METHODIST HOSPITALS OF DALLAS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
METHODIST HOSPITALS OF DALLAS (EIN 75-0800661)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-10
IRS object ID
201622239349301212
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)
Return2016-08-10T10:51:36-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN750800661EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITALS OF DALLAS &BusinessNameLine1Txt
Business Name Line2PAVILION PROPERTIESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMETHBusinessNameControlTxt
Phone2149474581PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVE DWIGHT WILLIAMSAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752031201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL J SCHAEFERPersonNm
Person TitleEXEC VICE PRES/CFOPersonTitleTxt
Phone2149474581PhoneNum
Signature2016-03-29SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL J SCHAEFERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVEAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,111,997,285GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1935FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body28VotingMembersGoverningBodyCnt
Voting Members Independent24VotingMembersIndependentCnt
Total Employee7995TotalEmployeeCnt
Total Volunteers1115TotalVolunteersCnt
Total Gross UBI$2,333,883TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,099,595NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,416,651PYContributionsGrantsAmt
CY Contributions Grants$23,566,286CYContributionsGrantsAmt
PY Program Service Revenue$1,047,668,376PYProgramServiceRevenueAmt
CY Program Service Revenue$1,048,537,757CYProgramServiceRevenueAmt
PY Investment Income$12,155,284PYInvestmentIncomeAmt
CY Investment Income$20,079,278CYInvestmentIncomeAmt
PY Other Revenue$7,290,293PYOtherRevenueAmt
CY Other Revenue$8,532,807CYOtherRevenueAmt
PY Total Revenue$1,077,530,604PYTotalRevenueAmt
CY Total Revenue$1,100,716,128CYTotalRevenueAmt
PY Grants And Similar Paid$26,758,436PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$31,325,871CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$491,784,391PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$509,807,615CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$247,518CYTotalFundraisingExpenseAmt
PY Other Expenses$421,953,365PYOtherExpensesAmt
CY Other Expenses$415,408,521CYOtherExpensesAmt
PY Total Expenses$940,496,192PYTotalExpensesAmt
CY Total Expenses$956,542,007CYTotalExpensesAmt
PY Revenues Less Expenses$137,034,412PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$144,174,121CYRevenuesLessExpensesAmt
Total Assets BOY$1,693,625,688TotalAssetsBOYAmt
Total Assets EOY$1,805,740,704TotalAssetsEOYAmt
Total Liabilities BOY$537,913,422TotalLiabilitiesBOYAmt
Total Liabilities EOY$552,214,440TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,155,712,266NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,253,526,264NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE IN A MANNER THAT REFLECTS A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING (SEE CONTINUATION ON SCHEDULE O)MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$851,837,127ExpenseAmt
Grant$31,325,871GrantAmt
Revenue$1,054,610,435RevenueAmt
DescTHE PRIMARY MISSION OF THE METHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM (MHS) IS TO SERVE PEOPLE IN DEFINED SERVICE AREAS BY MEETING THEIR HEALTH NEEDS EFFECTIVELY AND IN A MANNER THAT REFLECTS A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING. THIS MISSION IS PURSUED BY OPERATING FOUR GENERAL ACUTE-CARE HOSPITALS AND OTHER HEALTHCARE SERVICES, EDUCATION AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES IN NORTH CENTRAL TEXAS. (SEE CONTINUATION ON SCHEDULE O)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescPRIOR TO TAX YEAR ENDING SEPTEMBER 30,2014 PAVILION PROPERTIES, WHICH IS WHOLLY OWNED BY METHODIST HOSPITALS OF DALLAS (MHD), AND IS TAX-EXEMPT AS A IRC SECTION 501(C)(2) TITLE HOLDING COMPANY FILED A SEPERATE FORM 990 AND 990-T TO REPORT ITS ACTIVITIES. PURSUANT TO THE PAGE 5 INSTRUCTIONS FOR FORM 990-T WHICH READ IN PART: "THE CONSOLIDATED RETURN PROVISIONS OF SECTION 1501 DO NOT APPLY TO EXEMPT ORGANIZATIONS, EXCEPT FOR ORGANIZATIONS HAVING TITLE HOLDING COMPANIES. IF A TITLE HOLDING CORPORATION DESCRIBED IN IRC SECTION 501(C)(2) PAYS ANY AMOUNT OF ITS NET INCOME FOR A TAX YEAR TO AN ORGANIZATION EXEMPT FROM TAX UNDER SECTION 501(A) (SEE CONTINUATION ON SCHEDULE O)Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$851,837,127TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document420IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7995EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members28GoverningBodyVotingMembersCnt
Independent Voting Member24IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL J SCHAEFERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2149474510PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
COLLINS JOHN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
CAMPBELL GREG
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
CANEDY JOHN RANDALL
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
FOLSOM STEVE
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
FORTSON JOE
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
FULTON DUNCAN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
SCHNEIDER ALLEN DO
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
SNAYD JOSEPH
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
YARBROUGH JULIE
SEC/VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
DAVIS LEVI
DIR2.00Yes (X)$0$0$0
FINCH MICHAEL MD
DIR2.00Yes (X)$0$0$0
GEORGE LARRY D MIN
DIR2.00Yes (X)$0$0$0
GRINER RICHARD
DIR2.00Yes (X)$0$0$0
HASLEY ROBERT D MIN
DIR2.00Yes (X)$0$0$0
JACKSONBRENDA
DIR2.00Yes (X)$0$0$0
MCATEE DAVID
DIR2.00Yes (X)$0$0$0
MCDONNOUGH CLINT
DIR2.00Yes (X)$0$0$0
MUELLER STEPHEN MD
DIR/MCMC MED DIR ICU15.00Yes (X)$195,000$10,000$05.00
PARKHILL KAREN
DIR2.00Yes (X)$0$0$0
PATTERSON SHERON D MIN
DIR2.00Yes (X)$0$0$0
RICKS RON
DIR2.00Yes (X)$0$0$0
SCHENKEL PETE
DIR2.00Yes (X)$0$0$0
SCHRADER GEORGE
DIR2.00Yes (X)$0$0$0
SWAFFORD JAMES
DIR2.00Yes (X)$0$0$0
VELEZ RUBEN MD
DIR2.00Yes (X)$0$0$0
WALKER W KELVIN
DIR2.00Yes (X)$0$0$0
FORD JOHN
FORMER DIR2.00Yes (X)$0$0$0
MANSFIELD STEPHEN PHD
PRES/CEO40.00Yes (X)Yes (X)$1,842,534$0$271,574
SCHAEFER MICHAEL
TREA/ ASST SEC/EVP/CFO40.00Yes (X)$971,620$0$72,712
MILONE ROBERT
ASST TREA40.00Yes (X)$191,236$0$36,640
PRICE MICHAEL
ASST SEC/CLO40.00Yes (X)$576,726$0$94,621
BAUMGARTNER JOHN
SVP/CONTROLLER40.00$479,762$0$48,956Yes (X)
BOX APRIL
MHSF PRES40.00$495,030$0$68,207Yes (X)
BRIZIUS CHARLES
SVP40.00$391,914$0$36,665Yes (X)
FARROW PAUL
SVP/PRES MEDHEALTH40.00$299,267$0$50,794Yes (X)
FLYNN CHERYL
SVP40.00$420,829$0$68,276Yes (X)
GERDES MELISSA
PRES ACO40.00$233,559$0$26,824Yes (X)
HUTCHENRIDER EKENNETH
PRES MRMC40.00$493,802$0$79,175Yes (X)
IRVINE LAURA
EVP STSTEM ALIGNMENT40.00$751,115$0$99,381Yes (X)
LAUKATLS FRAN
PRES MCMC40.00$241,747$0$20,481Yes (X)
LEA JAN
SVP40.00$279,741$0$38,740Yes (X)
MCNUTT PAMELA
SVP40.00$596,589$0$86,858Yes (X)
PHILLIPS JOHN
PRES MMMC40.00$420,128$0$75,691Yes (X)
PIERCE LESLIE
SVP40.00$264,945$0$26,551Yes (X)
STOYANOFF PAM
EVP/COO40.00$903,774$0$138,005Yes (X)
TEDDER STEPHEN
AVP/ASST GENERAL COUNSEL40.00$241,873$0$16,002Yes (X)
TRIFONEJOHN
SVP40.00$258,577$0$30,302Yes (X)
WALKER RANDY
SVP40.00$349,180$0$56,689Yes (X)
FRASIER NORA
VP MMMC40.00$218,365$0$19,821Yes (X)
GIACOMA TRACY
VP MDMC40.00$220,483$0$36,531Yes (X)
RAMBERGER KARLA
VP MDMC40.00$234,815$0$32,305Yes (X)
SIMPSON ROBERT
VP MRMC40.00$258,190$0$27,309Yes (X)
STREJC IRENE
VP MRMC40.00$234,035$0$22,253Yes (X)
KOONSMAN MARTIN MD
FORMER DIR/ MDMC MEDICAL DIR15.00$110,310$20,833$05.00Yes (X)
BAGCHI SAM MD
FORMER CMO40.00$443,140$0$63,472Yes (X)
CLARKDAVID
FORMER PRES. MDMC40.00$151,465$0$22,621Yes (X)
DAVIS JONATHAN
FORMER MMMC PRES40.00$600,746$0$88,003Yes (X)
SEIMER SCOTT
FORMER SVP40.00$106,709$0$15,265Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,477,206TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$30,833TotReportableCompRltdOrgAmt
Total Other Compensation$1,770,724TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K780IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ANESTHESIA CONSULTANTS
221 W COLORADODALLASTX75203MEDICAL$4,829,963
FRESENIUS MEDICAL CARE-DALLAS
PO BOX 749959LOS ANGELESCA90074MEDICAL$2,400,311
STERIS CORP ENDOSCOPY
PO BOX 676548DALLASTX75267MEDICAL$2,122,930
PRECEPTOR CONSULTING
1203 SHADOW LANEFORT MYERSFL33901CONSULTING$1,474,861
PERKINS AND WILL
10100 N CENTRA EXPWYDALLASTX75231ARCHHITECTS$1,428,247
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K70CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$21,116,174RelatedOrganizationsAmt
Government Grants$746,552GovernmentGrantsAmt
All Other Contributions$1,703,560AllOtherContributionsAmt
Total Contributions$23,566,286TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE RE621990$1,021,741,387$1,018,467,617$3,273,770
RELATED PURPOSE JOINT621990$23,034,248$23,004,974$29,274
RELATED PURPOSE WHOLLY621990$3,762,122$3,762,122
FieldValueIRS element (for citing)
Total Program Service Revenue$1,048,537,757TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,467,302TotalRevenueColumnAmt
Exclusion$17,467,302ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,246TotalRevenueColumnAmt
Exclusion$126,246ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,421,172RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,281,157RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,140,015RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,140,015TotalRevenueColumnAmt
Related Or Exempt Func Income$3,138,847RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,168UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,611,976OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,611,976OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,611,976TotalRevenueColumnAmt
Exclusion$2,611,976ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER PROGRAM RELATED621990$6,307,478$6,236,875$70,603
UNRELATED BUSINESS INC621990-$1,040,932-$1,040,932
FieldValueIRS element (for citing)
Other Revenue Total$5,266,546OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,100,716,128TotalRevenueColumnAmt
Related Or Exempt Func Income$1,054,610,435RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,333,883UnrelatedBusinessRevenueAmt
Exclusion$20,205,524ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$31,194,331TotalAmt
Program Services$31,194,331ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$131,540TotalAmt
Program Services$131,540ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,934,679TotalAmt
Management And General$10,934,679ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$424,202,591TotalAmt
Program Services$375,851,872ProgramServicesAmt
Management And General$48,157,198ManagementAndGeneralAmt
Fundraising$193,521FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,457,876TotalAmt
Program Services$12,940,291ProgramServicesAmt
Management And General$1,511,199ManagementAndGeneralAmt
Fundraising$6,386FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,529,765TotalAmt
Program Services$22,734,993ProgramServicesAmt
Management And General$8,763,688ManagementAndGeneralAmt
Fundraising$31,084FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,682,704TotalAmt
Program Services$25,086,114ProgramServicesAmt
Management And General$3,583,191ManagementAndGeneralAmt
Fundraising$13,399FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,167,313TotalAmt
Management And General$1,167,313ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$191,076TotalAmt
Management And General$191,076ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$149,818TotalAmt
Management And General$149,818ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$633,418TotalAmt
Management And General$633,418ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,537,173TotalAmt
Program Services$18,272,896ProgramServicesAmt
Management And General$8,264,277ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,007,777TotalAmt
Management And General$8,007,777ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,257,619TotalAmt
Program Services$3,498,693ProgramServicesAmt
Management And General$1,755,798ManagementAndGeneralAmt
Fundraising$3,128FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,715,329TotalAmt
Program Services$11,211,900ProgramServicesAmt
Management And General$1,503,429ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,237,252TotalAmt
Program Services$11,237,252ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,074,469TotalAmt
Program Services$752,154ProgramServicesAmt
Management And General$322,315ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$310,370TotalAmt
Program Services$164,116ProgramServicesAmt
Management And General$146,254ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,875,605TotalAmt
Program Services$13,875,605ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$15,885,417TotalAmt
Program Services$15,885,417ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,871,120TotalAmt
Program Services$66,225,862ProgramServicesAmt
Management And General$4,645,258ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,772,614TotalAmt
Program Services$3,553,265ProgramServicesAmt
Management And General$219,349ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$212,323,553$211,941,351$382,202
EQUIPMENT & MAINTENANCE$25,513,814$23,550,700$1,963,114
EMPLOYEE RETENTION, REC$5,341,390$3,728,775$1,612,615
INCOME TAX$543,394$543,394

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$956,542,007TotalAmt
Program Services$851,837,127ProgramServicesAmt
Management And General$104,457,362ManagementAndGeneralAmt
Fundraising$247,518FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$407,354BOYAmt
EOY$473,060EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$746,772,237BOYAmt
EOY$796,295,308EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$112,942,448BOYAmt
EOY$171,185,095EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$365,711BOYAmt
EOY$458,342EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$84,276,313BOYAmt
EOY$51,432,808EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,520,896BOYAmt
EOY$25,073,040EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,626,365BOYAmt
EOY$7,699,755EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,399,514,442LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$714,057,266LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$673,628,824BOYAmt
EOY$685,457,176EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,324,352BOYAmt
EOY$25,544,998EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$847,101BOYAmt
EOY$976,082EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,037,618BOYAmt
EOY$38,146,847EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,029,368BOYAmt
EOY$2,022,191EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$847,101BOYAmt
EOY$976,002EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,693,625,688BOYAmt
EOY$1,805,740,704EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$135,492,163BOYAmt
EOY$112,948,358EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$3,540,916EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$414,448,613BOYAmt
EOY$425,283,565EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$421,197BOYAmt
EOY$307,878EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY-$12,448,551BOYAmt
EOY$10,133,723EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$537,913,422BOYAmt
EOY$552,214,440EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,154,084,664BOYAmt
EOY$1,253,526,264EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,627,602BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,155,712,266BOYAmt
EOY$1,253,526,264EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,693,625,688BOYAmt
EOY$1,805,740,704EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$144,174,121ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$44,374,030NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,986,093OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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)
Political Expenditures$0PoliticalExpendituresAmt
Volunteer Hours0VolunteerHoursCnt
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$205,318FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$205,318FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,224,393,942FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,224,599,260FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$297,348CurrentYearMinus3Amt
Current Year Minus2$332,798CurrentYearMinus2Amt
Current Year Minus1$253,934CurrentYearMinus1Amt
Current Year$205,318CurrentYearAmt
Total$1,089,398TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-A, LINE 1(B)FormAndLineReferenceDesc
ExplanationTHE ABOVE AMOUNT REPRESENTS TWO COMPONENTS: (1) THE PORTION OF DUES TO PROFESSIONAL ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND THE TEXAS HOSPITAL ASSOCIATION TO EDUCATE GOVERNMENTAL LEADERS ON LEGISLATION AFFECTING THE ORGANIZATIONS ABILITY TO CARRY OUT ITS EXEMPT PURPOSE (2) FEES PAID BY MHS TO A LAW FIRM SPECIFICALLY TO LOBBY LEGISLATORS REGARDING IMPORTANT HEALTHCARE ISSUES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,627,602BeginningYearBalanceAmt
Contributions$36,240,616ContributionsAmt
Other Expenditures$1,627,602OtherExpendituresAmt
End Year Balance$36,240,616EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,199,107BeginningYearBalanceAmt
Contributions$2,061,986ContributionsAmt
Other Expenditures$1,633,491OtherExpendituresAmt
End Year Balance$1,627,602EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,639,120BeginningYearBalanceAmt
Contributions$1,199,107ContributionsAmt
Other Expenditures$3,639,120OtherExpendituresAmt
End Year Balance$1,199,107EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$3,639,120EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$531,102EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.11800PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.88200TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,258,171OtherCostOrOtherBasisAmt
Book Value$44,258,171BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$838,374,615OtherCostOrOtherBasisAmt
Depreciation$343,525,147DepreciationAmt
Book Value$494,849,468BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$516,881,656OtherCostOrOtherBasisAmt
Depreciation$370,532,119DepreciationAmt
Book Value$146,349,537BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$685,457,176TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY LOANSDesc
Amt$10,133,723Amt
FieldValueIRS element (for citing)
Total Liability$10,133,723TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWED FUNDS ARE HELD ON A RESTRICTED BASIS FOR THE PURPOSE OF FUNDING LARGE CAPITAL PROJECTS AND SPECIAL PROGRAMS. METHODIST HOSPITALS OF DALLAS FOUNDATION , AN ORGANIZATION OPERATED EXCLUSIVELY FOR THE BENEFIT OF METHODIST HOSPITALS OF DALLAS, CURRENTLY HOLDS FUNDS THAT ARE ENDOWED. METHODIST HOSPITALS OF DALLAS IS THE SOLE MEMBER OF METHODIST HOSPITAL OF DALLAS FOUNDATION.
PART X, LINE 2:MHS HAS CONCLUDED THAT IT DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS RESULTING FROM CURRENT OR PRIOR PERIOD TAX POSITIONS. ACCORDINGLY, NO ADDITIONAL DISCLOSURES HAVE BEEN MADE IN THE FINANCIAL STATEMENTS. MHS DOES NOT HAVE ANY OUTSTANDING INTEREST OR PENALTIES, AND NONE HAVE BEEN RECORDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
Most Hospitals PolicyYes (X)MostHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$101,280,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,417,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,863,130NetCommunityBenefitExpnsAmt
Total Expense0.07060TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$121,006,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$126,575,419DirectOffsettingRevenueAmt
Net Community Benefit Expns-$5,568,619NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$222,287,652TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,993,141DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,294,511NetCommunityBenefitExpnsAmt
Total Expense0.07060TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,906,796TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$313,831DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,592,965NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,845,620TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,067,058DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,778,562NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,492,666TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,361,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,131,428NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$583,069TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,861DirectOffsettingRevenueAmt
Net Community Benefit Expns$500,208NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,194,331TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,194,331NetCommunityBenefitExpnsAmt
Total Expense0.02200TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,022,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,824,988DirectOffsettingRevenueAmt
Net Community Benefit Expns$67,197,494NetCommunityBenefitExpnsAmt
Total Expense0.04750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$301,310,134TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$139,818,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$161,492,005NetCommunityBenefitExpnsAmt
Total Expense0.11810TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,400,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,400,000NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,209,278TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,209,278NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,654,278TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,654,278NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$108,896,328BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$324,170,370ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$427,425,072CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$103,254,702MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 METHODIST MCKINNEY HOSPITAL LLC
HOSPITAL0.575200.35650
2 METHODIST MCKINNEY HOSPITAL PROPERTY LLC
REAL ESTATE HOLDINGS OF METHODIST MCKINNEY HOSPITAL0.599000.24270
3 SRP-MEDICA INVESTORS ADDISON LP
REAL ESTATE HOLDINGS ENTITY FOR METHODIST HOSPITAL FOR SURGERY0.218400.22250
4 METDALSPI LLC (THROUGH METDALSPI HOLDING LLC)
HOSPITAL0.505000.49000
5 MHD-USO MANAGEMENT COMPANYLP
MANAGEMENT SERVICES FOR ONCOLOGY PRACTICE0.714000.28600
FieldValueIRS element (for citing)
Hospital Facilities7HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (7 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndChildrens HospitalChildrensHospitalIndOtherOtherDesc
METHODIST DALLAS MEDICAL CENTER
11441 N BECKLEY AVEDALLASTX75203Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
METHODIST CHARLTON MEDICAL CENTER
23500 W WHEATLAND RDDALLASTX75237Yes (X)Yes (X)Yes (X)Yes (X)
METHODIST MANSFIELD MEDICAL CENTER
32700 E BROAD STREETDALLASTX76063Yes (X)Yes (X)Yes (X)
METHODIST RICHARDSON MEDICAL CENTER
42831 E GEORGE W BUSH HWYRICHARDSONTX75082Yes (X)Yes (X)Yes (X)Yes (X)
METHODIST REHABILITATION HOSPITAL
53020 W WHEATLAND RDDALLASTX75237Yes (X)REHABILITATION HOSPITAL
METHODIST MCKINNEY HOSPITAL
68000 W ELDORADO PWKYMCKINNEYTX75070Yes (X)Yes (X)Yes (X)
METHODIST HOSPITAL FOR SURGERY
717101 DALLAS PWKYADDISONTX75001Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (7 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctIncome Level CriteriaIncomeLevelCriteriaIndAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndInformation GapsInformationGapsIndNo Emergency CareNoEmergencyCareIndMedicare RatesMedicareRatesInd
METHODIST DALLAS MEDICAL CENTER
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)100.000000000000100.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTANYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATIONYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
METHODIST CHARLTON MEDICAL CENTER
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)100.000000000000100.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTANYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATIONYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
METHODIST MANSFIELD MEDICAL CENTER
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)100.000000000000100.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTANYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATIONYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (X)
METHODIST RICHARDSON MEDICAL CENTER
400Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)100.000000000000100.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTANYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATIONYes (X)HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
METHODIST REHABILITATION HOSPITAL
500Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)100.000000000000100.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)0Yes (X)00Yes (X)Yes (X)
METHODIST MCKINNEY HOSPITAL
600Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)200.000000000000200.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (1)00Yes (X)Yes (X)
METHODIST HOSPITAL FOR SURGERY
700Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)00Yes (1)Yes (X)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=2697Yes (X)Yes (1)12Yes (1)WWW.METHODISTHEALTHSYSTEM.ORG/BODY.CFM?ID=269700Yes (1)Yes (X)200.000000000000200.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)0Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00Yes (X)

Supplemental Information SupplementalInformationGrp (34 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
METHODIST DALLAS MEDICAL CENTERPART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST DALLAS MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY SOUTHERN DALLAS COUNTY) AND THEREFORE, FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED.THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS:AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST CHARLTON MEDICAL CENTERPART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST CHARLTON MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY SOUTHERN DALLAS COUNTY) AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP:MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT THE AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST MANSFIELD MEDICAL CENTERPART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST MANSFIELD MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN TARRANT COUNTY, PRIMARILY SOUTHEAST TARRANT COUNTY WITH THREE LESSER POPULATED ZIP CODES FALLING IN EASTERN JOHNSON COUNTY AND NORTHWEST ELLIS COUNTY. THEREFORE, FOR THE PURPOSES OF ITS CHNA REQUIREMENT "TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM" REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 10 COVERING NINE COUNTIES INCLUDING TARRANT, JOHNSON AND ELLIS COUNTIES WAS USED. THE CHNA INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA. THE PRIMARY DATA COLLECTION ACTIVITIES INCLUDED STAKEHOLDER SURVEYS AND PROVIDER READINESS ASSESSMENTS. ADDITIONALLY, THE RHP PLAN TEAM REVIEWED AND INCORPORATED RELEVANT AND APPROPRIATE PRIOR EXISTING SUB-REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENTS. ALSO COLLECTED WAS SECONDARY DATA FROM NATIONAL AND STATE SOURCES TO CREATE A FULL COMMUNITY PROFILE THAT INCLUDES BIRTH AND DEATH CHARACTERISTICS, INDICATORS OF HEALTH CARE ACCESS, CHRONIC DISEASE PREVALENCE RATES, AS WELL AS DEMOGRAPHIC VARIABLES AFFECTING REGIONAL HEALTH SUCH AS INSURANCE STATUS, SOCIOECONOMIC STATUS AND EDUCATIONAL ATTAINMENT LEVEL. SOME DATA IS PRESENTED WITH COMPARISONS TO STATE AND NATIONAL DATA, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO INDIVIDUAL COUNTIES AND THE REGION. REGION 10 RHP CONDUCTED STAKEHOLDER SURVEYS, ASSESSED PROVIDER READINESS, COLLECTED AND ANALYZED RELEVANT DATA ABOUT THE REGION, AND ENGAGED IN EXPLORATORY CONVERSATIONS WITH A WIDE RANGE OF REGIONAL STAKEHOLDERS TO INFORM ITS DECISION-MAKING ACTIVITIES. THE REGION 10 RHP SYNTHESIZED THIS INFORMATION INTO A COMMUNITY HEALTH NEEDS ASSESSMENT SHARED WITH ALL RHP PARTICIPANTS AND THE PUBLIC THROUGH OPEN-ACCESS COMMITTEE MEETINGS, ONLINE POSTINGS, WEBINARS, AND COUNTY VISIONING SESSIONS. PARTICIPANTS FOR COMMUNITY INPUT INCLUDE: JUDGE GLEN WHITLEY, COUNTY JUDGE, TARRANT COUNTY; JUDGE BILL MCELHANEY, COUNTY JUDGE, WISE COUNTY; JUDGE DARRELL COCKERHAM, COUNTY JUDGE, HOOD COUNTY; JUDGE MARK RILEY, COUNTY JUDGE, PARKER COUNTY; JUDGE ROGER HARMON, COUNTY JUDGE, JOHNSON COUNTY; JUDGE MIKE FORD, COUNTY JUDGE, SOMERVELL COUNTY; JUDGE TAB THOMPSON, COUNTY JUDGE, ERATH COUNTY; JUDGE CAROL BUSH, COUNTY JUDGE, ELLIS COUNTY; JUDGE HM DAVENPORT JR., COUNTY JUDGE, NAVARRO COUNTY. THE AGENCIES/ENTITIES WHO WERE ALSO REPRESENTED IN COMMUNITY INPUT: MENTAL HEALTH PROVIDERS, HOSPITALS, GOVERNMENT AGENCIES, PATIENT ADVOCATES, SCHOOL DISTRICTS, PUBLIC HEALTH, COMMUNITY CLINICS, FAITH-BASED ORGANIZATIONS, ELECTED OFFICIALS, SUBSTANCE ABUSE AGENCIES AND SOCIAL WORKERS.
METHODIST RICHARDSON MEDICAL CENTERPART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST RICHARDSON MEDICAL CENTER'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY NORTHERN DALLAS COUNTY) AND COLLIN COUNTY. THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE "TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM" REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING COLLIN, GRAYSON AND ROCKWALL COUNTIES WAS USED. FOR PURPOSES OF GLEANING INPUT FROM THE COMMUNITY, THE RESULTS OF THE COMMUNITY INPUT SUMMARY FOR COLLIN COUNTY FROM TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO CHNA WERE USED WITH PERMISSION FROM TEXAS HEALTH RESOURCES TO BRING ADDITIONAL PRIMARY DATA TO THE CHNA ANALYSIS. FOR DALLAS COUNTY COMMUNITY INPUT: THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6. FOR COLLIN COUNTY COMMUNITY INPUT: THE TEXAS HEALTH PRESBYTERIAN PLANO CHNA, INTERVIEWS WERE CONDUCTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS. INFORMATION AND DATA WERE GATHERED USING TWO DIFFERENT METHODS: OPEN-ENDED DISCUSSIONS AIMED AT SOLICITING INPUT FROM THE INTERVIEW PARTICIPANTS AS TO COMMUNITY HEALTH RESOURCES AS WELL AS THE HEALTH NEEDS OF THE COMMUNITY; AND LIKERT SURVEYS CONTAINING 11 STATEMENTS REGARDING COMMUNITY HEALTH FOR WHICH PARTICIPANTS RANKED THEIR AGREEMENT OR DISAGREEMENT. PARTICIPANTS FOR THIS COMMUNITY INPUT ARE: DANELLE PARKER, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; LESLIE BAKER, TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY; MARY JO DEAN, DIRECTOR OF COMMUNITY RELATIONS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; SUSAN SHULER, EXECUTIVE DIRECTOR, PLANO CHILDREN'S MEDICAL CLINIC; TERRIE MONROE, CITY OF PLANO COMMUNITY DEVELOPMENT COORDINATOR; PATRICK MCCOY, TEXAS HEALTH RESOURCES TRUSTEE; JAMES THOMAS, PLANO ISD ADMINISTRATION; CAROLYN RICE, WELLNESS CENTER FOR OLDER ADULTS; PATTI DICKSON, WELLNESS CENTER FOR OLDER ADULTS; STEPHANIE ZABEL, NURSING SUPERVISOR, DART FLEET POOL; SEENA THOMAS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO FINANCE; DR. GIEP, INTERNAL MEDICINE PHYSICIAN; CAROL MACRORIE, TEXAS HEALTH PLANO SOCIAL WORK; AMY WILSON, PLANO INDEPENDENT SCHOOL DISTRICT NURSE; JILL VARGAS, PLANO INDEPENDENT SCHOOL DISTRICT TEACHER; TONIA CUNNINGHAM, FRISCO POLICE DEPARTMENT; TAMMY MAHAN, LIFE PATH SYSTEMS; JOHN ERNST, COLLIN COUNTY ADULT CLINIC; TANYA STASTOQUE, ASSISTANCE CENTER OF COLLIN COUNTY; SHANNON FITZGERALD, ST. ELIZABETH ANN SETON; CASSANDRA GRAHAM, RN BSN, PROGRAM COORDINATOR, FAITH COMMUNITY NURSING, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; JOAN CONWAY, FAITH COMMUNITY NURSE AND MATERNAL CHILD SPECIALIST; ANNE NEJDL, PARISH NURSE, PRINCE OF PEACE CATHOLIC CHURCH; ANGELA GWINN, PASTORAL CARE MINISTER; LYNDA SHIRLEY, CARE VAN; DEBBIE GONZALES, HISPANIC COUNSELOR, ST. MARK'S CATHOLIC CHURCH; GARNETTA ASHMORE, FAITH COMMUNITY NURSE, KELLER SPRINGS BAPTIST CHURCH; DR. SAIMA SULTA, AMERICAN MUSLIM WOMEN PHYSICIAN ASSOCIATION; IB, MADINAH MOSQUE LEADER; GLORIA THOMAS, RN, LEAD NURSE, SHILOH MISSIONARY BAPTIST CHURCH; SANDRA MILLER, FAITH COMMUNITY NURSE, SHILOH MISSIONARY BAPTIST CHURCH; KAREN GREEN, DIRECTOR OF HAVEN OF LOVE MINISTRIES DALLAS; NANCY BRILL, FAITH COMMUNITY NURSE, ST. PETER'S EPISCOPAL CHURCH, MCKINNEY.
METHODIST REHABILITATION HOSPITALPART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST REHABILITATION HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY SOUTHERN DALLAS COUNTY) AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST MCKINNEY HOSPITALPART V, SECTION B, LINE 5: METHODIST MCKINNEY HOSPITAL'S PRIMARY SERVICE AREA IS LOCATED IN COLLIN COUNTY AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE "TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM" REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING COLLIN, GRAYSON AND ROCKWALL COUNTIES WAS USED. IN ADDITION, RESULTS OF COMMUNITY INPUT SUMMARY FOR COLLIN COUNTY FROM TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO CHNA WERE USED WITH PERMISSION FROM TEXAS HEALTH RESOURCES TO BRING ADDITIONAL PRIMARY DATA TO THE CHNA ANALYSIS. FOR COMMUNITY INPUT FOR THE TEXAS HEALTH PRESBYTERIAN PLANO CHNA, INTERVIEWS WERE CONDUCTED WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS. INFORMATION AND DATA WERE GATHERED USING TWO DIFFERENT METHODS: OPEN-ENDED DISCUSSIONS AIMED AT SOLICITING INPUT FROM THE INTERVIEW PARTICIPANTS AS TO COMMUNITY HEALTH RESOURCES AS WELL AS THE HEALTH NEEDS OF THE COMMUNITY; AND LIKERT SURVEYS CONTAINING 11 STATEMENTS REGARDING COMMUNITY HEALTH FOR WHICH PARTICIPANTS RANKED THEIR AGREEMENT OR DISAGREEMENT. PARTICIPANTS FOR THE COMMUNITY INPUT ARE: DANELLE PARKER, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; LESLIE BAKER, TEXAS HEALTH CENTER FOR DIAGNOSTICS AND SURGERY; MARY JO DEAN, DIRECTOR OF COMMUNITY RELATIONS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; SUSAN SHULER, EXECUTIVE DIRECTOR, PLANO CHILDREN'S MEDICAL CLINIC; TERRIE MONROE, CITY OF PLANO COMMUNITY DEVELOPMENT COORDINATOR; PATRICK MCCOY, TEXAS HEALTH RESOURCES TRUSTEE; JAMES THOMAS, PLANO ISD ADMINISTRATION; CAROLYN RICE, WELLNESS CENTER FOR OLDER ADULTS; PATTI DICKSON, WELLNESS CENTER FOR OLDER ADULTS; STEPHANIE ZABEL, NURSING SUPERVISOR, DART FLEET POOL; SEENA THOMAS, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO FINANCE; DR. GIEP, INTERNAL MEDICINE PHYSICIAN; CAROL MACRORIE, TEXAS HEALTH PLANO SOCIAL WORK; AMY WILSON, PLANO INDEPENDENT SCHOOL DISTRICT NURSE; JILL VARGAS, PLANO INDEPENDENT SCHOOL DISTRICT TEACHER; TONIA CUNNINGHAM, FRISCO POLICE DEPARTMENT; TAMMY MAHAN, LIFE PATH SYSTEMS; JOHN ERNST, COLLIN COUNTY ADULT CLINIC; TANYA STASTOQUE, ASSISTANCE CENTER OF COLLIN COUNTY; SHANNON FITZGERALD, ST. ELIZABETH ANN SETON; CASSANDRA GRAHAM, RN BSN, PROGRAM COORDINATOR, FAITH COMMUNITY NURSING, TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO; JOAN CONWAY, FAITH COMMUNITY NURSE AND MATERNAL CHILD SPECIALIST; ANNE NEJDL, PARISH NURSE, PRINCE OF PEACE CATHOLIC CHURCH; ANGELA GWINN, PASTORAL CARE MINISTER; LYNDA SHIRLEY, CARE VAN; DEBBIE GONZALES, HISPANIC COUNSELOR, ST. MARK'S CATHOLIC CHURCH; GARNETTA ASHMORE, FAITH COMMUNITY NURSE, KELLER SPRINGS BAPTIST CHURCH; DR. SAIMA SULTA, AMERICAN MUSLIM WOMEN PHYSICIAN ASSOCIATION; IB, MADINAH MOSQUE LEADER; GLORIA THOMAS, RN, LEAD NURSE, SHILOH MISSIONARY BAPTIST CHURCH; SANDRA MILLER, FAITH COMMUNITY NURSE, SHILOH MISSIONARY BAPTIST CHURCH; KAREN GREEN, DIRECTOR OF HAVEN OF LOVE MINISTRIES DALLAS; NANCY BRILL, FAITH COMMUNITY NURSE, ST. PETER'S EPISCOPAL CHURCH, MCKINNEY.
METHODIST HOSPITAL FOR SURGERYPART V, SECTION B, LINE 5: THE MAJORITY OF METHODIST HOSPITAL FOR SURGERY'S PRIMARY SERVICE AREA IS LOCATED WITHIN DALLAS COUNTY (PRIMARILY NORTHERN DALLAS COUNTY) AND THEREFORE FOR THE PURPOSES OF ITS CHNA REQUIREMENT, THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS USED. THE DCHHS-LED CHNA WAS DEVELOPED IN COLLABORATION WITH THE PARKLAND COMMUNITY HEALTH INSTITUTE. THE SUPPORTING PUBLIC HEALTH IMPROVEMENT (PHI) WORKGROUP CONSISTED OF HEALTHCARE EXECUTIVES FROM THE LEADING HOSPITAL SYSTEMS IN DALLAS COUNTY; LEADERSHIP OF CIVIC ORGANIZATIONS, SCHOOLS AND HEALTH DEPARTMENTS; AND REPRESENTATIVES OF LOCAL UNIVERSITIES. METHODIST HEALTH SYSTEM WAS REPRESENTED ON THE PHI WORKGROUP. A TRIANGULATION OF SECONDARY QUANTITATIVE DATA, FOCUS GROUP DATA, AND INTERVIEW DATA PROVIDES INFORMATION TO THE DALLAS COUNTY CHNA. THE CHNA REFLECTS A COMMUNITY-BASED APPROACH THAT CONSIDERS BOTH QUANTITATIVE AND QUALITATIVE DATA. OVERSIGHT OF THE CHNA WAS PROVIDED BY THE DCHHS PUBLIC HEALTH INFRASTRUCTURE DIVISION AND THE PHI WORKGROUP. THE PHI WORKGROUP PROVIDED A DIVERSE PERSPECTIVE ON HEALTH ISSUES AS WELL AS ASSETS AND PRIORITIES. THERE WERE TWO COMMUNITY FOCUS GROUPS EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMANT INTERVIEWS AS KEY HEALTH ISSUES BEGAN TO EMERGE PROVIDED CONTEXT FOR AND UNDERSTANDING OF THE SECONDARY QUANTITATIVE DATA. THIS ALLOWED THE PHI WORKGROUP TO IDENTIFY AND PRIORITIZE THE TOP HEALTH ISSUES THAT FACE DALLAS COUNTY RESIDENTS. THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DALLAS COUNTY HEALTH AND HUMAN SERVICES WEBSITE FOR A TWO WEEK PUBLIC COMMENT PERIOD. AVAILABILITY OF THE DRAFT WAS ANNOUNCED AT THE DALLAS COUNTY PUBLIC HEALTH ADVISORY COMMITTEE MEETING, PARKLAND BOARD OF MANAGERS MEETING, AND SHARED WITH CHNA QUALITATIVE PARTICIPANTS AND PHI WORKGROUP FOR DISTRIBUTION. THE PHI WORKGROUP CO-CHAIRS RESPONDED TO ALL COMMENTS THAT WERE RECEIVED. THE DALLAS COUNTY PUBLIC HEALTH IMPROVEMENT WORKGROUP: MARTHA BLAINE, MBA COMMUNITY COUNCIL OF GREATER DALLAS; RICHARD BRILEY, MS CITY OF GARLAND HEALTH DEPARTMENT; RAY BUNYARD, CPA BAYLOR HEALTH CARE SYSTEM; LESLIE CASEY, HEALTH INDUSTRY COUNCIL; JENNIFER COLEMAN, MA, BAYLOR HEALTH CARE SYSTEM; SUMMER COLLINS, MPH DALLAS/FT. WORTH HOSPITAL COUNCIL; CECE COX, JD RESOURCE CENTER DALLAS; RHONDA DALFONSO, RN, DESOTO ISD; NATALIE DEAN-WOOD, FACHE, TEXAS HEALTH RESOURCES; CDR JAMES DICKENS, FNP-C, FAANP, CDC REGIONAL MINORITY HEALTH CONSULTANT; JENNIFER EDWARDS, PHD, DALLAS COUNTY HEALTH AND HUMAN SERVICES; FORNEY FLEMING, III, MD, MBA, UNIVERSITY OF TEXAS AT DALLAS; DEVIN HILL, MBA, BAYLOR HEALTH CARE SYSTEM; DENA JACKSON, PHD, DALLAS WOMEN'S FOUNDATION; KRISTIN JENKINS, JD, MBA, FACHE DALLAS/FT. WORTH HOSPITAL COUNCIL; LORETTA JOHNSON, URBAN LEAGUE OF GREATER DALLAS; EDWARD JONES, AIDS ARMS; SUZANNE KUBELKA, DALLAS INDEPENDENT SCHOOL DISTRICT; BRENDA LOCKEY, MBA, METHODIST HEALTH SYSTEM; LEONOR MARQUEZ, MBA, MSW LOS BARRIOS UNIDOS COMMUNITY CLINIC; SUE PICKENS, MED, PARKLAND HEALTH AND HOSPITAL SYSTEM; JILL SCIGLIANO, UNITED WAY; JOYCE TAPLEY, MHA, MARTIN LUTHER KING JR. FAMILY HEALTH CLINIC; VIKKI YEATTS, MSN, RN, CITY OF GARLAND HEALTH DEPARTMENT. AGENCIES REPRESENTED BY FOCUS GROUP PARTICIPANTS: AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION SOUTHWEST AFFILIATE, COMMUNITY DENTAL CARE, INJURY PREVENTION CENTER OF GREATER DALLAS, NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY, PARKLAND HEALTH AND HOSPITAL SYSTEM ASIAN OUTREACH, THE YMCA OF METROPOLITAN DALLAS, URBAN LEAGUE OF GREATER DALLAS AND NORTH CENTRAL TEXAS, U.S. ENVIRONMENTAL PROTECTION AGENCY REGION 6.
METHODIST DALLAS MEDICAL CENTERPART V, SECTION B, LINE 11: MANY OF METHODIST DALLAS MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH AND THE COOPERATION OF ITS SUBSIDIARY HEALTH CARE PROVIDERS. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST DALLAS WILL TARGET:A)PATIENTS WHO ARE ASSIGNED TO A "HOME" WITH A HEALTH CARE TEAM WHO PROVIDES SERVICES BASED ON A PATIENT'S UNIQUE HEALTH NEEDS, EFFECTIVELY COORDINATES THE PATIENT'S CARE ACROSS INPATIENT AND OUTPATIENT SETTINGS AND PROACTIVELY PROVIDES PREVENTIVE, PRIMARY, ROUTINE AND CHRONIC CARE.B)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,608 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 1,045 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.C)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,608 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 402 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.D)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 20 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 8.95 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 8.9 PERCENT OR 142 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.D)ESTABLISH FREQUENT ED USERS (SIX OR MORE VISITS PER YEAR) ESTIMATED TO BE 8.5-9 PERCENT OF TOTAL ED VISITS, OR 5,200 PATIENTS PER YEAR. WHEN COMPLETED, THE PROJECT SEEKS TO REFER AT LEAST 70 PERCENT OF THIS TARGET POPULATION TO A MORE APPROPRIATE PRIMARY CARE SETTING FOR FOLLOW-UP CARE.E)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL-CAUSE RE-ADMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. THE GOLDEN CROSS CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. MEDASSIST IS PART OF THE CHRONIC DISEASE MANAGEMENT PROGRAM OFFERED AT THE GOLDEN CROSS ACADEMIC CLINIC THAT FEATURES AN EVEN WIDER BREADTH OF SERVICES. IN ADDITION PROVIDING FOR THE SHORT TERM COST OF MEDICATIONS WHILE LONG TERM DISCOUNTS ARE SECURED, FUNDS FROM THE GOLDEN CROSS PROGRAM ALLOW PATIENTS ACCESS TO AN INTERDISCIPLINARY TEAM OF HEALTH CARE PROFESSIONALS THAT WILL INCLUDE A PRIMARY CARE PHYSICIAN, SOCIAL WORKERS AND DIETICIANS. ALONG WITH THE PATIENT, FAMILY AND FRIENDS WHO SERVE AS CAREGIVERS WILL BE INVITED TO ATTEND THE APPOINTMENTS, WHICH ARE DESIGNED TO ENSURE MEDICAL INSTRUCTIONS ARE UNDERSTOOD AND FOLLOWED. THE MEETINGS, CALLED GROUP HEALTH CARE VISITS, TAKE PLACE IN A GROUP SETTING, WHERE PATIENTS AND THEIR CAREGIVERS CAN SHARE THEIR STORIES TO BETTER LEARN HOW OTHERS ARE DEALING WITH SIMILAR CONDITIONS.THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. THERE WERE 54 PRESCRIPTIONS IN THE LAST YEAR FUNDED BY THE MHS FOUNDATION, TOTALING $5,211,TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. IN AN ATTEMPT TO ENSURE THAT ITS SERVICE AREA AND ALL OF DALLAS COUNTY, WILL HAVE AN ADEQUATE SUPPLY OF HEALTH CARE PROFESSIONALS IN THE FUTURE, METHODIST DALLAS OFFERS EXTENSIVE EDUCATIONAL AND TRAINING PROGRAMS, INCLUDING INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGERY. METHODIST DALLAS ALSO SERVES AS A TRAINING SITE FOR ALLIED HEALTH PERSONNEL AND OTHERS, INCLUDING HOSPITAL ADMINISTRATORS, NURSES, PARAMEDICS, EMERGENCY MEDICAL TECHNICIANS, PHYSICAL THERAPISTS, MEDICAL RECORDS ADMINISTRATORS, CHAPLAINS, OCCUPATIONAL THERAPISTS, PHARMACISTS, SPEECH THERAPISTS, RESPIRATORY THERAPISTS, X-RAY TECHNOLOGISTS, SOCIAL WORKERS AND DIETITIANS. (CONTINUED ON FORM 990, SCHEDULE O )
METHODIST CHARLTON MEDICAL CENTERPART V, SECTION B, LINE 11: MANY OF METHODIST CHARLTON MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH THOSE OF ITS PARENT AND BROTHER-SISTER HEALTH PROVIDERS. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS MHS WILL TARGET:A)PATIENTS ARE ASSIGNED TO A "HOME" WITH A HEALTH CARE TEAM WHO PROVIDES SERVICES BASED ON A PATIENT'S UNIQUE HEALTH NEEDS, EFFECTIVELY COORDINATES THE PATIENT'S CARE ACROSS INPATIENT AND OUTPATIENT SETTINGS AND PROACTIVELY PROVIDES PREVENTIVE, PRIMARY, ROUTINE AND CHRONIC CARE.B)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.C) BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.D)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.E)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.F)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. MHS ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. THE METHODIST CHARLTON FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR WERE FUNDED BY THE MHS FOUNDATION, TOTALING $5,211,TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA.METHODIST CHARLTON OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF SOUTHERN DALLAS COUNTY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES,INCLUDING PRIMARY AND SPECIALTY CARE, AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST CHARLTON OPENED A NEW BED TOWER IN SEPTEMBER 2009 THAT INCREASED BED CAPACITY FROM 254 TO 309 PATIENT ROOMS. IT ALSO CREATED A MORE FAMILY FRIENDLY HEALING ENVIRONMENT OFFERING LARGER, MODERN PATIENT ROOMS; MORE EFFICIENT WORKSPACES FOR NURSING STAFF; RELAXING LOBBY AND DINING AREAS FOR FAMILIES; A TELEMETRY FLOOR FOR HEART MONITORING; A SEVEN ROOM SURGICAL SUITE WITH ONE OPERATING ROOM SPECIALLY DESIGNED FOR HEART SURGERY; AND AN ORTHOPEDIC UNIT WITH A REHABILITATION ROOM. IN 2012, BUILD OUT OF THREE ADDITIONAL FLOORS OF THE PATIENT TOWER FURTHER ENHANCED METHODIST CHARLTON'S CAPACITY. THE QUICKCARE CLINIC, LOCATED IN THE OUTPATIENT CENTER OF METHODIST CHARLTON, IS OPEN DAILY WITH CONVENIENT HOURS. STAFFED BY A PHYSICIAN AND NURSE PRACTITIONER, THE CLINIC PROVIDES HIGH QUALITY CARE FOR EVERYTHING FROM SORE THROATS AND FLU TO INSECT STINGS AND POISON IVY. SERVICES ALSO INCLUDE X-RAY AND IMAGING SERVICES, PRE-EMPLOYMENT HEALTH SCREENINGS AND LABORATORY SERVICES.(CONTINUED ON FORM 990, SCHEDULE O )
METHODIST MANSFIELD MEDICAL CENTERPART V, SECTION B, LINE 11: MANY OF METHODIST MANSFIELD MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH THOSE OF ITS PARENT AND BROTHER-SISTER HEALTH PROVIDERS. CN.1 - LACK OF PROVIDER CAPACITY. PATIENTS FIND DIFFICULTY IN NAVIGATING THE SYSTEM AND HAVE NOTED THE DIFFICULTY IN FINDING A PROVIDER, PARTICULARLY MEDICAID PROVIDERS. FIVE COUNTIES ARE RECOGNIZED AS MEDICALLY UNDERSERVED AREAS. CN.2 - SHORTAGE OF PRIMARY CARE SERVICES (E.G., PEDIATRIC, PRENATAL, FAMILY CARE). FOUR COUNTIES HAVE SUCH SHORTAGES. CN.3 - SHORTAGE OF SPECIALTY CARE. THE REGION IS FACING A 22 TO 36% GROWTH IN PROVIDER DEMAND, ACROSS ALL SPECIALTIES. THE SPECIALTIES WITH THE GREATEST GROWTH IN DEMAND ARE OBSTETRICS/GYNECOLOGY, VASCULAR HEALTH, UROLOGY, HEMATOLOGY/ONCOLOGY, CARDIOLOGY, AND NEPHROLOGY. RESPONSE: METHODIST MANSFIELD HAS FOUR FAMILY HEALTH CENTERS IN THE SERVICE AREA THAT ARE ACCEPTING NEW PATIENTS. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA. THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. CN.4 - LACK OF ACCESS TO MENTAL HEALTH SERVICES. ALL BUT ONE COUNTY IN REGION 10 ARE RECOGNIZED AS HEALTH PROFESSIONS SHORTAGE AREAS FOR MENTAL HEALTH PROVIDERS. CN.5 - INSUFFICIENT INTEGRATION OF MENTAL HEALTH CARE IN THE PRIMARY CARE MEDICAL CARE SYSTEM. COMMUNITY STAKEHOLDERS CITE A NEED TO ACHIEVE BETTER INTEGRATION OF PRIMARY AND BEHAVIORAL HEALTH SERVICES IN THE PRIMARY CARE SETTING. RESPONSE: METHODIST MANSFIELD WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST MANSFIELD MEDICAL CENTER FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS. CN.6 - LACK OF ACCESS TO DENTAL CARE. TWO OF THE 9 COUNTIES ARE NATIONALLY RECOGNIZED WITH A SHORTAGE OF DENTAL PROVIDERS. RESPONSE: NEITHER METHODIST HEALTH SYSTEM NOR METHODIST MANSFIELD MEDICAL CENTER OFFER DENTAL SERVICES. THIS IS AN AREA OF COMMUNITY NEED THAT IS BEYOND THE SCOPE OF SERVICES WE PROVIDE. CN.7 - NEED TO ADDRESS GEOGRAPHIC BARRIERS THAT IMPEDE ACCESS TO CARE. THERE IS A SKEWED DISTRIBUTION OF PROVIDERS IN REGION 10, WITH MOST LOCATED IN THE MAJOR URBAN CENTERS, PARTICULARLY FORT WORTH, TARRANT COUNTY. INDIVIDUALS FROM RURAL COUNTIES HAVE DIFFICULTY WITH ACCESS TO CARE, ESPECIALLY SPECIALTY CARE. RESPONSE: METHODIST MANSFIELD HAS BUILT A ROBUST NETWORK OF PHYSICIANS IN A WIDE RANGE OF SPECIALTIES. OUR LOCATION IN A SUBURBAN TARRANT COUNTY ENABLES OUR PATIENTS TO ACCESS THE CARE THEY NEED WITHOUT REQUIRING SIGNIFICANT TRAVEL. METHODIST MANSFIELD MEDICAL CENTER WAS BUILT BASED ON THE FACT THAT THERE WAS AN UNMET NEED FOR AN ACUTE HOSPITAL IN SOUTHERN TARRANT COUNTY. THE FULL SERVICE COMMUNITY HOSPITAL WAS BUILT AS AN ANCHOR FOR ATTRACTING THE ESTABLISHMENT OF MORE PHYSICIANS AND OTHER TYPES OF HEALTH CARE PROVIDERS. THIS FACILITY OPENED WITH 88 BEDS ON DECEMBER 27, 2006 AND HAS EXCEEDED VOLUME PROJECTIONS SINCE RECEIVING ITS LICENSE. SINCE ITS OPENING 6 YEARS AGO, METHODIST MANSFIELD HAS CONTINUED TO GROW AND MORE CAPITAL INVESTMENT IS EXPECTED TO CONTINUE IN FUTURE YEARS. CN.8 - LACK OF ACCESS TO HEALTH CARE DUE TO FINANCIAL BARRIERS (I.E., LACK OF AFFORDABLE CARE). PROVIDERS OVERWHELMINGLY LIST LACK OF COVERAGE/FINANCIAL HARDSHIP AS A MAJOR BARRIER FOR LOW INCOME PATIENTS. RESPONSE: METHODIST HEALTH SYSTEM PROVIDES MORE THAN $100 MILLION IN UNCOMPENSATED CARE ANNUALLY. ADDITIONALLY, METHODIST MANSFIELD WORKS CLOSELY WITH THE JPS HEALTH NETWORK IN TARRANT COUNTY TO ASSIST PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. CN.9 - NEED FOR INCREASED GERIATRIC, LONG TERM, AND HOME CARE RESOURCES (E.G., BEDS, MEDICARE PROVIDERS). REGION 10'S POPULATION IS PROJECTED TO GROW 9% BY 2016, WITH A 26% INCREASE IN THE SENIOR POPULATION (AGES 65+). THREE COUNTIES HAVE SENIOR POPULATIONS OF BETWEEN 14 TO 20% OF TOTAL POPULATION. RESPONSE: METHODIST HEALTH SYSTEM OFFERS HOME HEALTH SERVICES THROUGH DFW HOME HEALTH, A JOINT VENTURE PARTNERSHIP BETWEEN METHODIST HEALTH SYSTEM, LHC AND TEXAS HEALTH RESOURCES. CN.10 - OVERUSE OF EMERGENCY DEPARTMENT (ED) SERVICES. DEMAND FOR ED VISITS IS ON THE RISE AND ED'S ARE BECOMING OVERCROWDED DUE TO REDUCED INPATIENT CAPACITY AND IMPAIRED PATIENT FLOW. AS A REGION, THERE WERE 1.1 MILLION VISITS TO HOSPITAL ED'S IN 2010, WITH A RATE OF 447.5 VISITS PER 1,000 PERSONS. THE 2007 NATIONAL ED VISIT RATE WAS 390.5 PER 1,000 PERSONS,INCREASING 23% SINCE 1997, BUT LOWER THAN THE ED VISIT RATE OF REGION 10. CN.11 - NEED FOR MORE CARE COORDINATION. ALL COUNTIES IDENTIFIED IT AS A SYSTEM CAP AND NEED. BARRIERS INCLUDE COMPLEXITY OF COORDINATION, LACK OF STAFF, LACK OF FINANCIAL INTEGRATION, FRAGMENTED SYSTEM SERVICE, AND PRACTICING IN SILOS. PROVIDERS DID NOT FEEL THERE WAS STRONG CARE COORDINATION BETWEEN PRIMARY CARE PROVIDERS, HOSPITALS, AND SPECIALISTS. RESPONSE: THROUGH OUR PARTICIPATION IN THE REGIONAL HEALTH PARTNERSHIP, REGION 10 AND THE DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) WILL REDUCE EMERGENCY DEPARTMENT UTILIZATION BY FREQUENT USERS BY 5 PERCENT WHEN COMPARED TO THE BASELINE. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. CN.12 - NEED FOR MORE CULTURALLY COMPETENT CARE TO ADDRESS UNMET NEEDS (E.G., LATINO POPULATION NEED CARE, TRANSLATORS, TRANSLATED MATERIALS). OVER 40% OF THE REGION'S POPULATION IS NOT CAUCASIAN, AND NEARLY ONE QUARTER ARE HISPANIC OR LATINO ORIGIN. HISPANIC AND MINORITY POPULATIONS HAVE HIGHER GROWTH RATES THAN THE WHITE POPULATION. RESEARCH SHOWS THAT CULTURALLY COMPETENT CARE SHOWS BETTER HEALTH OUTCOMES. RESPONSE: AT METHODIST HEALTH SYSTEM, WE ARE COMMITTED TO PROVIDING PATIENTS WITH QUALITY HEALTHCARE THAT IS RESPECTFUL AND SENSITIVE TO THEIR VALUES, PARTICULARLY THOSE THAT EMERGE OUT OF THEIR DIVERSE CULTURAL, ETHNIC, LINGUISTIC, AND RELIGIOUS BACKGROUNDS. WE LIVE THIS COMMITMENT BY PROVIDING MANDATORY ANNUAL COMPETENCY EDUCATION TO ALL EMPLOYEES, DELIVERING DIVERSITY, CULTURAL COMPETENCY, AND INTENTIONAL INCLUSION TRAINING WITHIN OUR NEW EMPLOYEE AND NEW LEADER ORIENTATIONS, AND BY OFFERING ONGOING EDUCATION (ON-DEMAND AND INSTRUCTOR-LED CLASSES) IN THIS AREA. ALL EMPLOYEES ALSO HAVE ACCESS TO AN INTERNAL DIVERSITY AND CULTURAL COMPETENCE WEBSITE THAT PROVIDES RELEVANT INFORMATION, CULTURAL ASSESSMENTS, AND OTHER JUST-IN-TIME TOOLS TO HELP BUILD CULTURAL AWARENESS AND STRENGTHEN THE CULTURAL COMPETENCY SKILLS OF OUR CARE PROVIDERS. CN.13 - NECESSITY OF PATIENT EDUCATION PROGRAMS. MANY COMMUNITY RESIDENTS LACK BASIC HEALTH LITERACY. CN.15 - NEED FOR MORE EDUCATION, RESOURCES AND PROMOTION OF HEALTHY LIFESTYLES (FREE AND SAFE PLACES TO EXERCISE, HEALTH SCREENINGS, HEALTH EDUCATION, HEALTHY ENVIRONMENTS, ETC.). TOP IDENTIFIED HEALTH BEHAVIORS IMPACTING AND INFLUENCING HEALTH OUTCOMES IN REGION 10 ARE ADULT OBESITY (30%) AND PHYSICAL ACTIVITY (28%). REGION HAD A LOWER RATE OF HEALTH SCREENING RATE THAN NATION AND STATE. (CONTINUED ON FORM 990, SCHEDULE O)
METHODIST RICHARDSON MEDICAL CENTERPART V, SECTION B, LINE 11: MANY OF METHODIST RICHARDSON MEDICAL CENTER COMMUNITY NEEDS ARE MET IN CONJUNCTION WITH THOSE OF ITS PARENT AND BROTHER-SISTER HEALTH PROVIDERS. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST RICHARDSON WILL TARGET:A)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 180 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 45 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.B)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 6.07 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 6.07 PERCENT OR 11 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.C)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA. THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF DALLAS COUNTY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES, BOTH PRIMARY AND SPECIALTY CARE, AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST RICHARDSON COMPLETED CONSTRUCTION OF A $120 MILLION EXPANSION PROJECT ADDING A 134 BED ACUTE CARE HOSPITAL AT THE BUSH/RENNER LOCATION. THE NEW HOSPITAL SCHEDULED OPENED IN APRIL, 2014. THE BUSH/RENNER CAMPUS IS ALSO HOME TO METHODIST RICHARDSON CANCER CENTER, WHERE SOME OF THE LATEST ADVANCEMENTS IN MEDICAL, SURGICAL AND RADIATION ONCOLOGY ARE PROVIDED IN ONE CONVENIENT LOCATION. THE CURRENT CAMPUS IS INCLUDES A FIVE STORY, 100,000 SQUARE FOOT PHYSICIAN PAVILION WITH MORE THAN 30 PHYSICIANS IN A FULL RANGE OF SPECIALTIES. METHODIST RICHARDSON OPERATES 5 FAMILY HEALTH CENTERS LOCATED THROUGHOUT RICHARDSON. EACH HEALTH CENTER SPECIALIZES IN PRIMARY CARE FOR THE ENTIRE POPULATION - BIRTH THROUGH GERIATRICS. METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: METHODIST HEALTH SYSTEM, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST RICHARDSON HAS A HIGHLY STRUCTURED, GOAL ORIENTATED, INPATIENT PSYCHIATRIC PROGRAM OFFERING SHORT TERM, CRISIS STABILIZATION CENTER FOR PATIENTS 18 YEARS OF AGE AND OLDER. PATIENTS RECEIVE INDIVIDUALIZED TREATMENT PLANS AND DAILY PROGRAM STRUCTURE. THE UNIT SPECIALIZES IN:A) BIPOLAR DISORDERSB) SCHIZOPHRENIAC) ANXIETY DISORDERSD) OTHER TYPES OF ACUTE MENTAL ILLNESS IN ADDITION TO INPATIENT CARE, BEHAVIORAL HEALTH SERVICES ARE ALSO PROVIDED THROUGH A PARTIAL DAY HOSPITAL PROGRAM, PSYCHIATRIC OUTPATIENT CARE AND A FAITH BASED INTENSIVE OUTPATIENT CARE PROGRAM. METHODIST RICHARDSON ALSO HAS AN ADDICTION RECOVERY PROGRAM THAT OPERATES BOTH INPATIENT AND OUTPATIENT CARE. THE PROGRAM SPECIALIZES IN THE TREATMENT OF:A) ALCOHOL ADDICTIONB) OPIATE ADDICTIONC) PRESCRIPTION DRUG ADDICTION.
METHODIST REHABILITATION HOSPITALPART V, SECTION B, LINE 11: METHODIST REHABILITATION HOSPITAL WORKS IN CONJUNCTION WITH ITS PARENT METHODIST HOSPITALS OF DALLAS AND IT'S BROTHER-SISTER HEALTH PROVIDERS TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. DALLAS COUNTY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST HEALTH SYSTEM WILL TARGET:A)PATIENTS ARE ASSIGNED TO A "HOME" WITH A HEALTH CARE TEAM WHO PROVIDES SERVICES BASED ON A PATIENT'S UNIQUE HEALTH NEEDS, EFFECTIVELY COORDINATES THE PATIENT'S CARE ACROSS INPATIENT AND OUTPATIENT SETTINGS AND PROACTIVELY PROVIDES PREVENTIVE, PRIMARY, ROUTINE AND CHRONIC CARE.B)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.C)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.D)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.E)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.F) PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. MHS ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. METHODIST HEALTH SYSTEM'S FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR WERE FUNDED BY THE MHS FOUNDATION TOTALING $5,211 - TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. DALLAS COUNTY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON METHODIST HEALTH SYSTEM OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF SOUTHERN DALLAS COUNTY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES BOTH PRIMARY AND SPECIALTY CARE AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION.(CONTINUED ON FORM 990, SCHEDULE O)
METHODIST MCKINNEY HOSPITALPART V, SECTION B, LINE 11: MANY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE METHODIST MCKINNEY HOSPITAL CHNA ARE MET IN CONJUNCTION WITH PROGRAMS SPONSERED BY ITS PARENT ORGANIZATION, METHODIST HEALTH SYSTEM. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. COMMUNITY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE: THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST HEALTH SYSTEM WILL TARGET:A)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.B)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.C)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.D)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.E)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. MHS ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. METHODIST HEALTH SYSTEM'S FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG-TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ERS WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR FUNDED WERE BY THE MHS FOUNDATION ,TOTALING $5,211, TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. METHODIST HEALTH SYSTEM'S COMMUNITY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. METHODIST HEALTH SYSTEM OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF METHODIST HEALTH SYSTEM'S COMMUNITY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES BOTH PRIMARY AND SPECIALTY CARE, AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. METHODIST HEALTH SYSTEM'S COMMUNITY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. (CONTINUED ON FORM 990, SCHEDULE O)
METHODIST HOSPITAL FOR SURGERYPART V, SECTION B, LINE 11: MANY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED DURING THE METHODIST MCKINNEY HOSPITAL CHNA ARE MET IN CONJUNCTION WITH PROGRAMS SPONSERED BY ITS PARENT ORGANIZATION, METHODIST HEALTH SYSTEM. 1) CHRONIC DISEASE-MULTIPLE DIAGNOSES. COMMUNITY RESIDENTS ARE INCREASINGLY BEING DIAGNOSED WITH HAVING MORE THAN ONE CHRONIC DISEASE, INCLUDING, CANCER, DIABETES AND CARDIOVASCULAR DISEASE. ADDRESSING COMMON RISK FACTORS THROUGH HEALTH PROGRAMS, MEDICAL HOMES, SCREENING AND IMPROVED PERSONAL FITNESS CAN IMPROVE THE OVERALL HEALTH OF OUR RESIDENTS. RESPONSE:THROUGH THE 1155 WAIVER / DELIVERY SYSTEM REFORM INCENTIVE PROGRAM (DSRIP) PROJECTS METHODIST HEALTH SYSTEM WILL TARGET:A)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 65 PERCENT OR 935 ARE EXPECTED TO HAVE UNCONTROLLED A1C LEVELS. THE PROJECT SEEKS TO DECREASE THE NUMBER OF TARGETED PATIENTS IN THE PROGRAM WITH UNCONTROLLED A1C LEVELS BY 3 PERCENT.B)BLOOD PRESSURE CONTROL RATE WILL RESULT IN A 3 PERCENT IMPROVEMENT OF PATIENTS IN THE PROGRAM WITH CONTROLLED BLOOD PRESSURE. OUT OF THE 1,439 PATIENTS EXPECTED TO BE IN THE PROGRAM, 25 PERCENT OR 360 ARE EXPECTED TO HAVE CONTROLLED BLOOD PRESSURE LEVELS.C)THE OUTCOME MEASURE OF DIABETIC 30 DAY READMISSION RATE WILL RESULT IN A 10 PERCENT REDUCTION OF THE DIABETES 30 DAY READMISSION RATE FROM THE TARGETED POPULATION. HISTORICALLY THE DIABETES READMISSION RATE AT THE HOSPITAL IS 5.21 PERCENT. THEREFORE, WE EXPECT THE DIABETES 30 DAY READMISSION RATE AMONG THIS TARGET POPULATION TO BE 5.21 PERCENT OR 75 PATIENTS. IN DSRIP YEAR 4, THE GOAL IS TO DECREASE DIABETES 30 DAY READMISSIONS TO THE HOSPITAL FROM THIS TARGET POPULATION BY 10 PERCENT WITH AN ADDITIONAL 10 PERCENT REDUCTION OVER DSRIP YEAR 4 IN DSRIP YEAR 5.D)THE OUTCOME MEASURE OF ALL CAUSE READMISSION RATE WILL RESULT IN A 5 PERCENT DECREASE IN ALL CAUSE READMISSIONS FROM THE TARGETED POPULATION BY DSRIP YEAR 5 BY PROVIDING BETTER CARE SITES FOR FREQUENT USERS OF ED SERVICES.E)ED PATIENTS THAT HAVE EITHER A PRINCIPAL OR SECONDARY DIAGNOSIS OF DIABETES AND NEED EDUCATION ON MANAGING DIABETES, HAVE HIGH RISK NEEDS ASSOCIATED WITH DIABETES BASED ON CLINICAL PROTOCOLS OF HBA1C >9.0 PERCENT, AT LEAST ONE ED VISIT IN THE PAST 12 MONTHS AND/OR HAVE NOT RECEIVED DIABETES EDUCATION WITHIN THE PAST FIVE YEARS. OUR ANNUAL ED VISITS ARE APPROXIMATELY 72,000.THOSE DIAGNOSED WITH DIABETES AS THE PRIMARY OR SECONDARY DIAGNOSIS IS 4,796. WE WILL ADDRESS THIS SOLUTION BY INCREASING MULTI-DISCIPLINARY TEAMS IN THE ED AND A NEW SELF-MANAGEMENT PROGRAM THAT ESTABLISHES INDIVIDUAL PATIENT GOAL. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30 DAYS POST DISCHARGE AND COMMUNITY OUTREACH. METHODIST HEALTH SYSTEM'S FAMILY HEALTH CLINIC OPERATES THE MEDASSIST PROGRAM, WHICH PROVIDES FREE PRESCRIPTION MEDICATIONS TO PATIENTS WHILE SOCIAL WORKERS NEGOTIATE WITH PHARMACEUTICAL COMPANIES FOR LONG TERM ASSISTANCE. WITHOUT PROPER MEDICATION, PATIENTS WITH CHRONIC CONDITIONS CAN DEVELOP SERIOUS, SOMETIMES FATAL MEDICAL PROBLEMS. THE ONLY OPTION FOR MANY PATIENTS IS TO SEEK TREATMENT AT THE NEAREST EMERGENCY ROOM ONCE THEIR CONDITIONS HAVE DETERIORATED. THAT CYCLE JEOPARDIZES THEIR HEALTH AND BURDENS LOCAL HOSPITALS BY OVERLOADING ER'S WITH PATIENTS WHOSE MEDICAL NEEDS COULD HAVE OTHERWISE BEEN MET. THE MEDASSIST PROGRAM PROVIDES VITAL BRIDGE MEDICATIONS. 54 PRESCRIPTIONS IN THE LAST YEAR WERE FUNDED BY THE MHS FOUNDATION TOTALING $5,211, TO PATIENTS IN FINANCIAL NEED. THROUGH PHARMACEUTICAL PARTNERSHIPS, WE ALSO CONNECTED PATIENTS TO 1,207 PRESCRIPTIONS FOR FREE MEDICATIONS VALUED AT $544,809. 2) HEALTHCARE ACCESS-HEALTH INSURANCE COVERAGE AND PHYSICIAN SHORTAGE. METHODIST HEALTH SYSTEM'S COMMUNITY HAS A LARGE PORTION OF RESIDENTS WHO ARE UNINSURED. IMPLEMENTATION OF THE AFFORDABLE CARE ACT WILL IMPACT THE PERCENTAGE OF ADULTS AND CHILDREN RECEIVING HEALTH INSURANCE COVERAGE AND WILL ALSO IMPACT PHYSICIAN TO POPULATION RATIOS FOR THE INSURED. THE CHANGING ENVIRONMENT WILL CALL FOR MONITORING PROVIDER ACCEPTANCE OF NEW PATIENTS BY PAYMENT SOURCE, AS WELL AS A NEED TO INFORM ELIGIBLE PERSONS OF ANY CHANGING INSURANCE ELIGIBILITY REQUIREMENTS. THERE IS ALSO A SHORTAGE OF PRIMARY CARE PHYSICIANS AND THEY ARE MAL-DISTRIBUTED WITHIN THE COUNTY THEREBY LEAVING AREAS UNDERSERVED. RESPONSE: MEDASSIST AIMS TO STOP THE CYCLE BY CONNECTING PATIENTS WITH LONG TERM DRUG ASSISTANCE PLANS, BRIDGING THE GAP UNTIL THOSE PLANS BEGIN AND MANAGING PATIENTS' MEDICAL CONDITIONS OVER TIME. METHODIST MAINTAINS AN ACTIVE PROGRAM TO RECRUIT PRIMARY CARE PHYSICIANS TO THE AREA (THE RECRUITMENT PROGRAM). THE RECRUITMENT PROGRAM ASSISTS ESTABLISHED MEDICAL STAFF MEMBERS IN ATTRACTING ASSOCIATES AND RECRUITS PHYSICIANS FOR SOLO PRACTICE. IN ADDITION, METHODIST OPERATES A MANAGEMENT SERVICE ORGANIZATION THAT CONTRACTS WITH PHYSICIANS FOR THE PROVISION OF COMPREHENSIVE PRACTICE MANAGEMENT SERVICES, INCLUDING PROVISION OF MEDICAL OFFICE SPACE, FURNISHINGS AND EQUIPMENT, MEDICAL AND OFFICE SUPPLIES, ALL NON-PHYSICIAN STAFF AND OTHER MANAGEMENT RESOURCES. THE MANAGEMENT SERVICE ORGANIZATION DRAMATICALLY REDUCES THE ADMINISTRATIVE BURDENS PLACED ON PHYSICIANS AND THUS, ATTRACTS PHYSICIANS TO METHODIST AND ITS SERVICE AREA. METHODIST HEALTH SYSTEM OFFERS AN EXTENSIVE FAMILY PRACTICE RESIDENCY PROGRAM THAT TRAINS, A LARGE PERCENTAGE OF THE PRIMARY CARE PHYSICIANS MANY OF WHOM CHOOSE TO STAY IN THE AREA TO ESTABLISH THEIR PRACTICES. 3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS AND LARGE GEOGRAPHIC AREAS OF METHODIST HEALTH SYSTEM'S COMMUNITY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES-PRIMARY AND SPECIALTY CARE-AND ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. METHODIST HEALTH SYSTEM'S COMMUNITY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. (CONTINUED ON FORM 990, SCHEDULE O)
METHODIST REHABILITATION HOSPITALPART V, SECTION B, LINE 21C: METHODIST REHABILITATION HOSPITAL IS A REHABILITATION HOSPITAL AND IS NOT EQUIPPED TO PROVIDE EMERGENCY CARE.
METHODIST DALLAS MEDICAL CENTERPART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST CHARLTON MEDICAL CENTERPART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST MANSFIELD MEDICAL CENTERPART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST RICHARDSON MEDICAL CENTERPART V, SECTION B, LINE 22D: UNINSURED PATIENTS WHO DO NOT QUALIFY UNDER THE FAP STILL QUALIFY FOR A 40% DISCOUNT OFF OF BILLED CHARGES. THE PERCENTAGE IS DETERMINED ANNUALLY BASED ON THE WEIGHTED AVERAGE DISCOUNT PROVIDED TO THE FOUR LARGEST HMO/PPO PLANS. INDIVIDUALS WHO APPLY FOR AND ARE DETERMINED TO QUALIFY UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY ARE NOT REQUIRED TO PAY ANY AMOUNT OF THE HOSPITAL BILL.
METHODIST REHABILITATION HOSPITALPART V, SECTION B, LINE 22D: CHARGES ARE DISCOUNTED ON A SLIDING SCALE BASED ON PATIENTS INCOME RELATIVE TO FEDERAL POVERTY GUIDELINES.
METHODIST HOSPITAL FOR SURGERYPART V, SECTION B, LINE 22D: HOSPITAL USED THE DISCOUNT AS COMPUTED UNDER ITS SELF PAY POLICY
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/FINANCIAL-ASSISTAN
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/CHARITYAPPLICATION
METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/WORKFILES/FINANCIAL/PLAIN-LANGUAGE-SUM
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
GOLDEN CROSS ACADEMIC CLINIC
122 W COLORADO BLVDDALLASTX75209FREE STANDING CLINIC AND TEACHING FACILITY
METHODIST CHARLTON FAMILY MEDICAL CENTER
3500 W WHEATLAND RDDALLASTX75237OUTPATIENT CARE AND TEACHING CENTER

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:AS PART OF ITS MISSION, MHS PROVIDES CHARITY CARE TO PATIENTS WHO LACK THE ABILITY TO PAY. THE DETERMINATION OF THE ABILITY TO PAY MAY TAKE INTO ACCOUNT A NUMBER OF FINANCIAL VARIABLES, INCLUDING BUT NOT LIMITED TO: (1) THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY (2) OTHER SOURCES OF INCOME AND ASSETS (3) LEVEL AND TYPE OF LIABILITIES (4) ABILITY TO OBTAIN ADDITIONAL CREDIT (5) THE AMOUNT AND FREQUENCY OF HOSPITAL/MEDICAL BILLS AND (6) FAMILY SIZE. ALL OR PART OF THE HOSPITAL BILL MAY BE CONSIDERED CHARITY CARE. MEDICALLY INDIGENT PATIENTS INCLUDE THOSE PATIENTS WHO ARE CAPABLE OF PAYING FOR LIVING EXPENSES, BUT WHOSE MEDICAL AND HOSPITAL BILLS, AFTER PAYMENT BY THIRD PARTY PAYERS, WOULD REQUIRE USE OR LIQUIDATION OF INCOME AND/OR ASSETS CRITICAL TO LIVING OR EARNING A LIVING. AT A MINIMUM ALL UNINSURED PATIENTS RECEIVE A 40% DISCOUNT.
PART I, LINE 7:CONSISTENT WITH ITS REPORTS PREPARED FOR ITS ANNUAL STATEMENT OF COMMUNITY BENEFITS REPORT FOR TEXAS NON-PROFIT HOSPITAL MHS RATIOS ARE BASED ON THE TOTAL PATIENT CARE OPERATING EXPENSE DIVIDED BY GROSS PATIENT SERVICE REVENUE.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES INCLUDE THE FOLLOWING: METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING, AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST DALLAS MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE. ALSO, METHODIST DALLAS STAFFS THE NEONATAL TRANSPORT TEAMS THAT ARE RESPONSIBLE FOR TRANSPORTING THE ILL NEONATES FROM OUTLYING AREAS TO METHODIST DALLAS, VIA AMBULANCE. METHODIST DALLAS ALSO PROVIDES MEDICAL CONTROL SERVICES, INCLUDING MEDICAL DIRECTION, PROTOCOL DEVELOPMENT, CONTINUING EDUCATION AND A QUALITY IMPROVEMENT INITIATIVE TO A TOTAL OF FIFTEEN FIRE DEPARTMENTS AND EMS AGENCIES IN NORTH CENTRAL TEXAS. THIS SERVICE WOULD NOT BE POSSIBLE WITHOUT BEING SUBSIDIZED. METHODIST ALSO PARTICIPATES IN THE DALLAS COUNTY AND TARRANT COUNTY INDIGENT CARE PROGRAMS WHICH ARE DESIGNED TO ENHANCE ACCESS AND DELIVERY OF COST-EFFECTIVE HEALTHCARE SERVICES TO INDIGENT PATIENTS OF DALLAS AND TARRANT COUNTIES. METHODIST ALSO SUBSIDIZES TRAMA SERVICES FOR ITS E.R.'S AND HOSPITALS AT ITS HOSPITALS.
PART I, LN 7 COL(F):NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. BAD DEBT IS TREATED AS A REDUCTION IN PATIENT REVENUE ON FORM 990, PART VIII.
PART II, COMMUNITY BUILDING ACTIVITIES:MHS BELIEVES THAT BY BEING FULLY ENGAGED IN COMMUNITY BUILDING ACTIVITIES INCLUDING, BUT NOT LIMITED TO, ECONOMIC AND WORKFORCE DEVELOPMENT, ENVIRONMENTAL AND SAFETY ISSUES, AS WELL AS COMMUNITY HEALTH ADVOCACY AND COMMUNITY SUPPORT IT CAN CONTRIBUTE BOTH DIRECTLY AND INDIRECTLY TO A HEALTHIER AND MORE VIBRANT COMMUNITY. MHS IS A MEMBER OF SEVERAL NATIONAL, STATE AND LOCAL HEALTHCARE ADVOCACY ORGANIZATIONS THAT PROMOTE HEALTHCARE POLICIES AND EDUCATE PEOPLE ON POLICIES THAT IMPACT HEALTHCARE ISSUES FACING THE COMMUNITIES. MHS ALSO PUBLISHES A COMMUNITY MAGAZINE TO KEEP THOSE IN ITS SERVICE AREA INFORMED OF ISSUES REGARDING THE CHANGES IN HEALTHCARE AS THEY ARISE AS WELL AS PROMOTING HEALTHY LIFESTYLES. MHS COMMITTS SIGNIFICANT RESOURCES IN THE AREA OF PHYICIAN RECRUITING FOR NEEDED SPECIALTIES AND IN UNDERSERVED AREAS.
PART III, LINE 2:MHS PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MHS MAINTAINS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS. THE ALLOWANCE IS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS; MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. ACCOUNTS ARE WRITTEN OFF WHEN ROUTINE BILLINGS AND COMMUNICATION WITH THE PAYOR ARE NOT EXPECTED TO RESULT IN PAYMENT. MHS COLLECTION EFFORTS CONTINUE, AND RECOVERIES OF ACCOUNTS WRITTEN OFF ARE ACCOUNTED FOR AS REDUCTIONS IN THE PROVISION FOR BAD DEBTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCREASED TO 33.3% OF GROSS ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2015 FROM 32.2% AT SEPTEMBER 30, 2014.COSTING METHODOLOGY: CONSISTENT WITH ITS REPORTS PREPARED FOR ITS ANNUAL STATEMENT OF COMMUNITY BENEFITS REPORT FOR TEXAS NON-PROFIT HOSPITAL MHS RATIOS ARE BASED ON THE TOTAL PATIENT CARE OPERATING EXPENSES DIVIDED BY GROSS PATIENT SERVICE REVENUE
PART III, LINE 3:THIER IS NOT SUFFICIENT INFORMATION TO KNOW HOW MUCH OF BAD DEBT WOULD BE ELIGIBLE TO BE CLASSIFED AS CHARITY CARE.
PART III, LINE 4:FOOTNOTE 1, PAGE 12: FINANCIAL STATEMENT FOOTNOTE: NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS AND THIRD-PARTY PAYORS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS.COSTING METHODOLOGY: CONSISTENT WITH ITS REPORTS PREPARED FOR ITS ANNUAL STATEMENT OF COMMUNITY BENEFITS REPORT FOR TEXAS NON-PROFIT HOSPITAL MHS RATIOS ARE BASED ON THE TOTAL PATIENT CARE OPERATING EXPENSES DIVIDED BY GROSS PATIENT SERVICE REVENUE
PART III, LINE 8:CONSISTENT WITH ITS ANNUAL TEXAS COMMUNITY BENEFITS REPORT THE ALLOWABLE COSTS ARE COMPUTED ON A COST TO CHARGE RATIO. SINCE MEDICARE BENEFICIARIES ARE NOT MEASURED VIA OUR CHARITY CARE POLICIES, IT IS NOT POSSIBLE TO IDENTIFY THE EXACT AMOUNT OF THE SHORTFALL THAT SHOULD BE IDENTIFIED AS A COMMUNITY BENEFIT. HOWEVER,WERE THE HOSPITAL NOT AVAILABLE TO PROVIDE CARE TO THESE INDIVIDUALS IT IS NOT LIKELY THE COMMUNITY WOULD BE ABLE TO PROVIDE ADEQUATE CARE. DUE TO THE SHORTFALL THE HOSPITAL MUST FIND OTHER SOURCES TO FUND THEIR CARE.
PART III, LINE 9B:THE DEBT COLLECTION POLICIES CALL FOR CHARITY CARE APPLICATIONS TO BE GIVEN OUT BOTH AT THE HOSPITAL AND BY THE COLLECTORS AND TO BE REVIEWED FOR QUALIFICATION UNDER THE CHARITY CARE GUIDELINES OR FOR OTHER PROGRAMS.
SCHEDULE H,PART IVMETHODIST HEALTHCARE HAS A 99% INTEREST IN METDALSPI HOLDING, LLC WHICH IN TURN OWNS A 51% INTEREST IN METDALSPI, J/V THUS GIVING METHODIST HEALTHCARE AN EFFECTIVE OWNERSHIP INTEREST OF 50.5% IN THE HOSPITAL OPERATING PARTNERSHIP.
PART VI, LINE 2:THIS COMMUNITY BENEFIT PLAN SUMMARY REPORT RELIES IN PART ON INFORMATION TAKEN FROM THE DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TITLED "HORIZONS: THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT; THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 10 COVERING NINE COUNTIES INCLUDING TARRANT, JOHNSON AND ELLIS COUNTIES; AND THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING COLLIN, GRAYSON AND ROCKWALL COUNTIES. THESE DOCUMENTS WERE USED TO CREATE METHODIST HEALTH SYSTEM FACILITIES' COMMUNITY HEALTH NEEDS ASSESSMENT AS REQUIRED BY THE IRS AND IS USED TO DEFINE THE UNMET NEEDS AND AREAS FOR HEALTH STATUS IMPROVEMENT SPECIFIC TO THE REGIONS IT SERVES.
PART VI, LINE 3:THE POLICY IS POSTED ON THE MHS WEBSITE. FURTHER SIGNAGE IS IN ALL ACCESS AREAS AS WELL AS WRITTEN INFORMATION PROVIDED TO PATIENTS UPON ADMITTANCE. THE POLICY IS ATTACHED TO PATIENT INVOICES AND BILLING PERSONNEL FOLLOW UP TO PROVIDE THE INFORMATION WHEN IN CONTACT WITH THE PATIENT.
PART VI, LINE 4:THE METHODIST SERVICE AREA IS LOCATED IN THE SOUTHERN SECTION OF DALLAS COUNTY AND EXTENDS INTO THE SOUTH EAST QUADRANT OF TARRANT COUNTY. ALSO INCLUDED ARE SOUTHWEST COLLIN COUNTY AND THE NORTHERN TIER OF BOTH JOHNSON AND ELLIS COUNTIES.LARGE PARTS OF METHODIST'S SERVICE AREA HAVE: (I) HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, (II) LOW MEDIAN HOUSEHOLD INCOME, (III) HIGH PERCENTAGES OF ADULTS WITH LESS THAN HIGH SCHOOL EDUCATION, (IV) HIGH PERCENTAGES OF BLUE COLLAR WORKERS, AND (V) LOW PERCENTAGES OF MANAGERIAL AND PROFESSIONAL WORKERS. CONSEQUENTLY, METHODIST PROVIDES LARGE AMOUNTS OF UNCOMPENSATED CARE. DURING THE PAST YEAR, THE CONDITIONS IN METHODIST'S SERVICE AREA HAVE NOT CHANGED, AND METHODIST CONTINUES TO PLAY A VITAL ROLE IN THE COMMUNITY, PARTICULARLY IN CARING FOR INDIGENTS.MANY NEIGHBORHOODS WITHIN METHODIST DALLAS' SERVICE AREA HAVE VERY HIGH POVERTY, A HIGH RATE OF BIRTHS TO TEENAGERS, HIGH PREMATURE BIRTHS, HIGH INFANT MORTALITY, LOWER THAN AVERAGE HIGH SCHOOL GRADUATION RATES, AND HIGH PERCENTAGES OF CHILDREN. THIS IS TRUE FOR THE AREAS CLOSEST TO METHODIST CHARLTON AS WELL; HOWEVER THE FAR SOUTHERN PORTIONS OF THE METHODIST SERVICE AREA AS WELL AS THE NORTHERN PORTIONS TEND TO BE MORE ECONOMICALLY STABLE WITH STRONGER SOCIOECONOMIC INDICATORS. THESE AREAS INCLUDE MIDLOTHIAN, CEDAR HILL, MANSFIELD, RICHARDSON AND PLANO.
PART VI, LINE 5:THE ORGANIZATION PARTICIPATES IN MANY COMMUNITY ACTIVITIES THAT PROMOTE PROPER HEALTH IN THE COMMUNITY. SEE DISCRIPTIONS PROVIDED IN PART III, FORM 990. THE ORGANIZATION IS COMPRISED OF A COMMUNITY BOARD, EXTENDS MEDICAL STAFF PRIVILEGESS TO ALL QUALIFIED PHYSICIANS AND COMMITS SIGNIFICANT RESOURCES TO MEDICAL EDUCATION.
PART VI, LINE 6:METHODIST HOSPITALS OF DALLAS (D/B/A) METHODIST HEALTH SYSTEM WORKS IN TANDEM WITH ITS AFFILITATES (SEE SCHEDULE R)TO MEET THE VARYING HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES.
PART VI, LINE 7, REPORTS FILED WITH STATESTX

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (32 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtRecipient EINRecipientEIN
2015 FESTIVAL OF TREES & HOLIDAY HOME TOUR
1200 BROAD STREETMANSFIELDTX76063501(C)(3)$2,500COMMUNITY OUTREACH
AMERICAN CANCER SOCIETY
8900 JOHN W CARPENTERDALLASTX75247501(C)(3)$5,000COMMUNITY OUTREACH
AMERICAN DIABETES ASSOCIATION
4100 ALPHA ROADDALLASTX75244501(C)(3)$1,000COMMUNITY OUTREACH
AMERICAN KIDNEY FUND
11921 OCKVILLE PIKEROCKVILLEMD20852501(C)(3)$1,500COMMUNITY OUTREACH
BROTHER BILLS HELPING HAND
3906 WESTMORELANDDALLASTX75212501(C)(3)$84,433COMMUNITY OUTREACH
CAREFLIGHT
3110 S GREAT SW PKWYGRAND PRAIRIETX75052501(C)(3)$5,000COMMUNITY OUTREACH
CEDAR HILL CHAMBER CARDIO SHACK
300 W HOUSTONCEDAR HILLTX75104501(C)(3)$2,300COMMUNITY OUTREACH
CEDAR HILL EDUCATION FOUNDATION
285 UPTOWN BLVDCEDAR HILLTX75104501(C)(3)$2,175COMMUNITY OUTREACH
CHRISTS FAMILY CLINIC
6409 PRESTON RDDALLASTX75205501(C)(3)$5,000COMMUNITY OUTREACH
CHURCH OF THE DISCIPLES
220 S COCKRELL RDDESOTOTX75115501(C)(3)$700COMMUNITY OUTREACH
DALLAS BAPTIST UNIV
3000 MOUNTAIN CREEK PKWYDALLASTX75211501(C)(3)$1,200COMMUNITY OUTREACH
DALLAS BLUE FOUNDATION
6125 SHERRY LANEDALLASTX75225501(C)(3)$10,000COMMUNITY OUTREACH
DALLAS COUNTY INDIGENT CARE CORP (DCICC)
PO BOX 655999DALLASTX75265501(C)(3)$28,510,894INDIGENT CARE260610562
DONATE LIFE AMERICA
701 E BYRD STRICHMONDVA23219501(C)(3)$3,110COMMUNITY OUTREACH
DUNCANVILLE FIRST BAPTIST CHURCH
323 WHEATLAND RDDUNCANVILLETX75116501(C)(3)$500COMMUNITY OUTREACH
HEART OF DUNCANVILLEBEN FRANKLIN APOTHCARY
204 MAIN STDUNCANVILLETX75116501(C)(3)$1,000COMMUNITY OUTREACH
LEUKEMIA & LYMPHOMA FOUNDATION
PO BOX 4072PITTSFIELDMA01202501(C)(3)$5,000COMMUNITY OUTREACH
MAINSTAGE CLASSIC THEATRE
1557 E BROAD STMANSFIELDTX76063501(C)(3)$500COMMUNITY OUTREACH
MANSFIELD ISD ATHLETICS HALL OF HONOR
3700 E BROAD STMANSFIELDTX76063501(C)(3)$1,000COMMUNITY OUTREACH
MARCH OF DIMES
12660 COIT RDDALLASTX75251501(C)(3)$10,000COMMUNITY OUTREACH
MAYORS BACK TO SCHOOL
1500 MARILLA STDALLASTX75201501(C)(3)$2,500COMMUNITY OUTREACH
MEDCTHE POTTERS HOUSE
6777 W KIEST BLVDDALLASTX75236501(C)(3)$4,025COMMUNITY OUTREACH
MOREHOUSE COLLEGE OF MEDICINE
702 WESTVIEW DRATLANTAGA30310501(C)(3)$300COMMUNITY OUTREACH
NATIONAL KIDNEY FOUNDATION
5429 LBJ FREEWAYDALLASTX75240501(C)(3)$250COMMUNITY OUTREACH
NAVARRO COLLEGE
3200 W 7TH AVECORSICANATX75110501(C)(3)$925COMMUNITY OUTREACH
PKD FOUNDATION
8330 WARD PKWYKANSAS CITYMO64114501(C)(3)$1,000COMMUNITY OUTREACH
SALESMANSHIP CLUB
106 E 10TH STDALLASTX75203501(C)(3)$20,000COMMUNITY OUTREACH
SOUTHWEST TRANSPLANT FOUNDATION
810 N ZANG BLVDDALLASTX75208501(C)(3)$10,000COMMUNITY OUTREACH
TARRANT COUNTY INDIGENT CARE CORP (TCICC)
612 E LAMAR BLVDARLINGTONTX76011501(C)(3)$2,491,519INDIGENT CARE260648532
TAYLORS GIFT FOUNDATION
106 N DENTON TAP RDCOPPELLTX75019501(C)(3)$5,000COMMUNITY OUTREACH
UNOSUNITED NETWORK ORGAN SHARING
700 N 4TH STRICHMONDVA23219501(C)(3)$1,000COMMUNITY OUTREACH
CENTER FOR STRATEGIC & INTERNATIONAL STUDIES
1616 RHODE ISLAND AVE NWWASHINGTON DCDC20036$5,000HEALTH CARE STUDIES521501082
FieldValueIRS element (for citing)
Total501c3 Org32Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNURSING & JUNIOR VOLUNTEER SCHOLARSHIPSGrantTypeTxt
Recipient59RecipientCnt
Cash Grant$131,540CashGrantAmt
Valuation Method UsedCASHValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE MAIN GRANTS ARE TO DCICC AND TCICC ARE MONITORED BY THE CFO AND HIS STAFF AT MHS. THE CFO OF MHS IS ON THE BOARD OF EACH ORGANIZATION. THE REMAINING GRANTS ARE MONITORED BY EITHER THE LEADERSHIP IN THE FINANCE DEPARTMENT OR LEADERSHIP OF THE HOSPITAL ADMINISTRATIVE AREA THAT WORKS WITH THE ORGANIZATION. THE GRANTS FOR NURSING AND JUNIOR VOLUNTEER SCHOLARSHIPS ARE MONITORED BY THE INTERNAL CONTROLS OF MHS TO MAKE SURE THEY ARE PAID IN ACCORDANCE WITH THE GUIDLINES OF THE PROGRAM.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 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
MUELLER STEPHEN MD
DIR/MCMC MED DIR ICU$0$0$0$0$195,000$10,000$0$0$0$0$195,000$10,000$0$0
MANSFIELD STEPHEN PHD
PRES/CEO$1,043,846$0$549,687$0$249,001$0$248,546$0$23,028$0$2,114,108$0$237,758$0
SCHAEFER MICHAEL
TREA/ ASST SEC/EVP/CFO$546,362$0$245,457$0$179,801$0$18,850$0$53,862$0$1,044,332$0$98,581$0
MILONE ROBERT
ASST TREA$167,709$0$22,593$0$934$0$12,159$0$24,481$0$227,876$0$0$0
PRICE MICHAEL
ASST SEC/CLO$397,549$0$134,837$0$44,340$0$61,023$0$33,598$0$671,347$0$40,655$0
BAUMGARTNER JOHN
SVP/CONTROLLER$328,342$0$75,287$0$76,133$0$18,601$0$30,355$0$528,718$0$50,046$0
BOX APRIL
MHSF PRES$355,478$0$104,057$0$35,495$0$42,525$0$25,682$0$563,237$0$31,080$0
BRIZIUS CHARLES
SVP$302,547$0$64,444$0$24,923$0$18,850$0$17,815$0$428,579$0$0$0
FARROW PAUL
SVP/PRES MEDHEALTH$245,928$0$52,444$0$895$0$36,180$0$14,614$0$350,061$0$0$0
FLYNN CHERYL
SVP$333,301$0$85,169$0$2,359$0$34,252$0$34,024$0$489,105$0$0$0
GERDES MELISSA
PRES ACO$198,756$0$33,908$0$895$0$9,573$0$17,251$0$260,383$0$0$0
HUTCHENRIDER EKENNETH
PRES MRMC$327,475$0$108,359$0$57,968$0$55,249$0$23,926$0$572,977$0$54,909$0
IRVINE LAURA
EVP STSTEM ALIGNMENT$499,712$0$191,188$0$60,215$0$89,331$0$10,050$0$850,496$0$55,599$0
LAUKATLS FRAN
PRES MCMC$205,734$0$35,118$0$895$0$6,109$0$14,372$0$262,228$0$0$0
LEA JAN
SVP$238,415$0$40,431$0$895$0$16,909$0$21,831$0$318,481$0$0$0
MCNUTT PAMELA
SVP$398,013$0$135,020$0$63,556$0$56,587$0$30,271$0$683,447$0$60,796$0
PHILLIPS JOHN
PRES MMMC$316,325$0$101,079$0$2,724$0$53,642$0$22,049$0$495,819$0$0$0
PIERCE LESLIE
SVP$225,568$0$38,482$0$895$0$7,895$0$18,656$0$291,496$0$0$0
STOYANOFF PAM
EVP/COO$602,717$0$207,769$0$93,288$0$97,357$0$40,648$0$1,041,779$0$87,915$0
TEDDER STEPHEN
AVP/ASST GENERAL COUNSEL$222,038$0$18,940$0$895$0$10,547$0$5,455$0$257,875$0$0$0
TRIFONEJOHN
SVP$221,346$0$35,559$0$1,672$0$22,083$0$8,219$0$288,879$0$0$0
WALKER RANDY
SVP$247,756$0$58,983$0$42,441$0$36,664$0$20,025$0$405,869$0$40,727$0
FRASIER NORA
VP MMMC$186,662$0$20,808$0$10,895$0$4,628$0$15,193$0$238,186$0$0$0
GIACOMA TRACY
VP MDMC$176,165$0$22,657$0$21,661$0$7,493$0$29,038$0$257,014$0$0$0
RAMBERGER KARLA
VP MDMC$201,729$0$32,484$0$602$0$14,490$0$17,815$0$267,120$0$0$0
SIMPSON ROBERT
VP MRMC$221,828$0$36,067$0$295$0$11,964$0$15,345$0$285,499$0$0$0
STREJC IRENE
VP MRMC$200,844$0$32,296$0$895$0$7,030$0$15,223$0$256,288$0$0$0
KOONSMAN MARTIN MD
FORMER DIR/ MDMC MEDICAL DIR$0$0$0$0$110,310$20,833$0$0$0$0$110,310$20,833$0$0
BAGCHI SAM MD
FORMER CMO$359,558$0$76,331$0$7,251$0$36,589$0$26,883$0$506,612$0$0$0
CLARKDAVID
FORMER PRES. MDMC$128,077$0$0$0$23,388$0$17,931$0$4,690$0$174,086$0$0$0
DAVIS JONATHAN
FORMER MMMC PRES$403,577$0$135,161$0$62,008$0$64,207$0$23,796$0$688,749$0$61,112$0
SEIMER SCOTT
FORMER SVP$100,861$0$0$0$5,848$0$11,280$0$3,985$0$121,974$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AORGANIZATION MAINTAINS A SOCIAL CLUB MEMBERSHIP FOR PURPOSES OF BUSINESS MEALS IN ACCORDANCE WITH ORGANIZATION POLICIES.
PART I, LINE 4BANY CONTRIBUTIIONS TO A SECTION 457(F) NON-QUALIFIED PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
PART I, LINE 5BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH
PART I, LINE 6BONUS 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP HOSPITAL SERIES 2008
A04383355187638QBF52008-09-04$200,000,000CONSTRUCTION OF MANSFIELD HOSPITAL FACILITY AND OTHER CAPITAL IMPROVEMENTS0Yes (1)0
TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP HOSPITAL SERIES 2013
B04383355187638QJA82013-07-25$199,996,833CONSTRUCT ADDITIONAL FACILITIES AT 3 CAMPUSES AND EQUIPMENT0Yes (1)0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,389,481$2,963,942200900Yes (1)Yes (1)
B$835,033201500Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)000.029500.02950Yes (1)00
B00000.004000.00400Yes (1)00

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndGross Proceeds InvestedGrossProceedsInvestedInd
A000Yes (1)Yes (1)Yes (1)0000
B000Yes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
STEPHEN MANSFIELD
CEOSPLIT-DOLLAR LIFEYes (X)$365,7110Yes (1)Yes (1)
DAVID HITT
FORMER CEOSPLIT-DOLLAR LIFEYes (X)$92,6310Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$458,342TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RUBEN VELEZ MD
BOARD MEMBER$1,000,365DR VELEZ IS A BOARD MEMBER OF MHS AND ALSO SERVES AS PRESIDENT OF DALLAS NEPHROLOGY ASSOCIATES (DNA) WHICH PROVIDES SERVICES TO METHODIST HOSPITALS OF DALLAS AND METHODIST TRANSPLANT PHYSICIANS (A WHOLLY OWNED SUBSIDIARY). DR VELEZ DOES NOT RECEIVE COMPENSATION DIRECTLY FROM MHS ONLY AS A PARTNER IN DNA. THE AMOUNT LISTED IS THE ENTIRE PAYMENT TO DALLAS NEPHROLOGY. DR VELEZ SHARE OF THE INCOME OF DALLAS NEPHROLOGY IS UNKNOWN.0
MARTIN KOONSMAN MD
BOARD MEMBER$131,193MEDICAL DIRECTOR MHS0
STEPHEN MUELLER MD
BOARD MEMBER$205,000MEDICAL DIRECTOR MHS0
DUNCAN FULTON
BOARD MEMBER$5,000PRESIDENT OF GOOD FULTON FARRELL WHICH PROVIDES CONSULTING SERVICES TO MHS. ANTICIPATED TO BE LESS THEN $5000 THIS YEAR.0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IIFormAndLineReferenceDesc
ExplanationLOANED AMOUNT IS FOR PAYMENT OF PREMIUMS IN ACCORDANCE WITH SPLIT-DOLLAR LIFE INSURANCE AGREEMENTS BETWEEN STEPHEN MANSFIELD, DAVID HITT AND MHS AS APPROVED BY THE COMPENSATION COMMITTEE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1 (CONTINUATION)SPECIFICALLY, THIS MISSION IS PURSUED BY OPERATING FOUR GENERAL ACUTE-CARE HOSPITALS, OTHER HEALTHCARE SERVICES, EDUCATION AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES IN NORTH CENTRAL TEXAS.
FORM 990, PART III, LINE 4 A (CONTINUATION)THE HOSPITALS ARE: METHODIST DALLAS MEDICAL CENTER (MDMC), A 585 LICENSED BED TEACHING REFERRAL HOSPITAL; METHODIST CHARLTON MEDICAL CENTER (MCMC),A 317 LICENSED BED HOSPITAL; METHODIST MANSFIELD MEDICAL CENTER (MMMC),A 254 LICENSED BED HOSPITAL; AND METHODIST RICHARDSON MEDICAL CENTER (MRMC) WHICH IS NOW OPERATING A 334 LICENSED BED HOSPITAL ACROSS TWO CAMPUSES. MDMC IS LOCATED NEAR DOWNTOWN DALLAS BETWEEN A STABLE RESIDENTIAL AREA ON ONE SIDE, AND AN ECONOMICALLY DEPRESSED AREA ON THE OTHER. MDMC SERVES AS A TEACHING AND REFERRAL CENTER FOR MHS, AND TRAINS NEARLY 85 RESIDENTS ANNUALLY IN INTERNAL MEDICINE, FAMILY PRACTICE, GENERAL SURGERY, OBSTETRICS AND GYNECOLOGY. IN LATE 2007 A NEW PHYSICIAN OFFICE BUILDING (POB) WAS BUILT TO INCREASE CAPACITY OF HIGH GRADE OFFICE SPACE. THE MDMC GOLDEN CROSS ACADEMIC AND INDIGENT CARE CLINIC HAD A $7M RENOVATION IN 2004. THE POB AND CLINIC HELP ATTRACT PHYSICIANS AND PATIENTS AND HAVE ACTED AS A CATALYST FOR FURTHER DEVELOPMENT AND RENOVATION OF THE AREA ADJACENT TO THE CAMPUS. IN 2015, METHODIST DALLAS CREATED THE METHODIST DIGESTIVE INSTITUTE, HANDLING EVERYTHING FROM PANCREATIC CANCER AND PANCREATITIS TO INDIGESTION AND ACID REFLUX UNITED UNDER ONE NAME. MDMC OPERATES A HIGH RISK PREGNANCY PROGRAM AND NICU. IN ADDITION TO THE MANY PERINATAL AND NEONATAL SERVICES, MDMC ALSO STAFFS A NEONATAL TRANSPORT TEAM THAT TRANSPORTS ILL NEONATES FROM OUTLYING HOSPITALS IN NORTHEAST AND CENTRAL TEXAS TO MDMC. ALSO, IN FY2015 MDMC BEGAN PROVIDING A MEDICATION THERAPY MANAGEMENT CLINIC IN THE LIVER INSTITUTE. THROUGH THIS CLINIC, HEPATITIS C PATIENTS ARE MONITORED BY EXPERT PHARMACISTS WHO MANAGE THEIR MEDICATIONS, WRITE INSURANCE DOCUMENTS, AND FOLLOW THEIR PROGRESS ON NEW DRUGS TO TREAT AND CURE HEPATITIS C. THE CLINIC OPENED IN JUNE AND BY THE END OF THE YEAR, NEARLY 90 PATIENTS HAD BEEN CURED OF THE ILLNESS. IN FY2015, MDMC HAD 15,650 DISCHARGES; 89,216 INPATIENT DAYS; 7,308 INPATIENT NEWBORN DAYS; 69,829 EMERGENCY ROOM VISITS; 4,998 INPATIENT SURGERIES; AND 4,097 OUTPATIENT SURGERIES. MCMC IS A GENERAL ACUTE CARE AND TEACHING HOSPITAL THAT SERVES THE COMMUNITIES OF SOUTHERN DALLAS COUNTY. IT HOUSES A FAMILY PRACTICE RESIDENCY PROGRAM WITH DUAL ACCREDITATION TO TRAIN BOTH ALLOPATHIC AND OSTEOPATHIC PHYSICIANS. THE CAMPUS ADDED A NEW 72 BED PATIENT TOWER IN 2012. THE NEW BED TOWER CREATED MORE MODERN PATIENT ROOMS, MORE EFFICIENT WORKSPACES FOR NURSING STAFF, A TELEMETRY FLOOR FOR HEART MONITORING, A SEVEN-ROOM SURGICAL SUITE WITH ONE OPERATING ROOM SPECIALLY DESIGNED FOR HEART SURGERY, AND AN ORTHOPEDIC UNIT WITH A REHABILITATION ROOM. THE QUICKCARE CLINIC, LOCATED ACROSS THE STREET FROM MCMC, IS OPEN SEVEN DAYS A WEEK WITH CONVENIENT HOURS. STAFFED BY A PHYSICIAN AND NURSE PRACTITIONER, THE CLINIC PROVIDES HIGH QUALITY CARE FOR EVERYTHING FROM SORE THROATS AND FLU TO X-RAY AND IMAGING SERVICES, PRE-EMPLOYMENT HEALTH SCREENINGS, AND LABORATORY SERVICES. THE OB HOSPITALIST PROGRAM LAUNCHED IN DECEMBER 2015 WITH IN-HOUSE SPECIALISTS TYPICALLY PROVIDING CARE TO AROUND A DOZEN PATIENTS EACH DAY, INCLUDING SOME WHOSE PRIVATE DOCTORS ARE TEMPORARILY UNAVAILABLE.THE OB HOSPITALIST PROGRAM ENSURES THAT A BOARD-CERTIFIED OB-GYN PHYSICIAN IS AVAILABLE AT THE HOSPITAL AT ALL HOURS, EXCLUSIVELY DEDICATED TO CARING FOR HOSPITALIZED PATIENTS. FOR WOMEN IN LABOR OR WITH OTHER OBSTETRICS OR GYNECOLOGIC CONCERNS, IT'S AN ADDITIONAL LAYER OF CARE ON WHICH PATIENTS COMING TO METHODIST CHARLTON CAN RELY. IN FY2015 MCMC HAD 12,994 DISCHARGES; 63,285 INPATIENT DAYS; 5,551 NEWBORN INPATIENT DAYS; 81,890 EMERGENCY ROOM VISITS; 2,040 INPATIENT SURGERIES; AND 2,160 OUTPATIENT SURGERIES. THE 254 BED MMMC OPENED IN 2006 AND OFFERS HIGH-QUALITY CARE TO THE GROWING AREAS OF MANSFIELD AND THE SURROUNDING COMMUNITIES. IN 2010 MMMC CELEBRATED ITS NEWLY EXPANDED ER, ICU, AND TELEMETRY FLOOR. THE $37 MILLION EXPANSION DOUBLED THE SIZE OF THE ER WITH 35 TREATMENT ROOMS, ADDED EIGHT ICU TREATMENT ROOMS AND 36 TELEMETRY PATIENT ROOMS. THIS ENSURES MMMC PROVIDES A PLACE WHERE LIFE SHINES BRIGHT AND INFANTS CAN BE BORN CLOSE TO HOME, A $9 MILLION EXPANSION OF THE WOMEN'S PAVILION WAS COMPLETED IN 2012. THE 9,413 SQUARE-FOOT ADDITION ENHANCED LABOR AND DELIVERY SERVICES AT MMMC TO A TOTAL OF 13 LDR SUITES THAT WILL ACCOMMODATE UP TO 3,800 DELIVERIES EACH YEAR. ALSO ADDED WERE AN EXPANDED ANTEPARTUM AREA, EXPANDED NURSE/PHYSICIAN WORK AREAS, AND EXPANDED C-SECTION RECOVERY AND SUPPORT. BASED ON GROWTH IN SURGICAL PROCEDURES, CONSTRUCTION WAS INITIATED IN SEPTEMBER, 2013 ON TWO NEW OPERATING ROOMS THAT CAME ON-LINE IN MARCH 2014. DUE TO CONTINUED GROWTH IN THE DEMAND FOR INPATIENT BEDS, MMMC COMPLETED IN 2015 A NEW $118 MILLION EXPANSION ADDING 118 MEDICAL-SURGICAL BEDS, 12 ICU ROOMS, AND EIGHT INTERMEDIATE CARE ROOMS. IN FY2015 MMMC HAD 9,586 DISCHARGES; 42,076 INPATIENT DAYS; 3,738 NEWBORN INPATIENT DAYS; 50,909 EMERGENCY ROOM VISITS; 1,799 INPATIENT SURGERIES; AND 1,990 OUTPATIENT SURGERIES. MRMC SERVES THE RESIDENTS OF RICHARDSON, PLANO, NORTH DALLAS, COLLIN COUNTY AND SURROUNDING COMMUNITIES. IN OCTOBER OF 2011, MHS ACQUIRED THE ASSETS OF THE RICHARDSON HOSPITAL AUTHORITY (RHA) AND CONTINUED TO OPERATE THE HOSPITAL FACILITY AS PART OF THE METHODIST HEALTH SYSTEM. THE HOSPITAL OPERATIONS OF THE 209-BED ACUTE CARE HOSPITAL ARE NOW WITHIN THE METHODIST HEALTH SYSTEM AND INCLUDED AS PART OF THIS RETURN. MRMC HAS TWO CAMPUSES: CAMPBELL ROAD AND BUSH/RENNER. UP UNTIL APRIL 2014, THE CAMPBELL ROAD CAMPUS OPERATED AS A 200-BED ACUTE CARE FACILITY WITH INDEPENDENTLY PRACTICING PHYSICIANS OFFERING MORE THAN 35 DIFFERENT SPECIALTIES ALONG WITH A FULL SERVICE EMERGENCY ROOM. THE BUSH/RENNER CAMPUS, IN EAST RICHARDSON, INCLUDED AN OUTPATIENT HOSPITAL AND FULL SERVICE EMERGENCY ROOM. IN APRIL 2014, METHODIST OPENED AN ACUTE-CARE 134 LICENSED BED INPATIENT FACILITY AT THE BUSH/RENNER CAMPUS BRINGING THE TOTAL NUMBER OF LICENSED BEDS FOR MRMC TO 334. AMONG THE ENHANCEMENTS OF THE NEW FACILITY ARE THE DOUBLED SIZE OF THE INTENSIVE CARE UNIT AND THE NEONATAL INTENSIVE CARE UNIT, AND THE ABILITY TO OPEN A SECOND CARDIAC CATHETERIZATION LAB. THE BUSH/RENNER CAMPUS IS ALSO HOME TO METHODIST RICHARDSON CANCER CENTER, WHERE SOME OF THE LATEST ADVANCEMENTS IN MEDICAL, SURGICAL AND RADIATION ONCOLOGY ARE PROVIDED IN ONE CONVENIENT LOCATION. THE BUSH/RENNER CAMPUS ALSO INCLUDES A FIVE-STORY, 100,000 SQUARE FOOT PHYSICIAN PAVILION WITH MORE THAN 30 PHYSICIANS IN A FULL RANGE OF SPECIALTIES. THE CAMPBELL ROAD CAMPUS HAS BEEN RENAMED THE METHODIST RICHARDSON MEDICAL CENTER CAMPUS FOR CONTINUING CARE. IN ADDITION TO A FULL SERVICE EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SERVICES, SUCH AS PHYSICAL MEDICINE AND A SLEEP LAB, THIS CAMPUS CONTINUES TO BE THE SITE OF MRMC'S BEHAVIORAL HEALTH PROGRAM. THIS PROGRAM INCLUDES A 62-BED INPATIENT UNIT AND INTENSIVE OUTPATIENT PROGRAMS. MRMC EXPANDED THE UNIT IN 2015 TO OFFER AN ADDITIONAL 22 INPATIENT BEDS FOR GERIATRIC BEHAVIORAL HEALTH PATIENTS. MRMC HAD 9,132 DISCHARGES; 42,295 INPATIENT DAYS; 3,155 NEWBORN INPATIENT DAYS; 41,117 EMERGENCY ROOM VISITS; 1,343 INPATIENT SURGERIES; AND 2,274 OUTPATIENT SURGERIES. MHS IS A TEACHING HEALTHCARE SYSTEM WITH PHYSICIAN RESIDENCY PROGRAMS IN SEVERAL SPECIALTIES AND TRAINING ACROSS A BROAD ARRAY OF ALLIED HEALTH PROFESSIONS. MDMC AND MCMC OPERATE ACTIVE OUTPATIENT TEACHING CLINICS STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS TRAINING NEW PHYSICIANS. MHS CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. METHODIST REHABILITATION HOSPITAL OPENED WITH 40 BEDS. IT IS NEXT DOOR TO THE MCMC CAMPUS AND IS JOINTLY OWNED WITH CENTERRE HEALTH. IT ALLOWS MHS TO PROVIDE A LARGER ARRAY OF REHABILITATIVE CARE. A PARTNERSHIP BETWEEN MHS AND AREA PHYSICIANS OPENED THE METHODIST MCKINNEY HOSPITAL IN 2010 WHICH NOW HAS 21 BEDS, AND SERVES COLLIN COUNTY AND THE SURROUNDING COMMUNITIES. METHODIST HOSPITAL FOR SURGERY IN ADDISON IS A PARTNERSHIP WITH A GROUP OF PHYSICIANS. THE 32-BED FACILITY OPENED IN 2010, AND IS A CENTER OF EXCELLENCE FOR SPINE AND ORTHOPEDIC SURGERY. (SEE CONTINUATION BELOW )
FORM 990, PART III, LINE 4 A (CONTINUATION)MHS IS COMMITTED TO ENHANCING THE AVAILABILITY OF PHYSICIANS SERVICING THE COMMUNITY. METHODIST FAMILY HEALTH CENTERS EXTEND FAMILY HEALTH CARE AND GENERAL MEDICAL SERVICES IN 29 LOCATIONS IN THE MHS SERVICE AREA. SIGNIFICANT SECTIONS OF MHS' SERVICE AREAS HAVE: HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, LOW MEDIAN HOUSEHOLD INCOME, HIGH PERCENTAGES OF ADULTS WITH LESS THAN A HIGH SCHOOL EDUCATION, HIGH PERCENTAGES OF BLUE COLLAR WORKERS, LOW PERCENTAGES OF MANAGERIAL AND PROFESSIONAL WORKERS, A HIGH RATE OF BIRTHS TO TEENAGERS, HIGH PREMATURE BIRTHS AND INFANT MORTALITY AND HIGH PERCENTAGES OF CHILDREN. CONSEQUENTLY, IN FISCAL YEAR 2015, MHS PROVIDED A SUBSTANTIAL AMOUNT OF CHARITY CARE AND GOVERNMENT-SPONSORED INDIGENT HEALTHCARE, AS WELL AS A NUMBER OF OTHER COMMUNITY BENEFITS IN ACCOMPLISHING ITS EXEMPT PURPOSE. WHETHER FINANCIALLY OR MEDICALLY INDIGENT, THERE IS NO QUESTION THAT THE DEMAND FOR HEALTHCARE FOR THE INDIGENT POPULATION IS GREAT AND THE COUNTY-SUPPORTED PARKLAND HOSPITAL IS NOT CARING FOR, AND LIKELY CANNOT CARE FOR, ALL OF THOSE WHO QUALIFY. AS A RESULT, THE MAJOR HOSPITALS SERVICING DALLAS COUNTY HAVE COLLABORATED IN THE DEVELOPMENT OF THE DALLAS COUNTY INDIGENT CARE PLAN WHICH IS PART OF THE UPL PROGRAM APPROVED BY THE STATE AND FEDERAL GOVERNMENTS. THE DSRIP (DELIVERY SYSTEM REFORM INCENTIVE PAYMENT) POOL PROVIDES PAYMENTS TO HOSPITALS AND OTHER PROVIDERS UPON THEIR ACHIEVING CERTAIN GOALS THAT ARE INTENDED TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE. DSRIP IS PART OF THE FEDERALLY APPROVED 1115 WAIVER THAT PRESERVES UPPER PAYMENT LIMIT (UPL) FUNDING UNDER A NEW METHODOLOGY, BUT ALLOWS FOR MANAGED CARE EXPANSION TO ADDITIONAL AREAS OF THE STATE. THE PROGRAM, WHICH MHS FACILITIES HAVE PARTICIPATED IN SINCE IT BEGAN, HELPS FUND EFFORTS TARGETED TOWARD PROMOTING APPROPRIATE EMERGENCY ROOM UTILIZATION, EVIDENCE BASED CLINICAL AND QUALITY IMPROVEMENT IN CHRONIC DISEASE MANAGEMENT FOR EMERGENCY ROOM PATIENTS WITH DIABETES AND ASSISTING A COMMUNITY-BASED CHARITY CLINIC IN ENHANCING THE QUALITY OF THEIR SERVICES BY ADOPTING A "MEDICAL HOME" MODEL OF PATIENT CARE. ACCOMPLISHMENTS IN FY2015 INCLUDE: ENROLLING OVER 19,000 PATIENTS INTO THE ED NAVIGATION PROGRAM ACROSS ALL FOUR MAIN CAMPUSES; 29% DECREASE IN ED VISITS AMONG PATIENTS RECEIVING IN-PERSON NAVIGATOR INTERVENTION; STRENGTHENED PARTNERSHIPS WITH DALLAS METROCARE, PARKLAND HEALTH SYSTEM, AND THE DALLAS FIRE DEPARTMENT TO EFFICIENTLY CONNECT PATIENTS TO NEEDED SERVICES; PROVIDING AND SCHEDULING REFERRALS FOR PRIMARY CARE PROVIDER APPOINTMENTS; WORKING WITH INTERDISCIPLINARY TEAMS TO PROVIDE CARE FOR PATIENTS; PROVIDING EDUCATION ON APPROPRIATE USE OF EMERGENCY DEPARTMENT AND INDIVIDUALIZED DIABETES EDUCATION, REFERRALS FOR OTHER COMMUNITY RESOURCES, ENSURED THAT PATIENTS ADMITTED FROM THE ED HAVE APPROPRIATE DIABETES-SPECIFIC ORDER SETS IN PLACE AND PERIODIC FOLLOW UP WITH PATIENTS 30-DAYS POST DISCHARGE AND COMMUNITY OUTREACH. DALLAS COUNTY'S TRAUMA RATES TYPICALLY ARE HIGHER THAN STATE AND NATIONAL TRAUMA RATES. HISTORICALLY, THE COUNTY HAS RELIED ALMOST EXCLUSIVELY ON PARKLAND MEMORIAL HOSPITAL (PARKLAND), MDMC AND BAYLOR UNIVERSITY MEDICAL CENTER (BAYLOR) TO HANDLE MAJOR TRAUMA. PARKLAND CURRENTLY OPERATES AS THE COUNTY'S PRIMARY TRAUMA FACILITY, SUPPORTED BY MDMC AND BAYLOR. MDMC'S COMMITMENT TO PROVIDE OUTSTANDING TRAUMA SERVICES TO DALLAS AND SURROUNDING COUNTIES IS DEMONSTRATED BY THE IMPROVEMENTS THAT MDMC HAS MADE WITHIN ITS OWN TRAUMA PROGRAM. MDMC IS DESIGNATED BY THE TEXAS DEPARTMENT OF HEALTH AS A LEVEL I MAJOR TRAUMA CENTER. MDMC DOES A GREAT DEAL TO FULFILL THE COMMUNITY NEED FOR EMERGENCY SERVICES. MHS RECENTLY COMPLETED A MORE THAN $108 MILLION EXPANSION TO THE MDMC EMERGENCY ROOM, CRITICAL CARE, AND SURGERY DEPARTMENTS WITH A NEW SIX-STORY TRAUMA AND CRITICAL CARE CENTER. THE 248,000 SQUARE FOOT TRAUMA AND CRITICAL CARE CENTER INCLUDES 58 NEW EMERGENCY ROOM BEDS, SIX TRAUMA SUITES, EIGHT SURGICAL SUITES, A 36-BED CRITICAL CARE UNIT WITH THE ABILITY TO EXPAND TO 11 STORIES FOR FUTURE GROWTH. MHS, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING, AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. MDMC MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE.
FORM 990, PART III, LINE 4 B (CONTINUATION)(OR WOULD, EXCEPT THAT THE EXPENSES OF COLLECTING ITS INCOME EXCEEDED THAT INCOME), AND THE CORPORATION AND ORGANIZATION FILE A CONSOLIDATED RETURN AS DESCRIBED BELOW,THEN TREAT THE TITLE HOLDING CORPORATION AS BEING ORGANIZED AND OPERATED FOR THE SAME PURPOSES AS THE OTHER EXEMPT ORGANIZATION (IN ADDITION TO THE PURPOSES DESCRIBED IN SECTION 501(C)(2)). MHD HAS CHOSEN TO CONSOLIDATE PAVILION PROPERTIES INTO BOTH ITS FORM 990 AND 990-T. FORM 851 HAS BEEN ATTACHED TO BOTH THE FORM 990 AND THE FORM 990-T FILING. COLLECTIVELY THERE HAS BEEN NO CHANGE IN PROGRAM SERVICES THIS IS JUST A CHANGE IN HOW THEY ARE REPORTED. THE REVENUES AND EXPENSES OF PAVILION PROPERTIES ARE REPORTED AS RENTAL INCOME AND EXPENSE ON LINE 6 OF PART VIII OF THIS RETURN.
FORM 990, PART VI, SECTION A, LINE 2DUNCAN FULTON,BUSINESS RELATIONSHIP WITH GEORGE SHAFER. JOHN COLLINS, BUSINESS RELATIONSHIP WITH STEVE MANSFIELD MICHAEL REDDEN, BUSINESS WITH PETE SCHENKEL MICHAEL HUTTON, BUSINESS RELATIONSHIP WITH STEVE MANSFIELD JULIE YARBROUGH, BUSINESS RELATIONSHIP WITH JOHN COLLINS
FORM 990, PART VI, SECTION B, LINE 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. FURTHER, AS PART OF THE ANNUAL FINANCIAL AUDIT OF MHS THE FORM 990 IS PROVIDED TO A NATIONAL ACCOUNTING FIRM FOR REVIEW. ADDITIONALLY,PRIOR TO FILING, A SPECIALLY APPOINTED COMMITTEE OF THE BOARD RECEIVES A DETAILED PRESENTATION OF THE FORM 990 FOR THEIR REVIEW. ONCE THIS COMMITTEE APPROVES THE FORM 990 TO BE FILED IT IS PROVIDED ELECTRONICALLY TO ALL MEMBERS OF THE BOARD FOR THEM TO REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS,DIRECTORS AND EMPLOYEES ARE REQUIRED TO FILE AN ANNUAL DISCLOSURE STATEMENT DETAILING ANY POTENTIAL CONFLICTS WHICH ARE THEN MONITORED BY THE MHS COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION B, LINE 15THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND DETERMINES THE ANNUAL COMPENSATION OF THE CEO. ALSO, ON AN ANNUAL BASIS, THE CEO PRESENTS PROPOSED MERIT AND BONUS/INCENTIVE COMPENSATION FOR SVP'S AND ABOVE TO THE COMMITTEE FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 16 THE ORGANIZATION HAS A POLICY ON PHYSICIAN JOINT VENTURES WHICH REQUIRES THE INVESTMENT TO BE REVIEWED BY MHS LEGAL AND FINANCE DIVISIONS. THIS PRACTICE IS FOLLOWED FOR ALL JOINT VENTURES. ALL JOINT VENTURE INVESTMENTS ARE APPROVED BY THE BOARD PRIOR TO THE INVESTMENT.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICES.
FORM 990, PART VIII, LINE 2CONSISTENT WITH FASB ACCOUNTING STANDARD UPDATE (ASU) 2011-07 MHS REPORTS BAD DEBTS AS A REDUCTION IN NET PATIENT REVENUE. LIKEWISE FUNCTIONAL EXPENSES DO NOT INCLUDE ANY PROVISION FOR BAD DEBTS.
FORM 990, PART XI, LINE 9:UNREALIZED GAIN ON PENSION INVESTMENT 7420. TRANSFER OF RESTRICTED ASSETS -956357. CHANGE IN ACO AND DPMN FUND BALANCES -1037156.
FORM 990, PART XII,LINE 2(C)THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE AUDIT COMMITTEE OF THE BOARD OVERSEES THE OUTSIDE AUDIT PROCESS.
FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST DALLAS MEDICAL CENTER3) HEALTH DISPARITIES-RESOURCE DESERTS. PORTIONS OF SUBURBAN AREAS LARGE GEOGRAPHIC AREAS OF SOUTHERN DALLAS COUNTY OFTEN SUFFER FROM DISPROPORTIONATE DISEASE RATES AND SUBSTANTIAL RESOURCE DESERTS. THESE DESERTS LACK KEY RESOURCES THAT OTHER PORTIONS OF THE COUNTY HAVE, INCLUDING ACCESS TO HEALTH SERVICES, BOTH PRIMARY AND SPECIALTY CARE, AS WELL AS ACCESS TO HEALTHY FOODS. RESPONSE: METHODIST DALLAS HAS COMMITTED TO INFRASTRUCTURE THROUGH THE CONSTRUCTION OF A NEW $108 MILLION TRAUMA AND CRITICAL CARE TOWER. METHODIST DALLAS OPERATES AN ACTIVE OUTPATIENT TEACHING CLINIC STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST DALLAS GOLDEN CROSS ACADEMIC CLINIC IS A FREESTANDING TEACHING FACILITY WHERE PATIENTS ARE TREATED BY A STAFF OF PROFESSIONALS INCLUDING REGISTERED NURSES, INTERNS, RESIDENTS AND FACULTY PHYSICIANS. THE GOLDEN CROSS CLINIC PROVIDES INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGICAL SERVICES. THE CLINIC SERVES A LARGE MINORITY COMMUNITY THAT HAS HIGHER INCIDENTS OF PREVENTABLE AND CHRONIC MEDICAL OUTCOMES. IT IS A VITAL COMMUNITY RESOURCE PROVIDING GREATER ACCESS TO PREVENTATIVE AND AMBULATORY HEALTH CARE SERVICES FOR THE GROWING NUMBER OF UN OR UNDER INSURED, POOR AND INDIGENT RESIDENTS IN SOUTHWEST DALLAS COUNTY. THE CLINIC STAFF IS DEDICATED TO INNOVATIVE APPROACHES TO IMPROVING COMMUNITY HEALTH ISSUES AND EXCELLENT CLINICAL OUTCOMES FOR PATIENTS. THE HIGH RISK PREGNANCY PROGRAM IS CLOSELY LINKED WITH METHODIST DALLAS' NEONATAL INTENSIVE CARE UNIT (NICU) AND TOGETHER THEY ENABLE METHODIST DALLAS TO OFFER A COMPREHENSIVE SERVICE TO THE COMMUNITY. IN ADDITION TO THE MANY PERINATAL AND NEONATAL SERVICES, METHODIST DALLAS ALSO STAFFS A NEONATAL TRANSPORT TEAM THAT TRANSPORTS ILL NEONATES FROM OUTLYING HOSPITALS IN NORTHEAST AND CENTRAL TEXAS TO METHODIST DALLAS' NICU. FURTHER, THE NEONATAL TRANSPORT TEAM AND COORDINATOR EDUCATE THE STAFF OF OUTLYING HOSPITALS IN STABILIZING ILL NEONATES IN PREPARATION FOR TRANSPORT. METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: METHODIST DALLAS IS AN INTEGRAL AND VITAL PART OF THE NORTH TEXAS TRAUMA NETWORK. METHODIST DALLAS' COMMITMENT TO PROVIDE OUTSTANDING TRAUMA SERVICES TO DALLAS AND SURROUNDING COUNTIES IS DEMONSTRATED BY THE IMPROVEMENTS THAT METHODIST DALLAS HAS MADE WITHIN ITS OWN TRAUMA PROGRAM. MDMC IS DESIGNATED BY THE TEXAS DEPARTMENT OF HEALTH AS A LEVEL I MAJOR TRAUMA CENTER. MDMC DOES A GREAT DEAL TO FULFILL THE COMMUNITY NEED FOR EMERGENCY SERVICES. MHS RECENTLY COMPLETED A MORE THAN $108 MILLION EXPANSION TO THE MDMC EMERGENCY ROOM, CRITICAL CARE, AND SURGERY DEPARTMENTS WITH A NEW SIX-STORY TRAUMA AND CRITICAL CARE CENTER. THE 248,000 SQUARE FOOT TRAUMA AND CRITICAL CARE CENTER INCLUDES 58 NEW EMERGENCY ROOM BEDS, SIX TRAUMA SUITES, EIGHT SURGICAL SUITES, A 36-BED CRITICAL CARE UNIT AND THE ABILITY TO EXPAND TO 11 STORIES FOR FUTURE GROWTH. EVEN THOUGH MUCH OF METHODIST'S ANNUAL CHARITY CARE COMES FROM TRAUMA AND EMERGENCY ROOM PATIENTS, WHO ARE OFTEN YOUNG AND UNINSURED - METHODIST SAW ITS IMPORTANCE TO THE REGION AS A WHOLE. THE METHODIST DALLAS ED TREATED OVER 69,000 PATIENTS DURING FY15. IN ADDITION, METHODIST CHARLTON TREATED OVER 81,000; METHODIST MANSFIELD TREATED OVER 50,000; AND METHODIST RICHARDSON TREATED OVER 41,000 ED PATIENTS. METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST DALLAS MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE AND PROVIDES MEDICAL CONTROL FOR BOTH GROUND AND AIR SERVICES. ALSO, METHODIST DALLAS STAFFS THE NEONATAL TRANSPORT TEAMS THAT ARE RESPONSIBLE FOR TRANSPORTING ILL NEONATES FROM OUTLYING AREAS TO METHODIST DALLAS, VIA AMBULANCE. METHODIST DALLAS ALSO PROVIDES MEDICAL CONTROL SERVICES, INCLUDING MEDICAL DIRECTION, PROTOCOL DEVELOPMENT, CONTINUING EDUCATION AND A QUALITY IMPROVEMENT INITIATIVE TO A TOTAL OF FIFTEEN FIRE DEPARTMENTS AND EMS AGENCIES IN NORTH CENTRAL TEXAS. METHODIST DALLAS GOLDEN CROSS ACADEMIC CLINIC PARTNERED WITH THE MARCH OF DIMES TO CREATE METHODIST'S PRETERM BIRTH PREVENTION PROGRAM. INSPIRED BY THE MARCH OF DIMES AND OFFERED THROUGH METHODIST'S GOLDEN CROSS CLINIC, THIS PROGRAM FEATURES A NEW MODEL FOR PRENATAL CARE AND GROUP EDUCATION FOR AT-RISK PREGNANT WOMEN AND THEIR FAMILIES WITH A GOAL OF SIGNIFICANTLY REDUCING PREMATURE BIRTHS. THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. METHODIST DALLAS AND MORE THAN A HALF DOZEN OF ITS MEDICAL STAFF PHYSICIANS MAINTAIN A RELATIONSHIP WITH LOS BARRIOS UNIDOS COMMUNITY CLINIC IN WEST DALLAS TO PROVIDE PRENATAL CARE AT THAT CLINIC AND DELIVER BABIES AT METHODIST DALLAS. IN ADDITION, METHODIST DALLAS HAS AUGMENTED AND ENHANCED PHYSICIAN SERVICES FOR HIGH RISK PREGNANCIES AT METHODIST DALLAS, INCLUDING PROVIDING AN ON SITE PERINATOLOGIST. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST DALLAS WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST DALLAS MEDICAL CENTER FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS.
FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST CHARLTON MEDICAL CENTERMETHODIST CHARLTON OPERATES AN ACTIVE OUTPATIENT TEACHING CLINICS STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINIC IS A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST CHARLTON FAMILY PRACTICE CLINIC IS A TEACHING FACILITY WHERE PATIENTS ARE TREATED BY RESIDENT PHYSICIANS SEEKING POSTGRADUATE TRAINING IN FAMILY MEDICINE, FELLOWS IN SPORTS MEDICINE TRAINING AND INSTRUCTORS AND SERVES A LARGE LOW INCOME POPULATION. THE CLINIC, OPEN FIVE DAYS A WEEK, PROVIDES SERVICES INCLUDING: A) MANAGEMENT OF CHRONIC DISEASE AND PREVENTION IN ADULTS B) ADOLESCENT CARE (HEALTH MAINTENANCE, INJURIES, MENSTRUAL PROBLEMS AND SEXUALITY ISSUES) C) GERIATRIC CARE (CHRONIC DISEASE CARE, FUNCTIONAL ASSESSMENT, HOME VISITS AND NURSING HOME CARE) D) HEALTH MAINTENANCE/ PREVENTIVE MEDICINE (HIGH BLOOD PRESSURE TREATMENT, HEART DISEASE PREVENTION AND TREATMENT, CANCER SCREENING, IMMUNIZATIONS AND DIABETES CARE). E) NUTRITION/DIABETIC COUNSELING F) PEDIATRIC CARE (CHILDHOOD ILLNESS, IMMUNIZATIONS AND WELL CHILD CARE) G) PREGNANCY CARE AND DELIVERY H) SPORTS MEDICINE (INJURIES, STRESS TESTING AND PHYSICALS) I) WOMEN'S CARE (CANCER SCREENING, BIRTH CONTROL, MENOPAUSAL CONCERNS AND PRE-PREGNANCY PLANNING) ADDITIONAL CAPACITY BEYOND WHAT EXISTS TODAY WILL BE BROUGHT ON LINE AS DEMAND DICTATES. MAJOR EFFORTS ARE ALSO UNDERWAY AT METHODIST CHARLTON TO IMPROVE OPERATING EFFICIENCIES AND PATIENT THROUGHPUT TO RELIEVE CONGESTION PARTICULARLY IN THE EMERGENCY DEPARTMENT WHICH SERVES AS A KEY ACCESS POINT FOR RESIDENTS LIVING IN THE SOUTHERN SECTOR OF DALLAS COUNTY. DEMAND KEEPS GROWING FOR METHODIST'S SERVICES PARTICULARLY AS OTHER AREA HOSPITAL PROVIDERS BECOME STRESSED AND/OR CLOSE (FOR INSTANCE IN FEBRUARY 2008 LANCASTER MEDICAL CENTER CLOSED AND IN AUGUST 2008 MESQUITE COMMUNITY HOSPITAL CLOSED). METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. ADDITIONALLY, THROUGH METHODIST'S LIVE BRIGHT WELLNESS PROGRAM AND CONGREGATIONAL HEALTH MINISTRY 600 FLU SHOTS WERE GIVEN, MORE THAN 200 BLOOD PRESSURE SCREENINGS, LIPID PANELS AND GLUCOSE SCREENINGS WERE PROVIDED AS WELL AS REACHING MORE THAN 3,300 PEOPLE WITH EDUCATION AND WELLNESS INFORMATION. 4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST CHARLTON'S FAMILY HEALTH CLINIC PARTNERED WITH THE MARCH OF DIMES TO CREATE METHODIST'S PRETERM BIRTH PREVENTION PROGRAM. INSPIRED BY THE MARCH OF DIMES AND OFFERED THROUGH METHODIST'S GOLDEN CROSS CLINIC, THIS PROGRAM FEATURES A NEW MODEL FOR PRENATAL CARE AND GROUP EDUCATION FOR AT RISK PREGNANT WOMEN AND THEIR FAMILIES WITH A GOAL OF SIGNIFICANTLY REDUCING PREMATURE BIRTHS. THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. A 69 BED UNIT NAMED SELECT SPECIALTY HOSPITAL PROVIDES HIGHLY SPECIALIZED CARE TO PROMOTE RECOVERY FROM THE MOST CRITICAL AND COMPLEX MEDICAL AND SURGICAL CONDITIONS. THE LONG TERM ACUTE CARE (LTAC) UNIT, OPERATED BY SELECT MEDICAL, AN INDEPENDENT PROVIDER, IS LOCATED IN RENOVATED SPACE IN THE ORIGINAL BED TOWER ON THE METHODIST CHARLTON CAMPUS. THE LTAC OFFERS A RESOURCE INTENSIVE LEVEL OF PHYSICIAN AND NURSING CARE, RESPIRATORY SERVICES AND INDIVIDUALIZED THERAPIES TO EXPAND THE BREADTH OF CRITICAL CARE SERVICES AND CONTINUUM OF CARE FOR THE PATIENTS WE SERVE. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST CHARLTON WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST CHARLTON MEDICAL CENTER FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS.
FORM 990,SCHEDULE H,SECTION B,LINE 11, METHODIST MANSFIELD MEDICAL CENTERRESPONSE: METHODIST MANSFIELD REGULARLY CONDUCTS HEALTH EDUCATION PROGRAMMING OPEN TO THE ENTIRE COMMUNITY. TOPICS INCLUDE A VARIETY OF HEALTH RELATED ISSUES FOR WOMEN, MEN, BACK AND SPINE, AND CARDIOLOGY. METHODIST CONDUCTS SCREENINGS FOR CANCER OF THE BREAST THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH, IN PARTNERSHIP WITH SUSAN G. KOMEN BREAST CANCER FOUNDATION, OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE KOMEN GRANT IS UNIQUE IN THAT IT PROVIDES FUNDS FOR MOBILE MAMMOGRAPHY AS WELL AS CORE BIOPSY FOLLOW-UP PROCEDURES IF THE MAMMOGRAPHY INDICATES THAT A BIOPSY IS NECESSARY. MANY OF THE WOMEN SERVED THROUGH MOBILE MAMMOGRAPHY MAY ALSO RECEIVE CARE THROUGH THE GOLDEN CROSS ACADEMIC CLINIC AND QUALIFY FOR REDUCED RATES. IN FY15, THE MOBILE MAMMOGRAPHY UNIT COMPLETED OVER 2,700 MAMMOGRAMS. CN.14 - LACK OF ACCESS TO HEALTHY FOODS. THE REGION AND THE STATE HAS MORE THAN DOUBLE THE PERCENTAGE OF ALL RESTAURANTS THAT ARE FAST FOOD ESTABLISHMENTS COMPARED TO THE NATION. RESPONSE: METHODIST HEALTH SYSTEM OFFERS AREA EMPLOYERS RESOURCE TO HELP THEIR EMPLOYEES STAY HEALTHY. THE SERVICE IS SOLD TO AREA EMPLOYERS AND INCLUDES SUCH SERVICES AS INTERACTIVE WELLNESS COACHING, WORKSHOPS, CHALLENGES AND INDIVIDUALIZED NUTRITIONAL PLANS. AS PART OF THAT EFFORT COACHING TEAMS ARE PRESENT AT AREA COMMUNITY EVENTS TO PROMOTE THE PROGRAM AND OFFER WELLNESS EDUCATION ON A MYRIAD OF TOPICS. IN FY2015 THE LIVE BRIGHT PROGRAM BROUGHT EDUCATION ABOUT NUTRITION, FITNESS AND WELLNESS TO APPROXIMATELY 2000 PEOPLE. CN.16 - HIGHER INCIDENCE RATES OF SYPHILIS AND CHLAMYDIA. TWO COUNTIES HAVE HIGHER RATES OF SYPHILIS THAN THE STATE. ONE COUNTY HAD SIGNIFICANTLY HIGHER RATE OF CHLAMYDIA, WHILE ENTIRE REGION 10 HAS HIGHER RATE THAN THE STATE AND NATION. RESPONSE: METHODIST HEALTH SYSTEM OPERATES AN ACTIVE OUTPATIENT TEACHING CLINIC STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST GOLDEN CROSS ACADEMIC CLINIC IS A FREESTANDING TEACHING FACILITY WHERE PATIENTS ARE TREATED BY A STAFF OF PROFESSIONALS INCLUDING REGISTERED NURSES, INTERNS, RESIDENTS AND FACULTY PHYSICIANS. THE GOLDEN CROSS CLINIC PROVIDES INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGICAL SERVICES. THE CLINIC SERVES A LARGE MINORITY COMMUNITY THAT HAS HIGHER INCIDENTS OF PREVENTABLE AND CHRONIC MEDICAL OUTCOMES. IT IS A VITAL COMMUNITY RESOURCE PROVIDING GREATER ACCESS TO PREVENTATIVE AND AMBULATORY HEALTH CARE SERVICES FOR THE GROWING NUMBER OF UN/UNDER INSURED, POOR AND INDIGENT RESIDENTS IN SOUTHWEST DALLAS COUNTY. THE CLINIC STAFF IS DEDICATED TO INNOVATIVE APPROACHES TO IMPROVING COMMUNITY HEALTH ISSUES AND EXCELLENT CLINICAL OUTCOMES FOR PATIENTS. CN.17 - INCOMPLETE MANAGEMENT OF VARICELLA (CHICKEN POX) CASES. REGION 10 HAS POOR RATES OF SOME CHICKEN POX, WITH NEARLY A 50% HIGHER RATE THAN NATIONAL AVERAGE (WITH RATE OF 26.3 COMPARED TO 17.9 PER 100,000, RESPECTIVELY). CN.18 - INCOMPLETE MANAGEMENT OF PERTUSSIS (WHOOPING COUGH) CASES. THE REGION HAS NEARLY A 50% HIGHER RATE THAN STATE, WITH RATE OF 10.3 COMPARED TO 5.54 PER 100,000, RESPECTIVELY). RESPONSE: THROUGH OUR FAMILY HEALTH CENTERS, PATIENTS ARE ABLE TO RECEIVE ALL APPROPRIATE VACCINATIONS FOR PREVENTIVE HEALTH NEEDS. CN.19 - NEED FOR MORE AND EARLIER ONSET OF PRENATAL CARE. NEARLY 60% OF REGION 10 MOTHERS ACCESS PRENATAL CARE WITHIN FIRST TRIMESTER, COMPARED WITH 71% NATIONAL RATE. REGION 10 HAS HIGHER TEEN BIRTH RATES THAN THE NATIONAL AVERAGE, WHILE ALSO HAVING A LOWER RATE OF LOW BIRTH WEIGHT. RESPONSE: METHODIST HEALTH SYSTEM'S GOLDEN CROSS ACADEMIC CLINIC PARTNERED WITH THE MARCH OF DIMES TO CREATE METHODIST'S PRETERM BIRTH PREVENTION PROGRAM. INSPIRED BY THE MARCH OF DIMES AND OFFERED THROUGH METHODIST'S GOLDEN CROSS CLINIC, THIS PROGRAM FEATURES A NEW MODEL FOR PRENATAL CARE AND GROUP EDUCATION FOR AT-RISK PREGNANT WOMEN AND THEIR FAMILIES WITH A GOAL OF SIGNIFICANTLY REDUCING PREMATURE BIRTHS. CN.20 - IMPROVED PUBLIC HEALTH SURVEILLANCE TO PROMOTE INDIVIDUAL AND POPULATION HEALTH. WEST NILE AND OTHER DISEASE OUTBREAKS LOCALLY HIGHLIGHT AREAS IN THE LOCAL PUBLIC HEALTH SURVEILLANCE SYSTEM THAT IS UNADDRESSED. RESPONSE: IN OCTOBER 2014, WITH THE ONSET OF AN EBOLA OUTBREAK IN DALLAS, TEXAS, METHODIST HEALTH SYSTEM RESPONDED TO THE COMMUNITY NEED BY PROVIDING SPACE FOR A STATE-OF-THE-ART EBOLA TREATMENT AND INFECTIOUS DISEASE BIOCONTAINMENT FACILITY IN NORTH TEXAS. ONE FLOOR OF THE SYSTEM'S METHODIST CAMPUS FOR CONTINUING CARE IN RICHARDSON WAS AVAILABLE IF NEEDED THRUSTING METHODIST HEALTH SYSTEM INTO THE FRONT LINES OF COMMUNICATION AND RESPONSE TO THE POTENTIAL CRISES. METHODIST WORKED IN CONJUNCTION WITH UT SOUTHWESTERN MEDICAL CENTER AND PARKLAND HOSPITAL SYSTEM TO SET UP AND MAKE THE UNIT OPERATIONAL. CN.21 - HIGH TUBERCULOSIS (TB) PREVALENCE AND LOW TREATMENT COMPLETION RATES OF LATENT TUBERCULOSIS INFECTION (LTBI) LTBI TREATMENT. RESPONSE: METHODIST HEALTH SYSTEM OPERATES AN ACTIVE OUTPATIENT TEACHING CLINIC STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE A VALUABLE ASSET IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS IN TRAINING NEW PHYSICIANS. THE METHODIST GOLDEN CROSS ACADEMIC CLINIC IS A FREESTANDING TEACHING FACILITY WHERE PATIENTS ARE TREATED BY A STAFF OF PROFESSIONALS INCLUDING REGISTERED NURSES, INTERNS, RESIDENTS AND FACULTY PHYSICIANS. THE GOLDEN CROSS CLINIC PROVIDES INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY AND GENERAL SURGICAL SERVICES. THE CLINIC SERVES A LARGE MINORITY COMMUNITY THAT HAS HIGHER INCIDENTS OF PREVENTABLE AND CHRONIC MEDICAL OUTCOMES. IT IS A VITAL COMMUNITY RESOURCE PROVIDING GREATER ACCESS TO PREVENTATIVE AND AMBULATORY HEALTH CARE SERVICES FOR THE GROWING NUMBER OF UN/UNDER INSURED, POOR AND INDIGENT RESIDENTS IN SOUTHWEST DALLAS COUNTY. THE CLINIC STAFF IS DEDICATED TO INNOVATIVE APPROACHES TO IMPROVING COMMUNITY HEALTH ISSUES AND EXCELLENT CLINICAL OUTCOMES FOR PATIENTS. CN.22 - INADEQUATE HEALTH IT INFRASTRUCTURE AND LIMITED INTEROPERABILITY TO SUPPORT INFORMATION SHARING BETWEEN PROVIDERS HINDERS CARE COORDINATION. RESPONSE: THE NORTH TEXAS HIE DISBANDED. HOWEVER, METHODIST HEALTH SYSTEM HAS PURCHASED EXPLORYS CONNECTOR WITH A 3-YEAR DEPLOYMENT PLAN BEGINNING Q3FY16 TO SERVE AS A REGISTRY TO COMPLIMENT THE EPIC COMMUNITY CONNECT ROLLOUT.
FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST REHABILITATION HOSPITAL4) INFRASTRUCTURE-UNIFYING PREVENTION EFFORTS AND MAXIMIZING RESOURCES. DALLAS COUNTY HAS AN ABUNDANCE OF HEALTH PROGRAMS AND IMPROVEMENT PLANS CURRENTLY BEING IMPLEMENTED IN SILOS. COLLABORATION TO INCREASE AWARENESS OF COUNTYWIDE EFFORTS, WHILE REDUCING COMPETITION FOR FINANCIAL RESOURCES, IS CRITICAL TO MAXIMIZE AVAILABLE PUBLIC HEALTH FUNDS. RESPONSE: THROUGH OUR CONGREGATIONAL HEALTH MINISTRY, METHODIST HEALTH SYSTEM HAS FORMED PARTNERSHIPS WITH AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THESE CONGREGATIONS. THIS MINISTRY PROVIDES GUIDANCE, SHARES RESOURCES AND ASSISTS CHURCH LEADERS IN MEETING THE WELLNESS NEEDS OF THESE COMMUNITIES OF FAITH. CONGREGATIONAL NURSING IS AN INTERNATIONAL MINISTRY WITHIN CONGREGATIONS THAT GIVES THESE CONCEPTS AND IDEAS A VISIBLE PRESENCE. THE NURSE WORKS WITH THE PASTOR AND THE HEALTH MINISTRY COMMITTEE COMPOSED OF OTHER CARING MEMBERS TO FULFILL THE HEALING MISSION OF THE CHURCH. 5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN DALLAS COUNTY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST HEALTH SYSTEM WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT THE METHODIST REHABILITATION HOSPITAL FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS.
FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST MCKINNEY HOSPITAL5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN THE COMMUNITY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST HEALTH SYSTEM WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT METHODIST HOSPITAL FOR SURGERY FOR LONG-TERM OR SHORT-TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT-TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS.
FORM 990,SCHEDULE H,SECTION B,LINE 11 FOR METHODIST HOSPITAL FOR SURGERY5) MENTAL AND BEHAVIORAL HEALTH-ILLNESS IMPACT ON HEALTH DECISIONS. INDIVIDUALS IN THE COMMUNITY SUFFERING FROM MENTAL AND BEHAVIORAL ILLNESSES FACE DECISION MAKING BARRIERS. THESE BARRIERS IMPACT COMPLIANCE WITH PREVENTIVE CARE AND TREATMENT THEREBY COMPROMISING ASPECTS OF THEIR PHYSICAL HEALTH ALSO. RESPONSE: METHODIST HEALTH SYSTEM WORKS CLOSELY WITH BEHAVIORAL HEALTH PROVIDERS THROUGHOUT THE NORTH TEXAS REGION TO ENSURE THE NEEDS OF THIS COMMUNITY ARE BEING MET. THERE ARE NO FACILITIES AT METHODIST HOSPITAL FOR SURGERY FOR LONG TERM OR SHORT TERM BEHAVIORAL HEALTH CARE TREATMENT. HOWEVER, METHODIST RICHARDSON DOES OFFER SHORT TERM INPATIENT AND OUTPATIENT BEHAVIORAL TREATMENT OPTIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
METHODIST PATIENT CENTERED ACO
1441 N BECKLEY AVEDALLASTX75203352436666MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
DALLAS METHODIST HOSPITALS FOUNDATION
1441 N BECKLEY AVEDALLASTX75203751548343FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(C)(3)LINE 7METHODIST HOSPITALS OF DALLAS0
NELLE NORRELL FOUNDATION
1441 N BECKLEY AVEDALLASTX75203756034201FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(C)(3)LINE 11A, IMETHODIST HOSPITALS OF DALLAS0
METHODIST TRANSPLANT PHYSICIANS
1441 N BECKLEY AVEDALLASTX75203010612870MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
MEDHEALTH
1441 N BECKLEY AVEDALLASTX75203752896138MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
PHYSICANS ASSOC OF SW DALLAS
1441 N BECKLEY AVEDALLASTX75203752966610MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
ASSOC IN ACUTE SURGICAL CARE
1441 N BECKLEY AVEDALLASTX75203262126265MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
MHSR MEDICAL CENTER
1441 N BECKLEY AVEDALLASTX75203264193362MEDICAL SERVICESTX501(C)(3)LINE 11A, IMETHODIST HOSPITALS OF DALLAS0
METHODIST URGENT CARE
1441 N BECKLEY AVEDALLASTX75203471054059MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
METHODIST CDI
1441 N BECKLEY AVEDALLASTX75203465265469MEDICAL SERVICESTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
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)METHODIST HOSPITALS OF DALLAS0
PAVILION PROPERTIES
1441 N BECKLEY AVEDALLASTX75203752284449REAL ESTATE TITLE HOLDINGTX501(C)(2)METHODIST HOSPITALS OF DALLAS0
METHODIST RICHARDSON FOUNDATION
2831 E PRESIDENT GEORGE BUSH HIGHWARICHARDSONTX75082751788520FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHSTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
MHS-CHC ILP
3020 W WHEATLAND RDDALLASTX75237205000978REHAB HOSPITALTXMHS-CHC LLCRELATED$3,412,399$2,048,731000.68250
MHS-CHC LLC
3020 W WHEATLAND RDDALLASTX75237204921888REHAB HOSPITALTXMETHODIST HOSPITAL OF DALLASRELATED$36,530$62,886000.75000
METHODIST MCKINNEY HOSPITAL LLC
11221 ROE AVELEAWOODKS66211208847736HOSPITALTXMETHODIST HOSPITAL OF DALLASRELATED$5000Yes (1)0.57180
MHD-USO MANAGEMENT COMPANY LP
ONE POST STREET 35TH FLOORSAN FRANCISCOTX94104203844027MEDICAL SERVICESTXNORTH TEXAS HEALTH FACILITIES MANGMTRELATED$1,571,525$3,413,205000.71400
METHODIST MCKINNEY HOSPITAL PROPERTY
11221 ROE AVELEAWOODKS66211261943814REAL ESTATE HOLDINGTXMETHODIST HOSPITAL OF DALLASRELATED$1,044,023$19,188,5430Yes (1)0.59900
METDALSPI LLC
11221 ROE AVELEAWOODKS66211263195791HOSPITALTXN/A
METDALSPI HOLDING LLC
11221 ROE AVELEAWOODKS66211263207402HOSPITALTXMETHODIST HOSPITAL OF DALLASRELATED$7,564,448-$11,511,7200Yes (1)0.99000
SRPMEDICA INVESTORS - ADDISON LP
8343 DOUGLAS AVE SUITE 350DALLASTX75225264517265REAL ESTATE HOLDINGTXMETHODIST HOSPITAL OF DALLASRELATED$331,615-$1,686,932000.22250
MHD-USO GENERAL LLC
ONE POST ST35TH FLOOR ATTN TAX DEPTSAN FRANCISCOCA94104203843579MEDICAL SERVICESTXNORTH TEXAS HEALTH FACILITIES MGMTRELATED0Yes (1)0.50000
MHSS MOB - ADDISON LP
8343 DOUGLAS AVE SUITE 350DALLASTX75225270216329REAL ESTATE HOLDINGTXN/A
LHCG XXXIII LLC
420 WEST PINHOOK RD SUITE ALAFAYETTELA70503454894023HOME CARELAN/A
METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC
5775 WAYZATA BLVD 400ST LOUIS PARKMN55416472352211MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASRELATED$179,128000.51000
METHODIST URGENT CARE OF TEXAS LLC
265 BROOKVIEW CENTRE WAY 400KNOXVILLETN37919352509140MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASRELATED-$1,444$445,497000.51000
TEXAS REHABILITATION HOSPITAL OF ARLINGTON LLC
113 SEABOARD LANEFRANKLINTN37067371748838MEDICAL SERVICESTXN/A
DALLAS FT WORTH ACO LLC
612 E LAMAR BLVD 6TH FLOORARLINGTONTX76011473388285MEDICAL SERVICESTXMETHODIST HOSPITAL OF DALLASRELATED000.20000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
1441 N BECKLEY AVEDALLASTX75203751700994FACILITY AND PHYSICIAN MGMTTXMETHODIST HOSPITALS OF DALLASC-$390,067$6,031,6691.000000
METHCATH OIL COMPANY
4833 ROYAL LANEDALLASTX75229751974095OIL & GAS HOLDINGSTXMETHODIST HOSPITALS OF DALLASC$1,570$7,2000.500000
COLLECTECH FINANCIAL SERVICESINC
1441 N BECKLEY AVEDALLASTX75203752369856BILLING & COLLECTIONTXNORTH TEXAS FACILTIES MGMTC-$50,033$256,6101.000000
RICHARDSON PHYSICIAN ALLIANCE
1441 N BECKLEY AVEDALLASTX75203770591925PHYSICIAN ORGANIZATIONTXMETHODIST HOSPITALS OF DALLASC-$210$1,3751.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (42 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ASSOC IN SURGICAL CARE
D$5,282,855I/C PAYABLE
ASSOC IN SURGICAL CARE
L$2,400CASH
COLLECTECH FINANCIAL SERVICESINC
D$700,671I/C PAYABLE
COLLECTECH FINANCIAL SERVICESINC
O$213,490FMV
COLLECTECH FINANCIAL SERVICESINC
L$26,400CASH
DALLAS COUNTY INDIGENT CARE CORP
B$28,510,894CASH
DALLAS METHODIST PHYSICIANS NETWORK
D$213,946FMV
DALLAS METHODIST PHYSICIANS NETWORK
J$55,678CASH
MEDDALSPI LLC
S$5,857,137CASH
MEDHEALTH
J$18,270,021FMV
MEDHEALTH
D$63,378,978I/C PAYABLE
MEDHEALTH
L$172,465ACCOUNTING FEES
MEDHEALTH
M$811,250FACILITY MANAGEMENT
MEDHEALTH
L$47,150IT SUPPORT
MEDHEALTH
L$41,988LAB FEES
MEDHEALTH
J$1,958,747RENT
METDALSPI LLC
L$76,276IT SUPPORT
METHODIST HOSPITAL FOUNDATION
Q$1,888,162CASH
METHODIST HOSPITAL FOUNDATION
C$20,172,083PROGRAM SUPPORT
METHODIST MCKINNEY HOSPITAL LLC
L$65,975IT SUPPORT
METHODIST MCKINNEY HOSPITAL PROPERTY LLC
F$643,484CASH
METHODIST MCKINNEY HOSPITAL LLC
F$4,198,088CASH
METHODIST PATIENT CENTERED ACO
D$4,063,321CASH
METHODIST PATIENT CENTERED ACO
L$315,235CASH
METHODIST PATIENT CENTERED ACO
F$1,753,634CASH
METHODIST TRANSPLANT PHYSICIANS
L$203,648BILLING
METHODIST TRANSPLANT PHYSICIANS
D$26,208,254I/C PAYABLE
METHODIST TRANSPLANT PHYSICIANS
L$201,554IT SUPPORT
METHODIST TRANSPLANT PHYSICIANS
L$52,260ACCOUNTING FEES
METHODIST TRANSPLANT PHYSICIANS
K$403,270RENT
MHS-CHC ILP
F$2,612,089CASH
MHS-CHC ILP
J$1,138,671CASH
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
K$61,507FMV
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
D$4,366,940CASH
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
F$1,570,800FMV
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
M$553,459FMV
PHYSICIANS ASSOC OF SW DALLAS
L$30,240ACCOUNTING FEES
PHYSICIANS ASSOC OF SW DALLAS
D$1,607,625I/C PAYABLE
PHYSICIANS ASSOC OF SW DALLAS
M$296,020BILLING FEES
PHYSICIANS ASSOC OF SW DALLAS
L$2,144,499EMPLOYEE PURCHASED SERVICES
SRPMEDICA INVESTORS - ADDISON LP
F$292,606CASH
TARRANT COUNTY INDIGENT CARE CORP
B$2,491,519CASH

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