2024-08-12T10:22:44+00:00 2023-09-30 350921680 CROWE LLP 5810 Tennyson Parkway Suite 450 PLANO TX 750244112 990 2022-10-01 752966610 Physician Associates of Southwest Dallas PHYS 2149474581 1441 N Beckley Ave Dallas TX 75203 Martin Koonsman Jr President 2024-08-12 true ANDREW J GRAY P01517705 2147775200 2022 2024-08-08 14:25:15Z Martin Koonsman Jr 1441 N Beckley Ave Dallas TX 75203 12587557 false X n/a X 2001 TX TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS (PASD) IS A WHOLLY CONTROLLED AFFILIATE OF METHODIST HOSPITALS OF DALLAS (MHD) WHOSE PURPOSE IS TO TEACH AND AID IN THE EDUCATION OF GRADUATE MEDICAL EDUCATION STUDENTS (RESIDENTS) OF MHD. 5 0 24 0 0 0 0 0 11009864 11768692 0 0 2493 818865 11012357 12587557 0 0 0 7261443 6988912 0 0 0 3964006 5567253 11225449 12556165 -213092 31392 2206551 2650325 5935243 6347625 -3728692 -3697300 TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS (PASD) IS A WHOLLY CONTROLLED AFFILIATE OF METHODIST HOSPITALS OF DALLAS (MHD) WHOSE PURPOSE IS TO TEACH AND AID IN THE EDUCATION OF GRADUATE MEDICAL EDUCATION STUDENTS (RESIDENTS) OF MHD. false false 10518960 0 12587557 PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS (PASD) IS A WHOLLY CONTROLLED AFFILIATE OF METHODIST HOSPITALS OF DALLAS (MHD) WHOSE PURPOSE IS TO TEACH AND AID IN THE EDUCATION OF GRADUATE MEDICAL EDUCATION STUDENTS (RESIDENTS) OF MHD. PASD EMPLOYS PHYSICIAN INSTRUCTORS AND BILLS FOR THE PATIENT SERVICES PROVIDED AS PART OF THE TEACHING MISSION OF THE ORGANIZATION. NET INCOME DERIVED FROM THE PATIENT SERVICES IS USED TO SUPPORT THE GRADUATE MEDICAL EDUCATION PROGRAM OF MHD. WITH THE AID OF PASD, METHODIST HOSPITALS OF DALLAS IS ABLE TO TRAIN APPROXIMATELY 103 RESIDENTS ANNUALLY. 10518960 true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 25 0 true 24 true false false false false false false false false false false false false X 5 0 true false false false true true true true false false false false true true true true true true true false X ROBERT MILONE 2149476405 1441 N BECKLEY AVE DALLAS TX 75203 BRETT JOHNSON MD VICE PRESIDENT 40.0 0 X X 375368 0 36826 MARTIN L KOONSMAN MD CHAIR & PRESIDENT 5.0 47.0 X X 0 926975 82049 DALE STOVALL MD DIRECTOR 40.0 0 X 575595 0 26622 LEIGH HUNTER MD DIRECTOR 40.0 0 X 425289 0 31593 MICHAEL S TRUITT MD DIRECTOR 40.0 2.0 X 845801 0 54423 GREG DAVIDSON SECRETARY/VP OF COMPLIANCE 5.0 40.0 X 0 194833 47395 ROBERT M MILONE TREASURER 5.0 55.0 X 0 302739 31783 BASSEM MOSTAFA-ELSAWY MD TEACHING FACULTY FPC 40.0 4.0 X 283198 0 47212 David Banh ASSOCIATE PROGRAM DIRECTOR FOR OB/GYN 40.0 0 X 377954 0 40608 PAUL TARNASKY PROGRAM DIRECTOR 40.0 0 X 545099 0 10828 RAJASREE NAIR MD TEACHING FACULTY FPC 40.0 4.0 X 269164 0 8883 REBECCA MCKOWN ASSOCIATE PROGRAM DIRECTOR FOR OB/GYN 40.0 0 X 349561 0 42372 GEORGE WILLIAMS MD FORMER OFFICER 0.0 35.0 X 0 673201 45045 PAMELA STOYANOFF FORMER OFFICER 0.0 41.0 X 0 2074702 191921 SAMUEL CULLISON MD FORMER OFFICER 0.0 6.0 X 216254 0 6232 4263283 4172450 703792 22 true true false JOSHUA L WEISS MD 12201 MERIT DRIVE SUITE 325 Dallas TX 75251 Medical Services 399427 DALLAS NEPHROLOGY ASSOCIATES 1420 VICEROY DRIVE Dallas TX 75235 Medical Services 142244 KECIA LEDET FOXWORTH MD 4517 FIREWHELL DRIVE Plano TX 75024 Medical Services 138188 JAN SEDDIC RISDEN MD 1615 NAVARRO DRIVE Allen TX 75013 Medical Services 136250 4 0 PATIENT SERVICE REVENUE 621990 3106363 3106363 TEACHING REVENUE 541990 8662329 8662329 0 0 0 0 11768692 0 0 0 0 Insurance Incentive Revenue 900099 818865 818865 0 0 0 0 818865 12587557 12587557 0 0 X 2166407 1321508 844899 3966947 3966947 243288 237814 5474 296221 266054 30167 316049 304251 11798 90984 90984 2430714 1376831 1053883 0 30296 30296 2245 2245 1482 1482 16860 16860 Corporate Service Allocation 2603499 2603499 Billing and Collection 289378 289378 Trainings, Recruitment, Relocation 64117 64117 Licenses, Memberships, & Dues 37678 37678 0 0 0 0 12556165 10518960 2037205 0 24249 42214 94271 1563 0 0 0 0 6028 6028 235846 232336 4992 3510 0 0 2077011 2597010 2206551 2650325 226924 918176 0 0 5708319 5429449 5935243 6347625 X -3728692 -3697300 -3728692 -3697300 2206551 2650325 31392 0 X false true X true false X X 1 METHODIST HOSPITALS OF DALLAS 750800661 3 true 0 12556165 1 0 12556165 true false false false false false false false false false false false false false false true false 235846 232336 3510 3510 RETIREMENT TRUST 2597010 2597010 RETIREMENT BENEFITS 2548865 Accrued Salaries, Benefits, Vacation Due to ASAC 78316 Due to MHD 2733321 PASD Unallocated Cash 68947 5429449 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Physician Associates of Southwest Dallas's INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF METHODIST HEALTH SYSTEM (MHS), A RELATED ORGANIZATION. MHS'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED SEPTEMBER 30, 2023, READS AS FOLLOWS: 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, 2023 and 2022 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, 2023 and 2022. X X X X true true false false false false false true false SAMUEL CULLISON MD FORMER OFFICER 23962 0 0 0 192292 0 6232 0 0 0 222486 0 0 0 BRETT JOHNSON MD VICE PRESIDENT 372424 0 250 0 2694 0 20859 0 15967 0 412194 0 0 0 MARTIN L KOONSMAN MD CHAIR & PRESIDENT 0 548575 0 319091 0 59309 0 46829 0 35220 0 1009024 0 38513 LEIGH HUNTER MD DIRECTOR 421471 0 250 0 3568 0 15466 0 16127 0 456882 0 0 0 DALE STOVALL MD DIRECTOR 572484 0 250 0 2861 0 16054 0 10568 0 602217 0 0 0 MICHAEL S TRUITT MD DIRECTOR 844027 0 250 0 1524 0 17296 0 37127 0 900224 0 0 0 PAMELA STOYANOFF FORMER OFFICER 0 1030735 0 845967 0 198000 0 128568 0 63353 0 2266623 0 168492 GEORGE WILLIAMS MD FORMER OFFICER 0 271532 0 250 0 401419 0 23235 0 21810 0 718246 0 39700 GREG DAVIDSON SECRETARY/VP OF COMPLIANCE 0 162226 0 30133 0 2474 0 10313 0 37082 0 242228 0 0 ROBERT M MILONE TREASURER 0 237234 0 56193 0 9312 0 17435 0 14348 0 334522 0 0 REBECCA MCKOWN ASSOCIATE PROGRAM DIRECTOR FOR OB/GYN 345605 0 250 0 3706 0 19362 0 23010 0 391933 0 0 0 BASSEM MOSTAFA-ELSAWY MD TEACHING FACULTY FPC 282502 0 250 0 446 0 15608 0 31604 0 330410 0 0 0 PAUL TARNASKY PROGRAM DIRECTOR 421961 0 121363 0 1775 0 10477 0 351 0 555927 0 0 0 RAJASREE NAIR MD TEACHING FACULTY FPC 247868 0 20750 0 546 0 8413 0 470 0 278047 0 0 0 David Banh ASSOCIATE PROGRAM DIRECTOR FOR OB/GYN 362954 0 15000 0 0 0 13891 0 26717 0 418562 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation COMPENSATION FOR Certain OFFICERS IS PAID BY METHODIST HOSPITALS OF DALLAS, WHICH USES A FORMAL REVIEW PROCESS TO REVIEW COMPENSATION OF EMPLOYEES. The formal review process includes the use of the following methods to establish compensation of the top management officials: 1) a compensation committee, 2) an independent compensation consultant, 3) a compensation survey or study, 4) approval by the board or compensation committee, and 5) contemporaneously substantiated the deliberation and decision. OFFICER COMPENSATION IS SUBJECT TO FURTHER REVIEW BY THE BOARD OF METHODIST HOSPITALS OF DALLAS. Schedule J, Part I, Line 4a Severance or change-of-control payment During calendar year 2022, Samuel Cullison was paid severance in the amount of $78,976 and George Williams was paid severance in the amount of $297,059. The severance payments are included in (b)(iii) on Schedule J, Part II. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Any of the reportable individuals who are detailed as being paid by a related organization may have deferred amounts to or distributions from a section 457(F) non-qualified plan which are included in the applicable sections of Schedule J, Part II. 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. 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). PAMELA STOYANOFF $ 107,124 / $ 168,492 George Williams $ 10,344 / $ 39,700 Martin KOONSMAN JR. $ 30,475 / $ 38,513 Schedule J, Part I, Line 7 Non-fixed payments In order to recruit and retain key talent, MHS and its affiliates offers short and long term incentive plans for certain employees listed in Part VII, Section A, Line 1a. For fiscal year 2023 the incentive plans were targeted in the areas of financial performance, clinical quality, and employee and patient satisfaction. 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 6 Classes of members or stockholders PASD's sole member and parent organization is Methodist Hospitals of Dallas, a 501(c)(3) hospital. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MHS, as the sole member of PASD, has the right to appoint any board member. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Methodist Hospitals of Dallas D/B/A Methodist Health Systems is the sole member of PASD and has certain reserve powers over PASD to insure that its operations are consistent with the tax-exempt purpose and mission of both organizations. PER THE BYLAWS, WHILE THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, NO ACTION MAY BE TAKEN BY THE BOARD OF DIRECTORS WITH RESPECT TO ANY OF THE SUBJECTS INDICATED BELOW, AND THE AUTHORITY TO ACT WITH RESPECT TO THE SUBJECTS INDICATED BELOW SHALL BE RESERVED EXCLUSIVELY TO THE MEMBER OF THE CORPORATION. - Establishment of or any change in the activities, philosophy, mission, or purpose of the Corporation as set by the Member; - Alteration, amendment, or repeal of the Certificate of Formation or of the Bylaws of the Corporation; - Voluntary dissolution of the Corporation; - Election or removal of Directors of the Corporation Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body There was no committee with the authority to act on behalf of the governing body. 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 Methodist Hospitals of Dallas facilitates the conflict of interest disclosure process for itself and its affiliates. Each affiliate organization is subject to the conflict of interest policy and its procedures, as described herein. 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 SHALL 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 MAY APPROVE THE PROPOSED RESOLUTION OR EITHER MAY RECOMMEND FURTHER MEASURES. EITHER THE BOARD CHAIRMAN OR THE AUDIT COMMITTEE 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 three years. The study was most recently conducted in fiscal year 2022. These results were analyzed in fiscal year 2022 and decisions were applied to compensation effective in fiscal year 2023 by the independent Board's Compensation Committee. The committee contemporaneously substantiates their deliberations and decisions annually in December. 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 three years. The study was most recently conducted in fiscal year 2022. The results of the most recent study were analyzed in fiscal year 2022 by the CEO who then proposes fiscal year 2023 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 substantiates their deliberations and decisions 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. Form 990, Part IX, Line 11g Other Fees Employee Purchased Services - Total Expense: 2420541, Program Service Expense: 1371069, Management and General Expenses: 1049472, Fundraising Expenses: ; Collection Services - Total Expense: 10173, Program Service Expense: 5762, Management and General Expenses: 4411, Fundraising Expenses: ; Form 990, Part VII, Section A Officers and board directors are compensated for their positions as physician employees, not for their service on the board of directors. 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