2026-08-14T09:25:37+00:00 2025-09-30 415375658 CROWE ADVISORY LLC 701 13TH ST NW SUITE 852 WASHINGTON DC 20005 990 2024-10-01 750800661 METHODIST HOSPITALS OF DALLAS METH 2149474512 1441 N BECKLEY AVE DALLAS TX 752031201 CRAIG BJERKE CFO 2149474512 2026-08-14 true STEVE LENIVY P01635350 2026245555 2026-08-14 2024 2025-03-06 01:10:19Z METHODIST HEALTH SYSTEM JAMES C SCOGGIN JR 1441 N BECKLEY AVE DALLAS TX 752031201 2625450955 false X WWW.METHODISTHEALTHSYSTEM.ORG X 1935 TX TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. 32 30 11919 533 833352 90639 13496835 20118094 2008546566 2442949204 44668386 62188802 13516908 24357544 2080228695 2549613644 85228379 92010670 0 0 1029387673 1112719168 0 617194 816568585 937100058 1931184637 2141829896 149044058 407783748 3792854430 4297073996 914347936 869818362 2878506494 3427255634 THE PRIMARY MISSION OR PURPOSE OF METHODIST HEALTH SYSTEM IS TO SERVE PEOPLE IN DEFINED SERVICE AREAS BY MEETING THEIR HEALTH NEEDS EFFECTIVELY AND IN A MANNER THAT REFLECTS A "COMMITMENT TO THE CHRISTIAN CONCEPTS OF LIFE AND LEARNING" AS DEFINED IN THE COVENANT BETWEEN (CONTINUED ON SCHEDULE O) false false 1908919778 92010670 2451136182 THE PRIMARY MISSION OF THE METHODIST HOSPITALS OF DALLAS D/B/A METHODIST HEALTH SYSTEM (MHS) IS TO SERVE PEOPLE IN DEFINED SERVICE AREAS BY MEETING THEIR HEALTH NEEDS EFFECTIVELY AND IN A MANNER THAT REFLECTS A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING. THIS MISSION IS PURSUED BY OPERATING SEVEN GENERAL ACUTE CARE HOSPITALS AND OTHER HEALTHCARE SERVICES, EDUCATION AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES IN NORTH CENTRAL TEXAS. THE HOSPITALS ARE: METHODIST DALLAS MEDICAL CENTER (MDMC), A 595 LICENSED BED TEACHING REFERRAL HOSPITAL; METHODIST CHARLTON MEDICAL CENTER (MCMC), A 314 LICENSED BED TEACHING HOSPITAL; METHODIST MANSFIELD MEDICAL CENTER (MMMC), A 294 LICENSED BED HOSPITAL; METHODIST RICHARDSON MEDICAL CENTER (MRMC) WHICH NOW OPERATES A 518 LICENSED BED HOSPITAL ACROSS TWO CAMPUSES, METHODIST MIDLOTHIAN (MLMC), A 76 LICENSED BED HOSPITAL; METHODIST SOUTHLAKE MEDICAL CENTER (MSMC), A 54 LICENSED BED HOSPITAL; AND METHODIST CELINA MEDICAL CENTER (MCEL), A 51 LICENSED BED HOSPITAL. (CONTINUED ON SCHEDULE O) 1908919778 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true true false false false false false false false true false false false false false true true true true true false true 573 0 true 11919 true true true false false false false false false false false false true false X 32 30 true false true false false false false true true false false false true true true true true true true true true true X CRAIG BJERKE 2149474512 1441 N BECKLEY AVE DALLAS TX 75203 BERNARD DIFIORE VICE CHAIR 0.1 0 X X 0 0 0 BRENDA JACKSON SECRETARY 0.1 0 X X 0 0 0 DAVID MCATEE VICE CHAIR 0.1 0 X X 0 0 0 DUNCAN FULTON VICE CHAIR 0.1 0 X X 0 0 0 J RANDALL CANEDY BOARD CHAIR 0.1 0.1 X X 0 0 0 JAMES C SCOGGIN JR CEO 40.0 0.4 X X 4016230 0 62489 JOE B FORTSON III VICE CHAIR 0.1 0.1 X X 0 0 0 MICHAEL L FINCH MD VICE CHAIR 0.1 0.1 X X 8340 0 0 TIM GRIFFY VICE CHAIR / BOARD CHAIR-ELECT (BEGINNING MARCH 2025) 0.1 0 X X 0 0 0 ALAN WALNE BOARD OF DIRECTORS 0.1 0 X 0 0 0 ARMIN MIZANI BOARD OF DIRECTORS 0.1 0 X 0 0 0 BISHOP RUBEN SAENZ BOARD OF DIRECTORS 0.1 0 X 0 0 0 CAROL NORTON MD BOARD OF DIRECTORS 0.1 0 X 64900 0 0 CLAYTON OLIPHINT DMIN BOARD OF DIRECTORS 0.1 0 X 0 0 0 DAN JOHNSON BOARD OF DIRECTORS 0.1 0 X 0 0 0 DELIA JASSO BOARD OF DIRECTORS 0.1 0 X 0 0 0 DONALD WILLIAMS BOARD OF DIRECTORS 0.1 0 X 0 0 0 GERALD BRIGHT BOARD OF DIRECTORS 0.1 0 X 0 0 0 HELEN GIDDINGS BOARD OF DIRECTORS 0.1 0 X 0 0 0 JAMIE WICKLIFFE BOARD OF DIRECTORS 0.1 0 X 0 0 0 JULIE YARBROUGH BOARD OF DIRECTORS 0.1 0.1 X 0 0 0 KEITH BOONE DMIN BOARD OF DIRECTORS 0.1 0 X 0 0 0 KENNETH GOVAN BOARD OF DIRECTORS 0.1 0 X 0 0 0 LEVI H DAVIS BOARD OF DIRECTORS 0.1 0.1 X 0 0 0 MARCUS KNIGHT BOARD OF DIRECTORS 0.1 0 X 0 0 0 MICHAEL MCKEE D DIV BOARD OF DIRECTORS 0.1 0 X 0 0 0 PAT FAUBION BOARD OF DIRECTORS 0.1 0.1 X 0 0 0 R STEPHEN FOLSOM BOARD OF DIRECTORS 0.1 0.1 X 0 0 0 REX GLENDENNING BOARD OF DIRECTORS 0.1 0 X 0 0 0 RUBEN VELEZ MD BOARD OF DIRECTORS 0.1 0 X 0 0 0 SAMIR NANGIA MD BOARD OF DIRECTORS (BEGINNING OCTOBER 2024) 0.1 0.1 X 0 0 0 YON JORDEN BOARD OF DIRECTORS 0.1 0 X 0 0 0 CRAIG BJERKE TREASURER & CFO 40.0 1.2 X 1536500 0 166171 MICHAEL O PRICE ASSISTANT SECRETARY & CLO 40.0 0.1 X 1325725 0 64155 ROBERT M MILONE ASSISTANT TREASURER 40.0 0.4 X 328719 0 34009 E KENNETH HUTCHENRIDER PRESIDENT - MRMC 40.0 0.1 X 1051894 0 137983 JOHN PHILLIPS PRESIDENT - MDMC 40.0 0.2 X 1412164 0 164305 JUAN FRESQUEZ JR PRESIDENT - MMMC 40.0 0 X 957624 0 117280 LESLIE PIERCE SR VP REVENUE CYCLE 40.0 0 X 683545 0 107935 PAMELA STOYANOFF PRESIDENT & COO 40.0 0.1 X 2296131 0 222559 BRIAN KENJARSKI SVP DATA GOVERNANCE & CMIO 40.0 0.1 X 833561 0 85577 JOHN MYERS MD PRESIDENT, METHODIST MEDICAL GROUP 40.0 0.2 X 932875 0 134328 JOLYN ANGUS SR VP/CHIEF NURSING EXECUTIVE 40.0 0 X 795757 0 42824 MARTIN L KOONSMAN MD CHIEF MEDICAL OFFICER 40.0 0.3 X 1038597 0 146103 PAMELA MCNUTT SENIOR VICE PRESIDENT & CIO 40.0 0 X 1075071 0 58772 CHERYL FLYNN FORMER HCE 0.0 0 X 338477 0 13647 18696110 0 1558137 2208 true true false DPR CONSTRUCTION 1450 VETERANS BLVD REDWOOD CA 94063 CONSTRUCTION SERVICES 10513951 ENABLECOMP LLC DEPT CH 17027 PALATINE IL 60055 CONSULTING SERVICES 3946162 OBHG HOSPITALIST GROUPOBHG TEXAS HOLDIN 777 LOWNDES HILL ROAD BUILDING 1 GREENVILLE SC 29607 MEDICAL SERVICES 2809172 HCBECK LTD 1807 ROSS AVENUE SUITE 500 DALLAS TX 75201 CONSTRUCTION SERVICES 2182909 ACCUITY DELIVERY SYSTEMS LLC PO BOX 7247 PHILADELPHIA PA 191700001 MEDICAL SERVICES 1437337 105 13169201 6948893 20118094 NET PATIENT SERVICE REVENUE 622110 2439826119 2439730476 95643 RESEARCH REVENUE 541700 3123085 3123085 0 0 0 0 2442949204 57066181 30890 57035291 46075 46075 8761836 392319 8369517 0 8369517 8369517 80567613 0 75443008 1984 5124605 -1984 5122621 5122621 CAFETERIA & CATERING SALES 722310 7365940 628831 6737109 MEDICAL RECORD INCOME 541200 886929 886929 PARKING 900099 293391 77988 215403 7395692 7395692 0 0 15941952 2549613644 2451136182 833352 77526016 92010670 92010670 15217434 12385493 2831941 224550 182762 41788 953295671 817779274 135218590 297807 33587646 27813266 5774380 50912422 38469195 12443227 59481445 50840457 8619752 21236 4307859 4307859 261196 261196 306618 306618 822249 822249 57991107 39399671 18558142 33294 10831727 7494664 3337063 8781008 6691761 2074285 14962 34165282 29552969 4612313 17663066 16944101 696439 22526 1953204 1075707 873645 3852 450957 268191 182766 15230874 5801651 9429223 127790723 113942424 13848299 11620411 10839337 781074 SUPPLIES 474750551 474555026 192276 3249 RECRUITMENT & SPECIAL EVENTS 110773205 110552937 220268 EQUIPMENT & MAINTENANCE 59400021 52320222 7079799 0 0 0 0 2141829896 1908919778 232292924 617194 810619 1250247 1973576398 2155053096 226647497 246854873 0 0 0 0 29331809 42109948 48011937 56798606 62377738 46151956 2780722218 1606137458 1124553066 1174584760 159309217 191705819 0 87958124 94044659 1970664 1878876 78307361 286641156 3792854430 4297073996 218628578 222634611 4728886 18116638 405139824 400670688 0 0 100183404 93986545 185667244 134409880 914347936 869818362 X 2878506494 3427255634 2878506494 3427255634 3792854430 4297073996 407783748 140965392 0 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 306618 0 306618 0 2141523278 0 2141829896 0 1000000 0 250000 0 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 260549 286662 259574 306618 1113403 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 SCHEDULE C, PART II-A, LINE 1B, COLUMN (A) EXPLANATION OF AMOUNT THE AMOUNT REPRESENTS THREE COMPONENTS: (1) THE PORTION OF DUES TO PROFESSIONAL ORGANIZATIONS SUCH AS THE AMERICAN HOSPITAL ASSOCIATION AND THE TEXAS HOSPITAL ASSOCIATION TO EDUCATE GOVERNMENTAL LEADERS ON LEGISLATION AFFECTING THE ORGANIZATION'S ABILITY TO CARRY OUT ITS EXEMPT PURPOSE, (2) FEES PAID BY MHS TO A LAW FIRM SPECIFICALLY TO LOBBY LEGISLATORS REGARDING IMPORTANT HEALTHCARE ISSUES, (3) THE PORTION OF COMPENSATION PAID TO AN MHS STAFF MEMBER FOR THEIR TIME RELATED TO ACTIVITIES TO EDUCATE GOVERNMENTAL LEADERS ON LEGISLATION AFFECTING THE ORGANIZATION'S ABILITY TO CARRY OUT ITS EXEMPT PURPOSE. 115474065 14567449 4325013 125716501 94386063 25225341 4137339 115474065 84493160 0 13402505 3509602 94386063 107787905 1200 -20302635 2993310 84493160 92094390 0 23541132 7847617 107787905 0.9185 0.04 0.0415 false true true 110366955 110366955 1455978687 743913033 712065654 0 0 0 1011071089 781500094 229570995 203305487 80724331 122581156 1174584760 EMPLOYED CAPITAL 79345813 INTERCOMPANY BALANCES WITH CONSOLIDATED AFFILIATES 207295343 286641156 FEDERAL INCOME TAXES TOTAL RETIREMENT PLAN LIABILITIES 12357105 TOTAL SELF-INSURANCE LIABILITIES 21362784 INTEREST RATE SWAP LIABILITY 16409460 INTERCOMPANY BALANCES WITH CONSOLIDATED AFFILIATES 61692502 CASH IN TRANSIT 22588029 134409880 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS ENDOWED FUNDS ARE HELD ON A RESTRICTED BASIS FOR THE PURPOSE OF FUNDING LARGE CAPITAL PROJECTS AND SPECIAL PROGRAMS. METHODIST HOSPITALS OF DALLAS FOUNDATION, AN ORGANIZATION OPERATED EXCLUSIVELY FOR THE BENEFIT OF METHODIST HOSPITALS OF DALLAS, CURRENTLY HOLDS FUNDS THAT ARE ENDOWED. METHODIST HOSPITALS OF DALLAS IS THE SOLE MEMBER OF METHODIST HOSPITAL OF DALLAS FOUNDATION. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE MHS, MMG, METHODIST-CDI, MTP, PASD AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE ("IRC"), AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). THEY EACH HAVE BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER EITHER IRC SECTION 509(A)(1) OR 509(A)(3), AND AS SUCH, CONTRIBUTIONS TO THEM QUALIFY FOR DEDUCTION AS CHARITABLE CONTRIBUTIONS. DUE TO THEIR ORGANIZATION STRUCTURE, CERTAIN OF THE CONSOLIDATED ENTITIES ARE TAXABLE UNDER THE IRC AND SOME ENTITIES ARE TAX EXEMPT BUT ARE REQUIRED TO PAY INCOME TAXES FOR INCOME GENERATED FROM ACTIVITIES UNRELATED TO THEIR EXEMPT PURPOSE UNDER IRC SECTION 511. IN ADDITION, CERTAIN OF THE CONSOLIDATED ENTITIES FILE U.S. PARTNERSHIP INCOME TAX RETURNS. THE TEXAS MARGIN TAX APPLIES TO CERTAIN PARTNERSHIPS AND TAXABLE ENTITIES INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE OVERALL IMPACT OF FEDERAL INCOME TAXES AND TEXAS MARGIN TAXES TO THE MHS CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024 IS NOT SIGNIFICANT. 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 CONSOLIDATED FINANCIAL STATEMENTS. MHS DOES NOT HAVE ANY OUTSTANDING INTEREST OR PENALTIES, AND NONE HAVE BEEN RECORDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024, RESPECTIVELY. true true X true X true X 500 true true true false true true 122637194 13371 122623823 0.05725 124572638 131935368 0 0.0 0 0.0 0 0 247209832 131948739 122623823 0.05725 4247329 780880 3466449 0.00162 36681154 10129012 26552142 0.01240 0 0.0 3288785 3125089 163696 0.00008 92010670 92010670 0.04296 0 0 136227938 14034981 122192957 0.05705 0 0 383437770 145983720 244816780 0.11430 0 0.0 137495 137495 0.00006 0 0.0 0 0.0 0 0.0 0 0.0 423090 423090 0.00020 1484969 1484969 0.00069 0 0.0 0 0 2045554 0 2045554 0.00096 true 259537767 0 647477000 687607331 -40130331 X true true METDALSPI LLC (METHODIST HOSPITAL FOR SURGERY) (THROUGH METDALSPI HOLDING L LC) HOSPITAL 0.41 0.0 0.49 METHODIST MANSFIELD AMBULATORY SURGERY CENTER LLC (THROUGH MSP ASC HOLDINGS LLC) OUTPATIENT SURGEY 0.306 0.0 0.49 METHODIST MCKINNEY HOSPITAL LLC (THROUGH MSP MCKINNEY HOLDINGS LLC) HOSPITAL 0.4661 0.0 0.435 METHODIST SURGERY CENTER - KELLER LLC (THROUGH MSP ASC HOLDINGS LLC) SURGERY CENTER 0.36 0.0 0.4 METHODIST SURGERY CENTER - RICHARDSON LLC (THROUGH MSP ASC HOLDINGS LLC) SURGERY CENTER 0.306 0.0 0.49 METSL PROPERTY INVESTOR LLC OWNER OF REAL ESTATE HOLDING PARTNERSHIP; PROVISION OF REAL PROPERTY FOR MEDICAL SERVICES 0.5597 0.0 0.4403 MHD-USO MANAGEMENT COMPANY LP (THROUGH NORTH TEXAS HEALTH FACILITIES MANAGE MENT) MANAGEMENT SERVICES FOR ONCOLOGY PRACTICE 0.714 0.0 0.286 MHSS-MOB ADDISON (THROUGH NORTH TEXAS HEALTH FACILITIES MANAGEMENT) MEDICAL OFFICE BUILDING 0.1625 0.0 0.4279 REDBIRD SQUARE ENDOSCOPY CENTER LLC (THROUGH MSP ASC HOLDINGS LLC) SURGERY CENTER 0.3944 0.0 0.3426 SRP-MEDICA INVESTORS ADDISON LP REAL ESTATE HOLDINGS ENTITY FOR METHODIST HOSPITAL FOR SURGERY 0.2185 0.0 0.2225 10 1 METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD STREET DALLAS TX 76063 https://www.methodisthealthsystem.org/methodist-mansfield-medical-center/?L=true 008428 X X X A 2 METHODIST SOUTHLAKE MEDICAL CENTER 421 E STATE HWY 114 SOUTHLAKE TX 76092 https://www.methodisthealthsystem.org/methodist-southlake-medical-center/ 126303 X X X A 3 METHODIST DALLAS MEDICAL CENTER 1441 N BECKLEY AVE DALLAS TX 75203 HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/ 000255 X X X X X B 4 METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND RD DALLAS TX 75237 https://www.methodisthealthsystem.org/methodist-charlton-medical-center/?L=true 000142 X X X X B 5 METHODIST REHABILITATION HOSPITAL 3020 W WHEATLAND RD DALLAS TX 75237 HTTP://WWW.METHODIST-REHAB.COM/ 008620 X REHABILITATION HOSPITAL B 6 METHODIST RICHARDSON MEDICAL CENTER 2831 E GEORGE W BUSH HWY RICHARDSON TX 75082 https://www.methodisthealthsystem.org/methodist-richardson-medical-center/?L=true 100131 X X X C 7 METHODIST HOSPITAL FOR SURGERY 17101 DALLAS PWKY ADDISON TX 75001 HTTP://METHODISTHOSPITALFORSURGERY.COM 100075 X X X C 8 METHODIST MIDLOTHIAN MEDICAL CENTER 1201 E US-287 MIDLOTHIAN TX 76065 https://www.methodisthealthsystem.org/methodist-midlothian-medical-center/ 126016 X X X D 9 METHODIST MCKINNEY HOSPITAL 8000 W ELDORADO PWKY MCKINNEY TX 75070 HTTP://WWW.METHODISTMCKINNEYHOSPITAL.COM 100043 X X X E 10 METHODIST CELINA MEDICAL CENTER 1500 S DALLAS PARKWAY CELINA TX 75009 https://www.methodisthealthsystem.org/about/choosecelina 100658 X X X F A 2 false false true X X X X X X X X X 24 true true false true X https://www.methodisthealthsystem.org/sites/default/files/2025%20CHNA%20Tarrant%20County%20(MMMC-MSM X true 22 true https://www.methodisthealthsystem.org/sites/default/files/hg_features/mercury_standard_layout/3b4b26 false true X 200.0 500.0 X X X X X true true X X X X true X https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/ X https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/ X https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/ X X X X X X true X false X true X false false B 3 false false true X X X X X X X X X 24 true true false true X https://www.methodisthealthsystem.org/sites/default/files/2025%20CHNA%20Dallas%20County%20(MCMC-MDMC X true 22 true https://www.methodisthealthsystem.org/sites/default/files/hg_features/mercury_standard_layout/4d6a2b false true X 200.0 500.0 X X X X X true true X X X X true X SEE PART VI SUPPLEMENTAL INFORMATION X SEE PART VI SUPPLEMENTAL INFORMATION X SEE PART VI SUPPLEMENTAL INFORMATION X X X X X X true X false X true X false false C 2 false false true X X X X X X X X X 24 true true false true X https://www.methodisthealthsystem.org/sites/default/files/2025%20CHNA%20Collin-Dallas%20Counties%20( X true 22 true https://www.methodisthealthsystem.org/sites/default/files/hg_features/mercury_standard_layout/0643e4 false true X 200.0 500.0 X X X X X true true X X X X true X SEE PART VI SUPPLEMENTAL INFORMATION X SEE PART VI SUPPLEMENTAL INFORMATION X SEE PART VI SUPPLEMENTAL INFORMATION X X X X X X true X false X true X false false D 1 false false true X X X X X X X X X 24 true false false true X https://www.methodisthealthsystem.org/sites/default/files/2025%20CHNA%20Ellis%20County%20(MLMC).pdf? X true 22 true https://www.methodisthealthsystem.org/sites/default/files/hg_features/mercury_standard_layout/3c0f01 false true X 200.0 500.0 X X X X X true true X X X X true X HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/ X HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/ X HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/ X X X X X X true X false X true X false false E 1 false false true X X X X X X X X X 24 true true false true X https://www.methodisthealthsystem.org/sites/default/files/2025%20CHNA%20Collin%20County%20(MCEL-MMH) X true 22 true https://methodistmckinneyhospital.com/wp-content/uploads/2023/05/MMH-Collin-County-Implementation-St false true X 200.0 500.0 X X X X X true true X X X X true X https://methodistmckinneyhospital.com/PATIENT-INFO/FINANCIAL-ASSISTANCE/ X https://methodistmckinneyhospital.com/PATIENT-INFO/FINANCIAL-ASSISTANCE/ X https://methodistmckinneyhospital.com/PATIENT-INFO/FINANCIAL-ASSISTANCE/ X X X X X X true X false X true X false false F 1 true false true X X X X X X X X X 24 true true false true X https://www.methodisthealthsystem.org/sites/default/files/2025%20CHNA%20Collin%20County%20(MCEL-MMH) X false false true X 200.0 500.0 X X X X X true true X X X X true X HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/ X HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/ X HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/ X X X X X X true X false X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY A, 1 FACILITY A, 1 - METHODIST MANSFIELD MEDICAL CENTER AND METHODIST SOUTHLAKE MEDICAL CENTER. IN ADDITION TO ANALYZING QUANTITATIVE DATA, A LISTENING SESSION PRE-SURVEY, LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHTS INTO ITS NEEDS TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED; PRIORITIZATION SESSIONS WERE HELD WITH HOSPITAL CLINICAL LEADERSHIP AND COMMUNITY LEADERS TO REVIEW COLLECTION RESULTS AND IDENTIFY THE MOST SIGNIFICANT HEALTHCARE NEEDS BASED ON INFORMATION GLEANED FROM THE LISTENING SESSIONS AND KEY INFORMANTS. WHILE THE LISTENING SESSIONS HELPED IDENTIFY BARRIERS AND SOCIAL FACTORS INFLUENCING THE COMMUNITY'S HEALTH NEEDS, KEY INFORMANT INTERVIEWS PROVIDED EVEN MORE UNDERSTANDING AND INSIGHT INTO THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS THAT CONTRIBUTED TO HEALTH ISSUES. THE ASSESSMENT IS AVAILABLE FOR PUBLIC COMMENT OR FEEDBACK ON THE REPORT'S FINDINGS. WRITTEN INPUT RECEIVED ON THE MOST RECENTLY CONDUCTED CHNA AND SUBSEQUENT IMPLEMENTATION STRATEGIES WAS REVIEWED AND CONSIDERED IN THE REPORT DEVELOPMENT. GOVERNMENTAL PUBLIC HEALTH DEPARTMENT INDIVIDUALS WERE ASKED TO CONTRIBUTE THEIR KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INDIVIDUALS OR ORGANIZATIONS THAT SERVED AND/OR REPRESENTED THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY ALSO TOOK PART IN THE PROCESS. AS A PART OF THE CHNA PROCESS, THE ORGANIZATION GATHERED INPUT FROM COMMUNITY STAKEHOLDERS VIA THE FOLLOWING METHODS: 1. IN SEPTEMBER 2024, A COMMUNITY PARTNER LISTENING SESSION PRE-SURVEY WAS DISTRIBUTED TO MORE THAN 650 COMMUNITY PARTNERS REPRESENTING ORGANIZATIONS WORKING IN THE AREAS OF EMERGENCY MANAGEMENT, FOOD INSECURITY, HOUSING/HOMELESSNESS, ECONOMIC DEVELOPMENT, PUBLIC HEALTH, ETC. THIS SURVEY WAS DESIGNED TO BETTER UNDERSTAND THE POPULATIONS OUR COMMUNITY PARTNERS SERVE AND THEIR RELATED HEALTH NEEDS. A TOTAL OF 117 COMMUNITY PARTNERS COMPLETED THE SURVEY. 2. RESPONDENTS WERE THEN INVITED TO ATTEND THE LISTENING SESSION FOR THE COUNTY(S) THEIR ORGANIZATION SERVES. IN OCTOBER 2024, FIVE LISTENING SESSIONS WERE CONDUCTED WITH REPRESENTATIVES OF ORGANIZATIONS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. THE ORGANIZATIONS PROVIDING INPUT VIA THESE LISTENING SESSIONS ARE AS FOLLOWS: AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION - NORTH TEXAS; CENTERS FOR MEDICARE & MEDICAID SERVICES; COMMUNITIES FOUNDATION OF TEXAS; GRACE COMMUNITY CLINIC; MARCH OF DIMES; PINK DIAMONDS, SURVIVORS OF CANCER, INC.; ROSA ES ROJO, INC.; TARRANT AREA FOOD BANK; TEXAS WOMEN'S FOUNDATION; AND WOVEN HEALTH CLINIC 3. FROM DECEMBER 2024 THROUGH FEBRUARY 2025, SEVENTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND PARTNERS TO LEARN ABOUT CURRENT HEALTH NEEDS OR ISSUES FACED BY PEOPLE LIVING IN THE COUNTY/COUNTIES THEY SERVE, LEADING FACTORS THAT CONTRIBUTE TO THESE HEALTH ISSUES, GROUPS OR POPULATIONS DISPARATELY AFFECTED BY IDENTIFIED HEALTH ISSUES, BARRIERS OR CHALLENGES PREVENTING PEOPLE FROM ACCESSING HEALTHCARE OR SOCIAL SERVICES, AND COMMUNITY STRENGTHS AND RESOURCES. THE ORGANIZATIONS PROVIDING INPUT FOR TARRANT COUNTY VIA THESE INTERVIEWS ARE AS FOLLOWS: CITY OF FORT WORTH; HISPANIC WELLNESS COALITION; SOUTHERN DALLAS LINK; TARRANT COUNTY HEALTH DEPARTMENT; AND TTUHSC SCHOOL OF NURSING SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY A, 1 FACILITY A, 1 - ALL FACILITIES IN REPORTING GROUP A. METHODIST MANSFIELD MEDICAL CENTER (MMMC) IS A 262 LICENSED BED HOSPITAL. METHODIST SOUTHLAKE MEDICAL CENTER IS A 54 LICENSED BED HOSPITAL. BOTH SERVE DIFFERENT AREAS IN THE DFW METROPLEX. THE AFOREMENTIONED HOSPITALS CONDUCT A SINGLE CHNA. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 1 FACILITY A, 1 - METHODIST MANSFIELD MEDICAL CENTER. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SIX SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MANSFIELD AND METHODIST SOUTHLAKE JOINT 2022 CHNA IMPLEMENTATION STRATEGY: ACCESS TO MENTAL HEALTH SERVICES; DIABETES MANAGEMENT; ACCESS TO PRIMARY CARE PROVIDERS/SERVICES; INCREASING HEALTH NEEDS OF AN AGING COMMUNITY; CANCER INCIDENCE; AND MANY NON-ENGLISH SPEAKERS. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MANSFIELD AND METHODIST SOUTHLAKE JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; MENTAL HEALTH & MENTAL DISORDERS (INCLUDING DRUG & ALCOHOL MISUSE); CARDIO/PULMONARY/VASCULAR CARE; OLDER ADULT HEALTH (INCLUDING OTHER CONDITIONS); AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -ACCESS TO MENTAL HEALTH SERVICES: METHODIST MANSFIELD PROVIDED PLACEMENT ASSISTANCE FOR SUICIDAL PATIENTS THROUGH BEHAVIORAL HEALTH CONNECTIONS; AND PROVIDED VIRTUAL PSYCHIATRIC CONSULT SERVICES IN THE ED. -DIABETES MANAGEMENT: METHODIST MANSFIELD HOSTED COMMUNITY EDUCATION SESSIONS ON TOPICS RELATED TO DIABETES MANAGEMENT; OBTAINED CERTIFICATION BY THE AMERICAN DIABETES ASSOCIATION FOR ITS DIABETES SELF-MANAGEMENT PROGRAM SERVICES. -ACCESS TO PRIMARY CARE PROVIDERS AND SERVICES: METHODIST MANSFIELD PROVIDED PRIMARY CARE SUPPORT AND FUNDING THROUGH FUNDRAISING EVENT SPONSORSHIPS FOR MANSFIELD MISSION CENTER - LINDA NIX CLINIC; MAINTAINED PROVISION OF MISD PRIMARY CARE CLINIC FOR ALL ISD EMPLOYEES AND DEPENDENTS; AND PROVIDED ECHOS AND SPORTS PHYSICALS FOR MANSFIELD STUDENT ATHLETES. -INCREASING HEALTH NEEDS OF AN AGING COMMUNITY: METHODIST MANSFIELD PROVIDED DEPRESSION SCREENINGS FOR ALL SENIOR PATIENTS AT METHODIST FAMILY HEALTH CENTERS IN THE SERVICE AREA; AND PROVIDED NEARLY 400 TELE-PSYCH CONSULTS IN THE ED. -CANCER INCIDENCE: METHODIST MANSFIELD PROVIDED FREE MAMMOGRAMS FOR THOSE WHO ARE UNINSURED AND UNDERINSURED; AND PROVIDED COMMUNITY EDUCATION ABOUT RISKS, EARLY DETECTION AND TREATMENT OPTIONS FOR BREAST CANCER. -MANY NON-ENGLISH SPEAKERS: METHODIST MANSFIELD PROVIDED 24/7 TRANSLATION SERVICES FOR PATIENTS AND FAMILIES EITHER IN PERSON OR VIA ELECTRONIC MEANS TO HELP LESSEN LANGUAGE BARRIERS WITH NON-ENGLISH SPEAKING PATIENTS AND FAMILIES. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY A, 2 FACILITY A, 2 - METHODIST SOUTHLAKE MEDICAL CENTER. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SIX SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MANSFIELD AND METHODIST SOUTHLAKE JOINT 2022 CHNA IMPLEMENTATION STRATEGY: ACCESS TO MENTAL HEALTH SERVICES; DIABETES MANAGEMENT; ACCESS TO PRIMARY CARE PROVIDERS/SERVICES; INCREASING HEALTH NEEDS OF AN AGING COMMUNITY; CANCER INCIDENCE; AND MANY NON-ENGLISH SPEAKERS. OF THOSE, METHODIST SOUTHLAKE WILL ADDRESS ACCESS TO MENTAL HEALTH SERVICES, ACCESS TO PRIMARY CARE PROVIDERS/SERVICES, INCREASING NEEDS OF AN AGING COMMUNITY AND MANY NON-ENGLISH SPEAKERS. THE REMAINING NEEDS ARE BEING ADDRESSED BY METHODIST MANSFIELD AS PART OF THEIR JOINT IMPLEMENTATION STRATEGY. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MANSFIELD AND METHODIST SOUTHLAKE JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; MENTAL HEALTH & MENTAL DISORDERS (INCLUDING DRUG & ALCOHOL MISUSE); CARDIO/PULMONARY/VASCULAR CARE; OLDER ADULT HEALTH (INCLUDING OTHER CONDITIONS); AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -ACCESS TO MENTAL HEALTH RESOURCES: METHODIST SOUTHLAKE PROVIDED PLACEMENT ASSISTANCE FOR SUICIDAL PATIENTS THROUGH BEHAVIORAL HEALTH CONNECTIONS; AND TELE-PSYCH CONSULTS WERE AVAILABLE AS NEEDED IN THE ED. -ACCESS TO PRIMARY CARE PROVIDER/SERVICES: METHODIST SOUTHLAKE PROVIDED PHYSICALS TO THE LOCAL INDEPENDENT SCHOOL DISTRICT DANCE TEAM MEMBERS; AS WELL AS PROVIDED MOBILE MAMMOGRAPHY TO BRING AN ADDED LEVEL OF CONVENIENCE FOR ANNUAL MAMMOGRAMS TO LOCAL ISD EMPLOYEES. METHODIST SOUTHLAKE OPENED A NEW PRIMARY CARE LOCATION WITH TWO PRIMARY CARE PROVIDERS IN THE SERVICE AREA TO PROVIDE ADDITIONAL RESOURCES. -INCREASING NEEDS OF AN AGING COMMUNITY: PROVIDED DEPRESSION SCREENINGS FOR ALL SENIOR PATIENTS AT METHODIST FAMILY HEALTH CENTERS IN THE SERVICE AREA. -MANY NON-ENGLISH SPEAKERS: PROVIDED TRANSLATION SERVICES FOR PATIENTS AND FAMILIES 24/7 EITHER IN PERSON OR VIA ELECTRONIC MEANS. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY A, 1 FACILITY A, 1 - METHODIST MANSFIELD MEDICAL CENTER AND METHODIST SOUTHLAKE MEDICAL CENTER. MHS WILL TAKE INTO ACCOUNT THE INCOME LEVEL, FAMILY SIZE, AND AMOUNT OF HOSPITAL CHARGES IN ORDER TO DETERMINE ELIGIBILITY FOR THE LEVELS OF FINANCIAL ASSISTANCE. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY A, 1 FACILITY A, 1 - ALL FACILITIES. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY B, 1 FACILITY B, 1 - METHODIST DALLAS MEDICAL CENTER, METHODIST CHARLTON MEDICAL CENTER, & METHODIST REHABILITATION HOSPITAL. IN ADDITION TO ANALYZING QUANTITATIVE DATA, A LISTENING SESSION PRE-SURVEY, LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHTS INTO ITS NEEDS TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED; PRIORITIZATION SESSIONS WERE HELD WITH HOSPITAL CLINICAL LEADERSHIP AND COMMUNITY LEADERS TO REVIEW COLLECTION RESULTS AND IDENTIFY THE MOST SIGNIFICANT HEALTHCARE NEEDS BASED ON INFORMATION GLEANED FROM THE LISTENING SESSIONS AND KEY INFORMANTS. WHILE THE LISTENING SESSIONS HELPED IDENTIFY BARRIERS AND SOCIAL FACTORS INFLUENCING THE COMMUNITY'S HEALTH NEEDS, KEY INFORMANT INTERVIEWS PROVIDED EVEN MORE UNDERSTANDING AND INSIGHT INTO THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS THAT CONTRIBUTED TO HEALTH ISSUES. THE ASSESSMENT IS AVAILABLE FOR PUBLIC COMMENT OR FEEDBACK ON THE REPORT'S FINDINGS. WRITTEN INPUT RECEIVED ON THE MOST RECENTLY CONDUCTED CHNA AND SUBSEQUENT IMPLEMENTATION STRATEGIES WAS REVIEWED AND CONSIDERED IN THE REPORT DEVELOPMENT. AS A PART OF THE CHNA PROCESS, THE ORGANIZATION GATHERED INPUT FROM COMMUNITY STAKEHOLDERS VIA THE FOLLOWING METHODS: 1. IN SEPTEMBER 2024, A COMMUNITY PARTNER LISTENING SESSION PRE-SURVEY WAS DISTRIBUTED TO MORE THAN 650 COMMUNITY PARTNERS REPRESENTING ORGANIZATIONS WORKING IN THE AREAS OF EMERGENCY MANAGEMENT, FOOD INSECURITY, HOUSING/HOMELESSNESS, ECONOMIC DEVELOPMENT, PUBLIC HEALTH, ETC. THIS SURVEY WAS DESIGNED TO BETTER UNDERSTAND THE POPULATIONS OUR COMMUNITY PARTNERS SERVE AND THEIR RELATED HEALTH NEEDS. A TOTAL OF 117 COMMUNITY PARTNERS COMPLETED THE SURVEY. 2. RESPONDENTS WERE THEN INVITED TO ATTEND THE LISTENING SESSION FOR THE COUNTY(S) THEIR ORGANIZATION SERVES. IN OCTOBER 2024, FIVE LISTENING SESSIONS WERE CONDUCTED WITH REPRESENTATIVES OF ORGANIZATIONS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. THE ORGANIZATIONS PROVIDING INPUT VIA THESE LISTENING SESSIONS ARE AS FOLLOWS: AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION - NORTH TEXAS; BONTON FARMS; CENTERS FOR MEDICARE & MEDICAID SERVICES; CITY OF DALLAS; COMMUNITIES FOUNDATION OF TEXAS; CROSSROADS COMMUNITY SERVICES; DALLAS COUNTY MEDICAL SOCIETY; FOR OAK CLIFF; GENESIS WOMEN'S SHELTER AND SUPPORT; JCK COMMUNITIES BUILDERS; JUBILEE PARK AND COMMUNITY CENTER; MARCH OF DIMES; NORTH TEXAS FOOD BANK; PINK DIAMONDS, SURVIVORS OF CANCER, INC.; ROSA ES ROJO, INC.; S.E. CHARITIES; TEXAS WOMEN'S FOUNDATION; THE COUNSELING PLACE; THE SENIOR SOURCE; THE WARREN CENTER; UNITED WAY OF METROPOLITAN DALLAS; VISITING NURSE ASSOCIATION; VISITING NURSE ASSOCIATION MEALS ON WHEELS; VOGEL ALCOVE; WEST DALLAS MULTIPURPOSE CENTER; AND WOVEN HEALTH CLINIC 3. FROM DECEMBER 2024 THROUGH FEBRUARY 2025, SEVENTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND PARTNERS TO LEARN ABOUT CURRENT HEALTH NEEDS OR ISSUES FACED BY PEOPLE LIVING IN THE COUNTY/COUNTIES THEY SERVE, LEADING FACTORS THAT CONTRIBUTE TO THESE HEALTH ISSUES, GROUPS OR POPULATIONS DISPARATELY AFFECTED BY IDENTIFIED HEALTH ISSUES, BARRIERS OR CHALLENGES PREVENTING PEOPLE FROM ACCESSING HEALTHCARE OR SOCIAL SERVICES, AND COMMUNITY STRENGTHS AND RESOURCES. THE ORGANIZATIONS PROVIDING INPUT FOR DALLAS COUNTY VIA THESE INTERVIEWS ARE AS FOLLOWS: EMPOWERING THE MASSES; GOLDEN CROSS ACADEMIC CLINIC; INSPIRING TOMORROW'S LEADERS; METHODIST CHARLTON FAMILY MEDICINE CENTER; PRISM HEALTH NORTH TEXAS; SOULSTICE CONSULTANCY AND THE RECONCILIATION AND RESTORATION FOUNDATION; SOUTHERN DALLAS LINK; ST. VINCENT DE PAUL CHARITABLE PHARMACY; AND TTUHSC SCHOOL OF NURSING SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY B, 1 FACILITY B, 1 - ALL FACILITIES IN REPORTING GROUP B. METHODIST DALLAS MEDICAL CENTER, METHODIST CHARLTON MEDICAL CENTER, AND METHODIST REHABILITATION HOSPITAL ARE ACUTE CARE HOSPITALS SERVING DALLAS COUNTY. THE AFOREMENTIONED HOSPITALS CONDUCT A SINGLE CHNA. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY B, 1 FACILITY B, 1 - METHODIST DALLAS MEDICAL CENTER. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SEVEN SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST CHARLTON, METHODIST DALLAS, AND METHODIST REHABILITATION JOINT 2022 CHNA IMPLEMENTATION STRATEGY: CHRONIC CONDITIONS MANAGEMENT; LACK OF HEALTHY FOOD OPTIONS; BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP; PRENATAL CARE ISSUES; AGING HEALTH NEEDS; CANCER INCIDENCE; AND MANY NON-ENGLISH SPEAKERS. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST CHARLTON, METHODIST DALLAS, AND METHODIST REHABILITATION JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; CHRONIC DISEASE; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULT HEALTH; AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -CHRONIC CONDITIONS MANAGEMENT: IN A CONTINUED EFFORT TO INCREASE AWARENESS AND IMPROVE SELF-MANAGEMENT OF CHRONIC CONDITIONS AMONG PARTICIPANTS, METHODIST DALLAS PROVIDED DIABETES SELF-MANAGEMENT AND CHRONIC CONDITIONS MANAGEMENT CLASSES; GROUP DIABETES EDUCATION CLASSES AND MEDICATION THERAPY MANAGEMENT TO UNDERINSURED AND UNINSURED PATIENTS AT GOLDEN CROSS ACADEMIC CLINIC. -LACK OF HEALTHY FOOD OPTIONS: METHODIST DALLAS PROVIDED 60-90 DAYS OF FREE MEALS TO FOOD INSECURE DALLAS COUNTY METHODIST DALLAS PATIENTS POST-DISCHARGE THROUGH MEALS ON WHEELS; AS WELL AS FOOD PANTRY SERVICES AT GOLDEN CROSS ACADEMIC CLINIC FOR PATIENT NEEDING FOOD UNTIL THEY CAN ACCESS MORE PERMANENT RESOURCES. -BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP: METHODIST DALLAS PROVIDED PSYCHIATRIST WEEKLY FOR REFERRED UNINSURED AND UNDERINSURED PATIENTS AT GOLDEN CROSS ACADEMIC CLINIC; PLACEMENT ASSISTANCE FOR SUICIDAL PATIENTS THROUGH BEHAVIORAL HEALTH CONNECTIONS; MENTAL HEALTH FIRST AID TRAINING FOR FAITH COMMUNITY CONGREGANTS; AND PROVIDED TELE-PSYCH CONSULTS SERVICES IN THE ED. -PRENATAL CARE ISSUES: METHODIST DALLAS PROVIDED GROUP PRENATAL CARE FOR UNINSURED AND UNDERINSURED WOMEN THROUGH GOLDEN CROSS ACADEMIC CLINIC. -ESCALATING AGING HEALTH NEEDS: METHODIST DALLAS PROVIDED MONTHLY EDUCATION EVENTS FOR SENIORS THAT FOCUSED ON AGE-RELATED HEALTH ISSUES; A FALL PREVENTION PROGRAM; AND DEPRESSION SCREENINGS FOR ALL SENIOR PATIENTS AT METHODIST FAMILY HEALTH CENTERS IN THE SERVICE AREA. -CANCER INCIDENCE: METHODIST DALLAS PROVIDED FREE MAMMOGRAMS AND BREAST CANCER EDUCATION FOR THOSE WHO ARE UNINSURED AND UNDERINSURED; MONTHLY SUPPORT GROUPS; AND A 6-WEEK CANCER SURVIVORSHIP PROGRAM TWICE ANNUALLY. -MANY NON-ENGLISH SPEAKERS: IN ADDITION TO PROVIDING 24/7 TRANSLATION SERVICES TO PATIENTS AND FAMILY, METHODIST DALLAS PROVIDED TRANSLATORS STATIONED AT THE FRONT DESK IN THE ED AND SPANISH-SPEAKING GENERAL CANCER SUPPORT GROUP TO HELP LESSEN LANGUAGE BARRIERS WITH NON-ENGLISH SPEAKING PATIENTS. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY B, 2 FACILITY B, 2 - METHODIST CHARLTON MEDICAL CENTER. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SEVEN SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST CHARLTON, METHODIST DALLAS, AND METHODIST REHABILITATION JOINT 2022 CHNA IMPLEMENTATION STRATEGY: CHRONIC CONDITIONS MANAGEMENT; LACK OF HEALTHY FOOD OPTIONS; BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP; PRENATAL CARE ISSUES; AGING HEALTH NEEDS; CANCER INCIDENCE; AND MANY NON-ENGLISH SPEAKERS. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST CHARLTON, METHODIST DALLAS, AND METHODIST REHABILITATION JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; CHRONIC DISEASE; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULT HEALTH; AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -CHRONIC CONDITIONS MANAGEMENT: IN A CONTINUED EFFORT TO INCREASE AWARENESS AND IMPROVE SELF-MANAGEMENT OF CHRONIC CONDITIONS AMONG PARTICIPANTS, METHODIST CHARLTON PROVIDED DIABETES SELF-MANAGEMENT; HEART FAILURE MANAGEMENT SERVICES; AND MEDICATION THERAPY MANAGEMENT TO UNDERINSURED AND UNINSURED PATIENTS AT METHODIST CHARLTON FAMILY MEDICINE CENTER. -LACK OF HEALTHY FOOD OPTIONS: METHODIST CHARLTON PROVIDED 60-90 DAYS OF FREE MEALS TO FOOD INSECURE DALLAS COUNTY METHODIST CHARLTON PATIENTS POST-DISCHARGE THROUGH MEALS ON WHEELS; AND SUPPORTED THE LOCAL FOOD BANK BY HOSTING AN ANNUAL FOOD DRIVE. -BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP: METHODIST CHARLTON PROVIDED PSYCHIATRIST WEEKLY FOR REFERRED UNINSURED AND UNDERINSURED PATIENTS AT METHODIST CHARLTON FAMILY MEDICINE CENTER; PLACEMENT ASSISTANCE FOR SUICIDAL PATIENTS THROUGH BEHAVIORAL HEALTH CONNECTIONS; MENTAL HEALTH FIRST AID TRAINING FOR FAITH COMMUNITY CONGREGANTS; AND PROVIDED TELE-PSYCH CONSULTS IN THE ED. -ESCALATING AGING HEALTH NEEDS: METHODIST CHARLTON PROVIDED HEALTH SCREENINGS FOR FAITH COMMUNITIES; AND DEPRESSION SCREENINGS FOR ALL SENIOR PATIENTS AT METHODIST FAMILY HEALTH CENTERS IN THE SERVICE AREA. -CANCER INCIDENCE: METHODIST CHARLTON PROVIDED FREE MAMMOGRAMS AND BREAST CANCER EDUCATION FOR THOSE WHO ARE UNINSURED AND UNDERINSURED. -MANY NON-ENGLISH SPEAKERS: METHODIST CHARLTON PROVIDED 24/7 TRANSLATION SERVICES TO PATIENTS AND FAMILY EITHER IN PERSON OR VIA ELECTRONIC MEANS TO HELP LESSEN LANGUAGE BARRIERS WITH NON-ENGLISH SPEAKING PATIENTS. -PRENATAL CARE ISSUES IS ONE OF THE OTHER NEEDS SELECTED BY THE THREE FACILITIES IN THE JOINT CHNA. HOWEVER, PRENATAL CARE ISSUES ARE BEING ADDRESSED BY METHODIST DALLAS MEDICAL CENTER IN THE THREE FACILITIES' JOINT IMPLEMENTATION STRATEGY AND NOT BY METHODIST CHARLTON. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY B, 3 FACILITY B, 3 - METHODIST REHABILITATION HOSPITAL. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SEVEN SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST CHARLTON, METHODIST DALLAS, AND METHODIST REHABILITATION JOINT 2022 CHNA IMPLEMENTATION STRATEGY: CHRONIC CONDITIONS MANAGEMENT; LACK OF HEALTHY FOOD OPTIONS; BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP; PRENATAL CARE ISSUES; AGING HEALTH NEEDS; CANCER INCIDENCE; AND MANY NON-ENGLISH SPEAKERS. OF THOSE, METHODIST REHABILITATION HOSPITAL WILL ADDRESS CHRONIC CONDITIONS MANAGEMENT; LACK OF HEALTHY FOOD OPTIONS AND BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP. THE REMAINING NEEDS ARE BEING ADDRESSED BY METHODIST CHARLTON AND METHODIST DALLAS AS PART OF THEIR JOINT IMPLEMENTATION STRATEGY. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST CHARLTON, METHODIST DALLAS, AND METHODIST REHABILITATION JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; CHRONIC DISEASE; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULT HEALTH; AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -CHRONIC CONDITIONS MANAGEMENT: IN A CONTINUED EFFORT TO INCREASE AWARENESS AND IMPROVE SELF-MANAGEMENT OF CHRONIC CONDITIONS AMONG PARTICIPANTS, METHODIST REHAB PROVIDED A STROKE SUPPORT GROUP FOR STROKE REHAB PATIENTS AND FAMILIES; A STROKE CLASSES FOR PATIENTS AND FAMILY MEMBERS PRIOR TO DISCHARGE; AND A PEER SUPPORT GROUP FOR AMPUTEES. -LACK OF HEALTHY FOOD OPTIONS: METHODIST REHAB SUPPORTED THE LOCAL FOOD BANK WITH ONGOING DONATIONS TO THEIR CAUSE. -BEHAVIORAL HEALTH/SUBSTANCE ABUSE SERVICES GAP, PRENATAL CARE ISSUES, AGING HEALTH NEEDS, CANCER INCIDENCE, AND MANY NON-ENGLISH SPEAKERS ARE THE OTHER NEEDS SELECTED BY THE THREE FACILITIES IN THE JOINT CHNA. HOWEVER, THESE NEEDS ARE BEING ADDRESSED BY METHODIST DALLAS MEDICAL CENTER AND METHODIST CHARLTON MEDICAL CENTER IN THE THREE FACILITIES' JOINT IMPLEMENTATION STRATEGY AND NOT BY METHODIST REHAB. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY B, 1 FACILITY B, 1 - METHODIST DALLAS MEDICAL CENTER, METHODIST CHARLTON MEDICAL CENTER, & METHODIST REHABILITATION HOSPITAL. MHS WILL TAKE INTO ACCOUNT THE INCOME LEVEL, FAMILY SIZE, AND AMOUNT OF HOSPITAL CHARGES IN ORDER TO DETERMINE ELIGIBILITY FOR THE LEVELS OF FINANCIAL ASSISTANCE. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY B, 1 FACILITY B, 1 - ALL FACILITIES. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY C, 1 FACILITY C, 1 - METHODIST HOSPITAL OF SURGERY AND METHODIST RICHARDSON MEDICAL CENTER. IN ADDITION TO ANALYZING QUANTITATIVE DATA, A LISTENING SESSION PRE-SURVEY, LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHTS INTO ITS NEEDS TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED; PRIORITIZATION SESSIONS WERE HELD WITH HOSPITAL CLINICAL LEADERSHIP AND COMMUNITY LEADERS TO REVIEW COLLECTION RESULTS AND IDENTIFY THE MOST SIGNIFICANT HEALTHCARE NEEDS BASED ON INFORMATION GLEANED FROM THE LISTENING SESSIONS AND KEY INFORMANTS. WHILE THE LISTENING SESSIONS HELPED IDENTIFY BARRIERS AND SOCIAL FACTORS INFLUENCING THE COMMUNITY'S HEALTH NEEDS, KEY INFORMANT INTERVIEWS PROVIDED EVEN MORE UNDERSTANDING AND INSIGHT INTO THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS THAT CONTRIBUTED TO HEALTH ISSUES. THE ASSESSMENT IS AVAILABLE FOR PUBLIC COMMENT OR FEEDBACK ON THE REPORT'S FINDINGS. WRITTEN INPUT RECEIVED ON THE MOST RECENTLY CONDUCTED CHNA AND SUBSEQUENT IMPLEMENTATION STRATEGIES WAS REVIEWED AND CONSIDERED IN THE REPORT DEVELOPMENT. AS A PART OF THE CHNA PROCESS, THE ORGANIZATION GATHERED INPUT FROM COMMUNITY STAKEHOLDERS VIA THE FOLLOWING METHODS: 1. IN SEPTEMBER 2024, A COMMUNITY PARTNER LISTENING SESSION PRE-SURVEY WAS DISTRIBUTED TO MORE THAN 650 COMMUNITY PARTNERS REPRESENTING ORGANIZATIONS WORKING IN THE AREAS OF EMERGENCY MANAGEMENT, FOOD INSECURITY, HOUSING/HOMELESSNESS, ECONOMIC DEVELOPMENT, PUBLIC HEALTH, ETC. THIS SURVEY WAS DESIGNED TO BETTER UNDERSTAND THE POPULATIONS OUR COMMUNITY PARTNERS SERVE AND THEIR RELATED HEALTH NEEDS. A TOTAL OF 117 COMMUNITY PARTNERS COMPLETED THE SURVEY. 2. RESPONDENTS WERE THEN INVITED TO ATTEND THE LISTENING SESSION FOR THE COUNTY(S) THEIR ORGANIZATION SERVES. IN OCTOBER 2024, FIVE LISTENING SESSIONS WERE CONDUCTED WITH REPRESENTATIVES OF ORGANIZATIONS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. THE ORGANIZATIONS PROVIDING INPUT VIA THESE LISTENING SESSIONS ARE AS FOLLOWS: AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION - NORTH TEXAS; BONTON FARMS; CENTERS FOR MEDICARE & MEDICAID SERVICES; CITY OF DALLAS; COMMUNITIES FOUNDATION OF TEXAS; CROSSROADS COMMUNITY SERVICES; DALLAS COUNTY MEDICAL SOCIETY; FAMILY PROMISE OF COLLIN COUNTY; FOR OAK CLIFF; FRISCO FAMILY SERVICES; GENESIS WOMEN'S SHELTER AND SUPPORT; JCK COMMUNITIES BUILDERS; JUBILEE PARK AND COMMUNITY CENTER; MARCH OF DIMES; NORTH TEXAS FOOD BANK; PINK DIAMONDS, SURVIVORS OF CANCER, INC.; ROSA ES ROJO, INC.; S.E. CHARITIES; TEXAS WOMEN'S FOUNDATION; THE COUNSELING PLACE; THE SENIOR SOURCE; THE WARREN CENTER; UNITED WAY OF METROPOLITAN DALLAS; VISITING NURSE ASSOCIATION; VISITING NURSE ASSOCIATION MEALS ON WHEELS; VOGEL ALCOVE; WELLNESS CENTER FOR OLDER ADULTS; WEST DALLAS MULTIPURPOSE CENTER; AND WOVEN HEALTH CLINIC 3. FROM DECEMBER 2024 THROUGH FEBRUARY 2025, SEVENTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND PARTNERS TO LEARN ABOUT CURRENT HEALTH NEEDS OR ISSUES FACED BY PEOPLE LIVING IN THE COUNTY/COUNTIES THEY SERVE, LEADING FACTORS THAT CONTRIBUTE TO THESE HEALTH ISSUES, GROUPS OR POPULATIONS DISPARATELY AFFECTED BY IDENTIFIED HEALTH ISSUES, BARRIERS OR CHALLENGES PREVENTING PEOPLE FROM ACCESSING HEALTHCARE OR SOCIAL SERVICES, AND COMMUNITY STRENGTHS AND RESOURCES. THE ORGANIZATIONS PROVIDING INPUT FOR COLLIN AND DALLAS COUNTY VIA THESE INTERVIEWS ARE AS FOLLOWS: COLLIN COUNTY HEALTH DEPARTMENT; EMPOWERING THE MASSES; GOLDEN CROSS ACADEMIC CLINIC; INSPIRING TOMORROW'S LEADERS; METHODIST CHARLTON FAMILY MEDICINE CENTER; NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS; PRISM HEALTH NORTH TEXAS; SOULSTICE CONSULTANCY AND THE RECONCILIATION AND RESTORATION FOUNDATION; SOUTHERN DALLAS LINK; ST. VINCENT DE PAUL CHARITABLE PHARMACY; AND TTUHSC SCHOOL OF NURSING SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY C, 1 FACILITY C, 1 - ALL FACILITIES IN REPORTING GROUP C. METHODIST RICHARDSON MEDICAL CENTER (MRMC) OPERATES A 443 LICENSED BED HOSPITAL ACROSS TWO CAMPUSES. METHODIST HOSPITAL FOR SURGERY DOES NOT HAVE ANY LICENSED BEDS. THE AFOREMENTIONED HOSPITALS CONDUCTED A SINGLE CHNA. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY C, 1 FACILITY C, 1 - METHODIST HOSPITAL FOR SURGERY. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SEVEN SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST RICHARDSON AND METHODIST HOSPITAL FOR SURGERY JOINT 2022 CHNA IMPLEMENTATION STRATEGY: CHRONIC ILLNESS MANAGEMENT; STROKE CARE, AGING HEALTH NEEDS, CANCER INCIDENCE, ACCESS TO MENTAL HEALTH SERVICES, LACK OF HEALTHY FOOD OPTIONS; AND ACCESS TO NON-PHYSICIAN PCPS. OF THOSE, METHODIST HOSPITAL FOR SURGERY WILL ADDRESS ACCESS TO MENTAL HEALTH SERVICES GAP. THE REMAINING NEEDS ARE BEING ADDRESSED BY METHODIST RICHARDSON AS PART OF THEIR JOINT IMPLEMENTATION STRATEGY. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST RICHARDSON AND METHODIST HOSPITAL FOR SURGERY JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE (INCLUDING HEALTH LITERACY & EDUCATION); CHRONIC DISEASE; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULT HEALTH; AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: --MENTAL HEALTH SERVICES GAP: METHODIST HOSPITAL FOR SURGERY SUPPORTED METROCREST SERVICES THROUGH SPONSORSHIP DOLLARS AND SPONSORED EVENTS. METROCREST SERVICES SPECIALIZES IN HELPING FAMILIES AND SENIORS WHO ARE GOING THROUGH A CRISES SITUATION STABILIZED THEIR LIVES. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY C, 2 FACILITY C, 2 - METHODIST RICHARDSON MEDICAL CENTER. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SEVEN SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST RICHARDSON AND METHODIST HOSPITAL FOR SURGERY JOINT 2022 CHNA IMPLEMENTATION STRATEGY: CHRONIC ILLNESS MANAGEMENT; STROKE CARE, AGING HEALTH NEEDS, CANCER INCIDENCE, ACCESS TO MENTAL HEALTH SERVICES, LACK OF HEALTHY FOOD OPTIONS; AND ACCESS TO NON-PHYSICIAN PCPS. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST RICHARDSON AND METHODIST HOSPITAL FOR SURGERY JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE (INCLUDING HEALTH LITERACY & EDUCATION); CHRONIC DISEASE; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULT HEALTH; AND WOMEN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -CHRONIC ILLNESS MANAGEMENT: IN A CONTINUED EFFORT TO INCREASE AWARENESS OF CHRONIC ILLNESS MANAGEMENT, METHODIST RICHARDSON PROVIDED COMMUNITY EDUCATION ON CHRONIC DISEASE SELF-MANAGEMENT TO VARIOUS AUDIENCES. -STROKE CARE: METHODIST RICHARDSON PROVIDED TRAINING FOR FIRST RESPONDERS AND EMS; AND PROVIDED COMMUNITY EDUCATION AROUND STROKE PREVENTION AND TREATMENT. -AGING HEALTH NEEDS: METHODIST RICHARDSON MEDICAL CENTER PROVIDED ONGOING EDUCATION ON AGE-RELATED TOPICS SUCH AS FALL PREVENTION, FITNESS AND WELLNESS AND CHRONIC DISEASE SELF-MANAGEMENT. -CANCER INCIDENCE: TO INCREASE AWARENESS IN ASIAN COMMUNITIES ABOUT THE BENEFITS OF EARLY DETECTION AND TREATMENT OF BREAST CANCER, METHODIST RICHARDSON PROVIDED BREAST CANCER AWARENESS AND SCREENING ASSISTANCE THROUGH THEIR ASIAN BREAST HEALTH OUTREACH PROJECT SERVICES. -ACCESS TO MENTAL HEALTH SERVICES / MENTAL HEALTH SERVICES GAP: METHODIST RICHARDSON PROVIDED MUCH-NEEDED INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES AT THEIR CAMPUS FOR CONTINUING CARE; AND SUPPORTED THE CITY OF RICHARDSON MENTAL HEALTH PROGRAMS THROUGH SPONSORSHIP AND PARTICIPATION IN VARIOUS PROGRAMS. -LACK OF HEALTHY FOOD OPTIONS: METHODIST RICHARDSON SUPPORTED LOCAL FOOD BANK EFFORTS THROUGH PARTICIPATION AND SPONSORSHIP OF A FOOD DRIVE. -ACCESS TO NON-PHYSICIAN PCPS: METHODIST RICHARDSON MEDICAL CENTER SUPPORTED NETWORK OF COMMUNITY MINISTRIES CLINIC BY PROVIDING A NURSE PRACTITIONER WHO DELIVERS PRIMARY CARE TO BOTH SCHOOL DISTRICT EMPLOYEES AND UNDERSERVED POPULATIONS IN THE COMMUNITY. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY C, 1 FACILITY C, 1 - METHODIST RICHARDSON MEDICAL CENTER AND METHODIST HOSPITAL FOR SURGERY. MHS WILL TAKE INTO ACCOUNT THE INCOME LEVEL, FAMILY SIZE, AND AMOUNT OF HOSPITAL CHARGES IN ORDER TO DETERMINE ELIGIBILITY FOR THE LEVELS OF FINANCIAL ASSISTANCE. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY C, 1 FACILITY C, 1 - ALL FACILITIES. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY D, 1 FACILITY D, 1 - METHODIST MIDLOTHIAN MEDICAL CENTER. IN ADDITION TO ANALYZING QUANTITATIVE DATA, A LISTENING SESSION PRE-SURVEY, LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHTS INTO ITS NEEDS TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED; PRIORITIZATION SESSIONS WERE HELD WITH HOSPITAL CLINICAL LEADERSHIP AND COMMUNITY LEADERS TO REVIEW COLLECTION RESULTS AND IDENTIFY THE MOST SIGNIFICANT HEALTHCARE NEEDS BASED ON INFORMATION GLEANED FROM THE LISTENING SESSIONS AND KEY INFORMANTS. WHILE THE LISTENING SESSIONS HELPED IDENTIFY BARRIERS AND SOCIAL FACTORS INFLUENCING THE COMMUNITY'S HEALTH NEEDS, KEY INFORMANT INTERVIEWS PROVIDED EVEN MORE UNDERSTANDING AND INSIGHT INTO THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS THAT CONTRIBUTED TO HEALTH ISSUES. THE ASSESSMENT IS AVAILABLE FOR PUBLIC COMMENT OR FEEDBACK ON THE REPORT'S FINDINGS. WRITTEN INPUT RECEIVED ON THE MOST RECENTLY CONDUCTED CHNA AND SUBSEQUENT IMPLEMENTATION STRATEGIES WAS REVIEWED AND CONSIDERED IN THE REPORT DEVELOPMENT. GOVERNMENTAL PUBLIC HEALTH DEPARTMENT INDIVIDUALS WERE ASKED TO CONTRIBUTE THEIR KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INDIVIDUALS OR ORGANIZATIONS THAT SERVED AND/OR REPRESENTED THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY ALSO TOOK PART IN THE PROCESS. AS A PART OF THE CHNA PROCESS, THE ORGANIZATION GATHERED INPUT FROM COMMUNITY STAKEHOLDERS VIA THE FOLLOWING METHODS: 1. IN SEPTEMBER 2024, A COMMUNITY PARTNER LISTENING SESSION PRE-SURVEY WAS DISTRIBUTED TO MORE THAN 650 COMMUNITY PARTNERS REPRESENTING ORGANIZATIONS WORKING IN THE AREAS OF EMERGENCY MANAGEMENT, FOOD INSECURITY, HOUSING/HOMELESSNESS, ECONOMIC DEVELOPMENT, PUBLIC HEALTH, ETC. THIS SURVEY WAS DESIGNED TO BETTER UNDERSTAND THE POPULATIONS OUR COMMUNITY PARTNERS SERVE AND THEIR RELATED HEALTH NEEDS. A TOTAL OF 117 COMMUNITY PARTNERS COMPLETED THE SURVEY. 2. RESPONDENTS WERE THEN INVITED TO ATTEND THE LISTENING SESSION FOR THE COUNTY(S) THEIR ORGANIZATION SERVES. IN OCTOBER 2024, FIVE LISTENING SESSIONS WERE CONDUCTED WITH REPRESENTATIVES OF ORGANIZATIONS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. THE ORGANIZATIONS PROVIDING INPUT VIA THESE LISTENING SESSIONS ARE AS FOLLOWS: AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION - NORTH TEXAS; CENTERS FOR MEDICARE & MEDICAID SERVICES; COMMUNITIES FOUNDATION OF TEXAS; CROSSROADS COMMUNITY SERVICES; ELLIS CHRISTIAN WOMEN'S JOB CORPS; ELLIS COUNTY HOMELESS COALITION; FBC MIDLOTHIAN; MARCH OF DIMES; MIDLOTHIAN COMMUNITY DEVELOPMENT; MIDLOTHIAN INDEPENDENT SCHOOL DISTRICT (ISD); MIDLOTHIAN ISD ATHLETICS HALL OF HONOR; NORTH TEXAS FOOD BANK; PINK DIAMONDS, SURVIVORS OF CANCER, INC.; REACH COUNCIL; UNITED WAY OF WEST ELLIS COUNTY; AND WOVEN HEALTH CLINIC 3. FROM DECEMBER 2024 THROUGH FEBRUARY 2025, SEVENTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND PARTNERS TO LEARN ABOUT CURRENT HEALTH NEEDS OR ISSUES FACED BY PEOPLE LIVING IN THE COUNTY/COUNTIES THEY SERVE, LEADING FACTORS THAT CONTRIBUTE TO THESE HEALTH ISSUES, GROUPS OR POPULATIONS DISPARATELY AFFECTED BY IDENTIFIED HEALTH ISSUES, BARRIERS OR CHALLENGES PREVENTING PEOPLE FROM ACCESSING HEALTHCARE OR SOCIAL SERVICES, AND COMMUNITY STRENGTHS AND RESOURCES. THE ORGANIZATIONS PROVIDING INPUT FOR ELLIS COUNTY VIA THESE INTERVIEWS ARE AS FOLLOWS: CITY OF MIDLOTHIAN / MIDLOTHIAN POLICE DEPARTMENT; ELLIS COUNTY HEALTH DEPARTMENT; AND NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY D, 1 FACILITY D, 1 - METHODIST MIDLOTHIAN MEDICAL CENTER. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MIDLOTHIAN MEDICAL CENTER 2022 CHNA IMPLEMENTATION STRATEGY: ACCESS TO PRIMARY CARE RESOURCES; CHRONIC CONDITIONS MANAGEMENT; ESCALATING HEALTH NEEDS OF AN AGING COMMUNITY; ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE RESOURCES; CANCER INCIDENCE; AND PRENATAL CARE ISSUES. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MIDLOTHIAN MEDICAL CENTER 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; CHRONIC DISEASE; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULT HEALTH; AND WOMEN'S HEALTH AND CHILDREN'S HEALTH. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025 DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -ACCESS TO PRIMARY CARE RESOURCES: METHODIST MIDLOTHIAN PROVIDED THE MID-LEVEL PROVIDER FOR THE MISD EXPRESS CARE CLINIC BRINGING MUCH-NEEDED SUPPORT FOR PRIMARY CARE SERVICES TO THE INDEPENDENT SCHOOL DISTRICT. -CHRONIC CONDITIONS MANAGEMENT: METHODIST MIDLOTHIAN PROVIDED CHRONIC CONDITIONS MANAGEMENT COMMUNITY EDUCATION; AS WELL AS EDUCATION ON HEART HEALTHY EATING HABITS TO HELP WITH PREVENTION AND MAINTENANCE OF CHRONIC CONDITIONS. -ESCALATING NEEDS OF AN AGING COMMUNITY: METHODIST MIDLOTHIAN PROVIDED DEPRESSION SCREENINGS FOR ALL SENIOR PATIENTS AT METHODIST FAMILY HEALTH CENTERS IN THE SERVICE AREA; PUBLISHED INFORMATION ABOUT HEALTH ISSUES OF THE AGING IN A MESSAGE FROM THE PHYSICIAN SECTION OF SHINE MAGAZINE; AND WORKED WITH LOCAL SENIOR GROUPS TO IDENTIFY EDUCATION OPPORTUNITIES. -ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE RESOURCES: METHODIST MIDLOTHIAN PROVIDED PLACEMENT ASSISTANCE FOR SUICIDAL PATIENTS; AND SUPPORTED MIDLOTHIAN MENTAL HEALTH INITIATIVES THROUGH THEIR INVOLVEMENT WITH UNITE ELLIS CAMPAIGN, SPONSORSHIP OF EVENTS TO SUPPORT MENTAL HEALTH AWARENESS. -CANCER INCIDENCE: METHODIST MIDLOTHIAN SUPPORTED MIDLOTHIAN ISD PINK OUT EVENT WITH SPONSORSHIP FUNDING; AND PUBLISHED CANCER PREVENTION INFORMATION IN THE SHINE MAGAZINE. -PRENATAL CARE: METHODIST MIDLOTHIAN PROVIDED ONGOING EDUCATIONAL OUTREACH THROUGH PUBLISHED ARTICLES AND ONLINE BLOG CONTENT FOCUSED ON PRENATAL HEALTH. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY D, 1 FACILITY D, 1 - ALL FACILITIES. MHS WILL TAKE INTO ACCOUNT THE INCOME LEVEL, FAMILY SIZE, AND AMOUNT OF HOSPITAL CHARGES IN ORDER TO DETERMINE ELIGIBILITY FOR THE LEVELS OF FINANCIAL ASSISTANCE IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENTS ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNINGS STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY D, 1 FACILITY D, 1 - ALL FACILITIES. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY E, 1 FACILITY E, 1 - METHODIST MCKINNEY HOSPITAL. IN ADDITION TO ANALYZING QUANTITATIVE DATA, A LISTENING SESSION PRE-SURVEY, LISTENING SESSIONS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH LEADERS AND REPRESENTATIVES WHO SERVE THE COMMUNITY AND HAVE INSIGHTS INTO ITS NEEDS TO TAKE INTO ACCOUNT THE INPUT OF PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED; PRIORITIZATION SESSIONS WERE HELD WITH HOSPITAL CLINICAL LEADERSHIP AND COMMUNITY LEADERS TO REVIEW COLLECTION RESULTS AND IDENTIFY THE MOST SIGNIFICANT HEALTHCARE NEEDS BASED ON INFORMATION GLEANED FROM THE LISTENING SESSIONS AND KEY INFORMANTS. WHILE THE LISTENING SESSIONS HELPED IDENTIFY BARRIERS AND SOCIAL FACTORS INFLUENCING THE COMMUNITY'S HEALTH NEEDS, KEY INFORMANT INTERVIEWS PROVIDED EVEN MORE UNDERSTANDING AND INSIGHT INTO THE GENERAL HEALTH STATUS OF THE COMMUNITY AND THE VARIOUS DRIVERS THAT CONTRIBUTED TO HEALTH ISSUES. THE ASSESSMENT IS AVAILABLE FOR PUBLIC COMMENT OR FEEDBACK ON THE REPORT'S FINDINGS. WRITTEN INPUT RECEIVED ON THE MOST RECENTLY CONDUCTED CHNA AND SUBSEQUENT IMPLEMENTATION STRATEGIES WAS REVIEWED AND CONSIDERED IN THE REPORT DEVELOPMENT. GOVERNMENTAL PUBLIC HEALTH DEPARTMENT INDIVIDUALS WERE ASKED TO CONTRIBUTE THEIR KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INDIVIDUALS OR ORGANIZATIONS THAT SERVED AND/OR REPRESENTED THE INTERESTS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY ALSO TOOK PART IN THE PROCESS. AS A PART OF THE CHNA PROCESS, THE ORGANIZATION GATHERED INPUT FROM COMMUNITY STAKEHOLDERS VIA THE FOLLOWING METHODS: 1. IN SEPTEMBER 2024, A COMMUNITY PARTNER LISTENING SESSION PRE-SURVEY WAS DISTRIBUTED TO MORE THAN 650 COMMUNITY PARTNERS REPRESENTING ORGANIZATIONS WORKING IN THE AREAS OF EMERGENCY MANAGEMENT, FOOD INSECURITY, HOUSING/HOMELESSNESS, ECONOMIC DEVELOPMENT, PUBLIC HEALTH, ETC. THIS SURVEY WAS DESIGNED TO BETTER UNDERSTAND THE POPULATIONS OUR COMMUNITY PARTNERS SERVE AND THEIR RELATED HEALTH NEEDS. A TOTAL OF 117 COMMUNITY PARTNERS COMPLETED THE SURVEY. 2. RESPONDENTS WERE THEN INVITED TO ATTEND THE LISTENING SESSION FOR THE COUNTY(S) THEIR ORGANIZATION SERVES. IN OCTOBER 2024, FIVE LISTENING SESSIONS WERE CONDUCTED WITH REPRESENTATIVES OF ORGANIZATIONS WITH KNOWLEDGE, INFORMATION, AND/OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. THE ORGANIZATIONS PROVIDING INPUT VIA THESE LISTENING SESSIONS ARE AS FOLLOWS: AMERICAN CANCER SOCIETY; AMERICAN HEART ASSOCIATION - NORTH TEXAS; CENTERS FOR MEDICARE & MEDICAID SERVICES; COMMUNITIES FOUNDATION OF TEXAS; FAMILY PROMISE OF COLLIN COUNTY; FRISCO FAMILY SERVICES; MARCH OF DIMES; NORTH TEXAS FOOD BANK; PINK DIAMONDS, SURVIVORS OF CANCER, INC.; ROSA ES ROJO, INC.; TEXAS WOMEN'S FOUNDATION; THE COUNSELING PLACE; THE SENIOR SOURCE; UNITED WAY OF METROPOLITAN DALLAS; WELLNESS CENTER FOR OLDER ADULTS; AND WOVEN HEALTH CLINIC 3. FROM DECEMBER 2024 THROUGH FEBRUARY 2025, SEVENTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND PARTNERS TO LEARN ABOUT CURRENT HEALTH NEEDS OR ISSUES FACED BY PEOPLE LIVING IN THE COUNTY/COUNTIES THEY SERVE, LEADING FACTORS THAT CONTRIBUTE TO THESE HEALTH ISSUES, GROUPS OR POPULATIONS DISPARATELY AFFECTED BY IDENTIFIED HEALTH ISSUES, BARRIERS OR CHALLENGES PREVENTING PEOPLE FROM ACCESSING HEALTHCARE OR SOCIAL SERVICES, AND COMMUNITY STRENGTHS AND RESOURCES. THE ORGANIZATIONS PROVIDING INPUT FOR COLLIN COUNTY VIA THESE INTERVIEWS ARE AS FOLLOWS: COLLIN COUNTY HEALTH DEPARTMENT; NORTH CENTRAL TEXAS COUNCIL OF GOVERNMENTS; AND SOUTHERN DALLAS LINK SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY E, 1 FACILITY E, 1 - METHODIST MCKINNEY HOSPITAL AND METHODIST CELINA MEDICAL CENTER. METHODIST MCKINNEY HOSPITAL (MMH) IS A 23 LICENSED BED HOSPITAL. METHODIST CELINA MEDICAL CENTER (MCEL) IS A 51 LICENSED BED HOSPITAL. BOTH FACILITIES SERVE THE COMMUNITY OF COLLIN COUNTY. THE AFOREMENTIONED HOSPITALS CONDUCT A SINGLE CHNA. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY E, 1 FACILITY E, 1 - METHODIST MCKINNEY HOSPITAL. THE 2024 TAX YEAR REPRESENTS THE THIRD YEAR OF THE IMPLEMENTATION STRATEGY ADOPTED AS PART OF THE 2021 CHNA. THROUGH THE PRIORITIZATION PROCESS, THE FOLLOWING SIX SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED VIA THE METHODIST MCKINNEY HOSPITAL 2022 CHNA IMPLEMENTATION STRATEGY: ACCESS TO NON-PHYSICIAN PRIMARY CARE PROVIDERS; DIABETES MANAGEMENT; CARDIOLOGY ISSUES AMONG THE MEDICARE POPULATION; ESCALATING HEALTH NEEDS OF AN AGING COMMUNITY; SENIOR DEPRESSION. ACCESS TO NON-PHYSICIAN PRIMARY CARE PROVIDERS WAS NOT CHOSEN AS A NEED THE FACILITY WOULD ADDRESS IN ITS IMPLEMENTATION STRATEGY DUE TO A LACK OF ORGANIZATIONAL RESOURCES TO ADEQUATELY ADDRESS THE NEED. IN ADDITION, AS A JOINT-VENTURED SURGICAL HOSPITAL, PRIMARY CARE SERVICES FALL OUTSIDE THE SCOPE OF THE FACILITY'S PRIMARY EXPERTISE TO BE ABLE TO EFFECTIVELY ADDRESS THE NEED. THE NEWLY REFRESHED 2024 CHNA WAS COMPLETED IN FY25, AND THE FOLLOWING THREE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED BY METHODIST MCKINNEY VIA THE METHODIST CELINA AND METHODIST MCKINNEY JOINT 2025 CHNA IMPLEMENTATION STRATEGY: CHRONIC DISEASE (INCLUDING OTHER CONDITIONS & OLDER ADULT HEALTH); FOOD INSECURITY; AND HEALTH LITERACY AND EDUCATION. THE 2021 CHNA COVERS FISCAL YEARS 2023, 2024 AND 2025, DURING WHICH THE FOLLOWING ACCOMPLISHMENTS WERE MADE IN FY25 TO ADDRESS THE 2021 CHNA PRIORITY NEEDS: -DIABETES MANAGEMENT: METHODIST MCKINNEY PROVIDED A DIETICIAN FOR DIABETES CONSULTS TO PATIENTS AS WELL AS TEACH BASIC PRINCIPLES OF DIABETES MANAGEMENT. -CARDIOLOGY ISSUES AMONG THE MEDICARE POPULATION: METHODIST MCKINNEY HOSPITAL PROVIDED CALCIUM SCORING ASSESSMENTS, MEDICAL CARDIOLOGY SERVICES AND ADDITIONAL OUTPATIENT TILT TABLE TESTING FOR PATIENTS WITH UNDIAGNOSED SYNCOPE; ALONG WITH CARE FOR LOWER-ACUITY CARDIAC PATIENTS PRESENTING TO THE EMERGENCY DEPARTMENT -ESCALATING HEALTH NEEDS OF AN AGING COMMUNITY: METHODIST MCKINNEY PROVIDED MATTER OF BALANCE PROGRAM, AN 8-WEEK NATIONALLY RECOGNIZED, EVIDENCE-BASED FALL RISK REDUCTION PROGRAM THAT EMPHASIZES PRACTICAL STRATEGIES TO REDUCE FEAR OF FALLING AND INCREASE ACTIVITY LEVELS; AND PROVIDED JOINT REPLACEMENT EDUCATION CLASSES FOR PATIENTS AND THEIR FAMILY MEMBERS. -SENIOR DEPRESSION: METHODIST MCKINNEY SCREENS THE PATIENT POPULATION AGE 65 AND OLDER FOR POSSIBLE DEPRESSION. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY E, 1 FACILITY E, 1 - METHODIST MCKINNEY HOSPITAL. MHS WILL TAKE INTO ACCOUNT THE INCOME LEVEL, FAMILY SIZE, AND AMOUNT OF HOSPITAL CHARGES IN ORDER TO DETERMINE ELIGIBILITY FOR THE LEVELS OF FINANCIAL ASSISTANCE. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY E, 1 FACILITY E, 1 - METHODIST MCKINNEY HOSPITAL. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA. SCHEDULE H, PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY F, 1 FACILITY F, 1 - METHODIST MCKINNEY HOSPITAL AND METHODIST CELINA MEDICAL CENTER. METHODIST MCKINNEY HOSPITAL (MMH) IS A 23 LICENSED BED HOSPITAL. METHODIST CELINA MEDICAL CENTER (MCEL) IS A 51 LICENSED BED HOSPITAL. BOTH FACILITIES SERVE THE COMMUNITY OF COLLIN COUNTY. THE AFOREMENTIONED HOSPITALS CONDUCT A SINGLE CHNA. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY F, 1 FACILITY F, 1 - METHODIST CELINA MEDICAL CENTER. METHODIST CELINA MEDICAL CENTER OPENED IN MARCH 2025 AND AS SUCH WAS NOT PART OF THE 2021 CHNA OR 2022 CHNA IMPLEMENTATION STRATEGY. IT PARTICIPATED IN THE NEWLY REFRESHED 2024 CHNA COMPLETED IN FY25, AND THE FOLLOWING FIVE SIGNIFICANT NEEDS WERE SELECTED TO BE ADDRESSED BY METHODIST CELINA VIA THE METHODIST CELINA AND METHODIST MCKINNEY JOINT 2025 CHNA IMPLEMENTATION STRATEGY: ACCESS TO HEALTHCARE; CHRONIC DISEASE; OLDER ADULT HEALTH; OTHER CONDITIONS; AND WOMEN'S HEALTH. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY F, 1 FACILITY F, 1 - METHODIST CELINA MEDICAL CENTER. MHS WILL TAKE INTO ACCOUNT THE INCOME LEVEL, FAMILY SIZE, AND AMOUNT OF HOSPITAL CHARGES IN ORDER TO DETERMINE ELIGIBILITY FOR THE LEVELS OF FINANCIAL ASSISTANCE. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY F, 1 FACILITY F, 1 - METHODIST CELINA MEDICAL CENTER. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA. 9 GOLDEN CROSS ACADEMIC CLINIC 122 W COLORADO BLVD DALLAS TX 75209 FREE STANDING CLINIC AND DALLAS, TX 75209 TEACHING FACILITY METHODIST CHARLTON FAMILY MEDICAL CENTER 3500 W WHEATLAND RD DALLAS TX 75237 OUTPATIENT CARE AND TEACHING CENTER CDI - RICHARDSON 4140 E RENNER RD SUITE 100 RICHARDSON TX 75082 IMAGING CENTER CDI - VILLAGE MCKINNEY 7300 ELDORADO PKWY SUITE 170 MCKINNEY TX 75070 IMAGING CENTER CDI - MANSFIELD 2975 E BROAD ST SUITE 101 MANSFIELD TX 76063 IMAGING CENTER CDI - DESOTO 1750 N HAMPTON RD DESOTO TX 75115 IMAGING CENTER CDI - WILLOWBEND 5025 W PARK BLVD SUITE 110 PLANO TX 75093 IMAGING CENTER CDI - VILLAGE LEGACY 5425 W SPRING PKWY SUITE 110 PLANO TX 75024 IMAGING CENTER CDI - VILLAGE INDEPENDENCE 8080 INDEPENDENCE PKWY SUITE 105 PLANO TX 75025 IMAGING CENTER SCHEDULE H, PART I, LINE 3C CHARITY CARE AS PART OF ITS MISSION, MHS 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) INCOME LEVEL, (2) FAMILY SIZE AND (3) AMOUNT OF HOSPITAL CHARGES. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. FURTHER, MHS MAY CONCLUDE, WITHOUT A COMPLETED ASSESSMENT OF ELIGIBILITY THAT A FAVORABLE CLASSIFICATION FOR CHARITY MAY BE APPROPRIATE BASED ON OTHER INFORMATION OBTAINED. SCHEDULE H, PART V, SECTION B, LINE 16A FAP AVAILABLE WEBSITE METHODIST DALLAS MEDICAL CENTER AND METHODIST CHARLTON MEDICAL CENTER: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/ METHODIST REHABILITATION HOSPITAL: HTTPS://WWW.METHODIST-REHAB.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION FORM WEBSITE METHODIST DALLAS MEDICAL CENTER AND METHODIST CHARLTON MEDICAL CENTER: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/ METHODIST REHABILITATION HOSPITAL: HTTPS://WWW.METHODIST-REHAB.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE FAP SUMMARY WEBSITE METHODIST DALLAS MEDICAL CENTER AND METHODIST CHARLTON MEDICAL CENTER: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/ METHODIST REHABILITATION HOSPITAL: HTTPS://WWW.METHODIST-REHAB.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16A FAP AVAILABLE WEBSITE METHODIST RICHARDSON MEDICAL CENTER: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/ METHODIST HOSPITAL FOR SURGERY: HTTPS://WWW.METHODISTHOSPITALFORSURGERY.COM/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION FORM WEBSITE METHODIST RICHARDSON MEDICAL CENTER: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/ METHODIST HOSPITAL FOR SURGERY: HTTPS://WWW.METHODISTHOSPITALFORSURGERY.COM/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE FAP SUMMARY WEBSITE METHODIST RICHARDSON MEDICAL CENTER: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/ METHODIST HOSPITAL FOR SURGERY: HTTPS://WWW.METHODISTHOSPITALFORSURGERY.COM/PATIENTS-VISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES SUBSIDIZED HEALTH SERVICES INCLUDE THE FOLLOWING: METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING, AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST DALLAS MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE. ALSO, METHODIST DALLAS STAFFS THE NEONATAL TRANSPORT TEAMS THAT ARE RESPONSIBLE FOR TRANSPORTING THE ILL NEONATES FROM OUTLYING AREAS TO METHODIST DALLAS. METHODIST ALSO PARTICIPATES IN THE DALLAS COUNTY AND TARRANT COUNTY INDIGENT CARE PROGRAMS WHICH ARE DESIGNED TO ENHANCE ACCESS AND DELIVERY OF COST-EFFECTIVE HEALTHCARE SERVICES TO INDIGENT PATIENTS OF DALLAS AND TARRANT COUNTIES. METHODIST ALSO SUBSIDIZES TRAUMA SERVICES FOR THEIR EMERGENCY ROOM FACILITIES. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE THE COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THIS RATIO WAS DETERMINED USING IRS SCHEDULE H, WORKSHEET 2. THE AMOUNTS REPORTED AT LINE 7 ARE COMPUTED ON THE BASIS OF THE IRS SCHEDULE H WORKSHEETS FOR EACH RESPECTIVE LINE 7 ITEM. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES MHS BELIEVES THAT BY BEING FULLY ENGAGED IN COMMUNITY BUILDING ACTIVITIES INCLUDING, BUT NOT LIMITED TO, ECONOMIC AND WORKFORCE DEVELOPMENT, ENVIRONMENTAL AND SAFETY ISSUES, AS WELL AS COMMUNITY HEALTH ADVOCACY AND COMMUNITY SUPPORT IT CAN CONTRIBUTE BOTH DIRECTLY AND INDIRECTLY TO A HEALTHIER AND MORE VIBRANT COMMUNITY. MHS IS A MEMBER OF SEVERAL NATIONAL, STATE AND LOCAL HEALTHCARE ADVOCACY ORGANIZATIONS THAT PROMOTE HEALTHCARE POLICIES AND EDUCATE PEOPLE ON POLICIES THAT IMPACT HEALTHCARE ISSUES FACING THE COMMUNITIES. MHS ALSO PUBLISHES A COMMUNITY MAGAZINE TO KEEP THOSE IN ITS SERVICE AREA INFORMED OF ISSUES REGARDING THE CHANGES IN HEALTHCARE AS THEY ARISE AS WELL AS PROMOTING HEALTHY LIFESTYLES. MHS COMMITS SIGNIFICANT RESOURCES IN THE AREA OF PHYSICIAN RECRUITING FOR NEEDED SPECIALTIES AND IN UNDERSERVED AREAS. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT FOR FINANCIAL STATEMENT PURPOSES, MHS HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE ON IRS FORM 990, PART IX. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED AMOUNT BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MHS PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MHS MAINTAINS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS THE ALLOWANCE IS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS, MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE ACCOUNTS ARE WRITTEN OFF WHEN ROUTINE BILLING AND COMMUNICATION WITH THE PAYOR ARE NOT EXPECTED TO RESULT IN PAYMENT MHS COLLECTION EFFORTS CONTINUE, AND RECOVERIES OF ACCOUNTS WRITTEN OFF ARE ACCOUNTED FOR AS REDUCTIONS IN THE PROVISION FOR BAD DEBTS. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE MHS PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MHS RECORDS AN IMPLICIT PRICE CONCESSION IN THE PERIOD SERVICES ARE PROVIDED FOR SERVICES PROVIDED TO THE UNINSURED AND UNDERINSURED, INCLUDING PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE COMPANY HAS PAID BUT THE PATIENT RESPONSIBILITY REMAINS OUTSTANDING. THE IMPLICIT PRICE CONCESSION IS BASED ON HISTORICAL WRITE-OFFS AND EXPECTED COLLECTIONS BASED ON HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS; MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE IMPLICIT PRICE CONCESSION. ACCOUNTS ARE WRITTEN OFF WHEN ROUTINE BILLING AND COMMUNICATION WITH THE PATIENT ARE NOT EXPECTED TO RESULT IN PAYMENT. MHS COLLECTION EFFORTS CONTINUE, AND RECOVERIES OF ACCOUNTS WRITTEN OFF ARE ACCOUNTED FOR AS REDUCTIONS IN THE IMPLICIT PRICE CONCESSION. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE TEXAS NONPROFIT HOSPITALS ANNUAL REPORT INCLUDES UNREIMBURSED COST OF MEDICARE AS A COMMUNITY BENEFIT IN DETERMINING THE STATE'S STATUTORY REPORTING. THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, THEREBY RELIEVING THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES. TO DETERMINE THE AMOUNT REPORTED ON LINE 6, THE ORGANIZATION'S COST ACCOUNTING SYSTEM IS UTILIZED. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE THE CENTRALIZED BUSINESS OFFICE (CBO) WILL PROVIDE ALL COMPLETED FAP APPLICATIONS TO PRIME FINANCIAL (PFS) WHERE ELIGIBILITY WILL BE DETERMINED AND IF INELIGIBLE, DOCUMENTED REASONS FOR DENIAL WILL BE PROVIDED TO THE PATIENT. NO EXTRAORDINARY COLLECTION ACTIONS (ECA'S), AS DEFINED ABOVE WILL BE ENGAGED IN BY THE CBO OR PFS DURING THE DURATION OF THE FAP PROCESS, AS OUTLINED ABOVE AND IN POLICY FIN 006 REGARDING FINANCIAL ASSISTANCE. CLASSIFICATION OF AN ACCOUNT AS FINANCIAL ASSISTANCE WILL SUSPEND EFFORTS TO COLLECT THE ACCOUNT FROM THE PATIENT. ROUTINE ACTIVITY MAY CONTINUE IN ORDER TO ENSURE THAT MHS CAN IDENTIFY CHANGED CIRCUMSTANCES IN THE FUTURE AND ENSURE CONTINUITY WITH RESPECT TO SUBSEQUENT VISITS. EFFORTS TO COLLECT FROM THIRD PARTIES WILL CONTINUE, AND ANY RESULTING COLLECTION WOULD BE A CHARITY RECOVERY. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE A - METHODIST MANSFIELD MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/; B - METHODIST DALLAS MEDICAL CENTER: LINE 16A URL: SEE PART VI SUPPLEMENTAL INFORMATION; C - METHODIST HOSPITAL FOR SURGERY: LINE 16A URL: SEE PART VI SUPPLEMENTAL INFORMATION; D - METHODIST MIDLOTHIAN MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/; E - METHODIST MCKINNEY HOSPITAL: LINE 16A URL: HTTPS://METHODISTMCKINNEYHOSPITAL.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE/; F - METHODIST CELINA MEDICAL CENTER: LINE 16A URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE A - METHODIST MANSFIELD MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/; B - METHODIST DALLAS MEDICAL CENTER: LINE 16B URL: SEE PART VI SUPPLEMENTAL INFORMATION; C - METHODIST HOSPITAL FOR SURGERY: LINE 16B URL: SEE PART VI SUPPLEMENTAL INFORMATION; D - METHODIST MIDLOTHIAN MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/; E - METHODIST MCKINNEY HOSPITAL: LINE 16B URL: HTTPS://METHODISTMCKINNEYHOSPITAL.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE/; F - METHODIST CELINA MEDICAL CENTER: LINE 16B URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE A - METHODIST MANSFIELD MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIAL-ASSISTANCE/; B - METHODIST DALLAS MEDICAL CENTER: LINE 16C URL: SEE PART VI SUPPLEMENTAL INFORMATION; C - METHODIST HOSPITAL FOR SURGERY: LINE 16C URL: SEE PART VI SUPPLEMENTAL INFORMATION; D - METHODIST MIDLOTHIAN MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/; E - METHODIST MCKINNEY HOSPITAL: LINE 16C URL: HTTPS://METHODISTMCKINNEYHOSPITAL.COM/PATIENT-INFO/FINANCIAL-ASSISTANCE/; F - METHODIST CELINA MEDICAL CENTER: LINE 16C URL: HTTPS://WWW.METHODISTHEALTHSYSTEM.ORG/PATIENTS-VISITORS/PATIENT-TOOLS-SUPPORT/FINANCIALASSISTANCE/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT METHODIST HAS RELIED UPON THE KNOWLEDGE AND INTEREST OF ITS DIRECTORS AND TRUSTEES TO DETERMINE THE EFFECTIVENESS OF ITS COMMUNITY BENEFIT PLANNING. THE CORPORATE BOARD OF DIRECTORS CONSISTS OF CIVIC, BUSINESS, AND PROFESSIONAL LEADERS FROM THE COMMUNITIES SERVED BY THE HOSPITAL SYSTEM. IN THESE EXCHANGES WITH THE COMMUNITIES SERVED, METHODIST IS ABLE TO SOLICIT THEIR VIEWS ON HOW WE CAN BETTER SERVE THE NEEDS OF ALL. IN ADDITION, INDIVIDUAL HOSPITAL ADVISORY BOARDS, CREATED IN 2009 AT THE REQUEST OF THE METHODIST HEALTH SYSTEM BOARD OF DIRECTORS, PROVIDE A WAY TO STRENGTHEN OUR COMMUNICATION AND INFLUENCE WITH A DIVERSE GROUP OF LEADERS IN OUR SERVICE AREA. ALONG WITH REPRESENTATIVES FROM METHODIST'S BOARD, THESE ADVISORY BOARDS CONSIST OF BUSINESS OWNERS, CITY AND GOVERNMENT OFFICIALS, AND COMMUNITY AND CHURCH LEADERS. MEMBERS HAVE AN OPPORTUNITY TO PLAY AN INTEGRAL ROLE IN THE FUTURE OF OUR GROWTH PLANS AND HEALTH INITIATIVES. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE POLICY IS POSTED ON THE MHS WEBSITE IN MULTIPLE LANGUAGES INCLUDING ENGLISH, MANDARIN, KOREAN, SPANISH, VIETNAMESE, AND ARABIC. FURTHER SIGNAGE IS IN ALL ACCESS AREAS AND WRITTEN INFORMATION IS PROVIDED TO PATIENTS UPON INTAKE. IN ADDITION, AN ANNUAL POSTING FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS PUBLISHED IN THE LOCAL NEWSPAPERS. THE POLICY SUMMARY AND THE WEBSITE LINK TO THE POLICY IS PRINTED ON THE PATIENT STATEMENT AND BILLING PERSONNEL FOLLOW UP TO PROVIDE THE INFORMATION WHEN IN CONTACT WITH THE PATIENT. CONTACT INFORMATION IS PROVIDED SO THAT INDIVIDUALS MAY HAVE ASSISTANCE WITH UNDERSTANDING AND COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE METHODIST SERVICE AREA IS MADE UP OF THE COMBINED SERVICE AREAS OF EACH OF ITS SEVEN WHOLLY CONTROLLED HOSPITALS, ENCOMPASSING PARTS OF DALLAS COUNTY, THE SOUTHEAST QUADRANT OF TARRANT COUNTY AND NORTHERN JOHNSON COUNTY TO THE WEST AND SOUTH OF DFW; NORTHERN ELLIS COUNTY TO THE SOUTHEAST; AND THE SOUTHWEST AND NORTHERN SECTIONS OF COLLIN COUNTY TO THE NORTH. IN PARTS OF THE SERVICE AREA, PARTICULARLY IN SOUTHERN DALLAS COUNTY, NEAR METHODIST DALLAS AND METHODIST CHARLTON FACILITIES, THERE ARE HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, LOW AVERAGE HOUSEHOLD INCOME, AND HIGH PERCENTAGES OF ADULTS WITH LESS THAN HIGH SCHOOL EDUCATION. CONSEQUENTLY, METHODIST PROVIDES LARGE AMOUNTS OF UNCOMPENSATED CARE. DURING THE PAST YEAR, CONDITIONS IN METHODIST'S SERVICE AREA HAVE NOT CHANGED AND METHODIST CONTINUES TO PLAY A VITAL ROLE IN THE COMMUNITY, PARTICULARLY IN CARING FOR INDIGENT PATIENTS. THE FAR SOUTHERN PORTIONS OF THE METHODIST SERVICE AREA AS WELL AS THE AREAS TO THE NORTH, NEAR METHODIST MANSFIELD, METHODIST RICHARDSON, AND METHODIST CELINA, TEND TO BE MORE ECONOMICALLY STABLE WITH STRONGER SOCIOECONOMIC INDICATORS. THESE AREAS INCLUDE MIDLOTHIAN, CEDAR HILL, MANSFIELD, RICHARDSON, PLANO, CELINA AND PROSPER. COLLIN COUNTY IS LARGELY URBAN AND SUBURBAN, WITH POCKETS OF RURAL AND SEMI-RURAL AREAS. THE COUNTY HAS A POPULATION OF APPROXIMATELY 1.2 MILLION, WITH AN AVERAGE HOUSEHOLD INCOME OF $184,217 AND A MEDIAN HOUSEHOLD INCOME OF $107,912. THE COMMUNITY IS GENERALLY WELL EDUCATED, WITH 80.2% OF ADULTS AGE 25 AND OLDER HAVING EARNED A BACHELOR'S DEGREE OR HIGHER. POPULATION GROWTH IS PROJECTED TO OUTPACE THE SURROUNDING DFW METROPLEX, WITH COLLIN COUNTY EXPECTED TO GROW 11.1% COMPARED WITH 7.3% FOR THE METROPLEX. THE LARGEST AGE COHORT IS ADULTS AGES 18-44, REPRESENTING 36.7% OF THE POPULATION, FOLLOWED BY ADULTS AGES 45-64 AT 26.7%. THE POPULATION AGE 65 AND OLDER IS PROJECTED TO INCREASE BY 30.3% OVER THE NEXT FIVE YEARS, HIGHLIGHTING CONTINUED GROWTH IN THE OLDER ADULT POPULATION. DESPITE THE COUNTY'S OVERALL FAVORABLE SOCIOECONOMIC PROFILE, DISPARITIES EXIST ACROSS THE COMMUNITY. ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION, THERE ARE CURRENTLY NO AREAS DESIGNATED AS MEDICALLY UNDERSERVED. ADDITIONALLY, 4.5% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL, COMPARED WITH 10.7% STATEWIDE. HOWEVER, POVERTY RATES VARY BY ZIP CODE, WITH THE HIGHEST RATES IN ZIP CODES 75069 (11.6%), 75074 (10.4%), AND 75442 (9.6%). INSURANCE COVERAGE ESTIMATES FOR 2026 INDICATE THAT 2.4% OF THE POPULATION IS COVERED BY MEDICAID, WHILE 12.3% IS UNINSURED. COLLIN COUNTY IS SERVED BY NUMEROUS HOSPITALS ACROSS SIX MAJOR HEALTH SYSTEMS: BAYLOR SCOTT & WHITE HEALTH, MEDICAL CITY HEALTHCARE, METHODIST HEALTH SYSTEM, PARKLAND HEALTH, TEXAS HEALTH RESOURCES, AND UTSW HEALTH. DALLAS COUNTY IS PRIMARILY URBAN IN CHARACTER, WITH SIGNIFICANT SUBURBAN AND MIXED-USE AREAS. THE COUNTY HAS A POPULATION OF APPROXIMATELY 2.7 MILLION, WITH AN AVERAGE HOUSEHOLD INCOME OF $119,913 AND A MEDIAN HOUSEHOLD INCOME OF $69,880. THE COMMUNITY IS GENERALLY WELL EDUCATED, WITH 59.9% OF ADULTS AGE 25 AND OLDER HAVING EARNED A BACHELOR'S DEGREE OR HIGHER. POPULATION GROWTH IS PROJECTED TO LAG THE SURROUNDING DFW METROPLEX, WITH DALLAS COUNTY EXPECTED TO GROW 3.1% COMPARED WITH 7.3% FOR THE METROPLEX. THE LARGEST AGE COHORT IS ADULTS AGES 18-44, REPRESENTING 39.9% OF THE POPULATION, FOLLOWED BY CHILDREN AGES 0-17 AT 23.9%. THE POPULATION AGE 65 AND OLDER IS PROJECTED TO INCREASE BY 18.4% OVER THE NEXT FIVE YEARS, INDICATING CONTINUED GROWTH IN THE OLDER ADULT POPULATION. DESPITE THE COUNTY'S URBAN AND ECONOMICALLY DIVERSE PROFILE, DISPARITIES EXIST ACROSS THE COMMUNITY. ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION, DALLAS COUNTY HAS SIX MEDICALLY UNDERSERVED AREAS AND FOUR MEDICALLY UNDERSERVED POPULATIONS DUE TO LOW INCOME, ALL LOCATED IN AREAS CLASSIFIED AS URBAN. ADDITIONALLY, 10.9% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL, SLIGHTLY HIGHER THAN THE STATEWIDE RATE OF 10.7%. POVERTY RATES VARY CONSIDERABLY BY ZIP CODE, WITH THE HIGHEST RATES IN ZIP CODES 75247 (100% OF FAMILIES LIVING BELOW POVERTY), 75237 (29.3%), AND 75216 (27.0%). INSURANCE COVERAGE ESTIMATES FOR 2026 INDICATE THAT 12.2% OF THE POPULATION IS COVERED BY MEDICAID, WHILE 21.8% IS UNINSURED. DALLAS COUNTY IS SERVED BY NUMEROUS HOSPITALS ACROSS SIX MAJOR HEALTH SYSTEMS: BAYLOR SCOTT & WHITE HEALTH, MEDICAL CITY HEALTHCARE, METHODIST HEALTH SYSTEM, PARKLAND HEALTH, TEXAS HEALTH RESOURCES, AND UTSW HEALTH. ELLIS COUNTY IS A RAPIDLY GROWING AREA WITH A MIX OF SUBURBAN, SMALL-TOWN, AND RURAL AREAS. THE COUNTY HAS A POPULATION OF APPROXIMATELY 250,000, WITH AN AVERAGE HOUSEHOLD INCOME OF $126,212 AND A MEDIAN HOUSEHOLD INCOME OF $98,034. THE COMMUNITY IS GENERALLY WELL EDUCATED, WITH 59.1% OF ADULTS AGED 25 AND OLDER HAVING EARNED A BACHELOR'S DEGREE OR HIGHER. POPULATION GROWTH IS PROJECTED TO OUTPACE THE SURROUNDING DFW METROPLEX, WITH ELLIS COUNTY EXPECTED TO GROW 11.7% COMPARED WITH 7.3% FOR THE METROPLEX. THE LARGEST AGE COHORT IS ADULTS AGES 18-44, REPRESENTING 36.3% OF THE POPULATION, FOLLOWED BY CHILDREN AGED 00-17 AT 25.1%. THE POPULATION AGE 65 AND OLDER IS PROJECTED TO INCREASE BY 28.3% OVER THE NEXT FIVE YEARS, HIGHLIGHTING CONTINUED GROWTH IN THE OLDER ADULT POPULATION. DESPITE THE COUNTY'S OVERALL FAVORABLE SOCIOECONOMIC PROFILE, DISPARITIES EXIST ACROSS THE COMMUNITY. ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION, THERE IS CURRENTLY ONE AREA DESIGNATED AS MEDICALLY UNDERSERVED LOCATED IN AN AREA CLASSIFIED AS PARTIALLY RURAL. ADDITIONALLY, 6.5% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL, COMPARED WITH 10.7% STATEWIDE. HOWEVER, POVERTY RATES VARY BY ZIP CODE, WITH THE HIGHEST RATES IN ZIP CODES 76651 (13.1% OF FAMILIES LIVING BELOW POVERTY), 75125 (12.2%), AND 76670 (10.7%). INSURANCE COVERAGE ESTIMATES FOR 2026 INDICATE THAT 5.6% OF THE POPULATION IS COVERED BY MEDICAID, WHILE 14.8% IS UNINSURED. ELLIS COUNTY SERVICE IS SERVED BY NUMEROUS HOSPITALS ACROSS SIX MAJOR HEALTH SYSTEMS: BAYLOR SCOTT & WHITE HEALTH, MEDICAL CITY HEALTHCARE, METHODIST HEALTH SYSTEM, PARKLAND HEALTH, TEXAS HEALTH RESOURCES, AND UTSW HEALTH. TARRANT COUNTY IS PREDOMINANTLY URBAN AND SUBURBAN, WITH POCKETS OF RURAL AND SEMI-RURAL AREAS. THE COUNTY HAS A POPULATION OF APPROXIMATELY 2.2 MILLION, WITH AN AVERAGE HOUSEHOLD INCOME OF $121,955 AND A MEDIAN HOUSEHOLD INCOME OF $77,234. THE COMMUNITY IS GENERALLY WELL EDUCATED, WITH 63.7% OF ADULTS AGED 25 AND OLDER HAVING EARNED A BACHELOR'S DEGREE OR HIGHER. POPULATION GROWTH IS PROJECTED TO LAG THE SURROUNDING DFW METROPLEX, WITH TARRANT COUNTY EXPECTED TO GROW 6.1% COMPARED WITH 7.3% FOR THE METROPLEX. THE LARGEST AGE COHORT IS ADULTS AGES 18-44, REPRESENTING 38.29% OF THE POPULATION, FOLLOWED BY CHILDREN AGED 00-17 AT 24.0%. THE POPULATION AGED 65 AND OLDER IS PROJECTED TO INCREASE BY 21.7% OVER THE NEXT FIVE YEARS, HIGHLIGHTING CONTINUED GROWTH IN THE OLDER ADULT POPULATION. DISPARITIES EXIST ACROSS THE COMMUNITY. ACCORDING TO THE HEALTH RESOURCES & SERVICES ADMINISTRATION, THERE ARE CURRENTLY TWO MEDICALLY UNDERSERVED AREAS AND ONE MEDICALLY UNDERSERVED POPULATION DUE TO LOW INCOME, ALL LOCATED IN AREAS CLASSIFIED AS NON-RURAL. ADDITIONALLY, 8.2% OF FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL, COMPARED WITH 10.7% STATEWIDE. HOWEVER, POVERTY RATES VARY BY ZIP CODE, WITH THE HIGHEST RATES IN ZIP CODES 76104 (29.7% OF FAMILIES LIVING BELOW POVERTY), 76115 (24.1%), AND 76105 (21.7%). INSURANCE COVERAGE ESTIMATES FOR 2026 INDICATE THAT 9.0% OF THE POPULATION IS COVERED BY MEDICAID, WHILE 17.6% ARE UNINSURED. TARRANT COUNTY IS SERVED BY NUMEROUS HOSPITALS ACROSS SIX MAJOR HEALTH SYSTEMS: BAYLOR SCOTT & WHITE HEALTH, MEDICAL CITY HEALTHCARE, METHODIST HEALTH SYSTEM, PARKLAND HEALTH, TEXAS HEALTH RESOURCES, AND UTSW HEALTH. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH METHODIST HOSPITALS OF DALLAS (D/B/A) METHODIST HEALTH SYSTEM FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES IN NORTH TEXAS. SINCE ITS FOUNDING IN 1927, METHODIST HAS HAD A STRONG CONNECTION TO ITS COMMUNITIES. THE ORGANIZATION IS COMPRISED OF A COMMUNITY BOARD, EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND COMMITS SIGNIFICANT RESOURCES TO MEDICAL EDUCATION. WE ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS IN OUR AREA. THIS COMMITMENT IS ON DISPLAY EVERY DAY THROUGH THE MANY PROGRAMS AND SERVICES WE PROVIDE INCLUDING: COMMUNITY HEALTH NEEDS ASSESSMENTS, GENERATIONS SENIOR SERVICES - HEALTH AND WELLNESS SEMINARS FOR OLDER ADULTS (IN FY25, THESE SERVICES REACHED THOUSANDS OF ATTENDEES AT HUNDREDS OF EVENTS FOCUSED ON AGE-RELATED HEALTH ISSUES), MOBILE MAMMOGRAPHY - EARLY DETECTION AND TREATMENT FOR BREAST CANCER, ASIAN BREAST HEALTH OUTREACH PROJECT (ABHOP) - PROVIDING EDUCATION AND MAMMOGRAM SCREENINGS FOR UNINSURED AND UNDER INSURED ASIAN WOMEN OVER THE AGE OF 40 AND CONGREGATIONAL HEALTH MINISTRY - PROVIDING HEALTH RESOURCES TO AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THOSE CONGREGATIONS, REACHING HUNDREDS OF INDIVIDUALS WITH EDUCATION, MENTORING, RESOURCES AND OTHER SERVICES. ALL BOARD MEMBERS RESIDE WITHIN OUR PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYED BY NOR SERVE AS CONTRACTORS FOR MHS. ANY OPERATING SURPLUS IS REINVESTED TO SUPPORT THE CAPITAL AND OPERATIONAL NEEDS OF THE HEALTH SYSTEM, INCLUDING FACILITY IMPROVEMENTS, REPLACEMENT AND MODERNIZATION OF EQUIPMENT, EXPANSION AND ENHANCEMENT OF PATIENT CARE SERVICES, WORKFORCE DEVELOPMENT, MEDICAL EDUCATION AND TRAINING, AND RESEARCH. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM METHODIST HEALTH SYSTEM ("MHS") IS A D/B/A OF METHODIST HOSPITALS OF DALLAS ("MHD"), WHICH IS A TAX-EXEMPT 501(C)(3) TEXAS NONPROFIT CORPORATION WHICH IS COMPRISED OF ACUTE CARE HOSPITALS, REHABILITATION HOSPITALS, IMAGING CENTERS, AND OTHER FACILITIES LOCATED THROUGHOUT THE DALLAS FORT WORTH (DFW) METROPLEX. METHODIST HAS MORE THAN 1,800 ACTIVE PHYSICIANS ON STAFF; NEARLY 13,600 EMPLOYEES; AND 2,007 LICENSED BEDS. ALTHOUGH THE COMPANY HAS TRANSITIONED TO USING THE MHS NAME FOR CORPORATE OPERATIONS, ITS TRUE LEGAL NAME REMAINS METHODIST HOSPITALS OF DALLAS. ITS BOARD OF DIRECTORS ("MHS BOARD"), WHICH HAS A FIDUCIARY ROLE FOR THE ENTIRE ORGANIZATION, CAN HAVE UP TO 28 MEMBERS. MHS'S PRESIDENT/CHIEF EXECUTIVE OFFICER HAS MANAGEMENT ACCOUNTABILITY TO THE BOARD OF DIRECTORS FOR ALL INTERESTS AND OPERATIONS IN MHS, ITS DIVISIONS, SUBSIDIARIES, AND RELATED ORGANIZATIONS. MHS IS ASSOCIATED WITH THE NORTH TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH, PURSUANT TO A FORMAL COVENANT WHICH DEFINES THEIR INDEPENDENCE FROM EACH OTHER AND DESCRIBES TERMS FOR THEIR AFFILIATION AND SUPPORT OF EACH OTHER; UNDER THOSE TERMS, MHS AGREES TO MAINTAIN "A COMMITMENT TO CHRISTIAN CONCEPTS OF LIFE AND LEARNING, REPRESENTATIVES OF THE CONFERENCE PARTICIPATE IN THE PROCESS OF APPROVING THE LIST OF PERSONS NOMINATED TO THE MHS BOARD AND ANY AMENDMENTS TO MHS'S BYLAWS. ADDITIONALLY, AS PROVIDED AT SCHEDULE H, PARTS IV AND V, THE FOLLOWING HOSPITALS ARE OPERATED AS SEPARATE LEGAL ENTITIES WITH METHODIST HOSPITALS OF DALLAS HOLDING A MAJORITY INVESTMENT POSITION: METHODIST REHABILITATION HOSPITAL, METHODIST HOSPITAL FOR SURGERY, AND METHODIST MCKINNEY HOSPITAL. METHODIST HEALTH SYSTEM AND ITS AFFILIATED ENTITIES COLLABORATE TO PROMOTE THE HEALTH OF THE COMMUNITIES THEY SERVE BY COORDINATING ACUTE CARE, SPECIALTY CARE, REHABILITATION SERVICES, PHYSICIAN SERVICES, COMMUNITY BENEFIT PROGRAMS, MEDICAL EDUCATION, AND OTHER POPULATION HEALTH INITIATIVES. THE AFFILIATED ORGANIZATIONS WORK TOGETHER TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS, DEVELOP IMPLEMENTATION STRATEGIES, PROVIDE FINANCIAL ASSISTANCE, IMPROVE ACCESS TO CARE, AND INVEST SYSTEM RESOURCES IN FACILITIES, TECHNOLOGY, EDUCATION, AND COMMUNITY HEALTH PROGRAMS ACROSS THE COMMUNITIES SERVED SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT TX true SOUTHERN GATEWAY PUBLIC GREEN FOUNDATION 633 W DAVIS STREET DALLAS TX 75208 823991844 501(C)(3) 100000 0 N/A N/A COMMUNITY OUTREACH CITY OF RICHARDSON 411 W ARAPAHO RICHARDSON TX 75080 756000648 GOVERNMENTAL ENTITY 50000 0 N/A N/A COMMUNITY OUTREACH UNITED WAY OF METROPOLITAN DALLAS 1800 LAMAR DALLAS TX 75202 756005352 501(C)(3) 50000 0 N/A N/A COMMUNITY OUTREACH MIDLOTHIAN ISD 100 WALTER STEPHENSON RD MIDLOTHIAN TX 76065 756002070 GOVERNMENTAL ENTITY 45000 0 N/A N/A COMMUNITY OUTREACH CITY OF CELINA 142 N OHIO ST CELINA TX 75009 756000481 GOVERNMENTAL ENTITY 43000 0 N/A N/A COMMUNITY OUTREACH SALESMANSHIP CLUB 106 E 10TH STREET DALLAS TX 75203 750717135 501(C)(3) 39000 0 N/A N/A COMMUNITY OUTREACH MIDLOTHIAN CHAMBER OF COMMERCE 310 N 9TH ST STE A MIDLOTHIAN TX 76065 751691618 501(C)(6) 32395 0 N/A N/A COMMUNITY OUTREACH CELINA QUARTERBACK CLUB PO BOX 1544 CELINA TX 75009 751874675 501(C)(3) 30000 0 N/A N/A COMMUNITY OUTREACH DALLAS REGIONAL CHAMBER 500 N ACKARD ST DALLAS TX 75201 750223440 501(C)(6) 25667 0 N/A N/A COMMUNITY OUTREACH MANSFIELD MISSION 777 N WALNUT CREEK DRIVE MANSFIELD TX 76063 364753862 501(C)(3) 25000 0 N/A N/A COMMUNITY OUTREACH SOUTHLAKE WOMEN'S FOUNDATION PO BOX 92611 SOUTHLAKE TX 76092 300085096 501(C)(3) 25000 0 N/A N/A COMMUNITY OUTREACH GO OAK CLIFF 1300 S POLK STREET 295 DALLAS TX 75224 464745660 23000 0 N/A N/A COMMUNITY OUTREACH MANSFIELD ISD EDUCATION FOUNDATION 609 E BROAD MANSFIELD TX 76063 752765533 501(C)(3) 21876 0 N/A N/A COMMUNITY OUTREACH COLLEYVILLE CHAMBER OF COMMERCE 35 VERANDA COLLEYVILLE TX 76034 751685903 501(C)(6) 21145 0 N/A N/A COMMUNITY OUTREACH RICHARDSON CHAMBER OF COMMERCE 411 BELLE GROVE RICHARDSON TX 75080 750959636 501(C)(6) 20800 0 N/A N/A COMMUNITY OUTREACH MIDLOTHAIN ISD EDUCATION FOUNDATION PO BOX 1906 MIDLOTHIAN TX 76065 770631435 501(C)(3) 20000 0 N/A N/A COMMUNITY OUTREACH CITY OF MIDLOTHIAN 215 N 8TH STREET MIDLOTHIAN TX 76065 756000609 GOVERNMENTAL ENTITY 15000 0 N/A N/A COMMUNITY OUTREACH GCS MOM'S LEAGUE PO BOX 93351 SOUTHLAKE TX 76092 205059459 501(C)(4) 13000 0 N/A N/A COMMUNITY OUTREACH WYLIE AREA CHAMBER OF COMMERCE 307 N BALLARD WYLIE TX 75098 751573789 501(C)(6) 12500 0 N/A N/A COMMUNITY OUTREACH CELINA CHAMBER OF COMMERCE 110 S PRESTON ROAD CELINA TX 75009 260121787 501(C)(6) 11000 0 N/A N/A COMMUNITY OUTREACH CITY OF ROANOKE 500 SOUTH OAK ST ROANOKE TX 76262 751229779 GOVERNMENTAL ENTITY 11000 0 N/A N/A COMMUNITY OUTREACH DALLAS CITIZENS COUNCIL 901 MAIN ST DALLAS TX 75202 756035901 501(C)(6) 11000 0 N/A N/A COMMUNITY OUTREACH KELLER EDUCATION FOUNDATION PO BOX 101 KELLER TX 76244 201994337 501(C)(3) 10200 0 N/A N/A COMMUNITY OUTREACH BOBCAT CHEER BOOSTER CLUB PO BOX 267 ROANOKE TX 76262 271438867 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH CITY OF DUNCANVILLE 203 E WHEATLAND RD DUNCANVILLE TX 75116 751097267 GOVERNMENTAL ENTITY 10000 0 N/A N/A COMMUNITY OUTREACH COLLEYVILLE ROTARY CLUB PO BOX 34 COLLEYVILLE TX 76034 454516389 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH DALLAS SYMPHONY ASSOCIATION 2301 FLORA STREET DALLAS TX 75201 750705442 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH DALLAS ZOOLOGICAL SOCIETY 650 S RL THORNTON FWY DALLAS TX 75203 270777846 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH KENNEDALE EDUCATION FOUNDATION PO BOX 753 KENNEDALE TX 76060 721577964 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH MAMMOGRAM POSTER GIRLS 408 W 8TH STREET STE 103 DALLAS TX 75208 823204753 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH METROPORT MEALS ON WHEELS 428 US-377 ROANOKE TX 76262 752298847 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH MIDLOTHIAN DOWNTOWN BUSINESS ASSOCIATION 117 N 8TH STREET MIDLOTHIAN TX 76065 205428603 501(C)(6) 10000 0 N/A N/A COMMUNITY OUTREACH NORTH TEXAS SPECIAL NEEDS ASSISTANCE PARTNERS P O BOX 5 COLLEYVILLE TX 76034 752878261 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH SOUTHLAKE FOUNDATION 717 HELMSLEY PI SOUTHLAKE TX 76092 834135774 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH WAXAHACHIE ISD 411 N GIBSON ST WAXAHACHIE TX 75165 756002723 GOVERNMENTAL ENTITY 10000 0 N/A N/A COMMUNITY OUTREACH WHITE ROCK LAKE CONSERVANCY PO BOX 140227 DALLAS TX 75214 273741373 501(C)(3) 10000 0 N/A N/A COMMUNITY OUTREACH BOYS & GIRLS CLUB OF GREATER DALLAS 4816 WORTH STREET DALLAS TX 75246 751152657 501(C)(3) 8977 0 N/A N/A COMMUNITY OUTREACH KELLER CHAMBER OF COMMERCE 420 JOHNSON ROAD KELLER TX 76248 751843825 501(C)(6) 8555 0 N/A N/A COMMUNITY OUTREACH GARLAND ISD EDUCATION FOUNDATION 501 S JUPITER ROAD GARLAND TX 75042 752400361 501(C)(3) 7867 0 N/A N/A COMMUNITY OUTREACH CITY OF MURPHY 206 N MURPHY ROAD MURPHY TX 75094 751410102 GOVERNMENTAL ENTITY 7500 0 N/A N/A COMMUNITY OUTREACH JUNIOR LEAGUE OF DALLAS 8003 INWOOD RD DALLAS TX 75209 751004680 501(C)(3) 7500 0 N/A N/A COMMUNITY OUTREACH OAK CLIFF CHAMBER OF COMMERCE 101 N BISHOP AVE DALLAS TX 75208 750468625 501(C)(3) 7500 0 N/A N/A COMMUNITY OUTREACH RICHARDSON ADULT LITERACY CENTER RALC 701 W BELTLINE RD RICHARDSON TX 75080 752337073 501(C)(3) 7500 0 N/A N/A COMMUNITY OUTREACH RICHARDSON ISD EDUCATION FOUNDATION 400 S GREENVILLE RICHARDSON TX 75081 751945087 501(C)(3) 7500 0 N/A N/A COMMUNITY OUTREACH ROSEMONT SCHOOLS PTA 634 N OAK CLIFF DALLAS TX 75208 756062109 501(C)(3) 7500 0 N/A N/A COMMUNITY OUTREACH ME SQUARED CANCER FOUNDATION 300 STATE ST SOUTHLAKE TX 76092 842860676 501(C)(3) 7250 0 N/A N/A COMMUNITY OUTREACH HOLY TRINITY CATHOLIC SCHOOL 3750 WILLIAM D TATE AVE GRAPEVINE TX 76051 900485762 501(C)(3) 6500 0 N/A N/A COMMUNITY OUTREACH PARK CITIES HISTORIC AND PRESERVATION SOCIETY 25 HIGHLAND PARK VILLAGE SUITE 100 BOX 286 DALLAS TX 75205 752095477 501(C)(3) 6500 0 N/A N/A COMMUNITY OUTREACH WAXAHACHIE CHAMBER OF COMMERCE 102 YMCA DR WAXAHACHIE TX 75165 750641430 501(C)(6) 6500 0 N/A N/A COMMUNITY OUTREACH SOUTHLAKE CHAMBER OF COMMERCE 1501 CORPORATE CIRCLE SOUTHLAKE TX 76092 751919765 501(C)(6) 6350 0 N/A N/A COMMUNITY OUTREACH DALLAS METROPOLITAN YMCA 1621 W WALNUT HILL LN IRVING TX 75038 750800696 501(C)(3) 6000 0 N/A N/A COMMUNITY OUTREACH RAISING OAK CLIFF PO BOX 225932 DALLAS TX 75222 830754507 501(C)(3) 6000 0 N/A N/A COMMUNITY OUTREACH SOUTHLAKE HISPANIC LATINO ORGANIZATION 1360 N KIMBALL AVE SOUTHLAKE TX 76092 333989823 501(C)(3) 6000 0 N/A N/A COMMUNITY OUTREACH TEXAS DEPARTMENT OF TRANSPORTATION 125 E 11TH ST AUSTIN TX 78701 330442104 GOVERNMENTAL ENTITY 6000 0 N/A N/A COMMUNITY OUTREACH TEXAS ASSOCIATION OF VOLUNTARY HOSPITALS 401 W 15TH ST AUSTIN TX 78701 742974908 501(C)(6) 5897 0 N/A N/A COMMUNITY OUTREACH BEST SOUTHWEST PARTNERSHIP 300 E WHEATLAND ROAD DUNCANVILLE TX 75116 752347352 501(C)(6) 5750 0 N/A N/A COMMUNITY OUTREACH CEDAR HILL CHAMBER OF COMMERCE 300 HOUSTON STREET CEDAR HILL TX 75104 751717029 501(C)(6) 5750 0 N/A N/A COMMUNITY OUTREACH MANSFIELD WOMEN'S CLUB PO BOX 1212 MANSFIELD TX 76063 752755346 501(C)(3) 5675 0 N/A N/A COMMUNITY OUTREACH FREED PEOPLE 845 S CROWLEY ROAD CROWLEY TX 76036 883814746 501(C)(3) 5500 0 N/A N/A COMMUNITY OUTREACH WYLIE ISD EDUCATION FOUNDATION 951 SOUTH BALLARD AVE WYLIE TX 75098 141859786 501(C)(3) 5500 0 N/A N/A COMMUNITY OUTREACH DALLAS COUNTY INDIGENT CARE 1441 N BECKLEY AVE DALLAS TX 75203 260610562 501(C)(3) 60146842 0 N/A N/A INDIGENT CARE TARRANT COUNTY INDIGENT CARE 612 E LAMAR BLVD STE 900 ARLINGTON TX 76011 260648532 501(C)(3) 15560941 0 N/A N/A INDIGENT CARE DALLAS SAFETY NET SUPPORT CORPORATION 1441 N BECKLEY AVE DALLAS TX 75203 823131059 501(C)(3) 6167668 0 N/A N/A INDIGENT CARE ELLIS COUNTY LOCAL PROVIDER PARTICIPATION FUND 101 W MAIN ST STE 203 WAXAHACHIE TX 75165 756000935 501(C)(3) 4351162 0 N/A N/A INDIGENT CARE TARRANT SAFETY NET SUPPORT CORPORATION 612 E LAMAR BLVD STE 900 ARLINGTON TX 76011 823171862 501(C)(3) 1032379 0 N/A N/A INDIGENT CARE 49 16 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS THE PRIMARY GRANTS TO DALLAS SAFETY NET SUPPORT CORP, TARRANT SAFETY NET SUPPORT CORP, DALLAS COUNTY INDIGENT CARE CORP, AND TARRANT COUNTY INDIGENT CARE CORP ARE MONITORED BY THE CFO AND THE EXECUTIVE STAFF AT MHS. THE CFO OF MHS IS ON THE BOARD OF EACH ORGANIZATION. THE REMAINING GRANTS ARE MONITORED BY EITHER THE LEADERSHIP IN THE FINANCE DEPARTMENT OR THE LEADERSHIP OF THE HOSPITAL ADMINISTRATIVE AREA THAT WORKS WITH THE ORGANIZATION. X true true X X X X false true false false false false false true false JAMES C SCOGGIN JR CEO 1652009 0 1627409 0 736812 0 17250 0 45239 0 4078719 0 331342 0 CRAIG BJERKE TREASURER & CFO 768657 0 662617 0 105226 0 129066 0 37105 0 1702671 0 94571 0 ROBERT M MILONE ASSISTANT TREASURER 250042 0 67524 0 11153 0 18672 0 15337 0 362728 0 0 0 MICHAEL O PRICE ASSISTANT SECRETARY & CLO 617880 0 533682 0 174163 0 25013 0 39142 0 1389880 0 41596 0 JUAN FRESQUEZ JR PRESIDENT - MMMC 504347 0 369373 0 83904 0 85385 0 31895 0 1074904 0 63783 0 E KENNETH HUTCHENRIDER PRESIDENT - MRMC 566351 0 398267 0 87276 0 98549 0 39434 0 1189877 0 64667 0 JOHN PHILLIPS PRESIDENT - MDMC 741329 0 562616 0 108219 0 123421 0 40884 0 1576469 0 97000 0 LESLIE PIERCE SR VP REVENUE CYCLE 394870 0 249157 0 39518 0 77595 0 30340 0 791480 0 28412 0 PAMELA STOYANOFF PRESIDENT & COO 1141633 0 980764 0 173734 0 183543 0 39016 0 2518690 0 144227 0 CHERYL FLYNN FORMER HCE 152329 0 125702 0 60446 0 10583 0 3064 0 352124 0 0 0 BRIAN KENJARSKI SVP DATA GOVERNANCE & CMIO 528159 0 261130 0 44272 0 67423 0 18154 0 919138 0 38362 0 MARTIN L KOONSMAN MD CHIEF MEDICAL OFFICER 601027 0 371365 0 66205 0 107254 0 38849 0 1184700 0 41560 0 PAMELA MCNUTT SENIOR VICE PRESIDENT & CIO 585239 0 365501 0 124331 0 21488 0 37284 0 1133843 0 205 0 JOHN MYERS MD PRESIDENT, METHODIST MEDICAL GROUP 543246 0 368041 0 21588 0 94777 0 39551 0 1067203 0 0 0 JOLYN ANGUS SR VP/CHIEF NURSING EXECUTIVE 412182 0 268284 0 115291 0 12747 0 30077 0 838581 0 25701 0 SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES JIM SCOGGIN, CEO, IS PROVIDED WITH TWO SOCIAL CLUB MEMBERSHIPS, ONE OF WHICH IS PAID DIRECTLY TO THE SOCIAL CLUB AND THE OTHER IS REIMBURSED BY THE ORGANIZATION. THE AMOUNT WAS NOT TREATED AS TAXABLE COMPENSATION AS THE AMOUNTS PAID AND REIMBURSED ARE FOR BUSINESS PURPOSES ONLY. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO AID IN RETAINING KEY EMPLOYEES, A 457(F) RETIREMENT ALLOWANCE PLAN IS AVAILABLE TO OFFICERS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS AND DIVISION PRESIDENTS. EACH YEAR, THE PLAN PROVIDES CREDITS, EXPRESSED AS DOLLAR AMOUNTS, DETERMINED BY A PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY. THE PERCENTAGE FOR EACH PARTICIPANT IS DEFINED IN THE PLAN AS OUTLINED BY THE PLAN DOCUMENT. THE DEFERRED ALLOWANCE IS DEPOSITED IN A MUTUAL FUND ACCOUNT FOR EACH PARTICIPANT AND INVESTED IN FUNDS SELECTED BY THE PARTICIPANT FROM A MENU OF AVAILABLE OPTIONS. VESTED BENEFITS, WITH INVESTMENTS GAINS OR LOSSES, ARE PAID TO PARTICIPANTS AS REGULAR TAXABLE INCOME. THE PLAN DEFINES PROVISIONS FOR DISTRIBUTION OF BENEFITS IN THE EVENT OF THE PARTICIPANT'S DEATH OR SEPARATION OF EMPLOYMENT PRIOR TO THE ELECTED VESTING DATE. THE AMOUNTS BELOW, DEFERRED IN THE CURRENT YEAR AND PAID IN THE CURRENT YEAR, RESPECTIVELY, ARE INCLUDED IN THE AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMNS B(III), (C) OR (F). JAMES C. SCOGGIN JR. $0 / $703,446 PAMELA STOYANOFF $161,332 / $144,227 CRAIG BJERKE $113,364 / $94,571 JOHN PHILLIPS $104,712 / $97,000 MICHAEL PRICE $0 / $129,200 PAMELA MCNUTT $0 / $83,667 MARTIN KOONSMAN JR. $84,801 / $41,560 CHERYL FLYNN $0 / $20,217 E. KENNETH HUTCHENRIDER, JR. $80,475 / $64,667 JUAN FRESQUEZ, JR. $71,710 / $63,783 JOHN MYERS $77,527 / $0 BRIAN KENJARSKI $53,040 / $38,362 LESLIE PIERCE $56,895 / $28,412 JOLYN ANGUS $0 / $84,337 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS IN ORDER TO RECRUIT AND RETAIN KEY TALENT, MHS OFFERS SHORT AND LONG TERM INCENTIVE PLANS FOR CERTAIN EMPLOYEES LISTED IN PART VII, SECTION A, LINE 1A. FOR FISCAL YEAR 2025 THE INCENTIVE PLANS WERE TARGETED IN THE AREAS OF FINANCIAL PERFORMANCE, CLINICAL QUALITY, AND EMPLOYEE AND PATIENT SATISFACTION. RESULTS OF EACH INCENTIVE PLAN PROGRAM ARE REVIEWED WITH THE ORGANIZATION'S OUTSIDE AUDIT FIRM, AS PART OF THE FIRM'S AGREED UPON PROCEDURES, PRIOR TO PAYMENT. SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES THE PAYMENT OF SOCIAL CLUB DUES AND OTHER SPENDING BY THE CEO IS GOVERNED BY THE ORGANIZATION'S EXPENSE POLICY. THE CEO'S EXPENSE REPORTS AND SOCIAL CLUB DUES ARE REVIEWED AND APPROVED BY THE CFO. A TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP 043833551 87638QBF5 2008-09-04 200000000 REFUNDING ISSUE TO CONSTRUCTION OF MANSFIELD HOSPITAL FACILITY AND OTHER CAPITAL IMPROVEMENTS false false false B TARRANT COUNTY CULTURAL EDU FAC FINANCE CORP 043833551 87638QSB6 2022-02-15 249992143 FINANCE CONSTRUCTION COST AND EQUIPPING MIDLOTHIAN HOSPITAL FACILITY AND OTHER CAPITAL IMPROVEMENTS false false false A 37700000 200000000 250000 199750000 2009 true false true true B 4610000 249992143 1666896 248325247 2022 false false true true A false true false false false false 0.0295 0.0 0.0295 false false 0 false true B false false false false false false 0.0 0.0 0.0 false false 0 false true A false false true false true true GS BOFA ML DBG 33.2 false false false 0 false true true B false false true false false false 0 false false false 0 false false true A true B true JULIE STOYANOFF FAMILY MEMBER OF KEY EMPLOYEE 131009 EMPLOYMENT false BRANDON PRICE FAMILY MEMBER OF OFFICER 93541 EMPLOYMENT false FORM 990, PART III, LINE 4A DESCRIPTION CONTINUED MDMC IS LOCATED NEAR DOWNTOWN DALLAS BETWEEN A STABLE RESIDENTIAL AREA ON ONE SIDE, AND AN ECONOMICALLY CHALLENGED AREA ON THE OTHER. MDMC SERVES AS A TEACHING AND REFERRAL CENTER FOR MHS, AND TRAINS OVER 100 RESIDENTS ANNUALLY IN INTERNAL MEDICINE, FAMILY PRACTICE, GENERAL SURGERY, OBSTETRICS AND GYNECOLOGY. A PHYSICIAN OFFICE BUILDING (POB) WAS BUILT TO INCREASE CAPACITY OF HIGH-GRADE OFFICE SPACE. THE POB AND MDMC GOLDEN CROSS ACADEMIC AND INDIGENT CARE CLINIC HELP ATTRACT PHYSICIANS AND PATIENTS AND HAVE ACTED AS A CATALYST FOR FURTHER DEVELOPMENT AND RENOVATION OF THE AREA ADJACENT TO THE CAMPUS. MDMC CREATED THE METHODIST DIGESTIVE INSTITUTE, WHICH HANDLES ILLNESSES SUCH AS PANCREATIC CANCER, PANCREATITIS, INDIGESTION AND ACID REFLUX. MDMC OPERATES A HIGH-RISK PREGNANCY PROGRAM AND NICU. IN ADDITION TO THE MANY PERINATAL AND NEONATAL SERVICES, MDMC ALSO STAFFS A NEONATAL TRANSPORT TEAM THAT TRANSPORTS ILL NEONATES FROM OUTLYING HOSPITALS IN NORTHEAST AND CENTRAL TEXAS TO MDMC. AT THE SAME TIME, MDMC BEGAN PROVIDING A MEDICATION THERAPY MANAGEMENT CLINIC IN ITS LIVER INSTITUTE. THROUGH THIS CLINIC, HEPATITIS C PATIENTS ARE MONITORED BY EXPERT PHARMACISTS WHO MANAGE THEIR MEDICATIONS, WRITE INSURANCE DOCUMENTS, AND FOLLOW THEIR PROGRESS ON NEW DRUGS TO TREAT AND CURE HEPATITIS C. IN FY2025, MDMC HAD APPROXIMATELY 16,500 DISCHARGES; NEARLY 2,300 DELIVERIES; 79,600 EMERGENCY ROOM VISITS; 4,900 INPATIENT SURGERIES; AND 5,000 OUTPATIENT SURGERIES. MCMC IS A GENERAL ACUTE CARE AND TEACHING HOSPITAL THAT SERVES THE COMMUNITIES OF SOUTHERN DALLAS COUNTY. IT HOUSES A FAMILY PRACTICE RESIDENCY PROGRAM WITH DUAL ACCREDITATION TO TRAIN BOTH ALLOPATHIC AND OSTEOPATHIC PHYSICIANS. THE CAMPUS HAS A 72-BED TOWER THAT CREATED MORE MODERN PATIENT ROOMS, MORE EFFICIENT WORKSPACES FOR NURSING STAFF, A TELEMETRY FLOOR FOR HEART MONITORING, A SEVEN-ROOM SURGICAL SUITE WITH ONE OPERATING ROOM SPECIALLY DESIGNED FOR HEART SURGERY, AND AN ORTHOPEDIC UNIT WITH A REHABILITATION ROOM. MCMC'S OB HOSPITALIST PROGRAM HAS IN-HOUSE SPECIALISTS PROVIDING CARE TO PATIENTS EACH DAY, INCLUDING SOME WHOSE PRIVATE DOCTORS ARE TEMPORARILY UNAVAILABLE. THE OB HOSPITALIST PROGRAM ENSURES THAT A BOARD-CERTIFIED OB-GYN PHYSICIAN IS AVAILABLE AT THE HOSPITAL AT ALL HOURS, EXCLUSIVELY DEDICATED TO CARING FOR HOSPITALIZED PATIENTS. FOR WOMEN IN LABOR OR WITH OTHER OBSTETRICS OR GYNECOLOGIC CONCERNS, IT'S AN ADDITIONAL LAYER OF CARE THAT PATIENTS COMING TO METHODIST CHARLTON CAN RELY ON. IN FY2025, MCMC HAD APPROXIMATELY 13,000 DISCHARGES; 900 DELIVERIES; 88,900 EMERGENCY ROOM VISITS; 1,700 INPATIENT SURGERIES; AND 2,100 OUTPATIENT SURGERIES. THE 294-BED MMMC OFFERS HIGH-QUALITY CARE TO THE GROWING AREAS OF MANSFIELD AND THE SURROUNDING COMMUNITIES. THE HOSPITAL HAS UNDERGONE MULTIPLE EXPANSIONS, ONE THAT DOUBLED THE SIZE OF THE ER WITH 35 TREATMENT ROOMS, AND ADDED 8 ICU TREATMENT ROOMS AND 36 TELEMETRY PATIENT ROOMS. ANOTHER EXPANSION WAS TO THE WOMEN'S PAVILION WITH A 9,413 SQUARE-FOOT ADDITION TO ENHANCE LABOR AND DELIVERY SERVICES AT MMMC TO INCLUDE A TOTAL OF 13 LDR SUITES. ALSO ADDED WERE AN EXPANDED ANTEPARTUM AREA, EXPANDED NURSE/PHYSICIAN WORK AREAS, AND EXPANDED C-SECTION RECOVERY AND SUPPORT AREAS. BASED ON GROWTH IN SURGICAL PROCEDURES, TWO OPERATING ROOMS WERE ALSO ADDED. DUE TO CONTINUED GROWTH IN THE DEMAND FOR INPATIENT BEDS, MMMC COMPLETED A $118 MILLION EXPANSION ADDING 118 MEDICAL-SURGICAL BEDS, 12 ICU ROOMS, AND EIGHT INTERMEDIATE CARE ROOMS. IN FY2025, MMMC HAD APPROXIMATELY 13,000 DISCHARGES; 2,100 DELIVERIES; 66,600 EMERGENCY ROOM VISITS; 2,500 INPATIENT SURGERIES; AND 3,600 OUTPATIENT SURGERIES. MRMC SERVES THE RESIDENTS OF RICHARDSON, PLANO, NORTH DALLAS, COLLIN COUNTY AND SURROUNDING COMMUNITIES. MRMC OPERATES TWO CAMPUSES: CAMPBELL ROAD AND BUSH/RENNER. THE CAMPBELL ROAD CAMPUS WAS RENAMED THE METHODIST RICHARDSON MEDICAL CENTER CAMPUS FOR CONTINUING CARE. IN ADDITION TO A FULL-SERVICE EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SERVICES, SUCH AS PHYSICAL MEDICINE AND A SLEEP LAB, THIS CAMPUS CONTINUES TO BE THE SITE OF MRMC'S BEHAVIORAL HEALTH PROGRAM. THIS PROGRAM INCLUDES A 64-BED INPATIENT UNIT AND INTENSIVE OUTPATIENT PROGRAMS. MRMC EXPANDED THE UNIT TO OFFER AN ADDITIONAL 22 INPATIENT BEDS FOR GERIATRIC BEHAVIORAL HEALTH PATIENTS. THE BUSH/RENNER CAMPUS, IN EAST RICHARDSON, INCLUDES A 269-BED PATIENT TOWER, AN OUTPATIENT HOSPITAL AND FULL-SERVICE EMERGENCY ROOM. SINCE OPENING, DUE TO INCREASED VOLUME FOR SPECIALIZED AND ACUTE CARE SERVICES, MRMC HAS DOUBLED THE SIZE OF THE INTENSIVE CARE UNIT AND THE NEONATAL INTENSIVE CARE UNIT, ADDED TWO ADDITIONAL PATIENT FLOORS WITH ALL-PRIVATE PATIENT ROOMS AS WELL AS A SURGICAL OPERATING ROOM AND A 500-SPACE PARKING GARAGE. RECENTLY, A $45 MILLION ED, LAB AND PHARMACY EXPANSION WAS APPROVED FOR FUTURE DEVELOPMENT. THE VERTICAL EXPANSION BRINGS THE TOTAL NUMBER OF BEDS TO 518 FOR BOTH CAMPUSES. THE BUSH/RENNER CAMPUS IS ALSO HOME TO METHODIST RICHARDSON CANCER CENTER, WHERE SOME OF THE LATEST ADVANCEMENTS IN MEDICAL, SURGICAL AND RADIATION ONCOLOGY ARE PROVIDED IN ONE CONVENIENT LOCATION. THE BUSH/RENNER CAMPUS ALSO INCLUDES A FIVE-STORY, 100,000-SQUARE-FOOT PHYSICIAN PAVILION WITH MORE THAN 30 PHYSICIANS IN A FULL RANGE OF SPECIALTIES. IN FY2025, MRMC HAD APPROXIMATELY 14,600 DISCHARGES; 1,400 DELIVERIES; 61,300 EMERGENCY ROOM VISITS; 3,000 INPATIENT SURGERIES; AND 4,200 OUTPATIENT SURGERIES. MLMC IS A GENERAL ACUTE CARE HOSPITAL LOCATED ON U.S. HIGHWAY 287 IN MIDLOTHIAN, TEXAS. IT CURRENTLY HAS 76 LICENSED BEDS. THE FACILITY IS A FULL-SERVICE, GENERAL ACUTE CARE HOSPITAL, INCLUDING OB AND ED SERVICES. THE FACILITY OPENED IN NOVEMBER 2020. IN FY2025, MLMC HAD APPROXIMATELY 2,200 DISCHARGES; 220 DELIVERIES; 31,700 EMERGENCY ROOM VISITS; 330 INPATIENT SURGERIES; AND 830 OUTPATIENT SURGERIES. MSMC IS A GENERAL ACUTE CARE HOSPITAL LOCATED ON STATE HIGHWAY 114 IN SOUTHLAKE, TEXAS. THE HOSPITAL WAS INITIALLY OPERATED UNDER THE NAME METHODIST SOUTHLAKE HOSPITAL AND OPERATED BY METSL LLC, A LIMITED LIABILITY COMPANY JOINTLY OWNED BY METHODIST HEALTH SYSTEM AND A GROUP OF INDEPENDENT PHYSICIANS. THE FINAL STEP IN A MULTI-YEAR PLAN WAS TAKEN IN JUNE OF 2021 WHEN THIS HOSPITAL TRANSITIONED TO MSMC AND BEGAN BEING OPERATED AS A DIVISION OF METHODIST HEALTH SYSTEM. IT CURRENTLY HAS 54 LICENSED BEDS. THE FACILITY IS CURRENTLY ADDING SERVICE LINES TO BECOME A FULL-SERVICE, GENERAL ACUTE CARE HOSPITAL. IN FY2025, MSMC HAD APPROXIMATELY 500 DISCHARGES; 5,900 EMERGENCY ROOM VISITS; 240 INPATIENT SURGERIES; AND 2,600 OUTPATIENT SURGERIES. MCEL IS A GENERAL ACUTE CARE HOSPITAL LOCATED ON DALLAS PARKWAY IN CELINA, TEXAS. IT CURRENTLY HAS 51 LICENSED BEDS. THE FACILITY IS A FULL-SERVICE, GENERAL ACUTE CARE HOSPITAL, INCLUDING OB AND ED SERVICES AND OPENED IN MARCH 2025. MHS IS A TEACHING HEALTHCARE SYSTEM WITH PHYSICIAN RESIDENCY PROGRAMS IN SEVERAL SPECIALTIES AND TRAINING ACROSS A BROAD ARRAY OF ALLIED HEALTH PROFESSIONS. MDMC AND MCMC OPERATE ACTIVE OUTPATIENT TEACHING CLINICS STAFFED BY ITS RESIDENTS AND SUPERVISED BY ATTENDING PHYSICIANS. THE TEACHING CLINICS ARE VALUABLE ASSETS IN MEETING THE PRIMARY CARE NEEDS OF THE COMMUNITY, AS WELL AS TRAINING NEW PHYSICIANS. MHS CONDUCTS SCREENINGS FOR CANCER OF THE BREAST, CERVIX AND SKIN THROUGH THE MOBILE MAMMOGRAPHY UNIT WHICH OFFERS CONVENIENT SCREENINGS AND MAMMOGRAMS. THE 50-BED METHODIST REHABILITATION HOSPITAL IS NEXT DOOR TO THE MCMC CAMPUS AND IS JOINTLY OWNED WITH CENTERRE HEALTH. IT ALLOWS MHS TO BE ABLE TO PROVIDE A LARGER ARRAY OF REHABILITATIVE CARE SERVICES. A PARTNERSHIP BETWEEN MHS AND AREA PHYSICIANS OPENED THE METHODIST MCKINNEY HOSPITAL WHICH NOW HAS 23 BEDS AND SERVES COLLIN COUNTY AND THE SURROUNDING COMMUNITIES. METHODIST HOSPITAL FOR SURGERY IN ADDISON IS A JOINT VENTURE PARTNERSHIP WITH A GROUP OF PHYSICIANS. THE 32-BED FACILITY IS A CENTER OF EXCELLENCE FOR SPINE AND ORTHOPEDIC SURGERY. MHS IS COMMITTED TO ENHANCING THE AVAILABILITY OF PHYSICIANS SERVICING THE COMMUNITY. METHODIST FAMILY HEALTH CENTERS EXTEND FAMILY HEALTH CARE AND GENERAL MEDICAL SERVICES IN 35 LOCATIONS IN THE MHS SERVICE AREA. FORM 990, PART III, LINE 4A DESCRIPTION CONTINUED (2) SIGNIFICANT SECTIONS OF MHS'S SERVICE AREAS HAVE HIGH PERCENTAGES OF HOUSEHOLDS IN POVERTY, LOW MEDIAN HOUSEHOLD INCOME, HIGH PERCENTAGES OF ADULTS WITH LESS THAN A HIGH SCHOOL EDUCATION, HIGH PERCENTAGES OF BLUE-COLLAR WORKERS, LOW PERCENTAGES OF MANAGERIAL AND PROFESSIONAL WORKERS, A HIGH RATE OF BIRTHS TO TEENAGERS, HIGH PREMATURE BIRTHS AND INFANT MORTALITY, AND HIGH PERCENTAGES OF CHILDREN. CONSEQUENTLY, IN FY2025, MHS PROVIDED A SUBSTANTIAL AMOUNT OF CHARITY CARE AND GOVERNMENT-SPONSORED INDIGENT HEALTHCARE, AS WELL AS A NUMBER OF OTHER COMMUNITY BENEFITS IN ACCOMPLISHING ITS EXEMPT PURPOSE. WHETHER FINANCIALLY OR MEDICALLY INDIGENT, THERE IS NO QUESTION THAT THE DEMAND FOR HEALTHCARE FOR THE INDIGENT POPULATION IS GREAT, AND THE COUNTY-SUPPORTED PARKLAND HOSPITAL IS NOT CARING FOR, AND LIKELY CANNOT CARE FOR, ALL OF THOSE WHO QUALIFY. AS A RESULT, METHODIST, ALONG WITH OTHER PRIVATE HOSPITALS IN THE AREA, HAVE PARTICIPATED IN THE TEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM: MEDICAID 1115 WAIVER ("WAIVER PROGRAM"). THE WAIVER PROGRAM PROVIDED POOLS OF FUNDING TO REIMBURSE PARTICIPATING FACILITIES FOR A PORTION OF THE COST OF CARE FOR UNINSURED AND UNDERINSURED PATIENTS AND FOR PROVIDING PROGRAMS THAT IMPROVE THE QUALITY AND LOWER THE COST OF CARE. DALLAS COUNTY'S TRAUMA RATES TYPICALLY ARE HIGHER THAN STATE AND NATIONAL TRAUMA RATES. HISTORICALLY, THE COUNTY HAS RELIED ALMOST EXCLUSIVELY ON PARKLAND MEMORIAL HOSPITAL (PARKLAND), MDMC AND BAYLOR UNIVERSITY MEDICAL CENTER (BAYLOR) TO HANDLE MAJOR TRAUMA. PARKLAND CURRENTLY OPERATES AS THE COUNTY'S PRIMARY TRAUMA FACILITY, SUPPORTED BY MDMC AND BAYLOR. MDMC'S COMMITMENT TO PROVIDE OUTSTANDING TRAUMA SERVICES TO DALLAS AND SURROUNDING COUNTIES IS DEMONSTRATED BY THE IMPROVEMENTS THAT MDMC HAS MADE WITHIN ITS OWN TRAUMA PROGRAM. MDMC IS DESIGNATED BY THE TEXAS DEPARTMENT OF HEALTH AS A LEVEL I MAJOR TRAUMA CENTER. MDMC DOES A GREAT DEAL TO FULFILL THE COMMUNITY NEED FOR EMERGENCY SERVICES INCLUDING A MORE THAN $108 MILLION EXPANSION TO THE MDMC EMERGENCY ROOM, CRITICAL CARE, AND SURGERY DEPARTMENTS WITH A SIX-STORY TRAUMA AND CRITICAL CARE CENTER. THE 248,000 SQUARE FOOT TRAUMA AND CRITICAL CARE CENTER INCLUDES 58 EMERGENCY ROOM BEDS, SIX TRAUMA SUITES, EIGHT SURGICAL SUITES, A 36-BED CRITICAL CARE UNIT AND THE ABILITY TO EXPAND TO 11 STORIES FOR FUTURE GROWTH. MHS, ALONG WITH TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING, AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. MHS MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION (CONTINUED) METHODIST HEALTH SYSTEM AND THE NORTH TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH, AND, IN ALL WAYS, MERITS CONTINUED IDENTIFICATION WITH THE UNITED METHODIST CHURCH. SPECIFICALLY, THIS MISSION IS PURSUED BY OPERATING A SYSTEM OF GENERAL ACUTE HOSPITALS AND OTHER HEALTH CARE SERVICE, EDUCATIONAL, AND SUPPORT PROGRAMS NEEDED BY THE COMMUNITIES SERVED IN NORTH CENTRAL TEXAS. FORM 990, PART VI, LINE 16A JOINT VENTURE POLICY THE ORGANIZATION HAS A POLICY ON PHYSICIAN JOINT VENTURES WHICH REQUIRES THE INVESTMENT TO BE REVIEWED BY MHS LEGAL AND FINANCE DIVISIONS. THIS PRACTICE IS FOLLOWED FOR ALL JOINT VENTURES. ALL JOINT VENTURE INVESTMENTS GREATER THAN $1 MILLION ARE APPROVED BY THE BOARD PRIOR TO THE INVESTMENT. ANY INVESTMENT LESS THAN $1 MILLION MUST BE APPROVED BY THE SYSTEM CEO. FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE THE EXECUTIVE COMMITTEE MAY EXERCISE THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION. FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS THE ORGANIZATION'S GOVERNING BODY HAS MULTIPLE BUSINESS RELATIONSHIPS WHEREBY THE DIRECTORS, OFFICERS, AND KEY EMPLOYEES MAY BE PART OF THE SAME MANAGEMENT TEAMS FOR RELATED TAXABLE ENTITIES - BUSINESS RELATIONSHIP FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, THE ORGANIZATION AMENDED ITS BYLAWS TO CHANGE THE COMPOSITION OF ITS GOVERNING BODY'S VOTING MEMBERS BY REMOVING THE PERSON(S) ELECTED TO SERVE AS CHAIR(S) OF THE SYSTEM HOSPITAL ADVISORY BOARD(S) AS VOTING MEMBERS AND ALLOWING THREE TO FIVE OF THE GOVERNING BODY'S VOTING MEMBERS TO BE CLERGY MEMBERS WHO ARE PASTORS UNDER FULL-TIME APPOINTMENT WITH THE HORIZON TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH OR WHO IS A FORMER BISHOP OF EITHER THE HORIZON TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH OR THE NORTH TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH. ALSO DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, THE ORGANIZATION AMENDED ITS BYLAWS SUCH THAT IN THE EVENT THE CORPORATION IS DISSOLVED, ALL OF ITS LIABILITIES AND OBLIGATIONS SHALL BE PAID, SATISFIED AND DISCHARGED, AND ALL OF ITS ASSETS AND PROPERTIES THEN REMAINING SHALL BE DISTRIBUTED TO THE HORIZON TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 IS PREPARED BY AN OUTSIDE PUBLIC ACCOUNTING FIRM. DURING THE RETURN PREPARATION AND REVIEW PROCESS, THE PUBLIC ACCOUNTING FIRM COLLABORATES WITH THE ORGANIZATION'S FINANCE, HUMAN RESOURCES, ACCOUNTING, LEGAL, CORPORATE COMPLIANCE, AND TREASURY FOR ASSISTANCE IN PREPARING A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE RETURN IS REVIEWED WITH THE REPORTING ORGANIZATION'S APPLICABLE SENIOR FINANCIAL OFFICER PRIOR TO FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY ANNUALLY, EACH DIRECTOR, OFFICER, AND TRUSTEE SHALL COMPLETE AND SUBMIT A CONFLICTS OF INTEREST DISCLOSURE FORM TO THE BOARD OF DIRECTORS, DISCLOSING ANY FINANCIAL INTERESTS AND EXTERNAL LOYALTIES. DURING THE YEAR, EACH DIRECTOR, OFFICER, OR TRUSTEE IS REQUIRED TO DISCLOSE ANY FINANCIAL INTEREST OR EXTERNAL LOYALTY, ORALLY OR IN WRITING, WHEN HE OR SHE BECOMES AWARE THAT A RELATED CONTRACT, TRANSACTION OR OTHER RELEVANT DECISION IS UNDER CONSIDERATION OR THAT A FINANCIAL INTEREST OR EXTERNAL LOYALTY HAS NOT BEEN DISCLOSED. EACH DIRECTOR, OFFICER, AND TRUSTEE SHALL SEEK AND ACCEPT RESOLUTION OF ANY CONFLICTS OF INTEREST ARISING FROM FINANCIAL INTERESTS OR EXTERNAL LOYALTIES, TO THE SATISFACTION OF THE BOARD OF DIRECTORS. IN THE EVENT OF ANY FINDING THAT POTENTIAL CONFLICT OF INTEREST ISSUES ARE PRESENT, THE ISSUE(S) ARE REPORTED TO THE BOARD CHAIRMAN AND THE AUDIT & CORPORATE OVERSIGHT COMMITTEE ("AUDIT COMMITTEE") CHAIR, TOGETHER WITH A RECOMMENDED RESOLUTION FOR THE POTENTIAL CONFLICT. THE BOARD CHAIR AND AUDIT COMMITTEE CHAIR MAY APPROVE THE PROPOSED RESOLUTION OR EITHER MAY RECOMMEND FURTHER MEASURES. EITHER THE BOARD CHAIRMAN OR THE AUDIT COMMITTEE CHAIR MAY REFER AN ISSUE TO THE FULL AUDIT COMMITTEE FOR FURTHER REVIEW AND ACTION. A DIRECTOR, OFFICER, OR TRUSTEE WHO HAS, OR WHOSE RELATIVE HAS, PRIVATE INTERESTS OR RELATIONSHIPS THAT MIGHT CONSTITUTE A FINANCIAL INTEREST OR AN EXTERNAL LOYALTY HAS AN AFFIRMATIVE DUTY TO (A) DISCLOSE THE FACTS ON THE FINANCIAL INTEREST OR EXTERNAL LOYALTY TO THE BOARD OF DIRECTORS; (B) REQUEST A DETERMINATION BY THE BOARD OF DIRECTORS ON WHETHER THE FACTS DISCLOSED RAISE QUESTIONS OF ACTUAL OR APPARENT POTENTIAL CONFLICTS OF INTEREST; (C) RESOLVE TO THE BOARD'S SATISFACTION ANY ISSUE RAISED BY FINANCIAL INTERESTS OR EXTERNAL LOYALTIES IN THE EVENT THE BOARD THEN OR LATER DEEMS THEM TO BE POTENTIAL CONFLICTS OF INTEREST; AND (D) NOT VOTE ON OR OTHERWISE PARTICIPATE IN MHS'S DECISIONS ON CONTRACTS, TRANSACTIONS, OR RELATIONSHIPS THAT AFFECT FINANCIAL INTERESTS OR EXTERNAL LOYALTIES. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL AN OUTSIDE FIRM IS ENGAGED TO CONDUCT A COMPENSATION STUDY, WHICH INCLUDES COMPARABILITY DATA, EVERY TWO YEARS. THE STUDY WAS MOST RECENTLY CONDUCTED IN FISCAL YEAR 2024. THESE RESULTS WERE ANALYZED IN FISCAL YEAR 2024 AND WILL BE CONSIDERED FOR FISCAL YEAR 2026 COMPENSATION BY THE INDEPENDENT BOARD'S COMPENSATION COMMITTEE. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES AN OUTSIDE FIRM IS ENGAGED TO CONDUCT A COMPENSATION STUDY, WHICH INCLUDES COMPARABILITY DATA, EVERY TWO YEARS. THE STUDY WAS MOST RECENTLY CONDUCTED IN FISCAL YEAR 2024. THE RESULTS OF THE MOST RECENT STUDY WERE ANALYZED IN FISCAL YEAR 2024 BY THE CEO WHO WILL PROPOSE FISCAL YEAR 2026 MERIT AND BONUS/INCENTIVE COMPENSATION FOR OFFICERS, EXECUTIVE VICE PRESIDENTS, AND SENIOR VICE PRESIDENTS TO THE INDEPENDENT BOARD'S COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL. THE COMMITTEE CONTEMPORANEOUSLY REVIEWS AND DELIBERATION ANNUALLY IN DECEMBER. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE CORPORATE OFFICES. 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