| 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 nearly 85 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 FY2020, MDMC had 15,046 discharges; 82,005 inpatient days; 4,408 inpatient newborn days; 62,042 emergency room visits; 4,145 inpatient surgeries; and 3,984 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 about a dozen 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 FY2020 MCMC had 13,650 discharges; 68,549 inpatient days; 4,834 newborn inpatient days; 71,886 emergency room visits; 1,641 inpatient surgeries; and 1,664 outpatient surgeries. The 262 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 FY2020 MMMC had 11,519 discharges; 56,117 inpatient days; 3,554 newborn inpatient days; 54,453 emergency room visits; 1,835 inpatient surgeries; and 2,530 outpatient surgeries. MRMC serves the residents of Richardson, Plano, North Dallas, Collin County and surrounding communities. MRMC has two campuses: Campbell Road and Bush/Renner. Up until April 2014, the Campbell Road Campus operated as a 200-bed acute care facility with independently practicing physicians offering more than 35 different specialties along with a full service emergency room. The Campbell Road Campus has since been 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 has expanded the unit to offer an additional 22 inpatient beds for geriatric behavioral health patients. The Bush/Renner campus, in East Richardson, included an outpatient hospital and full service emergency room with 4 observation beds. In April 2014, Methodist opened an acute-care 134 licensed bed inpatient facility at the Bush/Renner campus bringing the total number of licensed beds for MRMC to 334. Since opening, the Bush/Renner facility has expanded with an additional 52 beds bringing the total of licensed beds for Bush/Renner to 186 and for both campuses to a total of 386. Among the enhancements of the new facility are the doubled size of the intensive care unit and the neonatal intensive care unit, and the ability to open a second cardiac catheterization lab. 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 FY2017, years ahead of schedule, and due to increased volume for specialized and acute care services, Methodist Richardson Medical Center began construction on two additional patient floors with all-private patient rooms as well as a surgical operating room and a 500-space parking garage. The parking garage was completed ahead of schedule in the fall of 2018. The vertical expansion was completed at the end of 2019 bringing the total number of beds to 443 for both campuses. In FY2020, MRMC had 12,443 discharges; 65,974 inpatient days; 2,770 newborn inpatient days; 47,014 emergency room visits; 2,368 inpatient surgeries; and 2,901 outpatient surgeries. 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 21 locations in the MHS service area. |
| Form 990, Part III, Line 4a Description Continued (2) |
Significant sections of MHS' 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 FY2020, 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, the major hospitals servicing Dallas County have collaborated in the development of the Dallas County Indigent Care Plan which is part of the Upper Payment Limit (UPL) program approved by the state and federal governments. The DSRIP (Delivery System Reform Incentive Payment) pool provides payments to hospitals and other providers upon their achieving certain goals that are intended to improve the quality and lower the cost of care. DSRIP is part of the federally approved 1115 waiver that preserves UPL funding under a new methodology, but allows for managed care expansion to additional areas of the state. The program, which MHS facilities have participated in since it began, helps fund efforts targeted toward promoting appropriate emergency room utilization, evidence based clinical and quality improvement in chronic disease management for emergency room patients with diabetes and assisting a community-based charity clinic in enhancing the quality of their services by adopting a "medical home" model of patient care. Throughout FY2020, Methodist Health System's DSRIP projects continued to impact our low income and uninsured patient populations by leveraging relationships with internal and external partners (Meals on Wheels/VNA, Metrocare Behavioral Health, Meals On Wheels, etc.) to address patients' social services and healthcare access needs. 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. MHS completed a more than $108 million expansion to the MDMC emergency room, critical care, and surgery departments with a new six-story trauma and critical care center in 2014. The 248,000 square foot trauma and critical care center includes 58 new 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. MDMC 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 ARE APPROVED BY THE BOARD PRIOR TO THE INVESTMENT. |
| 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 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 SHALL DISCLOSE ANY FINANCIAL INTEREST OR EXTERNAL LOYALTY, ORALLY OR IN WRITING, WHEN HE OR SHE BECOMES AWARE THAT A RELATED CONTRACT, TRANSACTION OR OTHER RELEVANT DECISION IS UNDER CONSIDERATION OR THAT A FINANCIAL INTEREST OR EXTERNAL LOYALTY HAS NOT BEEN DISCLOSED. EACH DIRECTOR, OFFICER, AND TRUSTEE SHALL SEEK AND ACCEPT RESOLUTION OF ANY CONFLICTS OF INTEREST ARISING FROM FINANCIAL INTERESTS OR EXTERNAL LOYALTIES, TO THE SATISFACTION OF THE BOARD OF DIRECTORS. IN THE EVENT OF ANY FINDING THAT POTENTIAL CONFLICT OF INTEREST ISSUES ARE PRESENT, THE ISSUE(S) ARE REPORTED TO THE BOARD CHAIRMAN AND THE AUDIT & CORPORATE OVERSIGHT COMMITTEE ("AUDIT COMMITTEE") CHAIR, TOGETHER WITH A RECOMMENDED RESOLUTION FOR THE POTENTIAL CONFLICT. THE BOARD CHAIR AND AUDIT COMMITTEE MAY APPROVE THE PROPOSED RESOLUTION OR EITHER MAY RECOMMEND FURTHER MEASURES. EITHER THE BOARD CHAIRMAN OR THE AUDIT COMMITTEE MAY REFER AN ISSUE TO THE FULL AUDIT COMMITTEE FOR FURTHER REVIEW AND ACTION. A DIRECTOR, OFFICER, OR TRUSTEE WHO HAS, OR WHOSE RELATIVE HAS, PRIVATE INTERESTS OR RELATIONSHIPS THAT MIGHT CONSTITUTE A FINANCIAL INTEREST OR AN EXTERNAL LOYALTY HAS AN AFFIRMATIVE DUTY TO (A) DISCLOSE THE FACTS ON THE FINANCIAL INTEREST OR EXTERNAL LOYALTY TO THE BOARD OF DIRECTORS; (B) REQUEST A DETERMINATION BY THE BOARD OF DIRECTORS ON WHETHER THE FACTS DISCLOSED RAISE QUESTIONS OF ACTUAL OR APPARENT POTENTIAL CONFLICTS OF INTEREST; (C) RESOLVE TO THE BOARD'S SATISFACTION ANY ISSUE RAISED BY FINANCIAL INTERESTS OR EXTERNAL LOYALTIES IN THE EVENT THE BOARD THEN OR LATER DEEMS THEM TO BE POTENTIAL CONFLICTS OF INTEREST; AND (D) NOT VOTE ON OR OTHERWISE PARTICIPATE IN MHS'S DECISIONS ON CONTRACTS, TRANSACTIONS, OR RELATIONSHIPS THAT AFFECT FINANCIAL INTERESTS OR EXTERNAL LOYALTIES. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official |
An outside firm is engaged to conduct a compensation study, which includes comparability data, every three years. The study was most recently conducted in fiscal year 2019. The results of the most recent study were analyzed in fiscal year 2020 by the independent Board's Compensation Committee in the determination of the CEO's compensation. The committee contemporaneously substantiated the deliberation and decision. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees |
An outside firm is engaged to conduct a compensation study, which includes comparability data, every three years. This was most recently conducted in fiscal year 2019. The results of the most recent study were analyzed in fiscal year 2020 by the CEO who then proposes 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 substantiated the deliberation and decision. |
| 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 |
Coffee shop sales - Total Revenue: 304746, Related or Exempt Function Revenue: 304746, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Grab N go sales - Total Revenue: 392005, Related or Exempt Function Revenue: 392005, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Guest Room rental income - Total Revenue: 269665, Related or Exempt Function Revenue: 269665, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous income - Total Revenue: 337404, Related or Exempt Function Revenue: 337404, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances |
Transfer to affiliates - 1334641; |
Attach to Form 990 or 990-EZ.