MHSR MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MHSR MEDICAL CENTER (EIN 26-4193362)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201342259349301864
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T11:27:37-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN750800661EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITALS OF DALLASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 655999AddressLine1
CityDALLASCity
StateTXState
ZIP Code752655999ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN264193362EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MHSR MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMHSRNameControl
Phone2149474581Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 655999 C/O TAX DEPTAddressLine1
CityDALLASCity
StateTXState
ZIP Code752655999ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN BAUMGARTNERName
TitleCORPORATE SECRETARYTitle
Phone2149474581Phone
Date Signed2013-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDWIGHT WILLIAMSName
PTINP00544474PTIN
Phone2149474581Phone
Date Prepared2013-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1METHODIST RICHARDSON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN BAUMGARTNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVEAddressLine1
CityDALLASCity
StateTXState
ZIP Code75203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts61647439GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.METHODISTHEALTHSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionMHSR MEDICAL CENTER IS A 501(C)(3)TAX-EXEMPT CORPORATION ESTABLISHED BY METHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM(MHS). MHSR OWNS LAND, BUILDINGS AND EQUIPMENT LOCATED IN RICHARDSON, TX, WHICH ARE LEASED TO MHS FOR THE OPERATION OF A COMMUNITY HOSPITAL WHICH CAN, IN TURN, IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year102736ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year122732776ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year30752InvestmentIncomePriorYear
Investment Income Current Year52115839InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-244190OtherRevenueCurrentYear
Total Revenue Prior Year122866264TotalRevenuePriorYear
Total Revenue Current Year51871649TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year124777GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year58097658SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year58168464OtherExpensePriorYear
Other Expenses Current Year0OtherExpensesCurrentYear
Total Expenses Prior Year116390899TotalExpensesPriorYear
Total Expenses Current Year0TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6475365RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51871649RevenuesLessExpensesCY
Total Assets BOY34327803TotalAssetsBOY
Total Assets EOY85384126TotalAssetsEOY
Total Liabilities BOY24330221TotalLiabilitiesBOY
Total Liabilities EOY69795158TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9997582NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15588968NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SUPPORT THE MISSION OF THE METHODIST HEALTH SYSTEM TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change1SignificantChange
Expense0Expense
Revenue51871649Revenue
DescriptionTHE RICHARDSON HOSPITAL AUTHORITY (RHA) BOARD, THE GOVERNING BODY OF RICHARDSON REGIONAL MEDICAL CENTER, SIGNED A 20-YEAR OPERATING LEASE AGREEMENT WITH METHODIST HEALTH SYSTEM TO APPOINT METHODIST (VIA ITS WHOLLY OWNED TAX EXEMPT SUBSIDIARY MHSR MEDICAL CENTER) TO OPERATE THE RICHARDSON HOSPITAL AND LEASE ITS FACILITIES AND EQUIPMENT. RHA RETAINED OWNERSHIP OF THE HOSPITAL WHILE IT IS OPERATED IN THE METHODIST SYSTEM UNDER ITS NEW NAME, METHODIST RICHARDSON MEDICAL CENTER. THERE IS A COMMUNITY ADVISORY BOARD MADE UP OF 14 COMMUNITY LEADERS TO HELP GUIDE THE HOSPITAL. THE NEW METHODIST RICHARDSON, WHICH BEGAN AS A COMMUNITY-OWNED HOSPITAL IN 1966, HAS TWO MEDICAL CAMPUSES; THE CAMPBELL RD. AND BUSH/RENNER CAMPUSES. THE METHODIST PARTNERSHIP IS EXPECTED TO ACCELERATE THE EXPANSION AT BUSH/RENNER, WHICH IS CURRENTLY HOME TO A MEDICAL OFFICE BUILDING AS WELL AS AN OUTPATIENT HOSPITAL AND CANCER CENTER THAT OPENED IN OCTOBER 2008. METHODIST RICHARDSON MEDICAL CENTER, A 209 BED ACUTE CARE HOSPITAL SERVING RESIDENTS OF RICHARDSON, PLANO, NORTH DALLAS, AND THE SURROUNDING COMMUNITIES, JOINED METHODIST HEALTH SYSTEM IN JUNE 2009. ON 10/01/2011 MHSR PURCHASED SUBSTANTIALLY ALL OF THE ASSETS PREVIOUSLY LEASED FROM RICHARDSON HOSPITAL AUTHORTIY (RHA) AND THE MEDICAL OFFICE BUILDINGS AND CERTAIN RENTAL PROPERTIES NOT PREVIOUSLEY LEASED BY MHSR. AS PART OF THE ACQUISTION TRANSACTION, MHSR ASSUMED THE OUTSTANDING DEBT OF RHA, NET OF AVAILABLE CASH IN FULFILLMENT OF THE PURCHASE PRICE OBLIGATION. THE ASSETS ACQUIRED INCLUDE ALL HOSPITAL FACILITES, ALL HOSPITAL EQUIPMENT, LAND AND THE PROFESSIONAL OFFICE BUILDINGS AND PARKING GARAGE. ALL HOSPITAL FACITITIES AND HOSPITAL EQUIPMENT ARE LEASED TO METHODIST HOSPITALS OF DALAS (D/B/A MHS) FOR THE OPERATION OF THE ACUTE CARE HOSPITAL AT THE CAMPBELL RD AND BUSH-RENNER LOCATIONS IN RICHARDSON, TEXAS. ADDITIONALLY, OWNERSHIP OF THE PROFESSIONAL OFFICE BUILDINGS AND OTHER OFFICE PROPERTY PREVIOUSLY LEASED TO MHSR AND ACQUIRED BY MHSR ON 10/1/2011 WAS TRANSFERED TO AND IS OPERATED BY PAVILION PROPERTIES, A 501(C)(2)TITLE HOLDING WITH MHS AS ITS SOLE MEMBER. AT THE CONCLUSION OF THE TRANSACTION ALL PATIENT SERVICE FUNCTIONS ARE PERFORMED BY MHS AND REPORTED VIA ITS ANNUAL FORM 990 AND SCHEDULE H. ALL FUNCTIONS RELATED TO THE OPERATIONS OF THE MEDICAL OFFICE BUIDLINGS WERE ASSUMED BY PAVILION PROPERTIES. MHSR'S FUNCTION IS TO HOLD TITLE TO THE HOSPITAL ASSETS FORMERLY OWNED BY AND LEASED TO MHSR BY RHA AND LEASE THEM TO ITS PARENT ORGANIZATION MHS.Description
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN BAUMGARTNERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2149474510TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVEAddressLine1
CityDALLASCity
StateTXState
ZIP Code75203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MICHAEL SCHAEFER
CHAIRMAN/TREASURER3.00XX0733932124173
PAM STOYANOFF
VICE CHAIR & ASST.SEC3.00XX0632590103387
JOHN BAUMGARTNER
SEC3.00XX038189472239
KEN HUTCHENRIDER
PRES/MMCR40.00X037566466834
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2124080TotalReportableCompFrmRltdOrgs
Total Other Compensation366633TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9531600Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real9775790Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-244190Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-244190TotalRevenueColumn
Related Or Exempt Function Income-244190RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other52115839Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other52115839Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column52115839TotalRevenueColumn
Related Or Exempt Function Income52115839RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column51871649TotalRevenueColumn
Related Or Exempt Function Income51871649RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19961BOY
EOY101328EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1903695BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18705026BOY
EOY4454616EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3106053BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1575503BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65706224LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5744000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3873974BOY
EOY59962224EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5143591BOY
EOY20865958EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34327803BOY
EOY85384126EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9175043BOY
EOY2633158EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY66325000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY15155178BOY
EOY837000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24330221BOY
EOY69795158EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9997582BOY
EOY15588968EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9997582BOY
EOY15588968EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34327803BOY
EOY85384126EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses51871649ReconcilationRevenueExpenses
Reconcilation Other Changes-46280263ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1METHODIST HOSPITALS OF DALLASBusinessNameLine1
FieldValueIRS element (for citing)
EIN750800661EIN
Type Of Organization501(C)(3)TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12821000OtherCostOrOtherBasis
Book Value12821000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47078000OtherCostOrOtherBasis
Depreciation4617776Depreciation
Book Value42460224BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5807224OtherCostOrOtherBasis
Depreciation1126224Depreciation
Book Value4681000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings59962224TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionHELD IN TRUST BOND INDENTUREDescription
Book Value20865958BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets20865958TotalBookValueOtherAssets
Total Revenue51871649TotalRevenue
Total Expenses0TotalExpenses
Excess Or Deficit For Year51871649ExcessOrDeficitForYear
Other-$36,282,681OtherAmount
Total Adjustments-36282681TotalAdjustments
Excess Or Deficit Per FS15588968ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt61647439TotRevenueEtcAuditedFinclStmt
Other Revenues9775790OtherRevenues
Revenue Not Rptd F9909775790RevenueNotRptdF990
Revenue Subtotal51871649RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99051871649TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt46058471TotExpensesEtcAuditedFinclStmt
Other Expenses Included46058471OtherExpensesIncluded
Expenses Not Rptd F99046058471ExpensesNotRptdF990
Expenses Subtotal0ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9900TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:MHSR 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. MHSR DOES NOT HAVE ANY OUTSTANDING INTEREST OR PENALTIES,AND NONE HAVE BEEN RECORDED IN THE STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEAR ENDED SEPTEMBER 30, 2012.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFER OF RHA ASSETS TO PAVILION PROPERTIES -16279400. TRANSFER OF RHA ASSETS TO METHODIST HOSPITALS OF DALLAS -20003281. TOTAL TO SCHEDULE D, PART XI, LINE 8: -36282681.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DEPRECIATION DEDUCTED FROM REVENUE 5748996. INTEREST EXPENSE DEDUCTED FROM REVENUE 3967426. OPERATING EXPENSE DEDUCTED FROM REVENUE 59368.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:TRANSFER OF ASSETS TO PAVILION PROPERTIES 36282681. DEPRECIATION DEDUCTED FROM REVENUE 5748996. INTEREST EXPENSE DEDUCTED FROM REVENUE 3967426. OPERATING EXPENSE DEDUCTED FROM REVENUE 59368.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL SCHAEFER
048643701509600965350858630383100858105078038
PAM STOYANOFF
0478835014751306242075611027776073597700
JOHN BAUMGARTNER
0304462066133011299051404020835045413300
KEN HUTCHENRIDER
029160908147302582050802016032044249800

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BANY CONTRIBUTIIONS TO A SECTION 457(F) NON-QUALIFIED PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C.
PART I, LINE 5BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO OPERATING REVENUE GROWTH
PART I, LINE 6BONUS CALCULATIONS INCLUDE A SECTION ON OPERATING EFFICIENCY WHICH INCLUDES A SUB-SECTION RELATED TO MANAGING OPERATING EXPENSE GROWTH AND NET OPERATING INCOME MARGIN.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1RICHARDSON HOSPTIAL AUTHORITY SERIES 2004 HOSPITAL REVENUE BONDSBusinessNameLine1
FieldValueIRS element (for citing)
Description Of PurposeHOSPITAL IMPROVEMENTS AND CONSTRUCTIONDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
ExplanationAS PART OF THE PURCHASE OF THE ASSETS OF RHA BY MHSR ON 10/1/2011, MHSR ASSUMED AND BECAME AN OBLIGOR UNDER THE BOND INDENTURE FOR THE RHA 2004 HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS. IN ADDITION MHS UNCONDITIONALLY GUARANTEES THE OBLIGATIONS OF MHSR. WHILE RHA REMAINS OBLIGATED UNDER THE BONDS UNTIL NO LATER THAN 3/1/2014, MHSR PROVIDES THE FUNDS NEEDED TO MAKE THE PRINCIPAL AND INTEREST PAYMENTS ON THE BONDS. FURTHER MHSR PROVIDED RHA A SECURITY INTEREST IN THE PROPERTY CONVEYED TO MHSR IN THE TRANSACTION AND ALLOWED RHA TO RETAIN $18 MILLION HELD IN A BOND RESERVE FUND FOR THE SOLE PURPOSE OF REDEEMING THE BONDS OR TO SATISFY ANY OBLIGATION OF RHA IN THE EVENT OF A DEFAULT UNDER THE BONDS AND DEBT SERVICE FUNDS. UNDER THE TERNS OF THE PURCHASE TRANSACTION, THE AMOUNT RETAINED IN THE BOND RESERVE FUND, AND ALL INTEREST EARNED THEREON, WILL BE USED TO REDEEM THE BONDS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CHANGES IN PROGRAM SERVICESFORM 990, PART III, LINE 3ON 10/01/2011 MHSR PURCHASED SUBSTANTIALLY ALL OF THE ASSETS PREVIOUSLY LEASED FROM RICHARDSON HOSPITAL AUTHORTIY (RHA) AND THE MEDICAL OFFICE BUILDINGS AND CERTAIN RENTAL PROPERTIES NOT PREVIOUSLEY LEASED BY MHSR. AS PART OF THE ACQUISTION TRANSACTION, MHSR ASSUMED THE OUTSTANDING DEBT OF RHA, NET OF AVAILABLE CASH IN FULFILLMENT OF THE PURCHASE PRICE OBLIGATION. THE ASSETS ACQUIRED INCLUDE ALL HOSPITAL FACILITES, ALL HOSPITAL EQUIPMENT, LAND AND THE PROFESSIONAL OFFICE BUILDINGS AND PARKING GARAGE. ALL HOSPITAL FACITITIES AND HOSPITAL EQUIPMENT ARE LEASED TO METHODIST HOSPITALS OF DALAS (D/B/A MHS) FOR THE OPERATION OF THE ACUTE CARE HOSPITAL AT THE CAMPBELL RD AND BUSH-RENNER LOCATIONS IN RICHARDSON, TEXAS. ADDITIONALLY, OWNERSHIP OF THE PROFESSIONAL OFFICE BUILDINGS AND OTHER OFFICE PROPERTY PREVIOUSLY LEASED TO MHSR AND ACQUIRED BY MHSR ON 10/1/2011 WAS TRANSFERED TO AND IS OPERATED BY PAVILION PROPERTIES, A 501(C)(2)TITLE HOLDING WITH MHS AS ITS SOLE MEMBER. AT THE CONCLUSION OF THE TRANSACTION ALL PATIENT SERVICE FUNCTIONS ARE PERFORMED BY MHS THE SOLE MEMBER OF MHSR. ALL FUNCTIONS RELATED TO THE OPERATIONS OF THE MEDICAL OFFICE BUIDLINGS WERE ASSUMED BY PAVILION PROPERTIES. MHSR'S FUNCTION IS TO HOLD TITLE TO THE HOSPITAL ASSETS FORMERLY OWNED BY AND LEASED TO MHSR BY RHA AND LEASE THEM TO ITS PARENT ORGANIZATION MHS.
FORM 990, PART VI, SECTION B, LINE 11PROVIDED ELECTRONICALLY TO THE BOARD MEMBERS WHO THEN RESPOND WITH ANY QUESTIONS OR COMMENTS
FORM 990, PART VI, SECTION B, LINE 12CANNUAL QUESTIONAIRE AND MONITORING BY PARENT CORP CHIEF COMPLIANCE OFFICER
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS REVIEWED BY PARENT CORP BOARD
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
HOURS WORKED FOR RELATED ORGANIZATIONFORM 990, PART VII,ALL OF THE RELATED ORGANIZATION LISTED OFFICERS, TRUSTEES AND KEY EMPLOYEES ARE EMPLOYED METHODIST HOSPITALS OF DALLAS WHICH IS THE PARENT TAX-EXEMPT ENTITY OF MHSR MEDICAL CENTER. MR HUTCHENRIDER DEVOTES SUBSTANALLY ALL OF HIS TIME TO THE OPERATIONS OF THE HOSPITAL. THE REMAINDEER OF THOSE PERSONS IDENTIFIED AS FROM A RELATED ORGANIZATION PROVIDE CORPORATE OVERSIGHT.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:PRIOR PERIOD ADJUSTMENTS: -9997582. TRANSFER OF RHA ASSETS TO PAVILION PROPERTIES -16279400. TRANSFER OF RHA ASSETS TO METHODIST HOSPITALS OF DALLAS -20003281. TOTAL TO FORM 990, PART XI, LINE 5: -46280263.
ANNUAL AUDITMHSR HAS A SINGLE COMPANY AUDIT PEFORMED EACH YEAR AS WELL AS BEING INCLUDED IN THE CONSOLIDATED AUDIT OF ITS PARENT ORGANIZATION METHODIST HOSPTIALS OF DALLAS D/B/A MHS. BOTH AUDITS ARE OVERSEEN BY THE AUDIT COMMITTEE OF THE BOARD OF MHS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
METHODIST HOSPITALS OF DALLAS
1441 N BECKLEY AVEDALLASTX75203750800661HEALTH SERVICESTX501(C)(3)LINE 3NONE0
RICHARDSON REGIONAL MEDICAL CENTER FOUNDATION INC
401 CAMPBELL ROADRICHARDSONTX75080751788520FUND RAISINGTX501(C)(3)LINE 11A, IRICHARDSON HOSPITAL AUTHORITY0
DALLAS METHODIST HOSPITALS FOUNDATION
1441 N BECKLEY AVEDALLASTX75203751548383FUND RAISINGTX501(C)(3)LINE 9METHODIST HOSPITALS OF DALLAS0
PAVILION PROPERTIES
1441 N BECKLEY AVEDALLASTX75203752284449REAL ESTATE HOLDINGTX501(C)(2)0
METHODIST TRANSPLANT PHYSICIANS
1441 N BECKLEY AVEDALLASTX75203010612870HEALTH SERVICESTX501(C)(3)LINE 11A, IMETHODIST HOSPITALS OF DALLAS0
MEDHEALTH
1441 N BECKLEY AVEDALLASTX75203752896138HEALTH SERVICESTX501(C)(3)LINE 11A, IMETHODIST HOSPITALS OF DALLAS0
PHYSICIAN ASSOC OF SW DALLAS
1441 N BECKLEY AVEDALLASTX75203752966610HEALTH SERVICESTX501(C)(3)LINE 11A, IMETHODIST HOSPITALS OF DALLAS0
ASSOC IN SURGICAL CARE
1441 N BECKLEY AVEDALLASTX75203262126265HEALTH SERVICESTX501(C)(3)LINE 11A, IMETHODIST HOSPITALS OF DALLAS0

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
MHS-CHC LP
3020 WHEATLAND RDDALLASTX75237205000978REHAB HOSPITALTXMETHODIST HOSPITALS OF DALLASRELATED00
MHS-CHC LLC
3020 WHEATLAND RDDALLASTX75237204921888REHAB HOSPITALTXMETHODIST HOSPITALS OF DALLASRELATED00
METHODIST MCKINNEY HOSPLLC
11221 ROE AVELEAWOODKS66211208847736HOSPITALTXMETHODIST HOSPITALS OF DALLASRELATED00
MHD-USO MANAGEMENT CO
ONE POST ST 35TH FLOORSAN FRANCISCOCA94104203844027MEDICAL SERVICESTXMETHODIST HOSPITALS OF DALLASRELATED00
METHODIST MCKINNEY HOSP PROPLLC
11221 ROE AVELEAWOODKS66211261943814HOSPITAL REAL ESTATE HOLDINGTXMETHODIST HOSPITALS OF DALLASRELATED00
METDALSPI LLC
11221 ROE AVELEAWOODKS66211263195791HOSPITALTXMETHODIST HOSPITALS OF DALLASRELATED00
METDALSPI HOLDING LLC
11221 ROE AVELEAWOODKS66211263207402HOSPITALTXMETHODIST HOSPITALS OF DALLASRELATED00
SRPMEDICA INVESTOR ADDISON
8343 DOUGLAS AVEDALLASTX75225264517265HOSPITAL REAL ESTATE HOLDINGTXMETHODIST HOSPITALS OF DALLASRELATED00
MHD-USO GENERAL LLC
ONE POST ST 35TH FLOORSAN FRANCISCOCA94104203843579MEDICAL SERVICESTXMETHODIST HOSPITALS OF DALLASRELATED00

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
1441 N BECKLEY AVEDALLASTX75203751700994MANAGEMENT SERVICESTXN/AC
COLLECTECH FINANCIAL SERVICES
1441 N BECKELY AVEDALLASTX75203752321652MEDICAL COLLECTIONSTXCNORTH TEXAS FACILITIES MGMT
RICHARDSON PHYSICIAN ALLIANCE
1441 N BECKELY AVEDALLASTX75203750591925MANAGEMENT SERVICESTXCMHSR MEDICAL CENTER
DALLAS METHODIST PHYSICIAN NETWORK
1441 N BECKELY AVEDALLASTX75203752693707MEDICAL SERVICESTXCMETHODIST HOSPITALS OF DALLAS
METHCATH OIL COMPANY
4833 ROYAL LNDALLASTX75229751974095OIL & GAS HOLDINGSTXCMETHODIST HOSPITALS OF DALLAS
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
METHODIST HOSPITAL OF DALLAS
I9531600CASH
METHODIST HOSPITAL OF DALLAS
Q20003281FMV
PAVILION PROPERTIES
Q16279400FMV

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