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TMH PHYSICIAN ORGANIZATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TMH PHYSICIAN ORGANIZATION (EIN 57-1201170)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201233199349303363
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T12:25:04-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 Bagby Street Suite 4500AddressLine1
CityHoustonCity
StateTXState
ZIP Code77002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN571201170EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TMH PHYSICIAN ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTMHPNameControl
Phone8326676160Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16565 Fannin No GB-240AddressLine1
CityHoustonCity
StateTXState
ZIP Code770302707ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEdward L TyrrellName
TitleTreasurerTitle
Phone8326676160Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNancy Z EvettsName
PTINP00407310PTIN
Phone7139822000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonH Dirk Sostman MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16565 Fannin No GB-240AddressLine1
CityHoustonCity
StateTXState
ZIP Code770302707ZIPCode
FieldValueIRS element (for citing)
Gross Receipts268744865GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number5792GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1554TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year544423ContributionsGrantsPriorYear
Contributions Grants Current Year457077ContributionsGrantsCurrentYear
Program Service Revenue Prior Year239027516ProgramServiceRevenuePriorYear
Program Service Revenue CY268287788ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year239571939TotalRevenuePriorYear
Total Revenue Current Year268744865TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year28303GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY22845GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year184591648SalariesEtcPriorYear
Salaries Etc Current Year209738537SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year55427927OtherExpensePriorYear
Other Expenses Current Year62815279OtherExpensesCurrentYear
Total Expenses Prior Year240047878TotalExpensesPriorYear
Total Expenses Current Year272576661TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-475939RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3831796RevenuesLessExpensesCY
Total Assets BOY30988752TotalAssetsBOY
Total Assets EOY36437472TotalAssetsEOY
Total Liabilities BOY38339144TotalLiabilitiesBOY
Total Liabilities EOY47606666TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7350392NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-11169194NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense261706793Expense
Grants22845Grants
Revenue268287788Revenue
DescriptionSee Schedule ODescription
Total Program Service Expense261706793TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1554NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Edward L Tyrrell FACHEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8326676160TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16565 Fannin GB-240AddressLine1
CityHoustonCity
StateTXState
ZIP Code770302707ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Marc L Boom MD
Director-Secretary7.00XX080685745656
H Dirk Sostman MD
Director, Chair/Pres/CEO9.00XX080019271106
Stuart M Dobbs MD
Director2.00X01490130
Victor Fainstein MD
Director2.00X0813030
Stanley Appel MD
Director50.00X706602042623
Barbara L Bass MD
Director50.00X1348630061756
Timothy B BooneMD PHD
Director50.00X772428049115
E Brian Butler MD
Director50.00X622814059060
James M Musser MD PHD
Director45.00X895043063963
Jamie Gateno DDS MD
Director50.00X347868058992
Robert G Grossman MD
Director50.00X572461039965
Alan Kaplan MD
Director50.00X487562044452
Andrew G Lee MD
Director50.00X495267041002
King J Li MD
Director50.00X532434034880
Alan B Lumsden MD
Director50.00X951641048046
Ken Mathis MD
Director50.00X792096071106
Joseph Naples MD
Director50.00X559709024568
Miguel Quinones MD
Director50.00X628964046814
Richard J Robbins MD
Director50.00X982315043312
John E Hagale
Assistant Secretary, Part Year1.00X0104515556882
Edward L Tyrrell
Treasurer3.00X043650747814
Aldona Spiegel MD
Physician50.001692366050772X
Pierre Chevray MD
Physician50.001558556026303X
Timothy Sitter MD
Physician50.001201477044752X
Michael Klebuc MD
Physician50.001202763061663X
Vincent Phan MD
Physician50.001773452048245X
Ayse O McCracken
Former Officer0.00140781016534X
FieldValueIRS element (for citing)
Total Reportable Comp From Org18265229TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3319027TotalReportableCompFrmRltdOrgs
Total Other Compensation1199381TotalOtherCompensation
Number Individuals GT100 K383NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ATHENAHEALTH INC
P O BOX 415615BOSTONMA02241A/R SERVICES4115509
PER-SE' TECHNOLOGIES
P O BOX 403421ATLANTAGA30384COLLECTION SERVICES2078465
ADDISION SEARCH LLC
222 S RIVERSIDE PLAZA SUITE 1710CHICAGOIL60606STAFFING SERVICE553627
PULSE STAFFING
5353 WEST ALABAMAHOUSTONTX77056MEDICAL TEMP STAFFING454645
ALLEGRO TRAVEL
19 BRIAR HOLLOW SUITE 246HOUSTONTX77027TRAVEL SERVICES338485
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Government Grants352077GovernmentGrants
All Other Contributions105000AllOtherContributions
Total Contributions457077TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Professional Fees900099176399339176399339
I/C Hospital Assoc Rev9000998625726586257265

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column5631184TotalRevenueColumn
Related Or Exempt Function Income5631184RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue268287788TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column268744865TotalRevenueColumn
Related Or Exempt Function Income268287788RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total22845Total
Program Services22845ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total11582803Total
Program Services11425488ProgramServices
Management And General157315ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total166783288Total
Program Services163898442ProgramServices
Management And General2884846ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9967856Total
Program Services9808541ProgramServices
Management And General159315ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13391911Total
Program Services13157133ProgramServices
Management And General234778ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8012679Total
Program Services7876189ProgramServices
Management And General136490ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1020000Total
Management And General1020000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2450Total
Program Services2450ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14128331Total
Program Services8570718ProgramServices
Management And General5557613ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total376518Total
Program Services376518ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7594655Total
Program Services7400921ProgramServices
Management And General193734ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total71162Total
Program Services67617ProgramServices
Management And General3545ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9014167Total
Program Services8698909ProgramServices
Management And General315258ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1706190Total
Program Services1687085ProgramServices
Management And General19105ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total619590Total
Program Services600174ProgramServices
Management And General19416ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2264122Total
Program Services2102089ProgramServices
Management And General162033ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5474544Total
Program Services5472346ProgramServices
Management And General2198ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt1230751412307514
Medical Supplies647925064750734177
Research Funding14588721458872
Intercompany Expense28705928701445

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10855Total
Program Services10855ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total272576661Total
Program Services261706793ProgramServices
Management And General10869868ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY657305BOY
EOY1036783EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14670923BOY
EOY16132747EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY138961BOY
EOY176383EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY445462BOY
EOY252976EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis28262955LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10969319LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13976966BOY
EOY17293636EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1099135BOY
EOY1544947EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30988752BOY
EOY36437472EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26851449BOY
EOY23906871EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11487695BOY
EOY23699795EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38339144BOY
EOY47606666EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7350392BOY
EOY-11169194EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7350392BOY
EOY-11169194EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30988752BOY
EOY36437472EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3831796ReconcilationRevenueExpenses
Reconcilation Other Changes12994ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Methodist HospitalBusinessNameLine1
FieldValueIRS element (for citing)
EIN741180155EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10543553OtherCostOrOtherBasis
Depreciation168124Depreciation
Book Value10375429BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17719402OtherCostOrOtherBasis
Depreciation10801195Depreciation
Book Value6918207BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17293636TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Related OrganizationDescription
Amount$23,699,795Amount
FieldValueIRS element (for citing)
Total Of Amounts23699795TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationTMH Physician Organization's financial statements were audited by an independent accountant as part of a consolidated finanical statement of the Methodist Hospital System (TMHS). TMHS did not recognize any adjustments related to uncertain tax positions as of December 31, 2011.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
Houston Area Parkinson Society
2700 Southwest Fwy Ste 296HoustonTX77098510138356501 (c)(3)10000Donation
Fort Bend Education Foundation
P O Box 1004Sugar LandTX774871004760383233501 (c)(3)5000Donation
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Prior to TMH Physician Organization's approval of a grant to a requesting organization, the following criteria must be met: - The requesting organization must be an organization exempt from federal income tax under Section 501 (c) (3) of the Internal Revenue Code. - The requesting organization must provide a recognizable or demonstrable benefit to the community. - The mission of the requesting organization must augment the mission of TMH Physician Organization. - The requesting organization's mission and services should not duplicate and must not conflict with TMH Physician Organization. By following the above criteria, the Organization ensures all grants are used by receiving organizations for their exempt purpose.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Marc L Boom MD
05510680195036060753025600020056085251300
H Dirk Sostman MD
0613693092009094490025600045506087129800
Stanley Appel MD
663784000428180256000170230749225000
Barbara L Bass MD
12865680006206202100004075601410386000
Timothy B BooneMD PHD
6815710800000108570210000281150821543000
E Brian Butler MD
4002210215410071830210000380600681874000
James M Musser MD PHD
68666101750000333820233000406630959006000
Jamie Gateno DDS MD
335593000122750210000379920406860000
Robert G Grossman MD
5425040150000149570207000192650612426000
Alan Kaplan MD
47830400092580256000188520532014000
Andrew G Lee MD
442522050000027450210000200020536269000
King J Li MD
507191000252430210000138800567314000
Alan B Lumsden MD
79157901500000100620210000270460999687000
Ken Mathis MD
78671400053820256000455060863202000
Joseph Naples MD
449468060000050241021000035680584277000
Miguel Quinones MD
599246000297180256000212140675778000
Richard J Robbins MD
731517020574504505302100002231201025627000
John E Hagale
0567806025457402227750256000312820110203700
Edward L Tyrrell
0285888097553053066025600022214048432100
Aldona Spiegel MD
122324704641820493702100002977201743138000
Pierre Chevray MD
59844009460930140230210000530301584859000
Timothy Sitter MD
68286505132300538202100002375201246229000
Michael Klebuc MD
687017050301801272802100004066301264426000
Vincent Phan MD
98497407849680351002053302771201821697000
Ayse O McCracken
114780998130294900164740600157315000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental InformationPart IIIForm 990, Schedule J, Part I, Question 3: The CEO of this organization is employed by a related organization who utilized the following items to establish compensation: (1)compensation committee; (2)independent compensation consultant; (3)compensation survey or study; (4)approval by the board or compensation committee.
Supplemental InformationPart IIIForm 990, Schedule J, Part I, Question 4a The Methodist Hospital System has a formal severance plan. Eligible employees include all staff including hourly staff up through senior vice presidents provided they work at least 20 hours per week and are not otherwise covered by a physician employment agreement. The plan only provides salary and benefits in the event an eligible employee is involuntarily terminated due to the elimination of their position or if their current position is significantly impacted by an organizational restructuring or change in requirement and a comparable position is not available within the organization. The eligible person must also sign a termination agreement in order to receive salary continuation and benefits under the plan to which they would not normally be eligible to receive under a voluntary resignation.
Supplemental InformationPart IIIForm 990, Schedule J, Part I, Question 4b Marc L Boom, MD: $42,240; John E Hagale: $107,421; H Dirk Sostman, MD: $63,650; Edward L Tyrrell: $14,159; Ayse O McCraken: $28,398; all received monies from Supplemental Executive Retirement Plan (SERP) described below: The SERP is a non qualified employer funded plan. Contributions are made annually into a tax deferred account and are considered taxable upon vesting (i.e. completion of three years of vesting service). Once vested, each year's subsequent contribution is taxable within the calendar year in which the deposit was made. Account balances cannot be accessed until retirement or termination (whichever occurs first) and may be subject to non-revocable distribution options selected upon employment. Stanley H Appel, MD: $26,750; Barbara L Bass, MD: $52,000; James Musser, MD: $28,000; King J Li, MD: $20,442; Richard Robbins: $29,607; Joseph Naples, MD: $27,000, all received monies from Supplemental Physician Retirement Plan (SPRP) described below: The Supplemental Physician Retirement Plan is a non qualified employer funded plan. Funding is based upon a predetermined percentage of base salary paid. Contributions are made biweekly into a tax deferred account and are considered taxable upon vesting (i.e. completion of three years of vesting service). Once vested, each year's subsequent contribution is taxable within the calendar year in which the deposit was made. Account balances cannot be accessed until retirement or termination (whichever occurs first) and may be subject to non-revocable distribution options selected upon employment.
Supplemental InformationPart IIIForm 990, Schedule J, Part I, Question 7: This organization provides variable compensation opportunity through an annual management incentive plan. A percent of the bonus payout is based on the consolidated operating income result of The Methodist Hospital, which includes the operating income results of this organization. The targeted operating income is part of the annual budget approved by the governing Board which takes into consideration operational goals, market conditions, past operating performance, and external benchmarking information.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Hilary Beaver MD
See Part V213859Employment0
Joan Appel
See Part V104772Employment0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationHilary Beaver, MD - Family member of Andrew G Lee, MD, Board DirectorJoan Appel - Family member of Stanley M. Appel, MD, Board DirectorExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Organization MissionForm 990, Part I and Part III, Line 1This organization is part of The Methodist Hospital System, whose mission is: To provide high quality, cost-effective health care that delivers the best value to the people we serve in a spiritual environment of caring in association with internationally recognized teaching and research.
Program Service AccomplishmentsForm 990, Part III, Line 4aThe TMH Physician Organization was organized to engage in activities to further one or more of the following specific purposes: (i) the carrying out of scientific research and research projects in the public interest in the fields of medical sciences, medical economics, public health, sociology, and related areas; (ii) the supporting of medical education in medical schools through grants and scholarships, (iii) the improving and developing of abilities of individuals and institutions studying, teaching, and practicing medicine; (iv) the engaging in the instruction of the general public in the area of medical science, public health and hygiene and related instruction useful to the individual and beneficial to the community; and (v) the delivery of various modalities of health care to the public. In 2011, TMH Physician Organization pursued the above specific purposes largely through the employment of physicians that were organized in the departments according to the specialities. In 2011, TMH Physician Organization provided services to over 160,000 unique patients and had more than 671,000 patient visits (excluding Anesthesia, MASTOS and Pathology services). As of December 31, 2011, the Physician Organization employed 319 physicians and 807 staff. Educational opportunities were provided to 192 TMHPO residents and fellows from various ACGME approved programs.
Form 990, Part VI, Section A, line 6The Methodist Hospital is the sole Corporate Member of this organization.
Form 990, Part VI, Section A, line 7aThe sole Corporate Member of the organization, The Methodist Hospital appoints the Board of Directors.
Form 990, Part VI, Section A, line 7bThe sole Corporate Member of the Organization (The Methodist Hospital) reserves the following powers: -to appoint and remove with or without cause the Directors of the organization; -to approve the incurrence by the organization of any indebtedness and all guarantees of the debt of another party; -to approve the annual operating and capital budgets of the organization after they are prepared and approved by the organization's Board of Directors; -to approve the dissolution of the organization; -to approve the organization's participation in partnerships and joint ventures; -to approve the acquisition or disposition by the organization of real property from or to a non-Corporation controlled organization through ownership, lease or otherwise; -to approve the disposition or acquisition by the organization of, or the investment by the organization in, another business or all or a portion of the business or operations of another business; -to establish, acquire or invest in any new or different business; and -to direct the organization in its actions as the corporate member or shareholder of other entities, including but not limited to, approving amendments to the articles of incorporation and bylaws of such other organizations.
Form 990, Part VI, Section B, line 11Management, including certain Officers, works diligently to complete the Form 990 and attached schedules (Return) in a thorough manner. The Return is prepared by a Paid Preparer.
Form 990, Part VI, Section B, line 12cAll Individuals serving in a significant decision making capacity complete a Conflict of Interest (COI) questionnaire annually. A comprehensive evaluation and thorough review of all disclosures is performed by a 6-member COI Committee comprised of executives, management, and staff. The results of the COI disclosures are reported to the parent corporation, The Methodist Hospital's Audit & Compliance Committee and Board of Directors, including the actions being taken to protect the integrity of decision-making. In addition, disclosure results are also communicated to management and to affected committee chairs to promote transparency and to ensure that actions are taken and restrictions are imposed where appropriate. Conflicted individuals may not vote or exert self-serving influence on the disclosed matter.
Form 990, Part VI, Section B, line 15The Methodist Hospital (sole corporate member) follows IRS regulations as it relates to establishing a rebuttable presumption of reasonableness related to total compensation of the CEO of this organization as well as other key employees and compensated officers of the organization listed below. It has established a process that includes the following elements: A separate committee of the board of TMH (the "Board Committee"), comprised of independent directors meets at least annually to review, deliberate and make recommendations to the Board of TMH as it relates to any changes in total compensation including base pay, bonus awards from incentive programs or benefits and perquisites of the CEO. For 2011, the Board Committee reviewed and recommended compensation packages for the following positions: -EVP/Chief Academic Officer/Chief Medical Officer, The Methodist Hospital who also serves as Chairperson & CEO for The Methodist Hospital Physician Organization(TMHPO) -EVP, The Methodist Hospital (Secretary, TMHPO) -EVP, Chief Financial Officer/Chief Administrative Officer, The Methodist Hospital (Assistant Secretary, TMHPO) The Board Committee establishes that no member has any conflict of interest with regard to the executive compensation arrangements being approved. The Board Committee reviews and considers information provided by an external consultant engaged to ensure it has direct access to: -Compensation information paid by comparable organizations, for functionally comparable positions. -Compensation norms in the organization's immediate locale and from other independent compensation surveys by nationally recognized independent firms that represent the organization's logical peer group. -Compensation information that includes information on base salary, incentives, benefits and perquisites for total compensation comparison purposes to ensure reasonable competitive ranking. The Board Committee relies on the comparability data to reach consensus that its recommendations to the Board regarding executive compensation changes are reasonable and in line with organization's overall total compensation philosophy for executive pay. The deliberations and decisions of the Board Committee are contemporaneously substantiated. The compensation for positions held by the other compensated Officers and Directors listed on Part VII, Section A is determined based on a thorough review of numerous compensation studies conducted by nationally recognized, independent firms that provide market data for total compensation for similar positions. The compensation information considered includes information on base salary, incentives, and benefits for total compensation purposes to ensure reasonable competitive ranking in order to meet recruitment and retention objectives that secure the talent required to contribute to organizational success.
Form 990, Part VI, Section C, line 19The governing documents (except the Articles of Incorporation, which are on file with the Secretary of the State of Texas), conflict of interest policy and financial statements of the organization are not made available to the general public.
Form 990, Part VII, Section A, Column BCertain officers/directors of TMH Physician Organization are employees of The Methodist Hospital or its affiliates. These officers and directors who are employed by this or other related organizations work in excess of 50 hours per week on behalf of this organization and other organizations of the Methodist Hospital System (System). The compensation shown on Schedule J reflects the total compensation earned for the officers/directors for the combined hours spent working for all the organizations in the System. However, the hours reflected in Part VII, Section A are the estimated hours spent working only on behalf of this organization.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Equip Transfers - Restricted Funds 12,994. Total to Form 990, Part XI, Line 5: 12,994.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Methodist Hospital Self-Insurance Trust
6565 FanninHoustonTX77030741948396Insurance TrustTX501 ( c ) (3)Line 11a, IThe Methodist Hospital0
San Jacinto Family Practice Education Foundation
4401 Garth RoadBaytownTX77521760556120Health Care EducationTX501 ( c ) (3)Line 11a, ISan Jacinto Methodist Hospital0
San Jacinto Medical Group
4401 Garth RoadBaytownTX77521760516915Health CareTX501 ( c ) (3)Line 11a, ISan Jacinto Methodist Hospital0
The Methodist Health Care System STD Plan Trust
6565 FanninHoustonTX77030766161019Insurance TrustTXSection 671The Methodist Hospital0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Medvest 1 LimitedBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16565 FanninAddressLine1
CityHoustonCity
StateTXState
ZIP Code77030ZIPCode
FieldValueIRS element (for citing)
EIN760534067EIN
Primary ActivityHealth Care InvestmentsPrimaryActivity
Legal Domicile StateTXLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
Allied Methodist Hospital Physicians
6565 FanninHoustonTX77030760551274Physician GroupTXN/AC
Medvest Holdings Inc
6565 FanninHoustonTX77030760667765Health Care InvestmentsTXN/AC
Medvest Incorporated
6565 FanninHoustonTX77030760182470Health Care InvestmentTXN/AC
Methodist International
6565 FanninHoustonTX77030300347273Health Care ConsultingTXN/AC
Methodist Willowbrook MOB Condominium Assoc
6565 FanninHoustonTX77030680500294Condo AssocTXN/AC
Methodist Willowbrook MOB Condominium Assoc II
6565 FanninHoustonTX77030262137993Condo AssocTXN/AC
San Jacinto Methodist - Alexander Condominium Assoc
6565 FanninHoustonTX77030470921764Condo AssocTXN/AC
SJMH Condominium Association
6565 FanninHoustonTX77030412096917Condo AssocTXN/AC
The Methodist Hospital Condominium Association
6565 FanninHoustonTX77030861065871Condo AssocTXN/AC
TMH Medical Office Buildings Condominium Assoc
6565 FanninHoustonTX77030760287893Condo AssocTXN/AC
Wesley Insurance Company SPC Ltd
6565 FanninHoustonTX77030980405036InsuranceN/ACCJ
Methodist West Houston Medical Office Building Condo Assoc
6565 FanninHoustonTX77030300655123Condo AssocTXN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg