2013-08-13T11:27:37-05:00 2012-09-30 750800661 METHODIST HOSPITALS OF DALLAS PO BOX 655999 DALLAS TX 752655999 990 2011-10-01 264193362 MHSR MEDICAL CENTER MHSR 2149474581 PO BOX 655999 C/O TAX DEPT DALLAS TX 752655999 JOHN BAUMGARTNER 2149474581 2013-08-13 DWIGHT WILLIAMS P00544474 2149474581 2013-08-13 2011 2016-02-24 21:20:13Z X METHODIST RICHARDSON MEDICAL CENTER JOHN BAUMGARTNER 1441 N BECKLEY AVE DALLAS TX 75203 61647439 0 X WWW.METHODISTHEALTHSYSTEM.ORG X 2009 TX MHSR 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. 3 0 0 0 0 0 102736 0 122732776 0 30752 52115839 0 -244190 122866264 51871649 124777 0 0 0 58097658 0 0 0 0 58168464 0 116390899 0 6475365 51871649 34327803 85384126 24330221 69795158 9997582 15588968 X TO SUPPORT THE MISSION OF THE METHODIST HEALTH SYSTEM TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. 0 1 0 51871649 THE 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. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOHN BAUMGARTNER 2149474510 1441 N BECKLEY AVE DALLAS TX 75203 X MICHAEL SCHAEFER 3.00 X X 0 733932 124173 PAM STOYANOFF 3.00 X X 0 632590 103387 JOHN BAUMGARTNER 3.00 X X 0 381894 72239 KEN HUTCHENRIDER 40.00 X 0 375664 66834 0 2124080 366633 0 0 1 0 0 9531600 9775790 -244190 -244190 -244190 52115839 0 52115839 52115839 52115839 51871649 51871649 0 0 0 0 0 0 19961 101328 1903695 18705026 4454616 3106053 1575503 65706224 5744000 3873974 59962224 5143591 20865958 34327803 85384126 9175043 2633158 66325000 15155178 837000 24330221 69795158 X 9997582 15588968 9997582 15588968 34327803 85384126 X 51871649 -46280263 X X 0 1 1 X 0 X X X 0 0 0 METHODIST HOSPITALS OF DALLAS 750800661 501(C)(3) 1 1 1 0 1 0 12821000 12821000 47078000 4617776 42460224 5807224 1126224 4681000 59962224 HELD IN TRUST BOND INDENTURE 20865958 20865958 51871649 0 51871649 -36282681 -36282681 15588968 61647439 9775790 9775790 51871649 0 51871649 46058471 46058471 46058471 0 0 0 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. 1 X X 1 1 0 1 1 1 1 0 0 MICHAEL SCHAEFER 0 486437 0 150960 0 96535 0 85863 0 38310 0 858105 0 78038 PAM STOYANOFF 0 478835 0 147513 0 6242 0 75611 0 27776 0 735977 0 0 JOHN BAUMGARTNER 0 304462 0 66133 0 11299 0 51404 0 20835 0 454133 0 0 KEN HUTCHENRIDER 0 291609 0 81473 0 2582 0 50802 0 16032 0 442498 0 0 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. RICHARDSON HOSPTIAL AUTHORITY SERIES 2004 HOSPITAL REVENUE BONDS HOSPITAL IMPROVEMENTS AND CONSTRUCTION 0 0 0 AS 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. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 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 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 11 PROVIDED ELECTRONICALLY TO THE BOARD MEMBERS WHO THEN RESPOND WITH ANY QUESTIONS OR COMMENTS FORM 990, PART VI, SECTION B, LINE 12C ANNUAL QUESTIONAIRE AND MONITORING BY PARENT CORP CHIEF COMPLIANCE OFFICER FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY PARENT CORP BOARD FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST HOURS WORKED FOR RELATED ORGANIZATION FORM 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 AUDIT MHSR 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. METHODIST HOSPITALS OF DALLAS 1441 N BECKLEY AVE DALLAS TX 75203 750800661 HEALTH SERVICES TX 501(C)(3) LINE 3 NONE 0 RICHARDSON REGIONAL MEDICAL CENTER FOUNDATION INC 401 CAMPBELL ROAD RICHARDSON TX 75080 751788520 FUND RAISING TX 501(C)(3) LINE 11A, I RICHARDSON HOSPITAL AUTHORITY 0 DALLAS METHODIST HOSPITALS FOUNDATION 1441 N BECKLEY AVE DALLAS TX 75203 751548383 FUND RAISING TX 501(C)(3) LINE 9 METHODIST HOSPITALS OF DALLAS 0 PAVILION PROPERTIES 1441 N BECKLEY AVE DALLAS TX 75203 752284449 REAL ESTATE HOLDING TX 501(C)(2) 0 METHODIST TRANSPLANT PHYSICIANS 1441 N BECKLEY AVE DALLAS TX 75203 010612870 HEALTH SERVICES TX 501(C)(3) LINE 11A, I METHODIST HOSPITALS OF DALLAS 0 MEDHEALTH 1441 N BECKLEY AVE DALLAS TX 75203 752896138 HEALTH SERVICES TX 501(C)(3) LINE 11A, I METHODIST HOSPITALS OF DALLAS 0 PHYSICIAN ASSOC OF SW DALLAS 1441 N BECKLEY AVE DALLAS TX 75203 752966610 HEALTH SERVICES TX 501(C)(3) LINE 11A, I METHODIST HOSPITALS OF DALLAS 0 ASSOC IN SURGICAL CARE 1441 N BECKLEY AVE DALLAS TX 75203 262126265 HEALTH SERVICES TX 501(C)(3) LINE 11A, I METHODIST HOSPITALS OF DALLAS 0 MHS-CHC LP 3020 WHEATLAND RD DALLAS TX 75237 205000978 REHAB HOSPITAL TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 MHS-CHC LLC 3020 WHEATLAND RD DALLAS TX 75237 204921888 REHAB HOSPITAL TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 METHODIST MCKINNEY HOSPLLC 11221 ROE AVE LEAWOOD KS 66211 208847736 HOSPITAL TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 MHD-USO MANAGEMENT CO ONE POST ST 35TH FLOOR SAN FRANCISCO CA 94104 203844027 MEDICAL SERVICES TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 METHODIST MCKINNEY HOSP PROPLLC 11221 ROE AVE LEAWOOD KS 66211 261943814 HOSPITAL REAL ESTATE HOLDING TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 METDALSPI LLC 11221 ROE AVE LEAWOOD KS 66211 263195791 HOSPITAL TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 METDALSPI HOLDING LLC 11221 ROE AVE LEAWOOD KS 66211 263207402 HOSPITAL TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 SRPMEDICA INVESTOR ADDISON 8343 DOUGLAS AVE DALLAS TX 75225 264517265 HOSPITAL REAL ESTATE HOLDING TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 MHD-USO GENERAL LLC ONE POST ST 35TH FLOOR SAN FRANCISCO CA 94104 203843579 MEDICAL SERVICES TX METHODIST HOSPITALS OF DALLAS RELATED 0 0 NORTH TEXAS HEALTH FACILITIES MANAGEMENT 1441 N BECKLEY AVE DALLAS TX 75203 751700994 MANAGEMENT SERVICES TX N/A C COLLECTECH FINANCIAL SERVICES 1441 N BECKELY AVE DALLAS TX 75203 752321652 MEDICAL COLLECTIONS TX NORTH TEXAS FACILITIES MGMT C RICHARDSON PHYSICIAN ALLIANCE 1441 N BECKELY AVE DALLAS TX 75203 750591925 MANAGEMENT SERVICES TX MHSR MEDICAL CENTER C DALLAS METHODIST PHYSICIAN NETWORK 1441 N BECKELY AVE DALLAS TX 75203 752693707 MEDICAL SERVICES TX METHODIST HOSPITALS OF DALLAS C METHCATH OIL COMPANY 4833 ROYAL LN DALLAS TX 75229 751974095 OIL & GAS HOLDINGS TX METHODIST HOSPITALS OF DALLAS C 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 METHODIST HOSPITAL OF DALLAS I 9531600 CASH METHODIST HOSPITAL OF DALLAS Q 20003281 FMV PAVILION PROPERTIES Q 16279400 FMV