2015-11-13T14:34:29-06:00 2014-12-31 861065772 Deloitte Tax LLP 1111 Bagby Street Suite 4500 Houston TX 770024196 990 2014-01-01 760556120 Methodist Primary Care Group METH 8326676160 6565 Fannin No GB-240 Houston TX 770302707 Jeff Carr Secretary 7134411058 2015-11-13 1 Jeffrey D Frank P00287234 7139822000 2014 2016-03-07 17:11:31Z HOUSTON METHODIST PRIMARY CARE GROUP Stephen E Spielman 6565 Fannin No GB-240 Houston TX 770302707 9314076 0 X www.houstonmethodist.org X 1996 TX See Schedule O. 9 0 189 0 0 0 148968 0 2605338 9098877 0 0 2278784 215199 5033090 9314076 0 0 0 0 6398605 13398195 0 0 0 1891770 6391741 8290375 19789936 -3257285 -10475860 1007516 4198074 46782624 60449042 -45775108 -56250968 X See Schedule O. 0 0 18727525 9123365 See Schedule O. 18727525 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 189 1 0 0 0 0 0 0 0 0 0 0 0 X 9 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X Edward L Tyrrell 8326676160 6565 Fannin GB240 Houston TX 77030 BRUCE C KENNEDY Director-part year 10.00 40.00 X 0 326905 51929 GREGORY TERRY Director 45.00 5.00 X 302324 78700 1593 DALBIR PUREWAL Director 50.00 0.00 X 194720 0 17549 RACHEL D BISHOP Director 50.00 0.00 X 172782 0 20672 DEEPSHIKHA SHARDA Director 50.00 0.00 X 162718 0 19054 MAHENDRA G JAIN Director 50.00 0.00 X 329492 0 20175 NICOLINE LEE Director 50.00 0.00 X 73639 0 21173 MARIA CARMEN VISUS Director 50.00 0.00 X 74270 0 279 SUSAN MILLER Director-part year 15.00 35.00 X 0 192492 39900 TAYMA S SHAYA Director-part year 15.00 35.00 X 0 165752 39010 JULIA DORIS ANDRIENI Director 15.00 35.00 X 0 337655 14151 CHRISTOPHER P ROBBEN Director/Chairperson 20.00 30.00 X X 0 470756 55809 STEPHEN E SPIELMAN President/CEO 5.00 45.00 X 0 414430 41987 JEFFREY T CARR Secretary 20.00 30.00 X 0 246107 28499 DAVID W CAMPBELLIV Treasurer 20.00 30.00 X 0 273295 38639 LIZABETH RILEY Physician 50.00 0.00 X 183915 0 16634 LINDA C PORTER TUCCI Physician 50.00 0.00 X 210817 0 31912 MARIA MELITA PALASI Physician 50.00 0.00 X 226892 0 20120 MARTHA FRANCES GERTEISEN Physician 50.00 0.00 X 229673 0 3883 SONYA KHAN Physician 50.00 0.00 X 187368 0 3699 DONNA A GARES Former Officer, President/CEO, part year 0.00 0.00 X 0 620154 52792 JONATHAN D STURGIS Former Officer, Treasurer, part year 0.00 0.00 X 0 257431 48869 2348610 3383677 588328 29 1 1 0 South Coast Construction 8935 Knight Rd Houston TX 77054 Construction 941896 Brivic Media Inc 10200 Richmond Ave Suite 110 Houston TX 77042 Media Services 560132 Wilson Architectural Group Inc PO Box 22484 Houston TX 77227 Architect Services 129322 3 Patient Services 900099 9098877 9098877 9098877 Miscellaneous Revenue 900099 190711 190711 Intercompany Revenue 900099 24488 24488 215199 9314076 9123365 0 190711 1410322 1410322 9454815 9236082 218733 579019 569857 9162 1290765 1259515 31250 663274 647502 15772 410257 410257 957561 957561 1443094 1443094 1575 1575 648418 648418 148074 148074 48878 48878 247473 247473 126676 126676 Other Expenses 916614 891614 25000 Management Fees 760919 760919 Medical Supplies 582555 582555 Physician Research & Ed 98779 98779 868 868 19789936 18727525 1062411 0 200 1564 146587 797472 2731033 267830 704142 2463203 156587 935835 1007516 4198074 244382 1031069 46538242 59417973 46782624 60449042 X -45775108 -56250968 -45775108 -56250968 1007516 4198074 -10475860 0 X 0 1 X 1 0 X X 1 The Methodist Hospital 741180155 3 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Part IV, Section C. Type II Support Organizations Houston Methodist Hospital (HMH) is the sole corporate memeber of The Healthcare Group (THG) which is the sole coporate memeber of Houston Methodist Primary Care Group (MPCG). Therefore, HMH has the authority to appoint and remove all board members of THG and ultimately control over MPCG. 1460114 45441 1414673 1270919 222389 1048530 2463203 Construction in Progress 935835 935835 Due to Related Organizations 59417973 59417973 X Part X, Line 2: Methodist Primary Care Group's financial statements are included in the consolidated financial statements of Houston Methodist(HM) which were audited by an independent accountant. HM did not recognize any adjustments related to uncertain tax positions as of December 31, 2014. 0 1 0 0 0 0 0 0 0 BRUCE C KENNEDY Director-part year 0 260595 0 47125 0 19185 0 21125 0 30804 0 378834 0 0 GREGORY TERRY Director 238814 23709 59484 54667 4026 324 0 0 1475 118 303799 78818 0 0 DALBIR PUREWAL Director 190039 0 0 0 4681 0 16470 0 1079 0 212269 0 0 0 RACHEL D BISHOP Director 168002 0 3000 0 1780 0 0 0 20672 0 193454 0 0 0 DEEPSHIKHA SHARDA Director 162167 0 0 0 551 0 3212 0 15842 0 181772 0 0 0 MAHENDRA G JAIN Director 241965 0 60000 0 27527 0 4962 0 15213 0 349667 0 0 0 SUSAN MILLER Director-part year 0 184526 0 0 0 7966 0 19749 0 20151 0 232392 0 0 TAYMA S SHAYA Director-part year 0 165632 0 0 0 120 0 12020 0 26990 0 204762 0 0 JULIA DORIS ANDRIENI Director 0 334494 0 0 0 3161 0 975 0 13176 0 351806 0 0 CHRISTOPHER P ROBBEN Director/Chairperson 0 407388 0 56244 0 7124 0 21328 0 34481 0 526565 0 0 STEPHEN E SPIELMAN President/CEO 0 302790 0 97460 0 14180 0 22965 0 19022 0 456417 0 0 JEFFREY T CARR Secretary 0 193945 0 40306 0 11856 0 16099 0 12400 0 274606 0 0 DAVID W CAMPBELLIV Treasurer 0 210118 0 47435 0 15742 0 18352 0 20287 0 311934 0 0 LIZABETH RILEY Physician 151157 0 27280 0 5478 0 0 0 16634 0 200549 0 0 0 LINDA C PORTER TUCCI Physician 149899 0 60000 0 918 0 3175 0 28737 0 242729 0 0 0 MARIA MELITA PALASI Physician 164080 0 60000 0 2812 0 3374 0 16746 0 247012 0 0 0 MARTHA FRANCES GERTEISEN Physician 168692 0 60000 0 981 0 2877 0 1006 0 233556 0 0 0 SONYA KHAN Physician 186762 0 0 0 606 0 0 0 3699 0 191067 0 0 0 DONNA A GARES Former Officer, President/CEO, part 0 420634 0 75418 0 124102 0 23623 0 29169 0 672946 0 0 JONATHAN D STURGIS Former Officer, Treasurer, part year 0 207183 0 38432 0 11816 0 20360 0 28509 0 306300 0 0 Part I, Line 3 The CEO of this organization is employed by a related organization who utilized the following items to establish compensation: (1)compensation committee; (2)independent compensation consultant; (3)compensation survey or study; (4)approval by the board or compensation committee. Part I, Lines 4a-b 4-a Houston Methodist has a formal severance plan. Eligible employees include all staff, including hourly staff up through senior vice presidents, provided they work at least 20 hours per week and are not otherwise covered by a physician employment agreement. The plan only provides salary and benefits in the event an eligible employee is involuntarily terminated due to the elimination of their position, or if their current position is significantly impacted by an organizational restructuring or change in requirement and a comparable position is not available within the organization. The eligible person must also sign a termination agreement in order to receive salary continuation and benefits under the plan to which they would not normally be eligible to receive under a voluntary resignation. During 2014, no reportable individuals received severance payments from this plan. 4-b The Supplemental Employee Retirement Plan (SERP) is a non qualified employer funded plan. Contributions are made annually into a tax deferred account and are considered taxable upon vesting (i.e. completion of three years of vesting service). Once vested, each year's subsequent contribution is taxable within the calendar year in which the deposit was made. Account balances cannot be accessed until retirement or termination (whichever occurs first) and may be subject to non-revocable distribution options selected upon employment. Bruce C Kennedy: $14,466, Stephen E Spielman: $1,878, David W Campbell: $11,954, Jonathan D Sturgis: $4,068, and Donna A Gares: $79,022, all received monies from SERP described above. Form 990, Part I and Part III, Line 1 This organization is part of The Methodist Hospital, doing business as Houston Methodist Hospital, whose mission is: To provide high quality, cost-effective health care that delivers the best value to the people we serve in a spiritual environment of caring in association with internationally recognized teaching and research. Form 990, Part III, Line 4a Houston Methodist Primary Care Group is dedicated to providing quality patient care for the entire family with locations throughout the Greater Houston area. Houston Methodist Primary Care Group is proud to be a part of Houston Methodist and its family of hospitals, ensuring efficient access to hospital services whenever the need arises. As members of the Greater Houston community, Houston Methodist Primary Care Group is committed to the well-being of our patients, providing the right care at the right time in convenient locations throughout the Houston area. Houston Methodist Primary Care Group physicians offer all services commonly provided by primary care physicians which include health promotion and maintenance, disease prevention, patient education and diagnosis and treatment of acute and chronic illnesses. In 2014, Houston Methodist Primary Care Group provided services to 33,736 unique patients that totaled 76,512 patient encounters. As of December 31, 2014, Houston Methodist Primary Care Group employed 43 physicians and 128 staff FTEs. Form 990, Part VI, Section A, line 6 TMH Health Care Group is the sole member of this organization. The sole member of TMH Health Care Group is The Methodist Hospital, doing business as Houston Methodist Hospital (the parent corporation). Form 990, Part VI, Section A, line 7a The Member of the Corporation (TMH Health Care Group) appoints the Board of Directors. Form 990, Part VI, Section A, line 7b The member of the corporation (TMH Health Care Group) reserves the following approval powers: -Budgets: Annual capital and operating budgets for the Corporation and any financial expenditure which deviates therefrom if the sum of such deviating financial expenditure and the aggregate of all prior deviating financial expenditures for the fiscal year is greater than $5,000; -Debt: Any incurrence or guarantee of any debt, directly or indirectly, by the Corporation or by any subsidiary of the Corporation; -Corporate Modification: Any dissolution, merger, consolidation, sale or other modification of the Corporation or any creation, dissolution, merger, consolidation, sale or other modification of any subsidiary of the Corporation; -Property: Any acquisition, sale, lease, mortgage, or other transfer or encumbrance (i) of any real property of the Corporation or (ii) of any personal property of the Corporation of a value in excess of $10,000; -Financial Relations: Any affiliation, joint venture, contract, employment, retention, indemnification or other arrangements between the Corporation and any insurer, health maintenance organization, preferred provider organization, medical school, hospital, clinic, pharmacy, physician, or other provider of health or related services, including, without limitation, all service terms and compensation arrangements; -Compensation: Adoption or amendment of salaries or other compensation (including the awarding of any incentive compensation) with respect to the officers of the Corporation, physician employees of the Corporation, and physicians who are independent contractors to the Corporation; -Selections: Selection of the Corporation's auditors and legal counsel; -Grants: The giving, seeking or receiving of grants; -Litigation and Claims: The commencement of litigation or the settlement of litigation or other claims; -Fee Schedule: Approval of the adoption or amendment of fee schedules relating to patient services; and -Other Matters: Any other matters with respect to which exclusive authority is granted to the Member by the Statute, the Articles of the Bylaws. Form 990, Part VI, Section B, line 11 Management, including certain Officers, works diligently to complete the Form 990 and attached schedules (Return) in a thorough manner. The Return is prepared by a Paid Preparer. Form 990, Part VI, Section B, line 12c All Individuals serving in a significant decision making capacity complete a Conflict of Interest (COI) questionnaire annually. A comprehensive evaluation and thorough review of all disclosures is performed by a 6-member COI Committee comprised of executives, management, and staff. The results of the COI disclosures are reported to the parent corporation, Houston Methodist Hospital's Audit & Compliance Committee and Board of Directors, including the actions being taken to protect the integrity of decision-making. In addition, disclosure results are also communicated to management and to affected committee chairs to promote transparency and to ensure that actions are taken and restrictions are imposed where appropriate. Conflicted individuals may not vote or exert self-serving influence on the disclosed matter. Form 990, Part VI, Section B, Lines 15a & 15b: The parent corporation, Houston Methodist Hospital, follows IRS regulations as it relates to establishing a rebuttable presumption of reasonableness related to total compensation of top officers of the organization listed below. It has established a rigorous process that includes the following elements: A separate committee of independent directors (the "Board Committee") meets at least annually to review, deliberate and make recommendations to the full Board as it relates to any changes in total compensation including base pay, bonus awards from incentive programs or benefits and perquisites of the CEO. For 2014, the Board Committee reviewed and recommended the following compensation packages: - Chief Operating Officer, TMH Physician's Organization, doing business as Houston Methodist Specialty Physician Group who also serves as the President/CEO of this organization. The Board Committee establishes that no member has any conflict of interest with regard to the executive compensation arrangements being approved. The Board Committee reviews and considers information provided by an external consultant engaged to ensure it has direct access to: -Compensation information paid by comparable organizations, for functionally comparable positions. -Compensation norms in the organization's immediate locale and from other independent compensation surveys by nationally recognized independent firms that represent the organization's logical peer group. -Compensation information that includes information on base salary, incentives, benefits and perquisites for total compensation comparison purposes to ensure reasonable competitive ranking. The Board Committee relies on the comparability data to reach consensus that its recommendations to the Board regarding executive compensation changes are reasonable and in line with the organization's overall total compensation philosophy for executive pay. The deliberation and decisions of the committee are contemporaneously substantiated. The compensation for positions held by the other compensated Officers, Directors and Key Employees listed on Part VII, is determined based on a thorough review of numerous compensation studies conducted by nationally recognized, independent firms that provide market data for total compensation for similar positions. The compensation information considered includes information on base salary, incentives, and benefits for total compensation purposes to ensure reasonable competitive ranking in order to meet recruitment and retention objectives that secure the talent required to contribute to organizational success. Form 990, Part VI, Section C, line 19 The governing documents (except the Articles of Incorporation, which are on file with the Secretary of the State of Texas), conflict of interest policy and financial statements of the organization are not made available to the general public Methodist Hospital Group 6565 Fannin Houston TX 77030 352410801 Health Care TX 501 ( c ) (3) Line 11b, II The Methodist Hospital 0 Methodist Hospital Self-Insurance Trust 6565 Fannin Houston TX 77030 741948396 Insurance Trust TX 501 ( c ) (3) Line 11a,I The Methodist Hospital 0 Stehlin Foundation 6565 Fannin Houston TX 77030 741622404 Inactive TX 509(a)(2) Line 9 Houston Methodist Research Institute 0 Lone Star Pathology PLLC 6565 Fannin Houston TX 77030 472979550 Medical Services TX 501 ( c ) (3) Line 3 TMH Physician Organization 0 Medvest 1 Limited Partnership 6565 Fannin Houston TX 77030 760534067 Health Care Investments TX N/A Litchfield Memorial Partners LP 800 Town and Country Blvd Ste 200 Houston TX 77024 364778395 Property Investment TX N/A Allied Methodist Hospital Physicians 6565 Fannin Houston TX 77030 760551274 Physician Group TX N/A C 0 Medvest Holdings Inc 6565 Fannin Houston TX 77030 760667765 Health Care Investments TX N/A C 0 Medvest Incorporated 6565 Fannin Houston TX 77030 760182470 Health Care Investments TX N/A C 0 Methodist Willowbrook MOB Condominium Assoc 6565 Fannin Houston TX 77030 680500294 Condo Assoc TX N/A C 0 Methodist Willowbrook MOB Condominium Assoc II 6565 Fannin Houston TX 77030 262137993 Condo Assoc TX N/A C 0 San Jacinto Methodist - Alexander Condominium Assoc 6565 Fannin Houston TX 77030 470921764 Condo Assoc TX N/A C 0 SJMH Condominium Association 6565 Fannin Houston TX 77030 412096917 Condo Assoc TX N/A C 0 The Methodist Hospital Condominium Association 6565 Fannin Houston TX 77030 861065871 Condo Assoc TX N/A C 0 TMH Medical Office Buildings Condominium Assoc 6565 Fannin Houston TX 77030 760287893 Condo Assoc TX N/A C 0 Methodist West Houston Medical Office Building Assoc 6565 Fannin Houston TX 77030 300655123 Condo Assoc TX N/A C 0 Methodist Health Care System Short Term Disability Plan Trust 6565 Fannin Houston TX 77030 766161019 Short Term Disability Plan TX N/A T 0 Romlac Inc 6565 Fannin Houston TX 77030 741674943 Real Estate Investment TX N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1