Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 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 2015 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-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 (CONTINUATION) | LIFE AND LEARNING" AS DEFINED IN THE COVENANT BETWEEN METHODIST HEALTH SYSTEM AND THE NORTH TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH, AND, IN ALL WAYS, MERITS CONTINUED IDENTIFICATION WITH THE UNITED METHODIST CHURCH. SPECIFICALLY, THIS MISSION IS PURSUED BY OPERATING A SYSTEM OF GENERAL ACUTE HOSPITALS AND OTHER HEALTH CARE SERVICE, EDUCATIONAL, AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES SERVED 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 NOW OPERATES A 394 LICENSED BED HOSPITAL ACROSS TWO CAMPUSES. MDMC IS LOCATED NEAR DOWNTOWN DALLAS BETWEEN A STABLE RESIDENTIAL AREA ON ONE SIDE, AND AN ECONOMICALLY-CHALLENGED 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 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 $7 MILLION 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, WHICH HANDLES ILLNESSES SUCH AS PANCREATIC CANCER, PANCREATITIS, INDIGESTION AND ACID REFLUX. 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 ITS 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 WERE CURED OF THE ILLNESS. IN FY2016, MDMC HAD 15,747 DISCHARGES; 87,167 INPATIENT DAYS; 6,044 INPATIENT NEWBORN DAYS; 71,318 EMERGENCY ROOM VISITS; 4,655 INPATIENT SURGERIES; AND 4,332 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 72 BED PATIENT TOWER IN 2012. THE 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. MCMC'S OB HOSPITALIST PROGRAM LAUNCHED IN DECEMBER 2015 WITH IN-HOUSE SPECIALISTS PROVIDING CARE TO ABOUT 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 THAT PATIENTS COMING TO METHODIST CHARLTON CAN RELY ON. IN FY2016 MCMC HAD 11,500 DISCHARGES; 58,780 INPATIENT DAYS; 5,100 NEWBORN INPATIENT DAYS; 84,932 EMERGENCY ROOM VISITS; 1,854 INPATIENT SURGERIES; AND 2,401 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 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. A $9 MILLION EXPANSION OF THE WOMEN'S PAVILION WAS COMPLETED IN 2012. THIS 9,413 SQUARE-FOOT ADDITION ENHANCED LABOR AND DELIVERY SERVICES AT MMMC TO A TOTAL OF 13 LDR SUITES THAT ACCOMMODATES UP TO 3,800 DELIVERIES EACH YEAR. ALSO ADDED WAS 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 OPERATING ROOMS THAT CAME ON-LINE IN MARCH 2014. DUE TO CONTINUED GROWTH IN THE DEMAND FOR INPATIENT BEDS, MMMC COMPLETED A NEW $118 MILLION EXPANSION IN 2015 ADDING 118 MEDICAL-SURGICAL BEDS, 12 ICU ROOMS, AND EIGHT INTERMEDIATE CARE ROOMS. IN FY2016 MMMC HAD 8,864 DISCHARGES; 40,650 INPATIENT DAYS; 3,872 NEWBORN INPATIENT DAYS; 48,233 EMERGENCY ROOM VISITS; 1,545 INPATIENT SURGERIES; AND 2,705 OUTPATIENT SURGERIES. MRMC SERVES THE RESIDENTS OF RICHARDSON, PLANO, NORTH DALLAS, COLLIN COUNTY AND SURROUNDING COMMUNITIES. IN OCTOBER 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 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 205-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 WITH 4 OBSERVATION BEDS. 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. SINCE OPENING, THE BUSH/RENNER FACILITY HAS EXPANDED WITH AN ADDITIONAL 60 BEDS BRINGING THE TOTAL OF LICENSED BEDS FOR BUSH/RENNER TO 194 AND FOR BOTH CAMPUSES TO A TOTAL OF 394. 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. METHODIST RICHARDSON RECENTLY BEGAN PROVIDING PEDIATRICS SERVICES IN A NEW 12-BED PEDIATRIC INPATIENT UNIT. THIS UNIT OFFERS CARE FOR PATIENTS 0 TO 18 YEARS OLD WITH CONDITIONS SUCH AS BACTERIAL AND VIRAL INFECTION, GASTROINTESTINAL AND RESPIRATORY DISORDERS, AND MUCH MORE. IN A JOINT EFFORT WITH CHILDREN'S HEALTH, THE UNIT IS STAFFED BY CHILDREN'S HEALTH PHYSICIANS AS WELL AS A PEDIATRIC HOSPITALIST. CARE COORDINATION PROVIDES A SEAMLESS TRANSFER TO ANOTHER FACILITY IF PARTICULAR SPECIALISTS ARE NEEDED. 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. IN FY2016, MRMC HAD 9,836 DISCHARGES; 49,446 INPATIENT DAYS; 3,024 NEWBORN INPATIENT DAYS; 43,444 EMERGENCY ROOM VISITS; 1,662 INPATIENT SURGERIES; AND 2,699 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 IN 2008. IT IS NEXT DOOR TO THE MCMC CAMPUS AND IS JOINTLY OWNED WITH CENTERRE HEALTH. IT ALLOWS MHS TO BE ABLE TO PROVIDE A LARGER ARRAY OF REHABILITATIVE CARE. MHS AND AREA PHYSICIANS OPENED THE METHODIST MCKINNEY HOSPITAL IN 2010, WHICH NOW HAS 21 BEDS, AND SERVES COLLIN COUNTY AND THE SURROUNDING COMMUNITIES. MHS AND AREA PHYSICIANS OPENED METHODIST HOSPITAL FOR SURGERY IN ADDISON. THE 32-BED FACILITY OPENED IN 2010, AND IS A CENTER OF EXCELLENCE FOR SPINE AND ORTHOPEDIC SURGERY. 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 25 LOCATIONS IN THE MHS SERVICE AREA. (SEE CONTINUATION BELOW ON SCHEDULE O) |
| FORM 990, PART III, LINE 4 A (CONTINUATION FROM ABOVE) | 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 2016, 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. THROUGHOUT FY2016, METHODIST HEALTH SYSTEM'S DSRIP PROJECTS CONTINUED TO IMPACT OUR LOW INCOME AND UNINSURED PATIENT POPULATIONS BY LEVERAGING RELATIONSHIPS WITH INTERNAL AND EXTERNAL PARTNERS (MEALS ON WHEELS/VNA, METROCARE BEHAVIORAL HEALTH, MEALS ON WHEELS, ETC.) TO ADDRESS PATIENTS' SOCIAL SERVICES AND HEALTHCARE ACCESS NEEDS. KEY ACCOMPLISHMENTS INCLUDE RECOGNITION AS A "BEST PRACTICE" PROVIDER AT STATEWIDE 1115 WAIVER CONFERENCE, ENROLLMENT OF OVER 22,000 PATIENTS IN THE ED NAVIGATION PROGRAM, INCREASED TRAINING AND EDUCATION OPPORTUNITIES FOR PROGRAM STAFF, INCREASED CAPACITY AT PARTNER CHARITY CLINIC ALLOWING FOR MORE PATIENT VISITS, AND INCREASED NUMBER OF FREE DIABETES SELF-MANAGEMENT EDUCATION CLASSES AVAILABLE TO PATIENTS AND THE GENERAL PUBLIC. 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 IN 2014. 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. MHS, ALONG WITH TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSOR 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 MICHAEL VAN AMBURGH, 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 0. TRANSFER OF RESTRICTED ASSETS 3631329. CHANGE IN ACO AND DPMN FUND BALANCES INTERCOMPANY 8958651. |
| 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. |
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