENDS INTO THE SOUTH EAST QUADRANT OF TARRANT COUNTY. ALSO INCLUDED ARE SOUTHWEST COLLIN COUNTY AND THE NORTHERN TIER OF BOTH JOHNSON AND ELLIS COUNTIES.LARGE PARTS OF METHODIST'S SERVICE AREA HAVE: (I) HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, (II) LOW MEDIAN HOUSEHOLD INCOME, (III) HIGH PERCENTAGES OF ADULTS WITH LESS THAN HIGH SCHOOL EDUCATION, (IV) HIGH PERCENTAGES OF BLUE COLLAR WORKERS, AND (V) LOW PERCENTAGES OF MANAGERIAL AND PROFESSIONAL WORKERS. CONSEQUENTLY, METHODIST PROVIDES LARGE AMOUNTS OF UNCOMPENSATED CARE. DURING THE PAST YEAR, THE CONDITIONS IN METHODIST'S SERVICE AREA HAVE NOT CHANGED, AND METHODIST CONTINUES TO PLAY A VITAL ROLE IN THE COMMUNITY, PARTICULARLY IN CARING FOR INDIGENTS.MANY NEIGHBORHOODS WITHIN METHODIST DALLAS' SERVICE AREA HAVE VERY HIGH POVERTY, A HIGH RATE OF BIRTHS TO TEENAGERS, HIGH PREMATURE BIRTHS, HIGH INFANT MORTALITY, LOWER THAN AVERAGE HIGH SCHOOL GRADUATION RATES, AND HIGH PERCENTAGES OF CHILDREN. THIS IS TRUE FOR THE AREAS CLOSEST TO METHODIST CHARLTON AS WELL; HOWEVER THE FAR SOUTHERN PORTIONS OF THE METHODIST SERVICE AREA AS WELL AS THE NORTHERN PORTIONS TEND TO BE MORE ECONOMICALLY STABLE WITH STRONGER SOCIOECONOMIC INDICATORS. THESE AREAS INCLUDE MIDLOTHIAN, CEDAR HILL, MANSFIELD, RICHARDSON AND PLANO.
PART VI, LINE 5: THE ORGANIZATION PARTICIPATES IN MANY COMMUNITY ACTIVITIES THAT PROMOTE PROPER HEALTH IN THE COMMUNITY. SEE DISCRIPTIONS PROVIDED IN PART III, FORM 990. THE ORGANIZATION IS COMPRISED OF A COMMUNITY BOARD, EXTENDS MEDICAL STAFF PRIVILEGESS TO ALL QUALIFIED PHYSICIANS AND COMMITS SIGNIFICANT RESOURCES TO MEDICAL EDUCATION.
PART VI, LINE 6: METHODIST HOSPITALS OF DALLAS (D/B/A) METHODIST HEALTH SYSTEM WORKS IN TANDEM WITH ITS AFFILITATES (SEE SCHEDULE R)TO MEET THE VARYING HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES.
PART VI, LINE 7, REPORTS FILED WITH STATES TX
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number
75-0800661
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) 2015 FESTIVAL OF TREES & HOLIDAY HOME TOUR
1200 BROAD STREET
MANSFIELD,TX76063
501(C)(3) 2,500       COMMUNITY OUTREACH
(2) AMERICAN CANCER SOCIETY
8900 JOHN W CARPENTER
DALLAS,TX75247
501(C)(3) 5,000       COMMUNITY OUTREACH
(3) AMERICAN DIABETES ASSOCIATION
4100 ALPHA ROAD
DALLAS,TX75244
501(C)(3) 1,000       COMMUNITY OUTREACH
(4) AMERICAN KIDNEY FUND
11921 OCKVILLE PIKE
ROCKVILLE,MD20852
501(C)(3) 1,500       COMMUNITY OUTREACH
(5) BROTHER BILLS HELPING HAND
3906 WESTMORELAND
DALLAS,TX75212
501(C)(3) 84,433       COMMUNITY OUTREACH
(6) CAREFLIGHT
3110 S GREAT SW PKWY
GRAND PRAIRIE,TX75052
501(C)(3) 5,000       COMMUNITY OUTREACH
(7) CEDAR HILL CHAMBER CARDIO SHACK
300 W HOUSTON
CEDAR HILL,TX75104
501(C)(3) 2,300       COMMUNITY OUTREACH
(8) CEDAR HILL EDUCATION FOUNDATION
285 UPTOWN BLVD
CEDAR HILL,TX75104
501(C)(3) 2,175       COMMUNITY OUTREACH
(9) CHRISTS FAMILY CLINIC
6409 PRESTON RD
DALLAS,TX75205
501(C)(3) 5,000       COMMUNITY OUTREACH
(10) CHURCH OF THE DISCIPLES
220 S COCKRELL RD
DESOTO,TX75115
501(C)(3) 700       COMMUNITY OUTREACH
(11) DALLAS BAPTIST UNIV
3000 MOUNTAIN CREEK PKWY
DALLAS,TX75211
501(C)(3) 1,200       COMMUNITY OUTREACH
(12) DALLAS BLUE FOUNDATION
6125 SHERRY LANE
DALLAS,TX75225
501(C)(3) 10,000       COMMUNITY OUTREACH
(13) DALLAS COUNTY INDIGENT CARE CORP (DCICC)
PO BOX 655999
DALLAS,TX75265
26-0610562 501(C)(3) 28,510,894       INDIGENT CARE
(14) DONATE LIFE AMERICA
701 E BYRD ST
RICHMOND,VA23219
501(C)(3) 3,110       COMMUNITY OUTREACH
(15) DUNCANVILLE FIRST BAPTIST CHURCH
323 WHEATLAND RD
DUNCANVILLE,TX75116
501(C)(3) 500       COMMUNITY OUTREACH
(16) HEART OF DUNCANVILLEBEN FRANKLIN APOTHCARY
204 MAIN ST
DUNCANVILLE,TX75116
501(C)(3) 1,000       COMMUNITY OUTREACH
(17) LEUKEMIA & LYMPHOMA FOUNDATION
PO BOX 4072
PITTSFIELD,MA01202
501(C)(3) 5,000       COMMUNITY OUTREACH
(18) MAINSTAGE CLASSIC THEATRE
1557 E BROAD ST
MANSFIELD,TX76063
501(C)(3) 500       COMMUNITY OUTREACH
(19) MANSFIELD ISD ATHLETICS HALL OF HONOR
3700 E BROAD ST
MANSFIELD,TX76063
501(C)(3) 1,000       COMMUNITY OUTREACH
(20) MARCH OF DIMES
12660 COIT RD
DALLAS,TX75251
501(C)(3) 10,000       COMMUNITY OUTREACH
(21) MAYORS BACK TO SCHOOL
1500 MARILLA ST
DALLAS,TX75201
501(C)(3) 2,500       COMMUNITY OUTREACH
(22) MEDCTHE POTTERS HOUSE
6777 W KIEST BLVD
DALLAS,TX75236
501(C)(3) 4,025       COMMUNITY OUTREACH
(23) MOREHOUSE COLLEGE OF MEDICINE
702 WESTVIEW DR
ATLANTA,GA30310
501(C)(3) 300       COMMUNITY OUTREACH
(24) NATIONAL KIDNEY FOUNDATION
5429 LBJ FREEWAY
DALLAS,TX75240
501(C)(3) 250       COMMUNITY OUTREACH
(25) NAVARRO COLLEGE
3200 W 7TH AVE
CORSICANA,TX75110
501(C)(3) 925       COMMUNITY OUTREACH
(26) PKD FOUNDATION
8330 WARD PKWY
KANSAS CITY,MO64114
501(C)(3) 1,000       COMMUNITY OUTREACH
(27) SALESMANSHIP CLUB
106 E 10TH ST
DALLAS,TX75203
501(C)(3) 20,000       COMMUNITY OUTREACH
(28) SOUTHWEST TRANSPLANT FOUNDATION
810 N ZANG BLVD
DALLAS,TX75208
501(C)(3) 10,000       COMMUNITY OUTREACH
(29) TARRANT COUNTY INDIGENT CARE CORP (TCICC)
612 E LAMAR BLVD
ARLINGTON,TX76011
26-0648532 501(C)(3) 2,491,519       INDIGENT CARE
(30) TAYLORS GIFT FOUNDATION
106 N DENTON TAP RD
COPPELL,TX75019
501(C)(3) 5,000       COMMUNITY OUTREACH
(31) UNOSUNITED NETWORK ORGAN SHARING
700 N 4TH ST
RICHMOND,VA23219
501(C)(3) 1,000       COMMUNITY OUTREACH
(32) CENTER FOR STRATEGIC & INTERNATIONAL STUDIES
1616 RHODE ISLAND AVE NW
WASHINGTON DC,DC20036
52-1501082   5,000       HEALTH CARE STUDIES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
32
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) NURSING & JUNIOR VOLUNTEER SCHOLARSHIPS 59 131,540   CASH  












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE MAIN GRANTS ARE TO DCICC AND TCICC ARE MONITORED BY THE CFO AND HIS STAFF AT MHS. THE CFO OF MHS IS ON THE BOARD OF EACH ORGANIZATION. THE REMAINING GRANTS ARE MONITORED BY EITHER THE LEADERSHIP IN THE FINANCE DEPARTMENT OR LEADERSHIP OF THE HOSPITAL ADMINISTRATIVE AREA THAT WORKS WITH THE ORGANIZATION. THE GRANTS FOR NURSING AND JUNIOR VOLUNTEER SCHOLARSHIPS ARE MONITORED BY THE INTERNAL CONTROLS OF MHS TO MAKE SURE THEY ARE PAID IN ACCORDANCE WITH THE GUIDLINES OF THE PROGRAM.
Schedule I (Form 990) 2014


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1MUELLER STEPHEN MDDIR/MCMC MED DIR ICU (i)
(ii)
0
...............................
0
0
...............................
0
195,000
...............................
10,000
0
...............................
0
0
...............................
0
195,000
...............................
10,000
0
...............................
0
2MANSFIELD STEPHEN PHDPRES/CEO (i)
(ii)
1,043,846
...............................
0
549,687
...............................
0
249,001
...............................
0
248,546
...............................
0
23,028
...............................
0
2,114,108
...............................
0
237,758
...............................
0
3SCHAEFER MICHAELTREA/ ASST SEC/EVP/CFO (i)
(ii)
546,362
...............................
0
245,457
...............................
0
179,801
...............................
0
18,850
...............................
0
53,862
...............................
0
1,044,332
...............................
0
98,581
...............................
0
4MILONE ROBERTASST TREA (i)
(ii)
167,709
...............................
0
22,593
...............................
0
934
...............................
0
12,159
...............................
0
24,481
...............................
0
227,876
...............................
0
0
...............................
0
5PRICE MICHAELASST SEC/CLO (i)
(ii)
397,549
...............................
0
134,837
...............................
0
44,340
...............................
0
61,023
...............................
0
33,598
...............................
0
671,347
...............................
0
40,655
...............................
0
6BAUMGARTNER JOHNSVP/CONTROLLER (i)
(ii)
328,342
...............................
0
75,287
...............................
0
76,133
...............................
0
18,601
...............................
0
30,355
...............................
0
528,718
...............................
0
50,046
...............................
0
7BOX APRILMHSF PRES (i)
(ii)
355,478
...............................
0
104,057
...............................
0
35,495
...............................
0
42,525
...............................
0
25,682
...............................
0
563,237
...............................
0
31,080
...............................
0
8BRIZIUS CHARLESSVP (i)
(ii)
302,547
...............................
0
64,444
...............................
0
24,923
...............................
0
18,850
...............................
0
17,815
...............................
0
428,579
...............................
0
0
...............................
0
9FARROW PAULSVP/PRES MEDHEALTH (i)
(ii)
245,928
...............................
0
52,444
...............................
0
895
...............................
0
36,180
...............................
0
14,614
...............................
0
350,061
...............................
0
0
...............................
0
10FLYNN CHERYLSVP (i)
(ii)
333,301
...............................
0
85,169
...............................
0
2,359
...............................
0
34,252
...............................
0
34,024
...............................
0
489,105
...............................
0
0
...............................
0
11GERDES MELISSAPRES ACO (i)
(ii)
198,756
...............................
0
33,908
...............................
0
895
...............................
0
9,573
...............................
0
17,251
...............................
0
260,383
...............................
0
0
...............................
0
12HUTCHENRIDER EKENNETHPRES MRMC (i)
(ii)
327,475
...............................
0
108,359
...............................
0
57,968
...............................
0
55,249
...............................
0
23,926
...............................
0
572,977
...............................
0
54,909
...............................
0
13IRVINE LAURAEVP STSTEM ALIGNMENT (i)
(ii)
499,712
...............................
0
191,188
...............................
0
60,215
...............................
0
89,331
...............................
0
10,050
...............................
0
850,496
...............................
0
55,599
...............................
0
14LAUKATLS FRANPRES MCMC (i)
(ii)
205,734
...............................
0
35,118
...............................
0
895
...............................
0
6,109
...............................
0
14,372
...............................
0
262,228
...............................
0
0
...............................
0
15LEA JANSVP (i)
(ii)
238,415
...............................
0
40,431
...............................
0
895
...............................
0
16,909
...............................
0
21,831
...............................
0
318,481
...............................
0
0
...............................
0
16MCNUTT PAMELASVP (i)
(ii)
398,013
...............................
0
135,020
...............................
0
63,556
...............................
0
56,587
...............................
0
30,271
...............................
0
683,447
...............................
0
60,796
...............................
0
17PHILLIPS JOHNPRES MMMC (i)
(ii)
316,325
...............................
0
101,079
...............................
0
2,724
...............................
0
53,642
...............................
0
22,049
...............................
0
495,819
...............................
0
0
...............................
0
18PIERCE LESLIESVP (i)
(ii)
225,568
...............................
0
38,482
...............................
0
895
...............................
0
7,895
...............................
0
18,656
...............................
0
291,496
...............................
0
0
...............................
0
19STOYANOFF PAMEVP/COO (i)
(ii)
602,717
...............................
0
207,769
...............................
0
93,288
...............................
0
97,357
...............................
0
40,648
...............................
0
1,041,779
...............................
0
87,915
...............................
0
20TEDDER STEPHENAVP/ASST GENERAL COUNSEL (i)
(ii)
222,038
...............................
0
18,940
...............................
0
895
...............................
0
10,547
...............................
0
5,455
...............................
0
257,875
...............................
0
0
...............................
0
21TRIFONEJOHNSVP (i)
(ii)
221,346
...............................
0
35,559
...............................
0
1,672
...............................
0
22,083
...............................
0
8,219
...............................
0
288,879
...............................
0
0
...............................
0
22WALKER RANDYSVP (i)
(ii)
247,756
...............................
0
58,983
...............................
0
42,441
...............................
0
36,664
...............................
0
20,025
...............................
0
405,869
...............................
0
40,727
...............................
0
23FRASIER NORAVP MMMC (i)
(ii)
186,662
...............................
0
20,808
...............................
0
10,895
...............................
0
4,628
...............................
0
15,193
...............................
0
238,186
...............................
0
0
...............................
0
24GIACOMA TRACYVP MDMC (i)
(ii)
176,165
...............................
0
22,657
...............................
0
21,661
...............................
0
7,493
...............................
0
29,038
...............................
0
257,014
...............................
0
0
...............................
0
25RAMBERGER KARLAVP MDMC (i)
(ii)
201,729
...............................
0
32,484
...............................
0
602
...............................
0
14,490
...............................
0
17,815
...............................
0
267,120
...............................
0
0
...............................
0
26SIMPSON ROBERTVP MRMC (i)
(ii)
221,828
...............................
0
36,067
...............................
0
295
...............................
0
11,964
...............................
0
15,345
...............................
0
285,499
...............................
0
0
...............................
0
27STREJC IRENEVP MRMC (i)
(ii)
200,844
...............................
0
32,296
...............................
0
895
...............................
0
7,030
...............................
0
15,223
...............................
0
256,288
...............................
0
0
...............................
0
28KOONSMAN MARTIN MDFORMER DIR/ MDMC MEDICAL DIR (i)
(ii)
0
...............................
0
0
...............................
0
110,310
...............................
20,833
0
...............................
0
0
...............................
0
110,310
...............................
20,833
0
...............................
0
29BAGCHI SAM MDFORMER CMO (i)
(ii)
359,558
...............................
0
76,331
...............................
0
7,251
...............................
0
36,589
...............................
0
26,883
...............................
0
506,612
...............................
0
0
...............................
0
30CLARKDAVIDFORMER PRES. MDMC (i)
(ii)
128,077
...............................
0
0
...............................
0
23,388
...............................
0
17,931
...............................
0
4,690
...............................
0
174,086
...............................
0
0
...............................
0
31DAVIS JONATHANFORMER MMMC PRES (i)
(ii)
403,577
...............................
0
135,161
...............................
0
62,008
...............................
0
64,207
...............................
0
23,796
...............................
0
688,749
...............................
0
61,112
...............................
0
32SEIMER SCOTTFORMER SVP (i)
(ii)
100,861
...............................
0
0
...............................
0
5,848
...............................
0
11,280
...............................
0
3,985
...............................
0
121,974
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A ORGANIZATION MAINTAINS A SOCIAL CLUB MEMBERSHIP FOR PURPOSES OF BUSINESS MEALS IN ACCORDANCE WITH ORGANIZATION POLICIES.
PART I, LINE 4B ANY CONTRIBUTIIONS TO A SECTION 457(F) NON-QUALIFIED PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
PART I, LINE 5 BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH
PART I, LINE 6 BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO MANAGING OPERATING EXPENSE GROWTH AND NET OPERATING INCOME MARGIN.
PART I, LINE 7 IN ORDER TO RECRUIT AND RETAIN KEY TALENT, MHS OFFERS SHORT AND LONG TERM INCENTIVE PLANS FOR KEY EMPLOYEES. FOR TAX YEAR 2014 THE INCENTIVE PLANS WERE TARGETED TO SUCH GOALS AS INCREASING PHYSICIAN ALIGNMENT WITH MHS, IMPROVEMENTS IN THE QUALITY OF CARE METRICS, PATIENT SATISFACTION GOALS, IDENTIFICATION OF A COMPREHENSIVE EMR SOLUTION FOR MHS AND GROWTH IN NUMBER OF AMBULATORY SITES AND FAMILY HEALTH CENTERS. THERE WERE ALSO FINANCIAL TARGETS RELATED TO OPERATING MHS FINANCIAL AFFAIRS EFFICIENTLY.
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number
75-0800661
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP HOSPITAL SERIES 2008
 
04-3833551 87638QBF5 09-04-2008 200,000,000 CONSTRUCTION OF MANSFIELD HOSPITAL FACILITY AND OTHER CAPITAL IMPROVEMENTS   X X     X
B TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP HOSPITAL SERIES 2013
 
04-3833551 87638QJA8 07-25-2013 199,996,833 CONSTRUCT ADDITIONAL FACILITIES AT 3 CAMPUSES AND EQUIPMENT   X X     X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . .        
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . .        
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . .        
7 Issuance costs from proceeds . . . . . . . . . . . . 1,389,481 835,033    
8 Credit enhancement from proceeds . . . . . . . . . . . 2,963,942      
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . .        
11 Other spent proceeds . . . . . . . . . . . . . .        
12 Other unspent proceeds . . . . . . . . . . . . . .        
13 Year of substantial completion . . . . . . . . . . . . 2009 2015
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X        
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X        
16 Has the final allocation of proceeds been made? . . . . . . . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X     X        
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X        
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X        
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 2.950 % 0.400 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet        
6 Total of lines 4 and 5 . . . . . . . . . . . . . 2.950 % 0.400 %    
7 Does the bond issue meet the private security or payment test? . . . . . X   X          
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X        
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
  X   X        
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X        
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X        
b Exception to rebate? . . . . . . . .   X   X        
c No rebate due? . . . . . . . . X   X          
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . . X     X        
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X        
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .   X            
e Was the hedge terminated? . . . . . .   X            
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X        
b Name of provider . . . . . . . . .  
 
 
 
 
 
 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X        
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?   X   X        
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) STEPHEN MANSFIELD CEO SPLIT-DOLLAR LIFE   X   365,711   No Yes   Yes  
(2) DAVID HITT FORMER CEO SPLIT-DOLLAR LIFE   X   92,631   No Yes   Yes  
Total ......Small Bullet $ 458,342
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) RUBEN VELEZ MD BOARD MEMBER 1,000,365 DR VELEZ IS A BOARD MEMBER OF MHS AND ALSO SERVES AS PRESIDENT OF DALLAS NEPHROLOGY ASSOCIATES (DNA) WHICH PROVIDES SERVICES TO METHODIST HOSPITALS OF DALLAS AND METHODIST TRANSPLANT PHYSICIANS (A WHOLLY OWNED SUBSIDIARY). DR VELEZ DOES NOT RECEIVE COMPENSATION DIRECTLY FROM MHS ONLY AS A PARTNER IN DNA. THE AMOUNT LISTED IS THE ENTIRE PAYMENT TO DALLAS NEPHROLOGY. DR VELEZ SHARE OF THE INCOME OF DALLAS NEPHROLOGY IS UNKNOWN.   No
(2) MARTIN KOONSMAN MD BOARD MEMBER 131,193 MEDICAL DIRECTOR MHS   No
(3) STEPHEN MUELLER MD BOARD MEMBER 205,000 MEDICAL DIRECTOR MHS   No
(4) DUNCAN FULTON BOARD MEMBER 5,000 PRESIDENT OF GOOD FULTON FARRELL WHICH PROVIDES CONSULTING SERVICES TO MHS. ANTICIPATED TO BE LESS THEN $5000 THIS YEAR.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
FORM 990, SCHEDULE L, PART II LOANED AMOUNT IS FOR PAYMENT OF PREMIUMS IN ACCORDANCE WITH SPLIT-DOLLAR LIFE INSURANCE AGREEMENTS BETWEEN STEPHEN MANSFIELD, DAVID HITT AND MHS AS APPROVED BY THE COMPENSATION COMMITTEE.
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
METHODIST HOSPITALS OF DALLAS &
PAVILION PROPERTIES
Employer identification number

75-0800661
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) METHODIST PATIENT CENTERED ACO
1441 N BECKLEY AVE

DALLAS,TX75203
35-2436666
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(2) DALLAS METHODIST HOSPITALS FOUNDATION
1441 N BECKLEY AVE

DALLAS,TX75203
75-1548343
FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS TX 501(C)(3) LINE 7 METHODIST HOSPITALS OF DALLAS
 
 
No
(3) NELLE NORRELL FOUNDATION
1441 N BECKLEY AVE

DALLAS,TX75203
75-6034201
FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS TX 501(C)(3) LINE 11A, I METHODIST HOSPITALS OF DALLAS
 
 
No
(4) METHODIST TRANSPLANT PHYSICIANS
1441 N BECKLEY AVE

DALLAS,TX75203
01-0612870
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(5) MEDHEALTH
1441 N BECKLEY AVE

DALLAS,TX75203
75-2896138
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(6) PHYSICANS ASSOC OF SW DALLAS
1441 N BECKLEY AVE

DALLAS,TX75203
75-2966610
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(7) ASSOC IN ACUTE SURGICAL CARE
1441 N BECKLEY AVE

DALLAS,TX75203
26-2126265
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(8) MHSR MEDICAL CENTER
1441 N BECKLEY AVE

DALLAS,TX75203
26-4193362
MEDICAL SERVICES TX 501(C)(3) LINE 11A, I METHODIST HOSPITALS OF DALLAS
 
 
No
(9) METHODIST URGENT CARE
1441 N BECKLEY AVE

DALLAS,TX75203
47-1054059
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(10) METHODIST CDI
1441 N BECKLEY AVE

DALLAS,TX75203
46-5265469
MEDICAL SERVICES TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
(11) DALLAS COUNTY INDIGENT CARE CORP
1441 N BECKLEY AVE

DALLAS,TX75203
26-0610562
FUNDING FOR INDIGENT CARE TX 501(C)(3) BOX 11 TYPE 1 N/A
 
No
(12) TARRANT COUNTY INDIGENT CARE
612 E LAMAR STREET

ARLINGTON,TX76011
26-0648532
FUNDING FOR INDIGENT CARE TX 501(C)(3) BOX 11 TYPE 1 N/A
 
No
(13) CAREFLIGHT
3110 S GREATSOUTHWEST PKWY

GRAND PRARIE,TX75052
75-1657155
MEDICAL TRANSPORT TX 501(C)(3) BOX 11 TYPE 3 N/A
 
No
(14) DALLAS METHODIST PHYSICIANS NETWORK
1441 N BECKLEY AVE

DALLAS,TX75203
75-2693707
HEALTH CARE CONTRACTING TX 501(C)(6)   METHODIST HOSPITALS OF DALLAS
 
 
No
(15) PAVILION PROPERTIES
1441 N BECKLEY AVE

DALLAS,TX75203
75-2284449
REAL ESTATE TITLE HOLDING TX 501(C)(2)   METHODIST HOSPITALS OF DALLAS
 
 
No
(16) METHODIST RICHARDSON FOUNDATION
2831 E PRESIDENT GEORGE BUSH HIGHWA

RICHARDSON,TX75082
75-1788520
FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) MHS-CHC ILP

3020 W WHEATLAND RD
DALLAS,TX75237
20-5000978
REHAB HOSPITAL TX MHS-CHC LLC
 
RELATED 3,412,399 2,048,731   No     No 68.250 %
(2) MHS-CHC LLC

3020 W WHEATLAND RD
DALLAS,TX75237
20-4921888
REHAB HOSPITAL TX METHODIST HOSPITAL OF DALLAS
 
RELATED 36,530 62,886   No     No 75.000 %
(3) METHODIST MCKINNEY HOSPITAL LLC

11221 ROE AVE
LEAWOOD,KS66211
20-8847736
HOSPITAL TX METHODIST HOSPITAL OF DALLAS
 
RELATED   500   No   Yes   57.180 %
(4) MHD-USO MANAGEMENT COMPANY LP

ONE POST STREET 35TH FLOOR
SAN FRANCISCO,TX94104
20-3844027
MEDICAL SERVICES TX NORTH TEXAS HEALTH FACILITIES MANGMT
 
RELATED 1,571,525 3,413,205   No     No 71.400 %
(5) METHODIST MCKINNEY HOSPITAL PROPERTY

11221 ROE AVE
LEAWOOD,KS66211
26-1943814
REAL ESTATE HOLDING TX METHODIST HOSPITAL OF DALLAS
 
RELATED 1,044,023 19,188,543   No   Yes   59.900 %
(6) METDALSPI LLC

11221 ROE AVE
LEAWOOD,KS66211
26-3195791
HOSPITAL TX N/A
                 
(7) METDALSPI HOLDING LLC

11221 ROE AVE
LEAWOOD,KS66211
26-3207402
HOSPITAL TX METHODIST HOSPITAL OF DALLAS
 
RELATED 7,564,448 -11,511,720   No   Yes   99.000 %
(8) SRPMEDICA INVESTORS - ADDISON LP

8343 DOUGLAS AVE SUITE 350
DALLAS,TX75225
26-4517265
REAL ESTATE HOLDING TX METHODIST HOSPITAL OF DALLAS
 
RELATED 331,615 -1,686,932   No     No 22.250 %
(9) MHD-USO GENERAL LLC

ONE POST ST35TH FLOOR ATTN TAX DEPT
SAN FRANCISCO,CA94104
20-3843579
MEDICAL SERVICES TX NORTH TEXAS HEALTH FACILITIES MGMT
 
RELATED       No   Yes   50.000 %
(10) MHSS MOB - ADDISON LP

8343 DOUGLAS AVE SUITE 350
DALLAS,TX75225
27-0216329
REAL ESTATE HOLDING TX N/A
                 
(11) LHCG XXXIII LLC

420 WEST PINHOOK RD SUITE A
LAFAYETTE,LA70503
45-4894023
HOME CARE LA N/A
                 
(12) METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC

5775 WAYZATA BLVD 400
ST LOUIS PARK,MN55416
47-2352211
MEDICAL SERVICES TX METHODIST HOSPITAL OF DALLAS
 
RELATED   179,128   No     No 51.000 %
(13) METHODIST URGENT CARE OF TEXAS LLC

265 BROOKVIEW CENTRE WAY 400
KNOXVILLE,TN37919
35-2509140
MEDICAL SERVICES TX METHODIST HOSPITAL OF DALLAS
 
RELATED -1,444 445,497   No     No 51.000 %
(14) TEXAS REHABILITATION HOSPITAL OF ARLINGTON LLC

113 SEABOARD LANE
FRANKLIN,TN37067
37-1748838
MEDICAL SERVICES TX N/A
                 
(15) DALLAS FT WORTH ACO LLC

612 E LAMAR BLVD 6TH FLOOR
ARLINGTON,TX76011
47-3388285
MEDICAL SERVICES TX METHODIST HOSPITAL OF DALLAS
 
RELATED       No     No 20.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) NORTH TEXAS HEALTH FACILITIES MANAGEMENT

1441 N BECKLEY AVE
DALLAS,TX75203
75-1700994
FACILITY AND PHYSICIAN MGMT TX METHODIST HOSPITALS OF DALLAS
 
C -390,067 6,031,669 100.000 %   No
(2) METHCATH OIL COMPANY

4833 ROYAL LANE
DALLAS,TX75229
75-1974095
OIL & GAS HOLDINGS TX METHODIST HOSPITALS OF DALLAS
 
C 1,570 7,200 50.000 %   No
(3) COLLECTECH FINANCIAL SERVICESINC

1441 N BECKLEY AVE
DALLAS,TX75203
75-2369856
BILLING & COLLECTION TX NORTH TEXAS FACILTIES MGMT
 
C -50,033 256,610 100.000 %   No
(4) RICHARDSON PHYSICIAN ALLIANCE

1441 N BECKLEY AVE
DALLAS,TX75203
77-0591925
PHYSICIAN ORGANIZATION TX METHODIST HOSPITALS OF DALLAS
 
C -210 1,375 100.000 %   No






Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
Yes
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ASSOC IN SURGICAL CARE

D 5,282,855 I/C PAYABLE
(2) ASSOC IN SURGICAL CARE

L 2,400 CASH
(3) COLLECTECH FINANCIAL SERVICESINC

D 700,671 I/C PAYABLE
(4) COLLECTECH FINANCIAL SERVICESINC

O 213,490 FMV
(5) COLLECTECH FINANCIAL SERVICESINC

L 26,400 CASH
(6) DALLAS COUNTY INDIGENT CARE CORP

B 28,510,894 CASH
(7) DALLAS METHODIST PHYSICIANS NETWORK

D 213,946 FMV
(8) DALLAS METHODIST PHYSICIANS NETWORK

J 55,678 CASH
(9) MEDDALSPI LLC

S 5,857,137 CASH
(10) MEDHEALTH

J 18,270,021 FMV
(11) MEDHEALTH

D 63,378,978 I/C PAYABLE
(12) MEDHEALTH

L 172,465 ACCOUNTING FEES
(13) MEDHEALTH

M 811,250 FACILITY MANAGEMENT
(14) MEDHEALTH

L 47,150 IT SUPPORT
(15) MEDHEALTH

L 41,988 LAB FEES
(16) MEDHEALTH

J 1,958,747 RENT
(17) METDALSPI LLC

L 76,276 IT SUPPORT
(18) METHODIST HOSPITAL FOUNDATION

Q 1,888,162 CASH
(19) METHODIST HOSPITAL FOUNDATION

C 20,172,083 PROGRAM SUPPORT
(20) METHODIST MCKINNEY HOSPITAL LLC

L 65,975 IT SUPPORT
(21) METHODIST MCKINNEY HOSPITAL PROPERTY LLC

F 643,484 CASH
(22) METHODIST MCKINNEY HOSPITAL LLC

F 4,198,088 CASH
(23) METHODIST PATIENT CENTERED ACO

D 4,063,321 CASH
(24) METHODIST PATIENT CENTERED ACO

L 315,235 CASH
(25) METHODIST PATIENT CENTERED ACO

F 1,753,634 CASH
(26) METHODIST TRANSPLANT PHYSICIANS

L 203,648 BILLING
(27) METHODIST TRANSPLANT PHYSICIANS

D 26,208,254 I/C PAYABLE
(28) METHODIST TRANSPLANT PHYSICIANS

L 201,554 IT SUPPORT
(29) METHODIST TRANSPLANT PHYSICIANS

L 52,260 ACCOUNTING FEES
(30) METHODIST TRANSPLANT PHYSICIANS

K 403,270 RENT
(31) MHS-CHC ILP

F 2,612,089 CASH
(32) MHS-CHC ILP

J 1,138,671 CASH
(33) NORTH TEXAS HEALTH FACILITIES MANAGEMENT

K 61,507 FMV
(34) NORTH TEXAS HEALTH FACILITIES MANAGEMENT

D 4,366,940 CASH
(35) NORTH TEXAS HEALTH FACILITIES MANAGEMENT

F 1,570,800 FMV
(36) NORTH TEXAS HEALTH FACILITIES MANAGEMENT

M 553,459 FMV
(37) PHYSICIANS ASSOC OF SW DALLAS

L 30,240 ACCOUNTING FEES
(38) PHYSICIANS ASSOC OF SW DALLAS

D 1,607,625 I/C PAYABLE
(39) PHYSICIANS ASSOC OF SW DALLAS

M 296,020 BILLING FEES
(40) PHYSICIANS ASSOC OF SW DALLAS

L 2,144,499 EMPLOYEE PURCHASED SERVICES
(41) SRPMEDICA INVESTORS - ADDISON LP

F 292,606 CASH
(42) TARRANT COUNTY INDIGENT CARE CORP

B 2,491,519 CASH
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


Software ID:  
Software Version: