2025-08-14T19:10:25+00:00 2024-09-30 350921680 CROWE LLP 701 13th St NW Suite 852 Washington DC 20005 990 2023-10-01 750800661 Methodist Hospitals of Dallas METH 2149474512 1441 N Beckley Ave Dallas TX 752031201 Craig Bjerke CFO 2149474512 2025-08-15 true STEVE LENIVY P01635350 2026245555 2025-08-15 2023 2025-03-06 01:10:19Z Methodist Health System James C Scoggin Jr 1441 N Beckley Ave Dallas TX 752031201 2132068941 false X WWW.METHODISTHEALTHSYSTEM.ORG X 1935 TX TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE. 31 28 11346 414 781295 58034 11127848 13496835 1801224393 2008546566 89200299 44668386 17111238 13516908 1918663778 2080228695 38747391 85228379 0 947670040 1029387673 0 302155 761994462 816568585 1748411893 1931184637 170251885 149044058 3335341098 3792854430 879979563 914347936 2455361535 2878506494 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 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. false false 1710967489 85228379 2013390766 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 six 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 46 licensed bed hospital; and Methodist Southlake Medical Center (MSMC), a 54 licensed bed hospital. (Continued on Schedule O) 1710967489 true true false true false false false false true true false false false 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 534 0 true 11346 true true true false false false false false false false false false true false X 31 28 true false false false false false false true true 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 JAMES C SCOGGIN JR CEO 40.0 0.4 X X 3719272 0 77284 JOE B FORTSON III VICE CHAIR 0.1 0.1 X X 0 0 0 JOHN RANDALL CANEDY Board Chair 0.1 0.1 X X 0 0 0 MICHAEL L FINCH MD VICE CHAIR 0.1 0.1 X X 9205 0 0 TIM GRIFFY VICE CHAIR 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 46499 0 0 CLAYTON Oliphint DMIN BOARD OF DIRECTORS 0.1 0 X 0 0 0 DAN JOHNSON Board of Directors (Beginning March 2024) 0.1 0 X 0 0 0 DELIA JASSO Board of Directors 0.1 0 X 0 0 0 DONALD WILLIAMS Board of Directors (Beginning March 2024) 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 (Beginning March 2024) 0.1 0 X 0 0 0 JIM NORRIS BOARD OF DIRECTORS (Through March 2024) 0.1 0 X 0 0 0 JOHN WILLIS DO Board of Directors 0.1 40.0 X 28000 265730 22394 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 RUBEN VELEZ MD BOARD OF DIRECTORS 0.1 0 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 1386521 0 165387 MICHAEL O PRICE ASSISTANT SECRETARY & CLO 40.0 0.1 X 1212430 0 78269 ROBERT M MILONE ASSISTANT TREASURER 40.0 0.4 X 319291 0 42566 E KENNETH HUTCHENRIDER PRESIDENT - MRMC 40.0 0.1 X 957729 0 135781 FRANCES LAUKAITIS PRESIDENT - MCMC (through Jan 2024) 40.0 0 X 874616 0 38352 JOHN PHILLIPS PRESIDENT - MDMC 40.0 0.2 X 1250555 0 160765 JUAN FRESQUEZ JR PRESIDENT - MMMC 40.0 0 X 891441 0 130161 LESLIE PIERCE SR VP REVENUE CYCLE 40.0 0 X 595926 0 97284 PAMELA STOYANOFF President & COO 40.0 0.1 X 2115084 0 229404 BRIAN KENJARSKI SVP DATA GOVERNANCE & CMIO 40.0 0.1 X 794226 0 87757 CHERYL FLYNN SR VICE PRESIDENT - CHRO (THROUGH MARCH 2024) 40.0 0 X 996842 0 68555 John Myers MD PRESIDENT, METHodist medical group 40.0 0.2 X 800993 0 149980 MARTIN L KOONSMAN MD CHIEF MEDICAL OFFICER 40.0 0.3 X 979647 0 141680 PAMELA MCNUTT SENIOR VICE PRESIDENT & CIO 40.0 0 X 1044154 0 77538 18022431 265730 1703157 2124 false true false HOSPITAL MEDICINE ASSOCIATES PO BOX 634850 CINCINNATI OH 452634850 MEDICAL SERVICES 8831197 US ANESTHESIA PARTNERS OF TEXAS PA PO BOX 841069 DALLAS TX 75284 MEDICAL SERVICES 5774203 ACCUITY DELIVERY SYSTEMS LLC PO BOX 7247 PHILADELPHIA PA 191700001 MEDICAL SERVICES 3471848 ENABLECOMP LLC 4057 Rural Plains Circle STE 400 Franklin TN 37064 Consulting SERVICES 2258428 CAPIO ASSET SERVICING LLC 2222 TEXOMA PARKWAY STE 150 SHERMAN TX 75092 Consulting SERVICES 2099853 98 7397970 6098865 13496835 NET PATIENT SERVICE REVENUE 622110 2005677527 2005622608 54919 RESEARCH REVENUE 541700 2869039 2869039 0 0 0 0 2008546566 61236979 -34444 61271423 60137 60137 2136827 219416 1917411 0 1917411 1917411 28745367 6306870 50374504 1246326 -21629137 5060544 -16568593 -16568593 CAFETERIA & CATERING SALES 722310 6383592 688602 5694990 Medical RECORD Income 541200 763068 763068 IT services 518210 2548530 2548530 1844170 1587521 72218 184431 11539360 2080228695 2013390766 781295 52559799 85228379 85228379 14523933 11715973 2807960 379459 306097 73362 865160771 741916505 122962896 281370 31092700 25901984 5190716 63020803 50033199 12987604 55210007 46601415 8587807 20785 3891607 3891607 207303 207303 336976 336976 922771 922771 48469704 35449010 13020694 0 10429931 6874755 3555176 0 8628661 6302580 2326081 0 30240687 26155923 4084764 0 13758722 12511737 1246985 0 1492354 866545 625809 0 438759 362485 76274 0 15326286 6056755 9269531 0 118549774 104769738 13780036 0 9341570 6701042 2640528 SUPPLIES 408601757 408600642 1115 0 Purchased Services 91624469 85271924 6352545 0 EQUIPMENT & MAINTENANCE 54307254 49340801 4966453 0 0 0 0 0 1931184637 1710967489 219914993 302155 1486778 810619 1545734367 1973576398 222997576 226647497 0 0 0 0 25623486 29331809 42361386 48011937 76014185 62377738 2605358298 1480805232 1031110641 1124553066 224257702 159309217 0 85034190 87958124 2062174 1970664 78658613 78307361 3335341098 3792854430 215771536 218628578 657740 4728886 409695540 405139824 0 0 106098297 100183404 147756450 185667244 879979563 914347936 X 2455361535 2878506494 2455361535 2878506494 3335341098 3792854430 149044058 274100901 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 259574 259574 1723785752 1724045326 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 231838 260549 286662 259574 1038623 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. 94386063 25225341 4137339 115474065 84493160 0 13402505 3509602 94386063 107787905 1200 -20302635 2993310 84493160 92094390 0 23541132 7847617 107787905 87965586 0 8742958 4614154 92094390 0.9167 0.0446 0.0387 false true true 90126777 90126777 1203647371 680245248 523402123 900616002 723441649 177174353 410968148 77118335 333849813 1124553066 Total Retirement Plan Liabilities 10699493 Total Self-Insurance Liabilities 21547621 Interest Rate Swap Liability 21780958 intercompany balances with consolidated affiliates 109224289 CASH IN TRANSIT 22414883 185667244 X 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, 2024 and 2023 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, 2024 and 2023, respectively. true true X true X true X 500 true true true false true true 132055022 17502 132037520 0.0684 136598281 112890195 23708086 0.0123 0 0.0 0 0 268653303 112907697 155745606 0.0806 4117769 770679 3347090 0.0017 32558283 8150569 24407714 0.0126 0 0.0 3281737 2828561 453176 0.0002 85228379 0 85228379 0.0441 0 0 125186168 11749809 113436359 0.0587 0 0 393839471 124657506 269181965 0.1394 0 0.0 173142 173142 0.0001 0 0.0 0 0.0 0 0.0 0 0.0 432823 432823 0.0002 1399878 1399878 0.0007 0 0.0 0 0 2005843 0 2005843 0.0010 true 296018314 0 587758000 601131000 -13373000 X true true METHODIST MCKINNEY HOSPITAL LLC HOSPITAL 0.565 0.0 0.435 SRP-MEDICA INVESTORS ADDISON LP REAL ESTATE HOLDINGS ENTITY FOR METHODIST HOSPITAL FOR SURGERY 0.2185 0.0 0.2225 METDALSPI LLC (METHODIST HOSPITAL FOR SURGERY) (THROUGH METDALSPI HOLDING L LC) HOSPITAL 0.51 0.0 0.49 MHSS-MOB ADDISON MEDICAL OFFICE BUILDING 0.1461 0.0 0.4279 MHD-USO MANAGEMENT COMPANY LP MANAGEMENT SERVICES FOR ONCOLOGY PRACTICE 0.714 0.0 0.286 MetSL Property Investor LLC Owner of real estate holding partnership; provision of real property for medical services 0.5597 0.0 0.4403 Methodist Mansfield Ambulatory Surgery Center LLC (through MSP ASC Holdings LLC) Outpatient surgey 0.51 0.0 0.49 9 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 A 2 false false true X X X X X X X X X 21 true true false true X https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ X true 22 true https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ 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 21 true true false true X https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ X true 22 true https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ 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 21 true true false true X https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ X true 22 true https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ 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 21 true false false true X https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ X true 22 true https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/ 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 E 1 false false true X X X X X X X X X 22 true false false true X https://methodistmckinneyhospital.com/disclaimers/#community X true 22 true https://methodistmckinneyhospital.com/disclaimers/#community 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 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 focus group and key informant interviews, were conducted June 2021 through February 2022 to take into account the input of persons representing the broad interests of the community served; Interviews and surveys were conducted with key informants-leaders and representatives who serve the community and have insight into its needs; and 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 focus group and key informants. While the focus group helped identify barriers and social factors influencing the community's health needs, key informant interviews provided even more understanding and insight about 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 findings. Written input received on the most recently conducted CHNA and subsequent implementation strategies was reviewed and considered in the report development. Multiple 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. In some cases public health officials were unavailable due to obligations concerning the COVID-19 pandemic. A list of the organizations providing input includes: Brittain Kalish Group Project Access; Baylor Scott & White Health; Fort Worth Housing Solutions; Meals on Wheels; Medstar; Methodist Mansfield Advisory Board; One Safe Place; Project Access Tarrant County; Tarrant Area Food Bank; Tarrant County Public Health; United Way of Tarrant County. 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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made to address the 2021 CHNA priority needs: --Access to mental health services: Methodist Mansfield provided placement assistance for suicidal patients through Behavioral Health Connections; in collaboration with the City of Mansfield, Methodist Mansfield launched a comprehensive community wellness program called Transforming Lives Through Wellness that included mental health as part of the three-pronged focus with sponsorships and ongoing programs; and also 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 as well as maintained its health sports medicine partnership. --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 600 tele-psych consults in the ED. --Cancer incidence: Methodist Mansfield provided free mammograms for those who are uninsured and underinsured; provided community education about risks, early detection and treatment options for breast cancer; as well as monthly breast cancer support group for patients and their families. --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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made 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 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 focus group and key informant interviews, were conducted June 2021 through February 2022 to take into account the input of persons representing the broad interests of the community served; Interviews and surveys were conducted with key informants-leaders and representatives who serve the community and have insight into its needs; and 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 focus group and key informants. While the focus group helped identify barriers and social factors influencing the community's health needs, key informant interviews provided even more understanding and insight about 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 findings. Written input received on the most recently conducted CHNA and subsequent implementation strategies was reviewed and considered in the report development. Multiple 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. In some cases public health officials were unavailable due to obligations concerning the COVID-19 pandemic. A list of the organizations providing input includes: American Heart Association; Baylor Scott & White Health; Bridge Breast Network; Brighter Tomorrows; Baylor Scott & White Heart & Vascular; Baylor University Medical Center; Crossroads; Dallas Area Interfaith; Dallas Area Rape Crisis Center (DARCC); Dallas Area Rapid Transit (DART); Eligibility Consultants Inc.; Empowering the Masses; Family Promise of Living; First United Methodist; For Oak Cliff; Frazier Revitalization; Golden SEEDs; Goodwill Dallas; Methodist Dallas Medical Center; Methodist Health System; Methodist Health System Golden Cross Academic Clinic; Metrocare Services; Sharing Life; South Dallas Fair Park Faith Coalition; Southern Methodist University; Sr. Dir Business Ops; State Fair of Texas; The Bridge Homeless Recovery Center; The Concilio; The Stewpot; United Way of Metropolitan Dallas (UWMD); Visiting Nurse Association (VNA); YMCA Dallas. 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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made 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 at least twice annually; group diabetes education classes and medication therapy management to underinsured and uninsured patients at Golden Cross Academic Clinic. --Lack of health 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; grew food pantry services at Golden Cross Academic Clinic for patient needing food until they are able to access more permanent resources; and supported local urban farm in Oak Cliff with financial support. --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; annual resource fair for seniors; fall prevention program twice annually; 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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made 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 and blood pressure self-monitoring classes; heart failure management services; bi-monthly COPD support groups to patients and family; as well as medication therapy management to underinsured and uninsured patients at Methodist Charlton Family Medicine Center. --Lack of health food options: Methodist Charlton provided 60-90 days of free meals to food insecure Dallas County Methodist Dallas 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; added psych nursing staff and provided approximately 780 tele-psych consults in the ED. --Escalating aging health needs: Methodist Charlton provided annual heart health community education event; 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; monthly support groups; and quarterly cancer prevention, treatment and early detection community education quarterly. --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 is 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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made 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 monthly stroke support group for stroke rehab patients and families; a stroke class 3 days a week for patients and family members prior to discharge; and a peer support group for amputees. --Lack of health food options: Methodist Rehab supported the local food bank with a food drive and cash donations. -- 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, two focus groups as well as key informant interviews, were conducted June 2021 through February 2022 to take into account the input of persons representing the broad interests of the community served; Interviews and surveys were conducted with key informants-leaders and representatives who serve the community and have insight into its needs; and 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 focus group and key informants. While the focus group helped identify barriers and social factors influencing the community's health needs, key informant interviews provided even more understanding and insight about 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 findings. Written input received on the most recently conducted CHNA and subsequent implementation strategies was reviewed and considered in the report development. Multiple 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. In some cases public health officials were unavailable due to obligations concerning the COVID-19 pandemic. A list of the organizations providing input includes: American Heart Association; Baylor Scott & White Health; Baylor Scott & White Heart & Vascular; Baylor University Medical Center; Bridge Breast Network; Brighter Tomorrows; BSW Collin & Dallas; BSW-Plano; CCRHP 18/PIA; Church of Jesus Christ of LOS; Collin County Coalition Charitable; Collin County Health Care Services; Collin County Health Dept; Collin County Public Health; Collin College Homeless Coalition; Community Lifeline Center; Crossroads; Dallas Area Interfaith; Dallas Area Rape Crisis Center (DARCC); Dallas Area Rapid Transit (DART); Eligibility Consultants Inc.; Empowering the Masses; Family Promise of Living; First United Methodist; First United Methodist, Richardson; For Oak Cliff; Frazier Revitalization; Golden SEEDs; Goodwill Dallas; Health Services of North Texas; Julia's Center; Methodist Dallas Medical Center; Methodist Health System; Methodist Golden Cross Academic Clinic; Metrocare Services; My Possibilities; North Central Texas Health Care Center Comm.; NTFB; Plano Fire-Rescue; Sharing Life; South Dallas Fair Park Faith Coalition; Southern Methodist University; Sr. Dir Business Ops; State Fair of Texas; Texas Health Resources; The Bridge Homeless Recovery Center; The Concilio; The Stewpot; United Way; United Way of Metropolitan Dallas (UWMD); Visiting Nurse Association (VNA); Wellness Center for Older Adults; YMCA Dallas. 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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made to address the 2021 CHNA priority needs: --Mental health services gap: Methodist Hospital for Surgery supported Metrocrest services through sponsorship dollars and sponsored event. 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 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made to address the 2021 CHNA priority needs: --Chronic illness management: In a continued effort to increase awareness of chronic illness management, Methodist Richardson provided services to patients through the anticoagulation pharmacy as well as the use of nurse navigators for service line specific care. --Stroke care: Methodist Richardson achieved comprehensive stroke designation; 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 as we age, chronic disease self-management and being money-smart for older adults reaching approximately 150 older adults each month. --Cancer incidence: In an effort 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 Raytheon Health with behavioral health representation, the NAMI Walk and CIT program. --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 focus group and key informant interviews, were conducted June 2021 through February 2022 to take into account the input of persons representing the broad interests of the community served; Interviews and surveys were conducted with key informants-leaders and representatives who serve the community and have insight into its needs; and 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 focus group and key informants. While the focus group helped identify barriers and social factors influencing the community's health needs, key informant interviews provided even more understanding and insight about 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 findings. Written input received on the most recently conducted CHNA and subsequent implementation strategies was reviewed and considered in the report development. Multiple 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. In some cases public health officials were unavailable due to obligations concerning the COVID-19 pandemic. A list of the organizations providing input includes: Baylor Scott & White Health; Daniel's Den; Emergency Management Midlothian Police Department; Hope Clinic; Meals on Wheels; Mansfield Independent School District; Presbyterian Children's Homes & Services; REACH Council; St. Joseph Church; United Way; Waxahachie Independent School District; Waxahachie Care Services. Schedule H, Part V, Section B, Line 11 Facility D, 1 Facility D, 1 - Methodist Midlothian Medical Center. The 2023 tax year represents the second 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 2021 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made 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 events for the City of Midlothian; 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 Heath Centers in the service area; published information about health issues of the aging in a message from the physician section of SHINE magazine; worked with local senior groups to identify education opportunities; as well as providing representation on the Midlothian Senior Center board. -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 two events to support mental health awareness; hosting mental health awareness Walk at the hospital and support of Ellis County Resource Expo. --Cancer incidence: Methodist Midlothian supported Midlothian ISD Pink Out event with sponsorship funding; published success story and other 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. Concurrently, sustained efforts were made to recruit obstetric providers to the area, including active vetting and interviewing of potential candidates. 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 focus group and key informant interviews, were conducted June 2021 through February 2022 to take into account the input of persons representing the broad interests of the community served; Interviews and surveys were conducted with key informants-leaders and representatives who serve the community and have insight into its needs; and 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 focus group and key informants. While the focus group helped identify barriers and social factors influencing the community's health needs, key informant interviews provided even more understanding and insight about 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 findings. Written input received on the most recently conducted CHNA and subsequent implementation strategies was reviewed and considered in the report development. Multiple 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. In some cases public health officials were unavailable due to obligations concerning the COVID-19 pandemic. A list of the organizations providing input includes: Baylor Scott & White Health; BSW McKinney; BSW Plano; CCRHP 18/PIA; Church of Jesus Christ of LOS; Collin County Coalition Charitable; Collin County Health Care Services; Collin County Health Dept; Collin County Public Health; Collin College Homeless Coalition; Community Lifeline Center; First United Methodist, Richardson; Health Services of North Texas; Julia's Center; My Possibilities; North Central Texas Health Care Center Comm.; NTFB; Plano Fire-Rescue; Texas Health Resources; United Way; Wellness Center for Older Adults. Schedule H, Part V, Section B, Line 11 Facility E, 1 Facility E, 1 - Methodist McKinney Hospital. The 2023 tax year represents the second year of the implementation strategy adopted as part of the 2022 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 2022 CHNA covers fiscal years 2023, 2024 and 2025 during which the following accomplishments were made to address the 2022 CHNA priority needs: --Diabetes management: Methodist McKinney provided a dietician for diabetes consults to patients; and is also planning a community education to teach basic principles of diabetes management. --cardiology issues among the Medicare population: Methodist McKinney Hospital implemented calcium scoring assessments and established a medical cardiology service line. This initiative included adding a cardiologist to the medical staff. Services now include procedures such as pacemaker and ICD (implantable cardioverter-defibrillator) implantation, along with care for lower-acuity cardiac patients presenting to the Emergency Department. --Escalating health needs of an aging community: Methodist McKinney has identified clinical staff who has undergone training to become a master trainer for the 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; MMH has also provided joint replacement education classes for patients and their family members. --Senior depression: Methodist McKinney has launched and utilized an EMR to screen the 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. 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 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 CBO will provide all completed FAP applications to Prime Financial where eligibility will be determined and if in-eligible, 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/financial-assistance/; E - METHODIST MCKINNEY HOSPITAL: Line 16a URL: https://methodistmckinneyhospital.com/patient-info/financial-assistance/; 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/financial-assistance/; E - METHODIST MCKINNEY HOSPITAL: Line 16b URL: https://methodistmckinneyhospital.com/patient-info/financial-assistance/; 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/financial-assistance/; E - METHODIST MCKINNEY HOSPITAL: Line 16c URL: https://methodistmckinneyhospital.com/patient-info/financial-assistance/; 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, provides 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, 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 as well as 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 six 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 section of Collin County to the north. 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 and Methodist Richardson, tend to be more economically stable with stronger socioeconomic indicators. These areas include Midlothian, Cedar Hill, Mansfield, Richardson and Plano. 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 areas. 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 FY24, these services reached over 5,000 total attendees to over 320 events focused on age-related health issues), mobile mammography - early detection and treatment for breast cancer (in FY24, Methodist provided 1,475 free screening mammograms), Asian Breast Health Outreach Project (ABHOP) - providing education and mammogram screenings for uninsured and under insured Asian women over the age of 40 (in CY24, the ABHOP provided over 550 screening mammograms at 36 clinics and reached over 1,600 people with vital health education at 44 community events) 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 (in FY24, our Faith Community Nursing has held mental health first aid trainings and health screening events for partnering congregations' members, reaching hundreds of individuals with education, mentoring, resources and other services. 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 1,100 active physicians on staff; 8,000 employees; and 1,800 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 the 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. Schedule H, Part VI, Line 7 State filing of community benefit report TX true Southern Gateway Public Green Foundation 633 W Davis Street 227 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 Midlothian ISD 100 Walter Stephenson Rd Midlothian TX 76065 756002070 Governmental Entity 45000 0 N/A N/A Community Outreach Salesmanship Club 106 E 10th Street Suite 200 Dallas TX 75203 750717135 501(C)(3) 33000 0 N/A N/A community outreach Richardson Chamber of Commerce 411 Belle Grove Richardson TX 75080 750959636 501(c)(6) 28565 0 N/A N/A Community Outreach City of Celina 142 N Ohio St Celina TX 75009 756000481 Governmental Entity 26000 0 N/A N/A Community Outreach Southlake Women's Club 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 LLC 23000 0 N/A N/A Community Outreach Dallas Regional Chamber 500 N Ackard St Suite 2600 Dallas TX 75201 750223440 501(c)(6) 23000 0 N/A N/A community outreach DALLASITES101 2616 Thomas Ave Dallas TX 75204 810764819 LLC 21999 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 Southlake Chamber of Commerce 1501 Corporate cir Southlake TX 76092 751919765 501(C)(6) 18602 0 N/A N/A Community Outreach Texas Association of Voluntary Hospitals 401 W 15th St Austin TX 78701 742974908 501(c)(6) 16000 0 N/A N/A community outreach Midlothian Chamber of Commerce 166 N 8th St Midlothian TX 76065 751691618 501(c)(6) 15675 0 N/A N/A Community Outreach COLLEYVILLE AREA CHAMBER OF COMMERCE PO BOX 1663 Colleyville TX 76034 751685903 501(c)(6) 15000 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 Dallas Citizens Council 1601 ELM STREET 4560 Dallas TX 75201 756035901 501(c)(6) 15000 0 N/A N/A community outreach Wylie Chamber of Commerce 307 N Ballard AVE Wylie TX 75098 751573789 501(c)(6) 12500 0 N/A N/A Community Outreach Best Southwest Chamber of Commerce 300 E Wheatland Road Duncanville TX 75116 752347352 501(c)(6) 12250 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 TEXAS DEPARTMENT OF TRANSPORTATION 125 E 11TH ST Austin TX 78701 330442104 Governmental Entity 10350 0 N/A N/A Community Outreach Mansfield Mission Center INC 78 Regency Pkway Mansfield TX 76063 364753862 501(C)(3) 10000 0 N/A N/A Community Outreach The Greater Celina Chamber Foundation 110 S Preston Road Celina TX 75009 933147080 501(C)(3) 10000 0 N/A N/A Community Outreach North Texas Snap INC PO Box 5 Colleyville TX 76034 752878261 501(C)(3) 10000 0 N/A N/A Community Outreach American Heart Association Inc 7272 Greenville Ave Dallas TX 75231 135613797 501(C)(3) 10000 0 N/A N/A Community Outreach ARMSTRONG BRADFIELD PRESCHOOL ASSOCIATION 25 Highland Park Village 100-230 Box 230 Dallas TX 75205 010722685 501(C)(3) 10000 0 N/A N/A Community Outreach DALLAS SYMPHONY ASSOCIATION 2301 Flora Street Suite 300 Dallas TX 75201 750705442 501(C)(3) 10000 0 N/A N/A Community Outreach Dallas Zoo Management Inc 650 S RL Thornton Fwy Dallas TX 75203 270777846 501(C)(3) 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 Pancreatic Cancer Action Network 2101 Rosencrans Avenue 3200 El Segundo CA 90245 330841281 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 Christ's Family Clinic 6409 Preston Road Dallas TX 75205 462021525 501(C)(3) 10000 0 N/A N/A community outreach Quarterback Club of Celina Texas PO Box 1544 Celina TX 75009 751874675 501(C)(3) 9000 0 N/A N/A Community Outreach Midlothian Downtown Business Association 117 N 8th Street Midlothian TX 76065 205428603 501(c)(6) 9000 0 N/A N/A Community Outreach Celina Chamber of Commerce PO BOX 1476 Celina TX 75009 260121787 501(c)(6) 8750 0 N/A N/A Community Outreach Texas Hospital Association Foundation 1108 Lavaca Street St 700 Austin TX 78701 260597324 501(C)(3) 7793 0 N/A N/A advocacy Cedar Hill ISD Education Foundation 285 Uptown Blvd Cedar Hill TX 75104 352177401 501(c)(3) 7600 0 N/A N/A Community Outreach ThE Richardson ISD Foundation 400 S Greenville Ave Suite 106 Richardson TX 75081 751945087 501(C)(3) 7500 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 City of Southlake 1400 Main Street Suite 420 Southlake TX 76092 751251142 Governmental Entity 7500 0 N/A N/A Community Outreach Colleyville Woman's Club PO Box 181 Colleyville TX 76034 752232238 501(C)(3) 7500 0 N/A N/A Community Outreach OAK CLIFF CHAMBER OF COMMERCE 400 S Zang Blvd 59 Dallas TX 75208 750468625 501(C)(6) 7500 0 N/A N/A Community Outreach PTA TEXAS CONGRESS 719 N MONTCLAIR Dallas TX 75208 756062109 501(C)(3) 7500 0 N/A N/A Community Outreach Kiwanis Club of Mansfield Foundation PO Box 25 Mansfield TX 76063 274823742 501(c)(3) 7400 0 N/A N/A Community Outreach Garland ISD Education Foundation 501 S Jupiter Road Garland TX 75042 752400361 501(C)(3) 7035 0 N/A N/A Community Outreach Boys & Girls Club of Greater Dallas 4816 Worth Street Dallas TX 75246 751152657 501(C)(3) 7000 0 N/A N/A Community Outreach PRESERVATION PARK CITIES 25 Highland Park Village 100-286 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 Duncanville Chamber of Commerce 300 E Wheatland Road Duncanville TX 75116 751097267 501(c)(6) 6050 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 Cedar Hill Chamber of Commerce 300 Houston Street Cedar Hill TX 75104 751717029 501(c)(6) 12000 0 N/A N/A Community outreach Dallas-Fort Worth Hospital Council 300 Decker Drive Suite 300 Irving TX 75062 751254380 501(c)(6) 6000 0 N/A N/A community outreach YMCA OF METROPOLITAN DALLAS INC 146 TOWN CENTER BLVD COPPELL TX 75019 750800696 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 Mansfield ISD Education Foundation 609 E Broad Street Mansfield TX 76063 752765533 501(C)(3) 5300 0 N/A N/A 2021 MISD Education Foundation Drive DALLAS SAFETY NET SUPPORT CORPORATION 1441 N BECKLEY AVE DALLAS TX 75203 823131059 501(C)(3) 10267675 0 N/A N/A INDIGENT CARE DALLAS COUNTY INDIGENT CARE 1441 N BECKLEY AVE DALLAS TX 75203 260610562 501(C)(3) 46234847 0 N/A N/A INDIGENT CARE TARRANT COUNTY INDIGENT CARE 612 E LAMAR BLVD STE 900 ARLINGTON TX 76011 260648532 501(C)(3) 21497953 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) 984397 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) 2322704 0 N/A N/A INDIGENT CARE 42 18 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 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 1569678 0 1441825 0 707769 0 16500 0 60784 0 3796556 0 319528 0 JOHN WILLIS DO Board of Directors 28000 118719 0 146457 0 554 0 13421 0 8973 28000 288124 0 0 CRAIG BJERKE TREASURER & CFO 718071 0 569764 0 98686 0 118345 0 47042 0 1551908 0 88185 0 ROBERT M MILONE ASSISTANT TREASURER 242805 0 65382 0 11104 0 18128 0 24438 0 361857 0 0 0 MICHAEL O PRICE ASSISTANT SECRETARY & CLO 592550 0 472134 0 147746 0 23925 0 54344 0 1290699 0 39393 0 JUAN FRESQUEZ JR PRESIDENT - MMMC 483980 0 330088 0 77373 0 82101 0 48060 0 1021602 0 58953 0 E KENNETH HUTCHENRIDER PRESIDENT - MRMC 526083 0 350847 0 80799 0 91883 0 43898 0 1093510 0 66632 0 FRANCES LAUKAITIS PRESIDENT - MCMC (through Jan 2024) 488031 0 294013 0 92572 0 18132 0 20220 0 912968 0 0 0 JOHN PHILLIPS PRESIDENT - MDMC 708249 0 438610 0 103696 0 118065 0 42700 0 1411320 0 92970 0 LESLIE PIERCE SR VP REVENUE CYCLE 379682 0 178964 0 37280 0 56596 0 40688 0 693210 0 26639 0 PAMELA STOYANOFF President & COO 1084671 0 859392 0 171021 0 171928 0 57476 0 2344488 0 141513 0 CHERYL FLYNN SR VICE PRESIDENT - CHRO (THROUGH MARCH 2024) 505493 0 348682 0 142667 0 15432 0 53123 0 1065397 0 35634 0 BRIAN KENJARSKI SVP DATA GOVERNANCE & CMIO 511636 0 235844 0 46746 0 63093 0 24664 0 881983 0 40903 0 MARTIN L KOONSMAN MD CHIEF MEDICAL OFFICER 582284 0 333696 0 63667 0 100665 0 41015 0 1121327 0 39835 0 PAMELA MCNUTT SENIOR VICE PRESIDENT & CIO 562515 0 325268 0 156371 0 21522 0 56016 0 1121692 0 36125 0 John Myers MD PRESIDENT, METHodist medical group 521955 0 262145 0 16893 0 91046 0 58934 0 950973 0 0 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. 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 / $673,172 PAMELA STOYANOFF $153,329 / $141,513 CRAIG BJERKE $102,079 / $88,185 JOHN PHILLIPS $100,055 / $92,970 MICHAEL PRICE $0 / $123,452 PAMELA MCNUTT $0 / $117,798 MARTIN KOONSMAN JR. $82,159 / $39,835 CHERYL FLYNN $0 / $107,904 E. KENNETH HUTCHENRIDER, JR. $74,551 / $66,632 JUAN FRESQUEZ, JR. $68,952 / $58,953 John Myers $74,546 / $0 FRANCES LAUKAITIS $0 / $68,350 BRIAN KENJARSKI $51,388 / $40,903 LESLIE PIERCE $39,076 / $26,639 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 2024 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 37400000 200000000 250000 199750000 2009 true false true true B 2330000 249992143 1666896 248325247 2022 false false true true A false true false false 0.0295 0.0 0.0295 false false true B false false false false 0.0 0.0 0.0 false false true A false false true false true true GS BOFA ML DBG 33.2 false false false true true B false false true false false false false false true A true B true Laura Adams family member of key employee 90182 Employment false Amanda Laukaitis family member of key employee 99384 Employment false JULIE STOYANOFF family member of key employee 110466 EMPLOYMENT false Brandon Price family member of officer 79427 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 FY2024, MDMC had approximately 16,000 discharges; 2,300 deliveries; 75,000 emergency room visits; 4,600 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 FY2024, MCMC had approximately 12,600 discharges; 1,100 deliveries; 89,000 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, 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 that accommodate up to 3,800 deliveries each year. 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 FY2024, MMMC had approximately 12,600 discharges; 2,000 deliveries; 64,000 emergency room visits; 2,600 inpatient surgeries; and 3,300 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 FY2024, MRMC had approximately 14,500 discharges; 2,000 deliveries; 60,000 emergency room visits; 2,900 inpatient surgeries; and 4,000 outpatient surgeries. MLMC is a general acute care hospital located on U.S. Highway 287 in Midlothian, Texas. It currently has 46 licensed beds. The facility is a full service, general acute care hospital, including OB and ED services. The facility opened in November 2020. In FY2024, MLMC had approximately 1,900 discharges; 160 deliveries; 29,000 emergency room visits; 300 inpatient surgeries; and 800 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. 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 27 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 FY2024, 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, participates in the Texas Healthcare Transformation and Quality Improvement Program: Medicaid 1115 Waiver ("Waiver Program"). The Waiver Program provides 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 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 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 consideration for fiscal year 2025 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 2025 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. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Parking Venue - Total Revenue: 256649, Related or Exempt Function Revenue: , Unrelated Business Revenue: 72218, Revenue Excluded from Tax Under Sections 512, 513, or 514: 184431; Miscellaneous - Total Revenue: 1587521, Related or Exempt Function Revenue: 1587521, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Methodist Community Pharmacy LLC 1441 N Beckley Ave Dallas TX 75203 830538315 Patient Pharmacy TX 9033647 10080988 Methodist Hospitals of Dallas MHS-1211 Beckley Property LLC 1441 N Beckley Ave Dallas TX 75203 823651763 Property Management TX 6733 1724904 Methodist Hospitals of Dallas MetSL Holdings LLC 11221 Roe Ave Leawood KS 66211 812295479 Medical Services KS 0 0 Methodist hospitals of Dallas MetSL LLC 11221 Roe Ave Leawood KS 66211 812332488 Outpatient surgery KS 159184 206018 Methodist hospitals of Dallas ASSOCIATES IN SURGICAL ACUTE CARE 1441 N BECKLEY AVE DALLAS TX 75203 262126265 MEDICAL SERVICES TX 501(c)(3) 10 METHODIST HOSPITALS OF DALLAS true CAREFLITE 3110 S GREAT SW PARKWAY GRAND PRAIRIE TX 75052 751657155 MEDICAL TRANSPORT TX 501(c)(3) 10 NA false DALLAS COUNTY INDIGENT CARE CORP 1441 N BECKLEY AVE DALLAS TX 75203 260610562 FUNDING FOR INDIGENT CARE TX 501(c)(3) Type I NA false DALLAS METHODIST HOSPITALS FOUNDATION 1441 N BECKLEY AVE DALLAS TX 75203 751548343 FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS TX 501(c)(3) 7 METHODIST HOSPITALS OF DALLAS true DALLAS METHODIST PHYSICIANS NETWORK 1441 N BECKLEY AVE DALLAS TX 75203 752693707 HEALTH CARE CONTRACTING TX 501(c)(6) METHODIST HOSPITALS OF DALLAS true MEDHEALTH 1441 N BECKLEY AVE DALLAS TX 75203 752896138 MEDICAL SERVICES TX 501(c)(3) Type I METHODIST HOSPITALS OF DALLAS true METHODIST-CDI 1441 N BECKLEY AVE DALLAS TX 75203 465265469 MEDICAL SERVICES TX 501(c)(3) 3 METHODIST HOSPITALS OF DALLAS true METHODIST PATIENT CENTERED ACO 1441 N BECKLEY AVE DALLAS TX 75203 352436666 MEDICAL SERVICES TX 501(c)(3) 10 METHODIST HOSPITALS OF DALLAS true METHODIST RICHARDSON MEDICAL CENTER FOUNDATION 401 W Campbell Road RICHARDSON TX 75080 751788520 FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS TX 501(c)(3) Type I METHODIST HOSPITALS OF DALLAS true METHODIST TRANSPLANT PHYSICIANS 1441 N BECKLEY AVE DALLAS TX 75203 010612870 MEDICAL SERVICES TX 501(c)(3) Type I METHODIST HOSPITALS OF DALLAS true METHODIST URGENT CARE 1441 N BECKLEY AVE DALLAS TX 75203 471054059 MEDICAL SERVICES TX 501(c)(3) 3 METHODIST HOSPITALS OF DALLAS true Methodist Community Collaborative 1441 N BECKLEY AVE DALLAS TX 75203 264193362 MEDICAL SERVICES TX 501(c)(3) Type I METHODIST HOSPITALS OF DALLAS true NELLE NORRELL FOUNDATION 1441 N BECKLEY AVE DALLAS TX 75203 756034201 FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS TX 501(c)(3) Type I METHODIST HOSPITALS OF DALLAS true PAVILION PROPERTIES 1441 N BECKLEY AVE DALLAS TX 75203 752284449 REAL ESTATE TITLE HOLDING TX 501(c)(2) METHODIST HOSPITALS OF DALLAS true PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS 1441 N BECKLEY AVE DALLAS TX 75203 752966610 MEDICAL SERVICES TX 501(c)(3) Type I METHODIST HOSPITALS OF DALLAS true Methodist Puerto Rico Transplant Administrative Corporation 1441 N Beckley Ave Dallas TX 75203 824253307 Transplant Administration TX 501(c)(3) Type II Methodist Hospitals of Dallas true Dallas Safety Net Support Corp 1441 N Beckley Ave Dallas TX 75203 823131059 FUNDING FOR INDIGENT CARE TX 501(c)(3) Type I NA false Tarrant Safety Net Support Corp 612 E Lamar Blvd STE 900 Arlington TX 76011 823171862 FUNDING FOR INDIGENT CARE TX 501(c)(3) Type I NA false METDALSPI HOLDING LLC 340 Seven Springs Way Suite 600 Brentwood TN 37027 263207402 Medical Services TX METHODIST HOSPITALS OF DALLAS Related 18320538 10253441 false true 0.804 METDALSPI LLC 11221 ROE AVE LEAWOOD KS 66211 263195791 HOSPITAL TX METDALSPI HOLDING LLC N/A METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC 5775 WAYZATA BLVD Suite 400 ST LOUIS PARK MN 55416 472352211 Management Services TX METHODIST HOSPITALS OF DALLAS Related 200604 22227362 false false 0.51 METHODIST MCKINNEY HOSPITAL LLC 11250 Tomahawk Creek Parkway LEAWOOD KS 66211 208847736 Medical Services TX METHODIST HOSPITALS OF DALLAS Related 573300 0 false true 0.5096 METHODIST URGENT CARE OF TEXAS LLC 265 BROOKVIEW CENTRE WAY Suite 203 KNOXVILLE TN 37919 352509140 MANAGEMENT SERVICES TX METHODIST HOSPITALS OF DALLAS Related -27043 953401 false false 0.51 MHD USO GENERAL LLC PO BOX 819067 TAX DEPT Dallas TX 75381 203843579 MEDICAL SERVICES TX NORTH TEXAS HEALTH FACILITIES MGMT N/A MHD-USO MANAGEMENT COMPANY LP PO BOX 819067 TAX DEPT Dallas TX 75381 203844027 MEDICAL SERVICES TX NORTH TEXAS HEALTH FACILITIES MGMT N/A MHS-CHC I LP 330 Seven Springs Way Brentwood TN 37027 205000978 REHAB HOSPITAL TX METHODIST HOSPITALS OF DALLAS Related 7667274 4381469 false false 0.6825 MHS-CHC LLC 330 Seven Springs Way Brentwood TN 37027 204921888 HOSPITAL SERVICES TX METHODIST HOSPITALS OF DALLAS Related 83811 544773 false false 0.75 Methodist Mansfield Ambulatory Surgery Center LLC PO Box 655999 Dallas TX 75265 260869371 Ambulatory Services TX Methodist Hospitals of Dallas Related 857532 0 false true 0 MetSL Property Investor LLC 1441 N Beckley Ave Dallas TX 75203 842937533 Ground Lease TX Methodist Hospitals of Dallas Related 86733 872112 false true 0.5597 Methodist Transitional Care Center - DeSoto LLC 1780 HUGHES LANDING BLVD Suite 500 THE WOODLANDS TX 77380 843935720 Skilled Nursing and Rehabilitation Center TX METHODIST HOSPITALS OF DALLAS Related -504635 180719 false false 0.51 MSP ASC Holdings LLC 340 Seven Springs Way Suite 600 Brentwood TN 37027 923847291 Holding company TX Methodist Hospitals of Dallas Related 370809 3876451 false 368651 true 0.6 MSP McKinney Holdings LLC 340 Seven Springs Way Suite 600 Brentwood TN 37027 932242049 Holding company TX Methodist Hospitals of Dallas Related 1082247 10480582 false true 0.823 NORTH TEXAS HEALTH FACILITIES MANAGEMENT PO Box 655999 Tax Dept DALLAS TX 75265 751700994 Property and practice management TX METHODIST HOSPITALS OF DALLAS C Corporation 4443561 9443007 1 true COLLECTECH FINANCIAL SERVICES INC 1441 N BECKELY AVE DALLAS TX 75203 752369856 BILLING AND COLLECTION TX NORTH TEXAS Health FACILITIES MGMT C Corporation false false true true false false false false false false true true true true false true false true true true DALLAS METHODIST HOSPITALS FOUNDATION C 7039506 FMV DALLAS METHODIST HOSPITALS FOUNDATION Q 3112422 FMV DALLAS METHODIST PHYSICIANS NETWORK L 422960 FMV MEDHEALTH R 104522627 FMV MEDHEALTH S 45160695 FMV Methodist Richardson Medical Center Foundation C 286451 FMV METHODIST TRANSPLANT PHYSICIANS R 164517 FMV PHYSICIANS ASSOC OF SW DALLAS R 2094029 FMV NELLE NORRELL C 72013 FMV