2015-08-17T16:36:59-05:00 2014-09-30 990 2013-10-01 750800661 METHODIST HOSPITALS OF DALLAS METH 2149474581 1441 N BECKLEY AVE DALLAS TX 752031201 MICHAEL J SCHAEFER EXEC VICE PRES/CFO 2149474581 2015-08-17 2013 2016-03-07 17:11:31Z X METHODIST HEALTH SYSTEM MICHAEL J SCHAEFER 1441 N BECKLEY AVE DALLAS TX 75203 1112437517 0 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/ X 1935 TX TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. 27 24 7566 1650 3263253 1590386 10930912 10416651 941175723 1067068246 7244524 12155284 8320728 7290293 967671887 1096930474 40062165 26758436 0 0 458156305 491784391 0 0 210392 335451382 441353235 833669852 959896062 134002035 137034412 1520835385 1693625688 508590802 537913422 1012244583 1155712266 X TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE IN A MANNER THAT REFLECTS A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING, 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. 0 0 862538223 26758436 1070500266 THE 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 4 GENERAL ACUTE-CARE HOSPITALS AND OTHER HEALTHCARE SERVICES, EDUCATION AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES IN NORTH CENTRAL TEXAS. HOSPITALS ARE: METHODIST DALLAS MEDICAL CENTER (MDMC), A 585 LICENSED BED TEACHING REFERRAL HOSPITAL; METHODIST CHARLTON MEDICAL CENTER(MCMC) A 285 LICENSED BED HOSPITAL; METHODIST MANSFIELD MEDICAL CENTER (MMMC), A 168 LICENSED BED HOSPITAL; AND METHODIST RICHARDSON MEDICAL CENTER(MRMC)WHICH IS NOW OPERATING A 339 LICENSED BED HOSPITAL ACROSS 2 CAMPUSES.METHODIST REHABILITATION HOSPITAL OPENED WITH 40 BEDS. IT IS NEXT DOOR TO THE MCMC CAMPUS AND IS JOINTLY OWNED WITH CENTERRE HEALTH. IT ALLOWS US TO PROVIDE A LARGER ARRAY OF REHABILITATIVE CARE.A PARTNERSHIP BETWEEN MHS AND AREA PHYSICIANS PROVIDED FOR THE OPENING OF 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 AND THE ONLY FACILITY OF ITS KIND IN NORTH TEXAS. 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 28 LOCATIONS IN THE MHS SERVICE AREA. MDMC IS ON A CAMPUS 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 BLDG. (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. MDMC HAD 18,820 DISCHARGES, 91,452 INPATIENT DAYS, 7,105 INPATIENT NEWBORN DAYS, 64,029 EMERGENCY ROOM VISITS, 5,642 INPATIENT SURGERIES, AND 3,535 OUTPATIENT SURGERIES. MDMC OPERATES A HIGH RISK PREGNANCY PROGRAM AND NICU. APPROXIMATELY 600 INFANTS ARE DISCHARGED FROM THE NICU EACH YEAR. 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 & CENTRAL TEXAS TO MDMC.MCMC IS A GENERAL ACUTE CARE AND TEACHING HOSPITAL THAT SERVES THE COMMUNITIES OF SOUTHERN DALLAS COUNTY. IT HOUSES ONE OF ONLY THREE FAMILY PRACTICE RESIDENCY PROGRAMS IN THE DALLAS/FORT WORTH AREA WITH DUAL ACCREDITATION TO TRAIN BOTH ALLOPATHIC AND OSTEOPATHIC PHYSICIANS. THE CAMPUS RECENTLY ADDED A NEW 72 BED PATIENT TOWER. MCMC IS THE LARGEST MEDICAL FACILITY SERVING SOUTHERN DALLAS COUNTY AND THE SURROUNDING COMMUNITIES. 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 RECENT BUILD OUT OF THREE ADDITIONAL FLOORS OF THE PATIENT TOWER HAS FURTHER ENHANCED MCMC'S CAPACITY. THE NEW QUICKCARE CLINIC, LOCATED IN THE OUTPATIENT CENTER OF 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. DEMAND KEEPS GROWING FOR METHODIST'S SERVICES PARTICULARLY AS OTHER AREA HOSPITAL PROVIDERS BECOME STRESSED AND/OR CLOSE. MCMC HAD 13,549 DISCHARGES 64,213 INPATIENT DAYS, 5,707 NEWBORN INPATIENT DAYS, 74,431 EMERGENCY ROOM VISITS, 2,124 INPATIENT SURGERIES,AND 2,045 OUTPATIENT SURGERIES.THE 168 BED MMMC OPENED IN 2006 AND OFFERS HIGH-QUALITY CARE TO THE GROWING AREAS OF MANSFIELD AND THE SURROUNDING COMMUNITIES. THE HOSPITAL RECENTLY COMPLETED AN EXPANSION INCLUDING A 36 BED MEDICAL-SURGICAL UNIT, ADDITIONAL OPERATING SUITES, AND AN EXPANDED EMERGENCY DEPARTMENT. MHS CHOSE TO BUILD A FULL SERVICE COMMUNITY HOSPITAL IN MANSFIELD AS AN ANCHOR FOR ATTRACTING THE ESTABLISHMENT OF MORE PHYSICIANS AND OTHER TYPES OF HEALTH CARE PROVIDERS. 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 8 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 NEW 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 WAS 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 2 NEW OPERATING ROOMS THAT CAME ON-LINE IN MARCH, 2014. MMMC HAD 9,969 DISCHARGES, 41,840 INPATIENT DAYS, 3,917 NEW BORN INPATIENT DAYS, 51,459 EMERGENCY ROOM VISITS, 1,564 INPATIENT SURGERIES, AND 1,625 OUTPATIENT SURGERIES. DUE TO CONTINUED GROWTH IN THE DEMAND FOR INPATIENT BEDS, MMMC BROKE GROUND IN MARCH 2014 ON A NEW $118 MILLION EXPANSION. THE EXPANSION UNDER CONSTRUCTION WILL ADD 118 MEDICAL-SURGICAL BEDS, 12 ICU ROOMS, AND 8 INTERMEDIATE CARE ROOMS. 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 2 CAMPUSES, CAMPBELL ROAD AND BUSH/RENNER. UP UNTIL APRIL 2014, THE CAMPBELL ROAD CAMPUS OPERATED AS A 205-BED ACUTE CARE FACILITY WITH INDEPENDENTLY PRACTICING PHYSICIANS OFFERING MORE THAT THIRTY-FIVE 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 A NEW ACUTE-CARE 134 LICENSED BED INPATIENT FACILITY AT THE BUSH/RENNER CAMPUS BRINGING THE TOTAL NUMBER OF LICENSED BEDS FOR MRMC TO 339. AMONG THE ENHANCEMENTS OF THE NEW FACILITY ARE THE DOUBLED SIZE OF BOTH 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 30 BED INPATIENT UNIT AND INTENSIVE OUTPATIENT PROGRAMS. MRMC WILL EXPAND THE UNIT IN 2015 TO OFFER 22 INPATIENT BEDS FOR GERIATRIC BEHAVIORAL HEALTH PATIENTS. MRMC HAD 7,149 DISCHARGES, 33,666 INPATIENT DAYS, 2,324 NEW BORN INPATIENT DAYS, 34,545 EMERGENCY ROOM VISITS, 1,126 INPATIENT SURGERIES,AND 1,843 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 & 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. MHS ALSO SPONSORS A PROSTATE SCREENING AWARENESS PROGRAM. OVER 4,500 MEN WERE SCREENED IN THE CURRENT YEAR. MHS ALSO PROVIDES OTHER SCREENINGS TO THE PEOPLE IN THE DALLAS COMMUNITY INCLUDING FLU SHOTS, CHOLESTEROL TESTS, OSTEOPOROSIS AND CARDIOVASCULAR SCREENINGS. (SEE CONTINUATION ON SCHEDULE O) 0 0 0 PRIOR 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) (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 AND FORM 1122 HAVE 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. 862538223 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 1 1 0 0 0 1 420 0 1 7566 0 1 1 0 0 0 0 0 0 0 0 0 X 27 24 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MICHAEL J SCHAEFER 2149474510 1441 N BECKLEY AVE DALLAS TX 752031201 LEVI DAVIS CHAIRMAN 2.00 X X 0 0 0 GREG CAMPBELL VICE CHAIRMAN 2.00 X X 0 0 0 JOE FORTSON VICE CHAIRMAN 2.00 X X 0 0 0 JOHN COLLINS VICE CHAIRMAN 2.00 X X 0 0 0 NORMAN G PROTHRO VICE CHAIRMAN 2.00 X X 0 0 0 STEVE FOLSOM VICE CHAIRMAN 2.00 X X 0 0 0 DUNCAN FULTON VICE CHAIRMAN 2.00 X X 0 0 0 JULIE YARBROUGH SEC 2.00 X X 0 0 0 ALLEN SCHNEIDER DO DIR 2.00 X 1307 0 0 DAVID MCATEE DIR 2.00 X 0 0 0 GEORGE SCHRADER DIR 2.00 X 0 0 0 GEORGE SHAFER DIR 2.00 X 0 0 0 JAMES SWAFFORD DIR 2.00 X 0 0 0 JOHN FORD DIR 2.00 X 0 0 0 JOHN RANDALL CANEDY DIR 2.00 X 0 0 0 JOSEPH SNAYD DIR 2.00 X 0 0 0 LARRY GEORGE D MIN DIR 2.00 X 0 0 0 MARTIN KOONSMANMD DIR/ MDMC MEDICAL DIRECTOR 10.00 5.00 X 95285 0 25000 PETE SCHENKEL DIR 2.00 X 0 0 0 RICHARD GRINER DIR 2.00 X 0 0 0 ROBERT HASLEY D MIN DIR 2.00 X 0 0 0 RON RICKS DIR 2.00 X 0 0 0 RUBEN VELEZ MD DIR 2.00 X 0 0 0 SHERON PATTERSON D MIN DIR 2.00 X 0 0 0 STEPHEN MUELLER MD DIR/MCMC MED DIR ICU 20.00 X 202807 0 0 W KELVIN WALKER DIR 2.00 X 0 0 0 STEPHEN MANSFIELD PRES/CEO 40.00 X X 1878312 0 254602 MICHAEL SCHAEFER TREA/ASST SEC 40.00 X 930095 0 142900 ROBERT MILONE ASST TREA 40.00 X 188375 0 34753 MICHAEL PRICE ASST SEC/EVP/CLO 40.00 X 585147 0 89131 APRIL BOX EVP/PRES CEO MHSF 40.00 X 495663 0 65090 LAURA IRVINE MDMC PRES 40.00 X 694550 0 90785 JONATHAN DAVIS MCMC PRES 40.00 X 589023 0 82616 EKENNETH HUTCHENRIDER MRMC PRES 40.00 X 466684 0 75216 JOHN PHILLIPS MMMC PRES 40.00 X 398057 0 75669 P FARROW VP/PRES MEDHEALTH 40.00 X 286981 0 38238 PAM STOYANOFF EVP/COO 40.00 X 996551 0 125451 C BRIZIUS SVP 40.00 X 388496 0 35467 PAMELA MCNUTT SVP 40.00 X 577976 0 80448 JOHN BAUMGARTNER SVP 40.00 X 467542 0 69891 SAM BAGCHI MD SVP/CMO 40.00 X 395830 0 42311 RANDY WALKER SVP 40.00 X 347399 0 52496 MELISSA GERDES AVP/ACO 30.00 10.00 X 211367 94994 25620 J LEA VP 40.00 X 282552 0 30006 ZAKIR SHAIKH MANAGER 40.00 X 288410 0 34272 ROBERT SIMPSON VP/MRMC 40.00 X 257574 0 24525 AUGUSTINE NWOSU RN 40.00 X 230401 0 9216 STEPHEN TEDDER AVP/ASST GENERAL COUNSEL 40.00 X 241562 0 12867 TIM KIRBY FORMER KEY EMPLOYEE 40.00 X 633481 0 50483 SCOTT SIEMER FORMER KEY EMPLOYEE 40.00 X 296927 0 33653 ADAM MYERS MD FORMER KEY EMPLOYEE 40.00 X 407647 0 39198 12836001 94994 1639904 452 1 1 0 ANESTHESIA CONSULTANTS 221 W COLORADO DALLAS TX 75203 MEDICAL 5056310 FRESENIUS MEDICAL CARE-DALLAS PO BOX 749959 LOS ANGELES CA 90074 MEDICAL 2145169 PRECEPTOR CONSULTING CORPLLC 12242 COUNTRY DAY CIRCLE FORT MYERS FL 33913 CONSULTING 1841238 PERKINS AND WILL 10100 N CENTRAL EXPWY DALLAS TX 75231 DESIGN SERVICES 1365751 CARDIAC PERFUSION SERVICES 4612 GASTON AVE DALLAS TX 75246 MEDICAL 891151 68 X 3610608 6707792 98251 10416651 NET PATIENT SERVICE RE 621990 968402944 968402944 ADDISON HOSPITAL JOINT 621990 50259870 50259870 RELATED PURPOSE MCKINN 621990 26007840 26007840 RELATED PURPOSE REHAB 621990 14511498 14511498 OTHER SERVICES RELATED 621990 7757968 7757968 128126 128126 1067068246 4321393 4321393 177103 177103 18597632 15507043 3090589 3090589 2208452 882137 7244933 588958 0 0 7244933 588958 7833891 101110 7732781 REFERENCE LAB WORK INC 621500 2224845 2224845 PREMIER DIVIDEND 900099 1122458 1122458 PARKING REVENUE 531390 593650 593650 81648 81648 4022601 1096930474 1070500266 3263253 13113414 26635286 26635286 123150 123150 11590924 11590924 411245580 365999267 45084300 162013 14098390 11795022 2298147 5221 27655969 18617957 9029771 8241 27193528 23684666 3495971 12891 1129716 43081 1086635 186480 186480 24938750 17637020 7301730 8363450 4708437 3655013 3942660 2776867 1165793 13827932 12000565 1806312 21055 1299616 849020 450596 401693 165733 235960 12072722 12072722 55544287 50965154 4579133 361115 322652 38463 SUPPLIES 193409749 192624921 784828 INCOME TAX 964631 964631 ADDISON HOSPITAL JV OPE 44668632 44668632 MCKINNEY HOSPTIAL JV OP 23118135 23118135 57123667 52765305 4357391 971 959896062 862538223 97147447 210392 24911 407354 663163765 746772237 117442383 112942448 365710 365711 51831281 84276313 21715317 23520896 7460475 8626365 1326708961 653080137 490665263 673628824 149101824 28018554 15800889 12037618 3263567 3029368 1520835385 1693625688 87286377 109986219 377254421 376479547 44050004 51447656 508590802 537913422 X 1011045476 1154084664 1199107 1627602 1012244583 1155712266 1520835385 1693625688 X 137034412 4563468 1869803 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 253934 253934 783325782 783579716 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 151728 297348 332798 253934 1035808 250000 250000 250000 250000 1000000 1500000 PART II-A, LINE 1(B) THE 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) AN ALLOCATION OF EMPLOYEE COSTS OF THE INDIVIDUALS DESIGNATED AS COORDINATING ANY GOVERNMENTAL ADVOCACY EFFORTS ON BEHALF OF MHS 1199107 2061986 1633491 1627602 3639120 1199107 3639120 1199107 3639120 531102 1.00000 0 0 45360880 45360880 650069676 284380818 365688858 29023902 20874538 8149364 456318771 347824781 108493990 145935732 145935732 673628824 INTEREST RATE SWAPS 37969066 RETIREMENT & OTHER RESERVE LIAB. 25505944 I/C LOANS -12448551 CAPITAL LEASE 421197 51447656 X PART V, LINE 4: ENDOWED FUNDS ARE HELD ON A TEMPORARILY RESTRICTED BASIS FOR THE PURPOSE OF FUNDING LARGE CAPITAL PROJECTS. 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. SCHEDULE D, 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, 2014 AND 2013. 1 1 X 1 X 0 1 1 1 0 1 1 122444303 33457861 88986442 0.09270 109415906 111987945 -2572039 0.00000 231860209 145445806 86414403 0.09270 3203641 44854 3158787 0.00330 27909804 8494013 19415791 0.02020 10215778 2325103 7890675 0.00820 583931 82861 501070 0.00050 26758436 26758436 0.02790 68671590 10946831 57724759 0.06010 300531799 156392637 144139162 0.15280 85915 85915 0.00010 1477950 1477950 0.00150 2899000 2899000 0.00300 4462865 4462865 0.00460 1 16231055 308331730 406306214 -97974484 X 1 1 1 METHODIST MCKINNEY HOSPITAL LLC HOSPITAL 0.57520 0.35650 2 METHODIST MCKINNEY HOSPITAL PROPERTY LLC REAL ESTATE HOLDINGS OF METHODIST MCKINNEY HOSPITAL 0.59900 0.24270 3 SRP-MEDICA INVESTORS ADDISON LP REAL ESTATE HOLDINGS ENTITY FOR METHODIST HOSPITAL FOR SURGERY 0.21840 0.22250 4 METDALSPI LLC (THROUGH METDALSPI HOLDING LLC) HOSPITAL 0.50500 0.49000 5 MHD-USO MANAGEMENT COMPANYLP MANAGEMENT SERVICES FOR ONCOLOGY PRACTICE 0.71400 0.28600 7 1 METHODIST DALLAS MEDICAL CENTER 1441 N BECKLEY AVE DALLAS TX 75203 X X X X 2 METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND RD DALLAS TX 75237 X X X X 3 METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD STREET DALLAS TX 76063 X X X 4 METHODIST RICHARDSON MEDICAL CENTER 2831 E GEORGE W BUSH HWY RICHARDSON TX 75082 X X X 5 METHODIST REHABILITATION HOSPITAL 3020 W WHEATLAND RD DALLAS TX 75237 X X REHABILITATION HOSPITAL 6 METHODIST MCKINNEY HOSPITAL 8000 W ELDORADO PWKY MCKINNEY TX 75070 X X X 7 METHODIST HOSPITAL FOR SURGERY 17101 DALLAS PWKY ADDISON TX 75001 X X X METHODIST DALLAS MEDICAL CENTER 1 1 X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 100.000000000000 1 100.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 METHODIST CHARLTON MEDICAL CENTER 2 1 X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 100.000000000000 1 100.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 METHODIST MANSFIELD MEDICAL CENTER 3 1 X X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 100.000000000000 1 100.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 METHODIST RICHARDSON MEDICAL CENTER 4 1 X X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 100.000000000000 1 100.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 METHODIST REHABILITATION HOSPITAL 5 1 X X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 100.000000000000 1 100.000000000000 1 X X X X X X X 1 1 X X 1 0 X X X X 0 X 0 0 METHODIST MCKINNEY HOSPITAL 6 1 X X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 200.000000000000 1 200.000000000000 1 X X X X X X 1 1 X 1 0 1 0 0 METHODIST HOSPITAL FOR SURGERY 7 1 X X X X X X X X X 12 1 0 1 X HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/COMM X X X X X X X X X 1 0 1 1 200.000000000000 1 200.000000000000 1 X X X X X X X 1 0 1 0 1 X 0 0 METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 3: DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) LED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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. THE GOALS OF THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO SUPPORT SPECIFIC OBJECTIVES AND TO;IDENTIFY EXISTING AND EMERGING POPULATION HEALTH NEEDS THROUGHOUT DALLAS; OUTLINE CURRENT DALLAS COUNTY ASSETS AND ISSUES CONSIDERING THE UNINSURED/UNDERINSURED, LOW INCOME AND MINORITY POPULATIONS. DEFINE DALLAS COUNTY HEALTH AND SOCIAL SERVICE SYSTEM STRENGTHS, CHALLENGES, AND AREAS FOR IMPROVEMENT. IN CONJUNCTION WITH THE PHI WORKGROUP, DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ALIGN RESOURCES AND SERVICES TO MEET THE DIVERSE NEEDS OF DALLAS COUNTY RESIDENTS. 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 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. TWO COMMUNITY FOCUS GROUPS WERE HELD EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMATIONAL INTERVIEWS WERE HELD AS KEY HEALTH ISSUES BEGAN TO EMERGE TO PROVIDE 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 CHNA METHODOLOGY IS PROVIDED BY THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM, PUBLIC HEALTH ACCREDITATION BOARD STANDARDS, AND IRS FORM 990 (SCHEDULE H) GUIDANCE. CHNA INSTRUMENTS, ANALYSIS, AND RECOMMENDATIONS ALSO CONSIDER LOCAL APPLICATION OF THE 2011-2016 TEXAS STATE HEALTH PLAN: A ROADMAP TO A HEALTHY TEXAS. THIS PLAN IDENTIFIES THE FOLLOWING CHARACTERISTICS AFFECTING THE HEALTHCARE SYSTEM IN TEXAS: DEMOGRAPHIC REVIEW OF THE GENERAL POPULATION, DEMOGRAPHIC REVIEW OF THE HEALTH PROFESSIONS WORKFORCE, ACCESS TO HEALTHCARE, TECHNOLOGY ENHANCEMENTS, AND PREVENTION AND EDUCATION (TEXAS STATEWIDE HEALTH COORDINATING COUNCIL, 2011). THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DCHHS 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.SECONDARY DATA SOURCES:DALLAS COUNTY IS FORTUNATE TO HAVE ACTIVE HEALTHCARE, SCHOOLS, SOCIAL SERVICE, AND BUSINESS LEADERSHIP WHOSE ORGANIZATIONS HAVE COLLECTED, ORGANIZED AND VETTED A WIDE RANGE OF SECONDARY DATA USED IN THIS CHNA. AS NECESSARY, THE ORIGINAL DATA SOURCES WERE ACCESSED TO PROVIDE ADDITIONAL INFORMATION OR INSIGHT, AS WELL AS TO ADDRESS DISCREPANCIES. SIGNIFICANT SECONDARY DATA SOURCES INCLUDE: TEXAS DEPARTMENT OF STATE HEALTH SERVICES CENTER FOR HEALTH STATISTICS; U.S. CENSUS; PARKLAND COMMUNITY HEALTH INSTITUTE (PCHI) DASHBOARDS AND DATA; DCHHS DIVISION DATA SUMMARIES; DALLAS/FT. WORTH (DFW) HOSPITAL COUNCIL HEALTHY NORTH TEXAS DASHBOARD; COMMUNITIES FOUNDATION OF TEXAS: ASSETS AND OPPORTUNITIES IN DALLAS; DALLAS COUNTY BEHAVIORAL HEALTH SYSTEM REDESIGN TASK FORCE: ASSESSMENT OF THE COMMUNITY BEHAVIORAL HEALTH DELIVERY SYSTEM IN DALLAS COUNTY; REGIONAL HEALTH PARTNERSHIP REGION 9: COMMUNITY NEEDS ASSESSMENT REPORT. METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 3: DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) LED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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. THE GOALS OF THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO SUPPORT SPECIFIC OBJECTIVES AND TO;IDENTIFY EXISTING AND EMERGING POPULATION HEALTH NEEDS THROUGHOUT DALLAS; OUTLINE CURRENT DALLAS COUNTY ASSETS AND ISSUES CONSIDERING THE UNINSURED/UNDERINSURED, LOW INCOME AND MINORITY POPULATIONS. DEFINE DALLAS COUNTY HEALTH AND SOCIAL SERVICE SYSTEM STRENGTHS, CHALLENGES, AND AREAS FOR IMPROVEMENT. IN CONJUNCTION WITH THE PHI WORKGROUP, DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ALIGN RESOURCES AND SERVICES TO MEET THE DIVERSE NEEDS OF DALLAS COUNTY RESIDENTS. 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 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. TWO COMMUNITY FOCUS GROUPS WERE HELD EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMATIONAL INTERVIEWS WERE HELD AS KEY HEALTH ISSUES BEGAN TO EMERGE TO PROVIDE 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 CHNA METHODOLOGY IS PROVIDED BY THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM, PUBLIC HEALTH ACCREDITATION BOARD STANDARDS, AND IRS FORM 990 (SCHEDULE H) GUIDANCE. CHNA INSTRUMENTS, ANALYSIS, AND RECOMMENDATIONS ALSO CONSIDER LOCAL APPLICATION OF THE 2011-2016 TEXAS STATE HEALTH PLAN: A ROADMAP TO A HEALTHY TEXAS. THIS PLAN IDENTIFIES THE FOLLOWING CHARACTERISTICS AFFECTING THE HEALTHCARE SYSTEM IN TEXAS: DEMOGRAPHIC REVIEW OF THE GENERAL POPULATION, DEMOGRAPHIC REVIEW OF THE HEALTH PROFESSIONS WORKFORCE, ACCESS TO HEALTHCARE, TECHNOLOGY ENHANCEMENTS, AND PREVENTION AND EDUCATION (TEXAS STATEWIDE HEALTH COORDINATING COUNCIL, 2011). THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DCHHS 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.SECONDARY DATA SOURCES:DALLAS COUNTY IS FORTUNATE TO HAVE ACTIVE HEALTHCARE, SCHOOLS, SOCIAL SERVICE, AND BUSINESS LEADERSHIP WHOSE ORGANIZATIONS HAVE COLLECTED, ORGANIZED AND VETTED A WIDE RANGE OF SECONDARY DATA USED IN THIS CHNA. AS NECESSARY, THE ORIGINAL DATA SOURCES WERE ACCESSED TO PROVIDE ADDITIONAL INFORMATION OR INSIGHT, AS WELL AS TO ADDRESS DISCREPANCIES. SIGNIFICANT SECONDARY DATA SOURCES INCLUDE: TEXAS DEPARTMENT OF STATE HEALTH SERVICES CENTER FOR HEALTH STATISTICS; U.S. CENSUS; PARKLAND COMMUNITY HEALTH INSTITUTE (PCHI) DASHBOARDS AND DATA; DCHHS DIVISION DATA SUMMARIES; DALLAS/FT. WORTH (DFW) HOSPITAL COUNCIL HEALTHY NORTH TEXAS DASHBOARD; COMMUNITIES FOUNDATION OF TEXAS: ASSETS AND OPPORTUNITIES IN DALLAS; DALLAS COUNTY BEHAVIORAL HEALTH SYSTEM REDESIGN TASK FORCE: ASSESSMENT OF THE COMMUNITY BEHAVIORAL HEALTH DELIVERY SYSTEM IN DALLAS COUNTY; REGIONAL HEALTH PARTNERSHIP REGION 9: COMMUNITY NEEDS ASSESSMENT REPORT. METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 3: THE MAJORITY OF METHODIST MANSFIELD MEDICAL CENTER'S (MMMC) PRIMARY SERVICE AREA IS LOCATED WITHIN TARRANT COUNTY, PRIMARILY SOUTHEAST TARRANT COUNTY WITH THREE LESSER POPULATED ZIP CODES FALLING INTO EASTERN JOHNSON COUNTY AND NORTHWEST ELLIS COUNTY. THEREFORE FOR THE PURPOSES OF MEETING THE IRS COMMUNITY HEALTH NEEDS ASSESSMENT REPORTING REQUIREMENTS, MMMC WILL REFER IN LARGE PART TO THE COMPLETED TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 10 COVERING NINE COUNTIES INCLUDING TARRANT, JOHNSON AND ELLIS COUNTIES. REGION 10 RHP'S CHNA INCLUDES BOTH QUALITATIVE AND QUANTITATIVE DATA. OUR 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. WE ALSO COLLECTED 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. REGION 10 RHP ALSO CONDUCTED A STAKEHOLDER SURVEY. THE STAKEHOLDER SURVEY COLLECTED QUALITATIVE DATA AND FEEDBACK ON THE FOLLOWING: 1) ACCESS TO CARE,2) CARE COORDINATION, AND 3) COMMUNITY HEALTH. THE REGION COLLECTED SURVEYS OVER A PERIOD OF ONE MONTH VIA A WEB-BASED SURVEY TOOL FOR A TOTAL OF 191 STAKEHOLDER RESPONSES. METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 3: DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) LED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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. THE GOALS OF THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO SUPPORT SPECIFIC OBJECTIVES AND TO;IDENTIFY EXISTING AND EMERGING POPULATION HEALTH NEEDS THROUGHOUT DALLAS; OUTLINE CURRENT DALLAS COUNTY ASSETS AND ISSUES CONSIDERING THE UNINSURED/UNDERINSURED, LOW INCOME AND MINORITY POPULATIONS. DEFINE DALLAS COUNTY HEALTH AND SOCIAL SERVICE SYSTEM STRENGTHS, CHALLENGES, AND AREAS FOR IMPROVEMENT. IN CONJUNCTION WITH THE PHI WORKGROUP, DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ALIGN RESOURCES AND SERVICES TO MEET THE DIVERSE NEEDS OF DALLAS COUNTY RESIDENTS. 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 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. TWO COMMUNITY FOCUS GROUPS WERE HELD EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMATIONAL INTERVIEWS WERE HELD AS KEY HEALTH ISSUES BEGAN TO EMERGE TO PROVIDE 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 CHNA METHODOLOGY IS PROVIDED BY THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM, PUBLIC HEALTH ACCREDITATION BOARD STANDARDS, AND IRS FORM 990 (SCHEDULE H) GUIDANCE. CHNA INSTRUMENTS, ANALYSIS, AND RECOMMENDATIONS ALSO CONSIDER LOCAL APPLICATION OF THE 2011-2016 TEXAS STATE HEALTH PLAN: A ROADMAP TO A HEALTHY TEXAS. THIS PLAN IDENTIFIES THE FOLLOWING CHARACTERISTICS AFFECTING THE HEALTHCARE SYSTEM IN TEXAS: DEMOGRAPHIC REVIEW OF THE GENERAL POPULATION, DEMOGRAPHIC REVIEW OF THE HEALTH PROFESSIONS WORKFORCE, ACCESS TO HEALTHCARE, TECHNOLOGY ENHANCEMENTS, AND PREVENTION AND EDUCATION (TEXAS STATEWIDE HEALTH COORDINATING COUNCIL, 2011). THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DCHHS 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.SECONDARY DATA SOURCES:DALLAS COUNTY IS FORTUNATE TO HAVE ACTIVE HEALTHCARE, SCHOOLS, SOCIAL SERVICE, AND BUSINESS LEADERSHIP WHOSE ORGANIZATIONS HAVE COLLECTED, ORGANIZED AND VETTED A WIDE RANGE OF SECONDARY DATA USED IN THIS CHNA. AS NECESSARY, THE ORIGINAL DATA SOURCES WERE ACCESSED TO PROVIDE ADDITIONAL INFORMATION OR INSIGHT, AS WELL AS TO ADDRESS DISCREPANCIES. SIGNIFICANT SECONDARY DATA SOURCES INCLUDE; TEXAS DEPARTMENT OF STATE HEALTH SERVICES CENTER FOR HEALTH STATISTICS; U.S. CENSUS; PARKLAND COMMUNITY HEALTH INSTITUTE (PCHI) DASHBOARDS AND DATA; DCHHS DIVISION DATA SUMMARIES; DALLAS/FT. WORTH (DFW) HOSPITAL COUNCIL HEALTHY NORTH TEXAS DASHBOARD; COMMUNITIES FOUNDATION OF TEXAS: ASSETS AND OPPORTUNITIES IN DALLAS; DALLAS COUNTY BEHAVIORAL HEALTH SYSTEM REDESIGN TASK FORCE: ASSESSMENT OF THE COMMUNITY BEHAVIORAL HEALTH DELIVERY SYSTEM IN DALLAS COUNTY; REGIONAL HEALTH PARTNERSHIP REGION 9: COMMUNITY NEEDS ASSESSMENT REPORT. METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 3: DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) LED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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. THE GOALS OF THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO SUPPORT SPECIFIC OBJECTIVES AND TO;IDENTIFY EXISTING AND EMERGING POPULATION HEALTH NEEDS THROUGHOUT DALLAS; OUTLINE CURRENT DALLAS COUNTY ASSETS AND ISSUES CONSIDERING THE UNINSURED/UNDERINSURED, LOW INCOME AND MINORITY POPULATIONS. DEFINE DALLAS COUNTY HEALTH AND SOCIAL SERVICE SYSTEM STRENGTHS, CHALLENGES, AND AREAS FOR IMPROVEMENT. IN CONJUNCTION WITH THE PHI WORKGROUP, DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ALIGN RESOURCES AND SERVICES TO MEET THE DIVERSE NEEDS OF DALLAS COUNTY RESIDENTS. 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 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. TWO COMMUNITY FOCUS GROUPS WERE HELD EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMATIONAL INTERVIEWS WERE HELD AS KEY HEALTH ISSUES BEGAN TO EMERGE TO PROVIDE 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 CHNA METHODOLOGY IS PROVIDED BY THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM, PUBLIC HEALTH ACCREDITATION BOARD STANDARDS, AND IRS FORM 990 (SCHEDULE H) GUIDANCE. CHNA INSTRUMENTS, ANALYSIS, AND RECOMMENDATIONS ALSO CONSIDER LOCAL APPLICATION OF THE 2011-2016 TEXAS STATE HEALTH PLAN: A ROADMAP TO A HEALTHY TEXAS. THIS PLAN IDENTIFIES THE FOLLOWING CHARACTERISTICS AFFECTING THE HEALTHCARE SYSTEM IN TEXAS: DEMOGRAPHIC REVIEW OF THE GENERAL POPULATION, DEMOGRAPHIC REVIEW OF THE HEALTH PROFESSIONS WORKFORCE, ACCESS TO HEALTHCARE, TECHNOLOGY ENHANCEMENTS, AND PREVENTION AND EDUCATION (TEXAS STATEWIDE HEALTH COORDINATING COUNCIL, 2011). THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DCHHS 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.SECONDARY DATA SOURCES:DALLAS COUNTY IS FORTUNATE TO HAVE ACTIVE HEALTHCARE, SCHOOLS, SOCIAL SERVICE, AND BUSINESS LEADERSHIP WHOSE ORGANIZATIONS HAVE COLLECTED, ORGANIZED AND VETTED A WIDE RANGE OF SECONDARY DATA USED IN THIS CHNA. AS NECESSARY, THE ORIGINAL DATA SOURCES WERE ACCESSED TO PROVIDE ADDITIONAL INFORMATION OR INSIGHT, AS WELL AS TO ADDRESS DISCREPANCIES. SIGNIFICANT SECONDARY DATA SOURCES INCLUDE; TEXAS DEPARTMENT OF STATE HEALTH SERVICES CENTER FOR HEALTH STATISTICS; U.S. CENSUS; PARKLAND COMMUNITY HEALTH INSTITUTE (PCHI) DASHBOARDS AND DATA; DCHHS DIVISION DATA SUMMARIES; DALLAS/FT. WORTH (DFW) HOSPITAL COUNCIL HEALTHY NORTH TEXAS DASHBOARD; COMMUNITIES FOUNDATION OF TEXAS: ASSETS AND OPPORTUNITIES IN DALLAS; DALLAS COUNTY BEHAVIORAL HEALTH SYSTEM REDESIGN TASK FORCE: ASSESSMENT OF THE COMMUNITY BEHAVIORAL HEALTH DELIVERY SYSTEM IN DALLAS COUNTY; REGIONAL HEALTH PARTNERSHIP REGION 9: COMMUNITY NEEDS ASSESSMENT REPORT. METHODIST MCKINNEY HOSPITAL PART V, SECTION B, LINE 3: METHODIST MCKINNEY HOSPITAL'S SERVICE AREA IS LOCATED IN COLLIN COUNTY AND THEREFORE FOR THE PURPOSES OF MEETING THE IRS COMMUNITY HEALTH NEEDS ASSESSMENT REPORTING REQUIREMENTS, METHODIST MCKINNEY HOSPITAL WILL REFER IN LARGE PART TO THE COMPLETED TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM REQUIRED CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 18 COVERING THREE COUNTIES INCLUDING COLLIN, GRAYSON AND ROCKWALL COUNTIES. FURTHER INFORMATION IN THE FORM OF RESULTS OF COMMUNITY SURVEYS AND COMMUNITY MEETINGS REGARDING COMMUNITY INPUT SUMMARY RESULTS FOR PARTS OF COLLIN COUNTY WAS PROVIDED BY TEXAS HEALTH RESOURCES. THE CHNA ALSO RELIES ON INFORMATION TAKEN FROM THE 2012 NATIONAL RESEARCH CORPORATION (NRC) CONSUMER HEALTH REPORT FOR METHODIST MCKINNEY HOSPITALS SERVICE AREA. METHODIST HOSPITAL FOR SURGERY PART V, SECTION B, LINE 3: DALLAS COUNTY HEALTH AND HUMAN SERVICES (DCHHS) LED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 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. THE GOALS OF THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT WERE TO SUPPORT SPECIFIC OBJECTIVES AND TO;IDENTIFY EXISTING AND EMERGING POPULATION HEALTH NEEDS THROUGHOUT DALLAS; OUTLINE CURRENT DALLAS COUNTY ASSETS AND ISSUES CONSIDERING THE UNINSURED/UNDERINSURED, LOW INCOME AND MINORITY POPULATIONS. DEFINE DALLAS COUNTY HEALTH AND SOCIAL SERVICE SYSTEM STRENGTHS, CHALLENGES, AND AREAS FOR IMPROVEMENT. IN CONJUNCTION WITH THE PHI WORKGROUP, DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN TO ALIGN RESOURCES AND SERVICES TO MEET THE DIVERSE NEEDS OF DALLAS COUNTY RESIDENTS. 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 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. TWO COMMUNITY FOCUS GROUPS WERE HELD EARLY IN THE DATA COLLECTION PROCESS AND KEY INFORMATIONAL INTERVIEWS WERE HELD AS KEY HEALTH ISSUES BEGAN TO EMERGE TO PROVIDE 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 CHNA METHODOLOGY IS PROVIDED BY THE CDC NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS PROGRAM, PUBLIC HEALTH ACCREDITATION BOARD STANDARDS, AND IRS FORM 990 (SCHEDULE H) GUIDANCE. CHNA INSTRUMENTS, ANALYSIS, AND RECOMMENDATIONS ALSO CONSIDER LOCAL APPLICATION OF THE 2011-2016 TEXAS STATE HEALTH PLAN: A ROADMAP TO A HEALTHY TEXAS. THIS PLAN IDENTIFIES THE FOLLOWING CHARACTERISTICS AFFECTING THE HEALTHCARE SYSTEM IN TEXAS: DEMOGRAPHIC REVIEW OF THE GENERAL POPULATION, DEMOGRAPHIC REVIEW OF THE HEALTH PROFESSIONS WORKFORCE, ACCESS TO HEALTHCARE, TECHNOLOGY ENHANCEMENTS, AND PREVENTION AND EDUCATION (TEXAS STATEWIDE HEALTH COORDINATING COUNCIL, 2011). THE DRAFT OF THE DALLAS COUNTY CHNA WAS POSTED ON THE DCHHS 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.SECONDARY DATA SOURCES:DALLAS COUNTY IS FORTUNATE TO HAVE ACTIVE HEALTHCARE, SCHOOLS, SOCIAL SERVICE, AND BUSINESS LEADERSHIP WHOSE ORGANIZATIONS HAVE COLLECTED, ORGANIZED AND VETTED A WIDE RANGE OF SECONDARY DATA USED IN THIS CHNA. AS NECESSARY, THE ORIGINAL DATA SOURCES WERE ACCESSED TO PROVIDE ADDITIONAL INFORMATION OR INSIGHT, AS WELL AS TO ADDRESS DISCREPANCIES. SIGNIFICANT SECONDARY DATA SOURCES INCLUDE; TEXAS DEPARTMENT OF STATE HEALTH SERVICES CENTER FOR HEALTH STATISTICS; U.S. CENSUS; PARKLAND COMMUNITY HEALTH INSTITUTE (PCHI) DASHBOARDS AND DATA; DCHHS DIVISION DATA SUMMARIES; DALLAS/FT. WORTH (DFW) HOSPITAL COUNCIL HEALTHY NORTH TEXAS DASHBOARD; COMMUNITIES FOUNDATION OF TEXAS: ASSETS AND OPPORTUNITIES IN DALLAS; DALLAS COUNTY BEHAVIORAL HEALTH SYSTEM REDESIGN TASK FORCE: ASSESSMENT OF THE COMMUNITY BEHAVIORAL HEALTH DELIVERY SYSTEM IN DALLAS COUNTY; REGIONAL HEALTH PARTNERSHIP REGION 9: COMMUNITY NEEDS ASSESSMENT REPORT. METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 10: 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. METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 10: 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. METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 10: 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. METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 10: 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. METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 10: 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. METHODIST MCKINNEY HOSPITAL PART V, SECTION B, LINE 10: 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. METHODIST HOSPITAL FOR SURGERY PART V, SECTION B, LINE 10: 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. METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 11: 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. METHODIST CHARLTON MEDICAL CENTER PART V, SECTION B, LINE 11: 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. METHODIST MANSFIELD MEDICAL CENTER PART V, SECTION B, LINE 11: 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. METHODIST RICHARDSON MEDICAL CENTER PART V, SECTION B, LINE 11: 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. METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: 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. METHODIST MCKINNEY HOSPITAL PART V, SECTION B, LINE 11: 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. METHODIST HOSPITAL FOR SURGERY PART V, SECTION B, LINE 11: 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. METHODIST REHABILITATION HOSPITAL PART V, SECTION B, LINE 19C: METHODIST REHABILITATION HOSPITAL IS A REHABILITATION HOSPITAL AND IS NOT EQUIPPED TO PROVIDE EMERGENCY CARE. METHODIST DALLAS MEDICAL CENTER PART V, SECTION B, LINE 20D: 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 CENTER PART V, SECTION B, LINE 20D: 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 CENTER PART V, SECTION B, LINE 20D: 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 CENTER PART V, SECTION B, LINE 20D: 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. 2 GOLDEN CROSS ACADEMIC CLINIC 122 W COLORADO BLVD DALLAS TX 75209 FREE STANDING CLINIC AND TEACHING FACILITY METHODIST CHARLTON FAMILY MEDICAL CENTER 3500 W WHEATLAND RD DALLAS TX 75237 OUTPATIENT CARE AND TEACHING CENTER 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 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. PART I, LN 7 COL(F): PART III SECTION A: 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 PAYORS 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 WRITTENOFF WHEN ROUTINE BILLING 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 32.2% OF GROSS ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2014 FROM 22.7% AT SEPTEMBER 30, 2013.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 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: PART III SECTION A: 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 BILLING 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 32.2% OF GROSS ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2014 FROM 22.7% AT SEPTEMBER 30, 2013. PART III, LINE 4: FOOTNOTE 1, PAGE 8: FINANCIAL STATEMENT FOOTNOTE: MHS HAS ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07 ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB). THE UPDATE REQUIRES HEALTHCARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME SERVICES ARE RENDERED EVEN THOUGH THEY DO NOT ASSESS THE PATIENTS'S ABILITY TO PAY TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSES TO A DEDUCTION FROM PATIENT SERVICE REVENUE.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 IV METHODIST 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 2012 NATIONAL RESEARCH CORPORATION (NRC) CONSUMER HEALTH REPORT; THE "HORIZONS: THE DALLAS COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT"; AND THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM CHNA FOR REGIONAL HEALTHCARE PARTNERSHIP 10 COVERING NINE COUNTIES INCLUDING TARRANT, JOHNSON AND ELLIS COUNTIES. THESE DOCUMENTS WERE USED TO CREATE METHODIST HEALTH SYSTEM'S 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: IDENTIFICATION OF POPULATIONS AND COMMUNITIES SERVED BY METHODIST HEALTH SYSTEM: 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 IS THE NORTHERN TIER OF BOTH JOHNSON AND ELLIS COUNTIES. THROUGH THE RECENT ADDITION OF THE RICHARDSON HOSPITAL, IT NOW SERVES NORTHERN DALLAS COUNTY AND SOUTHERN COLLIN COUNTY AS WELL. LARGE PARTS OF THE METHODIST SERVICE AREA HAVE: (I) HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, (II) LOW MEDIAN HOUSEHOLD INCOME, (III) HIGH PERCENTAGES OF ADULTS WITH LESS THAN HIGH A 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 THE METHODIST 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, HIGH UNEMPLOYMENT, 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 TEND TO BE MORE ECONOMICALLY STABLE WITH STRONGER SOCIOECONOMIC INDICATORS. THESE AREAS INCLUDE MIDLOTHIAN, CEDAR HILL, MANSFIELD, ETC. YET, THESE SAME AREAS HAVE ALSO BEEN HIT HARD BY THE CURRENT ECONOMIC RECESSION EXPERIENCING HIGH HOME FORECLOSURE RATES AND OTHER ECONOMIC DOWNFALLS. 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 STATES TX 1 DALLAS COUNTY INDIGENT CARE CORP (DCICC) PO BOX 655999 DALLAS TX 75265 260610562 501(C)(3) 22672230 INDIGENT CARE TARRANT COUNTY INDIGENT CARE CORP (TCICC) 612 E LAMAR BLVD ARLINGTON TX 76011 260648532 501(C)(3) 3330382 INDIGENT CARE DALLAS FOUNDATION 3963 MAPLE AVE SUITE 390 DALLAS TX 75219 752890371 501(C)(3) 2500 COMMUNITY DEVELOPEMENT DALLAS SYMPHONY 2301 FLORA STREET DALLAS TX 75201 501(C)(3) 10000 COMMUNITY OUTREACH BROTHER BILLS HELPING HAND 3906 WESTMORELAND DALLAS TX 75212 501(C)(3) 67544 COMMUNITY OUTREACH AND INDIGENT CARE FRIENDS OF OAK CLIFF PARKS PO BOX 210124 DALLAS TX 75211 501(C)(3) 5000 COMMUNITY OUTREACH CAIDS ARMS 351 W JEFFERSON BLVD 300 DALLAS TX 75208 501(C)(3) 1500 COMMUNITY OUTREACH MIDLOTHIAN FIREFIGHTER'S ASSOC 100 W AVE F MIDLOTHIAN TX 76065 501(C)(3) 500 COMMUNITY OUTREACH MANSFIELD CITIZENS FIRE ACADEMY 1305 E BROAD MANSFIELD TX 76063 501(C)(3) 500 COMMUNITY OUTREACH MANSFIELD EDUCATION FOUNDATION 609 E BROAD MANSFIELD TX 76063 501(C)(3) 17500 COMMUNITY OUTREACH UNIVERSITY OF TEXAS AT ARLINGTON 701 S NEDDERMAN DR 421 ARLINGTON TX 76019 501(C)(3) 4800 COMMUNITY OUTREACH ASSOCIATION OF FUNDRAISING PROFESSIONALS 14070 PROTON RD 100 DALLAS TX 75244 501(C)(3) 400 COMMUNITY OUTREACH DALLAS BAPTIST UNIV 3000 MOUNTAIN CREEK PKWY DALLAS TX 75211 501(C)(3) 800 COMMUNITY OUTREACH MARCH OF DIMES 12660 COIT RD 200 DALLAS TX 75251 501(C)(3) 15000 RESEARCH TARRANT COUNTY MEDICAL FOUNDATION 555 HEMPHILL FORT WORTH TX 76104 501(C)(3) 1750 COMMUNITY OUTREACH MANSFIELD CARES INC 990 HWY 287 NSTE 106-185 MANSFIELD TX 76063 501(C)(3) 2500 COMMUNITY OUTREACH MANSFIELD WOMEN'S FOUNDATION PO BOX 1212 MANSFIELD TX 76063 501(C)(3) 2500 COMMUNITY OUTREACH DALLAS WOMEN'S FOUNDATION 8150 CENTRAL EXPWY 110 DALLAS TX 75206 501(C)(3) 4500 COMMUNITY OUTREACH THE CONCILIO 400 S ZANG BLVD 300 DALLAS TX 75208 501(C)(3) 500 COMMUNITY OUTREACH MIDLOTHIAN ISD EDUCATION FOUNDATION PO BOX 1906 MIDLOTHIAN TX 76065 770631435 501(C)(3) 5500 COMMUNITY OUTREACH FOUNDATION OF NATIONAL STUDENT NURSING 45 MAIN ST 606 BROOKLYN NY 11201 501(C)(3) 5500 COMMUNITY OUTREACH CITY OF RICHARDSON 411 W ARAPAHO RD RICHARDSON TX 75080 756000648 501 (A) 483880 INDEPENDENT APPRAISAL LAND & BUILDING COMMUNITY OUTREACH 22 NURSING & JUNIOR VOLUNTEER SCHOLARSHIPS 60 123150 CASH PART I, LINE 2: THE 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. X 1 1 X X X X X 1 1 0 1 0 1 0 0 0 STEPHEN MUELLER MD DIR/MCMC MED DIR ICU 0 0 0 0 202807 0 0 0 0 0 202807 0 0 0 STEPHEN MANSFIELD PRES/CEO 970334 0 663227 0 244751 0 229576 0 25026 0 2132914 0 235543 0 MICHAEL SCHAEFER TREA/ASST SEC 528929 0 284475 0 116691 0 92538 0 50362 0 1072995 0 84216 0 ROBERT MILONE ASST TREA 162430 0 21491 0 4454 0 11777 0 22976 0 223128 0 0 0 MICHAEL PRICE ASST SEC/EVP/CLO 378893 0 152010 0 54244 0 58290 0 30841 0 674278 0 48466 0 APRIL BOX EVP/PRES CEO MHSF 345857 0 116286 0 33520 0 41239 0 23851 0 560753 0 29493 0 LAURA IRVINE MDMC PRES 454361 0 173988 0 66201 0 82099 0 8686 0 785335 0 63163 0 JONATHAN DAVIS MCMC PRES 377171 0 140995 0 70857 0 60601 0 22015 0 671639 0 67961 0 EKENNETH HUTCHENRIDER MRMC PRES 317057 0 123375 0 26252 0 53313 0 21903 0 541900 0 22510 0 JOHN PHILLIPS MMMC PRES 295632 0 99985 0 2440 0 56017 0 19652 0 473726 0 0 0 P FARROW VP/PRES MEDHEALTH 239930 0 43058 0 3993 0 24864 0 13374 0 325219 0 0 0 PAM STOYANOFF EVP/COO 555719 0 295190 0 145642 0 88382 0 37069 0 1122002 0 137868 0 C BRIZIUS SVP 294822 0 65657 0 28017 0 18488 0 16979 0 423963 0 0 0 PAMELA MCNUTT SVP 371283 0 150536 0 56157 0 53474 0 26974 0 658424 0 47055 0 JOHN BAUMGARTNER SVP 316226 0 85587 0 65729 0 41954 0 27937 0 537433 0 43190 0 SAM BAGCHI MD SVP/CMO 331831 0 62525 0 1474 0 20245 0 22066 0 438141 0 0 0 RANDY WALKER SVP 243739 0 65831 0 37829 0 35951 0 16545 0 399895 0 33679 0 MELISSA GERDES AVP/ACO 192201 91619 17358 1000 1808 2375 9645 0 15975 0 236987 94994 0 0 J LEA VP 231368 0 41522 0 9662 0 16596 0 13410 0 312558 0 0 0 ZAKIR SHAIKH MANAGER 287269 0 206 0 935 0 11883 0 22389 0 322682 0 0 0 ROBERT SIMPSON VP/MRMC 212285 0 36146 0 9143 0 10536 0 13989 0 282099 0 0 0 AUGUSTINE NWOSU RN 229468 0 206 0 727 0 8866 0 350 0 239617 0 0 0 STEPHEN TEDDER AVP/ASST GENERAL COUNSEL 213498 0 19157 0 8907 0 8396 0 4471 0 254429 0 0 0 TIM KIRBY FORMER KEY EMPLOYEE 406146 0 160272 0 67063 0 18488 0 31995 0 683964 0 0 0 SCOTT SIEMER FORMER KEY EMPLOYEE 230055 0 64949 0 1923 0 25306 0 8347 0 330580 0 0 0 ADAM MYERS MD FORMER KEY EMPLOYEE 204828 0 0 0 202819 0 21940 0 17258 0 446845 0 0 0 PART I, LINE 1A ORGANIZATION MAINTAINS A SOCIAL CLUB MEMBERSHIP FOR PURPOSES OF BUSINESS MEALS IN ACCORDANCE WITH ORGANIZATION POLICIES. PART I, LINES 4A-B ANY CONTRIBUTIIONS TO A SECTION 457(F) NON-QUALIFIED PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C. PART I, LINE 5 BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH PART I, LINE 6 BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO MANAGING OPERATING EXPENSE GROWTH AND NET OPERATING INCOME MARGIN. A TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP HOSPITAL SERIES 2008 043833551 87638QBF5 2008-09-04 200000000 CONSTRUCTION OF MANSFIELD HOSPITAL FACILITY AND OTHER CAPITAL IMPROVEMENTS 0 1 0 B TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP HOSPITAL SERIES 2013 043833551 87638QJA8 2013-07-25 199996833 CONSTRUCT ADDITIONAL FACILITIES AT 3 CAMPUSES AND EQUIPMENT 0 1 0 A 1389481 2963942 2009 0 0 1 1 B 835033 2015 0 0 0 1 A 0 1 0 0 0.02950 0.02950 1 0 0 B 0 0 0 0 0.00400 0.00400 1 0 0 A 0 0 0 1 1 1 0 0 0 0 B 0 0 0 1 0 0 0 0 0 A 0 B 0 STEPHEN MANSFIELD CEO SPLIT-DOLLAR LIFE X 284111 365711 0 1 1 365711 RUBEN VELEZ MD BOARD MEMBER 849156 MED. SERVICES. PRESIDENT OF DALLAS NEPHROLOGY ASSOCIATES WHICH WHICH PROVIDES SERVICES TO METHODIST HOSPITAL OF DALLAS AND WITH METHODIST TRANSPLANT PHYSICIANS (A WHOLLY OWNED SUBSIDIARY OF MHS) 0 FORM 990, SCHEDULE L, PART II LOANED AMOUNT IS FOR PAYMENT OF PREMIUMS IN ACCORDANCE WITH SPLIT-DOLLAR LIFE INSURANCE CONTRACT AGREEMENT BETWEEN STEPHEN MANSFIELD AND MHS AS APPROVED BY THE COMPENSATION COMMITTEE. FORM 990, SCHEDULE L, PART IV DR 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. FORM 990, PART I, LINE'S 9 & 17 CONSISTENT WITH FASB ACCOUNTING STANDARD UPDATE (ASU) 2011-07 MHS REPORTS BAD DEBTS AND COST OF CHARITY CARE AS A REDUCTION IN NET PATIENT REVENUE. LIKEWISE FUNCTIONAL EXPENSES DO NOT INCLUDE ANY PROVISION FOR BAD DEBTS OR CHARITY CARE. FORM 990, PART III, LINE 4 A MHS SERVICE AREAS HAVE: (I) HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, (II) LOW MEDIAN HOUSEHOLD INCOME, (III) HIGH PERCENTAGES OF ADULTS WITH LESS THAN A HIGH SCHOOL EDUCATION, (IV) HIGH PERCENTAGES OF BLUE COLLAR WORKERS, AND (V) LOW PERCENTAGES OF MANAGERIAL AND PROFESSIONAL WORKERS (VI) HIGH UNEMPLOYMENT (VII) A HIGH RATE OF BIRTHS TO TEENAGERS (VIII), HIGH PREMATURE BIRTHS AND INFANT MORTALITY AND (IX) HIGH PERCENTAGES OF CHILDREN. CONSEQUENTLY, IN FISCAL YEAR 2014 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 MDMC HAS PARTICIPATED IN SINCE IT BEGAN, HELPS FUND EFFORTS TARGETED TOWARD CHARITY CLINICS IN THE DALLAS AREA. NOW IN ITS FOURTH YEAR, ACCOMPLISHMENTS INCLUDE: (1) DURING FY14 METHODIST DALLAS AND BROTHER BILL'S HELPING HAND CLINIC HAVE CONTINUED TO WORK ON PROVIDING COORDINATED CARE FOR LOW INCOME MEDICAL HOME PATIENTS. SUCCESSES INCLUDE THE ADDITION OF FREE RADIOLOGIST SERVICES FROM THE METHODIST-AFFILIATED RADIOLOGY GROUP AND A DONATION OF PILL ORGANIZERS FROM WALGREEN'S PHARMACY TO ASSIST MEDICAL HOME PATIENTS WITH MEDICATION MANAGEMENT. ALL BROTHER BILL CLINIC PATIENTS ARE FROM SPECIFIC DFW ZIP CODES WHERE 62 PERCENT OF HOUSEHOLDS HAVE INCOMES LESS THAN $35,000. ALL CLINIC PATIENTS ARE ALSO UNINSURED PER MEDICAL HOME CRITERIA.(2)UTILIZE A GAP ANALYSIS TO ASSESS AND/OR MEASURE HOSPITAL AFFILIATED AND/OR PRIMARY CARE PHYSICIAN'S (PCP'S) NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) PATIENT CENTERED MEDICAL HOME (PCMH) READINESS. COMPLETED NCQA PCMH READINESS IN DSRIP YEAR 1 AND DSRIP YEAR 2.(3)CONDUCT FEASIBILITY STUDIES TO DETERMINE NECESSARY STEPS TO ACHIEVE NCQA PCMH STATUS. COMPLETED NCQA PCMH FEASIBILITY STUDIES IN DSRIP YEAR 1 AND DSRIP YEAR 2.(4)CONDUCT EDUCATIONAL SESSIONS FOR PRIMARY CARE PHYSICIAN PRACTICE OFFICES, HOSPITAL BOARDS OF DIRECTORS, MEDICAL STAFF AND SENIOR LEADERSHIP ON THE ELEMENTS OF PCMH, ITS RATIONALE AND VISION. COMPLETED IN DSRIP YEAR 1, DSRIP YEAR 2 AND DSRIP YEAR 3. (5)CONDUCT QUALITY IMPROVEMENT FOR PROJECT USING METHODS SUCH AS RAPID CYCLE IMPROVEMENT. ACTIVITIES MAY INCLUDE, BUT ARE NOT LIMITED TO, IDENTIFYING PROJECT IMPACTS, IDENTIFYING "LESSONS LEARNED," OPPORTUNITIES TO SCALE ALL OR PART OF THE PROJECT TO A BROADER PATIENT POPULATION, AND IDENTIFYING KEY CHALLENGES ASSOCIATED WITH EXPANSION OF THE PROJECT, INCLUDING SPECIAL CONSIDERATIONS FOR SAFETY NET POPULATIONS. ONGOING; THE TEAM PLANS TO USE PDSA (PLAN, DO, STUDY, ACT) CYCLES TO TEST AND IMPLEMENT QUALITY IMPROVEMENT MEASURES FOR THIS PROJECT. WE WILL ALSO CONTINUE TO EXPLORE THE REPORTING ABILITY AND FUNCTIONALITY OF THE CLINIC'S NEW EMR AND INCORPORATE THIS DATA INTO TRENDING AND TRACKING THE IMPACT OF THE PROJECT. 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 AND INCURS APPROXIMATELY $8 MILLION A YEAR IN EXPENSES RELATED TO RETAINING ON-CALL SURGEONS AND OTHER TRAUMA PERSONNEL, AS WELL AS PAYING A FEE TO SUB-SPECIALISTS FOR TREATMENT OF NON-FUNDED PATIENTS. 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 SQ-FT TRAUMA AND CRITICAL CARE CENTER INCLUDES 58 NEW EMERGENCY ROOM BEDS;6 TRAUMA SUITES,8 SURGICAL SUITES, A 36 BED CRITICAL CARE UNIT AND THE ABILITY TO EXPAND TO 11 STORIES FOR FUTURE GROWTH. THE MCMC EMERGENCY ROOM INCURS APPROXIMATELY $1.3 MILLION A YEAR IN EXPENSES RELATED TO FEES PAID TO ON-CALL PHYSICIANS AS WELL AS TREATMENT OF NON-FUNDED PATIENTS. MHS,ALONG WITH 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 VI, SECTION A, LINE 2 DUNCAN FULTON,BUSINESS RELATIONSHIP WITH GEORGE SHAFER. JOHN COLLINS, BUSINESS RELATIONSHIP WITH STEVE MANSFIELD MICHAEL REDDEN, BUSINESS WITH PETE SCHENKEL FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C ALL 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 15 THE 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 C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICES. 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 VIII, LINE 2 CONSISTENT WITH FASB ACCOUNTING STANDARD UPDATE (ASU) 2011-07 MHS REPORTS BAD DEBTS AND COST OF CHARITY CARE AS A REDUCTION IN NET PATIENT REVENUE. LIKEWISE FUNCTIONAL EXPENSES DO NOT INCLUDE ANY PROVISION FOR BAD DEBTS OR CHARITY CARE. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON PENSION INVESTMENT 242201. RELEASE OF REMAINING ASSETS IN RICHARDSON ACQUISTION 1627602. 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