METHODIST PATIENT CENTERED ACO: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
METHODIST PATIENT CENTERED ACO (EIN 35-2436666)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-07-18
IRS object ID
201602009349300920
Schema version
2014v6.0
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)
Return2016-07-18T14:58:45-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN750800661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITALS OF DALLASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 655999AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752655999ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352436666EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METHODIST PATIENT CENTERED ACOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMETHBusinessNameControlTxt
Phone2149474527PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVE TAX DEPTAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL J SCHAEFERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2149474527PhoneNum
Signature2016-07-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDWIGHT WILLIAMSPreparerPersonNm
PTINP00544474PTIN
Phone2149474581PhoneNum
Preparation2016-07-18PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMICHAEL J SCHAEFERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVE TAX DEPTAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,260,903GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMETHODISTHEALTHSYSTEM.ORG/ACOWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO OPERATE AN ACCOUNTABLE CARE ORGANIZATION (ACO)TO:(A)PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP) AS SET FORTH IN SECTION 1899 OF THE SOCIAL SECURITY ACT AND RELATED REGULATIONS,(B) SERVE AS A VEHICLE FOR ADVANCING METHODIST HEALTH SYSTEM'S CLINICAL INTEGRATION AND QUALITY INITIATIVES,(C)SERVE AS A VEHICLE TO MANAGE, COORDINATE AND PROMOTE ACCOUNTABILITY FOR THE QUALITY, PATIENT SAFETY, COST AND OVERALL CARE OF PATIENTS, INCLUDING MEDICARE BENEFICIARIES, AND (D) SERVE AS A NETWORK TO PROVIDE COORDINATED QUALITY AND COST-EFFECTIVE MEDICAL AND HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$6,231,468PYProgramServiceRevenueAmt
CY Program Service Revenue$5,260,903CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$6,231,468PYTotalRevenueAmt
CY Total Revenue$5,260,903CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,560,078CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,216,908PYOtherExpensesAmt
CY Other Expenses$4,418,193CYOtherExpensesAmt
PY Total Expenses$6,216,908PYTotalExpensesAmt
CY Total Expenses$5,978,271CYTotalExpensesAmt
PY Revenues Less Expenses$14,560PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$717,368CYRevenuesLessExpensesAmt
Total Assets BOY$14,560TotalAssetsBOYAmt
Total Assets EOY$5,260,903TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,963,711TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,560NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$702,808NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO OPERATE AN ACCOUNTABLE CARE ORGANIZATION (ACO) TO: (A) PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP) AS SET FORTH IN SECTION 1899 OF THE SOCIAL SECURITY ACT AND RELATED REGULATIONS, (B) SERVE AS A VEHICLE FOR ADVANCING METHODIST HEALTH SYSTEM'S CLINICAL INTEGRATION AND QUALITY INITIATIVES, (C)SERVE AS A VEHICLE TO MANAGE, COORDINATE AND PROMOTE ACCOUNTABILITY FOR THE QUALITY, PATIENT SAFETY, COST AND OVERALL CARE OF PATIENTS, INCLUDING MEDICARE BENEFICIARIES, AND (D) SERVE AS A NETWORK TO PROVIDE COORDINATED QUALITY AND COST-EFFECTIVE MEDICAL AND HEALTH SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,349,652ExpenseAmt
Revenue$5,260,903RevenueAmt
DescMETHODIST PATIENT CENTERED ACO (MPCACO) IS A TX NONPORFIT CORPORATION FORMED TO PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM(MSSP) AS AN ACCOUNTABLE CARE ORGANIZATIOIN (ACO). ON 7-1-12 THE CENTER FOR MEDICARE AND MEDICAID SERVICES(CMS) SELECTED MPCACO TO PARTICIPATE IN ITS MSSP. METHODIST HOSPITALS OF DALLAS IS A TEXAS NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION AND THE SOLE MEMBER OF MPCACO. MHD PROVIDES QUALITY INTERGRAED CARE TO IMPROVE AND SAVE LIVES OF INDIVIDUALS THROUGHOUT NORTH TEXAS. MHD AFFILIATES HAD 463,778 PATIENT VISITS AND PROVIDED MORE THEN $125 MILLION IN UNREIMBURSED CHARITY CARE, REPRESENTING 12.4% OF NET REVENUE. (CONTINUED ON SCHEDULE O)Desc
Total Program Service Expenses$5,349,652TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL SCHAEFERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2149478181PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MELISSA GERDES MD
CHAIRMAN/CMO/DIRECTOR15.0025.00Yes (X)Yes (X)$20,429$323,433$33,155
STEPHEN MANSFIELD PHD
DIRECTOR/PRESIDENT2.0040.00Yes (X)Yes (X)$0$1,842,534$271,574
BASSEM MOSTAFA- ELSAWY MD
DIRECTOR2.0040.00Yes (X)$0$250,003$22,205
MICHAEL FINCH MD
DIRECTOR2.005.00Yes (X)$0$20,000$0
NANCY GEORGEKUTTY MD
DIRECTOR2.00Yes (X)$20,429$0$0
BRIAN JONES MD
DIRECTOR2.0040.00Yes (X)$0$356,990$32,679
MARTIN KOONSMAN MD
DIRECTOR2.0015.00Yes (X)$0$131,143$0
MICHAEL MARSHAL
DIRECTOR2.0040.00Yes (X)$0$435,507$39,400
NHAN NGUYEN MD
DIRECTOR2.005.00Yes (X)$0$31,250$0
ALFONSO RAMIREZ MD
DIRECTOR2.005.00Yes (X)$20,429$1,492$0
PAMELA SINGH MD
DIRECTOR2.0040.00Yes (X)$0$189,606$1,914
LUCIOUS WILLIAMS
DIRECTOR2.00Yes (X)$0$0$0
ARTURO AVILES
DIRECTOR2.0010.00Yes (X)$0$64,907$0
LAURA IRVINE
DIRECTOR2.0040.00Yes (X)$0$748,868$99,381
MICHAEL J SCHAEFER
SEC/TREA2.0040.00Yes (X)$0$971,638$72,712
SAM BAGCHI MD
FORMER DIRECTOR2.0040.00$0$443,140$63,422Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$61,287TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,810,511TotReportableCompRltdOrgAmt
Total Other Compensation$636,442TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSHARED SAVINGS INCOMEDesc
Business621990BusinessCd
Total Revenue Column$5,260,903TotalRevenueColumnAmt
Related Or Exempt Func Income$5,260,903RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,260,903TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,260,903TotalRevenueColumnAmt
Related Or Exempt Func Income$5,260,903RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,278,366TotalAmt
Program Services$1,278,366ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$281,712TotalAmt
Program Services$281,712ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,229,702TotalAmt
Program Services$3,601,083ProgramServicesAmt
Management And General$628,619ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,630TotalAmt
Program Services$3,630ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$154,934TotalAmt
Program Services$154,934ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,704TotalAmt
Program Services$15,704ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescREPAIR AND MAINTENANCEDesc
Total$14,223TotalAmt
Program Services$14,223ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,978,271TotalAmt
Program Services$5,349,652ProgramServicesAmt
Management And General$628,619ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,560BOYAmt
EOY$5,260,903EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,560BOYAmt
EOY$5,260,903EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$5,963,711EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,963,711EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$14,560BOYAmt
EOY-$702,808EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,560BOYAmt
EOY-$702,808EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,560BOYAmt
EOY$5,260,903EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$717,368ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,231,468CurrentTaxYearMinus1YearAmt
Current Tax Year$5,260,903CurrentTaxYearAmt
Total$11,492,371TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,231,468CurrentTaxYearMinus1YearAmt
Current Tax Year$5,260,903CurrentTaxYearAmt
Total$11,492,371TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$11,492,371PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,231,468CurrentTaxYearMinus1YearAmt
Current Tax Year$5,260,903CurrentTaxYearAmt
Total$11,492,371TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMETHODIST HEALTH SYSTEM (MHS) HAS CONCLUDED THAT IT DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS RESULTING FROM CURRENT OR PRIOR PERIOD TAX POSITIONS. ACCORDINGLY NO ADDITIONAL DISCLOSURES HAVE BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. MHS DOES NOT HAVE ANY OUTSTANDING INTEREST OR PENALTIES, AND NONE HAVE BEEN RECORDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
MELISSA GERDES MD
CHAIRMAN/CMO/DIRECTOR$0$264,224$0$58,314$20,429$895$0$9,573$0$23,582$20,429$356,588$0$0
STEPHEN MANSFIELD PHD
DIRECTOR/PRESIDENT$0$1,043,846$0$549,687$0$249,001$0$248,546$0$23,028$0$2,114,108$0$237,758
BASSEM MOSTAFA- ELSAWY MD
DIRECTOR$0$237,571$0$74$0$12,358$0$11,577$0$10,628$0$272,208$0$0
BRIAN JONES MD
DIRECTOR$0$252,000$0$79,141$0$25,849$0$15,600$0$17,079$0$389,669$0$0
MICHAEL MARSHAL
DIRECTOR$0$264,593$0$135,865$0$35,049$0$15,600$0$23,800$0$474,907$0$0
PAMELA SINGH MD
DIRECTOR$0$122,981$0$54,654$0$11,971$0$1,287$0$627$0$191,520$0$0
LAURA IRVINE
DIRECTOR$0$499,712$0$191,188$0$57,968$0$89,331$0$10,050$0$848,249$0$55,599
MICHAEL J SCHAEFER
SEC/TREA$0$546,362$0$245,475$0$179,801$0$18,850$0$53,862$0$1,044,350$0$98,581
SAM BAGCHI MD
FORMER DIRECTOR$0$359,558$0$76,331$0$7,251$0$36,589$0$26,833$0$506,562$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BSOME OFFICERS AND DIRECTORS PARTICIPATE IN A 457(F) PLAN AT A RELATED ORGANIZATION. CONTRIBUTIIONS TO A SECTION 457(F) NON-QUALIFIED PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
PART I, LINE 5CERTAIN DIRECTORS AND OFFICERS WORK FOR RELATED ORGANIZATIONS WHERE BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH.
PART I, LINE 6CERTAIN DIRECTORS AND OFFICERS WORK FOR RELATED ORGANIZATIONS WHERE BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO MANAGING OPERATING EXPENSE GROWTH AND NET OPERATING INCOME MARGIN.
PART I, LINE 7IN ORDER TO RECRUIT AND RETAIN KEY TALENT, MHS OFFERS SHORT AND LONG TERM INCENTIVE PLANS FOR KEY EMPLOYEES. FOR TAX YEAR 2014 THE INCENTIVE PLANS WERE TARGETED TO SUCH GOALS AS INCREASING PHYSICIAN ALIGNMENT WITH MHS, IMPROVEMENTS IN THE QUALITY OF CARE METRICS, PATIENT SATISFACTION GOALS, IDENTIFICATION OF A COMPREHENSIVE EMR SOLUTION FOR MHS AND GROWTH IN NUMBER OF AMBULATORY SITES AND FAMILY HEALTH CENTERS. THERE WERE ALSO FINANCIAL TARGETS RELATED TO OPERATING MHS FINANCIAL AFFAIRS EFFICIENTLY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6METHODIST HOSPITALS OF DALLAS (IT'S 501(C)(3) PARENT) IS THE SOLE MEMBER OF THE ORGANIZATION AND HAS APPROVAL RIGHTS REGARDING ACTIONS OF THE BOARD
FORM 990, PART VI, SECTION A, LINE 7AMETHODIST HOSPITALS OF DALLAS (IT'S 501(C)(3) PARENT) IS THE SOLE MEMBER OF THE ORGANIZATION AND HAS APPROVAL RIGHTS REGARDING ACTIONS OF THE BOARD
FORM 990, PART VI, SECTION A, LINE 7BMETHODIST HOSPITALS OF DALLAS (IT'S 501(C)(3) PARENT) IS THE SOLE MEMBER OF THE ORGANIZATION AND HAS APPROVAL RIGHTS REGARDING ACTIONS OF THE BOARD
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY THE MHS TAX DEPARTMENT. DURING THE RETURN PREPARATION PROCESS THE TAX DEPARTMENT LOOKS TO OTHER FUNCTIONAL AREAS INCLUDING FINANCE, HUMAN RESOURCES, ACCOUNTING, LEGAL, CORPORATE COMPLIANCE, AND TREASURY FOR ASSISTANCE IN PREPARING A COMPLETE AND ACCURATE RETURN. UPON COMPLETION THE RETURN IS REVIEWED WITH THE REPORTING ORGANIZATIONS APPLICABLE SENIOR FINANCIAL OFFICER PRIOR TO FILING. FURTHER, AS PART OF THE ANNUAL FINANCIAL AUDIT OF MHS THE FORM 990'S OF ALL OF ITS SUBSIDIARY ORGANIZATIONS ARE PROVIDED TO A NATIONAL ACCOUNTING FIRM FOR REVIEW. MHS IS THE SOLE MEMBER AND PARENT COMPANY OF THIS REPORTING ORGANIZATION. THE MHS INDIVIDUAL RETURN IS REVIEWED WITH A COMMITTEE OF ITS SENIOR BOARD MEMBERS AND THEN PROVIDED ELECTRONICALLY TO ALL OF THE MHS BOARD MEMBERS PRIOR TO THE FILING OF THE MHS RETURN. WHILE THE RETURN OF THIS REPORTING ORGANIZATION IS NOT INDIVIDUALLY REVIEWED BY ITS SEPARATE BOARD MHS BELIEVES THAT SUFFICIENT QUALITY CONTROL AND OVERALL GOVERNANCE OVERSIGHT EXISTS THROUGHOUT THE PREPARATION STAGES OF ALL OF THE MHS RELATED RETURNS. FURTHER MHS BELIEVES THAT THE LEVEL OF DETAILED MHS BOARD REVIEW OF THE PARENT ORGANIZATION'S RETURN IS SUFFICIENT TO INSURE THAT ALL OF THE INTENDED TAX-EXEMPT AND GOVERNANCE REQUIREMENTS FOR THE ENTIRE ORGANIZATION ARE MET. THE FORM 990 OF ANY OF THE MHS ENTITIES IS ALWAYS AVAILABLE TO ANY BOARD MEMBER AT THEIR REQUEST.
FORM 990, PART VI, SECTION B, LINE 12CMHS ,THE PARENT ORGANIZATION, PROVIDES ALL OFFICERS AND DIRECTORS OF ALL OF ITS COMPANIES AN ANNUAL CONFLICT QUESTIONAIRRE. THERE IS ALSO INTERAL AUDIT REVIEW AND CHIEF COMPLIANCE OFFICER REVIEW.
FORM 990, PART VI, SECTION B, LINE 15THERE ARE NO EMPLOYEES OF THE ORGANIZATION. SERVICES ARE PROVIDED VIA A SHARED SERVICES AGREEMENT WITH METHODIST HEALTH SYSTEM THE ORGANIZATIONS SOLE MEMBER. COMPENSATION OF EMPLOYEES OF THE METHODIST HEALTH SYSTEM ARE SUBJECT TO THE LISTED PROCESSES TO ASSURE FAIR MARKET VALUE COMPENSATION PROGRAMS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GAUDIT,LEGAL & CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 315235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 315235. MHS ADMIN & SUPPORT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 313384. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 313384. PURCHASED SERVICES FROM MHS: PROGRAM SERVICE EXPENSES 3601083. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3601083.
FORM 990, PART XII, LINE 2C:THE SELECTION OF THE INDEPENDENT AUDITORS IS MADE BY THE AUDIT COMMITTEE OF THE METHODIST HEALTH SYSTEM BOARD.(PARENT ORGANIZATION) THERE HAS BEEN NO CHANGE IN THE WAY THE IT WAS CONSOLIDATED WITH THE FINANCIAL STATEMENTS OF THE PARENT AND AT THE PARENT LEVEL THERE WERE NO CHANGES IN EITHER THE OVERSIGHT PROCESS OR THE SELECTION PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDirect Controlling NADirectControllingNACd
METHODIST HOSPITALS OF DALLAS
1441 N BECKLEY AVEDALLASTX75203750800661MEDICAL SERVICESTX501(C)(3)BOX 30
DALLAS METHODIST HOSPITALS FOUNDATION
1441 N BECKLEY AVEDALLASTX75203751548343FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(C)(3)BOX 70METHODIST HOSPITALS OF DALLAS
NELLE NORRELL FOUNDATION
1441 N BECKLEY AVEDALLASTX75203756034201FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(C)(3)BOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
METHODIST TRANSPLANT PHYSICIANS
1441 N BECKLEY AVEDALLASTX75203010612870MEDICAL SERVICESTX501(C)(3)BOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
MEDHEALTH
1441 N BECKLEY AVEDALLASTX75203752896138MEDICAL SERVICESTX501(C)(3)BOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
PHYSICANS ASSOC OF SW DALLAS
1441 N BECKLEY AVEDALLASTX75203752966610MEDICAL SERVICESTX501(C)(3)BOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
ASSOC IN ACUTE SURGICAL CARE
1441 N BECKLEY AVEDALLASTX75203262126265MEDICAL SERVICESTX501(C)(3)BOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
MHSR MEDICAL CENTER
1441 N BECKLEY AVEDALLASTX75203264193362MEDICAL SERVICESTX501(C)(3)BOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
METHODIST URGENT CARE
1441 N BECKLEY AVEDALLASTX75203471054059MEDICAL SERVICESTX501(C)(3) PENDINGBOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
METHODIST CDI
1441 N BECKLEY AVEDALLASTX75203465265469MEDICAL SERVICESTX501(C)(3) PENDINGBOX 11 TYPE 10METHODIST HOSPITALS OF DALLAS
DALLAS COUNTY INDIGENT CARE CORP
1441 N BECKLEY AVEDALLASTX75203260610562FUNDING FOR INDIGENT CARETX501(C)(3)BOX 11 TYPE 10N/A
TARRANT COUNTY INDIGENT CARE
612 E LAMAR STREETARLINGTONTX76011260648532FUNDING FOR INDIGENT CARETX501(C)(3)BOX 11 TYPE 10N/A
CAREFLIGHT
3110 S GREATSOUTHWEST PKWYGRAND PRARIETX75052751657155MEDICAL TRANSPORTTX501(C)(3)BOX 11 TYPE 30N/A
DALLAS METHODIST PHYSICIANS NETWORK
1441 N BECKLEY AVEDALLASTX75203752693707HEALTH CARE CONTRACTINGTX501(C)(6)0METHODIST HOSPITALS OF DALLAS
PAVILION PROPERTIES
1441 N BECKLEY AVEDALLASTX75203752284449REAL ESTATE TITLE HOLDINGTX501(C)(2)0METHODIST HOSPITALS OF DALLAS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
MHS-CHC ILP
3020 W WHEATLAND RDDALLASTX75237205000978REHAB HOSPITALTXMHS-CHC LLCN/A00
MHS-CHC LLC
3020 W WHEATLAND RDDALLASTX75237204921888REHAB HOSPITALTXMETHODIST HOSPITAL OF DALLASN/A00
METHODIST MCKINNEY HOSPITAL LLC
11221 ROE AVELEAWOODKS66211208847736HOSPITALTXMETHODIST HOSPITAL OF DALLASN/A00
METHODIST MCKINNEY HOSPITAL PROPERT
11221 ROE AVELEAWOODKS66211261943814REAL ESTATE HOLDINGTXMETHODIST HOSPITAL OF DALLASN/A00
MHD-USO MANAGEMENT COMPANY LP
ONE POST STREET 35TH FLOORSAN FRANCISCOTX94104203844027MEDICAL SERVICESTXNORTH TEXAS HEALTH FACILITIES MGMTN/A00
MHD-USO GENERAL LLCP
ONE POST ST35TH FLOOR ATTN TAX DEPTSAN FRANCISCOCA94104203843579MEDICAL SERVICESTXNORTH TEXAS HEALTH FACILITIES MGMTN/A00
METDALSPI LLC
11221 ROE AVELEAWOODKS66211263195791HOSPITALTXMETDALSPI HOLDING LLCN/A00
METDALSPI HOLDING LLC
11221 ROE AVELEAWOODKS66211263207402HOSPITALTXMETHODIST HOSPITAL OF DALLASN/A00
SRPMEDICA INVESTORS - ADDISON LP
8343 DOUGLAS AVE SUITE 350DALLASTX75225264517265REAL ESTATE HOLDINGTXMETHODIST HOSPITAL OF DALLASN/A00
MHSS- MOB ADDISON LP
8343 DOUGLAS AVE SUITE 350DALLASTX75225454892826REAL ESTATE HOLDINGTXNORTH TEXAS HEALTH FACILITIES MGMTN/A00
LHCG XXXIII LLC
420 WEST PINHOOK RD SUITE ALAFAYETTELA70503454894023HOME CARELANORTH TEXAS HEALTH FACILITIES MGMTN/A00
METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC
5775 WAYZATA BLVD 400ST LOUIS PARKMN55416472352211MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASN/A00
METHODIST URGENT CARE OF TEXAS LLC
265 BROOKVIEW CENTRE WAY 400KNOXVILLETN37919352509140MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASN/A00
TEXAS REHABILITATION HOSPITAL OF ARLINGTON
113 SEABOARD LANE SUITE B201FRANKLINTN37067371748838REHAB HOSPITALTXNORTH TEXAS HEALTH FACILITIES MGMTN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
1441 N BECKLEY AVEDALLASTX75203751700994FACILITY AND PHYSICIAN MGMTTXMETHODIST HOSPITALS OF DALLASC0
METHCATH OIL COMPANY
4833 ROYAL LANEDALLASTX75229751974095OIL & GAS HOLDINGSTXMETHODIST HOSPITALS OF DALLASC0
COLLECTECH FINANCIAL SERVICESINC
1441 N BECKLEY AVEDALLASTX75203752369856BILLING & COLLECTIONTXNORTH TEXAS FACILTIES MGMTC0
RICHARDSON PHYSICIANS ALLIANCE
1441 N BECKLEY AVEDALLASTX75203770591925PHYSICIAN SERVICESTXMETHODIST HOSPITALS OF DALLASC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
METHODIST HOSPITAL OF DALLAS
M$895,638CASH
METHODIST HOSPITAL OF DALLAS
E$5,963,711CASH
PAVILION PROPERTIES
K$55,678FMV

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