METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC (EIN 74-1287016)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-02
IRS object ID
202033079349300703
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-02T07:04:25-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1425 HOUSTON ST STE 600AddressLine1Txt
CityFORT WORTHCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741287016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Methodist Healthcare MinistriesBusinessNameLine1Txt
Business Name Line2of South Texas IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% Tony LoBasso CFOInCareOfNm
Business Name ControlMETHBusinessNameControlTxt
Phone2106920234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14507 Medical DriveAddressLine1Txt
CitySan AntonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782294401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTony LoBassoPersonNm
Person TitleCFOPersonTitleTxt
Phone2106920234PhoneNum
Signature2020-10-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMELVA SCOTTPreparerPersonNm
PTINP01207335PTIN
Phone8173351900PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.56.5.91IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id75303520203075000000FederalOriginalSubmissionId
Federal Original Submission Id2020-11-02FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdFC0B4FD89879911EF032AFDBB4CCF2F2294AF6BFAtSubmissionCreationDeviceId
At Submission Filing Device Id514CCA9FAAD99E40AE1E1127FCFA01BF8E073EA4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJamie WesolowskiPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14507 Medical DriveAddressLine1Txt
CitySan AntonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782294401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$342,605,927GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mhm.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1955FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionMission Statement: "Serving Humanity to Honor God" Vision Statement: "To be the leader for improving wellness of the least served".ActivityOrMissionDesc
Voting Members Governing Body32VotingMembersGoverningBodyCnt
Voting Members Independent32VotingMembersIndependentCnt
Total Employee532TotalEmployeeCnt
Total Volunteers163TotalVolunteersCnt
Total Gross UBI$28,377TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,235,104PYContributionsGrantsAmt
CY Contributions Grants$4,445,043CYContributionsGrantsAmt
PY Program Service Revenue$119,764,456PYProgramServiceRevenueAmt
CY Program Service Revenue$152,940,662CYProgramServiceRevenueAmt
PY Investment Income$46,650,707PYInvestmentIncomeAmt
CY Investment Income$47,739,793CYInvestmentIncomeAmt
PY Other Revenue$1,656,559PYOtherRevenueAmt
CY Other Revenue$2,856,600CYOtherRevenueAmt
PY Total Revenue$173,306,826PYTotalRevenueAmt
CY Total Revenue$207,982,098CYTotalRevenueAmt
PY Grants And Similar Paid$34,883,247PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,916,310CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$34,162,353PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,436,177CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,280,481PYOtherExpensesAmt
CY Other Expenses$30,224,889CYOtherExpensesAmt
PY Total Expenses$98,326,081PYTotalExpensesAmt
CY Total Expenses$78,577,376CYTotalExpensesAmt
PY Revenues Less Expenses$74,980,745PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$129,404,722CYRevenuesLessExpensesAmt
Total Assets BOY$1,141,912,595TotalAssetsBOYAmt
Total Assets EOY$1,281,813,200TotalAssetsEOYAmt
Total Liabilities BOY$39,290,521TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,362,158TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,102,622,074NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,268,451,042NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN FURTHERANCE OF THE FOUNDERS' VISION OF "SERVING HUMANITY TO HONOR GOD," METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (MHM) HAS A TWO-FOLD MISSION, BOTH EQUALLY IMPORTANT: TO IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THOSE LEAST SERVED IN THE RIO TEXAS CONFERENCE AREA OF THE UNITED METHODIST CHURCH, WHICH CONSISTS OF 74 COUNTIES ACROSS SOUTH TEXAS; AND AS THE LOCAL HALF-OWNER OF METHODIST HEALTHCARE SYSTEM (MHS) - THE LARGEST HEALTHCARE SYSTEM IN SOUTH TEXAS - MHM IS COMMITTED TO ENSURING MHS CONTINUES TO BE A BENEFIT TO THE COMMUNITY BY PROVIDING QUALITY CARE TO ALL AND CHARITABLE CARE WHEN NEEDED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$10,753,981ExpenseAmt
Grant$10,753,981GrantAmt
Revenue$0RevenueAmt
DescSINCE 1996, MHM HAS PROVIDED COMMUNITY GRANTS TO PARTNERS THAT SHARE IN ITS MISSION OF SERVING THE LEAST SERVED: LOW-INCOME FAMILIES AND THE UNINSURED, AND THAT ARE SUCCESSFULLY DELIVERING HEALTHCARE AND SOCIAL SERVICES TO THIS POPULATION IN THEIR RESPECTIVE COMMUNITIES THROUGHOUT SOUTH TEXAS. SHORT-TERM GRANTS INCLUDE DIRECT SERVICES TO PATIENTS AS WELL AS CAPITAL FUNDING FORCONSTRUCTION OF NEW AND/OR RENOVATIONS TO EXISTING FACILITIES USED FOR THE DELIVERY OF SERVICES. IN ADDITION TO PROVIDING GRANTS, MHM WAS AWARDED A FEDERAL GRANT BY THE SOCIAL INNOVATION FUND (SIF), A PROGRAM OF THE CORPORATION FOR NATIONAL AND COMMUNITY SERVICE (CNCS) THAT COMBINES PUBLIC AND PRIVATE RESOURCES TO GROW THE IMPACT OF INNOVATIVE, COMMUNITY-BASED SOLUTIONS THAT HAVE COMPELLING EVIDENCE OF IMPROVING THE LIVES OF PEOPLE IN LOW-INCOME COMMUNITIES THROUGHOUT THE UNITED STATES. THROUGH THIS GRANT MHM DEVELOPED THE S TEXAS: SOCIAL INNOVATION FOR A HEALTH SOUTH TEXAS PROJECT, FOCUSING ON INTEGRATED BEHAVIORAL HEALTH MODELS THAT ARE EFFECTIVELY IMPROVING HEALTH OUTCOMES IN SOUTH TEXAS COMMUNITIES WITH HIGH RATES OF POVERTY, DEPRESSION, DIABETES, OBESITY, AND ASSOCIATED RISK FACTORS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,830,525ExpenseAmt
Grant$162,329GrantAmt
Revenue$117,967RevenueAmt
DescMHM OWNS AND OPERATES TWO PRIMARY CARE CLINICS AT TWO LOCATIONS - WESLEY HEALTH & WELLNESS CENTER AND THE BISHOP ERNEST T. DIXON, JR. CLINIC - IN SAN ANTONIO WHERE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES ARE OFFERED TO UNINSURED INDIVIDUALS AND FAMILIES WHO DO NOT QUALIFY FOR ANY TYPE OF BENEFITS SUCH AS MEDICAID OR MEDICARE. SERVICES ARE BASED ON A SLIDING-SCALE FEE, HOUSEHOLD INCOME AND FAMILY SIZE. HOWEVER, NO ONE IS DENIED BASED ON THEIR ABILITY TO PAY. MHM ALSO OPERATES SCHOOL BASED HEALTH CENTERS WHICH PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE, AND COUNSELING TO SCHOOL-AGE CHILDREN AND THEIR SIBLINGS UP TO THE AGE OF 21 IN TWO SCHOOL DISTRICTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,346,978ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescTHE WESLEY NURSE PROGRAM SPANS 86 SITES THROUGHOUT SOUTH TEXAS, AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$22,992,473TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$152,822,695TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$65,923,957TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document243IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee532EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members32GoverningBodyVotingMembersCnt
Independent Voting Member32IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTony LoBasso CFOPersonNm
Phone2106920234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14507 Medical DriveAddressLine1Txt
CitySan AntonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78229ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Jaime Wesolowski
PRESIDENT & CEO39.01.0Yes (X)$513,753$0$67,339
George Thomas
COO (TERM 1/7/19)39.01.0Yes (X)$378,176$0$2,787
Anthony LoBasso
Chief Financial Officer39.01.0Yes (X)$269,273$0$59,409
Xochy Hurtado
COO (BEG 5/6/19)39.01.0Yes (X)$264,151$0$25,938
Oanh Maroney-Omitade
VP of Clinical Operations40.00.0$183,889$0$57,942Yes (X)
Jennifer Knoulton
VP of Regional Operations40.00.0$176,196$0$44,190Yes (X)
Cynthia McCloy
VP of Accounting & Controller40.00.0$185,253$0$30,005Yes (X)
Bridget Lamme-Kerr
Director of Human Resources40.00.0$165,930$0$25,022Yes (X)
DeAnna Bokinsky
VP STRATEGIC PLANNING & GROWTH40.00.0$158,606$0$14,242Yes (X)
Douglas W Becker
TREASURER4.00.0Yes (X)$0$0$0Yes (X)
Alice H Gannon
Chair6.00.0Yes (X)$0$0$0Yes (X)
Michael J Lane MD
Chair Elect6.00.0Yes (X)$0$0$0Yes (X)
George N Ricks
Immediate Past Chair4.00.0Yes (X)$0$0$0Yes (X)
Michael F Porter Jr
Vice Chair (beg 6/27/19)4.00.0Yes (X)$0$0$0Yes (X)
Lavonne Garrison
Vice Chair4.00.0Yes (X)$0$0$0Yes (X)
Sam Dawson
Secretary4.00.0Yes (X)$0$0$0Yes (X)
Marc Raney
DIR. NON-VOTING (BEG 6/27/19)2.00.0$0$0$0Yes (X)
R Dan Johnson
DIRECTOR NON-VOTING2.00.0$0$0$0Yes (X)
Mindi Alterman
Director2.00.0$0$0$0Yes (X)
Karen Angelini
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Bonnie K Berry
Director2.00.0$0$0$0Yes (X)
Raymond Chacon
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Rinaldo J Gonzalez
Director (TERM 6/26/19)2.00.0$0$0$0Yes (X)
Susan Hellums
Director2.00.0$0$0$0Yes (X)
Susan W Holmes
Director2.00.0$0$0$0Yes (X)
John Hornbeak
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Joe E Johnston
Director2.00.0$0$0$0Yes (X)
Margaret A Kelley M
Director2.00.0$0$0$0Yes (X)
Alan Kramer
Director2.00.0$0$0$0Yes (X)
Ashley Landers
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Barbara Lyons
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Nancy F May
Director2.00.0$0$0$0Yes (X)
Lott McIlhenny
Director2.00.0$0$0$0Yes (X)
Sam O'Krent
Director2.00.0$0$0$0Yes (X)
Kerwin Overby
Director2.00.0$0$0$0Yes (X)
Jim Rice
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Thomas Sander
Director2.00.0$0$0$0Yes (X)
Rev Virgilio Vazquez-
Director2.00.0$0$0$0Yes (X)
Pendleton Wickersham
Director2.00.0$0$0$0Yes (X)
Bishop Robert Schanse
Director2.00.0$0$0$0Yes (X)
Rev Cynthia Engstrom
Director (beg 6/27/19)2.00.0$0$0$0Yes (X)
Rev Greg Hackett
Director2.00.0$0$0$0Yes (X)
Rev Javier Leyva
Director2.00.0$0$0$0Yes (X)
Rev Laura Merrill
Director2.00.0$0$0$0Yes (X)
Rev Charles Stephens
Director (TERM 6/26/19)2.00.0$0$0$0Yes (X)
Scott D Bryan
Director Non-Voting2.00.0$0$0$0Yes (X)
Blas S Catalani II
DIR. NON-VOTING (TERM 6/26/19)2.00.0$0$0$0Yes (X)
James A Garcia
Director Non-Voting2.00.0$0$0$0Yes (X)
Richard T Gilby
DIR. NON-VOTING (TERM 6/26/19)2.00.0$0$0$0Yes (X)
John F Stoll MD
DIR. NON-VOTING (TERM 6/26/19)2.00.0$0$0$0Yes (X)
Dudley Harral
Director Non-Voting2.00.0$0$0$0Yes (X)
Claudia Hura MD
DIR. NON-VOTING (BEG 6/27/19)2.02.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,295,227TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$326,874TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SENDERO WEALTH MANAGEMENT
250 W NOTTINGHAM SUITE 300SAN ANTONIOTX78209INVESTMENT MANAGER$649,524
BALYASNY ASSET MANAGEMENT
444 W LAKE STREET 50TH FLOORCHICAGOIL60606INVESTMENT MANAGER$641,906
AFFINITI HEALTH LLC
5145 BRAWNER PLACEALEXANDRIAVA22304IT CONSULTANT$597,964
CHATHAM ASSET MANAGEMENT
25 MAIN ST STE 204CHATHAMNJ07928INVESTMENT MANAGER$469,899
CARLSON CAPITAL MANAGEMENT
2100 MCKINNEY AVEUNUE STE 1800DALLASTX75201INVESTMENT MANAGER$459,188
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Government Grants$4,290,480GovernmentGrantsAmt
All Other Contributions$154,563AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$4,445,043TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
ORDINARY INCOME FROM MHS622110$152,779,268$152,748,791$30,477$0
CLINIC REVENUE-DIRECT MHM621498$117,967$117,967$0$0
WESLEY KITCHEN-DIRECT MHM900099$43,427$43,427$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$152,940,662TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,767,143TotalRevenueColumnAmt
Unrelated Business Revenue-$2,100UnrelatedBusinessRevenueAmt
Exclusion$22,769,243ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,533,683RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$6,835,268RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,698,415RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,698,415TotalRevenueColumnAmt
Exclusion$2,698,415ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$152,761,211SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$127,788,561SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$24,972,650SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,972,650TotalRevenueColumnAmt
Exclusion$24,972,650ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescALL OTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$158,185TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$158,185ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$158,185OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,982,098TotalRevenueColumnAmt
Related Or Exempt Func Income$152,910,185RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$28,377UnrelatedBusinessRevenueAmt
Exclusion$50,598,493ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,753,981TotalAmt
Program Services$10,753,981ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$162,329TotalAmt
Program Services$162,329ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,580,826TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,580,826ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,333,603TotalAmt
Program Services$23,845,984ProgramServicesAmt
Management And General$3,487,619ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,613,750TotalAmt
Program Services$1,329,544ProgramServicesAmt
Management And General$284,206ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,884,249TotalAmt
Program Services$3,902,771ProgramServicesAmt
Management And General$981,478ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,023,749TotalAmt
Program Services$1,725,443ProgramServicesAmt
Management And General$298,306ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$118,194TotalAmt
Program Services$0ProgramServicesAmt
Management And General$118,194ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$78,750TotalAmt
Program Services$19,250ProgramServicesAmt
Management And General$59,500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$100,000TotalAmt
Program Services$100,000ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,806,058TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,806,058ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,608,540TotalAmt
Program Services$9,564,860ProgramServicesAmt
Management And General$1,043,680ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,739TotalAmt
Program Services$0ProgramServicesAmt
Management And General$75,739ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,600,284TotalAmt
Program Services$1,375,958ProgramServicesAmt
Management And General$224,326ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,921,595TotalAmt
Program Services$1,156,435ProgramServicesAmt
Management And General$765,160ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,336,817TotalAmt
Program Services$1,021,162ProgramServicesAmt
Management And General$315,655ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,078,950TotalAmt
Program Services$923,169ProgramServicesAmt
Management And General$155,781ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$237,265TotalAmt
Program Services$174,663ProgramServicesAmt
Management And General$62,602ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,150,336TotalAmt
Program Services$1,812,573ProgramServicesAmt
Management And General$337,763ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$280,342TotalAmt
Program Services$193,320ProgramServicesAmt
Management And General$87,022ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACY$2,459,592$2,459,592$0$0
K-1 EXPENSES$2,228,372$2,228,372$0$0
DUES/SUBSCRIPTIONS$759,656$635,316$124,340$0
DENTAL SUPPLIES$598,976$598,976$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,785,423TotalAmt
Program Services$1,940,258ProgramServicesAmt
Management And General$845,165ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$78,577,379TotalAmt
Program Services$65,923,957ProgramServicesAmt
Management And General$12,653,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$829,063BOYAmt
EOY$3,177,556EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,759,850BOYAmt
EOY$19,943,398EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,752BOYAmt
EOY$28,626EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,040,030BOYAmt
EOY$1,030,702EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$55,762,536LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,257,072LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,422,500BOYAmt
EOY$36,505,464EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$338,436,854BOYAmt
EOY$452,349,407EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$145,068,936BOYAmt
EOY$107,700,547EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$607,097,501BOYAmt
EOY$660,854,223EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$207,109BOYAmt
EOY$223,277EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,141,912,595BOYAmt
EOY$1,281,813,200EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,956,251BOYAmt
EOY$6,609,282EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$32,309,810BOYAmt
EOY$6,710,302EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$24,460BOYAmt
EOY$42,574EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,290,521BOYAmt
EOY$13,362,158EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,102,522,074BOYAmt
EOY$1,268,351,042EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$100,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,102,622,074BOYAmt
EOY$1,268,451,042EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,141,912,595BOYAmt
EOY$1,281,813,200EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$129,404,719ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$58,615,408NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$22,191,159OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 3FormAndLineReferenceDesc
ExplanationMethodist Healthcare Ministries of South Texas, Inc. has a dual public charity status as a section 509(a)(1) and a section 509(a)(3) supporting organization. Methodist Healthcare Ministries of South Texas, Inc. is a hospital and supports the Rio Texas Conference of the United Methodist Church.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastYes (true)PublicationsOrBroadcastInd
Publications Or Broadcast$3,000PublicationsOrBroadcastAmt
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$120,413GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$74,583DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$9,063RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$29,269OtherActivitiesAmt
Total Lobbying Expenditures$236,328TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B:FormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES: FUNDING FOR PARTNERS TO FORMALLY COORDINATE A COALITION THAT WILL FOCUS ON MOBILIziNG INTERESTED STAKEHOLDERS TO WORK WITH STATE LEADERS TO IMPROVE POLICIES AND INCREASE FUNDING FOR HEALTH SERVICES AND ACCESS TO CARE IN TEXAS; EXPLORE AND DISCUSS STRATEGIES FOR LEGISLATIVE SESSIONS; REGISTRATION FEES AND MEMBERSHIP DUES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$207,109BeginningYearBalanceAmt
Investment Earnings Or Losses$23,239InvestmentEarningsOrLossesAmt
Other Expenditures$7,071OtherExpendituresAmt
End Year Balance$223,277EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$218,922BeginningYearBalanceAmt
Investment Earnings Or Losses-$5,324InvestmentEarningsOrLossesAmt
Other Expenditures$6,489OtherExpendituresAmt
End Year Balance$207,109EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$206,142BeginningYearBalanceAmt
Investment Earnings Or Losses$20,791InvestmentEarningsOrLossesAmt
Other Expenditures$8,011OtherExpendituresAmt
End Year Balance$218,922EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$201,733BeginningYearBalanceAmt
Investment Earnings Or Losses$7,419InvestmentEarningsOrLossesAmt
Other Expenditures$3,010OtherExpendituresAmt
End Year Balance$206,142EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$208,344BeginningYearBalanceAmt
Investment Earnings Or Losses-$451InvestmentEarningsOrLossesAmt
Other Expenditures$6,160OtherExpendituresAmt
End Year Balance$201,733EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.55000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.45000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,875,759OtherCostOrOtherBasisAmt
Book Value$3,875,759BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$41,808,104OtherCostOrOtherBasisAmt
Depreciation$13,043,952DepreciationAmt
Book Value$28,764,152BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$38,327OtherCostOrOtherBasisAmt
Depreciation$23,686DepreciationAmt
Book Value$14,641BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$7,539,501OtherCostOrOtherBasisAmt
Depreciation$4,919,997DepreciationAmt
Book Value$2,619,504BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,500,845OtherCostOrOtherBasisAmt
Depreciation$1,269,437DepreciationAmt
Book Value$1,231,408BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,505,464TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (15 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SEI STRUCTURED CREDIT FUND LP$1,213,739F
SEI ENERGY DEBT FUND LP$1,463,118F
SEI CORP PROPERTIES FUND, LP$1,234,455F
INCUBE VENTURES II, LP$730,603C
TARGETED TECH. FUND II, LP$206,229C
TARGETED TECH. FUND I, LP$162,945C
SEI GLOBAL PRIVATE ASSETS IV$353,284F
OVERSEAS CAP PARTNERS, INC.$159,071F
DOUBLE BLACK DIAMOND LTD$3,066,510F
BALYASNY ATLAS GLOBAL INV LTD$22,516,542F
EVANSTON WEATHERLOW OFFSHORE F$37,038,853F
ACL ALTERNATIVE FUND SAC LTD$15,430,677F
CHATHAM ASSET HIGH YIELD OFFSH$18,463,272F
SEI SPECIAL SITUATIONS FUND LP$2,702,547F
TEXAS METHODIST FOUNDATION$2,958,702F
FieldValueIRS element (for citing)
Total Book Value Securities$107,700,547TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescEQUITY OWNERSHIP IN METHODISTDesc
Book Value$660,854,223BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$660,854,223TotalBookValueProgramRltdAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationSCHEDULE D, PART V, LINE 4: MHM'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS. ASC 740 ACCOUNTING FOR INCOME TAXES In May 2006, the state of Texas enacted legislation that replaced the franchise tax with a new "margin tax," which was effective for tax reports due on or after January 1, 2008, and which computes the tax based on business done in calendar years beginning after December 31, 2006. The legislation expanded the number of entities covered by the Texas franchise tax and specifically included limited partnerships as subject to the margin tax, which for financial reporting purposes, is considered an income tax under Accounting Standards Codification Topic 740 (ASC 740), Income taxes. Income tax expense was approximately $4.8 million for the year ended December 31, 2019, and $4.0 million for the year ended December 31, 2018. Income tax payable was approximately $2.8 million at December 31, 2019, and $2.4 million at December 31, 2018.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,159,364TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,780,649DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,378,715NetCommunityBenefitExpnsAmt
Total Expense0.08090TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,576,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$149,355,490DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$535,889TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$433,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$102,861NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$177,271,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,569,167DirectOffsettingRevenueAmt
Net Community Benefit Expns$75,481,576NetCommunityBenefitExpnsAmt
Total Expense0.08100TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,911,760TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$637,486DirectOffsettingRevenueAmt
Net Community Benefit Expns$56,274,274NetCommunityBenefitExpnsAmt
Total Expense0.06040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,739,858TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,466DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,693,392NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,916,310TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,916,310NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,567,928TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$683,952DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,883,976NetCommunityBenefitExpnsAmt
Total Expense0.07390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$246,839,229TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$156,253,119DirectOffsettingRevenueAmt
Net Community Benefit Expns$144,365,552NetCommunityBenefitExpnsAmt
Total Expense0.15490TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$11,438,980BadDebtExpenseAmt
Bad Debt Expense Attributable$490,408BadDebtExpenseAttributableAmt
Reimbursed By Medicare$216,584,848ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$220,863,595CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,278,747MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
METH AMB SUR CTR MC
FREESTANDING ASC0.6030.00.397
METH AMB SUR CTR MC
FREESTANDING ASC0.6280.00.372
CTR SPECIAL SURGERY
FREESTANDING ASC0.510.00.49
METH AMB SUR CTR
FREESTANDING ASC UNDER CONST0.740.00.26
METH AMB SUR CTR
FREESTANDING ASC UNDER CONST0.510.00.49
COMP RAD MGMT SVCS
IMAGING SERVICES0.50.00.5
FieldValueIRS element (for citing)
Hospital Facilities9HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
METHODIST HOSPITAL AMBULATORY SURGERY
19150 HUEBNER RD SUITE 100SAN ANTONIOTX78229www.SAHealth.com000154Yes (X)Yes (X)Yes (X)A
METHODIST CHILDREN'S HOSPITAL
27700 FLoyd Curl DriveSAN ANTONIOTX78229www.SAHealth.com000154Yes (X)Yes (X)AYes (X)
METROPOLITAN METHODIST HOSPITAL
31310 McCullough AvenueSAN ANTONIOTX78212www.SAHealth.com000154Yes (X)Yes (X)Yes (X)A
Methodist Specialty & Transplant
48026 Floyd Curl DriveSAN ANTONIOTX78258www.SAHealth.com000154Yes (X)Yes (X)Yes (X)A
Methodist Stone Oak Hospital
51139 E Sonterra BoulevardSAN ANTONIOTX78223www.SAHealth.com008741Yes (X)Yes (X)Yes (X)A
Northeast Methodist Hospital
612412 Judson RoadSAN ANTONIOTX78229www.SAHealth.com000154Yes (X)Yes (X)Yes (X)A
Methodist Texsan Hospital
76700 IH 10 WestSAN ANTONIOTX78201www.SAHealth.com000154Yes (X)Yes (X)Yes (X)A
Methodist Ambulatory Surgery Hospital
89150 Huebner Road Suite 100JOURDANTONTX78026www.SAHealth.com000681Yes (X)Yes (X)Yes (X)A
Methodist Hospital South
91905 Highway 97 EastSAN ANTONIOTX78240www.SAHealth.com100391Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility19FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
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Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
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CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Sec B, Line 3e:THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Sec B, Line 3J:In 2019, each Methodist Hospital, as well as the System, adopted the health priority areas based upon the Bexar County Community Health Assessment (undertaken by The Health Collaborative), the Bexar County Community Health Improvement Plan (CHIP) and the SA 2020 goals. Additional information about The Health Collaborative's assessment process is noted below. It is important to note that the five priority areas identified in the prior CHNA have not changed in the 2019 plan. In 2013, MHS's implementation strategy, including an execution plan and prioritization of health needs, services and metrics for each hospital were presented to and approved by the MHS Community Benefits Committee, the MHS Community Board, the MHS Board of Governors, and the Methodist Healthcare Ministries Board of Governors. In 2016, the MHS Community Benefits Committee, the MHS Community Board and the MHS Board of Governors approved the implementation strategy for 2017 - 2019. In 2019, the MHS Community Benefits Committee, the MHS Community Board and the MHS Board of Governors approved the implementation strategy for 2020-2022. In order to assess the rural areas Methodist Healthcare serves, MHS utilized assessment information from the Regional Healthcare Partnership 6 Plan submitted to the Texas Health and Human Services Commission as part of the Medicaid 1115 Waiver Program. University Healthcare System (RHP6 Anchor) lead this process which included multiple meetings, conference calls and public forums. Participants in this process included hospital CEOs, county judges, county commissioners, physicians from the University of Texas Health Science Center at San Antonio, University Health System and Christus Santa Rosa. Input was also obtained from federally qualified health centers, home health agencies, city government officials, indigent care coordinators, advocacy groups and Healthcare Access San Antonio. MHM and MHS are members of The Health Collaborative (THC) which consists the following members: Appdiction Studios, Baptist Health System, Christus Santa Rosa Health System, Bexar County Department of Community Resources, Community First Health Plans, San Antonio Metropolitan Health District (Metro Health), Our Lady of the Lake University, San Antonio Clubhouse, University Health System, the University of The Incarnate Word, The UT Health Science Center at San Antonio Dept. of Family and Community Medicine, the YMCA and community members at large. Funders of THC Community Health Assessment are Baptist Health Foundation, Bexar County, the Kronkosky Charitable Foundation, the United Way of San Antonio, San Antonio Metropolitan Health Department and MHM. As noted above, Methodist Healthcare System is a partner of The Health Collaborative. The Collaborative undertakes a county-wide community assessment study every three years to guide the community health strategic planning process. For the 2019 assessment process, the Collaborative shifted to a regional focus, expanding the assessment to include Bexar County, and Atascosa County. Atascosa County is located just south of Bexar County, however the assessment noted marked differences in many social determinants as well as differences in health behaviors and risk. The Health Collaborative also indicated in the preface to the 2019 plan, that it will continue to expand the regional focus in future plans, adding one or two adjoining counties in future assessments until all counties surrounding Bexar County are included. The Health Collaborative contracted with Community Information Now (CI:Now), a nonprofit local data intermediary serving south central Texas, for quantitative data collection and analysis and for development of the assessment narrative. Under the supervision of Dr. Melissa Valerio-Shewmaker, graduate students at the UTHealth Houston School of Public Health in San Antonio assisted in developing the focus group questions and conducting the groups themselves. School of Public Health staff Ms. Kate Martin and Ms. Sonia Ramos conducted the key information interviews. The Health Collaborative staff handled all focus group and key informant interview recruitment and scheduling. All qualitative analysis was conducted by Dr. Caroline Bergeron, Ms. Jordan McIlveen, and Ms. Jennifer Quackenbush at the Health Collaborative. The 2019 Assessment contains quantitative data on approximately 150 indicators, each broken out by race/ethnicity group and sub-county geography (Zip Code Tabulation Area [ZCTA], sector, census tract or block group) wherever possible. Indicators were also disaggregated by age group and sex where those variables were thought to add critical information. The list of indicators was developed over several months in the summer and fall of 2018. An extensive list of candidate indicators and issues was generated using past assessments, the Community Health Improvement Plan, Health People 2020, the Agency for Healthcare Research and Quality County Health Rankings, SA2020, local subject matter experts, and a number of references on the "upstream" social, economic, and environmental conditions that affect health. To narrow the list, the Community Needs Assessment Steering Committee used an anonymous digital survey to rate each indicator as high, medium, or low priority, suggesting modifications to the indicator if desired. Indicators rated as low priority with a high level of agreement (about 65% or more of responding members) were dropped without discussion, and high-agreement, high-priority measures were included without discussion. Those without clear consensus were discussed until general agreement was reached. Budget constraints prevented the inclusion of some indicators on which there was agreement but for which the data was especially time consuming to find, acquire and/or calculate. The following sources were used heavily for the 2019 Assessment: - Population and housing data from the U.S. Census Bureau 2010 Summary File 1 - Population estimates and projections from the Texas State Demographic Center at the University of Texas at San Antonio - Physical, social, and economic conditions data from the U.S. Census Bureau American Community Survey One-Year Estimates, Five-Year Estimates, and Supplemental Estimates - Crime data from the U.S. Department of Justice Uniform Crime Report - Behavioral Risk Factor Surveillance System (BRFSS), vital statistics, injury, blood lead, hospital discharges, hospital bed, and health professions data from the Texas Department of State Health Services Health Data query system and by special request - Medicaid and public health benefits data from the Texas Health and Human Services Commission - Mortality data from the CDC WONDER query system - Motor vehicle crash data from the Texas Department of Transportation - Communicable disease and vital statistics data from the Texas Department of State Health Services - The Witte Museum Finally, data is collected at the neighborhood level with the intent of describing the social contexts that possible give rise to health-related behaviors described in the Health Profiles and BRFSS survey data. Discussion groups and interviews were conducted city-wide with over 160 participants, ranging from community residents, service providers, government staff and officials, and advocates for the health of Bexar County's low-income, medically-underserved and minority populations. These interviews and meetings took place during March and May of 2019. The Health Collaborative contracted with Community Information Now (CI:Now), a local data intermediary serving south central Texas, for quantitative data collection and analysis for development of the assessment narrative. Using information from the 2016 Collaborative's Community Health Needs Assessment, as well as other data, Methodist Healthcare System developed individual plans for each campus, which included a 3-Year plan for 2017-2019. The implementation strategy includes the following: communication plan, priority initiative work plan, role and responsibility assignments, and measures/indicators for success along with baseline data. Additional monitoring of the plan will occur through the quarterly community benefits reports to the MHS Community Benefits Committee and the annual charity care report. The 2017-2019 plan has been approved by the MHS Community Benefits Committee, the MHS Community Board, and the MHS Board of Governors. Methodist Healthcare System used information from the Collaborative's 2019 Community Health Needs Assessment to develop a 3-Year Plan for 2020-2022. Like the implementation strategy developed for the 2017-2019 plan, the plan for 2020-2022 includes a communication plan, a priority initiative work plan, role and responsibility assignments, and measures/indicators for success. Monitoring will continue through the quarterly reports to the MHS Community Benefits Committee, and the MHS Annual Charity Care Report. The 2020-2022 plan has been approved by the MHS Commu
Schedule H, Part V, Sec B, Line 5:As noted above, discussions and interviews were held with multiple stakeholders in the community. Key regional groups and city officials included the following: Haven for Hope, University Health System, National Alliance on Mental Health Illness, San Antonio Food Bank, Bexar County Economic Development, San Antonio Housing Authority, CommuniCare, San Antonio Metropolitan Health District, Healthy Futures of Texas, The Rivard Report, Roy Maas Youth Alternatives, Nelson Woff, J.D. - Bexar County Judge, and Northside Independent School District. Other discussion groups included individuals representing faith organizations, social service providers, hospitals, public health leaders, academic researchers, community planning agencies, community focused organizations, individual community members, and business leaders.
Schedule H, Part V, Sec B, Line 6A:The community needs assessment was conducted with the following hospital facilities: Methodist Healthcare System (Methodist Hospital, Methodist Children's Hospital, A Campus of Methodist Hospital, Methodist Specialty and Transplant Hospital, A Campus of Methodist Hospital, Metropolitan Methodist Hospital, A Campus of Methodist Hospital, Northeast Methodist Hospital, A Campus of Methodist Hospital, Methodist Texsan Hospital, A Campus of Methodist Hospital, Methodist Stone Oak Hospital, Methodist Ambulatory Surgery Hospital - Northwest, Methodist Hospital South ); Baptist Health System (Baptist Medical Center, North Central Baptist Hospital, Mission Trails Baptist Hospital, St. Luke's Baptist Hospital, Northeast Baptist Hospital); Christus Santa Rosa Health System (Christus Santa Rosa Medical Center, Christus Santa Rosa Westover Hills, Children's Hospital of San Antonio) and University Hospital.
Schedule H, Part V, Sec B, Line 6B:In addition to the hospital facilities listed above, the community health needs assessment was conducted in conjunction with the following non-hospital organizations: Appdiction Studio, Bexar County Department of Community Resources, Community First Health Plans, Interlex Communications, Methodist Healthcare Ministries of South Texas, Inc., the City of San Antonio Metropolitan Health District, Our Lady of the Lake University, San Antonio Clubhouse, the University of the Incarnate Word, the UT Health Science Center at San Antonio Department of Family and Community Medicine, the YMCA of Greater San Antonio, and community members at large.
Schedule H, Part V, Sec B, Line 7a:https://sahealth.com/ABOUT/COMMUNITY/INDEX.DOT Schedule H, Part V, Sec B, Line 7B: http://HEALTHCOLLABORATIVE.NET/REPORTS/
Schedule H, Part V, Sec B, Line 10A:https://sahealth.com/ABOUT/COMMUNITY/INDEX.DOT
Schedule H, Part V, Sec B, Line 11:As noted above, Methodist Healthcare System has developed a Community Health Improvement Plan based on the Community Health Needs Assessment. Priorities and specific tactics include the following, with the initial implementation in 2014, and yearly updates through 2022: Community Health Priority No. 1: Healthy Eating and Active Living - Community Goal - To foster social change and strengthen positive behaviors around healthy eating and active living to ensure access to nutritious foods and built environments that enable all residents to make healthy choices and lead healthy lives. Tactics - Community Health Priority No. 1: - Host one HeartCheck health fair. The health fair will be held in lower socioeconomic neighborhoods providing the community glucose, blood pressure, full lipid panel cholesterol and BMI checks, as well as literature. Methodist Healthcare anticipates screening 200 participants in 2019. Methodist did not hold a Heart Check Health Fair in 2019. - Host two Cardiac Connections Series with focus on hypertension, diabetes and hyperlipidemia. Each event is led by physicians and medical professionals. Methodist Healthcare anticipates 1500 attendees throughout 2019. Methodist hosted 6 events, providing information to 1,217 attendees. - Provide HeartMatters/StrokeMatters, a free resource to the community. Methodist anticipates that 20,000 members of the community will receive this magazine in 2019. In 2019, the magazine was distributed to 20,000 individuals. - Methodist Healthcare will email e-newsletters to over 12,000 subscribers on Heart, Women's Services and Children's Services each month in 2019. In 2019, a total of forty four e-newsletters were mailed. - Produce "Keeping Well", a community health and wellness magazine published three times per year and available in electronic and hard copy format. Methodist Healthcare anticipates a readership of 250,000 in 2019. Three editions of this magazine were published in 2019. - Methodist Healthcare's employer solutions program, HealthPOWER, will partner with 195 local business which participate in Methodist Healthcare-sponsored wellness activities, including challenge weigh-ins, glucose and blood pressure checks. In 2019, Methodist Healthcare reached 8,644 individuals at 55 different events. - Offer more than 600 55PLUS sponsored line dancing classes with an anticipated attendance total of greater than 7,000 in 2019. Methodist sponsored 1,321 events--Line Dancing, Walker Wellness, and Silver Sneakers (in conjunction with the YMCA) - during 2019 10,746 individuals attended these events. - Utilize social media to push health and wellness topics, including topics related to healthy eating and active living to the community via Facebook, Twitter and Instagram at least two times per week. Methodist Healthcare anticipates an increase in Twitter followers to 6,500 and Facebook to 20,500 in 2019. Actual results for 2019: 4,563 Twitter followers, 24,345 Facebook Fans, and 4,446 Instagram followers. - Donate/sponsor to the following nonprofits: American Heart Association, American Cancer Society, Leukemia and Lymphoma Society, Multiple Sclerosis Society, American Heart Association, Women and Girls' Development, Harper's Embrace, WINGS, Shared Beat, American Diabetes Association Expo, as well as other medically related non-profits. Methodist expects to donate $170,000 in 2019. Actual donations in 2019 totaled $393,055. - Continue involvement with Healthy Me (formerly Project Measure Up) in partnership with the Health Collaborative (THC). Methodist Healthcare participates in this surveillance and service program aimed at decreasing the prevalence of youth overweight and obesity in Bexar County through programs in area school districts. Project Measure UP is implemented in nine San Antonio school districts. Methodist Healthcare anticipates reaching over 10,000 lives in 2019. In 2019, there were 2,723 participants in the program. - Donate in kind printing to various non-profits including the Leukemia and Lymphoma Society, Multiple Sclerosis Society and others. The monetary value goal for printing is $25,000 in 2019. The monetary value of actual printed materials was $61,878 for 2019. - Hold a Cereal Drive to benefit the San Antonio Food Bank. In 2019, two Food Drives spanning six locations were held. 277,748 servings of cereal were collected in this drive. The Summer Food Drive collected 1.2 million servings. Community Health Priority No 2: Healthy Child and Family Development - Community Goal - To make pregnancy and early childhood the focus of system level changes that support health child and family development. Tactics: Community Health Priority No. 2: - Offer complimentary pregnancy testing through its five Family Health Centers. Methodist Healthcare anticipates providing 10,000 pregnancy tests in 2019. Methodist provided 3,591 tests in 2019 and referred 750 individuals. - Continue to offer Call-a-Nurse for Children - a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/injured children. The Call-a-Nurse for Children service is available from 5 p.m. to 8 a.m. Monday through Friday and around the clock on weekends and holidays. Methodist Healthcare anticipates receiving 50,000 calls during 2019. The Call-A-Nurse line received 27,762 calls in 2019. MHS Marketing is reviewing the decline, some of which is attributed to the availability of online resources. In addition, the market continues to see growth in the number of urgent care clinics, as well as extended hours and telemedicine consults for some pediatric practices. - Continue to operate a community phone-in health resource called HealthLine during normal business hours. The HealthLine offers physician referrals, including primary care physicians, family medicine, obstetricians and gynecologists through the DoctorSource program. Methodist Healthcare anticipates 8,600 physician referrals in 2019. Referrals to the physician specialties noted above were 8,992 in 2019. - Continue to teach proper car seat installation to the community through our Buckle Up Baby classes. Methodist Healthcare anticipates teaching the installation of a combined total 230 car seats in 2019 at Methodist Hospital, Metropolitan Methodist Hospital, Methodist Stone Oak Hospital and various community events. Eight car seats were distributed in 2019, and 263 car seats installed. - Offer the community parenting classes including Daddy Boot Camp, Breastfeeding, Getting Ready for Childbirth and Tour, Pets and Your Baby, CPR, NICU (Neonatal Intensive Care Unit) CPR, Beyond Baby Blues Class (Postpartum Depression) and childbirth education classes offered in Spanish to be held at Methodist Hospital, Metropolitan Methodist Hospital and Methodist Stone Oak Hospital. Methodist Healthcare anticipates a combined total of 995 classes with 15,000 attendees at the three hospitals. 9,749 individuals attended these classes in 2019. -Continue providing the community with free lactation consultations (in person and by phone). Methodist Healthcare anticipates a combined total of 40,000 consultations (including in person and by phone) in 2019 at Methodist Hospital, Metropolitan Methodist Hospital, Methodist Stone Oak Hospital and Methodist Women's Center. Methodist provided 41,073 consultations in 2019. - Partner with THC to promote immunizations of children and adults to improve community health. THC and Methodist Healthcare anticipate an increase in the Immunizations Collaborative (IZSA) partner list by 10 percent by 2019. The Health Collaborative did not offer this program in 2019, as other community partners provided this service. - Partner with THC to promote the San Antonio Health Literacy Initiative (SAHLI) to ensure literacy is a core component of community health so that families can understand health information and make informed health-related decisions. Methodist and THC sponsored six events in 2019 and 377 individuals attended. - Sponsor a Back to School Supply drive (new initiative in 2019). 3,400 items were donated in 2019. Community Health Priority No. 3: Safe Communities - Community Goal - To develop safe neighborhoods by identifying what works locally, planning how to replicate success in our neighborhoods, and enhancing systems that respond effectively to community identified safety needs. - Continue our involvement with Child Abuse Resource Education (CARE) team - an effort involving Methodist Healthcare, SAPD, Emergency Medical Services (EMS), local pediatricians and many more to objectively handle and support children and families affected by child abuse in 2019. Methodist coordinated thirty-two consults in 2019. - Continue our participation with the Sexual Assault Response Team. Methodist Healthcare funds this integrated community effort to treat sexual assault survivors with specially trained sexual assault nurse examiners (SANEs). Methodist Healthcare will assist with more than 500 sexual assault cas
Schedule H, Part V, Sec B, Lines 13B, 13H and 15E:Methodist Healthcare System uses Federal Poverty Guidelines to determine eligibility. The following is a summary of the Charity Care Policy adopted by METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - Methodist requires the completion of an application, which allows for the collection of appropriate information. - Verification of family members in the household - Adults: patient, patient's spouse and any dependents. Minors: patient, patient's mother and father, and dependents of both. - Income calculation - Adults: sum of the total yearly gross income of the patient and the patient's spouse. Minors: total yearly gross income of the patient, and the patient's mother and father. - Documentation - various official income reporting documentation is required (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. - ZIP Code Write-Off Eligibility - Methodist will accept uninsured residential indigent patients as eligible for charity Write-Off upon exhaustion of of insurance eligibility determination (i.e. Medicaid) and efforts to obtain a completed Charity application with supporting proof of income. The write-off will apply to all patient types. A residential indigent patient is an uninsured person who is accepted for care with no obligation or with a discounted obligation to pay for the services rendered, and lives in specifically defined ZIP codes--those with high poverty populations. For the year ended December 31, 2019, the charity care write off related to this eligibility process was $330.6 million ($237.2 million in 2018). Charity Eligibility Classifications - Financially Indigent - yearly income is less than or equal to 200% of the Federal Poverty Guidelines. - Medically Indigent - the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by MHS is based on meeting either of two criteria: Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines. Alternatively, patients with abnormally large accounts may qualify as catastrophically eligible when their remaining balance exceeds a specific percentage of their income. It is important to note that the guidelines applied for Catastrophic Eligibility range from 201% of the Federal Poverty Guidelines to over 1000% of the Federal Poverty Guidelines.
Schedule H, Part V, Sec B, Lines 16A-C:https://sahealth.com/about/mission-values/financial-assistance-policy.dot
Schedule H, Part V, Sec B, Lines 16J and 20E:MHS has taken steps over the past several years to heighten community awareness regarding MHS's charitable mission. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Information about the Financial Assistance Policy is also available in English and Spanish on MHS's website www.sahealth.com. All Shared Service Center personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. Part V, Section B, Line 16G As noted above, MHS uses multiple methods to communicate and publicize financial assistance policies. Information Systems programming changes were implemented in 2019. These changes will allow a message about the financial assistance policies to print on patient billing statements.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
METHODIST AMBULATORY SURGERY CENTER - MC
4411 MEDICAL DRIVE SUITE 200SAN ANTONIOTX78229FREESTANDING ASC Surgery Center
METHODIST AMBULATORY SURG CTR-N CENTRAL
19010 STONE OAK PARKWAYSAN ANTONIOTX78258FREESTANDING ASC Surgery Center
CTR FOR SPECIAL SURGERY TX CTR ATHL
21 SPURS LANE SL-100SAN ANTONIOTX78240FREESTANDING ASC Surgery Center
METHODIST BOERNE EMERGENCY CENTER
134 MENGER SPRINGSBOERNETX78006EMERGENCY DEPARTMENT
METROPOLITAN METHODIST EMERGENCY CTR
250 EAST BASSE ROAD 101SAN ANTONIOTX78209EMERGENCY DEPARTMENT
METHODIST CARDIOLOGY PHYSICIANS
8109 FREDERICKSBURG ROADSAN ANTONIOTX78229TX CERTIFIED NONPROFIT HC CORPORATION
TEXAS INSTITUTE OF MEDICINE AND SURGERY
8109 FREDERICKSBURG ROADSAN ANTONIOTX78229TX CERTIFIED NONPROFIT HC CORPORATION
METHODIST PHYSICIAN PRACTICE SVCS LLC
8109 FREDERICKSBURG ROADSAN ANTONIOTX78229MSO
METHODIST PHYSICIAN PRACTICES PLLC
8109 FREDERICKSBURG RXSAN ANTONIOTX78229PHYSICIAN PRACTICE
CARDIOLOGY CLINIC OF SAN ANTONIO PLLC
8109 FREDERICKSBURG ROADSAN ANTONIOTX78229PHYSICIAN PRACTICE
METHODIST ER WESTOVER HILLS
5538 W 1604 NSAN ANTONIOTX78251EMERGENCY DEPARTMENT
METHODIST ER CONVERSE
6402 MALLARD MEADOWSAN ANTONIOTX78244EMERGENCY DEPARTMENT
METHODIST CARENOW PHYSICIAN ASSOCIATES
8109 FREDERICKSBURG ROADSAN ANTONIOTX78229MSO
CARENOW SAN ANTONIO - LEON VALLEY
5755 NW LOOP 410 SUITE 102SAN ANTONIOTX78238URGENT CARE CLINIC
CARENOW SAN ANTONIO - STONE OAK
20780 HIGHWAY US 281 NSAN ANTONIOTX78259URGENT CARE CLINIC
CARENOW SAN ANTONIO - DEZAVALA
12840 IH 10 WEST SUITE 101SAN ANTONIOTX78249URGENT CARE CLINIC
METHODIST WOMEN AND TEEN CENTER
1739 SW LOOP 410 SUITE 402SAN ANTONIOTX78227FAMILY HEALTH CENTER
METHODIST FAM HEALTH CTR - E SOUTHCROSS
2338 E SOUTHCROSSSAN ANTONIOTX78223FAMILY HEALTH CENTER
METHODIST FAMILY HEALTH CTR - LAS PALMAS
803 CASTROVILLE RD SUITE 131SAN ANTONIOTX78237FAMILY HEALTH CENTER
METHODIST COMMUNITY HEALTH CENTER
507 ST JAMESSAN ANTONIOTX78202PRIMARY CARE CLINIC
PEDIATRIC ANESTHESIA CONSULTANTS OF SA
8109 FREDERICKSBURG ROADSAN ANTONIOTX78229PHYSICIAN PRACTICE

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A:METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP ('MHS') FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, PER PROVISIONS OF THE TEXAS HEALTH AND SAFETY CODE, CHAPTER 311, SUBCHAPTERS C AND D. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. ('MHM') OWNS A 50% INTEREST OF MHS SO ONLY 50% OF MHS' FINANCIAL ASSITANCE AND OTHER COMMUNITY BENEFITS ARE REPORTS ON MHM'S 990 SCHEDULE H. SCHEDULE H, PART I, LINE 7: COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. PART I, LINE 7A EXPLANATION - THE PARTNERSHIP IS A MEMBER OF THE BEXAR COUNTY CLINICAL SERVICES (BCCS), AS PART OF AN INDIGENT CARE AFFILIATION AGREEMENT ENTERED INTO WITH OTHER HEALTHCARE SYSTEMS IN SAN ANTONIO. THE AFFILIATED HOSPITALS COLLABORATE TO ENSURE THE AVAILABILITY OF, AND TO MORE COST EFFECTIVELY PROVIDE QUALITY HEALTHCARE SERVICES TO LOW INCOME AND NEEDY RESIDENTS IN THE BEXAR COUNTY COMMUNITY. BCCS HAS CONTRACTED WITH VARIOUS PROVIDERS TO DELIVER PHYSICIAN AND OTHER HEALTHCARE SERVICES TO THE COMMUNITY'S LOW INCOME AND NEEDY RESIDENTS. EACH HOSPITAL CONTRIBUTES FUNDS TO BCCS, WHICH ARE THEN USED TO SUPPORT THE PROVISION OF HOSPITAL AND CLINICAL PHYSICIAN SERVICES, PHYSICIAN IN-TRAINING SERVICES, PHYSICIAN ASSISTANT/NURSE PRACTITIONER SERVICES, SPECIALTY PHYSICIAN SERVICES AND OTHER HEALTHCARE SERVICES THROUGH BCCS. Schedule H, Part III, Lines 2 & 3: COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELEGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA.
SCHEDULE H, PART III, LINE 4:In May 2014, the Financial Accounting Standards Board ("FASB") issued a new standard related to revenue recognition. The Partnership adopted the new standard effective January 1, 2018, using the full retrospective method. The adoption of the new standard did not have an impact on the recognition of net patient revenues for any periods prior to adoption. The most significant impact of adopting the new standard is that the consolidated statements of income no longer presents the "provision for doubtful accounts" as a separate line item, instead net patient revenue is presented net of estimated implicit price concession revenue deductions. In addition, the "allowance for doubtful accounts" is no longer presented on the consolidated balance sheets as a result of the adoption of the new standard. Net patient revenues generally relate to contracts with patients in which the Partnership's performance obligations are to provide health care services to the patients. Revenues are recorded during the period the obligations to provide health care services are satisfied. Performance obligations for inpatient services are generally satisfied over periods that average approximately five days and performance obligations for outpatient services are generally satisfied over a period of less than one day. The contractual relationship with patients, in most cases, also involve a third-party payer (Medicare, Medicaid, managed health care plans and commercial insurance companies) and the transaction prices for the services provided are dependent upon the terms provided by (Medicare and Medicaid) or negotiated with (managed care health plans and commercial insurance companies) the third-party payers. The payment arrangements with third-party payers for the services provided to the related patients typically specify payments at amounts less than the Partnership's standard charges. Medicare generally pays for inpatient and outpatient services at prospectively determined rates based on clinical, diagnostic and other factors. Services provided to patients having Medicaid coverage are generally paid at prospectively determined rates per discharge or identified service. Agreements with commercial insurance carriers, managed care and preferred provider organizations generally provide for payments based upon predetermined rates per diagnosis, per diem rates or discounted fee-for-service rates. Management continually reviews the contractual estimation process to consider and incorporate updates to laws and regulations and the frequent changes in managed care contractual terms resulting from contract renegotiations and renewals. Net patient revenues are based upon the estimated amounts the Partnership expects to receive from patients and third party payers. Estimates of contractual allowances under managed care and commercial insurance plans are based upon the payment terms specified in the related contractual agreements. Revenues related to uninsured patients and uninsured copayment and deductible amounts for patients who have health care coverage may have discounts applied (uninsured discounts and contractual discounts). An estimated implicit price concession (based primarily upon payer historical collection experience) is recorded within net revenue to record self-pay revenues at the estimated amounts to be collected. As of December 31, 2019, the Bad Debt included in revenue deductions was $212,974,279. This amount is not reflected on MHM's 990 Part IX Expenses due to the Bad Debt amount being reported in the Methodist Healthcare System's financials. SCHEDULE H, PART III, LINE 8: The amounts reported on Part III, Lines 5-7 have been determined by aggregating the information from the individual facility cost report(s) for each of the Hospitals operated by MHS. The Hospitals operated by MHS may have cost report year ends other than December 31, 2019. Accordingly, for a facility with a non-calendar cost report year end, the cost report that was filed for the cost report year end that ended during 2019 was utilized. It is important to note that amounts included in lines 5-7 do not include Medicare revenue and related cost for freestanding ambulatory surgery services and for physician services.
SCHEDULE H, PART III, LINE 9B:MHS has a policy to provide discounts to those individuals who do not have insurance or one not covered by a governmental reimbursement program. If a patient qualifies for Medicaid, then he or she is only responsible for any non-covered charges. If the patient does not qualify for Medicaid, he or she may complete the MHS Financial Assistance Application to have the encounter reviewed for a potential charity discount. If the patient's yearly income is less than or equal to 200% of the poverty guidelines updated annually in the Federal Register by the U.S. Department of Health and Human Services ("Federal Poverty Guidelines"), the patient will be granted classification as Financially Indigent, and the account will be written off to charity. Letters are then sent to the patient notifying that the account has qualified for the charity discount and is considered closed. In addition, a sliding scale discount is applied to accounts for patients whose income is between 200% and 500% of the Federal Poverty Guidelines, and whose remaining account balance, after any third-party payments, exceeds a percentage of their income ("Medically Indigent"). In addition, patients with abnormally large accounts may qualify as catastrophically eligible when their remaining balance exceeds a specific percentage of their income. If a patient does not qualify for a charity discount, an uninsured discount is applied to total charges. If a patient is unable to pay the remaining balance in full, after applying any charity or uninsured discounts, MHS will work with the patient to set up a monthly payment arrangement. Throughout the debt collection process, MHS continues to inform patients about the availability of Financial Assistance.
SCHEDULE H, PART VI, LINE 2:In addition to the items specifically noted to address the Community Health Priorities, other highlights from 2019 include the following: In late 2011, The Texas Health and Human Services Commission filed an application for a waiver of certain federal Medicaid requirements under section 1115 of the Social Security Act. As a result of the granting of this application the Texas Health Care Transformation and Quality Improvement Program was developed to provide payments (Delivery Reform Incentive Payments, or DSRIP) to hospital and other providers upon their achieving certain goals that are intended to improve the quality and lower the cost of care. This initiative divides the state into twenty different regions, each region developed a Community Needs Assessment, and providers in the region will submit projects for funding consideration to address those needs. Methodist Healthcare System received approval for the following projects: Introduce, Expand or Enhance Telemedicine/Telehealth - Methodist will implement a TeleHealth program that will provide TeleHealth consultations with trained specialists in selected services. By the end of 2017, the Tele-Stroke Program expanded to include twelve locations. Through this program, physicians can dramatically increase response time, transfers can be minimized, and patients can often receive lifesaving care more rapidly, often times at their home hospital. The Behavioral Health TeleMedicine Program's operations started in January 2014. The goal of this program is to provide timely consultations, diagnosis and treatment recommendations for Behavioral Health/Substance Abuse patients in every Methodist Emergency Department or in Medical Acute units throughout Methodist. 4,101 Behavioral Health and 586 Tele-Stroke Consultations were provided for the DSRIP Reporting Period ended September 30, 2019. Over 50% of the consultations provided were to Medicaid or low income uninsured patients. Establish More Primary Care Clinics - Methodist opened the Methodist Community Health Center in 2014. The center is an urgent care center located in east San Antonio. The Methodist Community Health Center provides services to all patients at no cost. The center provided 2,920 encounters for the DSRIP reporting period ending September 30, 2019. Of these encounters, 80% were provided to Medicaid or low income uninsured patients. Redesign to Improve the Patient Experience - The focus for this project is to improve how patients experience clinical are as well as the patient's satisfaction with their care. In 2016, Methodist implemented standardized Goal Alignment Boards at all locations. These displays, located in public areas, provide an overview of pillar goals, as well as progress towards meeting these goals. Methodist continues to use these boards to track progress, and also standardized reporting, adding patient safety as a key focus. Methodist rolled out a new online reporting resource in the fourth quarter of 2019 that provides multiple scorecards and reports that allow units to prioritize opportunities for improvement. Apply Process Improvement Methodology to Improve Quality/Efficiencies specific to Sepsis - Improvement of sepsis management is a key initiative in Methodist's Clinical Excellence Plan. Methodist has developed and continues to refine the Sepsis Early Recognition Screening Tool, which will allow clinical staff to better identify patients in early sepsis and to provide rapid intervention and reduction of patients developing severe sepsis and/or septic shock. Sepsis bundle elements are not included in the electronic triage screening for ED, ICU, in-hospital nursing, and rapid response teams. Evidence based order sets for CPOE continue to be refined based upon input from the medical and nursing staff. A new tool, the Sepsis Prevention & Optimization of Therapy (SPOT) is being used at all campuses. SPOT is an application that monitors all patient labs and vitals in real time and uses the information to identify patients who are at risk for sepsis. Early identification of non-present on admission sepsis patients has improved with the use of this tool. Two Methodist campuses have also received either Sepsis certification or re-certification from the Joint Commission. In 2019, Methodist Hospital| Northeast opened Methodist | ER Converse and the Transitional Heart Failure Clinic to provide better access to care for members of the surrounding community. In addition, Methodist Hospital | Northeast welcomed their new facility dog, Lady, who focuses on emergency services. Furthermore, in response to the economic growth of Northeast Bexar, Guadalupe and Comal Counties, Methodist Hospital | Northeast started its expansion in service lines and capacity to better serve and meet the needs of the surrounding communities. The growth of the hospital includes: vertically expanding the existing tower by two floors which offers 60 new inpatient beds, growing the current mechanical powerhouse on the west side along with a new fire control room and adding mechanical, electrical and plumbing support systems. Additionally, there will be a new helipad on the rooftop that will allow for a seamless transition of care for patients from outlying areas. A new traction elevator will serve as patient transport from the rooftop vestibule to the emergency department and main patient floors. This 54,600 square foot expansion will add 30 new private rooms per floor and will increase the hospital's capacity to care for Intensive Care, Intermediate Care, and Medical/Surgical patients. Methodist Hospital | Stone Oak completed its operating room expansion project by opening four new rooms and opened a new CareNow Urgent Care Center in the hospital's service area. In addition, Methodist Hospital | Stone Oak welcomed their new facility dog, Chanel, who focuses on emergency services. Furthermore to increase access to patient care in the Stone Oak area, the Methodist Physician | Orthopedic Specialists was added in 2019 as a new service. In 2019, Methodist Hospital | Texsan started its Emergency Department expansion project that is expected to be fully open in May 2020. The expansion includes: 7,700 square feet of additional treatment space, 10 private rooms with an isolation and trauma room and new patient care equipment, the ability to register, care and discharge patients from the privacy of their own treatment room, on-site imaging for patient convenience, a new waiting area with a coffee lounge, multiple triage rooms and space for treatment of minor medical needs, and electronic communication boards with real-time information about patient care. The goal of this expansion is to better serve and meet the needs of the surrounding communities. In 2019, Methodist Hospital | Metropolitan started its first floor renovation. The hospital ended the year boasting a new admissions desk and waiting area, and several upgrades to its admitting and discharge areas. The project is part of a larger $65 million investment to ensure Metropolitan continues to provide high-quality care to those living and working in downtown San Antonio. In addition, to increase access to patient care, Methodist Physicians | San Antonio Medical Associates was added as a service to the community in the Metropolitan area. Methodist Hospital established the Methodist Aortic Center that specializes in both valve and aneurysm repairs and treats the aorta in the chest, abdomen, and vessels that feed blood to the brain and all other organs. In addition, Methodist Hospital opened Methodist | ER Westover Hills to provide better access to care for members of the surrounding community. In addition, Methodist Hospital welcomed their new facility dog, Rudy, who focuses on emergency services. In addition, Methodist Hospital is one of only 15 centers in the country, and among just two healthcare facilities in Texas, to perform a minimally invasive peripheral lung biopsy using robotic-assisted technology. This major medical advancement offers doctors unprecedented stability enabling the precision needed for biopsy far into the peripheral lung and to more easily diagnose lung cancer earlier than ever before. In 2019, Methodist Children's Hospital performed the first pediatric robotic general surgery in South Texas. In addition, Methodist Children's Hospital provided compassionate care through several patient experiences such as a one-of-a-kind outpatient rehabilitation event at the San Antonio Zoo, a Homecoming in the hospital for a newly diagnosed cancer patient, and the establishment of an honor walk and flag raising ceremony for all pediatric organ donors. In addition, Methodist Women's Center added 11 new prenatal classes in 2019, three of which are offered online as eClasses. Methodist Hospital | Specialty and Transplant continued its international renown in abdominal transplant surgery. Its Kidney Transplant Program performed more living donor transplants than any other program in Texas
SCHEDULE H, PART VI, LINE 3:MHS has taken steps over the past several years to heighten community awareness regarding MHS's charitable mission. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its financial assistance policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the financial assistance policy in the event they need financial assistance. Information about the Financial Assistance Policy is also available in English and Spanish on MHS's website www.sahealth.com. All Shared Service Center personnel receive training and an annual refresher course on the policy and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the financial policy application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of financial assistance during the collection process for those patients who have been billed but have not paid. As noted above, MHS uses multiple methods to communicate and publicize financial assistance policies. Information Systems programming changes are currently in development. These changes will allow a message about the policies to print on patient billing statements.
SCHEDULE H, PART VI, PART 4:The San Antonio Metropolitan Statistical Area (MSA) of 2.5 million people includes the seventh largest percentage of Hispanics in the United States. 60% of the local population is Hispanic, 28% is White Non-Hispanic, 7% is Black, 3% is Asian and 2% is Other. Texas and San Antonio continue to lead the nation in the number of uninsured adults and children (Texas is ranked No. 1 with 17.7% uninsured and the U.S. is 8.9%). Over eleven percent of children in Texas are without health insurance compared to the U.S. at 5.5%. In San Antonio, one out of four adults and close to one out of three children do not have health insurance. The median household income in San Antonio is $57,379, compared to $60,629 for Texas and $61,937 for the nation. San Antonio has a large population living in poverty when compared to other parts of Texas. 18.6% of San Antonio residents live at or below the poverty level, and Bexar County is at 16.4%, compared to 15.5% for Texas, and 14.1% for the U.S. San Antonio's percent of households receiving food stamps is 15.6%, with Texas at 13.1%, and the U.S.13.3%. Methodist Healthcare serves an estimated population of nearly 2.9 million in Bexar and 26 South and Central Texas counties: Atascosa, Bandera, Caldwell, Comal, DeWitt, Dimmit, Edwards, Frio, Gillespie, Gonzales, Guadalupe, Karnes, Kendall, Kerr, Kinney, La Salle, Lavaca, Maverick, McMullen, Medina, Real, Uvalde, Val Verde, Webb, Wilson and Zavala. Since this geographic area is majority Hispanic, MHS sees this reflected in our patient population.
SCHEDULE H, PART VI, LINE 5:See responses for Schedule H, Part VI, Question 2.
SCHEDULE H, PART VI, LINE 6:SEE RESPONSES FOR QUESTION 2 ABOVE REGARDING EXPANSION OF SERVICES IN 2019. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TOASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. Late in 2009 Methodist consolidated all bed placement services, including rural ED transfer assistance, into a system-wide Patient Placement Center. Rural transfers through the Center continue to increase (3.7% over 2018). The acceptance rate in 2019 was 98.7% compared to 98.2% in 2018. Self-pay patients accounted for 15.03% of all transfers as compared to 13.9% in 2018. Pediatric and high-risk maternal transfers are also now handled through these consolidated placement services. The acceptance rate for these transfers was 99.6% in 2019 (97.6% in 2018). MHS self-pay and charity patients accounted for 6.19% of all pediatric (ages 0-17) and maternal transfers as compared to 5.6% in 2018. Methodist AirCare, in partnership with REACH Air Medical Services has three rural helicopters in the region. Specialized services available at MHS facilities include the following: Neonatology services, Pediatric Subspecialty services, Bone Marrow Transplant, Kidney Transplants, Heart Transplants, Liver Transplants, Pancreas Transplants, Hyperbaric Oxygen Treatment, Stroke Care, Medical Air Transport, Gamma Knife Radiosurgery, and Bariatric Surgery. The majority of charity care provided by the hospitals is from patients receiving emergency services. Emergency Department (ED) visits to Methodist facilities totaled 346,435 in 2019 (330,379 in 2018). 17.15% of total ED visits resulted in inpatient admissions with a 4.75% increase in ED admissions over 2018. In addition, 25% of all visits to Methodist emergency departments in 2019 were made by charity or self-pay patients. Methodist continues to focus on improving access to care for the community by improving emergency department access. When comparing 2019 to 2018, Methodist saw a 34% increase in the Patient-Arrival-to-Bed (ATB) metric and a 10% improvement in Arrival-to-Greet (ATG) metric. The Average Length of Stay for all patients increased from 213.5 minutes in 2018 to 235.5 minutes in 2019. Texas Transplant Institute (TTI), at Methodist Hospital | Specialty and Transplant, a Campus of Methodist Hospital, continues to provide increased access for patients requiring kidney transplants. TTI is the home of the busiest paired exchange kidney transplant program in the nation, and the nation's No. 1 living donor kidney transplant program. MHS also operates three Health Buses on the east, south and west side of San Antonio offering complimentary transportation to various health care facilities. There were 11,949 transports in 2019, which is above the mandated benchmark of 11,474. Methodist Hospital | Metropolitan in conjunction with Methodist Hospital Women's Services, operates four Family Health Centers that provide complimentary pregnancy testing (3,591 tests in 2019), physician referrals, counseling, health education and screening programs. MHS also operates Call-a-Nurse for Children, a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/ injured children. The service operates from 5:00 p.m. to 8:00 a.m. Monday through Friday and around the clock on weekends and holidays (when physicians' offices are closed). Call volumes in 2019 were 27,762. In 2015, the Methodist Contact Center was sold to HCA with the agreement to continue operating a community phone-in health resource called HealthLine during normal business hours. HealthLine callers schedule attendance to health and wellness events, parenting classes, and receive physician referrals through the Methodist DoctorSource program. In 2019, Methodist referred physicians to 8,992 DoctorSource callers (up to three physicians may be referred to each caller). In one other community benefits category, Methodist provided over $393,055 in charitable contributions to non-profit health and human service agencies serving the community. Methodist plays a leading role in the support of The Health Collaborative, including the utilization of their Community Health Needs Assessment to assist in the determination of where MHS should concentrate community activities (see additional information in Question 2, Section V). MHS has an open admissions policy which allows medical staff to admit patients directly to any MHS facility regardless of the patient's ability to pay. MHS funds and provides training and continuing education to physicians, nurses, EMS professionals and other allied health professionals. MHS participates in all quality measures (CMS, JCAHO, etc.). MHS uses the CMS Core Measures as the primary quality indicators for clinical care.
SCHEDULE H, PART VI, LINE 7:MHS files an annual Statement of Community Benefits with the State of Texas.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Alzheimers Association
10223 McAllister FRWYSan AntonioTX78216133039601501(c)(3)$25,000Donation
American Cancer Society
250 Williams StreetAtlantaGA30303131788491501(c)(3)$305,000DONATION
American Heart Association
8415 WurzbachSan AntonioTX78229135613797501(c)(3)$81,000Donation
AYA Foundation San Antonio
8823 Callaghan RoadSan AntonioTX78230832929650501(c)(3)$10,000Donation
Clarity Child Guidance Center
8535 Tom Slick DrSan AntonioTX78229741153067501(c)(3)$360,000DONATION
Community Health Centers of S Central TX
228 St George StreetGonzalezTX78629741548089501(c)(3)$59,413CAPACITY BUILDING IMPLEMENTATION
Community Hope Projects Inc
2332 Jordan RoadMcAllenTX78503742742024501(c)(3)$262,322COUNSELING SERVICES
Courage Ranch
3292 Highway 97 WestFloresvilleTX78114832819350501(c)(3)$5,046DONATION
First United Methodist Church
321 Thompson DriveKerrvilleTX78028741233799501(c)(3)$6,013DONATION
Laurel Heights United Methodist Church
227 W Woodlawn AveSan AntonioTX78212741272395501(c)(3)$10,000DONATION
Leadership Women's Inc
25 Highland Park VillageDallasTX75205237345926501(c)(3)$7,000DONATION
Meadows Mental Health Policy Institute for Texas
3003 Swiss AvenueDallasTX75204463992618501(c)(3)$375,000OPERATIONAL SUPPORT
Mercy Ministries of Laredo
2500 Zacatecas StreetLaredoTX78046200198462501(c)(3)$442,762INTEGRATED HEALTHCARE PROGRAM
Nuestra Clinica del Valle
801 W 1st StreetSan JuanTX78577741721807501(c)(3)$362,549OPERATIONAL SUPPORT
Proyecto Juan Diego Inc
2216 Eduardo AvenueBrownsvilleTX78526810606967501(c)(3)$56,537DIABETES PROGRAMS AND COLLECTIVE IMPACT INITIATIVE
Rural Economic Assistance League Inc
301 Lucero StreetAliceTX78332741784537501(c)(3)$608,251OPERATIONAL SUPPORT
San Antonio Area Foundation
303 Pearl ParkwaySan AntonioTX78215746065414501(c)(3)$102,500DONATION
San Antonio Medical Foundation
8431 FBRG RdSan AntonioTX78229741366280501(c)(3)$20,000DONATION
Sierra Vista United Methodist Church
4522 CLG Hills BlvdSan AngeloTX76904751170261501(c)(3)$10,000DONATION
Southwest Texas Regional Advisory Council
7500 US Hwy 90 WestSan AntonioTX78227742896432501(c)(3)$3,958,701EMERGENCY ROOM AND JAIL DIVERSION PROGRAM
Texas A&M International University
5201 University BoulevardLaredoTX78041741761398501(c)(3)$1,910,500OPERATIONAL SUPPORT
Texas Impact
200 East 30th StreetSan AntonioTX78705741902234501(c)(3)$10,000DONATION
ThriveWell Cancer Foundation
4383 Medical DriveSan AntonioTX78229260371270501(c)(3)$10,000DONATION
Tropical Texas Behavioral Health
1901 South 24th AvenueEdinburgTX78539741565510501(c)(3)$850,512Operational Support
United Way of San Antonio & Bexar County
700 S Alamo StSan AntonioTX78205741272381501(c)(3)$8,000DONATION
University of Texas Health Science Center at Houst
7000 Fannin St UCT 1006HoustonTX77030741761309501(c)(3)$999,176DIABETES PREVENTION PROGRAM AND COLLECTIVE IMPACT INITIATIVE
University of Texas Rio Grande Valley
1201 W University DrEdinburgTX78539465292740501(c)(3)$356,239OPERATIONAL SUPPORT
Wholesome Wave
855 Main StreetBridgeportCT06604260352899501(c)(3)$350,000HEALTHY EATING PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org28Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
Electricity Assistance206$45,034
Water Assistance32$6,150
Rent/Mortgage Assistance254$108,935
Healthcare Program Assistance11$2,210

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2:FormAndLineReferenceDesc
ExplanationDescription of Organization's Procedure for Monitoring The Use of Grants The grantee is given a disbursement request form at the beginning of the fiscal year to use in requesting funds. When a request is submitted for payment (monthly, quarterly or annually) the accountant reviews and verifies expenses based on actual invoices and/or the organization's general ledger. The organization's expenses are verified to the approved budget submitted with the grant application. The payment information is then entered into the grant tracking software (GIFTS). The program officer reviews reported goals and outcomes for grant compliance. After the expenses have been verified and documented, it is submitted to the Grants Accounting Manager and VP of Accounting & Controller for review and approval. If the payment request is greater than or equal to $10,000, the request requires CFO approval. The payment request is then forwarded to the accounts payable department for payment. A check is processed and mailed to the grantee. The check request is returned to the accountant to file in a grant folder. In addition to these procedures, the accountants perform site visits to review patient files or expense backup to ensure that funds are being used appropriately. Each grantee is audited every year or every other year based on the type of grant to ensure compliance with grant requirements. IN JUNE 2018, THE FASB ISSUED ASU NO. 2018-08, NOT-FOR-PROFIT ENTITIES (TOPIC 958): CLARIFYING THE SCOPE AND THE ACCOUNTING GUIDANCE FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE ASU CLARIFIES AND IMPROVES THE SCOPE AND THE ACCOUNTING GUIDANCE FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE AMENDMENTS IN THE UPDATE SHOULD ASSIST ENTITIES IN (1) EVALUATING WHETHER TRANSACTIONS SHOULD BE ACCOUNTED FOR AS CONTRIBUTIONS (NONRECIPROCAL TRANSACTIONS) WITHIN THE SCOPE OF ASC TOPIC 958, NOT-FOR-PROFIT ENTITIES, OR AS EXCHANGE (RECIPROCAL) TRANSACTIONS SUBJECT TO OTHER GUIDANCE AND (2) DETERMINING WHETHER A CONTRIBUTION IS CONDITIONAL. ASU NO. 2018-08 SHOULD BE APPLIED ON A MODIFIED-PROSPECTIVE BASIS. RETROSPECTIVE APPLICATIONS IS PERMITTED. MHM ADOPTED THE MODIFIED-PROSPECTIVE BASIS BEGINNING JANUARY 1, 2019.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmt
Jaime Wesolowski
PRESIDENT & CEO$513,753$37,000$30,339$581,092
George Thomas
COO (TERM 1/7/19)$93,068$764$2,023$380,963$285,108
Anthony LoBasso
Chief Financial Officer$269,273$37,000$22,409$328,682
Xochy Hurtado
COO (BEG 5/6/19)$264,151$9,000$16,938$290,089
Oanh Maroney-Omitade
VP of Clinical Operations$183,889$18,318$39,624$241,831
Cynthia McCloy
VP of Accounting & Controller$185,253$16,827$13,178$215,258
Jennifer Knoulton
VP of Regional Operations$176,196$16,686$27,504$220,386
Bridget Lamme-Kerr
Director of Human Resources$165,930$11,782$13,240$190,952
DeAnna Bokinsky
VP STRATEGIC PLANNING & GROWTH$158,606$0$14,242$172,848

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4AFormAndLineReferenceDesc
ExplanationGEORGE THOMAS, COO, TERMED ON 01/07/2019. George Thomas received a severance payment of $285,108 and also received outplacement services provided by a consultant in the amount of $12,500.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4D:DESCRIPTION OF OTHER PROGRAM SERVICES OTHER PROGRAM SERVICES OWNED AND OPERATED BY MHM FOR LOW-INCOME AND UNINSURED PATIENTS/CLIENTS INCLUDE: COMMUNITY COUNSELING SERVICES: COMMUNITY COUNSELORS HELP PEOPLE WHO ARE UNINSURED, WHOSE EXISTING COVERAGE DOES NOT PROVIDE MENTAL HEALTH SERVICES BENEFITS, ARE LOW-INCOME AND LACK THE MONEY TO PAY FOR COUNSELING SERVICES, OR WHO WOULD NOT RECEIVE TREATMENT ANY OTHER WAY. COUNSELING SERVICES ARE PROVIDED BY TRAINED, LICENSED, PROFESSIONAL, COUNSELORS AND SOCIAL WORKERS IN LOCAL CHURCHES ACROSS THE RIO GRANDE VALLEY, LAREDO, KERRVILLE AND THE COASTAL BEND. COMMUNITY HEALTH WORKERS OR PROMOTORES DE SALUD: COMMUNITY HEALTH WORKERS HAVE THE DISTINCT ABILITY TO REACH VULNERABLE, LOW-INCOME AND UNDERSERVED MEMBERS OF THE COMMUNITY THROUGH THEIR SPECIALIZED KNOWLEDGE OF THE COMMUNITIES MHM SERVES AND THEIR UNIQUE ABILITY TO ENGAGE COMMUNITY MEMBERS AT A HANDS-ON LEVEL. COMMUNITY HEALTH WORKERS SUPPORT HEALTH EDUCATION AND PREVENTION EFFORTS AND BRIDGE ACCESS TO COMMUNITY-BASED HEALTH PROGRAMS AND ADVOCATES. THE GET FIT (FAMILIES IN TRAINING) PROGRAM IS A PREVENTION PROGRAM AIMED AT AVERTING TYPE II DIABETES, OBESITY AND SEDENTARY LIFESTYLES, FOCUSING ON CHILDREN AND FAMILIES IN RURAL COMMUNITIES. PARENTING PROGRAMS: DESIGNED TO HELP PARENTS AND GUARDIANS LEARN PARENTING SKILLS SO THEY WILL BE MORE CONFIDENT AND MORE COMPETENT LEADERS WITHIN THIER FAMILIES. PROGRAMS INCLUDE: MELD; PARENTS HELPING PARENTS; PARENTS AS TEACHERS; AND THE NURTURING PARENTING PROGRAMS. IN ADDITION TO THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES IDENTIFIED UNDER PROGRAM SERVICE ACTIVITY #2, THE FOLLOWING PROGRAMS ARE PARENTING PROGRAMS: DESIGNED TO HELP PARENTS AND GUARDIANS LEARN PARENTING SKILLS SO THEY WILL BE MORE CONFIDENT AND MORE COMPETENT LEADERS WITHIN THEIR FAMILIES. PROGRAMS INCLUDE: MELD; PARENTS HELPING PARENTS; PARENTS AS TEACHERS; AND THE NURTURING PARENTING PROGRAMS. RECREATION & ENRICHMENT PROGRAMS: AVAILABLE AT MHM'S WESLEY HEALTH & WELLNESS CENTER OFFERS YOUTH, ADULTS AND SENIORS FREE, SAFE AND FUN ACTIVITIES THAT PROMOTE HEALTH, WELLNESS AND LEARNING SKILLS. PROGRAMS CONSIST OF YOUTH DEVELOPMENT PROGRAMS SUCH AS CAMP WESLEY, A FREE 8-WEEK SUMMER CAMP FOR YOUTH AGES 6-18 AND 'LOS MARIACHITOS DE WESLEY,' A FREE CULTURAL ARTS PROGRAM FOR YOUTH AGES 6-18. THE YOUTH DEVELOPMENT PROGRAM AT WESLEY HEALTH & WELLNESS CENTER IS A NEIGHBORHOOD RECREATION PROGRAM AND IS NOT REGULATED BY STATE CHILDCARE LICENSING, AND IS NOT A DAY CARE FACILITY. ADULT PROGRAMMING INCLUDES EXERCISE CLASSES, PARENT AND FAMILY TRAININGS AND COMMUNITY-BASED SUPPORT GROUPS SUCH AS ALCOHOLICS ANONYMOUS AND THE COMMUNITY JUSTICE PROGRAM. HEALTH EDUCATION & NUTRITION: OFFERED AT THE WESLEY HEALTH & WELLNESS CENTER (WHWC) AND THE BISHOP ERNEST T. DIXON, JR. CLINIC ARE DESIGNED TO TEACH AND MODEL HEALTH AND WELLNESS THROUGH HEALTHY COOKING, DIRECT HEALTH EDUCATION WITH CLIENTS AND THROUGH THE PROVISION OF HEALTHY AND NUTRITIOUS MEALS PREPARED BY PROFESSIONAL CULINARY ARTISTS AT MHM'S WESLEY CAF LOCATED AT WHWC. HEALTH EDUCATION IS OFFERED UNDER THE STERED NURSES AND DIETICIANS AND IS PRIMARILY DESIGNED FOR DIABETIC CLIENTS IN ONE-ON-ONE AND GROUP SETTINGS, AND INCLUDES DISTRIBUTION OF GLUCOMETER STRIPS TO HELP MANAGE THEIR DISEASE. THE WESLEY CAF PREPARES HEALTHY AND NUTRITIOUS MEALS FOR THE CHILDREN AND GUESTS OF THE WHWC, AND SERVES AS AN EMERGENCY FOOD PANTRY AND BREAD LINE TO THOSE IN NEED.AND BREAD LINE TO THOSE IN NEED.
FORM 990, PART VI, LINE 2:FAMILY OR BUSINESS RELATIONSHIPS JOE JOHNSTON (10% OWNERSHIP) AND PENDLETON WICKERSHAM (51% OWNERSHIP) ARE PARTNERS IN A MEDICAL DEVICE COMPANY.
FORM 990, PART VI, LINE 11B:PROCESS TO REVIEW THE FORM 990 THE FINANCE COMMITTEE REVIEWS A DRAFT OF THE FORM 990 TAX RETURN AND MAKES RECOMMENDATION TO THE FULL BOARD. AFTER THIS REVIEW, THE TAX RETURN IS FORWARDED TO THE FULL BOARD FOR REVIEW AND ACCEPTANCE PRIOR TO FILING.
FORM 990, PART VI, LINE 12C:MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ARTICLE 7 OF THE BOARD'S BYLAWS REQUIRE A CONFLICTS OF INTEREST POLICY. THE BOARD ADOPTED A POLICY ON DECEMBER 10, 1997, ARTICLE VI OF WHICH REQUIRES ANNUAL STATEMENTS. THE POLICY IS ENFORCED AND THE RESULTS ARE REPORTED ANNUALLY TO THE FINANCE COMMITTEE AND TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, LINES 15A AND 15B:PROCESS FOR DETERMINING COMPENSATION LINE 15A: PRESIDENT & CEO - PEARL MEYER & PARTNERS, LLC WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN OCTOBER 2016. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD. LINE 15B: OFFICERS AND KEY EMPLOYEES - PEARL MEYER & PARTNERS, LLC WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN OCTOBER 2016. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD. COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD.
FORM 990, PART VI, LINE 19:PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC DOCUMENTS ARE CURRENTLY PROVIDED UPON REQUEST. THE FINANCIAL STATEMENTS AND TAX RETURNS ARE ALSO AVAILABLE THROUGHOUT METHODIST HEALTHCARE MINITRIES' WEBSITE AT: MHM.ORG>LIBRARY>FINANCIAL STATEMENTS AND TAX RETURNS.
Form 990, Part XI, Line 9:PARTNERSHIP EARNINGS OF THE BOOKS $152,256,722 TAX PARTNERSHIP OF FORM 1065 ($169,814,799) WPCC REVENUE $216,215 WPCC EXPENSES ($4,969,647) OTHER 120,350 TOTAL ($22,191,159)
FORM 990 PART IX LINE 11GDESCRIPTION:SPECIALTY REFERRAL SERVICES TOTAL FEES:2474570
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:2036355
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL FEES ADMIN TOTAL FEES:1814433
FORM 990 PART IX LINE 11GDESCRIPTION:SECURITY TOTAL FEES:640404
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE RADIOLOGY TOTAL FEES:595476
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:814256
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE LAB TOTAL FEES:423901
FORM 990 PART IX LINE 11GDESCRIPTION:STRATEGIC INITIATIVES TOTAL FEES:375000
FORM 990 PART IX LINE 11GDESCRIPTION:GET FIT TOTAL FEES:364466
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:303348
FORM 990 PART IX LINE 11GDESCRIPTION:JANITIORIAL TOTAL FEES:364118
FORM 990 PART IX LINE 11GDESCRIPTION:EQUIPMENT MAINTENANCE TOTAL FEES:103739
FORM 990 PART IX LINE 11GDESCRIPTION:XEROX COPIER SERVICES TOTAL FEES:102414
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL FEES PAT. TOTAL FEES:49361
FORM 990 PART IX LINE 11GDESCRIPTION:PAYROLL SERVICES TOTAL FEES:93099
FORM 990 PART IX LINE 11GDESCRIPTION:RECRUITMENT FEES TOTAL FEES:53600

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Rio Texas Conference of the UMC
16400 Huebner RoadSan AntonioTX78248741326672ChurchTX501(c)(3)1NAfalse
Wesley Primary Care Clinic
4507 Medical DriveSan AntonioTX78229742784284Medical ServiTX501(c)(3)12A-TYPE 1MHMYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Methodist Healthcare System SABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18109 FREDERICKSBURG ROADAddressLine1Txt
Citysan antonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78229ZIPCd
FieldValueIRS element (for citing)
EIN742730328EIN
Primary ActivitiesHospital SystemPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$169,814,801ShareOfTotalIncomeAmt
Share Of EOY Assets$926,586,394ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Wesley Primary Care Clinic
r$4,633,085CASH
Rio Texas Conference of the UMC
b$556,157CASH
Methodist Healthcare System of San Antonio
s$98,500,000CASH
Methodist Healthcare System of San Antonio
j$85,817CASH

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part III, Line 1:FormAndLineReferenceDesc
ExplanationName: Methodist Healthcare System of San Antonio EIN: 74-2730328 Address: 8109 Fredericksburg Road San Antonio, TX 78229ExplanationTxt

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