2012-11-02T16:18:35-05:00 2011-12-31 ERNST & YOUNG US LLP 201 MAIN STREET SUITE 1100 FT WORTH TX 76102 990 2011-01-01 741287016 METHODIST HEALTHCARE MINISTRIES of SOUTH TEXAS INC % KEVIN C MORIARTY PRES & CE METH 2106920234 4507 Medical Drive San Antonio TX 782294401 Peggy Cary 2012-11-01 8173351900 2011 2016-02-24 21:20:13Z Kevin C Moriarty 4507 Medical Drive San Antonio TX 782294401 214062726 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. 29 29 330 164 1542044 1025588 134787 155595 104876935 69750760 10005092 12683587 2525162 1030354 117541976 83620296 23041419 29056334 0 0 15085728 18543142 0 0 0 18054849 20995377 56181996 68594853 61359980 15025443 656168333 666859502 62344631 38033928 593823702 628825574 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 MHMs 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 29002509 29002509 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. 13596778 97855 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. 7163048 3350 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. 11226533 53825 69649555 60988868 true true false true false false false false false true true true true false true 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 201 0 true 330 true true true false false false false false false false false false false X 29 29 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 Richard T Gilby 6.0 X X Scott D Bryan 6.0 X X Paula Larson MD 4.0 X X Blas Catalani II 2.0 X X Darrel Frank Smith 2.0 X X Paul M Anderson 4.0 X X Polin Barraza 2.0 X Roy R Campbell III 2.0 X Martin F Casey Jr 2.0 X Bishop James Dorff 2.0 X Alice H Gannon 2.0 X James A Garcia 2.0 X Rinaldo J Gonzalez 2.0 X Sherry Herndon 2.0 X Susan W Holmes 2.0 X R Dan Johnson 2.0 X Rev Jean Ann Karm 2.0 X Nancy F May 2.0 X Jesse Moss MD 2.0 X Kerwin L Overby 2.0 X Mahendra C Patel MD 2.0 X George N Ricks 2.0 X Rev Carl Rohlfs 2.0 X Paula X Stallcup 2.0 X John F Stoll MD 2.0 X Rev Virgilio Vazquez-Garza 2.0 X Shirley S Watkins 2.0 X Sandy Wilder 2.0 X George Mac Williams Jr 2.0 X Fred C Campbell Jr MD 2.0 X Nancy Cook-Monroe 2.0 X Julie S Meyer 2.0 X Kevin Moriarty 40.0 X 367874 39017 Peggy Cary 40.0 X 189448 38645 Maria Del Pilar Oates 40.0 X 150619 0 23661 Joseph Babb 40.0 X 144156 0 39078 Bryan Jaax 40.0 X 105493 0 32940 957590 0 173341 5 false true false Laboratory Corporation of America PO Box 12140 BURLINGTON NC 27216 LAB SERVICES 390889 BBT Overseas Cap 201 Main St Suite 3300 FORT WORTH TX 76102 Investment Manager 328952 Albert Mascola Mascola Esthetics D 6246 Ingram Road SAN ANTONIO TX 78238 LAB SERVICES 307534 Southwest Diagnostics PO Box 241000 SAN ANTONIO TX 78224 RADIOLOGY SERVICES 302100 O'Neill Associates 1303 McCullough Ave 125 SAN ANTONIIO TX 78212 LAB SERVICES 267876 17 45685 109910 155595 ORDINARY INCOME FROM MHS 622110 69648133 68336927 1311206 CLINIC REVENUE - DIRECT MHM PROGRAM 621498 97855 97855 WESLEY NURSE SYMPOSIUM-DIRECT MHM PROG 611430 3350 3350 WESLEY FAMILY WELLNESS-DIRECT MHM PROG 611620 1050 1050 WESLEY KITCHEN - DIRECT MHM PROG 900099 372 372 69750760 5513852 230838 5283014 0 0 6389370 5364074 1025296 1025296 1025296 132248091 125059331 19025 7188760 -19025 7169735 7169735 0 0 0 All other revenue 900099 5058 5058 5058 83620296 68439554 1542044 13483103 29002509 29002509 53825 53825 0 0 809264 809264 0 13324036 11613049 1710987 574266 503767 70499 2838527 2386330 452197 997049 850687 146362 0 153033 153033 42034 42034 71608 71608 0 1407129 1407129 4061977 3097847 964130 78781 3975 74806 1717959 1526818 191141 613426 520785 92641 0 583183 398465 184718 564341 490010 74331 0 240629 172385 68244 194572 194572 0 1742141 1319876 422265 226331 167359 58972 Pharmaceuticals 4435379 4435379 K-1 EXPENSES-INCL ALLOC DEPR 3244340 3244340 Community Outreach 593491 593491 Federal Income Tax UBIT 300835 300835 724188 536363 187825 68594853 60988868 7605985 0 0 0 9708516 4646996 0 0 11831 22039 0 0 0 0 0 0 0 0 250059 277784 31301902 7027227 24616778 24274675 240729520 242314153 55733224 56646550 325018405 338577305 0 0 100000 100000 656168333 666859502 2070486 2493498 25274145 35540430 0 0 0 0 0 0 0 0 0 0 0 0 35000000 0 62344631 38033928 X 593699511 628709651 24191 15923 100000 100000 593823702 628825574 656168333 666859502 X 15025443 19976429 X false true true X false X X X false false false SOUTHWEST TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH 741326672 01 true true true 289485 1 289485 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false true 2145 true 103239 true 29646 true 10083 true 11808 156921 false Other Lobbying Activities Schedule C, Part II-B, 1i Other lobbying activities includes: print and online subscriptions, membership dues and travel expenses. 100000 1949 1949 100000 100000 4107 4107 100000 100000 5515 5515 100000 100000 5514 5514 100000 1.00000 false false 2527278 2527278 22815939 3735625 19080314 427078 399387 27691 5226788 2892215 2334573 304919 304819 24274675 Overseas CAP Partners, Inc. 18615307 F Black Diamond Ltd 8797339 F Double Black Diamond Ltd 11142233 F BLACK DIAMOND STRUC OPP II LP 3580500 F EAGLE INCOME APPRECIATIONS LLC 6855782 F OZ Overseas Fund II, Ltd 4443469 F Incube Ventures II, LP 254759 F Targeted Technology Fund, LP 225311 F Texas Methodist Foundation 2731850 F 56646550 Equity ownership in Methodist 338577305 C 338577305 0 0 Wheatley Endowment Fund Schedule D Part V The endowment fund is considered a permanently restricted asset. The investment is to be held in perpetuity with the income designated for charity care. true true X true X true X 500. true true true false true true 20816097 2001497 18814600 0.02770 75368765 105721406 -30352641 0.00000 2700653 2991495 -290842 0.00000 98885515 110714398 -11828883 0.02770 33509397 272841 33236557 0.04900 1434593 39168 1395425 0.00210 29002509 0 29002509 0.04280 63946499 312009 63634491 0.09390 162832014 111026407 51805608 0.12160 false 39564021 5198516 186975544 182429123 4546421 X true true METH AMB SURG CTR-MC FREESTANDING ASC 0.37000 0.00000 0.13000 COMP RAD MGMT SVCS IMAGING SERVICES 0.25000 0.00000 0.25000 8 1 METHODIST HOSPITAL

7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229

X X X 2 METHODIST CHILDREN'S HOSPITAL

7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229

X X X 3 METROPOLITAN METHODIST HOSPITAL

1310 MCCULLOUGH AVENUE SAN ANTONIO TX 78212

X X X 4 METHODIST SPECIALTY & TRANSPLANT HOSP

8026 FLOYD CURL DRIVE SAN ANTONIO TX 78229

X X X 5 NORTHEAST METHODIST HOSPITAL

12412 JUDSON ROAD SAN ANTONIO TX 78223

X X X 6 METHODIST STONE OAK HOSPITAL

1139 E SONTERRA BLVD SAN ANTONIO TX 78258

X X X 7 METHODIST TEXSAN HOSPITAL

6700 IH 10 WEST SAN ANTONIO TX 78201

X X X 8 METHODIST AMBULATORY SURGERY

9150 HUEBNER RD STE 100 SAN ANTONIO TX 78240

X X X METHODIST HOSPITAL 1 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false METHODIST CHILDREN'S HOSPITAL 2 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false METROPOLITAN METHODIST HOSPITAL 3 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false METHODIST SPECIALTY & TRANSPLANT HOSP 4 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false NORTHEAST METHODIST HOSPITAL 5 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false METHODIST STONE OAK HOSPITAL 6 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false METHODIST TEXSAN HOSPITAL 7 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false METHODIST AMBULATORY SURGERY 8 true true 200. true 500. true X X X X X X X true true X X X X X true false true X false false 24 METHODIST AMBULATORY SURGERY CTR-MED CTR

4411 MEDICAL DRIVE SUITE 200 SAN ANTONIO TX 78229

FREESTANDING ASC CARDIOLOGY CLINIC OF SAN ANTONIO

8109 Fredericksburg Road San Antonio TX 78229

MSO METHODIST BOERNE EMERGENCY CENTER

134 MENGER SPRINGS BOERNE TX 78006

EMERGENCY DEPARTMENT SOUTH TEXAS CARDIOVASCULAR

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO METHODIST AMBULATORY SURG CTR-N CENTRAL

19010 STONE OAK PARKWAY SAN ANTONIO TX 78258

TEXAS CERTIFIED FREESTANDING ASC INTERNAL MEDICINE (IMED)

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

TEXAS CERTIFIED MSO NORTHEAST INTERNAL MEDICINE ASSOCIATES

8109 Fredericksburg Road San Antonio TX 78229

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

TEXAS CERTIFIED NONPROFIT HEALTHCARE CORP CARDIOLOGY OF SOUTH TEXAS

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO SAN ANTONIO INTERNAL MEDICINE

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

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 UTOPIA MEDICAL CLINIC

100 BRANDON STREET UTOPIA TX 78884

RURAL HEALTH CLINIC 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

NONPROFIT HEALTHCARE CORP CHILDREN'S HOSPITAL INTENSIVE CARE ASSOC

8109 FREDERICSBURG ROAD SAN ANTONIO TX 78229

NONPROFIT HEALTHCARE CORP NORTHEAST INTERNAL MEDICINE HOSPITALIST

8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229

MSO METHODIST FAMILY HEALTH CTR-AUSTIN HWY

1533 AUSTIN HWY SUITE 105 SAN ANTONIO TX 78218

FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CTR-E SOUTHCROSS

2338 E SOUTHCROSS SAN ANTONIO TX 78223

FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CTR-LAS PALMAS

803 CASTROVILLE RD SUITE 131 SAN ANTONIO TX 78237

FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CTR-SW MILITARY

137 SW MILITARY DRIVE SAN ANTONIO TX 78221

FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CTR-ST JAMES

507 ST JAMES SAN ANTONIO TX 78202

FAMILY HEALTH CENTER 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. On December 31, 2010, the Partnership acquired 100% of the interest in Heart Hospital of San Antonio, L.P., a Texas limited partnership d/b/a Texsan Heart Hospital. The hospital was renamed Methodist Texsan Hospital, and is a provider based campus of Methodist Hospital. 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: MHS Bad Debt Footnote: 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, 2011 and 2010, respectively, the Partnership's combined allowance for doubtful accounts and self-pay discounts represented approximately 90% of the $214,200,000 and 94% of the $210,000,000 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, 2011, the bad debt amount was $79,100,000. 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, 2011. 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 2011 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 11h & 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 2011 the charity care write off related to this eligibility process was $6.5 million in charges (program started November 2011). 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 13g 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, 2011 were $247.4 million in charges, and are recorded as a deduction of net patient revenue. Charges for Medical Care Schedule H, Part V, Section B, Line 19d 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 2011, the discount rate applied to inpatient accounts was 80%, 75% for emergency room accounts, and 69% for all other outpatient accounts. Additional information regarding the program is included in the response for Schedule H, Part V, Section B, Line 13g. 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 as 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 2011. 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 2011, one near downtown San Antonio and the other on the east side. Both events attracted over 450 people. Methodist offered the following community education classes focusing on prevention--205 classes on Hypertension with 12,201 attendees, 207 classes on Diabetes with 12,523 attendees, and 141 classes on Hyperlipidemia with 10,364 attendees. Methodist Healthcare offers a free wellness and prevention magazine called Heart Matters/Stroke Matters that is distributed at all Methodist events. Over 20,000 were distributed in 2011. 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 2011, 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 2011, 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. Four signature speaking series were offered throughout the year: two Cardiac Connections, one Women's Life program and one Parent Connection series. SAHealth.com, San Antonio's Online Health Resource, was redesigned in 2011 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 12,000 subscribers to these newsletters. The Methodist HealthPOWER Employer Solutions program with 180 local businesses participating in Methodist sponsored wellness activities (136 in 2011 with 8,566 attendees). Three editions of Keeping Well were produced and distributed to members and hospital guests. 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, 2011 were $247.4 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 2011, MHS received 23.6% (up from 22.1%) 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. In 2011, 99.2% of all transfers were accepted compared to 99% in 2010. Self-pay patients accounts for 8% of all transfers. 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. Medical Air Transport services were expanded in 2011 with the addition of a second helicopter based in Pearsall, Texas. As indicated in the responses for Part VI Question 2, access was expanded to 140 beds at Methodist Stone Oak Hospital, as well as the additional 120 beds at Methodist Texsan Hospital. 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 272,784 in 2011, an increase of 6% over 2010. 17% of total ER visits resulted in inpatient admissions. More importantly, 21.5% of all visits to MHS emergency rooms in 2011 were made by charity or self-pay patients. MHS saw a 38% improvement in the wait time from the Patient Arrival to Bed metric and a 50% 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 1.5% to 0.56%. 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 12,515 transports in 2011, down slightly from 2010, primarily a result of fewer transports to and from the Ronald McDonald House in the Medical Center. 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). 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 2011, this program called 132,021 Methodist patients versus 74,247 in 2010. 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 46 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 59 health and wellness events in 2011. 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 2011. 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 American Heart Association 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 9000 Amistad Community Health Center 1533 Brownlee Blvd Suite 100 Corpus Christi TX 78404 203008507 501(c)(3) 328547 Healthcare Services Any Baby Can of the Texas Hill Country 624 Earl Garrett STE 320 Kerrville TX 78028 010809682 501(c)(3) 29650 Operational Support Arthur Nagel Community Clinic 1116 12th Street 3 Bandera TX 78003 770697361 501(c)(3) 66201 primary care svcs & women's healthcare The Arc of San Antonio Inc 13430 West Avenue San Antonio TX 78216 741200110 501(c)(3) 142602 nursing services Atascosa Health Center 310 Wl Oaklawn Rd Pleasanton TX 78064 742089103 501(c)(3) 156576 FUND MEDICAL & DENTAL SERVICES Autism Service Center of San Antonio 701 South Zarzamora Street Cottages 1-9 San Antonio TX 78207 262592058 501(c)(3) 50000 Access to Early Autism Intervention Barrio Comprehensive Family Health Care Ctr 3066 E Commerce Street San Antonio TX 78220 741724391 501(c)(3) 1791598 medical, dental & counseling svcs Bexar County Health Collaborative 816 Camaron St Ste 209 San Antonio TX 78212 742953076 501(c)(3) 59111 prevention of obesity & diabetes The Blood and Tissue Center Foundation 6211 IH 10 West San Antonio TX 78201 431970952 501(c)(3) 8600 donation Brighton School 14207 Higgins Rd San Antonio TX 78217 742331826 501(c)(3) 63690 operational support for pals program Brownsville Community Health Center 2137 E 22nd St Brownsville TX 78520 742176836 501(c)(3) 42000 dental salary supplement Children's Bereavement Center of South Tx 205 W Olmos Drive San Antonio TX 78212 742828178 501(c)(3) 133875 healing programs for grieving youth ChildSafe 7130 US Hwy 90 San Antonio TX 78227 742633697 501(c)(3) 60000 mental health & counseling services Christus Spohn Health System Corporation 725 Elizabeth Street 5 Corpus Christi TX 78404 741109836 501(c)(3) 40762 Fund clinical pastoral education residency program Communities in Schools of San Antonio Inc 1616 E Commerce St Bldg 1 San Antonio TX 78205 742393714 501(c)(3) 104984 mental health svcs for at-risk youth Community Health Centers of S Central Texas 228 St George Street Bldg 1 Gonzalez TX 78629 741548089 501(c)(3) 42000 dental salary suppl & behavioral healthcare Community Health Development 201 S Evans Uvalde TX 78801 742269739 501(c)(3) 262500 fund oral health services Community Hope Projects Inc 2332 W Jordan Road McAllen TX 78503 742742024 501(c)(3) 271996 fund family counseling services Corpus Christi Metro Ministries 1919 Leopard Street Corpus Christi TX 78408 742247261 501(c)(3) 56600 medical svcs at gabbard health clinic Daughters of Charity Serivces 7607 Somerset Road San Antonio TX 78211 746106876 501(c)(3) 449315 medical, dental & mental health svcs Ecumenical Center for Religion and Health 8310 Ewing Halsell Dr San Antonio TX 78229 741587388 501(c)(3) 603767 fund medical ethics program, pastoral care, seminars, and child therapy El Centro del Barrio 3750 Commercial Ave San Antonio TX 78221 741787031 501(c)(3) 2429954 fund capital, medical, dental, respite & behavioral health care services Family Outreach Corpus Christi Inc 1444 Baldwin Boulevard Corpus Christi TX 78404 742049746 501(c)(3) 81526 crisis counseling & support svcs Family Service Association of San Antonio 702 San Pedro STE 200 San Antonio TX 78212 741117341 501(c)(3) 437854 prev of child abuse & neglect in rural areas & mental health services Family Violence Prevention Services Inc 7911 Broadway San Antonio TX 78209 741994151 501(c)(3) 73678 community based counseling programs for homeless Gateway Community Health Center Inc 1515 Pappas St Laredo TX 78041 742553409 501(c)(3) 1418141 Fund diabetes education, diabetic eye care, behavioral healthcare, dental salary supplement, and South Clinic capital Good Samaratin Community Services 1600 Saltillo San Antonio TX 78207 741117340 501(c)(3) 63750 youth development services Grantmakers in Health 100 Connecticut Ave NW Suite 1200 Washington DC 20036 133206571 501(c)(3) 7000 Harlandale Independent School District 102 Genevieve Street San Antonio TX 78214 746001200 501(c)(3) 28142 sports field equipment The Healthcare Bioscience Development Corp 602 E Commerce Street San Antonio TX 78205 203152735 501(c)(6) 64703 operational support & workforce development Healthcare Access San Antonio 3066 E Commerce Street San Antonio TX 78220 203752122 501(c)(3) 220500 operational support Healy-Murphy Center 618 Live Oak San Antonio TX 78202 741667875 501(c)(3) 60191 fund behavioral health services Hill Country Mission Health 122 Commerce Avenue Boerne TX 78006 481262832 501(c)(3) 50000 medical services in kendall county Hispanic Religious Ptnrship for Comm Health 1701 W Woodlawn San Antonio TX 78201 742886380 501(c)(3) 213491 health & human svcs for needy & diaper bank Horses Helping the Handicapped Inc 791 Backhaus Road Building One Suite 200 Pipe Creek TX 78063 742746369 501(c)(3) 191000 equine-assisted children's mental health prog I Care San Antonio One Haven for Hope Way Building One Suite 200 San Antonio TX 78207 742690192 501(c)(3) 169500 vision care at Haven for Hope & equipment Infant & Family Nutrition Agency 1225 Boca Chica Boulevard Suite 250 Brownsville TX 78520 743005860 501(c)(3) 20000 operational support Laurel Heights United Methodist Church 227 W Woodlawn Avenue San Antonio TX 78212 741272395 501(c)(3) 10000 community program support Lower Rio Grande Valley Comm Health Mgmt 901 E Vermont Ave McAllen TX 78503 742784427 501(c)(3) 369000 wellness center & medical services Jewish Family Service of San Antonio Inc 12500 NW Military Hwy Suite 250 San Antonio TX 78231 741759254 501(c)(3) 202094 youth counseling & outpatient psychiatry Matagorda Episcopal Health Outreach Program 101 Ave F North Bay City TX 77414 200537948 501(c)(3) 158673 fund medical & dental services Medical Center Alliance 4507 Medical Drive San Antonio TX 78229 742892751 501(c)(3) 100000 San Antonio Medical Center Improvements Mercy Ministries of Laredo 2500 Zacatecas Street Laredo TX 78046 200198462 501(c)(3) 242991 dental & women's health services Mission 911 911 Park Avenue Corpus Christi TX 78401 742996340 501(c)(3) 33808 operational support Mission of Mercy Inc 719 S Shoreline Blvd Suite 103 Corpus Christi TX 78401 860704883 501(c)(3) 66168 mobile medical svcs in Corpus Christi TX Morningside Ministries Foundation Inc 700 Babcock Road San Antonio TX 78201 742927605 501(c)(3) 105000 fund Briscoe Caregiver Resource Center National Center for Behav Health Solutions 3031 IH 10 West San Antonio TX 78201 470857847 501(c)(3) 3850000 mental health clinic at Haven for Hope, outpatient care, and capital New Braunfels Christian Ministries 1195 W San Antonio St New Braunfels TX 78130 262221231 501(c)(3) 63000 medical & dental care to uninsured, low-income Comal County residents Nuestra Clinica del Valle 801 W 1st Street San Juan TX 78577 741721807 501(c)(3) 42000 dental salary supplement Our Lady Of The Lake Univ Of San Antonio 411 SW 24th Street San Antonio TX 78207 741109631 501(c)(3) 62066 OLLU/Have for Hope Mental Health Care for Homeless Planned Parenthood of San Antonio 104 Babcock Road San Antonio TX 78201 741297211 501(c)(3) 430375 diagnostic women's health care svcs Project QUEST Inc 515 SW 24th Street Suite 201 San Antonio TX 78207 742643545 501(c)(3) 25000 fund scholarships for medical training Raphael Community Free Clinic Inc 1807 Water Street Kerrville TX 78028 742819628 501(c)(3) 95000 fund medical services Respite Care San Antonio PO Box 12633 San Antonio TX 78212 742467770 501(c)(3) 10500 Roy Maas Youth Alternatives Inc 3103 West Ave Suite 200 San Antonio TX 78213 741914638 501(c)(3) 62482 bridge emergency shelter psychiatric services St Paul's United Methodist Church 508 N Center San Antonio TX 78202 741285101 501(c)(3) 7049 feed my lambs ministry & historical celebration St Peter-St Joseph Children's Home 919 Mission Road San Antonio TX 78210 741143129 501(c)(3) 221986 child & community trauma counseling program San Antonio Area Foundation 110 Broadway St Ste 230 San Antonio TX 78205 750121323 501(c)(3) 255600 scholarship fund San Antonio Christian Dental Clinic One Haven for Hope Way Building One Suite 400 San Antonio TX 78207 742428161 501(c)(3) 258520 dental care of indigent services San Antonio Clubhouse Inc 1530 North Alamo Suite 4078 San Antonio TX 78215 820559940 501(c)(3) 484750 mental health svcs & capital San Antonio Food Bank 5200 Old Highway 90 W San Antonio TX 78227 742122979 501(c)(3) 203000 social svcs outreach: CHIP & Medicad Enrollment San Antonio Metropolitan Ministry 5254 Blanco Road San Antonio TX 78216 742285793 501(c)(3) 130946 culture of poverty trng & spiritual svcs SLEW IncSupp Lend for Emotional Well-Being 12521 Nacogdoches Road Suite 101 San Antonio TX 78217 421580967 501(c)(3) 52534 mental health svcs for underserved woment with cancer South Texas Rural Health Service 304 Nueces Street Cotulla TX 78014 741905196 501(c)(3) 377660 Dental salary supplement, mental health and substance abuse program, and behavioral health support. Southwest Texas Conference of the UMC 16400 Huebner Road San Antonio TX 78248 370771661 501(c)(3) 289485 pastoral health & wholeness, education & chaplaincy programs State of Texas Kidney Foundation 22123 Impala Peak San Antonio TX 78259 274237653 501(c)(3) 75000 start-up funding Su Clinica Familiar 1706 Treasure Hills Blvd Harlingen TX 78550 742357970 501(c)(3) 44445 diabetic retinopathy screening program Tejas Health Care 753 East Travis Street La Grange TX 78945 753260266 501(c)(3) 280860 diabetes outreach, capital & dental services Texas Dental Association Smiles Foundation 1946 S IH 35 Suite 300 Austin TX 78704 742897487 501(c)(3) 40000 2 day dental even in San Antonio - "Mission of Mercy" ThriveWell Cancer Foundation 4383 Medical Drive Suite 4078 San Antonio TX 78229 260371270 501(c)(3) 33134 fund D.I.V.A. program Timons Ministries 10501 South Padre Island Drive Corpus Christi TX 78418 311638327 501(c)(3) 33800 operational support United Medical Centers 2525 N Veterans Blvd Suite 2-240 Eagle Pass TX 78852 741993570 501(c)(3) 693195 diabetes/hypertension mgt prog & dental equi United Way of San Antonio & Bexar County PO Box 898 San Antonio TX 78293 741272381 501(c)(3) 107625 Collection, organization, analyze, geocode & post mental health data University Health System 4502 Medical Dr San Antonio TX 78229 746002164 501(c)(3) 1107898 northwest clinic operational support University United Methodist Church 5084 De Zavala Rd San Antonio TX 78249 741143134 501(c)(3) 6451 fund sensory motor playroom University of Incarnate Word 4301 Broadway San Antonio TX 78209 741109661 501(c)(3) 499655 Eastside Eye Care Clinic, capital expenditures University of Texas Health Science Center 7703 Floyd Curl Drive San Antonio TX 78229 741586031 501(c)(3) 7125794 dental & medical student training and services & capital Vida Y Salud Health Systems Inc 308 Cesar Chavez Ave Crystal City TX 78839 741715419 501(c)(3) 42000 dental salary supplement Voices for Children Community Research Ctr One 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 patient care, breast cancer 80 1 Electricity Assistance 104 24545 Water Assistance 30 4247 Rent/Mortgage Assistance 45 21391 Healthcare Program Assistance 17 3217 Other Assistance 2 425 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. X X X X X false false false false false false false false false Kevin Moriarty 328960 25000 13914 27826 11191 406891 0 Peggy Cary 189448 0 0 17538 21107 228093 0 Maria Del Pilar Oates 147674 0 0 0 2945 0 13637 0 10024 0 174280 0 0 0 Joseph Babb 141760 0 0 0 2396 0 13242 0 25836 0 183234 0 0 0 FROST BANK SEE SUPPLEMENTAL SCHEDULE 35000000 FROST BANK LINE OF CREDIT false BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV Roy R Campbell, III is a Board Member of Methodist Healthcare Ministries and is an employee, officer, and shareholder for Frost Bank. During early 2011 Methodist Healthcare Ministries drew on a line of credit with Frost Bank for $35,000,000; he was not directly involved with the line of credit transaction. He excused himself from the meetings anytime there was discussion on the line of credit. Frost Bank also provided banking services to Methodist Healthcare Ministries during 2011. The $35,000,000 line of credit was repaid in March 2011. 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 2011 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 - In 2011, the Board's Executive Committee engaged Nygren Consulting to conduct a compensation study. In addition to their usual methodologies, they also used Form 990 of other organizations. The study was received by the executive committee who determined the amount of compensation. The results and 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 - In 2011, MHM engaged Nygren Consulting to conduct a compensation study. In addition to their usual methodologies, they also used Form 990 of other organizations. The study was received by the CEO who determined the amount of compensation. 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 5 WPCC* Revenue on books but not on return: $ 180,903 WPCC* Expenses on books but not on return (2,630,997) Tax Partnership on Form 1065 (68,717,950) Partnership earnings on books 106,058,900 Unrealized Gains (14,969,969) Other 55,542 ------------ Total $ 19,976,429 *Wesley Primary Care Clinic Total 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 Sys of San Antonio 8109 Fredericksburg Rd San Antonio TX 78229 742730328 Hospital System TX Related 72079278 444437273 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 q 2394553 fmv Southwest Texas Conference of the UMC b 289485 fmv Methodist Healthcare System of San Antonio r 92500000 fmv