MHSR MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MHSR MEDICAL CENTER (EIN 26-4193362)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201142279349300944
Schema version
2009v1.7
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)
Timestamp2011-08-15T09:45:29-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

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 Dwight WilliamsAddressLine1
CityDALLASCity
StateTXState
ZIP Code752655999ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL SCHAEFERName
TitleCHAIRMANTitle
Phone2149474581Phone
Date Signed2011-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonMICHAEL SCHAEFERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11441 N BECKLEY AVEAddressLine1
CityDALLASCity
StateTXState
ZIP Code75203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts117808030GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.methodisthealthsystem.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees964TotalNbrEmployees
Total Nbr Volunteers254TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year318033ContributionsGrantsCurrentYear
Program Service Revenue Prior Year36720579ProgramServiceRevenuePriorYear
Program Service Revenue CY117430212ProgramServiceRevenueCY
Investment Income Current Year59785InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year36720579TotalRevenuePriorYear
Total Revenue Current Year117808030TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17230942SalariesEtcPriorYear
Salaries Etc Current Year54756608SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year173349TotalFundrsngExpCurrentYear
Other Expense Prior Year18634705OtherExpensePriorYear
Other Expenses Current Year58210693OtherExpensesCurrentYear
Total Expenses Prior Year35865647TotalExpensesPriorYear
Total Expenses Current Year112967301TotalExpensesCurrentYear
Revenues Less Expenses Prior Year854932RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4840729RevenuesLessExpensesCY
Total Assets BOY27712831TotalAssetsBOY
Total Assets EOY26762750TotalAssetsEOY
Total Liabilities BOY27182503TotalLiabilitiesBOY
Total Liabilities EOY21391693TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY530328NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5371057NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve and save lives through compassionate quality health care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense98378001Expense
Revenue117430212Revenue
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 to operate the Richardson hospital and lease its facilities and equipment. RHA will retain ownership of the hospital while it is operated in the Methodist system under its new name, Methodist Richardson Medical Center. The new Methodist Richardson, which began as a community-owned hospital in 1966, has two medical campuses the Campbell 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. During the reporting year the hosptial had 6,346 in-patient discharges, 48,227 out-patient visits and 33,064 Emergency Room visits.Description
Total Program Service Expense98378001TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees964NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
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 Line1MICHAEL J SCHAEFERBusinessNameLine1
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)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
MICHAEL SCHAEFER
CHAIRMAN3.00XX0563358148630
PAM STOYANOFF
VP AND SEC3.00XX0526760107574
MICHAEL ARVIN
SEC/TREA3.00XX028895843073
Robert Simpson
VP40.00011376111329X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1379076TotalReportableCompFrmRltdOrgs
Total Other Compensation299277TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KING AND SPALDING LLP
PO BOX 116133ATLANTAGA30368LEGAL385565
PRICE WATERHOUSE COOPERS
PO BOX 952282DALLASTX75395CONSULTING186000
VINSON & ELKINS
PO BOX 200113HOUSTONTX77216LEGAL148494
MORRISON LAW FIRM
120 E CORSICANA STATHENSTX75751LEGAL107350
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions318033AllOtherContributions
Total Contributions318033TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Care Reven621990119452595119452595
Loss from RPA621990-2022383-2022383
FieldValueIRS element (for citing)
Total Program Service Revenue117430212TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59785TotalRevenueColumn
Exclusion$59,785ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column117808030TotalRevenueColumn
Related Or Exempt Function Income117430212RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$59,785ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total43739944Total
Program Services42710521ProgramServices
Management And General899972ManagementAndGeneral
Fundraising129451Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total437416Total
Program Services391434ProgramServices
Management And General41220ManagementAndGeneral
Fundraising4762Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9507466Total
Program Services9404135ProgramServices
Management And General98542ManagementAndGeneral
Fundraising4789Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1071782Total
Program Services985290ProgramServices
Management And General78951ManagementAndGeneral
Fundraising7541Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31037Total
Management And General31037ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49653Total
Management And General49653ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total980173Total
Program Services688444ProgramServices
Management And General291729ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total564969Total
Management And General564969ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5243392Total
Program Services5216586ProgramServices
Fundraising26806Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total2991000Total
Management And General2991000ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total152034Total
Program Services152034ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1224039Total
Program Services1224039ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
supplies2612067326120673
equipment rental and ma1035560810355608
Purchased services from694762811292375818391
administration and supp35504873550487

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total112967301Total
Program Services98378001ProgramServices
Management And General14415951ManagementAndGeneral
Fundraising173349Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-975603BOY
EOY71386EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19542788BOY
EOY19147708EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3220004BOY
EOY3331829EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1805708BOY
EOY1407023EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2115044LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec174728LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY215020BOY
EOY1940316EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3904914BOY
EOY864488EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27712831BOY
EOY26762750EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9659089BOY
EOY7758587EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY17523414BOY
EOY13633106EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27182503BOY
EOY21391693EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY530328BOY
EOY5371057EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY530328BOY
EOY5371057EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27712831BOY
EOY26762750EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2115044OtherCostOrOtherBasis
Depreciation174728Depreciation
Book Value1940316BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1940316TotalOfBookValueLandBuildings
Total Revenue117808030TotalRevenue
Total Expenses112967301TotalExpenses
Excess Or Deficit For Year4840729ExcessOrDeficitForYear
Excess Or Deficit Per FS4840729ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationMHS 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7692289TotalCommunityBenefitExpense
Net Community Benefit Expense7692289NetCommunityBenefitExpense
Percent Of Total Expense0.06810PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3839571TotalCommunityBenefitExpense
Direct Offsetting Revenue3120897DirectOffsettingRevenue
Net Community Benefit Expense718674NetCommunityBenefitExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense11531860TotalCommunityBenefitExpense
Direct Offsetting Revenue3120897DirectOffsettingRevenue
Net Community Benefit Expense8410963NetCommunityBenefitExpense
Percent Of Total Expense0.07450PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense633564TotalCommunityBenefitExpense
Net Community Benefit Expense633564NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense30081TotalCommunityBenefitExpense
Net Community Benefit Expense30081NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense260642TotalCommunityBenefitExpense
Net Community Benefit Expense260642NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense148316TotalCommunityBenefitExpense
Net Community Benefit Expense148316NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1072603TotalCommunityBenefitExpense
Net Community Benefit Expense1072603NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12604463TotalCommunityBenefitExpense
Direct Offsetting Revenue3120897DirectOffsettingRevenue
Net Community Benefit Expense9483566NetCommunityBenefitExpense
Percent Of Total Expense0.08400PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,330,400BadDebtExpenseAmount
Amount Reimbursed By Medicare37981465AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare52969697CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14988232MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicy

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1methodist richardson medical centerBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1401 W campbell roadAddressLine1
CityrichardsonCity
StateTXState
ZIP Code75080ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaPart I, Line 3c: AS PART OF ITS MISSION, MHSR PROVIDES CHARITY CARE TO PATIENTS WHO LACK THE ABILITY TO PAY. THE DETERMINATION OF THE ABILITY TO PAY MAY TAKE INTO ACCOUNT A NUMBER OF FINANCIAL VARIABLES, INCLUDING BUT NOT LIMITED TO: (1) THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY (2) OTHER SOURCES OF INCOME AND ASSETS (3) LEVEL AND TYPE OF LIABILITIES (4) ABILITY TO OBTAIN ADDITIONAL CREDIT (5) THE AMOUNT AND FREQUENCY OF HOPITAL/MEDICAL BILLS AND (6) FAMILY SIZE. ALL OR PART OF THE HOSPITAL BILL MAY BE CONSIDERED CHARITY CARE. MEDICALLY INDIGENT PATIENTS INCLUDE THOSE PATIENTS WHO ARE CAPABLE OF PAYING FOR LIVING EXPENSES, BUT WHOSE MEDICAL AND HOSPITAL BILLS, AFTER PAYMENT BY THIRD PARTY PAYERS, WOULD RQUIRE USE OR LIQUIDATION OF INCOME AND/OR ASSETS CRITICAL TO LIVING OR EARNING A LIVINGIncomeBasedCriteria
Annual Community Benefit ExplnPart I, Line 6a: MTHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEMAnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: Consistent with its reports prepared for its annual Statement of Community Benefits Report for Texas Non-Profit Hospital MHS ratios are based on the Gross Patient Service Revenue divided by Total Patient Care Operating Expenses.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: MHSR participates in the Dallas County Indigent care program which is designed to enhance access by, and delivery of cost-effective health care services to, indigent patients of Dallas and Tarrant Counties through increased funding for the Medicaid population, consistent with applicable federal and state requirements, and promoting treatment, services and education concerning the inpatient and outpatient hospital and medical professional needs of the indigent. In doing so, the Corporation seeks to increase the Medicaid funds to Texas in order to enable non-county hospital providers to provide and arrange for the provision of more comprehensive and higher quality care of the poor and uninsured and to supplement the efforts of the Dallas County Hospital District.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: No bad debt was included in form 990, part ixPercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: Consistent with its reports prepared for its annual Statement of Community Benefits Report for Texas Non-Profit Hospital MHSR ratios are based on the Gross Patient Service Revenue divided by Total Patient Care Operating Expenses.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: Consistent with its annual Texas Community Benefits Report the allowable costs are computed on a cost to charge ratio. Since Medicare beneficiaries are not measured via our charity care policies it is not possible to identify the exact amount of the shortfall that should be identified as a community benefit. However,were the hospital not available to provide care to these individuals it is not likely the community would be able to provide adequte care. Due to the shortfall the hospital must find other sources to fund their care,ShortfallAsCommunityBenefit
Needs AssessmentPart VI, Line 2: The community benefit plan summary report relies on information taken from the 2010 National Research Corporation (NRC) Consumer Health Report. The report identifies the health status of the communities served by the Methodist hospitals and is the foundation for the community benefit plan and highlights how Methodist plans to address community health needs within its service area. The NRC Consumer Health Report uses survey methodology to measure and evaluate health status and healthcare utilization; identify the prevalence of chronic conditions; profile high-risk populations and identify gaps in care and preventive health behaviors, providing a detailed view of the health need, health status and behaviors of residents within the service area. The NRC sampling size for all market areas maintain a 95% confidence interval. To ensure proper sample representation within each tabulated market area, the data was weighted according to key demographic variables. Comparisons are made to Dallas/Plano/Irving Metro Division as well as to the state of Texas. The NRC Consumer Health Report classifies demographic data and survey responses in custom tabulated market areas, which are defined by each facilitys primary service area zip codes, and thus, Methodist can use the Consumer Health Report to easily compare data for its service areas and to precisely define the unmet needs and areas for health status improvement specific to the regions it servesNeedsAssessment
Patient Education AssistancePart VI, Line 3: Signage in access areas as well as written information provided to patients upon admittance.PatientEducationAssistance
Community InformationPart VI, Line 4: Identification of Populations and Communities Served by Methodist Health System. MHSR is a member organizatioon of the Methodist Health System. The Methodist service area is located in the southern section of Dallas County and extends into the south east quadrant of Tarrant County. It also includes the Richardson,Tx area as well as surrounding communities. Large parts of the Methodist service area have: (i) high percentages of households in poverty, (ii) low median household income, (iii) high percentages of adults with less than high school education, (iv) high percentages of blue collar workers, and (v) low percentages of managerial and professional workers. Consequently, the Methodist System provides large amounts of uncompensated care. During the past year, the conditions in the Methodist service area have not changed, and Methodist continues to play a vital role in the community, particularly in caring for indigents.CommunityInformation
Other InformationPart VI, Line 6: The organization participates in many community activities that promote proper health in the community. See discriptions provided in Part III, Form 990. The organization's parent company is comprised of a community board, extends medical staff privilegess to all qualified physicians and committs significant resources to medical education. Surplus funds are reinvested in the organization to continue to support its health care mission.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: MHSR is a member of the Methodist Health System and works in tantom with its affilitates to meet the varying healthcare needs of the community it serves.AffiliatedHealthCareSystem
Reports Filed With StatesTXReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
04337420129616000114577034053071198800
PAM STOYANOFF
0409988011677200084055023519063433400
MICHAEL ARVIN
023978204917600023346019727033203100

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11PROVIDED ELECTRONICALLY
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

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
methodist hospitals of dallas
1441 n beckley avedallasTX75203750800661health servicesTX501(c)(3)Line 3None
RICHARDSON REGIONAL MEDICAL CENTER FOUNDATION INC
401 CAMPBELL ROADRICHARDSONTX75080751788520FUND RAISINGTX501(c)(3)Line 11a, IRICHARDSON HOSPITAL AUTHORITY

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1richardson physician allianceBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 w campbell roadAddressLine1
CityrichardsonCity
StateTXState
ZIP Code75080ZIPCode
FieldValueIRS element (for citing)
EIN770591925EIN
Primary Activityphysician medical servicesPrimaryActivity
Legal Domicile StateTXLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MHSR medical centerBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
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 Org1LoansOrGuaranteesToOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
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 Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
richardson physician alliance
B4096956
METHODIST HOSPITAL OF DALLAS
O3779822
METHODIST HOSPITAL OF DALLAS
D8256490

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