DALLAS METHODIST PHYSICIANS NETWORK: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
DALLAS METHODIST PHYSICIANS NETWORK (EIN 75-2693707)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-14
IRS object ID
201922269349300147
Schema version
2017v2.2
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)
Return2019-08-14T16:31:35-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 N St Paul Suite 850AddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752693707EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dallas Methodist Physicians NetworkBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDALLBusinessNameControlTxt
Phone2149474512PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N Beckley AveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752031201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonShannon HugginsPersonNm
Person TitlePresidentPersonTitleTxt
Signature2019-08-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL SPURLOCKPreparerPersonNm
PTINP00520729PTIN
Phone2147775200PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert MiloneBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N Beckley AveAddressLine1Txt
CityDallasCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752031201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$694,366GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addressn/aWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO PROMOTE THE HEALTH AND WELFARE OF THE GENERAL PUBLIC BY PROVIDING AND ARRANGING FOR THE PROVISION OF HIGH-QUALITY, EFFECTIVE AND EFFICIENT HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$536,648PYProgramServiceRevenueAmt
CY Program Service Revenue$694,366CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$536,648PYTotalRevenueAmt
CY Total Revenue$694,366CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,856PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,958CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,072,850PYOtherExpensesAmt
CY Other Expenses$835,817CYOtherExpensesAmt
PY Total Expenses$1,087,706PYTotalExpensesAmt
CY Total Expenses$841,775CYTotalExpensesAmt
PY Revenues Less Expenses-$551,058PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$147,409CYRevenuesLessExpensesAmt
Total Assets BOY$11,592TotalAssetsBOYAmt
Total Assets EOY$74,456TotalAssetsEOYAmt
Total Liabilities BOY$1,213,234TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,423,507TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,201,642NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,349,051NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF DALLAS METHODIST PHYSICIANS NETWORK (DMPN) IS TO INCREASE THE QUALITY, APPROPRIATENESS AND EFFICIENCY OF HEALTH CARE BY PHYSICIANS WHO ARE ON THE MEDICAL STAFF OF METHODIST HEALTH SYSTEM (MHS) AND PROVIDE CARE IN THE COMMUNITIES SERVED BY MHS. DMPN WILL NOT PROVIDE MEDICAL SERVICES BUT WILL EVALUATE MEDICAL SERVICES PROVIDED AT MHS HOSPITALS AND AT PARTICIPATING PHYSICIANS' PRACTICE LOCATIONS TO ENSURE THE SERVICES MEET THE STANDARDS SET BY THE BOARD OF DIRECTORS OF DMPN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescTHE MAIN SERVICES DMPN WILL PROVIDE TO OR FOR THE BENEFIT OF MHS INCLUDE: (I) INSTITUTE QUALITY REVIEW PROCEDURES, (II) PROVIDE ASSISTANCE WITH THE PROCESS OF NEGOTIATING MANAGED CARE CONTRACTS WITH PHYSICIANS WHO PRACTICE AT MHS FACILITIES INCLUDING CONTRACTS THAT TIE PROVIDER REIMBURSEMENTS TO QUALITY METRICS AND REDUCTIONS IN TOTAL COST OF CARE FOR PATIENTS OF MHS AND MHS AFFILIATES, AND (III) PERFORM CREDENTIALING OF PHYSICIANS WHO PRACTICE AT MHS FACILITIES IN ORDER TO EVALUATE QUALITY OF CARE AND TO ASSIST IN THE MANAGED CARE CONTRACTING PROCESS. DMPN ALSO ARRANGES EDUCATIONAL SEMINARS ON VARIOUS TOPICS RELATING TO COST EFFICIENT,QUALITY MEDICAL CARE PROVIDED TO MHS PATIENTS AND PATIENTS WITHIN THE MHS SERVICE AREA.Desc
Total Program Service Expenses$0TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document128IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
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 CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRAIG BJERKEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2149474512PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVEAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75203ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Michael S Marshall MD
Chair5.047.0Yes (X)Yes (X)$0$455,963$63,011
Alfonso Ramirez MD
Vice Chair5.02.0Yes (X)Yes (X)$1,194$9,773$0
Allan C VanHorn MD
Secretary5.00Yes (X)Yes (X)$0$0$0
Howard Anderson MD
DIRECTOR2.00Yes (X)$0$0$0
Bassam Mostafa-Elsawy MD
DIRECTOR2.042.0Yes (X)$0$248,964$32,620
Jeremy B Vaughan MD
DIRECTOR2.00.0Yes (X)$4,764$7,000$0
Shannon Huggins
President5.040.0Yes (X)$0$284,129$35,889
Robert M Milone
Treasurer5.055.0Yes (X)$0$200,773$56,767
Dawn Gulley
Former President0.040.0$0$165,540$14,695Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,958TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,372,142TotReportableCompRltdOrgAmt
Total Other Compensation$202,982TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MedhealthBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N Beckley AveAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75203ZIPCd
FieldValueIRS element (for citing)
ServicesPhysician ServicesServicesDesc
Compensation$560,638CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARTICIPATION FEES621110$379,568$379,568
AETNA UTILIZATION PROG621110$266,658$266,658
PHYSICIAN CREDENTIALING621110$48,140$48,140

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$694,366TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$694,366TotalRevenueColumnAmt
Related Or Exempt Func Income$694,366RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,958TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$322TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$686,866TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,375TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$58,151TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,323TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,711TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,884TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmt
O/H ALLOCATION$62,040
MEMBERSHIP DUES$1,300
REPAIRS & MAINTENANCE$845

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$841,775TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,592BOYAmt
EOY$74,456EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,592BOYAmt
EOY$74,456EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,213,234BOYAmt
EOY$1,423,507EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,213,234BOYAmt
EOY$1,423,507EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,201,642BOYAmt
EOY-$1,349,051EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,201,642BOYAmt
EOY-$1,349,051EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,592BOYAmt
EOY$74,456EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$147,409ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO MHSDesc
Amt$1,423,507Amt
FieldValueIRS element (for citing)
Total Liability$1,423,507TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael S Marshall MD
Chair$0$209,544$0$244,284$0$2,134$0$19,575$0$43,436$0$518,973$0$0
Bassam Mostafa-Elsawy MD
DIRECTOR$0$248,409$0$0$0$555$0$0$0$32,620$0$281,584$0$0
Dawn Gulley
Former President$0$78,112$0$0$0$87,428$0$9,009$0$5,686$0$180,235$0$0
Shannon Huggins
President$0$220,123$0$30,974$0$33,032$0$21,130$0$14,759$0$320,018$0$0
Robert M Milone
Treasurer$0$174,509$0$20,960$0$5,304$0$13,599$0$43,168$0$257,540$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCOMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS PAID BY METHODIST HOSPITALS OF DALLAS, WHICH USES A FORMAL REVIEW PROCESS TO REVIEW COMPENSATION OF EMPLOYEES. The formal review process includes the use of the following methods to establish compensation of the top management officials: 1) a compensation committee, 2) an independent compensation consultant, 3) a compensation survey or study, 4) approval by the board or compensation committee, and 5) contemporaneously substantiated the deliberation and decision. OFFICERS COMPENSATION IS SUBJECT TO FURTHER REVIEW BY THE BOARD OF METHODIST HOSPITALS OF DALLAS.
Schedule J, Part I, Line 4a Severance or change-of-control paymentDawn Gulley received a severance payment of $37,498 from Methodist Hospitals of Dallas, a related tax-exempt organization.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 Lines 15a & 15b- Process to Establish CompensationLines 15A & 15B are answered no in accordance with the IRS instructions. The organization does not pay any compensation to a top management official, officer, or key employee in their respective capacities; generally, compensation reported is from a related entity.
Form 990, Part VI, Line 6 Classes of members or stockholdersDallas Methodist Physician Network's sole member and parent organization is Methodist Hospitals of Dallas, a 501(c)(3) hospital.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyMHS, as the sole member of Dallas Methodist Physician Network, has the right to elect or to remove directors of the board.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersMethodist Hospitals of Dallas D/B/A Methodist Health Systems is the sole member of Dallas Methodist Physician Network and has certain reserve powers over Dallas Methodist Physician Network to insure that its operations are consistent with the tax-exempt purpose and mission of both organizations. PER THE BYLAWS, WHILE THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, NO ACTION MAY BE TAKEN BY THE BOARD OF DIRECTORS WITH RESPECT TO ANY OF THE SUBJECTS INDICATED BELOW, AND THE AUTHORITY TO ACT WITH RESPECT TO THE SUBJECTS INDICATED BELOW SHALL BE RESERVED EXCLUSIVELY TO THE MEMBER OF THE CORPORATION. - Establishment of or any change in the activities, philosophy, mission, or purpose of the Corporation as set by the Member; - Alteration, amendment or repeal of the Certificate of Formation or of the Bylaws of the Corporation; - Voluntary dissolution of the Corporation; - Election or removal of Directors of the Corporation
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing bodyThere was no committee with the authority to act on behalf of the governing body.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 IS PREPARED BY An outside PUBLIC ACCOUNTING FIRM. DURING THE RETURN PREPARATION AND REVIEW PROCESS, THE PUBLIC ACCOUNTING FIRM COLLABORATES WITH THE ORGANIZATION'S FINANCE, HUMAN RESOURCES, ACCOUNTING, LEGAL, CORPORATE COMPLIANCE, AND TREASURY FOR ASSISTANCE IN PREPARING A COMPLETE AND ACCURATE RETURN. UPON COMPLETION THE RETURN IS REVIEWED WITH THE REPORTING ORGANIZATION'S APPLICABLE SENIOR FINANCIAL OFFICER PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyMethodist Hospitals of Dallas facilitates the conflict of interest disclosure process for itself and its affiliates. Each affiliate organization is subject to the conflict of interest policy and its procedures, as described herein. ANNUALLY, EACH DIRECTOR, OFFICER, AND TRUSTEE SHALL COMPLETE AND SUBMIT A CONFLICTS OF INTEREST DISCLOSURE FORM TO THE BOARD OF DIRECTORS, DISCLOSING ANY FINANCIAL INTERESTS AND EXTERNAL LOYALTIES. DURING THE YEAR, EACH DIRECTOR, OFFICER, OR TRUSTEE SHALL DISCLOSE ANY FINANCIAL INTEREST OR EXTERNAL LOYALTY, ORALLY OR IN WRITING, WHEN HE OR SHE BECOMES AWARE THAT A RELATED CONTRACT, TRANSACTION OR OTHER RELEVANT DECISION IS UNDER CONSIDERATION OR THAT A FINANCIAL INTEREST OR EXTERNAL LOYALTY HAS NOT BEEN DISCLOSED. EACH DIRECTOR, OFFICER, AND TRUSTEE SHALL SEEK AND ACCEPT RESOLUTION OF ANY CONFLICTS OF INTEREST ARISING FROM FINANCIAL INTERESTS OR EXTERNAL LOYALTIES, TO THE SATISFACTION OF THE BOARD OF DIRECTORS. IN THE EVENT OF ANY FINDING THAT POTENTIAL CONFLICT OF INTEREST ISSUES ARE PRESENT, THE ISSUE(S) ARE REPORTED TO THE BOARD CHAIRMAN AND THE AUDIT & CORPORATE OVERSIGHT COMMITTEE ("AUDIT COMMITTEE") CHAIR, TOGETHER WITH A RECOMMENDED RESOLUTION FOR THE POTENTIAL CONFLICT. THE BOARD CHAIR AND AUDIT COMMITTEE MAY APPROVE THE PROPOSED RESOLUTION OR EITHER MAY RECOMMEND FURTHER MEASURES. EITHER THE BOARD CHAIRMAN OR THE AUDIT COMMITTEE MAY REFER AN ISSUE TO THE FULL AUDIT COMMITTEE FOR FURTHER REVIEW AND ACTION. A DIRECTOR, OFFICER, OR TRUSTEE WHO HAS, OR WHOSE RELATIVE HAS, PRIVATE INTERESTS OR RELATIONSHIPS THAT MIGHT CONSTITUTE A FINANCIAL INTEREST OR AN EXTERNAL LOYALTY HAS AN AFFIRMATIVE DUTY TO (A) DISCLOSE THE FACTS ON THE FINANCIAL INTEREST OR EXTERNAL LOYALTY TO THE BOARD OF DIRECTORS; (B) REQUEST A DETERMINATION BY THE BOARD OF DIRECTORS ON WHETHER THE FACTS DISCLOSED RAISE QUESTIONS OF ACTUAL OR APPARENT POTENTIAL CONFLICTS OF INTEREST; (C) RESOLVE TO THE BOARD'S SATISFACTION ANY ISSUE RAISED BY FINANCIAL INTERESTS OR EXTERNAL LOYALTIES IN THE EVENT THE BOARD THEN OR LATER DEEMS THEM TO BE POTENTIAL CONFLICTS OF INTEREST; AND (D) NOT VOTE ON OR OTHERWISE PARTICIPATE IN MHS'S DECISIONS ON CONTRACTS, TRANSACTIONS, OR RELATIONSHIPS THAT AFFECT FINANCIAL INTERESTS OR EXTERNAL LOYALTIES.
Form 990, Part VI, Line 19 Required documents available to the publicTHE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICES.
Form 990, Part VIII, Line 2c PHYSICIAN CREDENTIALINGMHS ADVANCES FEES TO COVER THE UNCOMPENSATED COSTS OF CREDENTIALING, QUALITY REVIEW PROGRAMS, MANAGED CARE CONTRACTING PROGRAMS, EDUCATIONAL PROGRAMS AND ADMINISTRATION. MHS WILL PARTICIPATE IN ANY BONUS PAYMENTS EARNED VIA THE VARIOUS MANAGED CARE PAYOUTS. THE MISSION OF DMPN IS TO IMPROVE QUALITY AND REDUCE COSTS FOR THE PATIENTS IN THE MHS SERVICE AREA WHICH SHOULD PROVIDE A BENEFIT TO MHS.
Form 990, Part VIII, Line 2a PARTICIPATION FEESPHYSICIANS PAY AN ANNUAL FEE OF $900 EACH TO COVER THE FMV COST OF CREDENTIALING, QUALITY REVIEW SERVICES, MANAGED CARE CONTRACT NEGOTIATIONS, EDUCATION AND OTHER ADMINISTRATIVE SERVICES. DMPN CURRENTLY HAS A SHARED SAVING CONTRACT WITH AN INSURANCE COMPANY THAT COULD RESULT IN BONUS PAYMENTS TO PHYSICIANS AND MHS BASED ON MEETING CERTAIN COST AND QUALITY TARGETS. ALL OF THE MEMBERS OF THE BOARD PARTICIPATE IN AT LEAST ONE OF THE MANAGED CARE CONTRACTS.
Form 990, Part IX, Line 5 Compensation of current officers, directors, trustees, and key employeesOFFICERS AND BOARD DIRECTORS ARE COMPENSATED FOR THEIR POSITIONS AS PHYSICIAN EMPLOYEES, NOT FOR THEIR SERVICE ON THE BOARD OF DIRECTORS.
Form 990, Part IX, Line 11g Other FeesOTHER PURCHASED SERVICES - Total Expense: 8548, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; OTHER CONTRACTED SERVICES - Total Expense: 678318, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Methodist Hospitals of Dallas
1441 N BECKLEY AVEDALLASTX75203750800661MEDICAL SERVICESTX501(c)(3)3NAfalse
ASSOCIATES IN SURGICAL ACUTE CARE
1441 N BECKLEY AVEDALLASTX75203262126265MEDICAL SERVICESTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse
CAREFLITE
3110 S GREATSOUTHWEST PKWYGRAND PRARIETX75052751657155MEDICAL TRANSPORTTX501(c)(3)10NAfalse
DALLAS METHODIST HOSPITALS FOUNDATION
1441 N BECKLEY AVEDALLASTX75203751548343FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(c)(3)7METHODIST HOSPITALS OF DALLASfalse
MEDHEALTH
1441 N BECKLEY AVEDALLASTX75203752896138MEDICAL SERVICESTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse
METHODIST CDI
1441 N BECKLEY AVEDALLASTX75203465265469MEDICAL SERVICESTX501(c)(3)3METHODIST HOSPITALS OF DALLASfalse
METHODIST PATIENT CENTERED ACO
1441 N BECKLEY AVEDALLASTX75203352436666MEDICAL SERVICESTX501(c)(3)10METHODIST HOSPITALS OF DALLASfalse
METHODIST RICHARDSON FOUNDATION
2831 E PRESIDENT GEORGE BUSH HWYRICHARDSONTX75082751788520FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse
METHODIST TRANSPLANT PHYSICIANS
1441 N BECKLEY AVEDALLASTX75203010612870MEDICAL SERVICESTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse
METHODIST URGENT CARE
1441 N BECKLEY AVEDALLASTX75203471054059MEDICAL SERVICESTX501(c)(3)3METHODIST HOSPITALS OF DALLASfalse
MHSR MEDICAL CENTER
1441 N BECKLEY AVEDALLASTX75203264193362MEDICAL SERVICESTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse
NELLE NORRELL FOUNDATION
1441 N BECKLEY AVEDALLASTX75203756034201FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse
PAVILION PROPERTIES
1441 N BECKLEY AVEDALLASTX75203752284449REAL ESTATE TITLE HOLDINGTX501(c)(2)METHODIST HOSPITALS OF DALLASfalse
PHYSICANS ASSOC OF SW DALLAS
1441 N BECKLEY AVEDALLASTX75203752966610MEDICAL SERVICESTX501(c)(3)Type IMETHODIST HOSPITALS OF DALLASfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtAddress Line2USAddress/AddressLine2Txt
METDALSPI HOLDING LLC
11221 ROE AVELEAWOODKS66211263207402Holding CompanyTXMETHODIST HOSPITAL OF DALLASN/A
METDALSPI LLC
11221 ROE AVELEAWOODKS66211263195791HOSPITALTXMETDALSPI HOLDING LLCN/A
METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC
5775 WAYZATA BLVDST LOUIS PARKMN55416472352211MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASN/A400
METHODIST MCKINNEY HOSPITAL PROPERTY
11221 ROE AVELEAWOODKS66211261943814REAL ESTATE HOLDINGTXMETHODIST HOSPITAL OF DALLASN/A
METHODIST MCKINNEY HOSPITAL LLC
11221 ROE AVELEAWOODKS66211208847736HOSPITALTXMETHODIST HOSPITAL OF DALLASN/A
METHODIST URGENT CARE OF TEXAS LLC
265 BROOKVIEW CENTRE WAYKNOXVILLETN37919352509140MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASN/A400
METSL HOLDINGS LLC
11221 ROE AVELEAWOODKS66211812295479Holding CompanyTXNORTH TEXAS HEALTH FACILITIES MGMTN/A
METSL LLC
11221 ROE AVELEAWOODKS66211812332488HospitalTXMETSL HOLDINGS LLCN/A
MHD-USO GENERAL LLC
ONE POST STREETSAN FRANCISCOCA94104203843579MEDICAL SERVICESTXNORTH TEXAS HEALTH FACILITIES MGMTN/A35TH FL ATTN TAX DEPT
MHD-USO MANAGEMENT COMPANY LP
ONE POST STREETSAN FRANCISCOCA94104203844027MEDICAL SERVICESTXNORTH TEXAS HEALTH FACILITIES MGMTN/A35TH FL
MHS-CHC ILP
3020 W WHEATLAND RDDALLASTX75237205000978REHAB HOSPITALTXMHS-CHC LLCN/A
MHS-CHC LLC
3020 W WHEATLAND RDDALLASTX75237204921888Holding CompanyTXMETHODIST HOSPITAL OF DALLASN/A
MRCU LLC
1441 N BECKLEY AVEDALLASTX75203474584500MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
1441 N BECKELY AVEDALLASTX75203751700994FACILITY AND PHYSICIAN MGMTTXMETHODIST HOSPITALS OF DALLASC Corporationfalse
COLLECTECH FINANCIAL SERVICES INC
1441 N BECKELY AVEDALLASTX75203752369856BILLING AND COLLECTIONTXNORTH TEXAS Health FACILITIES MGMTC Corporationfalse
RICHARDSON PHYSICIAN ALLIANCE
1441 N BECKELY AVEDALLASTX75203750591925PHYSICIAN SERVICESTXMETHODIST HOSPITALS OF DALLASC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 1 Subcategory O - Sharing of paid employees with related organization(s)FormAndLineReferenceDesc
ExplanationMANY EMPLOYEES OF WHOLLY OWNED AND CONTROLLED AFFILIATES OF METHODIST HOSPITALS OF DALLAS ARE ON THE MHS PAYROLL AND BENEFIT PLANS BUT THEIR COSTS ARE ALLOCATED TO THE APPLICABLE AFFILIATE TO BE REPORTED IN ITS 990. THE METHODOLOGY IS BASED ON A SHARED SERVICES AGREEMENT WITH AMOUNTS DETERMINED BASED ON FMV PRINCIPALS.ExplanationTxt

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