2011-08-15T09:45:29-05:00 2010-09-30 990 2009-10-01 264193362 MHSR MEDICAL CENTER MHSR 2149474581 PO BOX 655999 C/O Dwight Williams DALLAS TX 752655999 MICHAEL SCHAEFER 2149474581 2011-08-15 2009 2016-02-24 21:20:13Z X MICHAEL SCHAEFER 1441 N BECKLEY AVE DALLAS TX 75203 117808030 0 X www.methodisthealthsystem.org X 2009 TX TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. 3 3 964 254 0 0 318033 36720579 117430212 59785 0 36720579 117808030 0 0 17230942 54756608 0 173349 18634705 58210693 35865647 112967301 854932 4840729 27712831 26762750 27182503 21391693 530328 5371057 To improve and save lives through compassionate quality health care. 0 0 98378001 117430212 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 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. 98378001 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 70 0 1 964 1 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHAEL J SCHAEFER 2149474510 1441 N BECKLEY AVE DALLAS TX 75203 X MICHAEL SCHAEFER 3.00 X X 0 563358 148630 PAM STOYANOFF 3.00 X X 0 526760 107574 MICHAEL ARVIN 3.00 X X 0 288958 43073 Robert Simpson 40.00 X 0 113761 11329 0 1379076 299277 0 0 1 0 KING AND SPALDING LLP PO BOX 116133 ATLANTA GA 30368 LEGAL 385565 PRICE WATERHOUSE COOPERS PO BOX 952282 DALLAS TX 75395 CONSULTING 186000 VINSON & ELKINS PO BOX 200113 HOUSTON TX 77216 LEGAL 148494 MORRISON LAW FIRM 120 E CORSICANA ST ATHENS TX 75751 LEGAL 107350 4 318033 318033 Net Patient Care Reven 621990 119452595 119452595 Loss from RPA 621990 -2022383 -2022383 117430212 59785 59785 117808030 117430212 0 59785 43739944 42710521 899972 129451 437416 391434 41220 4762 9507466 9404135 98542 4789 1071782 985290 78951 7541 31037 31037 49653 49653 980173 688444 291729 564969 564969 5243392 5216586 26806 2991000 2991000 152034 152034 1224039 1224039 supplies 26120673 26120673 equipment rental and ma 10355608 10355608 Purchased services from 6947628 1129237 5818391 administration and supp 3550487 3550487 112967301 98378001 14415951 173349 -975603 71386 19542788 19147708 3220004 3331829 1805708 1407023 2115044 174728 215020 1940316 3904914 864488 27712831 26762750 9659089 7758587 17523414 13633106 27182503 21391693 X 530328 5371057 0 0 0 0 530328 5371057 27712831 26762750 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2115044 174728 1940316 1940316 117808030 112967301 4840729 4840729 Part X: Description of Uncertain Tax Positions Under FIN 48: MHS 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. 1 1 1 X 0 1 1 1 0 1 1 7692289 7692289 0.06810 3839571 3120897 718674 0.00640 11531860 3120897 8410963 0.07450 633564 633564 0.00560 30081 30081 0.00030 260642 260642 0.00230 148316 148316 0.00130 1072603 1072603 0.00950 12604463 3120897 9483566 0.08400 1 4330400 37981465 52969697 -14988232 X 0 methodist richardson medical center

401 W campbell road richardson TX 75080

X X X Part 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 LIVING Part I, Line 6a: MTHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM Part 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. Part 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. Part I, Line 7f: No bad debt was included in form 990, part ix Part 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. Part 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, Part 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 serves Part VI, Line 3: Signage in access areas as well as written information provided to patients upon admittance. Part 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. Part 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. Part 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. TX 0 0 0 0 0 0 0 0 0 MICHAEL SCHAEFER 0 433742 0 129616 0 0 0 114577 0 34053 0 711988 0 0 PAM STOYANOFF 0 409988 0 116772 0 0 0 84055 0 23519 0 634334 0 0 MICHAEL ARVIN 0 239782 0 49176 0 0 0 23346 0 19727 0 332031 0 0 Form 990, Part VI, Section B, line 11 PROVIDED ELECTRONICALLY 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 methodist hospitals of dallas 1441 n beckley ave dallas TX 75203 750800661 health services TX 501(c)(3) Line 3 None 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 richardson physician alliance 401 w campbell road richardson TX 75080 770591925 physician medical services TX MHSR medical center C 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 richardson physician alliance B 4096956 METHODIST HOSPITAL OF DALLAS O 3779822 METHODIST HOSPITAL OF DALLAS D 8256490