2013-11-12T07:56:29-05:00 2012-12-31 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 770104035 990 2012-01-01 741287016 METHODIST HEALTHCARE MINISTRIES of SOUTH TEXAS INC % KEVIN C MORIARTY PRES & CE METH 2106920234 4507 Medical Drive Suite San Antonio TX 782294401 peggy cary 7137501586 2013-11-11 true 7137501500 2012 2016-02-24 21:20:13Z Kevin C Moriarty 4507 Medical Drive San Antonio TX 782294401 307395378 false X www.mhm.org X 1955 TX To serve by improving the physical, mental, and spiritual health of those least served in the Southwest Texas Conference of The United Methodist Church. 32 32 347 189 1369859 649696 155595 157795 69750760 129494416 12683587 11524542 1030354 1121305 83620296 142298058 29056334 19854398 0 0 18543142 21399867 0 0 0 20995377 22327147 68594853 63581412 15025443 78716646 666859502 742086252 38033928 37372024 628825574 704714228 X In furtherance of the founders' vision of "Serving Humanity to Honor God" Methodist Healthcare Ministries (MHM) has a two-fold mission, both equally important. One mission is to improve the physical, mental and spiritual health of those least served in the Southwest Texas Conference area of The United Methodist Church (San Antonio and South Texas). As one-half owner of the Methodist Healthcare System (MHS) - the largest healthcare system in South Texas - MHM's mission is committed to ensuring that MHS provides quality care to all and that charity care is available and provided to the community as needed. false false 19781564 19781564 0 Since 1996, MHM has funded grants to partners with missions similar to MHM, i.e. to provide services to underserved and unserved people throughout South Texas. This includes long-term relationships with existing community health centers in underserved areas of San Antonio, the Rio Grande Valley, and South Texas. Additionally, short-term grants are made from time to time for direct services to patients and capital funding for construction of new clinic facilities and renovations to existing clinic facilities for the underserved. 15865601 0 120709 MHM owns and operates the Wesley Health & Wellness Center at Columbia Heights and Bishop Ernest T. Dixon Jr. Clinic. Both sites provide full-time medical and/or dental services and behavioral health services to individuals and families who do not qualify for Medicaid or Medicare and who are not offered or cannot afford health insurance. Patient revenue is nominal and is based on a sliding fee scale determined by family size and income level. MHM also operates School Based Health Centers in two local school districts, providing medical, dental and behavioral health services. 7815344 0 8422 Wesley Nurse Health Ministries provides specially trained registered nurses who are based in churches throughout South Texas. Wesley Nurses are charged with defining the health and wellness needs of the least-served of the congregations they serve and the community as a whole. They facilitate meeting the needs of the least-served by interfacing with other community resources. 12041067 72834 129365285 55503576 true true false true false false false false false true true true true false false false false true false false false false false false false false true true true true true false false false false false false false true false false false false false true true true false false true 221 0 true 347 true true true false false false false false false false false false false X 32 32 true false false false false false false true true false false true true true true true true true true true true X X KEVIN C MORIARTY PRES CE 2106920234 4507 Medical Drive San Antonio TX 782294401 Scott D Bryan 6.0 X X 0 0 0 Darrell Frank Smith 6.0 X X 0 0 0 Paula Larson MD 4.0 X X 0 0 0 George N Ricks 2.0 X X 0 0 0 Shirley W Watkins 2.0 X X 0 0 0 Alice H Gannon 4.0 X X 0 0 0 Richard T Gilby 2.0 X 0 0 0 Mindi Alterman 2.0 X 0 0 0 Paul M Anderson 2.0 X 0 0 0 Polin C Barraza 2.0 X 0 0 0 Martin F Casey Jr 2.0 X 0 0 0 Blas S Catalani II 2.0 X 0 0 0 Bishop James E Dorff 2.0 X 0 0 0 James A Garcia 2.0 X 0 0 0 Lavonne Garrison 2.0 X 0 0 0 Rinaldo J Gonzalez 2.0 X 0 0 0 Sherry Herndon 2.0 X 0 0 0 Susan W Holmes 2.0 X 0 0 0 R Dan Johnson 2.0 X 0 0 0 Joe E Johnston MD 2.0 X 0 0 0 Nancy F May 2.0 X 0 0 0 Jesse Moss Jr MD 2.0 X 0 0 0 Sam O'Krent 2.0 X 0 0 0 Kerwin L Overby 2.0 X 0 0 0 Mahendra C Patel MD 2.0 X 0 0 0 Rev Carl W Rohlfs 2.0 X 0 0 0 Paula X Stallcup 2.0 X 0 0 0 John F Stoll MD 2.0 X 0 0 0 Rev Virgilio Vazquez-Garza 2.0 X 0 0 0 Sandy Wilder 2.0 X 0 0 0 Pendelton Wickersham MD 2.0 X 0 0 0 George Mac Williams Jr 2.0 X 0 0 0 Roy R Campbell III 2.0 X 0 0 0 Rev Jean Ann Karm 2.0 X 0 0 0 Kevin Moriarty 40.0 X 409388 0 37769 Peggy Cary 40.0 X 188666 0 38102 Maria Del Pilar Oates 40.0 X 175244 0 25064 Joseph Babb 40.0 X 172541 0 26920 Bryan Jaxx 40.0 X 108607 0 27011 Marlene Anders 40.0 X 111275 0 16488 Cynthia McCloy 40.0 X 105025 0 24760 Marilyn Stanton-White 40.0 X 102440 0 22682 Fabiola Gil de Rubio 40.0 X 102021 0 27412 1475207 0 246208 14 false true false Carlson Capital 2100 McKinney Avenue DALLAS TX 75201 investment manager 1049432 BBT Overseas Cap 201 Main St Suite 3300 FORT WORTH TX 76102 Investment Manager 966955 Southwest Diagnostics PO Box 241000 SAN ANTONIO TX 78224 Radiology SERVICES 461684 Laboratory Corporation of America PO Box 12140 BURLINGTON NC 27216 LAB SERVICES 435012 Albert Mascola Mascola Esthetics D 6246 Ingram Road SAN ANTONIIO TX 78238 LAB SERVICES 302271 13 49132 108663 157795 ORDINARY INCOME FROM MHS OF SAN ANTONIO 622110 129363319 128146805 1216514 CLINIC REVENUE - DIRECT MHM PROGRAM 621498 120709 120709 WESLEY NURSE SYMPOSIUM-DIRECT MHM PROG 611430 8422 8422 WESLEY KITCHEN - DIRECT MHM PROGRAM 900099 1091 1091 WESLEY FAMILY WELLNESS - DIRECT MHM PROGRAM 611620 875 875 129494416 6616753 153345 6463408 0 0 6411275 5262429 1148846 0 1148846 1148846 164742680 0 159773916 60975 4968764 -60975 4907789 4907789 0 0 0 ALL OTHER REVENUE 900099 -27541 -27541 -27541 142298058 128277902 1369859 12492502 19781564 19781564 72834 72834 0 0 1073694 1073694 0 15039342 13209036 1830306 672704 592397 80307 3479721 2840647 639074 1134406 966548 167858 0 138540 138540 43750 43750 46081 46081 0 1564803 1564803 4168612 3435631 732981 136384 3100 133284 1931630 1768375 163255 705517 640984 64533 0 593260 416595 176665 691158 599024 92134 0 196202 113596 82606 2076 2076 0 1672049 1236610 435439 236554 173408 63146 PHARMACEUTICALS 5344647 5344647 K-1 EXPENSES-INCL ALLOC DEPR 3262298 3262298 Community Outreach 456703 456703 Federal Income Tax 423700 423700 713183 543498 169685 63581412 55503576 8077836 0 0 4669745 4646996 14162 0 0 22039 35448 0 0 0 0 0 0 0 0 277784 333058 35091975 8038807 24274675 27053168 242314153 291700938 56646550 75451206 338577305 342728527 0 0 100000 100000 666859502 742086252 2493498 3000923 35540430 34371101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38033928 37372024 X 628709651 704601403 15923 12825 100000 100000 628825574 704714228 666859502 742086252 X 78716646 -2827992 X false true X true false X X X false false false SOUTHWEST TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH 741326672 01 true true true 373062 1 373062 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false true 822 true 63322 true 3608 true 6016 true 1084 74852 false Other Lobbying Activities Schedule C, Part II 1-i Other lobbying activities include: registration fees, membership dues, and phone services. 100000 1488 1488 100000 100000 1949 1949 100000 100000 4107 4107 100000 100000 5515 5515 100000 100000 5514 5514 100000 0.00000 1.00000 0.00000 false false 2527278 2527278 22815939 4707574 18108365 242026 140256 101770 5599269 3190977 2408292 3907463 3907463 27053168 Overseas CAP Partners, Inc. 26248721 F Black Diamond Ltd 9798984 F Double Black Diamond Ltd 17754104 F BLACK DIAMOND STRUC OPP II LP 6416750 F EAGLE INCOME APPRECIATIONS LLC 11215287 F OZ Overseas Fund II, Ltd 235541 F Incube Ventures II, LP 514475 F Targeted Technology Fund, LP 339066 F BiO2 Medical 250000 F Texas Methodist Foundation 2678278 F 75451206 EQUITY OWNERSHIP IN METHODIST 342728527 C 342728527 Wheatley Endowment Fund Schedule D Part V The endowment fund is considered a permanently restricted asset. 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TEXAS CERTIFIED MSO SAN ANTONIO PRACTICE MANAGEMENT SERVICES

8109 Fredericksburg Road San Antonio TX 78229

TEXAS CERTIFIED MSO METHODIST INPATIENT MANAGEMENT GROUP

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

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MSO PEDIATRIC ANESTHESIA CONSULTANTS OF SA

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO TEXAS INSTITUTE OF PEDIATRICS

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO CHILDREN'S CRITICAL CARE SPECIALIST

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO TEXAS INSTITUTE OF MEDICINE & SURGERY

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

NONPROFIT HEALTHCARE CORP METHODIST CARDIOLOGY PHYSICIANS

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

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1533 AUSTIN HWY SUITE 105 SAN ANTONIO TX 78218

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507 ST JAMES SAN ANTONIO TX 78202

FAMILY HEALTH CENTER TEXAS TRANSPLANT PHYSICIAN GROUP

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO Annual Community Benefit Report Schedule H, Part I line 6a Methodist Healthcare System of San Antonio, Ltd, LLP ("MHS", the Partnership, EIN: 74-2730328), a Texas limited partnership, was formed on January 11, 1995, and filed a certificate to add the designation of limited liability partnership June 5, 2003. The Partnership is structured with two general partners, Columbia/HCA Healthcare Corporation of Central Texas, an indirect wholly owned subsidiary of HCA, Inc., and Methodist Healthcare Ministries of South Texas, Inc. ("MHM"), a Texas nonprofit corporation, each with a 20% general partnership interest. The two general partners also each hold equal 30% limited partner interests. Only 50% of MHS financial assistance and other community benefits are reported on MHM's 990 Schedule H. MHS provides a full range of inpatient and outpatient services primarily through the operation of Methodist Hospital and its affiliated campuses of Methodist Children's Hospital, Metropolitan Methodist Hospital, Methodist Specialty & Transplant Hospital, Northeast Methodist Hospital, and Methodist Texsan Hospital, as well as Methodist Stone Oak Hospital and Methodist Ambulatory Surgery Hospital - Northwest, as permitted by the licenses issued to them from the State of Texas. Activities associated with the provision of healthcare services within the hospital setting are the major and central operations of the hospitals. The Partnership is the sole corporate member of four Texas certified nonprofit healthcare corporations, which employ physicians who provide health care services to the community. MHS files Annual Statements of Community Benefits as required by the Texas Department of State Health Services, per provisions of the Texas Health and Safety Code, Chapter 311, Subchapters C and D. Costing Methodology Schedule H, Part I, line 7: Cost to charge ratios from Worksheet 2 used. Charity Care at Cost SCHEDULE H, PART I, LINE 7A MHS has entered into an Indigent Care Affiliation Agreement with the Bexar County Hospital District (University Health System), Baptist Health System, Christus Santa Rosa Healthcare and Southwest General Hospital to provide funding for the healthcare services to indigent patients in Bexar County. Funds are paid to Bexar County Clinical Services, a Certified Non-Profit Healthcare Organization (CHO). BCCS disburses funds to various healthcare providers for the provision of healthcare services to indigent patients in Bexar County. Organization's financial statement bad debt expense footnote Schedule H, Part III Section A, Line 4: Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for doubtful accounts is based upon assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental and private employer health care coverage, and other collection indicators. The provision for doubtful accounts and the allowance for doubtful accounts relate primarily to "uninsured" amounts (including co-payment and deductible amounts from patients who have health care coverage) due directly from patients. Accounts are written off when all reasonable internal and external collection efforts have been performed. The return of an account from the secondary external collection agency is considered to be the culmination of reasonable collection efforts and the timing basis for writing off the account balance. Write-offs are based upon specific identification and the write-off process requires a write-off adjustment entry to the patient accounting system. Management relies on the results of the detailed reviews of historical write-offs and recoveries at facilities that represent a majority of revenues and accounts receivable (the hindsight analysis) as a primary source of information to utilize in estimating the collectability of accounts receivable. The hindsight analysis is performed quarterly, utilizing rolling twelve-month accounts receivable collection and write-off data. The results of the detailed review of historical collections and write-offs experience, adjusted for changes in trends and conditions, are used to evaluate the allowance amount for the current period. At December 31, 2012 and 2011, respectively, the Partnership's combined allowance for doubtful accounts and self-pay discounts represented approximately 95% of the $257,000,000 and 90% of the $214,200,000 total patient due accounts receivable balance, including accounts, net of estimated contractual discounts, related to patients for which eligibility for Medicaid coverage was being evaluated (pending Medicaid accounts). Adverse changes in general economic conditions, business office operations, payor mix, or trends in federal or state governmental health care coverage could affect the Partnership's collection of accounts receivable, cash flows, and results of operations. As of December 31, 2012, the bad debt amount was $157,700,000. This amount is not reflected on MHM's 990 Part IX expenses due to bad debt amount being reported on MHS financials. Costing Methodology Schedule H, Part III, Line 4 Costing Methodology - Cost to charge ratios from Worksheet 2 used. MHM and MHS jointly analyzed zip codes where, based on financial demographics, it appeared that the patients in those zip codes would likely qualify for charity care. An analysis of past collections in the zip code areas and several federal poverty guideline surveys using the zip codes resulted in MHM's conclusion that all patients in the identified zip codes are patients that, under MHS charity care policies, would likely qualify for charity care. The estimated amount of MHS's bad debt expense attributable to patients eligible under the organization's financial assistance policy was calculated using zip code data. Transactions included in the total reported on line 3 were from zip codes where the median income would qualify a patient for MHS's Charity Care Program. Costing Methodology Schedule H, Part III, Section B, Line 8 The amounts reported on Part III, Lines 5-7 have been determined by aggregating the information from the individual facility cost report(s) for each of the hospitals operated by MHS. The hospitals operated by MHS may have cost report year ends other than December 31, 2012. Accordingly, for a facility with a non-calendar year end, the cost report that was filed for the cost report year end that ended during 2012 was utilized. Written Debt Collection Policy Schedule H, Part III Section C, Line 9b: MHS has a policy to provide discounts to those individuals who do not have insurance or who are not covered by a governmental reimbursement program. If a patient qualifies for Medicaid, then he or she is only responsible for any non-covered charges. If the patient does not qualify for Medicaid, he or she may complete an application for Charity Assistance to have the encounter reviewed for a potential Charity discount. If the patient falls between 0-200% of Federal Poverty Guidelines, then 100% of the account will be written off to charity. Letters are then sent to the patients notifying them that the account has qualified for the charity discount and is considered closed and no further collections efforts are taken. In addition, a sliding scale charity discount is applied to accounts for patients whose income is between 200% and 500% of the federal poverty level, and whose remaining account balance, after any third-party payments, exceeds a specified percentage of their income. If a patient does not qualify for a charity discount, an uninsured discount is applied to total charges. If a patient is unable to pay the remaining balance in full, after applying any charity or uninsured discounts, MHS will work with the patient to set up a monthly payment arrangement. Throughout the debt collection process, MHS continues to inform patients about the availability of charity care assistance. Financial Assistance Policy Schedule H, Part V, Section B, Line 12h & Part VI, Question 3 The following is a summary of the Charity Care Policy adopted by MHS: Charity Care Eligibility System - Methodist actively seeks the completion of an application, which allows for the collection of appropriate information. - Verification of family members in the household - Adults: patient, patient's spouse and any dependents. Minors: mother and father, and dependents of both. - Income calculation - Adults: sum of the total yearly gross income of the patient and the patient's spouse. Minors: total yearly gross income of the patient, and the patient's mother and father. - Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. - ZIP Code Write-Off Eligibility - MHS will accept uninsured residential indigent patients as eligible for charity care upon exhaustion of insurance eligibility determination (i.e. Medicaid) and efforts to obtain a completed Charity application with supporting proof of income. The write-off will apply to all patient types. A residential indigent patient is an uninsured person who is accepted for care with no obligation or with a discounted obligation to pay for the services rendered, and lives in specifically defined ZIP codes--those with high poverty populations. Through the end of 2012 the charity care write off related to this eligibility process was $60.7 million in charges. Charity Eligibility Classifications - Financially Indigent - yearly income is less than or equal to 200% of the Federal Poverty Guidelines. - Medically Indigent - the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by MHS is based on meeting either of two criteria: Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines. Alternatively, patients with abnormally large accounts may qualify as catastrophically eligible when their remaining balance exceeds a specific percentage of their income. The guidelines applied for Catastrophic Eligibility range from 201% of the Federal Poverty Guidelines to over 1000% of the Federal Poverty Guidelines. Publication of Financial Assistance Policy Schedule H, Part V, Section B, Line 14g and Part VI Question 3 There is a link on MHS website for information on financial assistance. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Admissions personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. MHS adopted an Uninsured Discount Policy. The policy was established to make hospital bills more affordable to the uninsured population. Uninsured patients who qualify for charity will receive either the charity discount or the uninsured discount, whichever is greater. Uninsured discounts granted for the year ended December 31, 2012 were $240.4 million in charges, and are recorded as a deduction of net patient revenue. Charges for Medical Care Schedule H, Part V, Section B, Line 20d MHS has adopted an Uninsured Discount Policy. The rates are based on average reimbursement rate for commercial PPO Plans. The discount rate varies based upon whether the case is an inpatient admission, emergency room visit, or other outpatient visit. For 2012, the discount rate applied to inpatient accounts was 81%, 77% for emergency room accounts, and 71% for all other outpatient accounts. Additional information regarding the program is included in the response for Schedule H, Part V, Section B, Line 14g. Needs Assessment Schedule H, Part VI, Question 2 MHM and MHS are members of the Bexar County Community Health Collaborative which consists of the following members: Baptist Health System, Bexar County Department of Community Resources, Community First Health Plans, San Antonio Metropolitan Health District (Metro Health), WellMed Medical Management, the YMCA of Greater San Antonio, University Health System, and Community Member, Steve Blanchard, PhD. MHM and MHS are major funders of the Bexar County Community Health Collaborative's needs assessment. As noted above, Methodist Healthcare System is a partner of the Bexar County Health Collaborative. The Collaborative undertakes a county-wide community assessment study every three years to guide the community health strategic planning process. For the current study released in 2011, the Bexar County Health Collaborative engaged Health Resources in Action to collaborate on the process. The goals of the study included: To provide a health portrait of the community ; To determine trends and emerging issues; To engage the community and key partners to identify health concerns, priorities, strengths and opportunities for future programming and policy. The assessment was comprised of three phases: Phase I - Health Outcomes and Conditions - provided information on Bexar County's social and economic indicators, as well as the leading causes of morbidity and mortality for Bexar residents. Multiple data sources were drawn upon in order to obtain this information and included the U.S. Census Bureau, U.S. Bureau of Labor and Statistics, Texas Department of State Health Services, and the San Antonio Police Department. Phase II - Health Behaviors - this phase examined risk factors and behaviors resulting in the leading causes of morbidity and mortality of Bexar County. Phase III - In-depth Community Health Perceptions - this phase identified those areas requiring further investigation and/or community input. Focus groups, meetings, and interviews were conducted with over 220 individuals. Groups included hospital administrators, WIC Counselors, as well as children and their parents. This phase provided valuable insight into the perceived health needs and assets as well as suggestions for improving the health of the area. Prior to the 2011 Needs Assessment, the Bexar County Community Health Collaborative last conducted a Needs Assessment in 2008. Please see the response above for information on the various groups consulted during the needs assessment process. The community needs assessment was conducted with the following hospital facilities: Methodist Healthcare System (Methodist Hospital, Methodist Children's Hospital, A Campus of Methodist Hospital, Methodist Specialty and Transplant Hospital, A Campus of Methodist Hospital, Metropolitan Methodist Hospital, A Campus of Methodist Hospital, Northeast Methodist Hospital, A Campus of Methodist Hospital, Methodist Texsan Hospital, A Campus of Methodist Hospital, Methodist Stone Oak Hospital, Methodist Ambulatory Surgery Hospital - Northwest); Baptist Health System (Baptist Medical Center, North Central Baptist Hospital, Mission Trails Baptist Hospital, St. Luke's Baptist Hospital, Northeast Baptist Hospital); and University Hospital. Information regarding the Bexar County Community Health Collaborative's most recent community health needs assessment is available upon request. The following are key findings from the assessment along with Methodist Healthcare activities that help to address these findings: Key Finding: Obesity, physical activity and nutrition now considered top-of-mind health concerns Methodist's community activities include offering a suite of health and wellness programs unlike any other provider in the community - over 2,600 health and wellness events in 2012. Over 500 San Antonians participate weekly in Methodist-sponsored line dancing classes throughout the city. Two community-wide Heart Check health fairs were held in 2012, one near downtown San Antonio and the other on the east side. Both events attracted over 400 people. Five Methodist Healthcare hospitals hosted a screening for hypertrophic cardiomyopathy (HCM) in conjunction with AugustHeart in 2012. AugustHeart is a community-wide program dedicated to providing free heart screenings to student athletes, ages 14 to 18, in San Antonio and surrounding counties. Out of the 413 students screened, 24 were referred for further evaluation. Methodist offered the following community education classes focusing on prevention--171 classes on Hypertension with 35,597 attendees, 162 classes on Diabetes with 34,438 attendees, and 138 classes on Hyperlipidemia with 28,751 attendees. Methodist Healthcare offers a free wellness and prevention magazine called Heart Matters/Stroke Matters that is distributed at all Methodist events. Over 12,000 were distributed in 2012. Through Methodist's membership in the Health Collaborative, Methodist plays a large role in Project Measure Up, a school-based program that measures the rate of youth obesity and physical fitness of children in grades 3-12. In 2012, Project Measure Up has been implemented in nine of the 16 San Antonio school districts, including some of the more challenging areas of San Antonio. Key Finding: San Antonio residents viewed prevention as critical, but they believe health care providers focused more on clinical care and disease management versus prevention In 2012, Methodist offered over 80 health and education seminars on several prevention programs. Examples include Colon Cancer and Screening Techniques, Impacts of an Unhealthy Lifestyle and Making Healthy Selections at HEB, a San Antonio based grocery chain. Two Cardiac Connections signature speaking series were offered. SAHealth.com, San Antonio's Online Health Resource, was redesigned in 2011/2012 and includes thousands of pages related to health and wellness topics. SAHealth.com is the most visited health care website within the HCA hospital organization. Methodist provides three different electronic newsletters on heart, women's health, and parenting. There are over 13,000 subscribers to these newsletters. Currently 184 local businesses (over 104,000 FTEs) participate in the Methodist HealthPOWER Employer Solutions program. In 2012 this program offered 136 wellness and prevention events, with attendance over 8,500. Three editions of Keeping Well were produced and distributed to affinity program members and hospital guests. Key Finding: Increasing awareness of existing programs and services are critical Methodist distributes thousands of brochures and information on its health and wellness programs throughout the city, including all Methodist hospitals, a significant number of physician offices, and other community venues. Through the Methodist Contact Center over 508,266 collateral pieces were fulfilled on request of callers. Methodist has increased the utilization of social media to disseminate information. To date, Methodist has over 2,300 Twitter followers and almost 10,000 Facebook fans (more than any other provider in the city). These followers and fans receive a minimum of five messages per week about community health programs and services. Methodist Hospital was first hospital to perform a live Tweet during a clinical procedure. The Tweet was done during a transcatheter aortic valve replacement (TAVR) and received many positive comments and questions. Methodist also uses social media as a method to raise organ donor awareness. Facebook announced a new feature that encourages it's 900 million members to share their organ donor status, and to register to be a donor. To leverage this national opportunity, Methodist Healthcare launched its own "I'm a Lifesaver" campaign. This campaign ran during the month of May and encouraged our Facebbok fans to register as organ donors. Participants were entered into a drawing for a grand prize of $2,500 to be donated to the charity of their choice. Over 500 people participated. Key Finding: Programs and services should be culturally appropriate to meet the diversity of cultures in the region All patient consent forms can be found in Spanish, as well as educational material in various service lines. The Methodist online diversity resource guide was upgraded to ensure the most current resources are available to staff so that they are able to properly address patients from different cultures and countries. All Methodist facilities offer language interpretation (200 languages) 24/7/365 via a relationship with Language Service Associates. Methodist has placed 261 dual headset cordless phones throughout the organization, as well as installing 18 Video Remote Interpreting units to meet the needs of patients and families requiring language assistance. A new Methodist International Patient (MIP) program is being piloted at Methodist Hospital and all impacted departments have designated a Methodist International Champion that will be a contact person for international patients. An international p Patient Education of Eligibility for Assistance Schedule H, Part VI, Question 3 There is a link on MHS website for information on financial assistance. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Admissions personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. MHS adopted an Uninsured Discount Policy. The policy was established to make hospital bills more affordable to the uninsured population. Uninsured patients who qualify for charity will receive either the charity discount or the uninsured discount, whichever is greater. Uninsured discounts granted for the year ended December 31, 2012 were $240.4 million in charges, and are recorded as a deduction of net patient revenue. MHS also partners with Resource Corporation of America (RCA) to screen and to assist self-pay patients to determine their eligibility for Federal, State and County programs. RCA acts as a liason for the patient to help them through the application process. Patients are referred to RCA in several ways -- through review of hospital census reports, review of insurance verification, from physicians' offices and from hospital case management staff. Community Information Schedule H, Part VI Question 4 San Antonio serves not only residents of Bexar and surrounding counties in Texas, but serves as the referral center for all of South Texas--especially for pediatric services, as the outlying areas typically do not offer those services in their communities. Promoting the Health of the Community Schedule H, Part VI, Question 5 MHS promotes the health of the community through various services it offers to San Antonio and surrounding communities. In 2012, MHS received 23.7% of all inpatient admissions from South Texas counties, many of these admissions coming via transfers from rural hospital emergency departments. In late 2009, MHS consolidated all bed placement services, including rural emergency department transfer assistance, into a system-wide Patient Placement Center. The acceptance rate in 2012 was 98.7% compared to 99.2% in 2011. Self-pay patients accounts for 5% of all transfers as compared to 8% in 2011. Pediatric and high-risk maternal transfers are also now handled through these consolidated placement services. Specialized services available at MHS facilities include the following: Neonatology services, Pediatric Subspecialty services, Bone Marrow Transplant, Kidney Transplants, Heart Transplants, Liver Transplants, Pancreas Transplants, Hyperbaric Oxygen Treatment, Stroke Care, Medical Air Transport, Gamma Knife Radiosurgery, and Bariatric Surgery. Discussions began in late 2012 to place two additional helicopters in rural markets, with the third helicopter to be placed in Seguin (Methodist AirCare 2, now in Pearsall, Texas, is at capacity). Methodist AirCare, in partnership with REACH Air Medical Services, continues to examine new opportunities in South Texas, and should have four helicopters dedicated to the rural Texas market by the end of 2013. See responses for question #2 above regarding expansion of services in 2012. The majority of charity care provided by the hospitals is from patients receiving emergency services. MHS continued to improve access to care to the community by improving emergency department access. Emergency room visits to MHS facilities totaled 308,052 in 2012, an increase of 9% over 2011. 16% of total ER visits resulted in inpatient admissions with a 6% increase in ED admissions over 2011. More importantly, 22.1% of all visits to MHS emergency rooms in 2012 were made by charity or self-pay patients. MHS saw a 27.6% improvement in the wait time from the Patient Arrival to Bed metric and a 46.5% improvement in the Arrival to time they are seen by a provider. The improvements in these metrics led to a drop in the Left Prior to Medical Screening Metric from 1.7% to 0.8%. MHS continues to have minimal ambulance diversion hours. Texas Transplant Institute (TTI), at Methodist Specialty & Transplant Hospital, a Campus of Methodist Hospital, continues to provide increased access for patients requiring kidney transplants. TTI is the home of the busiest paired exchange kidney transplant program in the nation. MHS also operates three Health Buses on the east, south and west side of San Antonio offering complimentary transportation to various health care facilities. There were 13,051 transports in 2012, compared to 12,515 in 2011. Metropolitan Methodist Hospital in conjunction with Methodist Hospital Women's Services, operates five Family Health Centers that provide complimentary pregnancy testing, physician referrals (3,997 in 2012), counseling, health education and screening programs. Visit volumes to these centers decreased slightly when compared to 2011 (18,647 vs. 19,283) as other health care providers have increased their service offerings. MHS also operates Call-a-Nurse for Children, a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/injured children. The service operates from 5:00 p.m. to 8:00 a.m. Monday through Friday and around the clock on weekends and holidays (when physicians offices are closed). Call volumes in 2012 93,999 versus 97,659 in 2011. In addition to inbound triage calls for Children's services, Methodist operates a discharge call program during normal business hours. A call by a registered nurse is made to all inpatient discharges within 48 hours of discharge to inquire about their inpatient stay, any concerns related to discharge orders, and current health conditions. In 2012, this program called 123,940 Methodist patients. The Methodist Contact Center operates a community phone-in health resource called HealthLine during normal business hours. HealthLine callers schedule attendance to health and wellness events, parenting classes, seek health information from several automated health resource libraries, and receive physician referrals through the Methodist DoctorSource program. In 2012, Methodist referred 11,544 physicians to DoctorSource callers versus 12,005 in 2011 (up to three physicians may be referred to each caller). MHS has an open admissions policy which allows medical staff to admit patients directly to any MHS facility regardless of the patient's ability to pay. MHS funds and provides training and continuing education to physicians, nurses, EMS professionals and other allied health professionals. MHS participates in all quality measures (CMS, JCAHO, etc). MHS uses the CMS Core Measures as the primary quality indicators for clinical care. MHS provided direct support to 55 non-profit health and human service organizations serving the community. As noted above, MHS plays a leading role in the support of the Bexar County Community Health Collaborative, including the utilization of their Community Health Assessment to assist in the determination of where MHS should concentrate community activities. MHS executive management also supports the YMCA through membership on YMCA's Executive Committee and through the provision of 65 health and wellness events in 2012. MHS is also a founding member of Health Access San Antonio and MHS leadership serves on their Board of Directors. All three of the above-mentioned organizations received funding from MHS in 2012. Affiliated Health Care System Schedule H, Part VI, Question 6 See answer to Part I line 6a. State Filing of Community Benefit Report Schedule H, Part VI, Question 7 Texas true Alamo Children's Advocacy Center 7130 US Hwy 90 San Antonio TX 78227 742633697 501(c)(3) 60000 Amistad Community Health Center 1533 Brownlee Blvd Corpus Christi TX 78404 203008507 501(c)(3) 357562 Healthcare Services Any Baby Can of the Texas Hill Country 624 Earl Garrett STE 320 Kerrville TX 78028 010809682 501(c)(3) 34250 Operational Support Arthur Nagel Community Clinic 1116 12th St 3 Bandera TX 78003 770697361 501(c)(3) 166192 primary care svcs & women's healthcare Atascosa Health Center 310 Wl Oaklawn Rd Pleasanton TX 78064 742089103 501(c)(3) 132188 Autism Service Center of San Antonio 701 S Zarzamora St Cottages 1-9 San Antonio TX 78207 262592058 501(c)(3) 50000 fund celebrate recovery program Barrio Comprehensive Family Health Care Ctr 3066 E Commerce St San Antonio TX 78220 741724391 501(c)(3) 1817560 FUND MEDICAL & DENTAL SERVICES Bexar County Health Collaborative 816 Camaron St209 San Antonio TX 78212 742953076 501(c)(3) 110000 Access to Early Autism Intervention Brighton School 14207 Higgins Rd San Antonio TX 78217 742331826 501(c)(3) 63688 medical, dental & counseling svcs Children's Bereavement Center of South TX 205 W Olmos Drive San Antonio TX 78212 742828178 501(c)(3) 134375 prevention of obesity & diabetes Christus Spohn Health System Corporation 725 Elizabeth St5 Corpus Christi TX 78404 741109836 501(c)(3) 23254 donation Communities in Schools of San Antonio Inc 1616 E Commerce St Bldg 1 San Antonio TX 78205 742393714 501(c)(3) 104984 operational support for pals program Community Health Ctr of South Central Texas 228 St George Street Gonzalez TX 78629 741548089 501(c)(3) 333361 dental salary supplement Community Health Development 201 S Evans Uvalde TX 78801 742269739 501(c)(3) 262500 healing programs for grieving youth Community Hope Projects Inc 2332 W Jordan Road McAllen TX 78503 742742024 501(c)(3) 265980 mental health & counseling services Corpus Christi Metro Ministries 1919 Leopard St Corpus Christi TX 78408 742247261 501(c)(3) 56600 Fund clinical pastoral education residency program Daughters of Charity Serivces 7607 Somerset Rd San Antonio TX 78211 746106876 501(c)(3) 558007 mental health svcs for at-risk youth Ecumenical Center for Religion and Health 8310 Ewing Halsell Dr San Antonio TX 78229 741587388 501(c)(3) 426592 dental salary suppl & behavioral healthcare El Centro del Barrio (DBA CentroMed) 3750 Commercial Ave San Antonio TX 78221 741787031 501(c)(3) 2403057 fund oral health services Family Outreach Corpus Christi Inc 1444 Baldwin Blvd Corpus Christi TX 78404 742049746 501(c)(3) 81526 fund family counseling services Family Service Association of San Antonio Inc 702 San Pedro San Antonio TX 78212 741117341 501(c)(3) 438539 medical svcs at gabbard health clinic Family Violence Prevention Services Inc 7911 Broadway San Antonio TX 78209 741994151 501(c)(3) 73678 medical, dental & mental health svcs Gateway Community Health Center Inc 1515 Pappas St Laredo TX 78041 742553409 501(c)(3) 771738 fund medical ethics program, pastoral care, seminars, and child therapy Good Samaratin Community Services 1600 Saltillo San Antonio TX 78207 741117340 501(c)(3) 58668 fund capital, medical, dental, respite & behavioral health care services Healthcare Access San Antonio 3066 E Commerce St San Antonio TX 78220 203752122 501(c)(3) 210267 crisis counseling & support svcs Healy-Murphy Center 618 Live Oak San Antonio TX 78202 741667875 501(c)(3) 60886 prev of child abuse & neglect in rural areas & mental health services Hill Country Mission Health 122 Commerce Ave Boerne TX 78006 481262832 501(c)(3) 50000 community based counseling programs for homeless Hispanic Religious Prtn for Comm Hlth 1701 W Woodlawn San Antonio TX 78201 742886380 501(c)(3) 213491 To provide on-site mental health services for residents of all San Antonio homeless shelters. Horses Helping the Handicapped Inc 791 Backhaus Rd Pipe Creek TX 78063 742746369 501(c)(3) 191000 Fund diabetes education, diabetic eye care, behavioral healthcare, dental salary supplement, and South Clinic capital I Care San Antonio 1 Haven for Hope Way Building One Suite 200 San Antonio TX 78207 742690192 501(c)(3) 94500 fund vision care Infant & Family Nutrition Agency 1225 Boca Chica Blvd Suite 1200 Brownsville TX 78520 743005860 501(c)(3) 20000 operational support Jewish Family Service of San Antonio Inc 12500 NW Military Hwy Suite 250 San Antonio TX 78231 741759254 501(c)(3) 213000 sports field equipment La Esperanza Health and Dental Centers 2029 Beauregard San Angelo TX 76901 742699762 501(c)(3) 265956 operational support & workforce development Lower Rio Grande Valley Comm Health Mgmt 901 E Vermont Ave McAllen TX 78503 742784427 501(c)(3) 348780 operational support Matagorda Episcopal Health Outreach Program 101 Ave F North Bay City TX 77414 200537948 501(c)(3) 156569 fund behavioral health services Mercy Ministries of Laredo 2500 Zacatecas St Laredo TX 78046 200198462 501(c)(3) 242991 medical services in kendall county Mission 911 911 Park Ave Corpus Christi TX 78401 742996340 501(c)(3) 39800 operational support Mission of Mercy Inc 719 S Shoreline Bl Suite 103 Corpus Christi TX 78401 860704883 501(c)(3) 59625 equine-assisted children's mental health prog Morningside Ministries Foundation Inc 700 Babcock Rd San Antonio TX 78201 742927605 501(c)(3) 105250 vision care at Haven for Hope & equipment New Braunfels Christian Ministries 1195 W San Antonio St New Braunfels TX 78130 262221231 501(c)(3) 63000 operational support Our Lady Of The Lake Univer Of San Antonio 411 SW 24th St San Antonio TX 78207 741109631 501(c)(3) 54550 community program support Pastoral Care and Cunsl Ctr-San Angelo TX 242 N Magdalen San Angelo TX 76903 751561599 501(c)(3) 209174 wellness center & medical services Planned Living Asst Network of Central TX P O Box 4755 Austin TX 78765 742861614 501(c)(3) 26707 youth counseling & outpatient psychiatry Planned Parenthood of San Antonio 104 Babcock Rd San Antonio TX 78201 741297211 501(c)(3) 422875 fund medical & dental services Raphael Community Free Clinic Inc 1807 Water St Kerrville TX 78028 742819628 501(c)(3) 113724 San Antonio Medical Center Improvements Roy Maas Youth Alternatives Inc 3103 West Ave San Antonio TX 78213 741914638 501(c)(3) 63711 dental & women's health services San Antonio Christian Dental Clinic 1 Haven for Hope Way Building One Suite 400 San Antonio TX 78207 742428161 501(c)(3) 258250 operational support San Antonio Clubhouse Inc 1530 North Alamo San Antonio TX 78215 820559940 501(c)(3) 183750 mobile medical svcs in Corpus Christi TX San Antonio Food Bank 5200 Old Highway 90 W San Antonio TX 78227 742122979 501(c)(3) 203260 fund Briscoe Caregiver Resource Center San Antonio Metropolitan Ministry 5254 Blanco Rd San Antonio TX 78216 742285793 501(c)(3) 110541 mental health clinic at Haven for Hope, outpatient care, and capital SLEW Inc 12521 Nacogdoches Rd Suite 101 San Antonio TX 78217 421580967 501(c)(3) 52784 bridge emergency shelter psychiatric services South Texas Rural Health Service 304 Nueces St Cotulla TX 78014 741905196 501(c)(3) 600817 dental care of indigent services SW TX Conference of the United Methodist Church 16400 Huebner Rd San Antonio TX 78248 370771661 501(c)(3) 373062 medical & dental care to uninsured, low-income Comal County residents St Peter-St Joseph Children's Home 919 Mission Rd San Antonio TX 78210 741143129 501(c)(3) 201842 dental salary supplement State of Texas Kidney Foundation 22123 Impala Peak San Antonio TX 78259 274237653 501(c)(3) 58081 start up funding Su Clinica Familiar 1706 Treasure Hills Blvd Harlingen TX 78550 742357970 501(c)(3) 41416 diagnostic women's health care svcs Tejas Health Care 753 East Travis St La Grange TX 78945 753260266 501(c)(3) 239131 fund scholarships for medical training The Arc of San Antonio Inc 13430 West Ave San Antonio TX 78216 741200110 501(c)(3) 140424 fund medical services ThriveWell Cancer Foundation 4383 Medical Dr Suite 4078 San Antonio TX 78229 260371270 501(c)(3) 40857 fund diva program Timons Ministries 10501 S Padre Island Dr Corpus Christi TX 78418 311638327 501(c)(3) 33388 operational support United Medical Centers 2525 N Veterans Blvd Eagle Pass TX 78852 741993570 501(c)(3) 209941 feed my lambs ministry & historical celebration United Way of San Antonio & Bexar County PO Box 898 San Antonio TX 78293 741272381 501(c)(3) 107625 child & community trauma counseling program University Health System 4502 Medical Dr San Antonio TX 78229 746002164 501(c)(3) 1107898 scholarship fund University of Incarnate Word 4301 Broadway San Antonio TX 78209 741109661 501(c)(3) 500000 dental care of indigent services Univer of TX Hlth Science Ctr San Antonio 7703 Floyd Curl Dr San Antonio TX 78229 741586031 501(c)(3) 2646687 mental health svcs & capital Voices for Children Community Research Center 1 Haven for Hope Way Building One Suite 200 San Antonio TX 78207 742987232 501(c)(3) 50000 operational support Women Involved in Nurturing Giving Sharing 7900 US Hwy 90 W Suite 2-240 San Antonio TX 78227 742920912 501(c)(3) 266923 culture of poverty trng & spiritual svcs Brownsville Community Health Center 2137 E 22nd St Brownsville TX 78520 742176836 501(c)(3) 42000 fund the oaysis project Nuestra Clinica del Valle 801 W 1st St San Juan TX 78577 741721807 501(c)(3) 42000 mental health svcs for underserved woment with cancer Vida Y Salud Health Systems Inc 308 Cesar Chavez Ave Crystal City TX 78839 741715419 501(c)(3) 42000 Dental salary supplement, mental health and substance abuse program, and behavioral health support. American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 6750 donation American Diabetes Association 1701 N Beauregard St Alexandria TX 22311 131623888 501(c)(3) 10785 R C Freedom Ministries 4414 Centerview Dr Suite 167 San Antonio TX 78228 841651326 501(c)(3) 16800 Grantmakers in Health 100 Connecticut Ave NW Suite 1200 Washington TX 20036 133206571 501(c)(3) 7000 Medical Center Alliance 4507 Medical Dr San Antonio TX 78229 742892751 501(c)(3) 110000 2 day dental even in San Antonio - "Mission of Mercy" The Blood and Tissue Center Foundation 6211 IH 10 West Suite 4078 San Antonio TX 78201 431970952 501(c)(3) 8450 United Communities of San Antonio 501 S Main 101 San Antonio TX 78204 203411782 501(c)(3) 6600 First United Methodist Church of Corpus Christi 900 S Shoreline Blvd Corpus Christi TX 78401 741166910 501(c)(3) 5210 Laurel Heights United Methodist Church 227 W Woodlawn Ave San Antonio TX 78212 741272395 501(c)(3) 10000 donation 79 0 Electricity Assistance 155 36785 Water Assistance 28 3961 Rent/Mortgage Assistance 58 23877 Healthcare Program Assistance 18 7892 Other Assistance 2 320 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants THE GRANTEE IS GIVEN A BLANK INVOICE FORM IN THE BEGINNING OF THE FISCAL YEAR TO USE IN REQUESTING FUNDS. WHEN A REQUEST IS SUBMITTED FOR PAYMENT YEARLY, QUARTERLY, OR MONTHLY) THE ACCOUNTANT REVIEWS AND VERIFIES EXPENSES BASED ON ACTUAL INVOICES OR THE ORGANIZATION'S GENERAL LEDGER. THE ORGANIZATION'S EXPENSE INFORMATION IS VERIFIED TO THE APPROVED BUDGET SUBMITTED WITH THE GRANTEE APPLICATION. THE EXPENSE INFORMATION IS THEN ENTERED INTO THE GRANT TRACKING SOFTWARE (GIFTS) AND THE GRANT SCHEDULE. AFTER THE EXPENSES HAVE BEEN VERIFIED AND DOCUMENTED, IT IS SUBMITTED TO THE DIRECTOR OF ACCOUNTING FOR APPROVAL AND SIGNATURE. THE GRANTS ASSOCIATE ALSO REVIEWS EACH GRANT REQUEST FOR COMPLIANCE WITH BUDGETED GOALS AND OUTCOMES. IT IS THEN FORWARDED TO THE ACCOUNTS PAYABLE DEPARTMENT FOR PAYMENT. A CHECK IS PROCESSED AND MAILED TO THE GRANTEE. THE BACKUP OF THE CHECK REQUEST IS RETURNED TO THE ACCOUNTANT TO FILE IN THE GRANT FOLDER. IN ADDITION TO THESE PROCEDURES, THE ACCOUNTANTS DO SITE VISITS TO REVIEW PATIENT FILES OR INVOICES TO ENSURE THAT FUNDS ARE BEING USED APPROPRIATELY. Each grantee is audited every other year (some are visited annually) to ensure compliance with grant contracts. Samples of patient files or invoices are selected by MHM Accountants and reviewed on site. X X X X false false false false false false false false false Kevin Moriarty 367654 0 25000 0 16734 0 26722 0 11047 0 447157 0 367874 0 Peggy Cary 188666 0 0 0 0 0 17503 0 20599 0 226768 0 189449 0 Maria Del Pilar Oates 171277 0 0 0 3967 0 15795 0 9269 0 200308 0 150619 0 Joseph Babb 169770 0 0 0 2771 0 15687 0 11233 0 199461 0 144157 0 FROST BANK SEE SUPPLEMENTAL SCHEDULE 4500000 FROST BANK LINE OF CREDIT false BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Roy R Campbell, III was a Board Member of Methodist Healthcare Ministries and is an employee, officer, and shareholder for Frost Bank. Lavonne Garrison is also a Board Member of Methodist Healthcare Ministries and is a Senior Vice President of Corporate Banking for Frost Bank. During 2012 Methodist Healthcare Ministries drew on a line of credit with Frost Bank for $4,500,000; he/she was not directly involved with the line of credit transaction. They excused themselves from the meetings anytime there was discussion on the line of credit. Frost Bank also provided banking services to Methodist Healthcare Ministries during 2012. The $4,500,000 line of credit was repaid in May 2012. Description of Other Program Services Form 990, Part III, Line 4d OTHER PROGRAM SERVICES OWNED AND OPERATED BY MHM FOR CLIENTS THAT ARE LEAST SERVED INCLUDE: - PARENTING PROGRAMS DESIGNED TO INFORM PARENTS OF THE IMPORTANCE OF EARLY EDUCATION IN THE DEVELOPMENT OF THEIR CHILDREN. PROGRAMS ARE OFFERED TO YOUNG MOMS, YOUNG DADS, GROWING FAMILIES AND PARENTS OF CHILDREN WITH SPECIAL NEEDS. - COUNSELING, CASE MANAGEMENT AND SUPPORT SERVICES ARE PROVIDED BY LICENSED PROFESSIONALS. A RURAL COMPONENT IS OFFERED THROUGH A CHURCH-BASED COUNSELING PROGRAM. - HEALTH AND WELLNESS EDUCATION PROGRAMS ARE OFFERED UNDER THE DIRECTION OF REGISTERED NURSES AT BOTH CLINIC SITES. - IN ADDITION TO THE CLINIC SERVICES IDENTIFIED UNDER PROGRAM SERVICE ACTIVITY #2, COMMUNITY PROGRAMS ARE PROVIDED AT THE WESLEY HEALTH & WELLNESS CENTER. FAMILY WELLNESS PROGRAMS ARE AVAILABLE FOR CHILDREN AND YOUTH TO PROMOTE HEALTH AND WELLNESS AND LEARNING SKILLS. ADULT HEALTH AND WELLNESS PROGRAMS CREATE OPPORTUNITIES FOR SOCIAL INTERACTION, BUILDING FAMILY UNITY AND EDUCATION THROUGH EXERCISE CLASSES, PARENT AND FAMILY TRAININGS, SUPPORT GROUPS AND FREE LEGAL ASSISTANCE AS A COMMUNITY JUSTICE PROGRAM SITE. Description of Relationships Form 990, Part VI, Question 2 2012 Relationships Two board members, Richard T. Gilby and James A. Garcia, participate in a 50/50 partnership related to construction and real estate. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11b The Audit Committee reviews a draft of the form 990 tax return and makes recommendation to the full Board. After this review, the tax return is forwarded to the full Board for review and acceptance prior to filing. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c Article 7 of the Board's Bylaws require a conflicts of interest policy. The Board adopted a policy on December 10, 1997, Article VI of which requires annual statements. The policy is enforced and the results are reported annually to the Audit Committee and to the full Board of Directors. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a President & CEO - Intelligent Compensation, LLC was retained to conduct a total compensation study. The study was received by the executive committee who determined the amount of compensation for the President & CEO. The results and approved compensation were presented to President & CEO by the Board Chair and the Senior Vice Chair on behalf of the executive committee. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15b CFO & Executive Directors - Intelligent Compensation, LLC was retained to conduct a total compensation study. The study was received by the President & CEO who determined the amount of compensation for the CFO. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 Documents are currently provided upon request. The financial statements and tax returns are also available through Methodist Healthcare Ministries website (under "Annual Report"). Other Changes in Net Assets or Fund Balances Form 990, Part XI, Line 9 WPCC Revenue - $198,556 WPCC Expenses - ($2,866,547) Tax Partnership on Form 1065 - ($129,396,114) Partnership Earnings on Books - $97,651,222 Unrealized Gains - $31,562,376 Other - $22,515 Total - ($2,827,992) Wesley Primary Care Clinic 4507 Medical Drive San Antonio TX 78229 742784284 Medical Svcs TX 501(C)(3) 11-Type I MHM true Southwest Texas Conference of the UMC 16400 Huebner Road San Antonio TX 78248 741326672 Church TX 501(c)(3) 1 NA false Methodist Healthcare System of San Anton 8109 Fredericksburg Rd San Antonio TX 78229 742730328 Hospital System TX na Related 132876738 457808613 false 0 false 0.50000 false true false false false false false false false false false false false false false false true true Wesley Primary Care Clinic R 2645416 fmv Southwest Texas Conference of the UMC B 373062 fmv Methodist Healthcare System of San Antonio S 93500000 fmv